Low Blood Pressure and POTS | DrEricBergDC

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so today we’re going to talk about low blood  pressure and a few related conditions one being  

something called pots pot stands for postural  orthostatic tachycardia syndrome now i know  

you know what posture means but what about this  term orthostatic it’s a term to describe upright  

posture so postural orthostatic hypotension is  used to describe a condition where you’re lying  

down and then you stand up and your blood pressure  drops but not only does your blood pressure drop  

your pulse rate starts going up you feel dizzy  disoriented you can lose your sense of vision  

you can feel lightheaded fatigue nauseous blurred  vision shakiness fainting and you can actually  

go unconscious now your normal blood pressure  should be 120 over 80. now low blood pressure  

or hypotension is defined being the systolic  number or the top number being less than 90 and  

the bottom or diastolic being less than 60. now  i also want to mention when people go into shock  

the first thing that happens is their blood  pressure drops right down and this could  

occur from being overheated over training loss of  blood taking certain medications trauma and the  

list goes on and on but what i want to focus on in  this video is mainly the mechanism of what occurs  

when you stand up and your blood pressure drops  what’s behind this and what can you do about it  

so what are the possibilities well number one it  could be that you just don’t have enough blood  

in your body and that can come from various things  internal bleeding another possibility could be  

that you’re anemic that could be from low iron  another common reason for not enough volume of  

blood in your body is you’re dehydrated because  you don’t have enough salt salt helps you retain  

fluid and this can show up a couple ways number  one just not consuming enough salt number two  

drinking excessive amount of water without the  salt can severely dehydrate you because all this  

water is going to dilute the last bit of sodium  you have and severely dehydrate you and so you can  

be dehydrated by consuming too much water without  the salt the salt is there to help you retain  

the fluid one interesting point about this is when  someone starts the ketogenic diet they lose a lot  

of fluid because they’re no longer retaining fluid  and so people when they start the ketogenic diet  

should actually consume a little more salt now if  you are taking diuretics if you have vomiting if  

you have dehydration those could be other reasons  why you don’t have enough fluid in your body and  

that can show up as low blood pressure all right  so there’s something else i want to talk about  

and that relates to something called the  autonomic nervous system if your autonomic  

nervous system is not working right if it’s  dysfunctional that could be the reason why your  

blood pressure drops when you stand up because the  autonomic nervous system has everything to do with  

adapting your body to stress especially  postural stresses so let’s say for example  

this is your body and you have your blood right  and you lay down so when you stand up your your  

blood is going to pull to the bottom of your body  and your legs right well what’s going to happen  

to your head up here if you don’t have enough  blood and oxygen is you’re going to pass out so  

the autonomic nervous system helps push or squeeze  the blood up into your brain that’s what it does  

so the autonomic nervous system is mainly located  in the lower part of your brain called the brain  

stem and your brain stem is very sensitive to a  b1 deficiency why because you need b1 to handle  

the massive oxygen that the brain requires to  do its function b1 is like the spark plug in  

a carburetor where you’re mixing oxygen and fuel  without the b1 you won’t get that combustion and  

you won’t be able to use the fuel in your brain  so without b1 the brain doesn’t work that well and  

the autonomic nervous system does not work that  well in fact even when you’re deficient slightly  

in b1 you can have very similar symptoms to pots  for example your pulse rate goes up you can have  

arrhythmias you get dizzy when you stand up now  the way that someone becomes deficient in b1  

is mainly through consuming refined carbohydrates  and sugars they can also get it by consuming too  

many sulfites in red wine and also dried fruit  also malabsorption so if you have a gut problem  

it could be that you’re just not able to absorb  vitamin b1 and then also when you start the  

ketogenic diet the requirement for b1 goes way  up and if you’re deficient you’re going to have  

symptoms especially keto fatigue and also the more  stress you have the more b1 you’re going to need  

the other key nutrient for the autonomic  nervous system is vitamin d without vitamin  

d your autonomic nervous system is just not  going to work that well so if you have pots if  

you have low blood pressure three things that  i would focus on is more salt more b1 through  

nutritional yeast in more vitamin d3 hey before  you go if you’re benefiting from any of my content  

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