This is personal, exacerbated mine too, guaranteed. Going for long walks (occasionally through malls!) turned out better therapy for me.
For sure MAV is chronic with 24/7 symptoms! And so is Secondary Hydrops btw which has identical symptoms.
Ami was perfect for this. Very effective for me.
I think ultimately, at some point, you have to de-prioritise the diagnosis and focus on what makes you feel better. I went to see 4 doctors and they all said something at least slightly or wholly different.
I believe working through the advice given for MAV is really worthwhile, with Dr. S.'s diet, conservative exercise and Dr. Hain’s meds flowchart being the most important things to bear in mind.