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Dysautonomia

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Too Hot, Too Cold, Too High, Too Low – Blame it on Dysautonomia!

  • Many children and adults with mitochondrialRelated to the mitochondria. disease complain of erratic symptoms that “don’t make sense”, such as heat intolerance, erratic blood pressure, dizziness, nausea, intermittent gut dysfunction, and more.
  • These symptoms, while typically not life-threatening, are often the most troubling and affect a person’s everyday quality of life the most.
  • Dysautonomia describes an inability of the autonomic nervous system to regulate “typical” body functions, and is the cause of many of these troubling and confusing symptoms.

Learn more about dysautonomia with Dr. Richard Boles from Children’s Hospital Los Angeles.

  • What is dysautonomia, and how does it occur?
  • What symptoms do Mito patients experience that may be related to dysautonomia?
  • Are there treatment approaches that improve symptoms of dysautonomia?
  • How is dysautonomia related to bigger issues, such as gastric dysmotility and POTSIt is a form of orthostatic intolerance. Symptoms of the condition occur upon standing up from a reclining position. The primary symptom of the intolerance is lightheadedness, fainting and an uncomfor (postural orthostatic tachycardia syndrome)?
  • How can dysautonomia be serious, even lethal, in some cases?
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About the Speaker

Richard Boles, MD

Richard Boles, MD

Richard G. Boles, M.D. completed medical school at UCLA, a pediatric residency at Harbor-UCLA, and a genetics fellowship at Yale. For over two decades, Dr. Boles’ clinical and research focus has been on changes in genes involved in energy metabolism, and more recently ion channels, and their effects on the development of common neurodevelopmental and functional disorders. Examples include autism, pain syndromes, chronic fatigue, cyclic vomiting, intestinal dysmotility/failure, and depression. He has over 80 published papers, mostly in mitochondrial medicine. He lives in the Los Angeles area.

For 20 years, Dr. Boles was a faculty member at the Keck School of Medicine at USC and a practicing medical geneticist and metabolic specialist at Children’s Hospital Los Angeles. Dr. Boles became involved in genetic testing in order to facilitate the translation of the vast amounts of acquired genetic knowledge into applications that improve routine medical care, and was a Medical Director of Courtagen and Lineagen in the past. At present, Dr. Boles is the Director of the NeuroGenomics Program at Neurabilities (https://neurabilities.com/neurogenomics) in Voorhees, NJ, in which he consults on patients via telemedicine. About half of the patients he currently sees as a physician have one or more functional conditions, especially cyclic vomiting syndrome, other forms of complex migraine, and/or chronic fatigue syndrome. Most of the other half have an autistic spectrum disorder or related neurodevelopmental conditions. His clinical practice is devoted to using information, including genetic testing, to guide options for therapy. In addition to California and New Jersey, he is licensed in Arizona, Florida, and Pennsylvania, but with the current pandemic he can consult via telemedicine with patients anywhere in the USA. As part of the Peer-To-Peer Program, Dr. Boles can assist physicians to order, understand, and act on genetic testing data both nationwide and internationally. Dr. Boles also does legal consulting, especially for those with multiple functional conditions that others are considering fictitious disorder/Munchausen-by-proxy/medical child abuse. Finally, he is the primary designer of EnergyNeeds® and SpectrumNeeds®, nutritional products with 40 and 33 active ingredients, respectively, designed for individuals with neurodevelopmental and functional disorders, with an emphasis on assisting mitochondrial function (www.neuroneeds.com).

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