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Neurally Mediated Hypotension (NMH) or Chronic orthostatic hypotension (OH) is common with CFIDS. The approach on treating it varies:

  • Using Vascular Constrictive medicines to improve blood pressure
    • See Ruscus aculeatus,
    • Aesculus hippocastanum,
    • Ruscus aculeatus,
    • Centella asiatica,
    • Hamamelis virginiana
  • Using Anti-coagulants to reduce viscosity of the blood, allowing blood pressure to improve
  • The new "Salt and C" protocol with 6 grams of salt per day has some potential positive impacts in this area.

Wiki defines a healthy blood pressure lies between 90/60 to 130/80 mmHg.

NMH symptoms can be explained in two ways: blood vessels is too large for the blood, hence low pressure; OR blood stickiness is high, thus pressure drop per foot of blood vessel drops abnormally. The former is the usual medical approach, the later is the one that I favor. Bell has demonstrated that the volume of blood is lower with CFIDS, which means there is less blood to deliver oxygen to the body.



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