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🧵 Brilliant talk by David Putrino @Dysautonomia Autonomic Rehab Approaches to Long Covid care
We need to:
- Measure subjective symptoms - use outcome measures alongside self reports
- Look for organ pathology, make sure red flags ruled out
#DysConf2022
2/Correct deviations from normative physiology - avoid common triggers

Common triggers include stress (it doesn’t cause PoTs or dysautonomia but makes it worse), dehydration, over doing things, weather changes, consuming large meals, premenstrual period, alcohol & caffeine.
3/If have no hyperventilation and low CO2 at end tidal volumes a breath practice with a hold & slow exhale like 4:7:8 can be helpful. If there may be a breathing pattern disorder it needs assessing by a respiratory physician & respiratory physio can treat (I’ve added the latter)
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