What is POTS?
POTS is a form of dysautonomia, meaning a dysfunction of the autonomic nervous system, which regulates involuntary bodily functions such as heart rate, blood pressure, and digestion. In POTS, the nervous system struggles to maintain stable blood flow and pressure when a person moves from lying down to standing, causing a variety of symptoms:
- Cardiovascular Symptoms: Rapid heart rate (tachycardia), lightheadedness, fainting.
- Neurological Symptoms: Brain fog, dizziness, migraines.
- Other Symptoms: Fatigue, digestive issues, and sensitivity to heat.
While the exact cause of POTS remains unclear, it is often linked to autoimmune conditions, infections, or prolonged periods of inactivity.
The Orthomolecular Approach to POTS
Orthomolecular medicine focuses on restoring optimal health through the use of natural substances such as vitamins, minerals, and amino acids. For POTS, this approach aims to support the nervous system, improve circulation, and address the root causes of symptoms.
1. Vitamin C (Ascorbic Acid)
Vitamin C is a potent antioxidant that supports vascular health and reduces oxidative stress. In POTS, it can help strengthen blood vessels and enhance collagen production, improving blood flow and reducing symptoms like lightheadedness.
- Recommended Use: Dr. Thomas Levy emphasizes the role of high-dose Vitamin C in reducing inflammation and promoting cellular repair. Orthomolecular doses recommend no less than 10 grams (10,000mg) per day, though finding your specific Bowel Tolerance is best for therapeutic dosing.
2. Magnesium
Magnesium plays a vital role in nerve function, muscle relaxation, and blood pressure regulation. Many POTS patients are deficient in magnesium, which can exacerbate symptoms such as tachycardia and fatigue.
- Recommended Use: Magnesium glycinate is highly bioavailable form; 5x your body weight in milligrams is a standard dosing guide. i.e. 150lbs x 5 = 750mg per day. An AM and PM dose is best; taking magnesium before bedtime can also improve sleep quality.
3. B Vitamins or Beef Liver Capsules
B-complex vitamins, particularly B1 (thiamine) and B3 (niacinamide), are essential for energy production and neurological health. These vitamins help support mitochondrial function, which is often impaired in POTS patients.
- Recommended Use of B Vitamins: Niacinamide is non-flushing and can improve energy levels and circulation without causing the uncomfortable flush associated with other forms of B3. Orthomolecular dosing suggest 500mg 3x day to start.
Why Beef Liver Capsules May Help POTS:
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Rich in B Vitamins:
- B12 and Folate: Vital for energy production, nerve function, and red blood cell formation. These nutrients can help combat fatigue and brain fog, common in POTS.
- B2 (Riboflavin) and B6 (Pyridoxine): Support neurotransmitter production and cardiovascular health.
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High in Vitamin A:
- Essential for immune function and cell repair, which may be beneficial if POTS symptoms are linked to autoimmune or inflammatory conditions.
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Iron Content:
- A good source of heme iron, which is easily absorbed and supports red blood cell production. This can be particularly helpful for individuals with low blood volume or anemia, common in some POTS patients.
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CoQ10 and Copper:
- CoQ10 supports mitochondrial health and energy production, while copper aids in iron metabolism and the formation of connective tissue.
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Natural Collagen Precursors:
- Supports vascular and connective tissue health, which is crucial for stabilizing blood pressure and circulation.
POTS patients often benefit from increased sodium intake to improve blood volume and circulation. Combining sodium with key electrolytes such as potassium and magnesium can help stabilize blood pressure.
- Recommended Use: Orthomolecular electrolyte solutions, free of dyes and artificial sweeteners, can be a convenient way to stay hydrated and maintain electrolyte balance.
5. Omega-3 Fatty Acids
Omega-3s reduce inflammation and support cardiovascular health. These essential fatty acids can help improve circulation and reduce the inflammatory responses often seen in POTS.
- Recommended Use: High-quality fish oil omega-3 supplements can be added to daily routines. Adults should take 1 soft gel 2-4 times per day.
Lifestyle Modifications to Complement Orthomolecular Treatments
In addition to supplementation, lifestyle adjustments can make a significant impact on managing POTS symptoms:
- Physical Activity: Gentle exercises, such as recumbent cycling or yoga, can help improve circulation and strengthen the nervous system.
- Compression Garments: Wearing compression stockings can reduce blood pooling in the legs and alleviate dizziness.
- Hydration: Drink plenty of fluids throughout the day, especially those fortified with electrolytes.
- Dietary Adjustments: Focus on whole, unprocessed foods rich in nutrients. Avoid excessive caffeine and sugar, which can exacerbate symptoms.
Why Choose Orthomolecular Treatment for POTS?
Orthomolecular medicine offers a holistic approach, targeting the root causes of POTS rather than just masking symptoms. By restoring nutrient deficiencies, reducing inflammation, and supporting the autonomic nervous system, this method helps patients regain control over their health and quality of life.
Living with POTS can be overwhelming, but orthomolecular medicine provides hope by addressing the biochemical imbalances underlying the condition. With a tailored combination of vitamins, minerals, and lifestyle changes, many POTS patients experience significant improvements in their symptoms and overall well-being.
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Additional Resources:
Vitamin C, Vitamin B3, & Orthomolecular Medicine For Optimal Health
POTS (Postural Orthostatic Tachycardia Syndrome) Support Group
