kind of dizziness are very, very rare. So less than 1% of time. It's a stroke, because a stroke typically has other sorts of neuropathic problems. The other thing that is huge is polypharmacy, and so so many different medications can cause dizziness too. And so it's really, really important to have a discussion with your family practice doctor about trying to get off medications Of course, unless they're absolutely necessary. And so antidepressants can can cause some dizziness, Parkinson medications or different anti psychotics, beta blockers or blood pressure medications calcium channel blockers are also blood pressure medications. diuretics are also used for blood pressure control. So any of these use it could come as low blood pressure which people perceive as dizziness, other medications, the anti late and ASIO lytic some medications that reduce stress or anxiety, they reduce the whole system and so that's why they reduce stress work, but they could also cause some dizziness, muscle relaxers in a similar kind of fashion they they relaxed the system, so of course they can cause them drowsiness and confusion. And then interestingly enough cholesterol medications can cause dizziness to it's definitely not very common, but I have had multiple patients say that once they stopped their cluster on medication, they're dizziness resolved. So this is something that kind of just mentioned previously and in a patient who has concerning symptoms for a stroke. They're gonna typically have Ed they're symptoms of numbness in the face or lambs weakness of the face, difficulty swallowing, memory loss, unexplained weight loss, slurred speech, hearing loss that occurs suddenly double vision. As you can see all these other symptoms can represent different neurologic problems that would occur with a stroke, not just an inner ear problem. And so when it comes to the management of dizziness and other individuals, it's very important to have a complete medical evaluation. So it's so I don't like seeing patient disease evaluated by their family practice doctor, because we need to rule out blood pressure problems, diabetes, thyroid problems, different types of neuropathy and things like that. And of course, you know, seeing their eye doctor having an eye exam. And so again, all these things can play a role in our balance system. So it's important to make sure all those systems are functioning and intact and doing well prior to seeing their end doctor. And so once we've come to a diagnosis, the majority of the time it's rehabilitation and you know, we have physical therapy for everything nowadays and it's great because physical therapy really takes care of most conditions. Certainly, surgery is extremely rare for balance problems, particularly in the elderly. And most of this is carried out with physical therapy. So general physical therapy is typically for, you know, orthopedic or muscle and bone type problems. Like you would do typical physical therapy after a knee replacement or hip replacement or things like that. And then just general exercise therapy. So you know, going into SilverSneakers just doing general type of balance exercises and things like that can all be helpful, but the stimulator of physical therapy is very, very specific. So I always tell patient, it's not like typical physical therapy, you're not doing what you've been doing strength training, you're not doing range of motion, you're not doing stretching. It's a neural type of physical therapy. And so we're training the nerves that are coming from your ears into your eyes, and of course, incorporating it into your balance system. So it's a lot of head motion type exercises and eye tracking, and things like that to get the visual and the inner ear system working well together. So the other thing that's very important when it comes to business is environmental and lifestyle. So I always emphasize what we call optimization of brain function. So it's very, very important that people are getting routine and regular sleep. They know the clean foods avoiding salt is a is a really big problem with the balance system. Where I should say too much salt is a problem, not drinking enough water. The inner ear is a very, very small, fluid filled system and it's very sensitive to fluid and salt balance. And so people who either eat too much salt don't drink enough water or drink too much diuretic type drinks like caffeinated beverages, can have a large impact on the balance system. The other thing that's really out there actually stress receptors of the inner ear. Now they're supposed to speak because when engineering systems and and so as we respond online are bound to be added. However, chronic stress can also put too much strain on the balance system and unfortunately you get this feedback cycle where our balance system is basically being overworked and overstressed. And so when is expected to respond, it can't. And so stress reduction is very, very important for a functioning balanced system. And then there are some things that are environmental even so allergies, there are allergy receptors of the inner ear, and so that is why sometimes anti histamine or over the counter allergy medications can actually help with dizziness because it be a little stiff. And so if if allergy medications don't help you know, you can do things what's called an immunotherapy or doing allergy treatments to so your body can develop a tolerance to these allergens. And then