POTS & Dysautonomia Treatment
Santa Barbara, CA
Autonomic dysfunction — including POTS — is increasingly linked to autoantibodies and immune dysregulation. We target the root cause, not just the symptoms.
Therapeutic Plasma Exchange · EBO2 Ozone Therapy · NAD+ IV · Naturopathic Support
Serving Los Angeles, Ventura, Orange County, and all of California
Primary therapies we use for POTS & dysautonomia
POTS is increasingly recognized as autoimmune in many cases — TPE addresses the root, while IV hydration addresses daily symptoms.
Understanding POTS & Dysautonomia
Postural Orthostatic Tachycardia Syndrome (POTS) is a dysfunction of the autonomic nervous system — the system that regulates heart rate, blood pressure, digestion, and dozens of other involuntary functions. In POTS, standing upright triggers an abnormal surge in heart rate, causing dizziness, fatigue, and a cascade of debilitating symptoms.
Research increasingly implicates autoantibodies against G-protein coupled receptors (GPCRs) in a significant subset of POTS patients — particularly adrenergic and muscarinic receptor antibodies that disrupt autonomic signaling. This places POTS firmly in the autoimmune spectrum for many patients, making immune-modulating therapies a rational approach.
POTS is also a hallmark feature of Long COVID, connective tissue disorders (like hEDS), and other autoimmune conditions. Our approach identifies the underlying mechanism driving your POTS and targets it directly.
Common POTS & Dysautonomia Symptoms
- Heart rate increase ≥30 bpm upon standing
- Lightheadedness or near-fainting when upright
- Debilitating fatigue — not relieved by sleep
- Brain fog — difficulty concentrating and memory issues
- Headaches — especially positional or upon standing
- Exercise intolerance and post-exertional crashes
- Nausea and gastrointestinal disturbances
- Temperature dysregulation — heat intolerance
- Heart palpitations and chest discomfort
- Tremors and shakiness when upright
Integrative POTS & Dysautonomia Treatments
Protocols designed to address autonomic dysfunction at its root — immune, vascular, and mitochondrial.
Therapeutic Plasma Exchange (TPE)
TPE removes GPCR autoantibodies and inflammatory mediators from the plasma that drive autonomic dysfunction in autoimmune POTS — potentially resetting the immune system's dysregulated response.
Learn moreEBO2 Ozone Therapy
Extracorporeal blood ozonation improves microcirculation, reduces systemic inflammation, and supports mitochondrial energy production — addressing the vascular and oxidative drivers of dysautonomia.
Learn moreNAD+ IV Therapy
IV NAD+ restores cellular energy production at the mitochondrial level, supporting neurological function and reducing the fatigue and cognitive impairment that dominate POTS and dysautonomia.
Learn moreNaturopathic Integrative Care
Comprehensive autonomic testing, nutritional optimization, adrenal and hormonal support, and individualized protocols addressing the root causes of your POTS — not just the symptoms.
Learn moreDr. Jonathan Birch, NMD, RMSK
Dr. Birch has extensive experience treating complex autonomic conditions including POTS, Long COVID-related dysautonomia, and autoimmune-driven nervous system dysfunction. His training in therapeutic plasma exchange and EBO2 ozone therapy gives him tools that few integrative physicians offer.
With a 5.0-star rating from 77 Google reviews and over 2,500 ozone therapy sessions performed, Dr. Birch brings both the clinical experience and the procedural expertise required to treat the most challenging cases.
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Ready to Start Your Healing Journey?
Contact us today to schedule a consultation or learn more about our services.
(805) 500-8300