Vitamin Therapy for Postural Orthostatic Tachycardia Syndrome (POTS) and Other Dysautonomia Disorders

Postural orthostatic tachycardia syndrome, otherwise known as POTS, is a disorder that sometimes develops following vaccination. Specifically, cases of POTS have been noted in young people following receipt of the Gardasil (HPV) vaccine. Symptoms of POTS include dizziness, fainting, rapid heartbeat, headaches, problems with memory, concentration, or thinking, and general fatigue of feelings of weakness, among others. According to conventional medicine, POTS cannot be cured (though it sometimes “goes away” over time). 


In one group of otherwise healthy adolescents, one physician observed the development of POTS immediately following vaccination with Gardasil. The adolescents were tested, and all showed deficiencies in vitamin B1 (thiamine). After receiving therapeutic supplementation with thiamine, all of the teenagers recovered fully and were able to go back to their normal activities (including sports and intense academics). Interestingly, a different case of POTS that wasn’t associated with the Gardasil vaccine was also successfully treated with thiamine supplementation. 


Other deficiencies that may be associated with the development of POTS include vitamin B12 deficiency, as well as deficiencies in vitamin D and iron. 


Dysautonomia disorders, or disorders and health problems that affect the functioning of the autonomic nervous system, may benefit from vitamin B1 supplementation as well (POTS is, after all, classified as a form of dysautonomia). Pure autonomic failure, multiple system atrophy (MSA), and neurocardiogenic syncope (NCS) are all dysautonomia disorders. Remember to take all of the B vitamins when treating any of these disorders, since the B vitamins must all be present in order to work effectively. Thiamine supplementation in higher doses may be administered until recovery, at which point a lower dose of thiamine is usually acceptable in most cases (see this article on B vitamin dosages for additional information on how to dose thiamine). 


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