

Neuro-ImmuneâHydraulic Integrative Phenotype Axis (NIHPA): The Conceptual Framework where One Core Engine drives Multiple Phenotypic Variants
Dr Graham Exelby December 2025- in peer review Preview: This diagram shows the root network of all chronic immunometabolic diseases: hypoxia HIF-1α â HIF-2α reprogramming ROS / RAGE / NF-κB activation STAT3âCCL2 macrophage/microglial loops NLRP3 inflammasome pericyte dropout BBB leak mast-cell activation mitochondrial failure / PDH shutdown glycolytic trap autonomic failure central sensitisation This is the âmotherboard,â where from this âmotherboard,â you can derive variants
Graham Exelby
1 min read
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Genomic Redundancy as a Driver of Chronicity in POTS and Long COVID: a Preliminary Study of Convergent Pathway Disruption
Author: Dr Graham Exelby October 2025. A Reanalysis of: Exelby,G & Vittone,V. DNA Mutations in POTS and Long COVID. 2023 (redacted), with translational assistance from Dr Valerio Vittone. Abstract Background: Dysautonomia, Postural Orthostatic Tachycardia Syndrome (POTS), ME/CFS, Long COVID, vaccine injury, and malignancy have traditionally been considered distinct conditions. However, accumulating evidence suggests they share molecular drivers. Methods:  We conducted SNP-
Graham Exelby
2 min read
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EpsteinâBarr Virus Reactivation in Long COVID: A Clinical Overview for Physicians
Dr Graham Exelby, September 2025 Extracted from âEBV Reactivation in Long COVID: A Mechanistic Synthesis,â September 2025...
Graham Exelby
3 min read
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What DNA Can Teach Us in Understanding POTS, ME/CFS, and Long COVID
Dr Graham Exelby October 2025. Simplified and condensed from: âGenomic Redundancy as a Driver of Chronicity in POTS and Long COVIDâ Introduction Conditions like Postural Orthostatic Tachycardia Syndrome (POTS), Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), and Long COVID affect many people with symptoms such as dizziness, fatigue, brain fog, palpitations, and post-exertional malaise (PEM, where even mild activity leads to a crash in energy). These conditions ca
Graham Exelby
6 min read
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Tilt Testing in POTS : Safe and Effective Options
Dr Graham Exelby September 2025. This is a personal opinion and may differ from that of your medical advisers. Introduction Many centres...
Graham Exelby
2 min read
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