Thats a good question. He only takes a cholesterol reducer. He doesn't report any weakness in his legs or feet and that seems to be true since he can peddle a bicycle and manage the weight of a motorcycle. I don't know a ton about inner ear disease/infection, but I would think it would affect someone when they're sitting or standing, head turning, etc. For my dad it's simply the postural difference between sitting and standing so something must get pinched when stands?? I appreciate you taking the time to respond!