Dysautonomia Treatment That Works

You're In The Right Place

Is this you?

If any of these sound familiar, you're in the right place.

You feel dizzy or lightheaded every time you stand up
Your heart races for no obvious reason — at rest, after meals, out of nowhere
You're exhausted by the smallest tasks — a shower, a short walk
You sweat too much or can't regulate your body temperature
Your digestive system has become unpredictable
You've been told your tests are normal, but you clearly aren't
Doctors have blamed it on anxiety or deconditioning
You've tried medications that barely help or come with side effects you can't tolerate
You want your life back — not just a way to cope

Keiser Clinic patient in waiting room recliner

Dysautonomia doesn't live in one system. It shows up in all of them — and most care treats each one separately.

Cardiovascular symptoms. GI dysfunction. Brain fog. Crushing fatigue. Temperature dysregulation. Neuropathy. For most patients, these arrive together — and so does the specialist list. A cardiologist for the heart. A gastroenterologist for the gut. Each treating their piece, none of them looking at what's driving all of it. The autonomic nervous system governs every one of those systems. When it dysregulates, they all dysregulate. Treating them individually while the underlying failure goes unmeasured doesn't resolve dysautonomia — it just manages symptoms indefinitely.

Data Callout

Cerebral blood flow can drop significantly on standing even when heart rate and blood pressure appear normal. Standard autonomic testing was never designed to detect this. That's not a gap in your symptoms — it's a gap in what most clinics are measuring.

It starts with your first week.

Your first day at the clinic is a full day of neurological testing. It measures the systems that regulate blood flow to your brain, not just heart rate and blood pressure. From there, you proceed directly into personalized treatment for the rest of your first week.

Schedule Your Appointment

What to expect

—A full day of neurological and autonomic testing on your first day
—Personalized treatment built on your findings for the rest of your visit
—A reservation holds your first week

What You Can Expect From Diagnostic Testing With Us

What your diagnostic day includes

Most patients who reach us arrive carrying more than one diagnosis. The autonomic nervous system governs cardiovascular function, digestion, immune regulation, temperature control, and peripheral nerve signaling — so when it fails, it rarely fails in just one place. Our workup is designed to find what's upstream of all of it, using methods that most autonomic centers still don't have in routine practice.

Transcranial Doppler (TCD)

We measure cerebral blood flow in real time while you stand. Heart rate and blood pressure at the arm can look completely normal while blood flow to the brain drops significantly — TCD is the only way to see it.

Capnography (EtCO₂)

CO₂ strongly influences brain blood vessel tone and blood flow — often revealing a breathing contributor that standard testing misses entirely.

Continuous Tilt & Task Stress

We apply oculomotor, cervical, and cognitive challenges while measuring cerebral blood flow on a tilt table — to find the precise breaking points your resting test never captured.

Visual & Oculomotor Assessment

We assess the visual and vestibular systems using video-oculography (VOG) and pupil response testing. If these systems are misfiring, they can keep your autonomic nervous system stuck in overdrive.

Autonomic Stress Testing

We use deep breathing, Valsalva, and postural stress to measure how your autonomic system responds and recovers under challenge. Then we layer in cognitive, cervical, and visual demands, because many patients only break down under combined load. What looks manageable at rest often becomes obvious when the system is pushed.

Bedside Neurological Examination

Some of the most important findings still come from an experienced doctor examining you directly. We assess reflexes, eye tracking, cervical motion, and coordination to catch the neurological patterns that may not show up on a screen.

Targeted Neuroplasticity

Your treatment plan doesn't exist until your data does.

Your rehabilitation is not a program that existed before you walked in the door. Nothing is prescribed before we know exactly where the failure is and what's driving it. A diagnosis — or the absence of one — does not change how we approach you. The mechanism does. And the mechanism is measurable.

Dysautonomia takes many forms. We treat the one you have.

Whether your presentation is orthostatic hypotension, OCHOS, or something that never got a name — the upstream question is the same: where specifically is the autonomic system failing to regulate cerebral blood flow, and what reflex is the bottleneck? We test for that. Then we treat that.

The other diagnoses you carry may not be separate problems.

MCAS. Small fiber neuropathy. Migraines. These are real diagnoses — and we're not dismissing them. But the autonomic nervous system regulates immune activation, gut motility, and peripheral nerve signaling. When cerebral perfusion fails and the autonomic system is in a chronic state of dysregulation, those systems dysregulate with it. Treating each one in isolation has a ceiling if the upstream driver is never addressed.

We objectively measure progress.

Subjective improvement can be placebo or temporary. We don't just rely on how you feel to measure progress. We retest you objectively throughout your visit, comparing data points to verify real measurable improvement.

After you leave.

Virtual follow-up is included with your visit. Your protocols go home with you, and we're here to support you along the way. If questions come up or you need guidance, you can reach out through your patient portal for feedback, protocol adjustments, and ongoing support, helping you stay consistent with what's working until you no longer need us.

A Different Approach To Dysautonomia Care

Category	Conventional Care	The Keiser Clinic
Framing	Autonomic dysfunction is evaluated by whether a diagnostic label is confirmed. If it isn't, the workup ends.	The label describes the presentation. The mechanism explains the failure. We test for the mechanism — regardless of what the label is or isn't.
Testing	HR and BP at the arm. Blood tests for vitamin deficiencies. Referrals to other specialists.	Real-time cerebral blood flow via TCD, CO₂ reactivity, vestibular and oculomotor reflex testing — measuring what standard testing was never designed to catch.
Treatment	Lifestyle adjustment, sodium, compression, and off-label medications — if a diagnosis was given at all	Individualized neurological protocols built from your functional data — targeting the specific reflex and neurovascular failure driving your symptoms.
Primary Metric	Systemic vitals as proxy for autonomic health	Cerebral blood flow velocity + EtCO₂ — measuring what the brain is actually receiving, not just what the arm reports.
Associated Conditions	MCAS, small fiber neuropathy, GI dysfunction treated separately by separate specialists — with no shared framework	Evaluated as part of the same clinical picture. When the autonomic nervous system is the common thread, we look there first.
Doctor Access	15–45 minute specialist visits spaced months apart — if a referral was given at all	Multiple treatment sessions per day with a full clinical team during your stay, with direct follow-up after you leave.

How It Works

Reserve your first week. Stay as long as you need.

We intentionally see a small number of patients each week. When you're here, you have a full clinical team — not a rotating roster of one-off appointments.

The first day is your full diagnostic evaluation. The rest of your stay is personalized treatment built around what we find, and we consistently retest to measure your progress objectively rather than going on how you feel. Most patients stay 2 to 4 weeks, and some stay longer. You go home with a program built from your own results, and that program is what keeps the progress going. That's true whether you stay 2 weeks or 6.

We don't run a copy-and-paste dysautonomia program. We become your care team and design a protocol specific to you — whether or not you came in with a diagnosis.

Schedule Your Appointment

2,000+

patients helped on their recovery journey

No Supplements

We do not build your care around supplement protocols. By the time most patients reach us, they have already tried that.

Full Evaluation

You'll have the most comprehensive neurovascular workup available for dysautonomia, and we build your treatment directly on what it reveals.

Common Questions

Before you reach out, you probably have questions.

We do not treat with medications, supplements, or brain retraining programs. If you've tried all of those and they didn't work, we offer something different.What we do here is strip away your diagnosis label and assess how your nervous system performs, compensates, and breaks down in real time and under different loads of stress. Our clinic combines methods from various disciplines such as neurology, vestibular therapy, physical therapy, chiropractic, and more.The treatment methods often seem simple, and they have to be, in order for patients to continue them at home. Where we get specific is in the dosage, the consistency of coordinated care over time, and our ability to objectively measure progress by retesting.

That is one of the most common concerns we hear, especially from patients who have been mostly housebound or bedridden. Many of our patients were convinced they were too unwell to make the trip, right up until they arrived. Our team can help you think through the logistics, timing, and lodging options that make the visit as manageable as possible.If a visit isn't possible right now, we give away everything we know, publicly. You can start with the POTS Roadmap and work through it with your care team at home. There are hundreds of educational videos on our YouTube channel, and a community of patients joins us live every Thursday to learn and ask questions. We publish the thinking behind our testing and our treatment so you and your doctors can decide what applies to you, even if we never meet.

You can verify whether your insurer may reimburse you for your care with us by asking them which of our diagnostic and treatment codes they cover. While we're not contracted with any insurance carrier, many patients have out-of-network benefits that make them eligible for reimbursement. You do not need a referral or insurance approval to be treated here, and HSA and FSA funds are accepted.

We don't offer doctor consultations by phone or video, because we can't form a doctor-patient relationship with you until we've evaluated you in person. You can learn more about why on our how this works page.

You're a unique case, so we couldn't be honest if we published a single success rate. Those numbers average together people with different mechanisms, severities, and years of illness. When a study reports improvement, it often reflects how many participants happened to fit a one-size-fits-all protocol. That tells you very little about your own case. If you fit neatly into a bucket, you wouldn't be here still looking for answers.This also asks something of you. Most patients arrive here having spent years working hard to get better, but lacking an aim for that effort. The patients with the best outcomes bring that work ethic, and we give it an aim. We work hard together while you're here, and you leave with what you need to continue making progress at home.

By the time you're seriously considering visiting us, you have likely already been through a lot, physically, emotionally, and financially. You will find no false hope here. If we don't believe we can help, we'll tell you. Our roadmap shows how we think and keeps nothing we do secret.The nervous system changes the way fitness does, through repeated work over time. You get the best care possible while you're with us, and you go home with a program. Your consistency with it takes you the rest of the way.Many doctors on our staff have either had these conditions themselves or cared for someone who did. You are not alone, and you won't be after you return home.

Dysautonomia Treatment That Treats the Source of the Dysfunction

Is this you?