What are the ways to overcome postural hypotension?

Hello doctor,

I have been suffering from health problems for the last five months. I had a lot of discomfort in my stomach and around my teeth. My gynecologist thinks of endometriosis, and I suffered a root canal infection. However, it took a month of excruciating suffering for the infection to be detected on the X-ray, thus the tooth was not repaired until two months ago. I was in excruciating pain at the moment. I was given Amoxicillin but developed severe diarrhea, so I was moved to Azithromycin. After the root canal surgery, I had a lot of discomfort in my cheek nerve, so I was given Methylprednisolone to attempt to quiet it down. I also started taking more vitamin B6 about this time to help with the endometriosis. This is when I started feeling dizzy, nauseated, and like I was going to pass out. This was significantly harsher in the light and heat, and even more so after effort and activity. I worked with autistic kids and had to quit lately because I was unable to manage the task with my dizziness. It does appear to be a little worse around my period. I have to consume salty foods more frequently, and I feel like I have to eat more carbohydrates than I normally would. It appears to be better when I consume electrolytes on a regular basis. I used to be able to take cortisol-lowering medicines like Ashwagandha and Phosphatidylserine, but now I feel dizzy and like I am about to pass out.

This gets me concerned that something is interfering with my cortisol levels. When I started getting pins and needles or peripheral neuropathy, I stopped taking the B6. I had a serum Ferritin test, and it came back at 35. I suppose in the past I required a high iron level closer to 90 to feel normal, so I am supplementing with iron, which I believe is helping. My doctor advised me to convert to an anti-inflammatory diet for endometriosis, and I believe it has alleviated many of the symptoms. I was under a lot of stress and I was taking a lot of Ashwagandha. In my twenties, I oversupplied on vitamin B. I was found to have a very high B12 level and was advised to quit taking supplements, which I did for several years. I started taking them again in recent years, although not at the same high level. I also take iron and vitamin C pills. Because I have an MTHFR gene mutation, I also take folate. I was taking B12 since I had heard that folate and B12 should be taken together, but I stopped due to peripheral neuropathy. This gets me concerned that the Prednisone may have caused Addison's disease or another adrenal gland problem. Is there a test that I can get from walk-in clinics to evaluate this? Since this occurred, I have been unable to work full-time and am no longer able to do so.

Please help.

Hello doctor.

Thank you for the reply.

Since our previous conversation, I have experienced sleeplessness due to a tremendous energy surge about 10 P.M. I went to the emergency hospital since it was making me quite sick. All of the lab results from that trip are included. My doctor wants me to take Progesterone to attempt to balance my hormones since she suspects I have endometriosis. But I did not accept it because I was afraid. Do you believe I can take it based on these findings, or do you think it will interact with my endocrine system? I hope it will aid with my sleep. If you have any sleep tips or ideas, I would be grateful. I sleep two hours per day on most days. I am also attempting to perform the 24-hour cortisol test, and will let you know when I get the results.