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Thinking about this a bit more reminded me of the arguments I’ve made about the psychology of persuasion and people’s emotional investment. That we as patients probably should focus less on those who will never change their minds, those medical professionals who have been vocal and influential...

Agree with a lot said here. Also talk of ‘lived experience’ is increasingly common but particularly in groups who have been dismissed and frankly, have nothing else to cling on to. But I mainly want to add that I think trust is an important step. Most of us have lost that trust in systems and...

So they seem to use this FSMC Fatigue Scale to determine if people had fatigue and then called that CFS or sometimes ME/CFS https://www.sralab.org/rehabilitation-measures/fatigue-scale-motor-and-cognitive-functions

This popped up in a search. Looked potentially interesting but quickly became clear it’s one of those papers that conflates ME/CFS, CFS and fatigue The Association Between the Occurence of Sensory Integration Disorders, Depression, and Chronic Fatigue Syndrome in Patients with...

That’s interesting, so it looks as if they have ME/CFS following LC, and are trying to work out how to study it. The recognition that PEM is key for ME/CFS and it is often incorrectly conflsted with fatigue is good too. As is the highlighting of FUNCAP. I agree with @Utsikt though that there’s...

Here’s the figure showing virus sequences detected by group

Details of that paper discussed in this thread with an overview from @Simon M A Comprehensive Examination of Severely Ill ME/CFS Patients, 2021, Chang et al Or direct links to the paper Web | PMC | PDF https://doi.org/10.3390/healthcare9101290 It looks like they were all severely ill and...

Expanding on this a bit, the two questions this raises for me - Could it be the case that whatever triggering event, or even subsequent triggers, activate particular pathways which characterise the variations in our illness? (This may also be affected by underlying genetic predisposition) -...

Thanks for all info from the day, especially to @Adrian and @Jonathan Edwards for the updates. It sounds like some of the usual issues hit but also raised well and a lot of the right people in the room and meeting and discussing which is positive. And hopefully some interesting papers on the way...

I wasn’t able to listen in so look forward to any summaries of what was discussed. Was anyone able to take notes? Always interesting to hear people mention differences between MRC v NIHR funding and wonder how much is linked to heir respective departments and remits (DSIT vs DHSC). I”d be...

I also experience loss of appetite and lost a lot of weight early on, as others who are have mentioned. I’ve learnt to force myself to eat even if it’s a struggle (either because of loss of appetite, feeling nauseous, food being off putting or just physically hard to eat) because letting those...

Like @Peter T this is a bit of an extreme example but the real decline in my health occurred after a kidney infection which went bad. I’d been sent home with antibiotics but woke up very early one morning with an intense feeling of something being very very wrong. I became increasingly weak...

That seems the important bit. It would be good to know more about the study and what we may be able to learn from it rather than the PR stuff. Thanks for the link @V.R.T. So from that pdf this is why they say their tech is special And here is the clinical trial info which states With the...

Could be, I was thinking of other routes for ME/CFS (as I’m not a big fan of the viral persistence theory) but there seems to be lots of ways that some problem or inefficiency in protein degradation could occur. That circadian rhythm seems so dependent upon these systems working reliably for...

Amazing work, well done and thanks again @Joan Crawford

The ubiquitin-proteasome system in circadian regulation Costanzo, Kara M.; Prifti, Matthew V.; Todi, Sokol V.; Mohan, Ryan D. Abstract To align sleep–wake behavior and internal physiology with the Earth’s 24-h light–dark cycle, organisms rely on circadian clocks–endogenous timekeeping systems...

On CLOCK and circadian rhythms I’ve found another review which covers this topic in more detail and will post later.

A brief summary (my interpretation , possibly over simplistic but hopefully not too off the mark…) - ULK1 is important to autophagy - KLHL20 tags ULK1 (and some other things) so they are degraded, so helping keep a brake on the process - In mouse models without KLHL20 this doesn’t happen - So...

A couple more snippets

This is one of the papers cited in the DecodeMe candidate genes and links the ubiquitin-proteasome system (UPS) and KLHL20 to autophagy termination From the discussion