Dr. Asad Rafi

And I'll say to a lot of the women that I see, I can almost predict that you've got ADHD when I ask you this question.

I say, what happens when you go from sitting to standing or lying to standing really quickly?

Do you feel dizzy or lightheaded?

They're like, oh my God, yes.

I say, do you bruise easily?

Do you have cold or heat intolerance?

Do you have Raynaud's type features, cold tips of your fingers or toes?

And they'll say, yeah, absolutely.

So would you realize that a lot of those features, especially the going from sitting to standing, that slight feeling of dizziness, which corrects within seconds or microseconds, correlates almost directly with that internal sense of inner restlessness.

which I say is that somatic internal hyperactivity, which a lot of people think is anxiety.

So we see a lot of the dysautonomia features, but also the hallmarks of stress, chronic inflammation, histamine hypersensitivity, which is the whole plethora of symptoms, a constellation of symptoms like skin-related issues,

And women will say it flares up from time to time.

Psoriasis, eczema, acne, itching, respiratory issues.

You can see it from their history.

Asthma, hay fever, allergies, headaches, migraines, brain fog, fatigue.

I've been diagnosed with fibromyalgia.

I say, have you?

Okay, let's try and understand this in the context of everything else.

And then the heavy periods, the cramps, even down to visual challenges and difficulties.

They will talk about gut health problems, IBS-type symptoms.