newly diagnosed vestibular migraine + right vestibular weakness (50% weaker than left)

Hi! Would love some advice…

I have been trying to figure out my ā€œspinningā€ all year. It’s been brutal. After a lot of testing, my official diagnosis is VM + right vestibular hypofunction.

My current medication plan is betahistine 48mg.

First, I’m skeptical that this ā€˜just take betahistine’ is going to solve my issue. So would love to understand what has worked for others.

Second, I’m really scared about the long-term lifestyle impacts…I haven’t been able to do any real (non walking) exercise, or have a glass of wine, or enjoy an espresso, all of which I love, and I’m trying to figure out what/how I can start enjoying these things again, without them leading to me spinning.

Would love your help!

Hello, and a very warm welcome to the forum! :tada:

I’m sorry you’ve had such a brutal year—and that you’ve had to join the dizzy club, where the floor occasionally develops opinions. But you’re in the right place: everyone here is really friendly, understanding, and eager to help. Many members have experience with vestibular migraine, vestibular weakness, medication trials, vestibular rehabilitation, and finding a path back toward exercise and ordinary pleasures.

If you haven’t already, please read:

They’re excellent starting points for learning how the forum works and finding useful information. Feel free to ask questions, share updates, and join existing discussions—there’s a lot of collective experience here, and you’re definitely not alone.