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Managing POTS: Insights and Treatments with Dr. Jeffrey Boris

In this episode, Dr. Jeffrey Boris, a pediatric cardiologist, delves into treatments for POTS, including specific medications and non-pharmacologic interventions. The discussion covers the roles of Pyridostigmine, IV saline infusions, fluid and salt intake, and stimulant medications like methylphenidate and dextroamphetamine. Dr. Boris emphasizes the importance of personalized care and highlights the complexities of POTS symptoms, noting gender-specific differences and the significance of premenstrual symptom variations. The necessity of education, social support, and nuanced medical approaches is also stressed, offering hope and guidance for patients, caregivers, and healthcare providers.

00:00 Introduction and Overview
00:36 Medications for POTS
02:57 IV Saline Therapy
07:18 Fluid and Salt Intake
10:34 Caffeine and Sports Drinks
11:54 Methylphenidate and dextroamphetamine for Cognitive Dysfunction
13:58 Long-Term Outcomes Study
17:11 Sex Differences in POTS
21:48 Hope and Support for POTS Patients
24:15 Telemedicine Practice and Services
29:46 Conclusion and Key Takeaways

Support the show

A Fibromyalgia Starter Pack, which is a great companion to the book Conquering Your Fibromyalgia, is now available. Dr. Michael Lenz practices general pediatrics and internal medicine primary care, seeing patients from infants through adults. In addition, he also will see patients with fibromyalgia and related problems and patients interested in lifestyle medicine and clinical lipidology. To learn more, go to ConquringYourFibromyalgia.com. Remember that while Dr. Lenz is a medical doctor, he is not your doctor. All of your signs and symptoms should be discussed with your own physician. He aims to weave the best of conventional medicine with lifestyle medicine to help people with chronic health conditions live their best lives possible. Dr. Lenz hopes that the podcast, book, blog, and website serve as a trusted resource and starting point on your journey of learning to live better with fibromyalgia and related illnesses.