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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.

Text Dr. Lenz any feedback or questions

In this episode, we delve into POTS (Postural Orthostatic Tachycardia Syndrome). Our special guest, Dr. Jeffrey Boris, a seasoned pediatric cardiologist, shares his expertise on POTS, including its diagnosis, common triggers, symptoms, and multifaceted treatment approaches. The discussion includes Dr. Boris's journey into treating POTS, the challenges in diagnosing it, and the need for more comprehensive research and funding. This conversation also highlights the parallels with fibromyalgia and emphasizes the importance of individualized care for patients.

00:00 Introduction to Fibromyalgia and Chronic Pain Conditions
00:35 Meet Dr. Jeffrey Boris: Pediatric Cardiologist
01:56 Dr. Boris' Journey into POTS
04:28 Understanding POTS: History and Definition
09:29 Challenges in Diagnosing POTS
14:00 Triggers and Symptoms of POTS
19:07 Managing POTS: Approaches and Treatments
26:26 Research and Future Directions in POTS
33:54 Conclusion and Summary

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.

Text Dr. Lenz any feedback or questions

In the second part of the conversation with Dr. Megan Neff, a clinical psychologist specializing in autism, we delve deeper into autistic burnout, exploring triggers such as life transitions, masking, and sensory overwhelm. Megan explains that burnout arises when stressors exceed coping abilities and offers self-help tips for managing an autistic style brain and nervous system. She emphasizes the importance of sensory self-care, recognizing and understanding one's neurodivergence, and proper screening by healthcare providers. The discussion also includes insights from her book, 'Self Care for Autistic People,' and advice for clinicians, loved ones, and individuals living with autism or ADHD.

00:00 Introduction and Recap
00:35 Understanding Autistic Burnout
02:03 Triggers and Vulnerabilities
05:03 Sensory Self-Care and Regulation
09:00 Challenges and Misdiagnoses
14:18 Empowerment Through Diagnosis
16:59 Self-Care for Autistic Individuals
24:23 Final Thoughts and Resources

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.

Text Dr. Lenz any feedback or questions

In this first part of a two-part interview, we delve into the concept of autistic burnout with Dr. Megan Neff, a clinical psychologist and neurodivergent advocate. Dr. Neff shares her personal journey discovering her autism after her daughter's diagnosis and discusses the signs and misdiagnosis risks associated with autistic burnout. Highlighting the overlaps with other conditions like bipolar disorder, she emphasizes the importance of proper assessment and a balanced approach in diagnostic practices. Stay tuned next week for the continuation of this insightful conversation.

00:00 Introduction to the Interview Series
00:23 Listener's Story: A Parent's Struggle
00:56 Understanding Autism and Interoception
01:48 Introducing Dr. Megan Neff
02:27 Dr. Neff's Professional Journey
03:50 Challenges in Autism Diagnosis
04:42 The Importance of Proper Assessment
06:02 Dr. Neff's Background and Insights
07:54 The Zigzag Path to Autism Awareness
20:06 Autistic Burnout Explained
24:25 Misdiagnosis and Functional Assessments
32:01 Concluding Thoughts and Next Steps

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.

Text Dr. Lenz any feedback or questions

Understanding Lifestyle Medicine and Its Impact on Chronic Conditions

This episode commemorates the three-year anniversary of the podcast hosted by Dr. Michael Lenz, a pediatrician, internal medicine physician, clinical lipidologist, and author of 'Conquering Your Fibromyalgia.' He explores the concept of lifestyle medicine, emphasizing its principles like whole food plant-based diets, regular physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connections. He contrasts lifestyle medicine with other medical practices like allopathic, preventive, functional, and integrative medicine. Michael also discusses the chronic health conditions affected by lifestyle choices, including cardiovascular disease, diabetes, obesity, and autoimmune diseases. The episode highlights significant statistical findings and discusses the importance of patient participation in lifestyle changes to improve overall health and well-being.

00:00 Welcome and Introduction
00:26 Understanding Fibromyalgia
00:59 Introduction to Lifestyle Medicine
02:40 Comparing Medical Approaches
06:14 The Six Pillars of Lifestyle Medicine
07:45 Impact of Lifestyle on Chronic Diseases
13:18 Case Studies and Real-Life Examples
19:00 The Role of Social Connections
21:17 Success Stories and Clinical Evidence
26:44 Implementing Lifestyle Medicine
29:36 Conclusion and Final Thoughts

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.

Text Dr. Lenz any feedback or questions

Fibromyalgia and Magnesium: Exploring the Evidence and Insights

In this episode of 'Conquering Your Fibromyalgia,' hosted by Dr. Michael Lenz, we delve into a literature review on magnesium and its potential impact on fibromyalgia. Dr. Lenz addresses a listener's question regarding the relationship between chronic fatigue syndrome and fibromyalgia, suggesting that these conditions may be variations of the same syndrome. The episode includes an in-depth review of studies investigating the correlation between magnesium levels and fibromyalgia, exploring how different forms of magnesium supplementation might affect clinical parameters. Key findings show mixed results, highlighting the complex and inconsistent nature of magnesium's role in fibromyalgia. Dr. Lenz also discusses the challenges of accurately measuring magnesium status and the importance of placebo-controlled trials in understanding the true impact of magnesium on fibromyalgia symptoms.

00:00 Introduction to the Podcast
00:35 Listener Question: Chronic Fatigue Syndrome vs. Fibromyalgia
01:08 Understanding Fibromyalgia and Chronic Fatigue Syndrome
03:51 Magnesium and Fibromyalgia: An Overview
10:41 Clinical Studies on Magnesium and Fibromyalgia
19:26 Discussion and Conclusion
20:16 Final Thoughts and Call to Action

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.

Text Dr. Lenz any feedback or questions

In this episode, Dr. Michael Lenz, a seasoned pediatrician and internist, resumes his conversation with clinical psychologist Dr. Laurie Dos Santos. They delve into the complexities of supporting individuals with chronic medical conditions such as POTS, Dysautonomia, and fibromyalgia. Dr. Dos Santos discusses her approach to group and individual therapy, the importance of validating patients' experiences, and the impact of these conditions on adolescents and their families. The episode highlights a significant study, "You Look Perfectly Healthy to Me" on the quality of life for youth with POTS, stressing the need for more research, interdisciplinary collaboration, and advocacy. Dis Santos shares her insights on understanding the biopsychosocial framework of symptoms and offers hope and practical advice for those living with chronic illnesses.

00:00 Welcome Back to the Conversation with Dr. Lori Dosantos
00:23 Introduction to the Host and the Podcast's Mission
00:48 Resuming the Conversation: Group Therapy and State Reciprocity
03:09 Deep Dive into POTS: Understanding Through Research and Patient Stories
10:14 Collaborative Care: The Power of Interdisciplinary Teams
13:31 The Genetic and Familial Connections of Chronic Conditions
24:54 The Role of Therapy in Managing Chronic Illness
26:24 Closing Thoughts and How to Reach Out for Support

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.

Text Dr. Lenz any feedback or questions

Understanding and Supporting Young Adults with Chronic Health Conditions

In this episode, Dr. Michael Lenz hosts Dr. Laurie Dos Santos, a licensed clinical psychologist specializing in working with adolescents and young adults. Dr. Dos Santos discusses her journey into psychology, her experience in addressing complex medical and mental health conditions such as postural orthostatic tachycardia syndrome (POTS) and chronic fatigue syndrome (CFS), and the importance of building strong relationships with clients. She emphasizes the significance of validation and support, and shares insights on managing chronic illness through cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). Dr. Dos Santos also highlights the value of support groups and her work with Evolvin Therapy and Consulting, which offers virtual services to clients across 42 states.

00:00 Meet Dr. Lori Dos Santos: A Beacon of Hope for Young Adults
01:56 Introducing Your Host: Dr. Michael Lenz
02:27 Dr. Dos Santos' Journey into Psychology and Specialization
05:32 Understanding and Empathizing with Patients' Struggles
07:31 The Power of Support Groups in Healing
08:25 Navigating the Challenges of Invisible Illnesses
17:28 Effective Approaches for Managing Invisible Illnesses
24:47 Expanding Access to Mental Health Care with Evolvin Therapy
26:44 Wrapping Up and Looking Ahead

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.