Monitoring Carotid Blood Flow Using In-Ear Wearable Device During Tilt-Table Testing, 2023, Hemantkumar Tripathi MD et al

the great thing about the POTS researchers, and the patients, and this company, and hopefully a few competitors, is they will chug along anyway and we can find out if your view was right.

But will the chugging ever show anything?
The Y axis is number of symptoms - which seems a crazy thing to measure. One bad symptom is enough. Maybe the chart misses the real relation. But this isn't supporting evidence.
 
That graph is pretty overwhelming evidence that reduced blood flow is NOT the cause of symptoms. A primary main cause does not give a correlation line like that with an R of 0.4. It gives an R of 0.9+.

The Y axis is number of symptoms - which seems a crazy thing to measure. One bad symptom is enough. Maybe the chart misses the real relation. But this isn't supporting evidence.
I agree that symptom count is a weird measure, and wouldn't expect it to show much, so r=0.4 is quite impressive. It would be great to see this work done measuring the overall symptom severity/burden on standing. Maybe there is something impressive to find here
 
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