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    Brain fog, cognitive dysfunction

    Merged conversation This smacks of opinion but it is framed as fact. Please remember this is a science forum.
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    Pathophysiology of sleep disturbances/unrefreshing sleep in pwME?

    FYI, purportedly there is acquired periodic paralysis. This is - as is the case with typical pp - supposedly temporary or intermitant. Not much, relatively speaking, is known about it because no money is thrown at it because it effects so few and, for the most part, we are a selfish and...
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    Evidence for a heritable predisposition to Chronic Fatigue Syndrome, 2011, Albright, Bateman+

    Alternatively, they could offer support for proximity playing a role in familial clustering of ME/CFS. I have not read the entire paper, and really don't want to revisit XMRV anyway....
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    What could it mean biologically that both physical and cognitive exertion can cause PEM?

    I used to think heart rate or blood pressure had something to do with PEM. It's easy to fit either into "physical" or emotional induced PEM. It's not as easy when purely cognitive PEM is on the table. But I think I can differentiate cognition when laying flat vs cognition when sitting up. I read...
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    Pathophysiology of sleep disturbances/unrefreshing sleep in pwME?

    I would be careful here. Making sweeping generalizations is seldom wise, but where it concerns pwME, it is even less so.
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    Pathophysiology of sleep disturbances/unrefreshing sleep in pwME?

    There was a school of thought out of Australia that suggested ME/CFS was in at least some cases a channelopathy, or involved a channelopathy. I am struggling so excuse this layperson's attempt to describe: Channelopathies refer to ion channels in muscle cells that fail to one degree or another...
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    Pathophysiology of sleep disturbances/unrefreshing sleep in pwME?

    Brings to mind channelopathies and periodic paralysis variants.
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    If an effective treatment comes along for ME/CFS, how can we physically rehabilitate ourselves?

    How would that relate to the brain? Do we trust this? It's hard when you read something sometimes..
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    If an effective treatment comes along for ME/CFS, how can we physically rehabilitate ourselves?

    If I could triage my physical rehabilitation, I'd start with my brain. Unfortunately, I am not optimistic all the brain problems will resolve with whatever treatment. I fear for some pwME, there may be permanent damage, and cognitive problems might remain, even if the lion's share of symptoms...
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    A meta-analysis uncovers the first sequence variant conferring risk of Bell’s palsy, 2021, Skuladottir et al

    I wonder why facial paralysis wouldn't be considered a biomarker. In some infections, rashes would be in and of themselves.
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    A meta-analysis uncovers the first sequence variant conferring risk of Bell’s palsy, 2021, Skuladottir et al

    Idiopathic? I thought Bell's palsy was tied into a handful of viruses and bacteria, e.g. herpes variants and borrelia.
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    Please tell me you're not referencing the more or less contemporary of Spinoza and Kant? The guy I studied half a century ago for his philosophical import? That this is not a philosophy reference? :) In advance of what I am surely confused by name similarities, I apologize.
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    What conditions are and are not included under IACC umbrella term ?

    It might be helpful to have insight from an infectious disease expert.
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    Post-COVID-Syndrome Patients Might Overestimate Own Cognitive Impairment, 2025, Wöhrstein et al.

    I've had five of these tests since I got sick. That doesn't even include the MOCHA. It took ten years of being in cognitive decline before anyone asked one for me. Not once did anyone who administer the evaluations ask what my premorbid scores, i.e. IQ, were. All my results were treated as...
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    Post-COVID-Syndrome Patients Might Overestimate Own Cognitive Impairment, 2025, Wöhrstein et al.

    Shouldn't forget that most of these tests are not designed for our brand of cognitive decline. More importantly, when taking these tests, patients are warned (threatened?) to work as hard as possible, to maximize effort, almost to the point of admonishment. Adrenaline pumps in, forced attention...
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    Agreed, they could be. What leans me toward a different possibility is what to some seems like deliberate mischarcterizations that have been haunting diseases such as ME for half a century - and obviously not just from the BPS crowd. But clearly you have a point. Nod. Understood. I spent my...
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    You'd find quite a lot in the US. Sometimes. Sometimes not. Actually, frequently not. And yet I have, again perhaps due to proximity, perhaps due to length of time living it. Clearly there can be overt differences outside of the defining characteristics, and even these can vary. And quite...
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    The tandem could matter. The combination could. Eh, I'm just musing. Some like me believe it may some day lead to accountability. But revealing the problem, shining a light on the mechanisms, easily takes precedence.
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    Right. But maybe knowing could help? I mean, I agree, unraveling the mechanism is the grail. Still, wouldn't you want to know? What if it's a tandem? Somewhere along discovery, there may be import to knowing which microbes that extends beyond the pragmatic.
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    Preprint Dissecting the genetic complexity of myalgic encephalomyelitis/chronic fatigue syndrome via deep learning-powered genome analysis, 2025, Zhang+

    But we do see notable differences. Swollen lymph nodes, cognitive vs physical PEM, sore throats vs nada, swollen joints vs painful joints with no swelling....You get the idea. Perhaps these relatively minor differences boil down to different agents - assuming the major qualifying ME...
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