I'm on my third week of Trinessa birth control pills. I started to feel it when I hit the light blue pills, not the white ones. And now I'm on the dark blue. I have more stamina! Not what I would call energy, but I'm lasting longer. I can do more. And I'm not as severely lightheaded at all. I'm not losing the amount of water I was losing before, so I'm not getting the NMH/POTS like I was. There's a big different. And I've started some exercise for my back, which is still horrifically bad. I never, ever could have done any exercise prior to the Trinessa. I would say the combo of the Trinessa and the Levothyroxine are what's helping, plus I'm taking acidophilus/probiotics about two or three times a day. And I take a magnesium if I get the muscle spasms/flutters. Flexeril for my back, it also seems to let me sleep more deeply. I take tylenol/pamabrom (diuretic) for my back pain and it helps. And that's very interesting because you would think that if you have NMH/POTS, the last thing you would want to take is a diuretic, but it's not killing me with lightheadedness. Maybe it would if I wasn't on the Trinessa. My main motivation for the exercise is my back. I've got a disc that is just killing me in my lower back and I'm hoping that if I get the weight down and build up those muscles, I can make it better. I am amazed that I can do any exercise at all. I had one severely bad flare this week, but only because a neighbor was torturing me. He started with the loud stereo at all hours and I had to go to the building's management and complain. And so far, I've had a few days of quiet. But once I slept, I was better. There is definitely a hormonal connection to this disease for me. There's a huge difference. I'm just hoping I can keep it up. I still feel brain fogged. Like I don't feel right. Like someone has a wool blanket over my brain. I wouldn't say I'm energetic at all. But that I have the stamina to do more. And I'm lasting longer. I just wish I could fix this back pain. Sharp lower right, it's a disc and it goes down the right leg and hip, but deep muscle pain there. I hope if I keep up what I'm doing it will eventually get better.