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In people with POTS (Postural Orthostatic Tachycardia Syndrome), the autonomic nervous system doesn't work properly when they stand or sit upright. One of the things it controls is blood flow. Normally, the body tightens blood vessels and pushes blood back up to the heart and brain when someone stands. But in POTS, this process doesn't work well. As a result, blood starts to collect, or "pool," in the lower parts of the body, including the hands and arms, not just the legs. This happens because
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