The Keiser Clinic

The Keiser Clinic Board certified chiropractic neurologist and owner of The Keiser Clinic. Specializing in POTS, dysautonomia, concussion and neurological disorders.

Assistant professor of clinical neurology for the Carrick Institute of Graduate Studies.

04/29/2026

Most approaches to autonomic dysfunction focus on one thing:�“Get the blood out of the legs.”
So we compress it. We increase volume. We use medications to tighten vessels.

And for many people—these can absolutely help in the short term.

But here’s the shift: these strategies are often compensations, not corrections.

They help move blood…but they don’t necessarily restore the system that’s supposed to regulate it in the first place.

Because under normal conditions, your body is constantly and precisely adjusting blood flow—beat by beat—to meet the demands of your brain and body.

So instead of asking, “How do we force blood upward?”

A more meaningful question becomes: “Why isn’t the system regulating properly to begin with?”

Because when that system improves, blood flow doesn’t need to be forced— it becomes coordinated again.

04/28/2026

There’s a quiet shift happening in medicine—�and it should make people pause.

We’re starting to see less testing in autonomic conditions, with the reasoning that “it doesn’t change treatment.”

So instead, we rely on symptoms.�Or simplified tests.�Or sometimes… nothing at all.

But here’s the issue:�when you stop measuring the system, you stop identifying who can actually improve.
And that’s the part that gets missed.
Because for many people, the interventions aren’t extreme.
�They’re not invasive.
�They don’t require hospitalization or high-risk procedures.

They’re often low-risk, repeatable, and adaptable—�but they depend on knowing what’s actually happening.

Without testing, we’re not simplifying care.�We’re narrowing access to it.
And that means there are people out there—right now�who could improve…�but aren’t even being given the chance.

That’s not a complexity problem.�That’s a visibility problem.

04/27/2026

How do you tell what’s actually driving the problem?
You don’t just observe the system—�you challenge it.

When you introduce a stimulus (like head movement, eye movement, or position), one of two things happens:
• The system breaks down → more “noise”�• The system stabilizes → clearer “signal”

That distinction matters.

Because if a specific input makes coordination, balance, or control worse, it tells you that pathway is currently overloaded or not being processed well.

But if another input improves it—even slightly—�you’ve just found something the brain can use.
And that becomes your starting point.

From there, you can layer complexity:�build tolerance, add movement, and gradually expand the system’s capacity without overwhelming it.
This is how rehab becomes strategic instead of random.

Not by pushing through breakdown—�but by building from what the system can successfully process.

04/25/2026

Mouth taping has become a trend—but is it actually helping?

Nasal breathing during sleep is generally beneficial. It supports airway stability, filtration, and more efficient breathing patterns.

But here’s the part that gets missed:�not everyone can comfortably breathe through their nose—and there’s usually a reason why.

Sinus congestion, airway structure, circulation issues, even craniofacial development can all influence how you breathe at night.

If you have to force nasal breathing, you may be overriding a system that’s already struggling.

So instead of asking “Should I tape my mouth?”�a better question might be:�“What’s preventing me from breathing well in the first place?”

04/25/2026

“Did I wait too long?”

It’s one of the most common questions—and the honest answer is:�it depends on what’s still changeable.

Some systems degenerate over time. But function isn’t all-or-nothing.
�If you can improve how your system operates today, you change the trajectory moving forward.
It’s not about perfection.
�It’s about preserving and building function for as long as possible.

04/24/2026

Stop calling it "fatigue."

In clinical practice, "fatigue" is a catch-all term that obscures what is actually happening in the nervous system. Because the symptom is so heterogeneous, treating it as a single entity almost always leads to failure.

This presentation provides a framework to reclassify fatigue based on Timing, Type, and Triggers. We move away from the pop-science "mitochondria" tropes and dive into the peer-reviewed reality of why your system is failing to meet metabolic demand.

In this deep dive, you will learn:

The 4 Dimensions of Fatigue: Why Cognitive, Motor, Orthostatic, and Sensory failures require entirely different clinical approaches.

The "Toggle Test": How to differentiate between a "Delivery" failure (Autonomic) and a "Processing" failure (Neuro-efficiency).

Beyond Capacity: Understanding Oxidative Phosphorylation (OXPHOS) efficiency and the "metabolic smoke" that creates the heavy, toxic feeling of a crash.

The Bioenergetic Roadmap: How to identify your specific "fatigue fingerprint" to choose the right intervention.

Key Takeaway: "If we change the way we describe the problem, we change the way we can solve it. Join us as we build a new taxonomy for the modern patient."

04/22/2026

She lost 16 years.
Not because her condition was rare.�Not because there were no clues.�But because someone decided the answer was “it’s in your head”… and stopped looking.
That moment—when curiosity ends and labels begin—is where patients get lost.
This isn’t just a story.�It’s a pattern.
When healthcare defaults to psychology without ruling out physiology, people don’t just suffer…�they start to question their own reality.
And that’s the real damage.
If you’ve ever felt like something was being missed—you’re not crazy.�You’re paying attention.
The right question changes everything.

If this resonates, or you’ve been dismissed before—start by understanding the bigger picture. Download the roadmap in the link in bio.

04/22/2026

You shouldn’t need a breathing technique just to feel okay.
Breathwork can be powerful—but if you have to constantly override your breathing to function, that’s not optimization… that’s compensation.

Your body already knows how to breathe.
If it’s not doing that well on its own, the question isn’t:�“What technique should I use?”
It’s:�“What’s interfering with my natural pattern?”

Real progress is when your system doesn’t need hacks to feel stable.
That’s where we focus.

👉 Download the POTS roadmap in the link in bio to understand what could be driving this.

04/20/2026

She wasn’t failing treatment.
�Her system was failing to connect.

At 21, she was on 7 medications.�Couldn’t eat. Couldn’t go out. Woke up nauseous every day.

She had specialists for everything—GI, symptom management…
�But no one asked a simpler question:
👉 Is the brain communicating with the body correctly?

When we looked closer, the signs were obvious:�Left vs. right sensory differences.�Balance instability.�Eye movement dysfunction.
This wasn’t just a “gut issue.”�It was a signal problem.

And when we improved how her brain processed and tolerated input?
�Everything changed.

Within a month:�She was back to work. Back in the gym. Back to living.
No gut protocol.�No new medications.�Just better communication within the system.

This is what happens when you stop chasing symptoms… and start understanding control.

If you feel like nothing is adding up—there may be a piece no one has looked at yet.

👉 Book a discovery call at the link in bio

04/19/2026

You’re not “just anxious.”�You’re trying to be heard.

Too many people walk into appointments hoping for answers… and walk out with a label that doesn’t explain what they’re actually feeling.

Here’s the hard truth: most providers aren’t dismissing you on purpose — they’re operating in patterns. Fast decisions. Familiar diagnoses. Limited time.

So sometimes the shift isn’t confrontation… it’s connection.

When you can gently slow the moment down —�when you ask with curiosity instead of frustration —�you create space for them to think differently.

Not to prove them wrong…�but to invite them into solving the problem with you.
You deserve a provider who looks deeper.
�And sometimes, helping them step out of autopilot is part of getting there.

If you’ve ever felt dismissed, this isn’t a reflection of your condition — it’s a gap in the system.
And there are ways to navigate it.

👉 Download our POTS Roadmap in the link in bio to walk into your next appointment with clarity and confidence.

04/18/2026

What if the problem isn’t the bacteria… but the environment that allowed them to stay?

SIBO often gets framed as something to “kill off.”�But overgrowth doesn’t happen randomly—it happens when the conditions shift.

pH changes.

Blood flow changes.

Oxygen levels change.
�And those shifts are not just local—they’re regulated by the nervous system.

So if the signaling that maintains the gut environment becomes unstable, the terrain changes…�and different organisms start to thrive.

It’s less about invasion—and more about adaptation.
This is where the conversation has to expand:�Are we only addressing what’s growing… or why the environment changed in the first place?

That question changes everything.
�If you’re trying to understand the bigger picture behind your symptoms, start with our POTS Roadmap—link in bio.

04/17/2026

Most people labeled “hypermobile”… aren’t actually the problem you think they are.

What if it’s not just “loose ligaments”…�…but a nervous system that never learned how to create and regulate tension?

Hypotonia (low muscle tone) can mimic hypermobility:�– Slouched posture�– Poor joint stability�– Fatigue with upright activity

But here’s the deeper layer 👇�The same brainstem + cerebellar circuits that control muscle tone ALSO regulate:�• Cardiac output�• Vascular tone�• Your ability to tolerate gravity

Meaning… this isn’t just structural. It’s neurological.

And here’s what most people miss:�Ligaments don’t just “fail”—they ADAPT.
Even tendons can remodel into ligament-like tissue under the right load (this is called ligamentization).

So the real question becomes:�👉 Can your system create, sense, and respond to tension properly?
Because if not, no injection or label will fix the root.
If you’ve been told you’re hypermobile, but still feel unstable, dizzy, or exhausted upright—start here.

Download the POTS Roadmap (link in bio) to understand what your body may actually be missing.

Address

400 N. Main Street Suite A
Chelsea, MI
48118

Telephone

+17347075105

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