Brian is a 45 year old male with a seven year history of chronic headaches and syncope. He was diagnosed with dysautonomia and previous treatment included pacemaker insertion. Symptoms upon presentation to Synergy were severe headaches that interrupted his sleep. He also experienced incapacitating fatigue, cognitive impairment and intolerance to temperature change especially heat.

Brian underwent TVAM on November 20th 2013 which involved dilation of the jugular veins. Treatment stimulates the venous distension reflex leading to improved sympathetic function. He did well following treatment and about eight months later sent the following note describing his experience.


June 14, 2014

Hello Dr. Arata,

I wanted to let you know that I have been feeling amazing over the last month. I am working almost full time again and it has been many years since I could do this much. Physically I am stronger and mentally I am so clear. I could not have imagined feeling this good. I still have to pace my self but my quality of life is much improved recently. I was feeling so good that I did not even realize 6 months since the TVAM had passed. I even worked outdoors during that hot spell we had when 1 day it reached 107 degrees, I did quit early that day and felt tired in the evening but was able to go back to work each day. This would have been unheard of for me just 6 months ago. I am tolerating the cold better as well.

My headaches are better also; I am getting fewer migraines per month and can have several days in a row with no headache at all. I have not experienced this for over 20 years. Your recommendation of magnesium before bedtime has helped with fewer night headaches; I am almost completely free of night and morning headaches. Thank you so much for what you do in helping others to be well.

– Brian Jacobs