Bendy Bodies with Dr. Linda Bluestein

Lifestyle Factors That Truly Change EDS Outcomes with Dr. Ina Stephens (Ep 187)

Mar 12, 2026
Dr. Ina Stephens, integrative medicine specialist and Associate Medical Director at UVA’s EDS and Hypermobility Center, brings expertise in lifestyle medicine, autonomic regulation, and multidisciplinary care. She discusses nutrition and the microbiome, vagal tone and breathing practices, gradual strength-building, sleep and circadian hygiene, and practical, minimally disruptive strategies to improve outcomes for people with connective tissue disorders.
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ANECDOTE

How Infectious Disease Training Led Her To EDS

  • Ina Stephens describes training in infectious disease where listening carefully built broader differentials that later revealed EDS patterns.
  • She used mindfulness and quieting practices to slow down and catch signs that others missed, which drew EDS patients to her clinics.
INSIGHT

Microbiome Is The Neurotransmitter Factory

  • The microbiome produces most neurotransmitters and links gut health to mood, sleep, and inflammation.
  • Stephens explains vagal (parasympathetic) tone drives microbiome activity and short-chain fatty acid production that feed brain chemistry.
ADVICE

Start With Vagal Breathing To Help Gut Brain Signaling

  • Improve vagal tone using diaphragmatic breathing and vagal-stimulating practices to support gut-brain signaling.
  • Stephens starts patients with breathing and vagal exercises before adding supplements or other modalities.
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