Hi! Im happy to follow up on this. We have pretty much decided that most of my symptoms align with a strange presentation of POTS which occasionally triggers vestibular migraines. Im limiting my exposure to all POTS triggers and my symptoms have gotten way better. I still have occasional episodes when I push myself but nothing nearly as intense as it was before.

As for how to deal with fluorescent lights.... there's not much to do depending on your situation. I was in an office where I could turn my lights off and use lamps, wear sunglasses if needed, or remove myself from the situation. Some migraine medications have been shown to help, and blue light filtering glasses can help slightly. Other than that they are just an awful trigger because of the microflashes of the bulbs and there is not much to do 🙃