Why Your POTS Symptoms Don’t Add Up

And the Root Cause Patterns That May Not Have Been Connected Yet

A structured self-assessment designed to help identify potential root cause patterns behind symptoms commonly associated with Postural Orthostatic Tachycardia Syndrome (POTS), including dizziness, fatigue, brain fog, racing heart, and nervous system instability.

Download the Free POTS Root Cause Assessment

The hardest part is not just the symptoms but why they keep happening.

For individuals diagnosed with POTS — or still trying to understand symptoms that no one has been able to fully explain.

17+ Years Experience 100% Telehealth Nationwide Root Cause Focused

Access care from home. Designed for complex, unresolved symptoms — without requiring travel.

It’s Not Just That You Feel Off It’s That Nothing Fully Explains It

Maybe you have been diagnosed with POTS.

Or maybe you are still trying to understand why your body suddenly feels different.

Nothing fully explains it.

Some people are told it is anxiety.

Others are told their labs look normal.

Many people are given tools to help manage symptoms.

Woman experiencing fatigue and unexplained symptoms
The Disconnect Many People Experience

The symptoms feel real. The recommendations may help. Yet many people still feel something is missing.

What It Feels Like Lived experience and symptoms

  • You stand up and your heart races.
  • You feel dizzy in the shower.
  • You feel exhausted after simple tasks.
  • You struggle with brain fog, heat intolerance, shortness of breath, or feeling faint.

What You’re Told To Try Common recommendations

  • Increase fluids.
  • Increase salt.
  • Wear compression.
  • Take medication.

And while those approaches can help, many people still feel like something deeper is being missed.

Because the hardest part is not just the symptoms.

It's not knowing why they keep happening.

When Symptoms Don’t Follow
a Clear Pattern There Is Usually More Going On Beneath the Surface

Connected Systems
Circulation Heart rate, blood flow, upright tolerance
Immune Post-viral patterns and immune activation
Nervous System Stress response and regulation patterns
Inflammation Signals that may affect stability

Postural Orthostatic Tachycardia Syndrome, commonly called POTS, is often described as a condition involving abnormal heart rate changes when standing.

But for many people, the experience feels much bigger than that.

Because the symptoms do not behave like a simple heart issue.

They fluctuate.
They overlap.
They change.
One week feels manageable.
The next feels impossible.
More than one system may be involved.

And when symptoms behave unpredictably, it often suggests that more than one system may be involved.

That is where many people begin realizing they may need a different level of investigation.

Symptom management vs. root cause investigation

Most Approaches Focus on Controlling the Symptoms Not Investigating Why the Body Changed

Conventional treatment for POTS is typically focused on stabilizing heart rate and circulation.

These tools can help reduce symptoms. But they are not designed to investigate whether deeper patterns may be contributing to the instability in the first place.

Conventional symptom management

The focus is often stabilizing the reaction.

That may include:

  • Fluids and increased salt intake
  • Compression garments
  • Medication to slow the heart rate
VS
Root cause investigation

The question becomes what is driving the instability.

Patterns like:

  • Immune system activation or autoimmune involvement
  • Chronic inflammation
  • Post viral changes
  • Low iron or nutrient depletion
  • Nervous system stress patterns
Faceless doctor reviewing root cause health patterns
Looking deeper

Root cause care starts by asking why the body changed.

If the heart is reacting to deeper imbalance, slowing it down may help manage the response without fully explaining why the condition developed.

Because if the underlying drivers are never identified, symptom management can only take you so far.

Most Approaches Focus on Controlling the Symptoms

Not Investigating Why the Body Changed

Conventional Symptom Management

How do we control the reaction?

  • Fluids and increased salt intake
  • Compression garments
  • Medication to slow the heart rate

These tools can help reduce symptoms.

Symptoms
Reaction
Root Cause Investigation

Why did the reaction start?

  • Immune system activation
  • Chronic inflammation
  • Post viral changes
  • Low iron or nutrient depletion
  • Nervous system stress patterns

Investigating the patterns beneath the symptoms.

Root Cause Investigation
Root Cause Care

Root cause care starts by asking why the body changed.

If the heart is reacting to deeper imbalance,
slowing it down may help manage the response.
But it does not fully explain why the condition developed.

Because if the underlying drivers are never identified, symptom management can only take you so far.

What If Your Symptoms Are Not Random? Your symptoms may be signals your body has been trying to send.

Immune
Nervous System
Inflammation
Circulation
It is responding.

In many cases, the heart is not the starting point.

It is responding.

To stress elsewhere in the system.

That is why symptoms can feel inconsistent and difficult to predict.

You improve for a while.
Then flare again.
You address one symptom.
Then another appears.
For some people, immune system activity may be influencing regulation.
For others, low iron storage may be affecting circulation and oxygen delivery.
Some experience nervous system dysregulation after prolonged stress or illness.
Digestive inflammation and post viral changes can also influence how the body regulates circulation, stress response, and energy production.
When multiple systems overlap, symptom management alone often does not create lasting stability.

The real question is not just how to calm the symptoms.

It is why the body became unstable

in the first place.

Free Assessment

This Assessment Was Designed to Help You Start Connecting the Dots

Scoring System
Assessment Pages
POTS Root Cause Assessment Cover

The POTS Root Cause Assessment is not a diagnosis.

It is a structured pattern recognition tool designed to help you begin identifying whether your symptoms may be connected to more than one system.

Inside, you will walk through patterns commonly seen in complex chronic cases, including:

Nervous system regulation patterns
Immune and post viral patterns
Iron and nutrient patterns
Digestive and inflammatory patterns
Circulation patterns

Because for many people, the issue is not one isolated problem.

It is the interaction between systems.

Inside the Assessment

What You May Begin to Understand From This Assessment

First clue

Why your symptoms seem unpredictable

Pattern check

Why symptom-based approaches may not have fully worked

Systems view

Whether more than one system may be contributing to your instability

Overlap

Why immune, inflammatory, nervous system, and metabolic patterns may overlap

Beneath the surface

What your symptoms may be trying to reveal beneath the surface

And why the next step may require a deeper level of investigation

Woman smiling with renewed energy
Patient Story

When the Missing Pieces Start Coming Together

My anxiety is gone. I have more energy than I’ve had in over a decade.

☔ Before
Before working with Dr. Ian,
I hit a breaking point.
I collapsed at work and spent almost a month in bed.
I felt terrified and overwhelmed.
CLARITY
☀ After
My anxiety is gone.
I have more energy than I’ve had in over a decade, and my nervous system has stabilized.
🌿
✓
Within a few months, he identified triggers that had been missed and created a clear, structured plan.
Emily R.
Patient Story

Meet the Founder

A Different Approach for Complex, Unresolved Symptoms

Dr. Ian Hollaman
Signature Philosophy Let Your Health Soar Again

Dr. Ian Hollaman, DC, MSc, FMCP, has spent more than 17 years helping individuals with chronic, complex health conditions that have not improved with standard approaches.

His work focuses on identifying patterns that may be contributing to instability beneath the surface.

Rather than applying one size fits all protocols, Dr. Ian uses a structured investigative approach designed to evaluate how different systems in the body may be interacting.

This includes immune activity, inflammation, nervous system regulation, digestion, nutrient status, and circulation patterns.

Because when the pattern becomes clear, the strategy becomes more targeted.

Dr. Ian Hollaman
Dr. Ian Hollaman, DC, MSc, FMCP Founder, Dr. Autoimmune
17+ Years Experience
Complex Chronic Cases
100% Telehealth Nationwide
Root Cause Focused

Your Next Step

If Your Symptoms Still Don’t Fully Make Sense This Is Where to Start

POTS Root Cause Assessment
Free Resource Designed for unresolved POTS symptoms.

You do not need another temporary fix.

You deserve to understand why this keeps happening. Not just spend your life managing symptoms.

This assessment was designed to help you uncover the patterns beneath your symptoms and begin connecting the dots.

01
Download it.
02
Walk through it.
03
Start connecting what has not made sense until now.
Dr. Ian Hollman

I'd like to personally invite you to explore the Free POTS Root Cause Assessment.

My hope is that it helps you gain clarity, recognize patterns, and take the next step toward understanding your health.

Dr. Ian Hollaman
Dr. Ian Hollaman, DC, MSc, FMCP Founder, Dr. Autoimmune Let Your Health Soar Again™
17+ Years Experience Complex Chronic Cases 100% Telehealth Nationwide Root Cause Focused
Free structured self-assessment for individuals struggling with unresolved POTS symptoms.