Dr. Ayla Wolf and Sophia Bouwens dive deep into the complexities of Postural Orthostatic Tachycardia Syndrome (POTS), explaining how this autonomic dysfunction manifests and why proper diagnosis is crucial for effective treatment. Dr. Wolf breaks down the different subtypes, testing methods, and treatment approaches while emphasizing the importance of looking beyond symptoms to find root causes.

• Different subtypes include hyperadrenergic POTS, hypovolemic POTS, and POTS with mast cell activation
• Approximately 70% of POTS cases occur in females between ages 15-45
• Many POTS patients have interoception issues, feeling disconnected from bodily sensations or experiencing heightened awareness
• Potential underlying causes include concussions, mold exposure, viral infections, autoimmune conditions, and cervical instability
• Exercise therapy is beneficial but must be customized to the patient's specific condition and symptoms

For more information about concussion recovery and autonomic dysfunction, check out Dr. Wolf's new book, "The Concussion Breakthrough: Discover the Missing Pieces to Recovery," now available on Amazon.

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Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!

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Website: lifeafterimpact.com

Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

Chaandani Khan's story begins with a life derailed. Six years ago, a car accident left this high-achieving event planner with a concussion that transformed her world overnight. The woman who once thrived on 70-hour work weeks, constant travel, and a packed social calendar suddenly couldn't make a sandwich or find matching shoes. The cognitive fog was so thick that even basic tasks became mountains to climb.

What unfolds in this raw, vulnerable conversation is a journey through the challenging landscape of persistent post-concussion syndrome (PPCS). Chaandani shares how she navigated years of appointments with multiple practitioners—sometimes five days a week—while grappling with the profound question: "Who am I now that everything that defined me has been stripped away?"

The heartbeat of this episode is the critical gap Chaandani identified during her recovery: many healthcare providers, though well-intentioned, aren't truly "concussion-informed." She describes how practitioners might overwhelm patients with too much information delivered too rapidly, or fail to recognize when patients are "masking" their symptoms while internally struggling. With approximately 30% of concussion cases becoming persistent, this represents thousands of people potentially falling through the cracks.

Today, Chaandani has transformed her experience into a mission. She now educates practitioners on practical strategies to better serve their concussion patients—from slowing speech patterns to controlling environmental factors like lighting and sound. She's developing an online learning community for professionals launching in 2025, aiming to create systemic change that improves outcomes for all PPCS patients.

Connect with Chaandani at www.returntolife.ca and discover how her work is helping bridge the gap between patients and practitioners in the concussion recovery journey.

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Get 20% off your first order of Puori protein with code LIFEAFTERIMPACT by following this link.

Purity Coffee
Coffee that is free of pesticides, mold toxins, and heavy metals. Just pure delicious coffee! Save 20% off your first order with code LIFEAFTER20.

Support the show

Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!

What topics do you want to hear more about? What questions do you have? Email us at lifeafterimpact@gmail.com

Follow us on Instagram @lifeafterimpact

Website: lifeafterimpact.com

Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.

Dr. Mike Nelson explains how ketones and lactate can serve as alternative fuel sources for the brain after concussion when glucose metabolism becomes impaired. This metabolic insight opens new possibilities for recovery support and symptom management.

• Concussions disrupt glucose metabolism in the brain but don't affect ketone and lactate pathways
• Parasympathetic nervous system activation techniques help balance autonomic disruption after brain injury
• Breathing with longer exhales, wide-gaze relaxation, and gentle walking promote parasympathetic tone
• Cold water therapy can be beneficial but should start "warm" (55-60°F) and focus on time over intensity
• Face-only cold exposure with breath holding triggers the mammalian dive reflex for parasympathetic activation
• Magnesium (particularly bisglycinate) supports nervous system regulation, especially before bedtime
• Ketone esters provide quick access to alternative brain fuel within 15-20 minutes of consumption
• Taking 10-20g of ketones before exercise may improve tolerance and reduce symptom flares
• Creatine (10-20g daily) shows promise as both preventive and recovery support for brain injuries
• Research shows impressive protective effects in animal models but human brain uptake differs
• The "kitchen sink approach" combining multiple therapies likely offers fastest recovery path

Website: mikenelson.com

Podcast: Flex Diet Podcast

Instagram: @DrMikeTNelson

Carrick Institute Course taught by Dr. Mike T Nelson: Ketones and Traumatic Brain Injury

Send us a text

Get 20% off your first order of Puori protein with code LIFEAFTERIMPACT by following this link.

Purity Coffee
Coffee that is free of pesticides, mold toxins, and heavy metals. Just pure delicious coffee! Save 20% off your first order with code LIFEAFTER20.

Support the show

Dr. Wolf's book Concussion Breakthrough: Discover the Missing Pieces of Concussion Recovery is now available on Amazon!

What topics do you want to hear more about? What questions do you have? Email us at lifeafterimpact@gmail.com

Follow us on Instagram @lifeafterimpact

Website: lifeafterimpact.com

Medical disclaimer: this video or podcast is for general informational purposes only, and does not constitute the practice of medicine or other professional healthcare services, including the giving of medical advice. No doctor patient relationship is formed. The use of this information and materials included is at the user's own risk. The content of this video or podcast is not intended to be a substitute for medical advice diagnosis or treatment. Consumers of this information should seek the advice of a medical professional for any and all health related issues.