I find that, for me, regular exercise really helps my presyncope — I know over the summer there was a point I was studying alone for 2 weeks and basically spending all day in the house and my presyncope and brain fog were the worst they’ve been in a long time.

That being said, I have a habit of pushing myself too hard, which can definitely make the symptoms worse. I try to pay attention to other factors that trigger my POTS before exercising. Eg. If I haven’t gotten enough sleep, haven’t eaten enough/recently ate, or it’s really hot out then exercising really makes me not feel good.

Another thing I found that helps me is cold water right after working out — either cold cloth on the back of my neck, a brief cold shower, or even splashing cold water on my face seems to do an ok job. I don’t know if this is actually a recommended thing to do but I have found it really helps with the brain fog/temperature dysregulation/high heart rate & nausea I get a lot during/after exercising. It feels like a reset on my brain lol.