How does one conquer a fear of public speaking?

Ever since i was little, ive had this terrible fear of public speaking. ive made many presentations in my life, or just standing up and introducing myself, but i still cant get used to it! I practice soo many before presentations but it doesnt help me!

My hands shake when im holding a piece of paper, my face turns red & i find it extremely uncomfortable making eye contact with the audience. I don’t know if it is obvious to the audience that i’m nervous, but i’ve always got that feeling & i’m always having to pretend that i’m not nervous, & I know the audience isnt there to judge me or make fun of me.

I avoid taking classes, even the ones i do want to take, because i know i’ll have to make a presentation.

I’ve tried taking herbal sedatives but they dont work! Are there any pills that i can take? Has anyone been to a doctor for this problem?? Does hynosis work?

Please help! im afraid ill be crippled for life & that i will always have to avoid certain career paths & jobs!!

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