The Concussion Nerds Podcast

EP 91: Understanding POTS and Mast Cell Activation with Dr. Zachary Spiritos


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Are your symptoms being brushed off as “just anxiety” when you know something deeper is going on?

If you've been told your labs are “normal,” but your body feels anything but — you’re not alone. So many people with complex, overlapping symptoms like fatigue, GI issues, dizziness, brain fog, and medication sensitivities are stuck in a loop of misdiagnosis and dismissal. And it’s exhausting.

In this episode of the Concussion Nerds Podcast, Dr. Zachary Spiritos — neurogastroenterologist and founder of Ever Better Medicine — pulls back the curtain on two highly misunderstood and underdiagnosed conditions: POTS (Postural Orthostatic Tachycardia Syndrome) and Mast Cell Activation Syndrome (MCAS). These aren’t “rare unicorn” illnesses — they’re just rarely understood.

🧠 By the time you finish listening, you’ll discover:

  • What a neurogastroenterologist actually does — and why it matters in treating complex conditions

  • How MCAS and POTS are often connected (and why most people with POTS have some form of MCAS)

  • What clues to look for if your symptoms span multiple systems (hint: it’s not all in your head)

  • Why a true healing partnership between patient and provider is non-negotiable for chronic illness

This conversation is jam-packed with hope, real talk, and validation — especially if you’ve been gaslit or ignored by the medical system. Dr. Zach brings humor, humility, and a whole-person approach that will make you feel seen and supported.

If you haven't found your support system yet, keep looking. They're out there — people who want to listen, fight for you, and have your back. I’ve met them. I talk to them every day. Stay curious, stay connected, and don’t give up on finding your team.

🎧 Tune in and feel less alone — you’re not imagining it.

 

 

🩺 Connect with Dr. Zach Spiritos: Instagram: @https://www.instagram.com/drzacspiritos/?hl=en Clinic: Ever Better Medicine https://everbettermedicine.health/?fbclid=PAZXh0bgNhZW0CMTEAAaePOrwSFCWk8_tsMToFIZPy-oTJX-MW0Mwxkjt20j7BQYZ9Phv4Dm8jqgT0-Q_aem_Po5biQLOr1TPEmRLVGv5NQ

 

Let’s connect!

 

Instagram: 

@concussionnerds https://www.instagram.com/concussionnerds/

@natasha.wilch https://www.instagram.com/natasha.wilch/

Email: [email protected] Website: https://www.natasha-wilch.com

Learn how to connect & understand your nervous system so you can have greater outcomes in your health & healing journey: Grab a copy of the workbookhttps://www.natashawilch.com/understanding-connecting-your-nervous-system-1

 

Join the Clinician’s Edge to have Your Weekly Taste of Neuro Wisdom  here: https://www.natashawilch.com/clinicians-edge

 

Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery:

  • Mini School: https://www.natashawilch.com/concussion-mini-school

  • Membership: https://www.natashawilch.com/concussion-mini-school-the-membership

🚨 You're Invited to the 2025 Concussion Virtual Summit! 🚨 Join us for an incredible lineup of experts, practical tools, and forward-thinking conversations — all designed to help you support concussion recovery in a more powerful way.

🎥 It's all online, so you can tune in from wherever you are. 💡 Whether you're a healthcare professional, coach, parent, or someone on a healing journey — this summit is for YOU.

👉 Save your spot now: natashawilch.com/virtual-summit

Let’s change the concussion care game — together. 🧠✨

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The Concussion Nerds PodcastBy Natasha Wilch

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