Grounded | The Vestibular Podcast

By Dr. Madison Oak, PT, DPTHealth & Fitness

Grounded | The Vestibular Podcast episodes

October 27163. Holiday Gift Guide List for Vestibular Warriors
The holidays are coming, so we have some tried and true products that vestibular warriors love!
This is broken down into categories: travel, weather, toolkit, and daily routine. This is by no means perfect because different items can be used across multiple categories, but we did our best.
Whether you’re building your own toolkit or shopping for someone you love who has a vestibular disorder, this list is a great place to start! And of course, everything is linked below.
Hopefully this gives you some ideas for gift lists or for a vestibular warrior in your life!
Links Mentioned:
Vestibular Group Fit (code GROUNDED at checkout for 15% off! & Black Friday sale coming soon!): https://thevertigodoctor.com/vestibular-group-fit
Gift Guide Links:
Travel
Earplanes
WeatherX Earplugs
Travel toolkit pouch
Relief Band or Eme Term
Compression socks: Bombas or Amazon, especially helpful for POTS
Weather
Wrap cooling neck scarf or snap cooling neck scarf
Sun hat
Battery operated fan or phone fan
Yaktrax (for shoes)
Folding canopy chair
Toolkit
Weighted blanket
Knit option
Essential oils: Ruhewell dizzy box, use code VERTIGODOC for 15% off
Relief band or Eme Term
Truvaga (use code OAKPLUS), vagus nerve stimulation device (over-the-counter version of GammaCore)
Cefaly (use code VERTIGODOC), trigeminal nerve stimulation device
Avulux Glasses (use code VERTIGODOC)
Ice Roller
Loop ear plugs
Allay Lamp
Norb lightbulb, red for nighttime, green bandwidth also available
Vitamin or supplement gift card
Ginger Chews
Ice caps for head pain
Heating pad for neck and shoulders
Outlet version
Microwave version
Daily Routine
Sleep
Rise Centered alarm clock (no subscription, no phone required)
Eye mask
Like lamp 10k lux for mornings
Movement
Weighted vest
Adjustable weight set for proprioception and grounding
Trekking poles for walking
Hydration/Nutrition
Stainless Steel pots and pans
Metal or wood kitchen utensils
Stainless steel water bottle
Protein powder or supplement gift card
Electrolytes (great stocking stuffer!)
Reverse osmosis water filter, Cloud Water RO or HydroViv
NA beer or mocktail options: Athletic Brewing, Deschutes NA Black Butte Porter, Saint Agrestis Phony Negroni, Ghia
Air purifiers for the home
Jaspr Air (wait for Black Friday sale, use code VERTIGODOC), AustinAir also recommended
Supportive materials
The Way Out or Victory Over Vestibular Migraine
For children “Mommy Doesn’t Look Sick”
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 [email protected]
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.
holiday gift list, holiday gift guide, vestibular warrior, vestibular migraine, VM, chronic dizziness, PPPD, living with vestibular disorder, migraine toolkit, vestibular group fit, VGF, manage vestibular disorder
20 min
October 20162. How to Prepare for Daylight Savings Time With a Vestibular Disorder
If you hadn’t heard yet, Daylight Saving Time is coming up on November 1st. If you have a vestibular disorder, that one-hour shift can do a number on your routine, sleep, and symptoms.
I don’t want you or your vestibular system to be caught off guard, which is why I share this info twice a year.
In this episode, I’m walking through exactly how to prepare for the Fall time change in a way that makes sense for your body—with gradual shifts, routine modifications, and practical prep so the morning-of you’re not feeling like your whole world’s been thrown off.
In this episode, we’ll dig into:
How “gaining” an hour can still negatively affect your health
Why consistency in wake and sleep time matters so much with a vestibular disorder
How to effectively shift your schedule gradually leading up to the time change
How prepping the night before can be supportive
Practical modifications for the week of the time change
How this approach can also work for the Spring time change and travel across time zones
Remember: start small, stay consistent, and your body will thank you.
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/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 [email protected]
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.
how to prepare for daylight savings time, end of daylight saving time, start of daylight saving time, vestibular migraine, VM, dizziness, PPPD, living with vestibular disorder, vestibular group fit, VGF, lifestyle changes, living with chronic illness, mindfulness for chronic illness
9 min
October 13161. Activities With Family When You Have a Vestibular Disorder
One of the most common things I hear from people with vestibular disorders is how hard it feels to do things with family (especially kids).
You want to be present, you want to participate, but you’re also trying to manage your symptoms and not make things worse. In this episode, I’m sharing a list of ideas to have on hand for those moments.
Whether you’re having a higher symptom day or an easier one, these activities are designed to be low-demand, flexible, and (gasp) fun! Save this episode, come back to it, and remember, you’ve got this.
In this episode, we’ll dig into:
Tips for making movie night more manageable
Card games for lower symptom days
Easy painting and drawing activities
Options for building or scrapbooking
Cooking and food-related ideas
Instagram accounts to follow for more ideas
Showing up, in whatever way you can, is more than enough for those who love and care about you.
Related Episodes:
Go-To Activity List for High Symptom Days: https://thevertigodoctor.com/podcast/152-activity-list-for-high-symptom-days-living-with-vestibular-disorder/
Links Mentioned:
Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
Loops: https://amzn.to/4kbPhPa
CampSnap digital camera: https://www.campsnapphoto.com/
Kiwi Co subscription boxes: https://www.kiwico.com/
Crunch Labs build-a-box subscription: https://www.crunchlabs.com/products/build-box-subscription
Petals and Profanity coloring book: https://amzn.to/49VMBTC
Card games:
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
Instagram accounts to follow:
https://www.instagram.com/heyazka/
https://www.instagram.com/brambila_bits/
https://www.instagram.com/parentingwithmigraine
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 [email protected]
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.
activities with family, activities with family at home, living with vestibular disorder, vestibular migraine, VM, chronic dizziness, PPPD, vestibular group fit, VGF, psychosocial impact of chronic vestibular disorder, living with VM
13 min
October 06160. Treatment Options Guide for Vestibular Disorders
In this episode, we’re going to cover some common questions about advocating for treatments at the doctor’s office, which can occur for a few different reasons.
Having research to help advocate for your needs not only helps you educate future people, it also helps provide objective evidence for your specific needs.
Areas we’re gonna talk about are: CGRPs, why tryptans are often less effective for the dizziness side of VM, benefits of Botox, benefits of Timolol eye drops, and VM masquerading as BPPV. We’re also talking about the triad of VM, hypermobility, MCAS, and POTS. And then BPPV, MDDS, and PPPD.
Save this episode! You’re going to want to listen to it more than once because there is so much good stuff in here.
In this episode, we’ll dig into:
Why having research helps you advocate for your specific needs at the doctor
CGRPs for vestibular migraine
Why tryptans are often less effective for the dizziness part of a VM attack
What the research says about Botox for vestibular migraine
What studies show about Timolol eye drops
Why vestibular migraine is commonly misdiagnosed as BPPV
Why VM, hypermobility, POTS, dysautonomia, and MCAS so often appear together
What to ask about if you keep getting recurrent BPPV
A 2024 MdDS treatment protocol that had a 64% improvement rate
How a sleep apnea assessment helps both VM and BPPV patients
Knowledge is one of the most powerful tools you have when it comes to advocating for your care—and now you have a little more of it.
Related Episodes:
What is Optimal Bloodwork?: https://thevertigodoctor.com/podcast/98-optimal-vs-normal-bloodwork/
How to Get a Dizziness Diagnosis: https://thevertigodoctor.com/podcast/154-how-to-get-a-dizziness-diagnosis-with-a-bonus-resource-guide/
Links Mentioned:
Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
Guide with links from the episode in this Canva doc: https://www.canva.com/design/DAHQDflgIhM/TiRFvtDhQ9AY2hPv2SkBRA/edit
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 [email protected]
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.
Citations
Russo, C. V., Saccà, F., Braca, S., Sansone, M., Miele, A., Stornaiuolo, A., & De Simone, R. (2023). Anti-calcitonin gene-related peptide monoclonal antibodies for the treatment of vestibular migraine: A prospective observational cohort study. Cephalalgia : an international journal of headache, 43(4), 3331024231161809.
Hoskin, J. L., & Fife, T. D. (2022). New Anti-CGRP Medications in the Treatment of Vestibular Migraine. Frontiers in neurology, 12, 799002. https://doi.org/10.3389/fneur.2021.799002
Staab JP, Eggers SDZ, Jen JC, et al. Rizatriptan vs Placebo for Attacks of Vestibular Migraine: A Randomized Clinical Trial. JAMA Neurol. 2025;82(7):676–686. doi:10.1001/jamaneurol.2025.1006
Oh, S. Y., Kang, J. J., Kim, S., Lee, J. M., Kim, J. S., & Dieterich, M. (2022). A preliminary trial of botulinum toxin type A in patients with vestibular migraine: A longitudinal fMRI study. Frontiers in neurology, 13, 955158. https://doi.org/10.3389/fneur.2022.955158
Migliazzo, C. V., & Hagan, J. C., 3rd (2014). Beta blocker eye drops for treatment of acute migraine. Missouri medicine, 111(4), 283–288.
Cossack M, Nabrinsky E, Turner H, Abraham A, Gratton S. Timolol Eyedrops in the Treatment of Acute Migraine Attacks: A Randomized Crossover Study. JAMA Neurol. 2018;75(8):1024–1025. doi:10.1001/jamaneurol.2018.0970
Hac, N. E. F., & Gold, D. R. (2024). Advances in diagnosis and treatment of vestibular migraine and the vestibular disorders it mimics. Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 21(4), e00381. https://doi.org/10.1016/j.neurot.2024.e00381
Blitshteyn S. (2023). Dysautonomia, Hypermobility Spectrum Disorders and Mast Cell Activation Syndrome as Migraine Comorbidities. Current neurology and neuroscience reports, 23(11), 769–776. https://doi.org/10.1007/s11910-023-01307-w
Libonati, G. A., Leone, A., Martellucci, S., Gallo, A., Albera, R., Lucisano, S., Bavazzano, M., Chiarella, G., Viola, P., Galletti, F., Freni, F., Ciodaro, F., Marcelli, V., Tortoriello, G., di Santillo, L. S., Picciotti, P. M., Galli, J., Vitale, S., Quaranta, N., Cavallaro, G., … Graziano, G. (2022). Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants. Audiology research, 12(4), 445–456. https://doi.org/10.3390/audiolres12040045
Schoenmaekers C, Jillings S, De Laet C, Zarowski A and Wuyts FL (2024) Guideline for standardized approach in the treatment of the Mal de Debarquement syndrome. Front. Neurol. 15:1359116. doi: 10.3389/fneur.2024.1359116
Beh, S. C., Chiang, H. S., & Sanderson, C. (2021). The Interconnections of Mal de Débarquement Syndrome and Vestibular Migraine. The Laryngoscope, 131(5), E1653–E1661. https://doi.org/10.1002/lary.29214
Xue, H., Wang, B., Meng, T., Zhao, S., Wang, Q., Zhang, X., Kang, M., & Xiang, W. (2021). Differences of Sleep Disorders Between Vestibular Migraine and Benign Paroxysmal Positional Vertigo. Frontiers in psychiatry, 12, 726038. https://doi.org/10.3389/fpsyt.2021.726038
treatment for vestibular migraine, botox for vestibular migraine, living with vestibular migraine, VM, CGRP medications, CGRPs for migraine, BPPV, PPPD, chronic dizziness, vestibular group fit, VGF, migraine management
20 min
September 29159. Is MCAS or Histamine Intolerance Genetic?
Histamine and MCAS are everywhere on the internet right now, but there’s a huge piece missing from the conversation. Genetics.
In this episode, I’m joined by two board-certified genetic counselors, Natalie Samson and Sarah Upp of Golden Genetics. They’re here to break down what’s going on at a DNA level when it comes to histamine intolerance, MCAS, connective tissue disorders, and the symptoms so many vestibular warriors are navigating.
The biggest takeaway might just be how you can start advocating for yourself with your providers (especially if these things are new to them). This one is dense, practical, and unlike any conversation I’ve had on this podcast before.
In this episode, we’ll dig into:
How genetic changes affect how your body works
How your environment and genetics work together
The pentad super syndrome
Why weak connective tissue may be at the root of these overlapping conditions
What happens when the DAO and HMT genes aren’t working well
Where histamine comes from and how to empty it
The barn analogy for understanding mast cell stabilization
Why a low histamine diet isn’t meant to be forever
Foods to add in that lower histamine
The two panels Golden Genetics recommends
Why methylation matters for histamine breakdown
What to do when testing for MCAS doesn’t give clear answers
How to advocate for yourself when a provider dismisses MCAS as a social media diagnosis
The ongoing research between Golden Genetics and the vestibular migraine community
How to use the 2026 MCAS guidelines flowchart at your next appointment
Histamine intolerance and MCAS aren’t just about what you’re eating.
They’re rooted in your genetics, and understanding your specific DNA can help you stop guessing and start identifying the right interventions for your body.
Related Episodes:
Toxic Products That May Be Making Your Dizziness Worse w/ Dr. Zach Spiritos: https://thevertigodoctor.com/podcast/53-toxic-products-that-may-be-making-your-dizziness-worse/
Meet Natalie Samson & Sarah Upp
Natalie Samson and Sarah Upp are both board-certified genetic counselors and the team behind Golden Genetics, an integrative genetic counseling practice. They specialize in helping people understand their DNA, order the right tests and turn results into a personalized action plan—with a special focus on histamine, inflammation, connective tissue, and nutrigenomics.
Natalie founded Golden Genetics to bring genetics into the integrative health conversation, and together she and Sarah are currently conducting research on the genetic links to vestibular migraine.
Connect w/ Natalie Samson & Sarah Upp:
Website: www.goldengeneticshealth.com
What is a logistics call with Golden Genetics? https://goldengenetics.practicebetter.io/#/652843bfc5600d631946d7b9/bookings?r=67d88822ff4b8cf37956c65d&step=services
Book a logistics call with Golden Genetics: https://www.goldengeneticshealth.com/book-a-discovery-call-1
Pre-test session with Sarah: https://goldengenetics.practicebetter.io/#/687574970c2232e0dccceef5/bookings?r=69bb16570d392e7826c8903b
Instagram: https://www.instagram.com/goldengeneticshealth
Links Mentioned:
Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
2026 MCAS Guidelines flowchart: https://www.mastcellaction.org/assets/_/2025/04/01/d6de24e1-f6f6-4248-a3f4-12866d7bf713/mast-cell-activation-syndrome-mcas-a-primary-care-guide-final.pdf
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 [email protected]
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.
is histamine intolerance genetic, genetics and mcas, genetics and histamine, genetic counselors, vestibular migraine, VM, chronic dizziness, PPPD, nervous system regulation, migraine management, vestibular group fit, VGF
46 min
September 22158. Hashimoto’s, Gut Health, & Vestibular Disorders w/ Alisha Knicely
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 dietitian
Hyperthyroidism vs. hypothyroidism
What’s included in a full thyroid panel
How to understand optimal vs. conventional lab ranges
When to consider medication
How thyroid hormones impact every single cell in the body
Chronic vs. acute inflammation
Practical, sustainable steps to lower inflammation naturally
The elimination diet and reintroduction approach
The best way to address leaky gut
Why you should consider the GI Map stool test
Why water quality matters especially for thyroid patients
Alisha’s personal mold story and how she cleared her mycotoxin levels
Air 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/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 [email protected]
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.
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
55 min
September 15157. Histamine Intolerance, MCAS, & Vestibular Conditions
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 more
The 4 types of histamine receptors and what they have to do with your symptoms
Histamine intolerance vs. MCAS
What happens when you don’t have enough of the DAO enzyme
What contributes to histamine intolerance and what it can look like
How to properly diagnose histamine intolerance
What you can do to support your liver if you have histamine intolerance
How to do a low-histamine diet the right way
How food freshness affects histamine levels
The histamine-migraine connection
What research is showing about histamine’s role in the vestibular system and inner ear
How 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/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 [email protected]
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.
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.2022.1018463
Jackson, 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/ijms26189198
Kong, 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
Ferretti, A., Gatto, M., Velardi, M., Di Nardo, G., Foiadelli, T., Terrin, G., Cecili, M., Raucci, U., Valeriani, M., & Parisi, P. (2023). Migraine, Allergy, and Histamine: Is There a Link?. Journal of clinical medicine, 12(10), 3566. https://doi.org/10.3390/jcm12103566
histamine and vestibular conditions, vestibular migraine, chronic dizziness, migraine attacks, vestibular disorders, vestibular group fit, food sensitivities, MCAS, gut issues, holistic approach, bucket theory, lifestyle changes, allergies and vestibular disorders
19 min
September 08156. Sinus Infections, Headaches, & Better Treatment Options w/ Dr. Jessica Lee
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 attack
What’s actually happening with the pressure, fluid, and full feeling in your ear
Why researchers believe TMJ may not be as common as we think
How to best use CT scans as a diagnostic tool for sinus migraine
What a deviated septum or mucosal cyst may not be the full diagnosis
Why antibiotics are so overprescribed for sinus headaches
Why you may feel like you never fully recover from sinus infections
How GLP-1s and mouth breathing affects Eustachian tube function
Why Dr. Lee’s surgical volume has gone down over the years
The 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-program
Integrative 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-fit
Sinus 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/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 [email protected]
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.
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
0 min
September 01155. Men’s Health, Mindset, & Vestibular Disorders w/ Dr. Mark Heisig
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 40
How to determine what is “normal” aging and what may require medical evaluation
How testosterone impacts the vestibular system
Why men should reconsider holding off on going to the doctor
Healthy living basics refresher
Labwork Dr. Mark recommends for all men and options for where to get yours done
What the “dad belly” is a warning sign of
The insurance vs. cash-pay reality
Nutritional deficits Dr. Mark sees most often in men
How mindset contributes to our overall health
The BAMs (Bare Ass Minimums) framework
The 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/45YuFoQ
Rupa Health: https://www.rupahealth.com/
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 [email protected]
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.
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
1 hr 1 min
August 25154. How to Get a Dizziness Diagnosis with Bonus Resource Guide
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 undertreated
The difference between an ENT, neurotologist, and otologist
Medical providers you may want to reach out to for support
Why you’ll want to make sure to call the office first
What a board-certified headache specialist is
Questions to ask any provider before booking
A full overview of vestibular testing
What to expect after most tests are run
The Bárány Society as a resource
Additional 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-fit
Trusted 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 schedule
American Neurotology Society (ENT with special focus on neurological disorders of inner ear and other related structures)
American Migraine Foundation Find a Doctor
National Headache Foundation Find a Provider
UK National Migraine Centre
Migraine Canada Find a Headache Specialist
Neurahealth national headache medicine clinic
Binocular vision dysfunction provider directory
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 [email protected]
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.
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
20 min