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  • 158. Hashimoto’s, Gut Health, & Vestibular Disorders w/ Alisha Knicely
    2026/09/22
    If you have a vestibular disorder, there’s a good chance your thyroid is part of the story. You know I love bringing in other qualified professionals to dig deeper on these more nuanced topics, so for this conversation we have Registered Dietitian and fellow Hashimoto’s patient, Alisha Knicely! She breaks down all things thyroid—what Hashimoto’s is, how it’s different from hypothyroidism, what optimal labs look like, how gut health and leaky gut are connected to autoimmune conditions, and what you can do about all of this. We also touch on gluten, dairy, mold, and water quality. You’re going to want to bookmark this one because it’s jam packed! In this episode, we’ll dig into: How Alisha became a Hashimoto’s patient turned registered dietitianHyperthyroidism vs. hypothyroidismWhat’s included in a full thyroid panelHow to understand optimal vs. conventional lab rangesWhen to consider medicationHow thyroid hormones impact every single cell in the bodyChronic vs. acute inflammationPractical, sustainable steps to lower inflammation naturallyThe elimination diet and reintroduction approachThe best way to address leaky gutWhy you should consider the GI Map stool testWhy water quality matters especially for thyroid patientsAlisha’s personal mold story and how she cleared her mycotoxin levelsAir quality, infrared sauna, and other mold detox resources Whether it’s your thyroid, your gut, your water, or the air you’re breathing, the root causes are addressable and you don’t have to figure it out alone. Related Episodes: Ep 91 Mold & Dizziness: https://thevertigodoctor.com/podcast/91-mold-dizziness-what-you-need-to-know/ Meet: Alisha Knicely, RD Alisha Knicely is a Registered Dietitian, certified in Integrative and Functional Medicine, and a fellow Hashimoto’s patient of nearly a decade. Her own experience navigating an autoimmune thyroid diagnosis (and not getting the answers she needed) led her to specialize in thyroid and hormonal health. She helps clients get to the root of their Hashimoto’s through nutrition, gut health, lifestyle and functional testing so they can finally start feeling like themselves again. Connect w/ Alisha Knicely: Instagram: https://www.instagram.com/lisha_thyroid_rd/TikTok: https://www.tiktok.com/@lisha_thyroid_rd Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit (which is where you’ll find the Histamine Webinar with Isabel Smith where we talked water filters)Alisha’s Instagram post on optimal labwork mentioned: https://www.instagram.com/p/Dbqf3TqjoAD/Dr. Jill Crista’s mold detox resource: https://drcrista.com/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. hashimoto’s and gut health, integrative functional medicine, autoimmune thyroid condition, thyroid dietitian, graves disease, vestibular migraine, chronic dizziness, hormone health, gut issues, lifestyle changes, optimal lab values, migraine management
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  • 157. Histamine Intolerance, MCAS, & Vestibular Conditions
    2026/09/15
    Histamine is quite possibly the most popular buzzword in healthcare right now and for good reason. For those living with a vestibular condition and dealing with a histamine intolerance, it can feel like a lot to understand and manage. In this episode, I’m breaking down what histamine is, what histamine intolerance can look like, how it’s impacting vestibular disorders and migraine, and what you can do about it. In this episode, we’ll dig into: What histamine is and its role in your immune system, digestion, sleep, mood, memory, and moreThe 4 types of histamine receptors and what they have to do with your symptomsHistamine intolerance vs. MCASWhat happens when you don’t have enough of the DAO enzymeWhat contributes to histamine intolerance and what it can look likeHow to properly diagnose histamine intoleranceWhat you can do to support your liver if you have histamine intoleranceHow to do a low-histamine diet the right wayHow food freshness affects histamine levelsThe histamine-migraine connectionWhat research is showing about histamine’s role in the vestibular system and inner earHow addressing histamine can make previous treatments that didn’t work suddenly start working When there’s too much histamine in the body than what the body can actively remove, you’ll have more histamine reactions and a harder time processing histamine in general. I want you to remember though that all hope is not lost! For additional support, we have the webinar with Isabel Smith that touches on histamine intolerance, as well as liver and gut support inside Vestibular Group Fit. We will also have Natalie Sampson, a Board Certified Genetic Counselor, joining me on a future podcast episode! Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. Citations Cleveland Clinic. “Histamine.” Cleveland Clinic, Cleveland Clinic, 28 Mar. 2023, https://my.clevelandclinic.org/health/articles/24854-histamine. Accessed 10 July 2026.Jochum C. (2024). Histamine Intolerance: Symptoms, Diagnosis, and Beyond. Nutrients, 16(8), 1219. https://doi.org/10.3390/nu16081219 Sánchez-Pérez S, Comas-Basté O, Duelo A, Veciana-Nogués MT, Berlanga M, Vidal-Carou MC and Latorre-Moratalla ML (2022) The dietary treatment of histamine intolerance reduces the abundance of some histamine-secreting bacteria of the gut microbiota in histamine intolerant women. A pilot study. Front. Nutr. 9:1018463. doi: 10.3389/fnut.2022.1018463Jackson, K., Busse, W., Gálvez-Martín, P., Terradillos, A., & Martínez-Puig, D. (2025). Evidence for Dietary Management of Histamine Intolerance. International journal of molecular sciences, 26(18), 9198. https://doi.org/10.3390/ijms26189198Kong, L., Domarecka, E., & Szczepek, A. J. (2023). Histamine and Its Receptors in the Mammalian Inner Ear: A Scoping Review. Brain sciences, 13(7), 1101. https://doi.org/10.3390/brainsci13071101 Tighilet, B., Trico, J., Marouane, E., Zwergal, A., & Chabbert, C. (2024). Histaminergic System and Vestibular Function in Normal and Pathological Conditions. Current neuropharmacology, 22(11), 1826–1845. https://doi.org/10.2174/1570159X22666240319123151 Chen, Z. P., Zhang, X. Y., Peng, S. Y., Yang, Z. Q., Wang, Y. B., Zhang, Y. X., Chen, X., Wang, J. J., & Zhu, J. N. (2019). Histamine H1 Receptor Contributes to Vestibular Compensation. The Journal of neuroscience : the official journal of the Society for Neuroscience, 39(3), 420–433. https://doi.org/10.1523/JNEUROSCI.1350-18.2018...
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  • 156. Sinus Infections, Headaches, & Better Treatment Options w/ Dr. Jessica Lee
    2026/09/08
    If you have recurring sinus infections, got the allergy shots, maybe even had sinus surgery, and still don’t feel better, this episode might shock you. For starters: 75-90% of people with self-diagnosed sinus headaches actually meet migraine criteria. I’m so excited to welcome back Dr. Jessica Lee, double board-certified ENT and lifestyle medicine physician to hopefully provide some answers you’ve been looking for. We’re going deep on sinus headache vs migraine, Eustachian tube dysfunction, as well as migraine and sinus management. So many people are cycling through antibiotics, steroids, and booking surgeries without anyone ever connecting the dots to what’s going on in the body as a whole. Dr. Lee is here to change that and to give you the questions to ask, the scans to request, and the framework to finally get some answers. In this episode, we’ll dig into: How to start differentiating sinus issues from a migraine attackWhat’s actually happening with the pressure, fluid, and full feeling in your earWhy researchers believe TMJ may not be as common as we thinkHow to best use CT scans as a diagnostic tool for sinus migraineWhat a deviated septum or mucosal cyst may not be the full diagnosisWhy antibiotics are so overprescribed for sinus headachesWhy you may feel like you never fully recover from sinus infectionsHow GLP-1s and mouth breathing affects Eustachian tube functionWhy Dr. Lee’s surgical volume has gone down over the yearsThe PACT framework for doctor’s appointments Whether it’s sinus headaches, ear pressure, or chronic infections that never fully resolve, the answer might not be another antibiotic. And with what you heard in the episode, you’ll be able to ask the right questions to get the help you need. Related Episodes: Sinus Headache, Nasal Breathing, and Dizziness with Dr. Jessica Lee: https://thevertigodoctor.com/podcast/69-sinus-headache-nasal-breathing-and-dizziness-with-dr-jessica-lee-ent/ Meet Dr. Jessica Lee: Dr. Jessica Lee, MD, DipABLM is a double board-certified Otolaryngologist (ENT) and Lifestyle Medicine physician with over 100 hours of additional training in integrative and functional medicine. After more than a decade in traditional medicine, Dr. Lee noticed a major gap in how chronic inflammatory conditions (like sinusitis, allergies & sinus headaches) were being treated, and set out to change that. She’s the founder of Integrative ENT Health, a Castle Connolly Top Doctor (2023–2026), and co-founder of the Keto Hope Foundation. She brings a whole-person approach to ENT care, blending conventional expertise with nutrition, lifestyle & root-cause thinking to help patients get real, lasting answers. Connect w/ Dr. Jessica Lee: The Sinus Reset Program: https://www.integrativeenthealth.com/sinus-reset-programIntegrative ENT Health (virtual practice): https://www.integrativeenthealth.com/Instagram: https://www.instagram.com/entchat Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitSinus Reset Program (Open September 13th; stay tuned for free bonuses and discounts!): https://www.integrativeenthealth.com/sinus-reset-program Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. sinus headache, integrative ent, eustachian tube dysfunction, chronic dizziness, vestibular migraine, vestibular disorder symptoms, vestibular group fit, symptom tracking, phases of vestibular migraine, holistic approach, lifestyle changes, nervous system regulation, allergies
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  • 155. Men’s Health, Mindset, & Vestibular Disorders w/ Dr. Mark Heisig
    2026/09/01
    Men’s health in the vestibular space? Yes, we’re finally talking about it! I get so many questions about this especially from men with vestibular migraine, Ménière’s disease, and other vestibular disorders who feel like all the health content out there is geared toward women. So I brought in Dr. Mark Heisig, naturopathic physician and creator of the Healthy on Purpose framework, to help us navigate the topic of men’s health. In this episode, we’re covering how men age hormonally, what’s behind the global decline in testosterone, the labs you should be requesting, and why mindset is such a foundational principle of health. Whether you’re a man with a vestibular disorder, or you just love one—this one’s for you. In this episode, we’ll dig into: What is driving the global drop in testosterone in men under 40How to determine what is “normal” aging and what may require medical evaluationHow testosterone impacts the vestibular systemWhy men should reconsider holding off on going to the doctorHealthy living basics refresherLabwork Dr. Mark recommends for all men and options for where to get yours doneWhat the “dad belly” is a warning sign ofThe insurance vs. cash-pay realityNutritional deficits Dr. Mark sees most often in menHow mindset contributes to our overall healthThe BAMs (Bare Ass Minimums) frameworkThe importance of physical and emotional health for men Whether you’re healthy on purpose or unhealthy by accident, the good news is that the levers to pull are the same ones we talk about every week on the podcast and in group. The better news? It’s never too late to start making changes. Related Episodes: #153 Hormones, Histamine, and Your Vestibular Disorder w/ Dr. Saru Bala: https://thevertigodoctor.com/podcast/153-hormones-histamine-and-your-vestibular-disorder/ Meet: Dr. Mark Heisig Dr. Mark Heisig, ND is a naturopathic doctor licensed in Arizona and Washington, with 8 years in personal training, nutrition coaching, and exercise physiology before that. Through his practice, Healthy on Purpose, he helps men and women in their 30s and 40s who are doing “everything right” but still hitting a wall. He’s also a husband, dad, and still lacing up for BJJ and hockey. Connect w/ Dr. Mark Heisig Instagram: https://www.instagram.com/drmarkonpurpose/ Substack: https://drmarkheisig.substack.com/p/welcome-to-healthy-on-purpose Website: https://www.drmarkonpurpose.com/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Membership is 30% off from September 4th-8th!Included in your membership is a Full Script link (VGFit members only). Good for 30% off all supplements (for US customers) and 10% off (for Canadian customers). Why Zebras Don’t Get Ulcers by Robert Sapolsky: https://amzn.to/45YuFoQRupa Health: https://www.rupahealth.com/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. naturopathic doctor, vestibular migraine, chronic dizziness, men’s health, nervous system regulation, PPPD, living with vestibular migraine, vestibular disorders, optimal lab values, hormone health, gut issues, lifestyle changes, mindset and chronic illness, holistic approach
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  • 154. How to Get a Dizziness Diagnosis with Bonus Resource Guide
    2026/08/25
    If you’ve been to a million and one doctors and still don’t have a clear diagnosis—you are not alone, and you are not crazy. Dizziness is notoriously undertreated, and a lot of providers just don’t like dealing with it. So in this episode, I’m giving you a comprehensive resource guide: which providers to see, what to ask when you call, and what tests are available so you’re better prepared for what you’re walking into. This is the episode I wish existed when people first started experiencing dizziness. Share it and save it so you can refer back to it. And remember, finding the right provider can make all the difference! A willing-to-learn provider beats a dismissive expert every single time. In this episode, we’ll dig into: Why dizziness is so often undertreatedThe difference between an ENT, neurotologist, and otologistMedical providers you may want to reach out to for supportWhy you’ll want to make sure to call the office firstWhat a board-certified headache specialist isQuestions to ask any provider before bookingA full overview of vestibular testingWhat to expect after most tests are runThe Bárány Society as a resourceAdditional resources available inside Vestibular Group Fit Getting the right diagnosis starts with knowing who to see, what to ask, and what to expect. And now, you have a roadmap to help you get started. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitTrusted Providers Worksheet (available inside Vestibular Group Fit under the community tab)The Bárány Society: https://www.thebaranysociety.org/ How to find a provider Searching local health systems for types of providers/departments based on the area you’re looking to scheduleAmerican Neurotology Society (ENT with special focus on neurological disorders of inner ear and other related structures)American Migraine Foundation Find a DoctorNational Headache Foundation Find a ProviderUK National Migraine CentreMigraine Canada Find a Headache SpecialistNeurahealth national headache medicine clinicBinocular vision dysfunction provider directory Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. dizziness diagnosis, vestibular migraine, living with vestibular disorder, ENT, neurotologist, otologist, chronic dizziness, medical provider, vestibular disorder diagnosis, vestibular disorder treatment, vestibular rehabilitation therapy, vestibular group fit, occupational therapist, neuro-optometrist, vertigo
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  • 153. Hormones, Histamine, and Your Vestibular Disorder w/ Dr. Saru Bala
    2026/08/18
    “Progesterone will hold up the mirror for you and show you about your habits. Estrogen is forgiving—progesterone is not.” For so many women with vestibular disorders, symptoms get dramatically worse right before their period or around ovulation, and the answer they’re usually given is “take birth control” or “drink more water.” That, of course, is not enough. I brought in Dr. Saru Bala, Naturopathic Doctor and Women’s Hormonal Health Specialist, to break it all down. Get ready to nerd out on all things hormones! In this episode, we’re talking about what hormones actually are, how your cycle phases impact your vestibular symptom, why your liver is way more important than you think, the estrogen-histamine-MCAS loop, and what bloodwork you should be asking for. In this episode, we’ll dig into: What are hormonesWhat to pay attention to with women’s hormonesThe phases of your cycleWhat progesterone is reflecting back about your habits The basics that impact your hormones the mostBloodwork Dr. Saru recommends for her clientsWhy you want to get a full thyroid panelThe liver’s role in hormone metabolismHow to support your liverThe estrogen-histamine loopHow MCAS plays a role hereWhy gut & liver support are essential for histamine, MCAS, and hormone issuesWhy women are taking much longer to feel better than even 5 years ago If you take nothing else away from this, remember your hormones, liver, gut, and nervous system are all talking to each other. When you start supporting them, things are able to start changing. Meet: Dr. Saru Bala Dr. Saru Bala is a licensed Naturopathic Doctor with a degree from Bastyr University in Seattle, WA. Prior to attending medical school, she graduated from University of Texas at Austin where she received her bachelor’s degree in Neurobiology. She’s done extra training in women’s health and naturopathic endocrinology and wants to talk to you about all things women’s health. Connect w/ Dr Saru Bala Website: https://www.drsarubala.com/Instagram: https://www.instagram.com/drsarubalaFacebook: https://www.facebook.com/periodpracticePeriod Solutions Academy: https://www.drsarubala.com/periodsolutionsacademy Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitRise Centered Alarm Clock: https://risecentered.com?sca_ref=7113075.4mnDvPsCZ8H Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. hormonal health, women’s health, naturopathic doctor, vestibular migraine, chronic dizziness, birth control, vestibular disorders, PMDD, what is optimal bloodwork, optimal lab values, thyroid panel, lifestyle changes, period problems, understand your period, gut liver and hormone connection
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  • 152. Go-To Activity List for High Symptom Days
    2026/08/11

    Having a list or “menu” of ideas for what to do on those higher symptom days can be helpful to have before you actually need it.

    This could be a time when you’re riding out an attack and looking for things to do that are gentle but stimulating to help pass the time.

    Of course, what will be the best fit will depend on the person and the symptoms on a given day.

    Save this episode to come back to because I’m walking through a whole list of low-demand activities that can be enjoyable on higher symptom days.

    In this episode, we’ll dig into:

    • Why you need a go-to activity list before a high symptom day hits
    • A reminder to always reach for your toolkit first on harder days
    • A variety of gentle indoor and outdoor activities to note
    • An upcoming MCAS webinar you won’t want to miss

    Having a list of things your brain already trusts on a hard day isn’t just self care, it’s part of your toolkit.

    Links Mentioned:

    • Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
    • MCAS Webinar (August 14, 2026): https://resolvinghistamine.heysummit.com/
    • Seek App: https://www.inaturalist.org/pages/seek_app
    • Petals and Profanity coloring book: https://amzn.to/49VMBTC
    • The 15 Puzzle (slider game): https://amzn.to/4vjoZ40
    • Sagrada board game: https://amzn.to/4fMGN2l
    • Carcassonne board game: https://amzn.to/4ejqbgk
    • Flip 7 card game: https://amzn.to/4vHK5su
    • Five Crowns card game: https://amzn.to/44bNuUw

    Free Resources:

    • ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n
    • ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd
    • ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership
    • ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit
    • ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots

    Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor

    Work with Dr. Madison:

    • For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.com
    • Otherwise, I’ll see ya in Vestibular Group Fit!

    Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/

    Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit

    Love what you heard?
    Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you!

    This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here.

    activity list, MCAS webinar, living with vestibular disorder, vestibular group fit, vestibular migraine, chronic dizziness, PPPD, vestibular disorder symptoms, manage vestibular disorder, migraine toolkit, vestibular disorder flare, gentle movement, what to do during migraine

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  • 151. How to Navigate POTS and a Vestibular Disorder
    2026/08/04
    Vestibular disorders (particularly vestibular migraine) and POTS are often talked about in our practice and in Vestibular Group Fit as they overlap quite a bit. In this episode, I’m digging into one of the most common co-occurring conditions I see in my practice alongside vestibular migraine: POTS (Postural Orthostatic Tachycardia Syndrome). I’m also introducing something called the pentad super syndrome (almost every single person I see in my clinic has all five). You’ll learn what it is and what I believe is missing from the list. Discover everything from how POTS is diagnosed, to helpful resources, and why your basics matter more than ever when you’re managing both POTS and vestibular disorders at the same time. In this episode, we’ll dig into: What POTS isThe diagnostic criteria for POTSWhy there is overlap between POTS and vestibular What the pentad super syndrome isWhy histamine and MCAS are a huge piece of the puzzleThe tilt table test vs. active stand testWhat conditions can sometimes mimic POTSWhat the CHOP POTS protocol isWhy heat is a major POTS and MCAS triggerWhat tools to keep in your toolkit for heatLifestyle changes that are beneficial for POTS and vestibular conditionsHow VGF members apply the threshold and bucket theory to manage both conditions The good news is that the toolkit for your vestibular disorder and your POTS have a LOT of overlap, which means you’re already building the right foundation. Related Episodes: Build Your Migraine Threshold: https://thevertigodoctor.com/podcast/74-build-your-migraine-threshold-to-reduce-vestibular-migraine-attacks/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitStanding Up to POTS podcast: https://www.standinguptopots.org/podcastdysautonomiaproject.org Santosha Spirit on YouTube (Rachel): https://www.youtube.com/channel/UC0ROkm_8Bjk0qOQ13XYOebgCompression socks: https://sockwellusa.com/NEWZILL Calf Compression Sleeve: https://www.amazon.com/NEWZILL-Calf-Compression-Sleeve-Footless/dp/B0DRYS7KBD/Doc Miller Calf Compression Sleeves: https://www.amazon.com/Doc-Miller-Compression-20-30mmHg-Fashionable/dp/B012E1B5P6/LMNT electrolytes: https://www.amazon.com/LMNT-Zero-Sugar-Electrolytes/dp/B084HQ4DYQ/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.comOtherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. Citations “Research Summary: Postural Orthostatic Tachycardia Syndrome (POTS)….” American Headache Society, 2022, americanheadachesociety.org/research/library/research-summary-postural-orthostatic-tachycardia-syndrome-pots-and-migraine-a-narrative-review.Cleveland Clinic. “Postural Orthostatic Tachycardia Syndrome (POTS).” Cleveland Clinic, 9 Sept. 2022, my.clevelandclinic.org/health/diseases/16560-postural-orthostatic-tachycardia-syndrome-pots. POTS and vestibular disorders, vestibular migraine, histamine and MCAS, chronic dizziness, PPPD, nervous system regulation for vestibular migraine, migraine management, stress relief, vestibular disorders, vestibular group fit, nervous system regulation, vestibular disorder treatment
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