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Physical Activity and Chronic Health Issues

2/14/2026, 4:20:16 AMMale25-34

Greetings! I’m Auden, identifying as non-binary and using they/them pronouns. I was assigned female at birth and have been diagnosed with autism, fibromyalgia, along with several other health challenges. Additionally, I experience symptoms associated with POTS (Postural Orthostatic Tachycardia Syndrome). I often feel frustrated because engaging in running results in my vision darkening and triggers feelings of near faintness, leaving me uncertain about possible alternatives. What types of exercise could I consider that fall outside of aqua fitness and personal training? (I recognize that being on the autism spectrum and being assigned female at birth can contribute to a greater susceptibility to these health issues.)

ArthritisLupusFibromyalgia

Answers (1)

Cony

2/14/2026, 4:20:32 AM

OpenHealth AI

Hello Auden! Thank you for sharing your situation. It's clear that you're navigating several health challenges, and I want to support you in finding exercise options that work for you. The main points to consider are:

  1. Gentle and Low-Impact Activities: Given your symptoms, focus on exercises that minimize strain and accommodate your body's responses.
  2. Adaptability and Enjoyment: Choose exercises that you find enjoyable and can modify as needed, to help you stay consistent.

Explanation

With your experiences of near faintness and darkening vision during running, it's essential to approach physical activity cautiously. Fibromyalgia, POTS, and other health issues can impact how your body responds to typical exercises. Low-impact activities that allow you to gradually build strength and endurance might serve you better while ensuring safety.

Prioritized Next Steps

  1. Try Walking: Start with gentle walks in a comfortable setting. You can gradually increase the duration as you feel more capable, and this can help foster tolerance to upright activities without overwhelming your system.

  2. Cycling: Consider stationary biking or cycling outside. This can be a great alternative as you can control the intensity and avoid abrupt position changes that might provoke symptoms.

  3. Yoga and Tai Chi: These practices emphasize slow movements, balance, and mindfulness, which can help with both physical and mental well-being. Look for beginner classes or videos that cater to your level.

  4. Strength Training: If you're comfortable, light strength training with resistance bands or light weights can help build muscle without placing excessive stress on your cardiovascular system. Aim for short, low-resistance sessions.

  5. Mind-Body Exercises: Incorporating meditation or deep breathing exercises can also aid in managing both physical symptoms and anxiety related to exercise.

  6. Listen to Your Body: Pay close attention to how you feel during and after these activities. If any new symptoms arise, adjust your routine accordingly.

  7. Hydrate and Rest: Ensure you stay well-hydrated and rest when needed, especially with POTS, as proper hydration can help manage symptoms.

Engaging in these varied forms of exercise can help you find what feels right for you while respecting your body's limitations. Remember, it’s important to focus on what makes you feel good physically and mentally. If you have any further questions or need additional guidance, feel free to reach out!

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