POTS (Postural Orthostatic Tachycardia Syndrome)
Gabriel treats POTS by addressing root cause: testing for autoimmune markers, infections, EDS, MCAS, small fiber neuropathy.
10 identified
11 recommended
14 to test
3 modalities
Gabriel's Approach
Gabriel treats POTS by addressing root cause: testing for autoimmune markers, infections, EDS, MCAS, small fiber neuropathy. He optimizes blood volume with salt loading and hydration protocols, supports autonomic function with targeted supplements, addresses mitochondrial dysfunction, uses IV therapies for rapid improvement, implements graded exercise protocols carefully, and combines conventional (fludrocortisone, beta blockers when needed) with natural approaches. Recognizes POTS often has multiple contributing factors requiring comprehensive treatment.
Root Causes
Why Conventional Fails
Increased salt and fluid intake, compression garments, graded exercise, fludrocortisone (increase blood volume), beta blockers (propranolol, metoprolol), midodrine (vasoconstrictor), ivabradine (lower heart rate), sometimes IVIG or plasmapheresis if autoimmune.
Often dismisses as anxiety, doesn't investigate root causes (infections, autoimmunity, EDS, MCAS), medications have side effects and don't address underlying dysfunction, exercise recommendations too aggressive (worsens condition), inadequate nutritional support, doesn't optimize mitochondrial function, doesn't address comorbidities comprehensively, many patients dismissed before diagnosis (takes average 4-6 years).
Your Complete Protocol
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Your Protocol for POTS (Postural Orthostatic Tachycardia Syndrome)
Choose the level that's right for your healing journey
Essential Protocol
What's Included
- Electrolyte solution with 6-10g sodium/day
- Licorice root 500mg 2x/day (mineralocorticoid effect)
- Vitamin B1 (thiamine) 100-300mg
- Vitamin B12 1000-5000mcg
Available through Fullscript
Practitioner-Grade Protocol
Practitioner-Grade — Not Available on Amazon
What's Included
- Standard Process whole food protocol
Whole food supplements by Standard Process
Complete Protocol
What's Included
- All Practitioner-Grade supplements & herbs
- BPC-157 (tissue repair + gut healing)
- Thymosin Alpha-1 (immune modulation)
Standard Process + Matter peptides
Recommended Supplements
Key Lab Markers
Dietary Guidance
High sodium diet (6-10g/day unless contraindicated), adequate fluid intake (2-3L/day minimum), small frequent meals (large meals worsen symptoms via blood pooling), adequate salt at each meal, avoid alcohol (vasodilator), avoid caffeine initially (some tolerate after stabilization), complex carbohydrates for sustained energy, adequate protein, electrolyte-rich foods (pickles, olives, bone broth, coconut water), some benefit from increased dietary potassium, avoid very hot foods and environments.
Lifestyle Factors
Compression garments (waist-high 30-40 mmHg), elevate head of bed 4-6 inches, graded exercise program (recumbent bike, rowing, swimming - NOT running initially), avoid prolonged standing, avoid hot showers/baths, counter-maneuvers (leg crossing, squatting), adequate sleep (dysautonomia worsens with poor sleep), pacing (avoid push-crash cycles), physical therapy specialized in POTS, avoid deconditioning but don't overdo, stay cool (heat worsens symptoms).
Recommended Treatments
Mind, Body & Spirit
Evidence-based practices that complement physical treatment protocols
Mind
Biofeedback
moderateLearning to modulate autonomic responses through real-time feedback.
Cognitive Behavioral Therapy
moderateCoping with chronic illness, pacing strategies, managing anxiety that worsens symptoms.
Meditation and Breathwork
moderateParasympathetic activation to support autonomic balance.
Body
Vagal Nerve Stimulation
moderateTechniques to improve autonomic nervous system regulation.
Graded Exercise Therapy
strongSpecialized POTS exercise protocol starting recumbent, slowly progressing to upright.
Compression Therapy
strongWaist-high compression garments to prevent blood pooling in legs.
Spirit
Curated for POTS (Postural Orthostatic Tachycardia Syndrome)
Traditional supplements via Fullscript
Standard Process + classical TCM
Standard Process + advanced peptide therapy
Find a Practitioner
Connect with specialists who treat POTS (Postural Orthostatic Tachycardia Syndrome) using root-cause approaches.
Browse PractitionersEducational purposes only. Consult a qualified healthcare provider before starting any treatment protocol.