POTS Provider in Jacksonville & North Florida
At Foundational Health, we specialize in identifying and treating the underlying root causes of POTS (Postural Orthostatic Tachycardia Syndrome) that often go misdiagnosed as simple anxiety or dehydration. Many individuals in Jacksonville and North Florida experience debilitating symptoms like a racing heart, “heavy” legs, and fainting spells without realizing their body’s “automatic” systems are stuck in a survival loop.
Our integrative approach combines advanced Functional Medicine, targeted Neurological Rehabilitation, and limbic retraining to restore balance to the nervous system and body.
Dr. James Roman has 25 years of clinical experience.
What is POTS? (Postural Orthostatic Tachycardia Syndrome)
POTS is a specific subtype of Dysautonomia where the body is unable to properly regulate heart rate and blood pressure when moving from a seated or lying position to a standing one. The primary indicator is a heart rate increase of 30 beats per minute (or more) within ten minutes of standing, without a significant drop in blood pressure.
When the Autonomic Nervous System (ANS) is dysregulated—often triggered by infections (like Long Covid), environmental toxins (like mold), or physical trauma—the body loses its ability to stay “level.” This leads to symptoms such as:
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Rapid heart rate (Tachycardia)
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Dizziness or lightheadedness upon standing
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Exercise intolerance and “crashing” after activity
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Brain fog and cognitive fatigue
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Purple or cold extremities (Blood pooling)
At Foundational Health, we understand that POTS is often a symptom of a deeper biological imbalance that must be addressed to find lasting stability.
The Foundational Health Approach To POTS Recovery
The symptoms of POTS are frequently dismissed as psychological stress because standard heart and blood tests often appear normal. Our team bridges the gap between cardiology and functional medicine, offering a path to stability that addresses both the cellular environment and the brain’s control center.
Root Cause Identification via Functional Diagnostics
We test for the
Targeted Neurological and Vagus Nerve Toning
We utilize specific exercises an
Brain-Based System Retraining
We utilize core therapies like Limbic Retraining and Neuro Emotional Technique to desensitize the chronic threat response center of the brain,
Neuro-Structural Technique
We address physical trauma and structural issues—including airway stabilization—to ensure your brain receives its most basic fuel (oxygen), preventing the primal “suffocation response” that can trigger POTS flares.
Frequent Asked Questions
What is the connection between POTS and Mast Cell Activation Syndrome (MCAS)?
When hyper-reactive mast cells degranulate, they release a flood of histamine and Platelet Activating Factor that instantly widens your blood vessels. This chemical vasodilation severely worsens lower-body blood pooling, forcing your heart into a frantic, tachycardic sprint just to keep oxygen flowing to your brain.
Can hidden mold illness or mycotoxins actually cause POTS?
Absolutely. Inhaled mycotoxins cross the blood-brain barrier and cause localized neuro-inflammation right in your brainstem, which acts as the command center for your autonomic software. This physical inflammation short-circuits the automatic feedback loops, completely breaking your body’s ability to regulate heart rate and blood pressure when standing.
Why does my POTS make me feel so anxious if it's a physical condition?
When blood pools in your lower extremities, your brainstem registers a sudden oxygen drop as an imminent survival crisis and triggers a massive, automatic adrenaline dump. Your brain naturally translates this intense, physical adrenaline storm into an emotional feeling of panic or impending doom, making it an inside-out physiological event rather than a psychiatric issue.
Can environmental toxins like mold or heavy metals really cause panic attacks?
Yes. Certain environmental toxins are neuro-irritants. Mycotoxins from water-damaged buildings or heavy metal accumulation can cross the blood-brain barrier and interfere with your neurotransmitters. This creates a state of “Biochemical Anxiety,” where your brain is reacting to a physical poison in its hardware rather than an emotional stressor in your life. We use advanced functional testing to identify if these “silent fillers” are what’s causing your bucket to overflow.
Can I completely recover from POTS, or is this something I just have to manage forever?
Yes, you can recover. Conventional medicine views POTS as a lifelong sentence because they only manage the symptoms, but it is actually a reversible autonomic software error. By systematically clearing the hidden environmental triggers from your toxic bucket and using targeted neuroplasticity training, your brain can successfully rewire itself and restore normal balance.
Start Your Healing Journey Today
“We have to stop treating POTS as a mystery cardiolology condition and start treating it as an environmental and neurological investigation. Find the upstream variables filling the toxic bucket, and the autonomic nervous system will naturally remember how to regulate itself.”

Dr. James Roman, DC
Functional Medicine Provider
Author of “The Foundational Breakthrough”

