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Hi Gabrielle: So glad you are still here! I was initially searching a forum that was older. I, too, came looking for answers to post hot yoga sinusitis. Reading the previous forums on this was quite interesting. I have recently recommitted to yoga practice and have been taking hot yoga classes. Hot – meaning warm likely no more than about 85 degrees. I take hour-long classes only, I take it slow and hydrate and modify and rest when necessary. I have taken class at three different studios in two states. I, like a previous poster on this topic, am 51, and have experienced some perimenopausal mood symptoms, mostly alleviated through supplements. I recently took a hot (ter) yoga class at a new studio. It felt great!! But by the next day, I had the weak/flu/sinus symptoms others have reported. I did not realize at the time I took the class that my period was imminent and that historically diminishes my immune system. So that may be a factor. But there is another that may be the key for some and that is allergies. Although there is a family history I never had them until adulthood. I am more prone to respiratory/sinusitis issues as an adult. I had ice cream and egg nog prior to taking the class, and the heavy dairy that is not the norm could also have contributed. So it may have been a perfect storm of sinus-producing issues. It could also be the heat (although I so hope not…I enjoy the hot(ter) classes. I had this happen after a yoga class some years ago as well any my ENT at the time suggested nasal spray before class. It don’t think it’s necessarily studio hygiene issues – although it could be an issue of varying air filters/environmental issues of different kinds at various studious or that for some of us, more heat predisposes us to more sensitivity to allergens. I should stress that this has not been an issue in the other studios that are not as hot. But some years back I went regularly to a hot (ter) studio and had no problems except that one time. So could be a combo of things that only trial and error going forward will resolve. I do appreciate  the tips about coconut water and electrolytes and will try those in hotter classes. Very glad I found this site!