Dr. Spencer Zimmerman

10/30/2026

There's a lot of confusion out there about why someone may benefit with hormone replacement therapy. This should help you understand at least part of what it may help with.

A new review provides essential clinical resources for neurologists managing patients during menopause. Recent findings show that menopause hormone therapy can be safely used in many neurologic populations, with nonoral routes for estrogen and nonhormonal options generally preferred. Explore the full review and learn how incorporating menopausal considerations into neurologic practice can optimize care and advance precision medicine here: https://hubs.la/Q04CsNfr0

10/25/2026

MCAS, but keep getting told your labs are normal?

Here's what you should know.

10/25/2026

"Higher ultraprocessed food (UPF) intake was associated with silent vascular brain injury in middle-aged adults without cardiovascular disease"

Everyone thinks about brain injuries from physical contact, but this can occur from a variety of mechanisms including infection and inflammation.

What is being reference in this article are the white matter hyperintensities that are commonly found in an MRI but you are rarely if ever told about them as they are considered common.

Higher consumption of ultraprocessed foods was associated with silent vascular brain injury in middle age, even in the absence of measurable cognitive deficits.

10/24/2026

Even if you suspect you have POTS, here's what you should understand first.

10/22/2026

What's the link between Motion Sickness and POTS, plus what should you know?

10/17/2026

We get to work with a lot of great people from all over the United States and even outside.

While we help the majority of people who come in for treatment get to a much better place than they walked in, every now and then there's just a little bit of magic.

What I mean by magic is that you have people who really bond, and they are lifting each other up.

We grow with every patient we work with, but you grow even more when there's synergy to that level.

We love the work we do because of the individuals we get to work with and the results they achieve.

10/10/2026

Brain fog. Exhaustion. Dizziness. Food reactions. You've tried treatments and collected diagnoses, but you still don't feel like yourself.

We've got a podcast and on this episode of Brain Body Reset, I'm joined by long COVID researcher Dr. Novack, PhD, to explore how mast cells, inflammation, and the nervous system may be keeping symptoms going.

We discuss:
-Why mast cells matter beyond histamine.
- The overlap between long COVID, MCAS, and POTS.
- His clinical trial exploring diet and fasting, and the role of your cells' internal cleanup process.

If you're tired of having every symptom treated separately, this conversation helps connect the dots.

Watch or listen to the episode: https://www.buzzsprout.com/2432185/episodes/19904572

We discuss emerging research, not established cures. Fasting isn't appropriate for everyone. Discuss treatment changes with your clinician.

Brain fog. Exhaustion. Dizziness. Food reactions. Symptoms that flare without an obvious reason. If you’re living with long COVID or mast cell activation syndrome (MCAS), you may have collected diagnoses and tried multiple treatments without under...

10/04/2026

Altered cerebral blood flow is a defining feature of POTS and orthostatic hypotension, and it routinely shows up in myalgic encephalomyelitis, also known as chronic fatigue syndrome.

A lot of people are confused by the assessments we do, and by how much content I put out about vestibular issues, which includes oculomotor and cervical-related issues. This is why. The conclusion from this study, published back in 2009, is that a component of your vestibular system called the otoliths directly impacts cerebral blood flow regulation.

That's also why, after treatment, we see people able to cut back on:

- Salt and electrolytes
- Compression stockings
- The number of medications they were on before care

If I had to pick one thing, or one category, it would be nervous system function. If you can improve nervous system function, you can give people their life back.

If you've read or listened to our other content, you know that improving nervous system function isn't always only about neurological rehab. It also means addressing findings and labs. And because labs often leave a lot to be desired, it means addressing processes in the body that we know are likely going on, even when we can't test for them well enough.

I hope this helps you understand a little more about why we do what we do.

What questions do you have about our approach?

10/01/2026

Does having EDS increase the risk of a concussion?

09/20/2026

Quick rant...

It doesn't take long to identify which patients are going to succeed long term. The hardest part should be getting initial answers and solutions. What should be fairly easy is being able to keep them.

Despite that, here's what happens when people lose results: it's all about consistency. When you feel horrible, you will do anything to get better, which means you will follow any plan, even if it is extreme.

What happens when you actually achieve the results you want? Most people start looking for what they can stop doing, and they slowly let everything slide. They let their nutrition start slipping. Sleep doesn't become a priority. Extra stress comes into their life. Push more than they know they should. The maintenance program, which is very minimal, is treated as if it's optional, and then, when the appointments come, they get pushed out and ultimately never happen. (Well sometimes but usually it's after 9-12 months of results fading)

Having treated patients for over a decade, these are the traits of those who either don't get better up front or they lose all the progress.

We could apply the same logic to what happens in relationships, jobs, friendship, weight loss, religion, and any other arena.

Consistency is your best friend, but you need to be consistent, not only when you're in an immense amount of pain and suffering. You need to be able to do it when you feel good, because the other reality is, not doing what you need to do is also a form of consistency. You get to choose: are you consistent in a positive way or consistent in a negative way?