Dysautonomia Decoded

Dysautonomia Decoded

When Exercise Makes You Worse: PEM, PoTS and the Graded Exercise Debate

The exercise question that is dividing researchers and why it matters for your care

Dysautonomia Decoded's avatar
Dysautonomia Decoded
May 19, 2026
∙ Paid

Today let’s decode one of the most contested and important topics in PoTS and Long COVID care right now. Post-exertional malaise, what it actually is, how it overlaps with PoTS, and why the question of whether patients should be doing graded exercise therapy is far from settled.

The evidence is complicated, the debate is heated among medical professional…

User's avatar

Continue reading this post for free, courtesy of Dysautonomia Decoded.

Or purchase a paid subscription.
© 2026 Dysautonomia Decoded · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture