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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

International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

Support the show

When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*

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