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For POTS patients, this rapid volume expansion often produces a noticeable improvement in symptoms: Heart rate drops (often 15 to 30 bpm reduction in standing heart rate) Dizziness and presyncope improve or resolve Brain fog lifts many patients describe it as the lights coming back on Energy improves Nausea decreases Exercise tolerance increases These improvements are temporary typically lasting 24 to 72 hours depending on the patients baseline blood volume, activity level, and environmental conditions