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

*For educational purposes only. This content is not medical advice and is not a substitute for individualized evaluation, diagnosis, or treatment by a qualified healthcare professional.* 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