Grounded | The Vestibular Podcast

The holidays are coming, and if you have a vestibular disorder, a little reflection and planning ahead can make a huge difference in how this season feels.  In this episode, I’m sharing practical tips for hosting, traveling, being a guest, and navigating the emotional side of the holidays when chronic dizziness is a part of your life. Your holiday season may look different this year, but that doesn’t mean it’s a total loss. In this episode, we’ll dig into: Why it’s not helpful to plan for the holidays by reflecting on how things went last year Hosting tips for anyone living with a vestibular disorder A reminder about asking for help (good all year round!) Easy guest contributions that don’t add stress Holiday travel tips for vestibular warriors Remember: slowing down and creating space during the holidays is part of your toolkit How to handle family gatherings that are tense, stressful, or filled with grief How having an exit strategy is calming to your nervous system Pre-practiced phrases for anyone who isn’t being supportive about your vestibular disorder The holidays have never been about doing everything perfectly. They’re about being present, protecting your health, and giving yourself permission to do things differently this year. Related Episodes: Travel Tips for Vestibular Disorders: https://thevertigodoctor.com/podcast/129-spring-break-travel-tips-for-vestibular-disorders/ Travel Tips for Vestibular Migraine: https://thevertigodoctor.com/podcast/60-quick-trips-for-traveling-with-vestibular-migraine/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off! And our Black Friday sale is coming next week, it’s the biggest sale of the year!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. preparing for holiday season, living with vestibular disorder, vestibular migraine, VM, chronic dizziness, PPPD, vestibular group fit, VGF, migraine toolkit, migraine management

Today’s episode is about prepping for snow and winter in general. I have a bunch of stuff we’re going to cover, and I want you to take everything into consideration. Winter is coming, and especially if you have a vestibular disorder, a little preparation goes a long way. I’m walking through what I’d want you to have on hand before the snow hits. In this episode, we’ll dig into: Tools and advice for outdoor activities Tips to reduce scraping the car What to have on hand at your house Car and storm prep tips and tools Items to keep in your porch and entry areas How to choose the right shovel for light vs. heavy snow Why sand is a great alternative to salt The best time to shovel and how to shovel safely Why building quad strength helps protect your knees long term Who to ask for help before and after a snow storm A little prep now means a lot less stress when the first snow hits. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit YakTrax Ice Bug boots Trekking poles Frost guard windshield cover Ergonomic shovel / back-saving handle attachment Show pusher shovel (light snow, cover more ground) Short shovel for heavier snow Snow melt mats How to shovel snow safely is a recent Vestibular Group Fit video (members can watch inside VGF) Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. snow prep, how to prepare for winter, living with vestibular disorder, living with vestibular migraine, VM, vestibular group fit, migraine toolkit, stay active in the winter, chronic dizziness, PPPD, walking safety tips, exercises to improve balance

The holidays are coming, so we have some tried and true products that vestibular warriors love! This is broken down into categories: travel, weather, toolkit, and daily routine. This is by no means perfect because different items can be used across multiple categories, but we did our best. Whether you’re building your own toolkit or shopping for someone you love who has a vestibular disorder, this list is a great place to start! And of course, everything is linked below. Hopefully this gives you some ideas for gift lists or for a vestibular warrior in your life!  Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off! & Black Friday sale coming soon!): https://thevertigodoctor.com/vestibular-group-fit Gift Guide Links: Travel Earplanes WeatherX Earplugs Travel toolkit pouch Relief Band or Eme Term Compression socks: Bombas or Amazon, especially helpful for POTS Weather Wrap cooling neck scarf or snap cooling neck scarf Sun hat Battery operated fan or phone fan Yaktrax (for shoes) Folding canopy chair Toolkit Weighted blanket Knit option Essential oils: Ruhewell dizzy box, use code VERTIGODOC for 15% off Relief band or Eme Term Truvaga (use code OAKPLUS), vagus nerve stimulation device (over-the-counter version of GammaCore) Cefaly (use code VERTIGODOC), trigeminal nerve stimulation device Avulux Glasses (use code VERTIGODOC) Ice Roller Loop ear plugs Allay Lamp Norb lightbulb, red for nighttime, green bandwidth also available Vitamin or supplement gift card Ginger Chews Ice caps for head pain Heating pad for neck and shoulders Outlet version Microwave version Daily Routine Sleep Rise Centered alarm clock (no subscription, no phone required) Eye mask Like lamp 10k lux for mornings Movement Weighted vest Adjustable weight set for proprioception and grounding Trekking poles for walking Hydration/Nutrition Stainless Steel pots and pans Metal or wood kitchen utensils Stainless steel water bottle Protein powder or supplement gift card Electrolytes (great stocking stuffer!) Reverse osmosis water filter, Cloud Water RO or HydroViv NA beer or mocktail options: Athletic Brewing, Deschutes NA Black Butte Porter, Saint Agrestis Phony Negroni, Ghia Air purifiers for the home Jaspr Air (wait for Black Friday sale, use code VERTIGODOC), AustinAir also recommended Supportive materials The Way Out or Victory Over Vestibular Migraine For children “Mommy Doesn’t Look Sick” Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. holiday gift list, holiday gift guide, vestibular warrior, vestibular migraine, VM, chronic dizziness, PPPD, living with vestibular disorder, migraine toolkit, vestibular group fit, VGF, manage vestibular disorder

If you hadn’t heard yet, Daylight Saving Time is coming up on November 1st. If you have a vestibular disorder, that one-hour shift can do a number on your routine, sleep, and symptoms. I don’t want you or your vestibular system to be caught off guard, which is why I share this info twice a year. In this episode, I’m walking through exactly how to prepare for the Fall time change in a way that makes sense for your body—with gradual shifts, routine modifications, and practical prep so the morning-of you’re not feeling like your whole world’s been thrown off. In this episode, we’ll dig into: How “gaining” an hour can still negatively affect your health Why consistency in wake and sleep time matters so much with a vestibular disorder How to effectively shift your schedule gradually leading up to the time change How prepping the night before can be supportive Practical modifications for the week of the time change How this approach can also work for the Spring time change and travel across time zones Remember: start small, stay consistent, and your body will thank you. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. how to prepare for daylight savings time, end of daylight saving time, start of daylight saving time, vestibular migraine, VM, dizziness, PPPD, living with vestibular disorder, vestibular group fit, VGF, lifestyle changes, living with chronic illness, mindfulness for chronic illness

One of the most common things I hear from people with vestibular disorders is how hard it feels to do things with family (especially kids). You want to be present, you want to participate, but you’re also trying to manage your symptoms and not make things worse. In this episode, I’m sharing a list of ideas to have on hand for those moments. Whether you’re having a higher symptom day or an easier one, these activities are designed to be low-demand, flexible, and (gasp) fun! Save this episode, come back to it, and remember, you’ve got this. In this episode, we’ll dig into: Tips for making movie night more manageable Card games for lower symptom days Easy painting and drawing activities Options for building or scrapbooking Cooking and food-related ideas Instagram accounts to follow for more ideas Showing up, in whatever way you can, is more than enough for those who love and care about you. Related Episodes: Go-To Activity List for High Symptom Days: https://thevertigodoctor.com/podcast/152-activity-list-for-high-symptom-days-living-with-vestibular-disorder/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Loops: https://amzn.to/4kbPhPa  CampSnap digital camera: https://www.campsnapphoto.com/ Kiwi Co subscription boxes: https://www.kiwico.com/ Crunch Labs build-a-box subscription: https://www.crunchlabs.com/products/build-box-subscription Petals and Profanity coloring book: https://amzn.to/49VMBTC  Card games: Sagrada board game: https://amzn.to/4fMGN2l  Carcassonne board game: https://amzn.to/4ejqbgk  Flip 7 card game: https://amzn.to/4vHK5su  Five Crowns card game: https://amzn.to/44bNuUw  Instagram accounts to follow: https://www.instagram.com/heyazka/ https://www.instagram.com/brambila_bits/  https://www.instagram.com/parentingwithmigraine Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. activities with family, activities with family at home, living with vestibular disorder, vestibular migraine, VM, chronic dizziness, PPPD, vestibular group fit, VGF, psychosocial impact of chronic vestibular disorder, living with VM

In this episode, we’re going to cover some common questions about advocating for treatments at the doctor’s office, which can occur for a few different reasons. Having research to help advocate for your needs not only helps you educate future people, it also helps provide objective evidence for your specific needs. Areas we’re gonna talk about are: CGRPs, why tryptans are often less effective for the dizziness side of VM, benefits of Botox, benefits of Timolol eye drops, and VM masquerading as BPPV. We’re also talking about the triad of VM, hypermobility, MCAS, and POTS. And then BPPV, MDDS, and PPPD. Save this episode! You’re going to want to listen to it more than once because there is so much good stuff in here. In this episode, we’ll dig into: Why having research helps you advocate for your specific needs at the doctor CGRPs for vestibular migraine Why tryptans are often less effective for the dizziness part of a VM attack What the research says about Botox for vestibular migraine What studies show about Timolol eye drops Why vestibular migraine is commonly misdiagnosed as BPPV Why VM, hypermobility, POTS, dysautonomia, and MCAS so often appear together What to ask about if you keep getting recurrent BPPV A 2024 MdDS treatment protocol that had a 64% improvement rate How a sleep apnea assessment helps both VM and BPPV patients Knowledge is one of the most powerful tools you have when it comes to advocating for your care—and now you have a little more of it. Related Episodes: What is Optimal Bloodwork?: https://thevertigodoctor.com/podcast/98-optimal-vs-normal-bloodwork/ How to Get a Dizziness Diagnosis: https://thevertigodoctor.com/podcast/154-how-to-get-a-dizziness-diagnosis-with-a-bonus-resource-guide/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Guide with links from the episode in this Canva doc: https://www.canva.com/design/DAHQDflgIhM/TiRFvtDhQ9AY2hPv2SkBRA/edit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. Citations Russo, C. V., Saccà, F., Braca, S., Sansone, M., Miele, A., Stornaiuolo, A., & De Simone, R. (2023). Anti-calcitonin gene-related peptide monoclonal antibodies for the treatment of vestibular migraine: A prospective observational cohort study. Cephalalgia : an international journal of headache, 43(4), 3331024231161809.  Hoskin, J. L., & Fife, T. D. (2022). New Anti-CGRP Medications in the Treatment of Vestibular Migraine. Frontiers in neurology, 12, 799002. https://doi.org/10.3389/fneur.2021.799002  Staab JP, Eggers SDZ, Jen JC, et al. Rizatriptan vs Placebo for Attacks of Vestibular Migraine: A Randomized Clinical Trial. JAMA Neurol. 2025;82(7):676–686. doi:10.1001/jamaneurol.2025.1006  Oh, S. Y., Kang, J. J., Kim, S., Lee, J. M., Kim, J. S., & Dieterich, M. (2022). A preliminary trial of botulinum toxin type A in patients with vestibular migraine: A longitudinal fMRI study. Frontiers in neurology, 13, 955158. https://doi.org/10.3389/fneur.2022.955158  Migliazzo, C. V., & Hagan, J. C., 3rd (2014). Beta blocker eye drops for treatment of acute migraine. Missouri medicine, 111(4), 283–288.  Cossack M, Nabrinsky E, Turner H, Abraham A, Gratton S. Timolol Eyedrops in the Treatment of Acute Migraine Attacks: A Randomized Crossover Study. JAMA Neurol. 2018;75(8):1024–1025. doi:10.1001/jamaneurol.2018.0970  Hac, N. E. F., & Gold, D. R. (2024). Advances in diagnosis and treatment of vestibular migraine and the vestibular disorders it mimics. Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 21(4), e00381. https://doi.org/10.1016/j.neurot.2024.e00381  Blitshteyn S. (2023). Dysautonomia, Hypermobility Spectrum Disorders and Mast Cell Activation Syndrome as Migraine Comorbidities. Current neurology and neuroscience reports, 23(11), 769–776. https://doi.org/10.1007/s11910-023-01307-w  Libonati, G. A., Leone, A., Martellucci, S., Gallo, A., Albera, R., Lucisano, S., Bavazzano, M., Chiarella, G., Viola, P., Galletti, F., Freni, F., Ciodaro, F., Marcelli, V., Tortoriello, G., di Santillo, L. S., Picciotti, P. M., Galli, J., Vitale, S., Quaranta, N., Cavallaro, G., … Graziano, G. (2022). Prevention of Recurrent Benign Paroxysmal Positional Vertigo: The Role of Combined Supplementation with Vitamin D and Antioxidants. Audiology research, 12(4), 445–456. https://doi.org/10.3390/audiolres12040045  Schoenmaekers C, Jillings S, De Laet C, Zarowski A and Wuyts FL (2024) Guideline for standardized approach in the treatment of the Mal de Debarquement syndrome. Front. Neurol. 15:1359116. doi: 10.3389/fneur.2024.1359116 Beh, S. C., Chiang, H. S., & Sanderson, C. (2021). The Interconnections of Mal de Débarquement Syndrome and Vestibular Migraine. The Laryngoscope, 131(5), E1653–E1661. https://doi.org/10.1002/lary.29214  Xue, H., Wang, B., Meng, T., Zhao, S., Wang, Q., Zhang, X., Kang, M., & Xiang, W. (2021). Differences of Sleep Disorders Between Vestibular Migraine and Benign Paroxysmal Positional Vertigo. Frontiers in psychiatry, 12, 726038. https://doi.org/10.3389/fpsyt.2021.726038  treatment for vestibular migraine, botox for vestibular migraine, living with vestibular migraine, VM, CGRP medications, CGRPs for migraine, BPPV, PPPD, chronic dizziness, vestibular group fit, VGF, migraine management

Histamine and MCAS are everywhere on the internet right now, but there’s a huge piece missing from the conversation. Genetics. In this episode, I’m joined by two board-certified genetic counselors, Natalie Samson and Sarah Upp of Golden Genetics. They’re here to break down what’s going on at a DNA level when it comes to histamine intolerance, MCAS, connective tissue disorders, and the symptoms so many vestibular warriors are navigating. The biggest takeaway might just be how you can start advocating for yourself with your providers (especially if these things are new to them). This one is dense, practical, and unlike any conversation I’ve had on this podcast before. In this episode, we’ll dig into: How genetic changes affect how your body works How your environment and genetics work together The pentad super syndrome Why weak connective tissue may be at the root of these overlapping conditions What happens when the DAO and HMT genes aren’t working well Where histamine comes from and how to empty it The barn analogy for understanding mast cell stabilization Why a low histamine diet isn’t meant to be forever Foods to add in that lower histamine The two panels Golden Genetics recommends Why methylation matters for histamine breakdown What to do when testing for MCAS doesn’t give clear answers How to advocate for yourself when a provider dismisses MCAS as a social media diagnosis The ongoing research between Golden Genetics and the vestibular migraine community How to use the 2026 MCAS guidelines flowchart at your next appointment Histamine intolerance and MCAS aren’t just about what you’re eating.  They’re rooted in your genetics, and understanding your specific DNA can help you stop guessing and start identifying the right interventions for your body. Related Episodes: Toxic Products That May Be Making Your Dizziness Worse w/ Dr. Zach Spiritos: https://thevertigodoctor.com/podcast/53-toxic-products-that-may-be-making-your-dizziness-worse/   Meet Natalie Samson & Sarah Upp Natalie Samson and Sarah Upp are both board-certified genetic counselors and the team behind Golden Genetics, an integrative genetic counseling practice. They specialize in helping people understand their DNA, order the right tests and turn results into a personalized action plan—with a special focus on histamine, inflammation, connective tissue, and nutrigenomics.  Natalie founded Golden Genetics to bring genetics into the integrative health conversation, and together she and Sarah are currently conducting research on the genetic links to vestibular migraine. Connect w/ Natalie Samson & Sarah Upp: Website: www.goldengeneticshealth.com  What is a logistics call with Golden Genetics? https://goldengenetics.practicebetter.io/#/652843bfc5600d631946d7b9/bookings?r=67d88822ff4b8cf37956c65d&step=services Book a logistics call with Golden Genetics: https://www.goldengeneticshealth.com/book-a-discovery-call-1 Pre-test session with Sarah: https://goldengenetics.practicebetter.io/#/687574970c2232e0dccceef5/bookings?r=69bb16570d392e7826c8903b Instagram: https://www.instagram.com/goldengeneticshealth  Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit 2026 MCAS Guidelines flowchart: https://www.mastcellaction.org/assets/_/2025/04/01/d6de24e1-f6f6-4248-a3f4-12866d7bf713/mast-cell-activation-syndrome-mcas-a-primary-care-guide-final.pdf Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. is histamine intolerance genetic, genetics and mcas, genetics and histamine, genetic counselors, vestibular migraine, VM, chronic dizziness, PPPD, nervous system regulation, migraine management, vestibular group fit, VGF

If you have a vestibular disorder, there’s a good chance your thyroid is part of the story.  You know I love bringing in other qualified professionals to dig deeper on these more nuanced topics, so for this conversation we have Registered Dietitian and fellow Hashimoto’s patient, Alisha Knicely! She breaks down all things thyroid—what Hashimoto’s is, how it’s different from hypothyroidism, what optimal labs look like, how gut health and leaky gut are connected to autoimmune conditions, and what you can do about all of this. We also touch on gluten, dairy, mold, and water quality. You’re going to want to bookmark this one because it’s jam packed! In this episode, we’ll dig into: How Alisha became a Hashimoto’s patient turned registered dietitian Hyperthyroidism vs. hypothyroidism What’s included in a full thyroid panel How to understand optimal vs. conventional lab ranges When to consider medication How thyroid hormones impact every single cell in the body Chronic vs. acute inflammation Practical, sustainable steps to lower inflammation naturally The elimination diet and reintroduction approach The best way to address leaky gut Why you should consider the GI Map stool test Why water quality matters especially for thyroid patients Alisha’s personal mold story and how she cleared her mycotoxin levels Air quality, infrared sauna, and other mold detox resources Whether it’s your thyroid, your gut, your water, or the air you’re breathing, the root causes are addressable and you don’t have to figure it out alone. Related Episodes: Ep 91 Mold & Dizziness: https://thevertigodoctor.com/podcast/91-mold-dizziness-what-you-need-to-know/ Meet: Alisha Knicely, RD Alisha Knicely is a Registered Dietitian, certified in Integrative and Functional Medicine, and a fellow Hashimoto’s patient of nearly a decade. Her own experience navigating an autoimmune thyroid diagnosis (and not getting the answers she needed) led her to specialize in thyroid and hormonal health. She helps clients get to the root of their Hashimoto’s through nutrition, gut health, lifestyle and functional testing so they can finally start feeling like themselves again. Connect w/ Alisha Knicely: Instagram: https://www.instagram.com/lisha_thyroid_rd/ TikTok: https://www.tiktok.com/@lisha_thyroid_rd Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit (which is where you’ll find the Histamine Webinar with Isabel Smith where we talked water filters) Alisha’s Instagram post on optimal labwork mentioned: https://www.instagram.com/p/Dbqf3TqjoAD/ Dr. Jill Crista’s mold detox resource: https://drcrista.com/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. hashimoto’s and gut health, integrative functional medicine, autoimmune thyroid condition, thyroid dietitian, graves disease, vestibular migraine, chronic dizziness, hormone health, gut issues, lifestyle changes, optimal lab values, migraine management

Histamine is quite possibly the most popular buzzword in healthcare right now and for good reason. For those living with a vestibular condition and dealing with a histamine intolerance, it can feel like a lot to understand and manage. In this episode, I’m breaking down what histamine is, what histamine intolerance can look like, how it’s impacting vestibular disorders and migraine, and what you can do about it. In this episode, we’ll dig into: What histamine is and its role in your immune system, digestion, sleep, mood, memory, and more The 4 types of histamine receptors and what they have to do with your symptoms Histamine intolerance vs. MCAS What happens when you don’t have enough of the DAO enzyme What contributes to histamine intolerance and what it can look like How to properly diagnose histamine intolerance What you can do to support your liver if you have histamine intolerance How to do a low-histamine diet the right way How food freshness affects histamine levels The histamine-migraine connection What research is showing about histamine’s role in the vestibular system and inner ear How addressing histamine can make previous treatments that didn’t work suddenly start working When there’s too much histamine in the body than what the body can actively remove, you’ll have more histamine reactions and a harder time processing histamine in general. I want you to remember though that all hope is not lost! For additional support, we have the webinar with Isabel Smith that touches on histamine intolerance, as well as liver and gut support inside Vestibular Group Fit.  We will also have Natalie Sampson, a Board Certified Genetic Counselor, joining me on a future podcast episode! Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. Citations Cleveland Clinic. “Histamine.” Cleveland Clinic, Cleveland Clinic, 28 Mar. 2023, https://my.clevelandclinic.org/health/articles/24854-histamine. Accessed 10 July 2026. Jochum C. (2024). Histamine Intolerance: Symptoms, Diagnosis, and Beyond. Nutrients, 16(8), 1219. https://doi.org/10.3390/nu16081219  Sánchez-Pérez S, Comas-Basté O, Duelo A, Veciana-Nogués MT, Berlanga M, Vidal-Carou MC and Latorre-Moratalla ML (2022) The dietary treatment of histamine intolerance reduces the abundance of some histamine-secreting bacteria of the gut microbiota in histamine intolerant women. A pilot study. Front. Nutr. 9:1018463. doi: 10.3389/fnut.2022.1018463 Jackson, K., Busse, W., Gálvez-Martín, P., Terradillos, A., & Martínez-Puig, D. (2025). Evidence for Dietary Management of Histamine Intolerance. International journal of molecular sciences, 26(18), 9198. https://doi.org/10.3390/ijms26189198 Kong, L., Domarecka, E., & Szczepek, A. J. (2023). Histamine and Its Receptors in the Mammalian Inner Ear: A Scoping Review. Brain sciences, 13(7), 1101. https://doi.org/10.3390/brainsci13071101  Tighilet, B., Trico, J., Marouane, E., Zwergal, A., & Chabbert, C. (2024). Histaminergic System and Vestibular Function in Normal and Pathological Conditions. Current neuropharmacology, 22(11), 1826–1845. https://doi.org/10.2174/1570159X22666240319123151  Chen, Z. P., Zhang, X. Y., Peng, S. Y., Yang, Z. Q., Wang, Y. B., Zhang, Y. X., Chen, X., Wang, J. J., & Zhu, J. N. (2019). Histamine H1 Receptor Contributes to Vestibular Compensation. The Journal of neuroscience : the official journal of the Society for Neuroscience, 39(3), 420–433. https://doi.org/10.1523/JNEUROSCI.1350-18.2018  Ferretti, A., Gatto, M., Velardi, M., Di Nardo, G., Foiadelli, T., Terrin, G., Cecili, M., Raucci, U., Valeriani, M., & Parisi, P. (2023). Migraine, Allergy, and Histamine: Is There a Link?. Journal of clinical medicine, 12(10), 3566. https://doi.org/10.3390/jcm12103566  histamine and vestibular conditions, vestibular migraine, chronic dizziness, migraine attacks, vestibular disorders, vestibular group fit, food sensitivities, MCAS, gut issues, holistic approach, bucket theory, lifestyle changes, allergies and vestibular disorders

If you have recurring sinus infections, got the allergy shots, maybe even had sinus surgery, and still don’t feel better, this episode might shock you. For starters: 75-90% of people with self-diagnosed sinus headaches actually meet migraine criteria. I’m so excited to welcome back Dr. Jessica Lee, double board-certified ENT and lifestyle medicine physician to hopefully provide some answers you’ve been looking for. We’re going deep on sinus headache vs migraine, Eustachian tube dysfunction, as well as migraine and sinus management.  So many people are cycling through antibiotics, steroids, and booking surgeries without anyone ever connecting the dots to what’s going on in the body as a whole. Dr. Lee is here to change that and to give you the questions to ask, the scans to request, and the framework to finally get some answers. In this episode, we’ll dig into: How to start differentiating sinus issues from a migraine attack What’s actually happening with the pressure, fluid, and full feeling in your ear Why researchers believe TMJ may not be as common as we think How to best use CT scans as a diagnostic tool for sinus migraine What a deviated septum or mucosal cyst may not be the full diagnosis Why antibiotics are so overprescribed for sinus headaches Why you may feel like you never fully recover from sinus infections How GLP-1s and mouth breathing affects Eustachian tube function Why Dr. Lee’s surgical volume has gone down over the years The PACT framework for doctor’s appointments Whether it’s sinus headaches, ear pressure, or chronic infections that never fully resolve, the answer might not be another antibiotic. And with what you heard in the episode, you’ll be able to ask the right questions to get the help you need. Related Episodes: Sinus Headache, Nasal Breathing, and Dizziness with Dr. Jessica Lee: https://thevertigodoctor.com/podcast/69-sinus-headache-nasal-breathing-and-dizziness-with-dr-jessica-lee-ent/ Meet Dr. Jessica Lee: Dr. Jessica Lee, MD, DipABLM is a double board-certified Otolaryngologist (ENT) and Lifestyle Medicine physician with over 100 hours of additional training in integrative and functional medicine. After more than a decade in traditional medicine, Dr. Lee noticed a major gap in how chronic inflammatory conditions (like sinusitis, allergies & sinus headaches) were being treated, and set out to change that. She’s the founder of Integrative ENT Health, a Castle Connolly Top Doctor (2023–2026), and co-founder of the Keto Hope Foundation. She brings a whole-person approach to ENT care, blending conventional expertise with nutrition, lifestyle & root-cause thinking to help patients get real, lasting answers. Connect w/ Dr. Jessica Lee: The Sinus Reset Program: https://www.integrativeenthealth.com/sinus-reset-program Integrative ENT Health (virtual practice): https://www.integrativeenthealth.com/ Instagram: https://www.instagram.com/entchat Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Sinus Reset Program (Open September 13th; stay tuned for free bonuses and discounts!): https://www.integrativeenthealth.com/sinus-reset-program Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. sinus headache, integrative ent, eustachian tube dysfunction, chronic dizziness, vestibular migraine, vestibular disorder symptoms, vestibular group fit, symptom tracking, phases of vestibular migraine, holistic approach, lifestyle changes, nervous system regulation, allergies