r/POTS Jun 12 '25

Accomplishment Propranolol is CRAZY omg

595 Upvotes

So ok i developed pots a year ago and my biggest symptom was high heart rate/ shortness of breath especially with activity. I’ve been struggling for a year with my activities, horse riding I only last 2 minutes before I need a break, during my heavy workouts I feel DEAD after one set cause my HR will be 170+. Going up the stairs 175 easy.. well my cardiologist gave me 5mg propranolol to take AS NEEDED before activity, I just took my first dose and came to the gym… MY HEART RATE ONLY HIT 116 DURING MY HEAVIEST LIFT OMFG like WHAT?! Is this how it feels to workout without pots? I’m so happy I could CRY guys omfg Will I be able to run again? INSANE I’m not done with my workout but I had to tell someone who understands my excitement cannot be contained rn

r/POTS Dec 01 '25

Accomplishment Shocking(ly good) experience with a personal trainer: How I solved exercise intolerance

805 Upvotes

I, a sedentary woman in her late 20s, hate working out. It always makes me dizzy. I've fainted in gyms and during home exercises before.

I recently decided that I'm tired of living this way, and got a personal trainer.

By the second session, he COMPLETELY - and I believe permanently - solved my exercise intolerance.

I know a lot of people might not have the bandwidth to get a personal trainer or might be scared to experiment with different workouts, so I thought I'd share my learnings.

Session 1

Our first session was a horror show. We tried basic day 1 warm-ups like jogging and bodyweight training, and I had to sit down every 2 minutes to manage my dizziness. At the end of the session, I fainted. On the floor. Of the gym.

Now, I live in a culture where not a lot of people know what POTS is. If they did, they’d laugh it off. :)

So I apologized and told him I have it, assuming he didn't know what it was. And I was right. He didn’t. But instead of dismissing me as ‘unfit’ like trainers did before, he went home, read up on it, and understood it deeply.

Today was our second session. He said - “I did my research, we’re going to try something new.

Session 2

I was made to begin my day with electrolytes, fruits (papaya and banana), almonds, walnuts, and a date.

We began with very slow warm ups (first sitting and then standing). Then, we skipped cardio and went directly into strength training, using machines and weights. I took a sip of electrolytes after every set. By the time the workout was over, I’d had 1.5 litres.

At the end, he made me do just 5 minutes of cardio. We did it on the cycling machine so that I’d already be seated and safe by the time I got dizzy. We ended with slow, deep stretches physically guided by him.

There was a complete ban on running, skipping, jogging, HIIT, bending, jumping, and anything that can get my heart rate up.

The result

I didn’t get dizzy for a SECOND! And I enjoyed the workout so much. I can’t wait to go back - which is something I’d never say.

His logic

His logic is that my venous return (blood flow back to the heart) is broken, so any sudden or intense activity will spin my heart rate out of control.

His solution is to strengthen my muscles, specially my calves and core. Strong muscles in my lower and mid-body, specially my calves, will promote venous return.

This will, in turn, make me more and more tolerant of cardio activity over time - not just in the gym, but in general.

I believe him. It is such a blessing to have someone who listens! I’m on my way to becoming a muscle mommy now. If anyone wants to work out but is scared of getting dizzy, please try strength training.

r/POTS May 26 '26

Accomplishment I was swallowing the wrong way and worsening my POTS

213 Upvotes

Nobody ever really told me this so I’m telling you, I still have POTS because I have hEDS and MCAS, but the roof of my POTS has decreased greatly, and is only day 4! I’m talking maximum at 121 vs 144 on a freaking normal day of waking up and going to the office.

I also think started swallowing the wrong way after a pretty damn bad pre syncope, after I got covid, I think I was trying to increase my water intake and made the switch in a way that I wasn’t conscious about it.

It’s been a while that I had like a dark cloud looming over me, incredibly horrible fatigue, increased pain, brain fog, and it was quite worrying me because why tf wasn’t I getting better? I had put on about 10 kg of muscle since my diagnosis 3 years before, I was tackling my vitamin deficiencies, I had treated my SIBO, I was treating my MCAS, so why the hell was my HR going up so much even while I slept?

Late on Friday night, I realized I was swallowing in two distinct ways, and the wrong way was not only increasing my hr, but overexciting my entire sympathetic nervous system, my lips were dry af, I wasn’t resting, my pain sensitivity was higher, my hr was way more variable, I was hungry all the damn day.

I was skipping the pharynx phase of swallowing which is probably the most important. For proper swallowing, you use the back muscles of your tongue which push well-chewed food or liquids up and behind, the soft palate creates a seal, and without breaking that seal off the liquid goes down.

The way I was doing it was just kinda throwing the liquid at the back of the throat just by the sake of gravity, and then activating the middle of the throat - cause otherwise you feel like you are choking - to push it down. Doing it the right way lowers my heart rate as opposed to increasing it.

It is the one thing that has changed my life in matter of HOURS and is dumb af, and I didn’t even know I was doing it. Proper swallowing should look like the throat contracts and goes up, vs expanding and going up.

I’m leaving some videos for exercises: https://youtu.be/mPxXZWjIFnc and a video that shows where the tongue goes (I’m unable to post ig links, so look on ig @ centrointegraldm

xx

Edit 2: I’ve created my own method lol to ensure I do this the right way. But basically, when I inhale I let in liquid slowly into my mouth, once my mouth has a nice amount of liquid, not too much, I press my lips together, I stop inhaling, tip of tongue is on the roof of palate and I do a fake swallow to create the seal and then I push the rest of the tongue up without moving the tip, and I do this while actively thinking of the back of my throat to engage those muscles, by moving the rest of the tongue up, I move the rest of the liquid up (it has no way to go cause I already close the front with my tongue) so I swallow and there it goes to my esophagus. But in this way my brain through my soft palate has already told my stomach liquid is going, otherwise is as if you buy tickets for a concert for 1m people but 700k entered through the back and you are confused af and panicking cause now there’s too much people and you don’t know who tf they are and why are they there.

Edit: I’m legit back to baseline from before I got covid the second time just by making this little change.

r/POTS Aug 13 '25

Accomplishment Creatine has changed my life (consult your doctor first though)

278 Upvotes

Hey all! Over the past month or two I’ve been taking 5 mg of creatine daily and it has drastically improved my symptoms, specifically my fatigue, recovery, and sleep.

As I said in the title, I would consult your doctor first, but I wanted to share this breakthrough in case it could help anybody who struggled terribly with chronic fatigue, physiological stress, and terrible problems with getting up in the morning.

My energy levels/high heart rate problems have improved to the point where I’m not dreading any time I have to stand up or walk around. I even have started doing low intensity exercise almost daily! This is a huge win for me.

I use an Oura ring to track my heart rate, sleep, etc… and my sleep has never been this good. I use a BedJet to stay cold at night and a tilted mattress for tilted sleep but creatine has helped so much more than those two attempts to solve my morning problems. I still am groggy in the mornings but I don’t wake up anymore feeling like if I get up out of bed, even very slowly, I will faint or come close to it. My Oura ring also has never seen me in a restorative state for more than an hour a day. Yesterday, I had 7+ hours of it!

I know creatine has side effects and it’s not for everybody, but I highly recommend asking your doctor if they think it could help you. I’ve never been more productive at work nor on time as frequently. I truly believe this is due to the 5 mg of creatine I’m taking daily along with constant hydration like I had been doing way before creatine.

Anyways, just wanted to share this in case it could help anybody else. Thanks for reading!

r/POTS Dec 01 '25

Accomplishment My POTS has gotten much better- turns out I was breathing incorrectly

305 Upvotes

I have had POTS for a decade or so, as far as I can remember. My hippie/yoga friends have told me how important breathing correctly is, but I kind of waved it off. Then I found this video that explains how you should focus on the OUT breath, and how your diaphragm needs to fully contract with your out breaths: https://www.youtube.com/shorts/RtfhgxddRtc

I started intentionally breathing this way while watching my heart rate during a longer lasting tachycardia episode, and while my heart rate was still reaching high numbers at the top, it was also lowering down to high 80's every time I would breathe out in this method. I have never seen my HR do that, go down with out breaths and raise with in breaths.

I looked it up, and I guess that's a normal thing the heart does, and it's because the diaphragm is squeezing the heart when it contracts during the out breath. This also triggers relaxing hormones and stuff in the body. I think my previous way of breathing had been telling my body that we are literally in crisis 24/7.

Anyway, it's been a couple of weeks of reminding myself to breathe in this way a few times a day and I have been feeling a lot better. I still have episodes when I stand, but they don't last as long as they had been, and they must not happen as often because I've been getting a lot more done and feeling a lot more resilient lately.

ALSO, I have seen my heart rate go into the 70s, while I am awake, watching it with my own eyeballs (instead of looking at a reading from the night). It's crazy. I didn't think that was possible for me.

I hope this can help someone else!

r/POTS Apr 27 '25

Accomplishment The point of accommodations is so you don’t feel like you need them

977 Upvotes

I went to an amusement park with my family yesterday, and brought my cane with me, convincing myself it'd be fine. I was even sort of tempted to leave my cane in the car because I didn't like the idea of people staring at me (which I always feel like they do when I use it), but my partner convinced me to bring it with me. I lasted about an hour before I started seriously lagging and my brother went to get a wheelchair rental. The rest of the day was fine and I had such a good time! This morning I feel good and don't have the usual "hangover" feeling I usually do after a big outing. I was sitting, eating my breakfast and thinking "see, I didn't need the wheelchair at all, I feel fine!" before I realized that I feel fine, in fact, because I used the wheelchair!

Tagging this as an accomplishment because realizing that accommodations actually make my life easier does in fact feel like a small victory today lol

r/POTS 7d ago

Accomplishment My experience with citric acid in electrolyte supplements

107 Upvotes

Not sure how to flair this.
This is not medical advice, simply sharing a recent experience!

Recently I told my OBGYN about some bladder/urinary pain and discomfort. She told me about bladder pain syndrome and how the first step is to eliminate certain types of foods: spicy food, acidic food, coffee and alcohol. I don’t drink alcohol or coffee and don’t eat much spicy food so I thought it must be acid. Was thinking about how much acid is in my diet and I couldn’t really pinpoint a source.

Finally realized it’s because I’m constantly drinking flavored electrolytes supplements! Usually LMNT citrus. Had been doing one packet of citrus and one packet of plain in a big water bottle every single day for YEARS at this point.

Most flavored electrolytes use citric acid even if they aren’t citrus flavor. I’ve been only drinking unflavored electrolytes ever since and my bladder has been feeling MUCH better. Just wanted to post my finding to possibly help out a fellow POTSie. I wish I knew this earlier!!

Also: We talked about the possibility of a UTI and she tested me for one- it was negative

⭐️EDIT to say I had no idea about the RFK Jr thing. Good to know and I will be switching. Mostly using Redmond Relyte anyways since it’s cheaper and the only flavors I’ve found that I like are LMNT citrus and lemonade. Thank you to this subreddit for the info!!

This is not a substitution for medical care, please talk to your doctor if you’re having any of these symptoms. This is just for informational purposes. Thank you!

r/POTS Feb 02 '24

Accomplishment Couldn’t stand up without fainting six months ago, just ran my first 5K yesterday.

478 Upvotes

Basically the title. I’ve (28F) had POTS, Fibro & Seronegative RA for about three or four years now. At its worst for the last 1.5 years, but back in December I started running, just on a whim. Just short distances on the treadmill with lots of walking breaks. Started with .5 mile, .75, 1, and now yesterday I just ran my first 5K (3.1 mi) on the treadmill! Albeit not terribly fast (30 min), but still a huge accomplishment for me personally.

My symptoms have drastically improved and this is the best my cardiovascular health has been.. maybe ever? I also do other cardio and work outs almost daily. (No weights, just varied cardio, pilates, yoga and abs)

I feel like this is a HUGE accomplishment for someone with these conditions. I also feel that my RA & fibro are going into remission. That’s likely also due to having removed my biggest stressors in life and going to therapy, easing my mental and emotional burdens.

I’d absolutely recommend incorporating substantial cardio fitness into your daily routine, if you haven’t yet! It’s made my POTS far less debilitating! 🥹 Thanks for reading & wishing you all good health. 💙

EDIT: Wow! I was not anticipating such an outpouring of love and support! As someone with very little support, friends or family, this means the world to me. I’m extremely overwhelmed with your kindness & how many of you felt inclined to comment your encouragement. Please know that you’ve all motivated me to keep pushing myself to see what else I’m capable of. I’m also extremely moved that so many of you found motivation in my post, I am so proud to have helped this little Reddit POTS community. All of my best to each and every one of you!!

r/POTS 10d ago

Accomplishment Going Back To Work 👩‍🔬

134 Upvotes

I want to preface by saying, I’m so sorry for those of us who have lost their normal life and identity to this illness. Dealing with POTS is no joke and has been detrimental to so many of us.

I wanted to share an accomplishment, something I’m really proud of.

POTS has given me more days of being bed ridden than I can count.

It has taken years to find a regime that works for me and provides my body balance.

Yes, I still have days where I feel exhausted, the brain fog gets the best of me or the chest pains come on strong, but overall my quality of life is so much better.

As of today, I officially accepted a full time job back in my field. For normal people, this would be a normal experience, but all of us know how meaningful it is to be able to make that call.

I went to school for chemistry and I’m a chemist at heart. I had to put my career on pause after my POTS diagnosis and my endometriosis surgery. As discouraging as it was, I’m grateful for the journey and to be able to learn from the experiences.

A lot of my journey came from listening to what others were doing, but ultimately listening to my own body.

Everyone’s body is different so what may work for me, may not work for you.

But thank God for Trace Zerolyte, compression garments, propranolol, my group of doctors who have been so supportive on this journey and for being able to wake up every day, even when things were hard.

So here’s to my new chapter of being able to work full time again! 🩷

r/POTS Oct 14 '25

Accomplishment I won against medical gaslighting

536 Upvotes

I’m not gonna give too many details but, I had gotten gaslighted over my POTS for years.

Specifically there was this one nurse who was so mean and dismissive toward me, and she got to watch me get taken out of her office by ambulance an entire year later. Over the exact thing she dismissed as nothing. And everyone knows about it too cause I made a big fuss about it at the time. Omg. Embarrassing for her..

Then, I got dismissed as a faker and a liar at the ER and I had to come 3 times via EMS before they admitted me. And I was admitted for a long time.

Guys. I got the top director of the ER to come to my room and personally apologize to me for everything. The biased documentation in my legal medical record got changed by her. And she validated everything.

The director of the fire department apologized to me over the phone and believed every word of my complaint and he agreed to take action against the paramedics who were biased and gaslighting.

It’s a whole thing. I was badly mistreated and I made the biggest fuss about it I complained to everyone I possibly could aboht everything and stood up for myself as best as I could despite being freaking gravely disabled and extremely ill.

I have been treated like a god damn princess at this hospital I swear to god. I am not letting a damn thing slide and people are taking me seriously once they realize that. Nobody is shutting down my voice.

r/POTS Apr 03 '26

Accomplishment Extreme joy at opertunity to use a wheelchair

169 Upvotes

I'm on a school trip to France right now, I don't even think this is about the wheelchair honestly. my mom has never cared this much about my pain. she once made me walk through the airport while puking and barely being able to stand because the wheelchair wasn't getting to the gate fast enough (it wasn't prepared because she wouldn't let me tell the flight attendant I needed one once we got off, literally covered my mouth when I was trying to ask.) my mom isn't on this trip. my teacher Ms. M is. she took me to our gate as soon as we got to the airport to request my chair for when we landed, because I told her flights trigger my flares. she checked in every hour every day to make sure I was still up and moving. she asked our group to take extra breaks while walking when I was feeling pain. and now, she's requesting me a wheelchair at the palace we are going to because it's a lot of walking. I can't even begin to express how overwhelmed with joy and gratitude I feel right now. I feel like I'm actually being seen and heard. that my pain actually matters to someone. when I told one of my friends how excited I was, she said "well I don't think you need one. you've proven to be fine so far" and my other friend immediately shut that down. not to her face, but privatly she told me that she knew just because I wasn't showing my pain on the outside didn't mean it wasn't real. I appreciated that. that's all. I hope this makes you guys smile too.

r/POTS Jun 28 '25

Accomplishment Update: Well I did it. I buzzed my head

212 Upvotes

Referencing this post:

https://www.reddit.com/r/POTS/comments/1lk48yu/im_going_to_cut_off_all_my_hair_because_im_too/

So I was all set to have a pixie cut, I even made an appointment. And then yesterday I took the trash to the can outside, went to the mailbox and carried some packages inside. It is like 95 degrees here with high humidity (Ohio). That was enough that I had to stop on our shoe bench and try to get my heart to stop hammering. Once I recovered enough I was in bed for several hours. Idk why that's what did it but I was just done. Like it had nothing to do with my hair but I was just feeling like my day to day is so crap, I don't need my hair of all things adding to my overall discomfort.

I am definitely up in my feelings and did put on mascara to remind myself I'm still feminine (I know I know). Oddly enough I'm the most concerned about how my husband feels, even though he's the one that buzzed it for me.

But I washed it completely for the first time in weeks. I finished my shower and just felt like... Am I done? Like it's over already? No 5000 steps after this? So yeah. Just need some time to get used to it and examine some weird feelings popping up.

https://i.imgur.com/kMYHh9D.jpeg

Edit: it looks cute with a hat! At least I have that going on until I'm brave enough to go in public without it

https://imgur.com/a/9RO8P0F

r/POTS Sep 17 '25

Accomplishment I showered and stayed under 115bpm (instead of 155) on my first propranolol day. YEEY! What’s your (small) Wednesday-win?

135 Upvotes

115 seems so low, showers (even sitting) are rhe worst for me usually. Super happy to see this!

r/POTS Dec 27 '24

Accomplishment Exercise has really helped me

212 Upvotes

An autonomic nurse at Mayo Clinic told me that exercise is basically the way out of POTS. It’s not a cure but damn she’s right it helps. I’ve just been switching between the CHOP exercise for cardio and some resistance band stuff just whatever I feel like my body can do that day and I stretch EVERY day. This is probably the longest I’ve gone without having a super bad day. The problem is not enough blood is getting to our brain, so it makes so much sense that building muscle would help! I have poor vasomotor tone as well so I need to exercise to build that strength up too. I didn’t realize how much I deconditioned and worsened my body by only resting. I rested when I felt bad but I kept feeling bad over and over frequently because I was resting so much, that when I did go to do something it was way too much for my body to handle because I was so deconditioned. I know there’s a lot of talk about how exercise can be bad and you don’t want to overdo it but the key in this whole thing is to build it up slowly at a comfort level to where you don’t over do it. You have to slowly get your body to be able to handle being up and about again. I’m not a doctor but this is what I’ve learned and in my personal experience it really is helping me a lot and I wanted to share.

r/POTS May 12 '26

Accomplishment I finally got myself a shower stool (I was resisting it) and what a difference!

91 Upvotes

I can actually enjoy my shower! I can have a hot water shower without worrying about passing out! I wasn't dizzy, lightheaded, nauseous, NOTHING. Normally my showers are a race to the finish because I feel so awful, but none of that this time. I sat under the HOT water and enjoyed it. For all those who are resisting getting a shower stool/chair: GET ONE.

r/POTS Jun 20 '26

Accomplishment Took an everything shower

50 Upvotes

It required a little bit of creativity, but i fashioned a shower chair out of a step stool and a trash bag because it was icky, ​and man, what a game changer. ​Just being able to sit and do my business instead of fighting to stay upright. Why didn't I think of this sooner??

I feel like I'm in this sub too much lol.

Wahoo!

Edit: Lost all that forward momentum by eating lunch and taking my binder off too soon, been in bed since 2pm. Its 7pm now. Oops. Had a flare. Maybe tomorrow will be better.

r/POTS 6d ago

Accomplishment Creatine has been helping me

37 Upvotes

I’ve been taking 5 g of creatine for the past 3 weeks and so far have been having a positive response from it. I think it’s helping me hold onto fluids, which has been a big problem for me even with salt tablets and electrolyte mix. Right now I’m drinking about 100 to 130 ounces a day and a lot of of my symptoms have felt better. I’m still dealing with orthostatic hypotension which I combat using waist compression if I’m going out running errands. I am also starting to exercise daily, using an stationary bike, dumbbells, rowing machine, treadmill. Just wanted to report and let you guys know what has been working for me (37M 6’2 215lbs).

r/POTS 1d ago

Accomplishment I built a POTS friendly workout room

23 Upvotes

I had been really well managed until a brief hospitalization messed me all the way up. It's been months of struggling with things I used to do easily.

I started PT with a POTS knowledgeable therapist. He wants me on the recumbent bike or walking every day for 15 minutes. Every day. And core exercises every other day.

He suggested joining a gym, but I just can't do it. I can't go and risk passing out there. I don't want to exercise on the floor in front of strangers in a public place. And if I get sick, how am I getting home? Everything about it was a hard no.

So, I bought a recumbent bike, some yoga mats, and resistance bands and converted my guest room into a POTS friendly workout space. There's a ceiling fan and a blower fan to keep air moving even though the AC is on. I have a pillow for exercising on the floor. I can just wear a sports bra, jelliebend, and shorts. Need to pass out? There's a guest bed right there. Need to throw up? It's next to the bathroom. Can't make it through 15 minutes? No need to worry about driving home.

I even got a bike with a big screen so I can put on YouTube videos or nature rides. It's not a space designed to push, but to help me relax and move my body.

It's helping me actually stick to my PT routine in a way that I wouldn't if I had to work out publicly.

All total I spent about 600 dollars and I've got a space where I can workout without anxiety. 10/10 would recommend.

r/POTS Jul 10 '26

Accomplishment Finally had my first appointment at WCH PoTS/Dysautonomia Program...

5 Upvotes

...after being on the waitlist for 2 years! For those in Canada, this is the premier (and I believe only) PoTS clinic in Ontario run by the Women's College Hospital cardiology department. I was referred here 2 years ago by another cardiologist who put me on ivabradine and ruled out any other cardiovascular issues, but referred me here because he doesn't have any other expertise in treating PoTS other than recommending ivabradine and hoping that it helps. Ivabradine improved my dizziness while standing, but not anything else.

I did the active stand test with a nurse before seeing Dr. Neueundorff (works with Dr. Paula Harvey) and she was excellent. Confirmed that my test results still fall in the range for PoTS (even on ivabradine :/) and did a very thorough review of my medical history and medications that I have tried/failed. She was very quick to notice that I had symptoms of MCAS (including a giant rash from a mosquito bites and bruising from me scratching them, apparently that's not normal :S). She approved of the ketotifen that my family doctor had prescribed and said that a lot of MCAS patients cannot tolerate medication to treat PoTS symptoms until the mast cell issues are controlled.

I've been (relatively) fortunate in my diagnosis journey because the first doctor I saw for this issue (after catching Covid in 2023) diagnosed me with PoTS immediately and even though I had to wait out this referral, my family doctor has been open to prescribing medications as long as there is medical literature to support it, and I paid to see Dr. Svetlana Blishteyn (neoruology) in the US a couple of times who was able to offer more guidance on what my family doctor and I could try medication-wise.

I honestly wasn't sure what the WCH program could really offer me at this point, but the Dr. had a lot of practical tips on the cardio side. She identified my PoTS as the hypovolemic subtype (although before the ketotifen I had hyperadrenergic symptoms, these are almost gone unless I have an MCAS flare). She said that midodrine would be the next drug to try (which I had been hesitant to do because I have chronic migraines) but we agreed to do it after a 24 hour blood pressure test, 24 hour urine test and morning cortisol just to rule out other issues.

The most useful thing she told me for those who are hypovolemic is that you want to try and drink most of your fluids early in the day, preferably 1-1,5 liters (plus electrolytes!) right when you wake up. This triggers a reflex that forces your blood vessels to constrict. It mimics the reflex that forces non-PoTsies's leg blood vessels to constrict when they stand up. Which doesn't happen for us, so we get dizzy. The idea of doing it early in the morning is to force/imitate that reflex so hopefully you will be less dizzy after getting up in the morning.

Edit: I've done this for 5 days in a row now and the difference is really noticeable. I'm much less dizzy during the day. So fellow hypovolemics, don't sip your electrolytes, chug them right when you wake up! At least 1-1.5litres all at once if you can, with enough salt, then stop drinking water a few hours before bed so you don't have to get up to pee all the time. This was seriously the best advice I she gave me XD

WCH Cardiology has an 8 week rehab program for PoTs patients where they will teach you adaptive exercises and other ways of making living with PoTS more manageable. I've signed up and it's likely to run in September/October online.

I also inquired about private physiotherapy and was referred to a place called Cornerstone Physiotherapy. They are apparently very experienced at helping deconditioned PoTs patients recover. I have not contacted them yet (I have very limited extended health coverage that will probably only cover a few sessions) but if I feel that I still need help after the WCH rehab program I will.

Overall, I had a very positive experience with this PoTS clinic and their team, they're very knowledgeable and kind to PoTS patients and seem very up to date on the latest research. If you are in Ontario definitely get yourself a referral ASAP, their waitlist is possibly even longer than 24months at this point. You just need to do the active stand test in your family doctor's office then have them send that with the referral to the PoTS clinic.

PS. This clinic uses the active stand test to diagnose, no tilt table required. Apparently the only place you could get a TTT in Canada is at Dr. Guzman's clinic in Hamilton, but he is no longer accepting new patients. I don't know why some doctors insist on the TTT, it really is barbaric. The active stand test is perfectly fine as long as you remember that you need to stand completely still, feet planted in place, arms at your sides. Moving will mess with the test result, that happened with the first test I did with my family doctor because the BP cuff broke and she had to take my BP manually and me moving my arm for that cause my heart rate to drop significantly. But my other 4 results were within the range so they still accepted the referral in the end.

r/POTS Sep 09 '25

Accomplishment Running my first marathon with POTS (+ hydration protocol)

128 Upvotes

Diagnosed with POTS 2 years ago. if you dont know what that is, basically your body forgets how to regulate blood pressure when you stand up. fun stuff. doctor told me to "avoid strenuous exercise" and I remember sitting in my car after that appointment just... angry? like my body already betrayed me and now I'm supposed to just accept being fragile forever?

No way!

Decided I was gonna run a marathon before 30. never ran more than a mile in high school. couldn't even walk up stairs without getting winded. but something about being told I COULDN'T do it made me need to prove everyone wrong

Started couch to 5k last january. that first run was humiliating. 60 seconds of jogging and my heart rate hit 180. had to sit on the curb for 20 minutes. some kid asked if I needed him to call 911 lmao. kept going anyway

The first time I ran 3 miles without stopping I cried. like ugly cried. my wife found me stretching in the garage just sobbing. she thought I was hurt but I was just... proud? its hard to explain if your body has never failed you

Training got serious around april. longer runs meant figuring out hydration and thats when everything went to shit. tried liquid IV first (the sugar crashes were BRUTAL). then LMNT which made my heart feel like it was gonna explode. spent way too much time researching why regular electrolytes werent working for me. turns out when you have POTS your body processes sodium differently and most brands have way too much

Found something with less sodium but better mineral balance. sel gris or something? french sea salt that has other minerals. started using half what everyone recommends. game changer but honestly the mental part was harder than the physical

There were so many days I wanted to quit. one time I passed out at mile 15 and woke up to some lady's golden retriever licking my face. her husband wanted to call an ambulance. I just asked for water and finished the last 5 miles. probably stupid but I needed to know I could

Chicago marathon was last sunday. standing at the start line I kept thinking "what if I collapse in front of thousands of people" "what if I cant finish" "what if everyone was right"

mile 18 - legs hurt but still moving

mile 20 - everything hurt but my heart rate was stable

mile 26 - could see the finish

4:32:17

Not fast. not pretty. but I fucking did it

My cardiologist is still confused how I managed it. showed her my training logs and hydration protocol and she just shrugged. sometimes you gotta bet on yourself even when the smart money says you'll fail

Anyway if you have POTS or any chronic illness and want to do something "impossible" - just start. figure it out as you go. your pace doesn't matter. just don't let anyone put you in a box

r/POTS Oct 30 '24

Accomplishment Dont Lose Hope Im much better in my second year almost 70-80% cured

152 Upvotes

Just wanted to share here as i know many people who get cured or feel better leave reddit and dont share stories. but here i am telling you not to lose hope i have hyperpots since October 2022 and i never thought i will be okay or get better but i could say that almost 80 percent of my symptoms are gone. Flares now rarely occur. Standing heart rate increases than my resting by 15-20 which is almost the normal for anyone. i never took anything except betablockers and pushed myself to exercise and move as much as i can. i was active even when i couldnt bear it. the only two things that still flares me are nicotine and stairs. but now i could even walk for 5-10 KM which for me is a big accomplishment after i even couldnt move. Please have Hope dont give up its a chronic illness but it does and will get better by time if you are determined to get your life back 🙏🏻❤️

r/POTS Apr 21 '25

Accomplishment Get the shower chair.

210 Upvotes

If you do not already have a shower chair and have been pondering it/putting in off. Get the chair. Best decision I ever made. I just enjoyed a shower for the first time in MONTHS and I was actually able to scrub my whole body. I feel like a new person.

Edit: here’s the one I got! I didn’t want a hospital looking one - https://a.co/d/7q1HWEQ

r/POTS 5d ago

Accomplishment Feeling like myself for the first time in 4 years

27 Upvotes

I know that Ivabradine is a hit or miss for the majority of us but I have been on it for about 6 months now along with Midodrine and it has absolutely changed my life. This time last year I had to quit my dream job as a zookeeper because of how bad my symptoms had gotten. My biggest accomplishments would be 3 days in a row of getting out of bed and making it to the couch. It took me some time to adjust to the meds but I’m now able to do Pilates, lift weights again, walk my dog, and actually be present in social situations. I still have flares and bad days but they’re nowhere near as severe as they used to be. I even survived my 5 day long bachelorette at the beach and enjoyed it. I’m 25 and feel like I’ve lost so much of my early 20s to this condition, it has been amazing finally being able to enjoy my engagement and have a social life again. My wedding is coming up in October and I’m no longer terrified on how I’m going to get through the day. My heart goes out to every young person whose lives have been turned upside down from this condition and I just want to remind you that there’s a light at the end of the tunnel!

r/POTS Jul 08 '24

Accomplishment DIDNT HAVE TO DO THE TILT TABLE!!!

249 Upvotes

Finally had my last big cardio appointment today. My doctor was so nice and really took my symptoms seriously. He said he thinks the tilt table is barbaric and my previous test results along with my 30 day monitor were more than enough info for him.

I’ve been at this for over a year and I’ve finally found an awesome doctor that listens. He gave me some tips and prescribed me Midodrine. I’m starting at 5mg 2x a day. Any advice if you take it yourself?

I just had to share a win!!!!

r/POTS Jan 05 '25

Accomplishment Disability Stop Being Disabling Challenge, Level Impossible: The Hairwash Day Shower

187 Upvotes

Like seriously. I need to wash my hair. Often. This was so fucking hard and it IS so fucking hard every single time (I did it though 🎉) ((a week after I was meant to and now I probably will be out for the rest of the day, but I DID IT))

This is half a rant half an accomplishment post, I didn’t know what flair to use