Dizziness on standing looks different depending on whether you are reading the primary literature or the summaries of it, and the difference is not in our favour.
Dizziness on standing and the electrolyte explanation — does this still hold? posts 31–60
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.
This is the first time the answer has come with its own limits attached. Appreciated.
Where I part company with post #33, and it is a narrow parting.
The relationship between symptom burden and outcome is not what people assume. Feeling worse is not evidence of a larger effect and feeling nothing is not evidence of an inactive preparation.
I have seen it go both ways, which is why I hedge.
Building on post #34 rather than restating it.
The published rates come from populations that were titrated on a defined schedule with clinical supervision. Rates from a forum are not comparable and are biased by who chooses to post.
I am describing what is, rather than arguing for what should be.
Dizziness on standing sits at the boundary between what this community can usefully discuss and what it cannot, and I think it falls on the discussable side, narrowly.
Everything in post #36 holds. The case it does not cover is the one I have.
Distinguishing three things in the Dizziness on standing discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both.
Post #37 and I disagree about the size of the effect, not about the direction.
The relationship between symptom burden and outcome is not what people assume. Feeling worse is not evidence of a larger effect and feeling nothing is not evidence of an inactive preparation.
If anyone can point at the primary source I would be grateful.
Taking post #41 at face value and following it one step further.
The published rates come from populations that were titrated on a defined schedule with clinical supervision. Rates from a forum are not comparable and are biased by who chooses to post.
I would rather post the uncertainty than round it away.
Answering the Dizziness on standing question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.
Worth separating two things that post #41 runs together.
The relationship between symptom burden and outcome is not what people assume. Feeling worse is not evidence of a larger effect and feeling nothing is not evidence of an inactive preparation.
The confident answers on Dizziness on standing and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category.
Same experience here, different supplier, so it is at least not unique to one of them.
The published rates come from populations that were titrated on a defined schedule with clinical supervision. Rates from a forum are not comparable and are biased by who chooses to post.
Dizziness on standing is well covered in the tag pages, and the older discussions are better than the recent ones because they were argued out properly. Worth twenty minutes before adding to this one.
This follows post #48 rather than contradicting it.
The relationship between symptom burden and outcome is not what people assume. Feeling worse is not evidence of a larger effect and feeling nothing is not evidence of an inactive preparation.
That matches what I have seen, for whatever a single anecdote is worth.
I read the earlier replies on Dizziness on standing twice before writing this, because I had assumed the opposite and wanted to be sure I was disagreeing with what was said rather than what I expected.
The published rates come from populations that were titrated on a defined schedule with clinical supervision. Rates from a forum are not comparable and are biased by who chooses to post.
Written from notes rather than memory, which is why the numbers are specific.
On post #55 — agreed on the reasoning, with one qualification.
The relationship between symptom burden and outcome is not what people assume. Feeling worse is not evidence of a larger effect and feeling nothing is not evidence of an inactive preparation.
Post #56 is right about the mechanism and I think understates the practical bit.
My position on Dizziness on standing is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.
Collapsed as off-topic by two members at trust level 3 or above
Reading rather than answering, but this is the post I would point somebody at.