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Maintenance & Off‑Ramp When goals are achieved, we discuss maintenance strategies, such as the lowest effective dose or a planned off-ramp with lifestyle guidelines

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Keywords: Postural Tachycardia Syndrome, POTS, Glucose Dependent Insulinotropic Peptide, GIP, incretin, insulin resistance, tachycardia, meals, autonomics Graphical Abstract In POTS, oral glucose induced significant GIP secretion which was associated with reduced upright stroke volume and worsening orthostatic tachycardia