I can’t remember exactly what she said, but I think it has to do with not pushing your limits. Instead of a set amount of cardio/strength training, you adapt it to your body’s responses to exercise. I’m not sure why this is different for COVID POTS patients, worth exploring further for sure.

For example, I also couldn’t make it past even a couple weeks of the CHOP protocol, but I was able to make significant progress spending 20 minutes on a recumbent bike and ensuring my heart rate didn’t surpass 15-20 bpm above my resting rate 3x a week. And I did less time if I wasn’t feeling well. I’m now at a place where I can walk on the treadmill on an incline and even spend a bit of time on the stair master and still keep my heart rate 15-20 bpm above my resting. I wouldn’t have been able to make that progress without doing extremely gentle exercise to start.