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    Understanding Chronic Fatigue Syndrome – Workshop with Dr Bruno Silva [North Staffordshire Combined Healthcare NHS Trust]

    The millions who have evidence they have one or the other will be relieved to hear this.
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    Periodic Paralysis Across the Life Course: Age-related Phenotype

    Interesting study that explores RYR1 gene variations and their import to things like muscle weakness and ATP and mitochondrial function, and how these change with age in healthy individuals vs those with channelopathies. RYR1 variations have been tied into ME/CFS before. This study parses down...
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    Opinion Human Leukocyte Antigen (HLA) at the Root of Persistent Antigens and Long COVID, 2025, Georgopoulos et al

    I generally look at these gene explanations as a form of victim blaming. Regardless, there is no need for HLA to explain persistence, at least as far as Lyme is concerned. But who knows? Well, perhaps the relentless group of mainstream spirochete sleuths that have viewed HLA as the holy grail...
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    Adaptive Approaches to Exercise Rehabilitation for Postural Tachycardia Syndrome and Related Autonomic Disorders 2024 Cortez et al

    So is taking in more salt, and I'm equally skeptical of its success as a treatment. Not sure what this has to do with POTS.
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    Deep Sequencing of BCR Heavy Chain Repertoires in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2025, Ryback et al

    Over significant fields of time? Does infection duration factor in? Is the IgG vs IgM consideration a thing with infections that persist? Is this not a gene thing as much as it is a function of chronicity? As an example: syphilis.
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    What do we mean by a diagnosis like ME/CFS?

    Imo, this is a very dangerous declaration. I would suggest the eyes of most of the people who need persuading are of the political sort. Doctors typically trail behind, except for the few trailblazers that first have to endure cross burning..
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    What do we mean by a diagnosis like ME/CFS?

    Agreed. Yet I have to worry about stepping on a doctor's or nurse's toes most times I try to correct a misguided notion. You may not understand it, but neither did I the many times when I naively first tried to enlighten a professional. It's just a reality. We can parse down on symptom...
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    What do we mean by a diagnosis like ME/CFS?

    I cannot speak for most pwME, of course, but I use terms like brain fog because I know most doctors would not understand if I went into specifics, or would misconstrue. It is the medical profession's inability to stay abreast of the patient experience, or indifference to doing so, that I think...
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    Deep Sequencing of BCR Heavy Chain Repertoires in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2025, Ryback et al

    Does this observation hold true over long time frames involving infection, e.g. three years vs. 30 days?
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    What do we mean by a diagnosis like ME/CFS?

    Diagnostically or otherwise, I am not sure what role channelopathies play in ME/CFS. It may be the end game, it may be irrelevant. Like the Australian school, I get the symptom similarities. Testing, though - how do you overcome norma-values? The concept of acquired PP is curious, and I think...
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    What do we mean by a diagnosis like ME/CFS?

    I think fatigue and fatiguability have as much of a discriminatory faculty for ME/CFS as they do for the flu.
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    What do we mean by a diagnosis like ME/CFS?

    I think emotions are easy to plug into the PEM equation, especially strong emotions. Heart rate, respiratory rate etc are all impacted by emotions. Regarding whether "the symptoms worsened as part of PEM are capable of feeding back on some inner biochemical etc...", it's the same as any physical...
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    What do we mean by a diagnosis like ME/CFS?

    In a roundabout way, I think that what we mean by a diagnosis of ME/CFS is that there are holes in the field of diagnostics, and researchers either don't see them or are willing to pretend there aren't. Diagnoses like ME/CFS ignore that problem by defining a disease with symptom-based criteria...
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    Where can patients argue with clinicians and scientists about bad science in ME/CFS?

    Years back I belonged to a forum where patients challenged researchers and clinicians. It was structured differently than here. Here most of us are patients or carers of pwME. Most of us support the notion that more research into ME/CFS is needed. Not there, but it was a different disease. There...
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    Have there been any high-profile critiques of open-label, subjective-measures BPS randomised trials? If not, why not?

    We've been subservient to a psychology culture since the early days of TV. That's only worsened by institutions like the NHS and NIH and CDC. I don't think I'm alone in saying I was raised to look at psychologists as the arbiters of reality. To look at disinterested researchers within the NIH...
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    PEM-like descriptions and accounts in non-ME illnesses

    My wife was born with Andersen-Tawil Syndrome, a potassium channelopathy. She has classic ATS1, and as such one muscle noticeably affected is her heart muscle. This can manifest in atypical Long QT, or cardiomyopathy or even heart failure. The thing is this: It's not immediately following...
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    Case report: Effect of ECT on chronic fatigue syndrome 2024 Novakovic et al

    By this logic we should also consider heat therapy, open-ended antibiotics, exercise, and prayer. Each of these has been anecdotally reported to help - and pretty much without the psych repercussions of ECT. Desperation is desperation, but it should not be the foundation of a therapy imo.
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    Cognitive assessment in ME/CFS: a cognitive substudy of the multi-site clinical assessment of ME/CFS (MCAM), 2024, Lange, Unger +

    This is a step in the right direction, but I worry about the abstract/summary; many clinicians will jump to results and conclusions and only see I've taken five tests of this type over the last several years, and I've found them generally off-mark. They need to compare premorbid scores of...
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    Oral minocycline therapy as first-line treatment in patients with Myalgic encephalomyelitis and long COVID: A pilot study, 2024, Miwa

    I recall 15 years or so ago mentioning a similar phenomenon, but involving one of the tetracyclines' effect on MS, with one of my doctors. I seem to remembering him being dismissive and suggesting those MS patients probably were misdiagnosed. I didn't respond one way or the other, but I didn't...
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    Unknown disease with flu-like symptoms kills almost 150 sparking pandemic fears

    Unknown Disease With Flu-like Symptoms Kills Almost 150 Sparking Pandemic Fears Replace "kills almost 150" with "permanently debilitates almost 150", and I suspect the rest of the headline would sink like a stone. This is the truth behind cultural aversion to chronicity.
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