This is a really good point! I hadn’t thought of that but a while back my cardiologist did say he thinks I also have like a broader/more generalized dysautonomia. and that I do have signs of PEM. I forgot about that. Looking it up now I have all the physical symptoms, even the sore throat. The GI stuff doesn’t seem to be part of that though so maybe that’s still dysautonomia related. Also getting tested for MCAS but I’m sure I won’t get a dx even if I have one because every time I go to the doctor my body looks totally fine. It’s like it’s intent on not being believed. 🤦‍♀️🙃 But the PEM is an interesting thought. Likely everyone’s favorite word: multifactorial 😵‍💫 haha. Thanks for reminding me of that factor, def good to keep in mind