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Services
Dysautonomia rarely exists in isolation. It often emerges from, or sits alongside, other physiological pictures. A viral illness that did not finish resolving. Mast-cell activity that keeps the nervous system on high alert. Hormonal change that pulled regulation off-line. Connective tissue laxity that changes how vessels hold pressure. Micronutrient depletion that the standard pathology reference range does not capture. Sleep that never reaches recovery.
Integrative medicine in the dysautonomia pathway is the part of the team that reads those upstream and adjacent factors and decides which ones can usefully be addressed. The work draws on conventional medicine first, and on nutritional medicine, lifestyle medicine, and other evidence-supported approaches where they fit the clinical question. It does not bypass mainstream medicine. It tries to read the parts of the picture that mainstream consultations often do not have time to look at.
This service is for people in the dysautonomia pathway whose presentation involves more than the autonomic symptoms alone — post-viral fatigue, reactive symptoms, hormonal change, nutritional concerns, sleep disturbance — and where the active clinical question is "what else is shaping this picture and what can be done about it".
The first appointment reads the whole record. Autonomic data, viral and immune history, prior pathology, supplements and prior trials, sleep, hormonal context, gastrointestinal pattern. The point is to know what the picture already contains.
The consultation looks at the factors most likely to be driving or sustaining the autonomic dysregulation in this person. Where a specific upstream piece is identified — for example, ongoing post-viral inflammation, mast-cell activity, hormonal change, or significant micronutrient depletion — that is named. Where the picture is unclear, that is named too.
A plan is built around what was found. Where conventional medication is the right next step, that is named explicitly. Where nutritional repletion, lifestyle structure, or symptom-side management would be the better first move, that is named too.
The plan is built with the rest of the biio. dysautonomia team in view — medication management, dietetics, exercise physiology, physiotherapy — so the integrative work does not run against the rest.
Each intervention has a reason and a review point. Where a strategy did what was intended, that is recorded; where it did not, the reason is found before the next change is layered on.
Over time, the integrative work moves from active troubleshooting to background support. The patient develops a clearer working sense of which signals matter and which interventions help.
When the integrative work is going well, the picture around the dysautonomia becomes more legible. Upstream contributors are addressed where they can be. Treatments are reviewed against what the body actually did. The patient stops being the only thread connecting the different parts of their own care.
This role does not, by itself, treat the autonomic dysfunction. It does not replace medication management, exercise physiology, dietetics or specialist input. It is the medical thread that reads the rest of the picture so the work elsewhere in the pathway has more to go on.