Fatigue & Stress Response
Dysautonomia
Dysautonomia is a condition in which the autonomic nervous system is not functioning smoothly. This system normally controls things you do not think about, like heart rate, blood pressure, digestion, temperature, and sweating.
Common Symptoms
- Dizziness or feeling faint when standing (orthostatic intolerance)
- Rapid, pounding heart rate (often POTS-like symptoms)
- Blood pressure that drops or spikes
- Severe fatigue
- Brain fog
- Digestive symptoms (nausea, bloating, constipation, or diarrhea)
- Temperature intolerance (heat sensitivity or feeling unusually cold)
Likely Root Causes and Contributors
- Autoimmune conditions
- Viral or bacterial illness (including long COVID)
- Genetic or connective tissue disorders (like Ehlers-Danlos syndrome)
- Diabetes or other metabolic conditions
- Concussion or other traumatic brain injury
- Chronic stress and nervous system overload
- Blood volume, hydration, and circulation issues
- Medication effects and common triggers (heat, dehydration, alcohol)
Patient Pain Points We Often Hear
“When I stand up, my heart starts racing and I feel like I might pass out. I have to stand still and wait for it to calm down.”
“I get out of breath doing things that used to be easy, like walking up stairs or carrying groceries.”
“I’ve had tests come back normal, but I don’t feel normal. It’s frustrating trying to explain it.”
Our Approach to Healing
How We Map, Treat, and Sustain Real Recovery from Dysautonomia with the LAM Method™
At Lam Clinic, we understand how overwhelming dysautonomia can feel. Our approach to healing uses the three phases of LAM Method™: Learn the Why, Address the Root, Maximize Longevity. Here’s how we use the LAM Method™ to address dysautonomia:
Phase 1 of LAM Method™
Learn the Why of Dysautonomia
At Lam Clinic, we start by identifying your most consistent triggers, symptom patterns, and timing so we can pinpoint what’s driving your dysautonomia.
We map your NeuroEndoMetabolic (NEM) Stress Response with special focus on the Cardionomic circuit, which helps regulate heart rate, blood pressure, and circulation.
Tests we may use include:
- Comprehensive Lab Testing
- Heart rate variability (HRV) analysis
- Neuropathy testing
- Autonomic Nervous System Testing
- EKG
- Echocardiogram
For more information about specific tests and labs used in dysautonomia evaluation, you can explore our full service page.
Phase 2 of LAM Method™
Address the Root of Dysautonomia
We focus on steady, tolerable support that reduces swings, builds day to day stability, and slowly expands your capacity.
Lifestyle Foundations
- Hydration + electrolytes daily: Build a consistent fluids-and-salt routine you tolerate.
- Vagal Nerve Support: Improve parasympathetic responses with vagal nerve exercises and tools.
- Change positions slowly: Sit, pause, then stand to reduce dizziness and racing heart.
- Use compression when upright: Compression socks or abdominal support for standing-heavy days.
- Smaller, protein-forward meals: Avoid large meals that trigger crashes or palpitations.
Targeted Supplement Support
When supplements fit, Lam Clinic keeps the plan minimal and paced, since many people are sensitive.
- Magnesium: Often used for sleep, muscle tension, and nervous system steadiness.
- B vitamins: Sometimes helpful for energy and brain fog support.
IV Therapies
IV support can help dysautonomia when low blood volume and electrolyte instability are driving heart rate and blood pressure swings.
By restoring hydration and key nutrients more efficiently than oral intake, it may reduce lightheadedness, racing heart, fatigue, and brain fog during more depleted phases.
- IV Nutrient Therapy
- IV Ozone Autohemotherapy
This information is educational, not a prescription. Your actual plan is always individualized, adjusted slowly, and refined based on how your body responds.
Phase 3 of LAM Method™
Maximize Longevity
As you stabilize, we shift toward keeping your progress and preventing setbacks:
- A clear pacing plan for good days and bad days
- Early flare signs and what to adjust first
- Ongoing check-ins and updates as your life and stress load change
NEM Response Circuits
How Your Body Regulate Stress
Your body handles stress through six interconnected circuits. When even one is out of balance, symptoms can show up in your heart, hormones, energy, and more.
Top Articles
Expert Insights on Dysautonomia
Dealing with Dysautonomia: Causes, Symptoms, and Natural Management
Read moreReady to Start Feeling Better? Let’s figure this out—together.
Take the QuizFrequently Asked Questions
Can Lam Clinic help with Dysautonomia?
Yes. We often help patients with dysautonomia. What makes Lam Clinic different is our LAM Method™, which maps your NeuroEndoMetabolic (NEM) Stress Response with special focus on the Cardionomic circuit. From there, we build a clear step-by-step plan that is paced to your sensitivity, not a one-size-fits-all protocol.
Is Dysautonomia related to POTS, EDS, or Long COVID?
Yes, many people with POTS, Ehlers-Danlos syndrome, or long COVID show dysautonomia patterns. We use the NEM and Cardionomic lens to connect these pieces instead of treating them as unrelated problems.
Can people with Dysautonomia actually get better?
Many people can improve their day-to-day function, reduce flares, and feel more predictable over time. Progress tends to be gradual, with lots of small gains adding up.
What daily habits help the most with Dysautonomia?
Regular meals with protein, good hydration with electrolytes as appropriate, smaller frequent meals, and a steady sleep schedule often help. Avoiding extreme heat, sudden position changes, and overdoing activity can also make a big difference.
Do you offer virtual visits and where are you located?
Yes, we offer secure telehealth visits worldwide and in-person care at our clinic in Tustin, California. We proudly serve patients across Orange County including Irvine, Santa Ana, Orange, Costa Mesa, and Anaheim, as well as individuals throughout the United States and internationally who seek personalized Dysautonomia support from the comfort of home.
The Lam Family has helped thousands recover from fatigue and stress for years.
Using advanced diagnostics and whole-body care, the Lam family looks beyond routine labs to uncover the real reasons behind fatigue—like adrenal stress, hormone imbalance, and nutrient depletion. Then, they create a personalized plan to help you heal fully and feel like yourself again.
The Pioneer of Root-Cause Healing & Whole Person Care
Before adrenal fatigue was widely understood, Dr. Michael Lam, M.D. led the way—developing one of the first clinical approaches to diagnose and treat it. His bestselling book, Adrenal Fatigue Syndrome, became a lifeline for patients around the world. Today, his children—Dr. Carrie Lam and Dr. Jeremy Lam—carry that legacy forward, building on his foundation with advanced diagnostics and whole-person care for lasting recovery.
Become a Patient Today
Integrative & Functional Medicine, Wherever You Are.
Visit us in Tustin or Mission Viejo, or connect with our team virtually.
In-Person Care
Healing that happens face-to-face. Visit our Southern California clinic for in-depth diagnostics, IV therapy, and hands-on care from doctors who know your name and story. Every visit is personalized, calm, and focused on helping you feel better—faster.
Virtual Care
Root-cause care, wherever you are. Connect with our team from anywhere in the world. Our virtual consultations bring the same expertise, lab testing access, and personalized healing plans—without leaving home.