So you think you have POTS? how to diagnose and start treatment

Описание: In this episode, Dr. Kara Pepper is joined by cardiologist Dr. Alexis Cutchins to break down orthostatic intolerance and postural orthostatic tachycardia syndrome (POTS)—from how they’re diagnosed to practical ways to manage symptoms. I haven't been pulling timestamps but I think it's a nice touch.

You’ll learn:
What orthostatic intolerance is and how POTS fits within it
How the NASA stand test can help with diagnosis (and how to do it at home)
Key labs and cardiac tests that rule out other causes of symptoms
Non-medication strategies that can make a big difference—salt intake, compression wear, pacing, hydration, and exercise progression
Common medications for POTS and how they work
Why ruling out other conditions like anemia, thyroid issues, and heart rhythm problems is essential before diagnosing POTS

Dr. Cutchins also shares practical tips for both patients and clinicians, plus when to involve specialists. Whether you’re living with POTS, suspect you may have it, or you’re a healthcare provider, this conversation will help you better understand the condition and how to support long-term health and function.

Resources Mentioned:
NASA Stand Test Diagram/Instructions
https://www.dropbox.com/scl/fi/2x6x42...

Dr. Alexis Cutchins:
Youtube:    / @drcutchins  
Website: https://www.alexiscutchinsmd.com/
Instagram:   / drcutchins  

Timestamps:
0:00 – Introduction
0:37 – Dr. Alexis Cutchins’ background
1:22 – What is orthostatic intolerance?
2:07 – How POTS is diagnosed
2:49 – The NASA stand test explained
4:13 – Why see a cardiologist and what tests they order
6:31 – Can primary care providers manage POTS?
7:12 – Key labs and cardiac testing to request
7:51 – Non-medication management strategies
9:51 – Hydration and electrolyte guidance
10:27 – The role of exercise and pacing
11:44 – Physical therapy considerations
13:09 – Medications for POTS—categories and examples
15:53 – Summary and final thoughts