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All a matter of opinion both with consultants and sufferers but some consultants certainly specifically specify âno undue exertionâ. MAV likes consistency so,as with drug increases, changes, need to be low and slow. . With MAV it is possible too much exercise makes it worse. Neurologist told me to walk outside every day. I think walking is best in terms of being sort of naturally balance challenging, like uninforced VRT. Lots of people will tell you to âpush throughâ, âpush throughâ. I did that six months with VRT and the result was much like being pushed through. I fell over, knocked my balance out and didnât get it back for months. Ended up bedridden with back to back attacks, Helen