I would really appreciate any input on my 23andme results. I’m trying to figure out who to go to or consult based on my results, symptoms and location(Tampa, FL). Thank you for any insight you may be able to give. I’m 41 y/o male and I have always been somewhat active but felt as though my fatigue was considerably more than it should be. Dx with bipolar II around age 30. Age 33 had mitral valve repair surgery due to severe regurgitation. Docs thought it was a sudden rupture since I’d never been told of a murmur. Everyone said this will fix all your fatigue/exhaustion issues. NOT. I’ve been worse ever since with poor memory and brain fog being the hardest to deal with. MRI after showed nothing. I reluctantly chalked it up to some not to uncommon deficits associated with being on the heart lung machine or side effects from the lamictal I take for Bipolar. After reading about OI/POTS/PEM/ect.. I feel as though I must have some form of dysautonomia also common with some who have mitral valve prolapse. I also fit the pyroluria description pretty well. About 3 weeks ago I stopped taking the m-folate and m-B12 I had taken for a couple weeks. I decided I wasn’t going to take anything else until a professional had advised me to after whatever lab work I need. I’ll be seeing a new cardiologist next week who specializes in valvular disease. I hope he knows how to diagnose POTS/ect. I’ve only ever had regular echos so I’m hoping to convince him to order a stress echo. I also have an appt with my primary to see what tests I can get him to order before seeking a $pecialist. Any thoughts on tests I should push for? I don’t want to start supplements not knowing my gut status. Metals? I really appreciate any thoughts on my situation.