Hello, I m fighting fatigue everyday. I was almost in tears leaving my cardio appt today because he is very happy with my heart while I feel so tired and moderately dizzy. He said the heart isn t causing dizziness. I m a clerk. At my lunch I either have to workout for 20 30 min or take 45 min nap to fight fatigue. I have arrhythmia palps vpc s that cause low bp and heart rate of 40,60,103 within 5 min timeframe. In last yr. and a half I have increased palps after eating anything or trying to sleep on left side. D dimer was negative in May but this mo is 535 twice taken a wk apart. I had an ischemic stroke in 2013 in head with no known cause. I had tests done for clot disorders at a Houston hospital. I was a couple wks pregnant. Just a minor mitral with lil regurgitation. The fatigue was minimal back then. I gained 30 lb in 2014 and my hair thinned out. I have never gained and have trouble losing any of it. I have minor migraines for yrs. I had non invasive cervical cancer fall 2015 and hysterectomy Dec. 2015. Pulmonary E in Jan 2016. Xarelto until March. D dimer then was 100 s and hemo stopped thinner. The only Med I take is aspirin 81 and propranolol 10mg as needed for palp attacks. Today cardio said take 1 before bed but there are no other meds I can take. I m seeing the electro cardio in August and another for second opinion. Electro Last yr said ablation might help but it s a hit and miss. My mom has auto immune hepatitis that showed up in her fifties. I m 38. 153 lb 5 6. My rhemotologist last yr says I have no signs of clot disorders or anything for now. I have high ANA but he said most can. I had liver and thyroid checked this yr. all fine. I m now searching for my 3rd internist because I m dizzy esp when I look down. Last Mri was Jan. All good. I haven t seen my neuro in over a yr and he isn t caught up. I m started to think there may be something wrong that s causing increase in palps. What kind of dr should I go to?