DILEMMA Nutrition
Dilemma Foundation
A combined powder with electrolytes, magnesium, creatine, and D3 + K2. Review the full formula and total intake before combining it with other supplements.
10% off: LAUREN10
Shop Dilemma FoundationA practical guide from Lauren Rasky
POTS &
nutrient support.
Common deficiencies to discuss with your care team, hydration essentials, and the supplement options I recommend.
Explore the guideStart with your symptoms, your labs, and your clinician’s guidance.
A quick note: These are affiliate links. I may earn a commission when you purchase through them, at no extra cost to you. This guide is educational and is not medical advice. Products listed are options to discuss, not a POTS treatment plan or a recommendation to take them all.
01Hydration support
Sodium & electrolytes
Many people with POTS have low circulating blood volume. A clinician-directed fluid and sodium plan can support blood volume and reduce orthostatic symptoms. This does not necessarily mean your blood sodium is low. [1]
Before you supplementAsk your clinician for a daily fluid and sodium target. Compare sodium per serving, not just “total electrolytes.”
02Check your levels
Iron & ferritin
Low iron stores have been reported in some people with POTS, including adolescent studies. Iron deficiency and anemia can also contribute to fatigue and rapid heartbeat. A CBC and ferritin can help guide next steps. [1, 2]
Before you supplementUse iron only when recommended after testing. Food-based iron is not automatically safer or better absorbed.
EquiLife
Iron Response
An iron formula to discuss if testing confirms low iron. The right form and dose depend on your labs and tolerance.
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Optimal Health Systems
Optimal Iron
Contains chelated iron (Ferrochel®). An alternative to discuss with your clinician when iron supplementation is appropriate.
Referral code: OHSRASKY
Shop Optimal Iron03Individual needs
Vitamin D
Vitamin D supports bone and muscle health. Low levels can occur with or without POTS; evidence does not establish vitamin D supplements as a POTS treatment. Discuss testing if your history or risk factors suggest a need. [3]
Before you supplementK2 is not required for vitamin D to work. Check with your prescriber before taking K2 if you use warfarin.
EquiLife
Vitamin D3 + K2
A liquid D3 + K2 option. Choose a dose based on your vitamin D level and your clinician’s guidance.
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Optimal Health Systems
Optimal Longevi-D K2
A capsule formula containing D3, K2, and other ingredients. Check the label for your total daily vitamin D intake.
Referral code: OHSRASKY
Shop Optimal Longevi-D K204Check your levels
B12 & other B vitamins
B12 and folate deficiencies can cause anemia; B12 deficiency can also affect nerve function. Evaluation may be especially helpful with a restricted diet or absorption concerns. A B-complex is not a standard POTS treatment. [4]
Before you supplementTreat confirmed deficiencies individually. Avoid stacking high-dose B vitamins; long-term excess B6 can damage nerves.
EquiLife
Activated B-Complex
A B-complex option. A confirmed B12 deficiency may need a specific B12 treatment plan rather than a general complex.
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Optimal Health Systems
Optimal B Awake
A B-vitamin blend with additional ingredients, including herbs. Have your clinician review the full label and medication compatibility.
Referral code: OHSRASKY
Shop Optimal B Awake05Additional support
Magnesium
Magnesium supports normal muscle and nerve function. POTS alone does not establish magnesium deficiency, and supplements are not a proven POTS treatment. Consider your diet, medical history, and tolerance first. [5]
Before you supplementSupplemental magnesium can cause diarrhea. Kidney disease and some medications require extra care. Dilemma Foundation also contains magnesium.
BIOptimizers
Magnesium Breakthrough
A magnesium supplement with multiple forms. Review the elemental magnesium amount, kidney health, and medication timing with your clinician.
10% off: RASKY10
Shop Magnesium Breakthrough06Additional support
Digestive comfort
Nausea, bloating, constipation, and changes in stomach emptying can occur alongside POTS. Persistent symptoms deserve evaluation. They do not automatically mean poor nutrient absorption or an enzyme deficiency. [6]
Before you supplementDigestive enzymes are not a routine POTS treatment. Choose support based on the cause of your symptoms.
Optimal Health Systems
Optimal 1 Digest-A-Meal
A plant-based digestive enzyme option. Discuss whether enzymes fit the cause of your symptoms before adding them.
Referral code: OHSRASKY
Shop Optimal 1 Digest-A-Meal
BIOptimizers
MassZymes
A digestive enzyme blend. It is not a treatment for POTS or delayed stomach emptying.
10% off: RASKY10
Shop MassZymesPersonalized support
Start with information.
Build a plan from there.
You don’t need every supplement on this page. Your symptoms, diet, medications, and lab results can help your care team decide what actually fits.
Explore wellness coachingBring this to your next appointment
Ask about: your fluid and sodium targets; whether a CBC and ferritin are appropriate; B12 or folate testing based on your history; and vitamin D testing when indicated.
Bring: your medication and supplement list, recent labs, and notes about your symptoms, meals, and digestion.
Keep it simple: select products with your clinician and avoid overlapping ingredients.
Good questions to ask
Before you add something new.
Do I need all of these supplements?
No. A POTS diagnosis does not mean you have every deficiency listed. Your clinician can help decide what to test and whether a supplement is useful.
How does Dilemma Foundation fit into this guide?
It combines electrolytes, magnesium, creatine, and D3 + K2. Its sodium content may cover only part of your prescribed daily target. Review the label before adding separate magnesium or vitamin D products. Creatine is included in the formula, but is not an established POTS treatment.
What if supplements bother my stomach?
Tell your clinician, especially with ongoing nausea, vomiting, weight loss, or trouble eating. The cause of the symptoms matters. An enzyme blend is not a substitute for evaluating stomach emptying or other digestive conditions.
How do I use the shopping codes?
Use LAUREN10 for Dilemma Nutrition, RASKY10 for BIOptimizers, and OHSRASKY as your Optimal Health Systems referral code. Codes are supplied by Lauren; promotions and availability can change. Review the discount or referral entry before completing checkout.
