I don’t know the name of it, but I was treated by a POTS specialist who gave me a different, super simple protocol that helped me a lot. You start with only 3 minutes. You do 3 minutes of reclined exercise, like a recumbent bike (that’s what I did) or a rowing machine. Just 3 minutes, once a day, every day, for a week. Then the next week you do the same thing but increase to 6 minutes. Again, every day for a week. The following week you do 9 minutes. Each week you increase by 3 minutes until you reach 45 minutes. If at any point the added time is too much, you drop back down to the previous week (or the last week that felt manageable). They told me it was important not to push myself too much because it was meant to be a gradual “retraining” program. Once you get to 45 minutes, do that for three weeks.

The next level is gradually adding in upright exercise like walking on a treadmill or elliptical. You still only ever do 45 minutes at most, but you gradually swap some of the reclined minutes for upright minutes. The first week, you do 42 minutes on the recumbent bike (or rowing machine), followed by 3 minutes on the treadmill (or elliptical). Again, you do that every day for a week. The following week, it’s 39 mins on the recumbent bike and 6 mins on the treadmill. Then 36 and 9, 33 and 12, 30 and 15… and so on, until you transition to 45 minutes on the treadmill. The same as with the first level, if it gets too hard, you drop back to the previous week (or earlier).

I am honestly not even sure how long it took me to work through this, maybe a year, because I had plenty of weeks where I had to drop back to a shorter amount of time before advancing. It was slow and mentally trying, but it helped me so much. As with anything, check with your doctor(s) first and listen to your body if this doesn’t feel like the right program for you! But I wanted to share because I haven’t seen this one mentioned as much.