POTS Recovery

POTS RecoveryProtocol

Postural Orthostatic Tachycardia Syndrome. Most PCPs don't know what to do. This is the evidence-based foundation: volume expansion, vagal retraining, mitochondrial support. Not a cure — a management framework that makes life functional again.

Who This Protocol Is For

Diagnosed POTS

Tilt table or active stand test confirmed >30 BPM increase on standing.

Post-COVID Dysautonomia

Long COVID symptoms with orthostatic intolerance. Same protocol applies.

Unexplained Fatigue + HR

Undiagnosed but high suspicion. Do tilt test first, then start protocol.

Target Outcomes

Heart Rate on Standing

+30 BPM

<20 BPM

Volume + tone

6-12 weeks

Fatigue

Daily

Functional days

Gradual

8-16 weeks

Brain Fog

Pervasive

Improved

Cerebral perfusion

4-8 weeks

Syncope/Pre-syncope

Frequent

Rare

Volume-driven

4-6 weeks