68 - Dr David Saperstein - links in Long Covid, MCAS, Dysautonomia, EDS & more
In episode 68 of the Long Covid Podcast, neurologist Dr. David Saperstein discusses the interplay between Long Covid, post-vaccine symptoms, and complex conditions like POTS, MCAS, and EDS. Dr. Saperstein explains his approach over 20 years of practice, which involves careful diagnosis and recognizing patterns in symptoms that are often dismissed or misunderstood. Through understanding conditions like small fiber neuropathy, he notes a frequent overlap of symptoms like dysautonomia and mast cell activation, both heightened by Long Covid. Treatment approaches involve balancing and managing sympathetic nervous system responses and addressing possible mast cell involvement. He highlights the challenges in distinguishing between symptoms caused by covid versus those from the vaccine and calls for ongoing research to refine treatments and diagnosis. He underlines the importance of a multidisciplinary approach and the need for more nuanced diagnostic criteria.