My wife has had to these for years. The only treatment we’ve found helpful is transcutaneous vagus nerve stimulation (tVNS) with a tool like a Neuvana Xen - or you can go the expensive prescription route. We were actually treating her gastroparesis with this and found that modulating the signal worked for all sorts of misfirings - like when getting shots.
TLDR: You can’t avoid them, but you can mitigate them by sitting in a chair, leaning back, and bringing your feet closer to your heart. If anyone is watching, it just looks like you are trying out the recline function of the chair. If your Vagus Nerve issues are bad, you can try tVNS (under the supervision of your doctor, of course).