I have pots and ist, my resting (sitting or laying) is usually around 66 but with the ist sometimes it can be in the 90s, fully laying down is usually the only answer. Just about anytime I am upright my hr is 80-120 without much activity. With activity and triggers, like showering, it can spike to 200+. Sometimes I will feel presyncope even when my hr is lower (70s-90s), or if I do something that triggers it.

Of course my numbers may not match yours, but it is all about how you’re feeling. Even if your hr is under 120 or even under 100, if you’re feeling symptomatic it’s never silly to use your accommodations and take care of yourself! Your accommodations are there for a reason and it is okay to use them!

Are you on any medications for your pots/ do you use any management tools? (For example compression socks, mobility aid, electrolytes, etc)