Extreme hypotension

Patient : My name is jenny i am 38 years old and have had extremley low blood pressure for 4 years. i have been put on fludrocortisone and midodrine along with pottasium but none of these have really helped. i still have frequent fainting spells and dizziness when i tell my doctor it isn't helping he just says i have to deal with it. is there anything you can suggest to help with my low blood pressure? on a good day my blood pressure registers from 60 over 40 to 90 over 45.
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