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  1. Sid

    Are there any evidence-based guidelines on pacing upright activity for orthostatic intolerance?

    Speaking as someone who has had so-called POTS for 20+ years, it’s important to be cautious with the medical advice out there given out by patient orgs and celebrity doctors. I’m not going to name the org but about 10 years ago they admitted on their Facebook page that a study found no effect of...
  2. Sid

    When would a GWAS study help disprove the belief that ME/CFS is psychological

    No one can articulate it clearly. It usually boils down to there being two broad types of brain rot: focal signs go to neurology and the rest gets carted off to psychiatry.
  3. Sid

    When would a GWAS study help disprove the belief that ME/CFS is psychological

    This is a great question, one that I’ve also grappled with. All of the main psychiatric conditions listed in the DSM (MDD, BPAD, schizophrenia, autism, various dementias etc.) are heritable, including the ones you wouldn’t necessarily expect based on folk beliefs/misunderstanding of the world...
  4. Sid

    Grip test results and brain imaging in the NIH study: Deep phenotyping of PI-ME/CFS, 2024, Walitt et al

    Maybe they ran a more conventional analysis like linear mixed effect model and didn’t get the desired result.
  5. Sid

    Use of EEfRT in the NIH study: Deep phenotyping of PI-ME/CFS, 2024, Walitt et al

    I feel like they are reading this and directing this at us.
  6. Sid

    Preprint Management of Nutritional Failure in People with Severe ME/CFS: Review of the Case for Supplementing NICE Guideline NG206, 2024, Edwards (Qeios)

    Overstating the biological evidence does us more harm than good. If you brought n=17 studies like the Nath one to a UK consultant they would laugh. The unfortunate reality is that the is NO replicated evidence of biological mechanism. If there were, we wouldn't be dying of malnutrition in NHS...
  7. Sid

    Avoiding crashes as a treatment

    This happened to me where ART worsened my muscle deconditioning. However, after just a few weeks of doing my usual small amount of physical activity again, I reconditioned myself to the point of my "normal" ME/CFS state. Then I hit a wall where further exertion only made things worse again. I...
  8. Sid

    Sensory sensitivities: research and theories?

    It's both constant and exacerbated during PEM.
  9. Sid

    Avoiding crashes as a treatment

    Some years ago I did aggressive rest therapy for a couple of years where I did basically nothing, had no PEM and didn’t even leave the house. It made zero difference. I don’t think you can rest your way out of ME/CFS just as you cannot exercise your way out of it.
  10. Sid

    Oxaloacetate Treatment For Mental And Physical Fatigue In (ME/CFS) and Long-COVID fatigue patients, 2022, Cash and Kaufman

    I've seen the attitude you refer to and it's very dangerous. You will still have ME/CFS afterwards, only without a house/car.
  11. Sid

    The growing crisis of long sepsis (Daily Mail)

    No resources are better than some resources in this situation IMO. The "long sepsis clinics" would just be handing out the same harmful rehabilitation advice that they give us and LC people.
  12. Sid

    The growing crisis of long sepsis (Daily Mail)

    Not surprising. There was a study floating around twitter recently on 20-year follow-up after Long SARS. Out of 50 patients in that study, no one had returned to their premorbid level of activity. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914492/
  13. Sid

    Esther Crawley

    One way to avoid having to follow the 2021 NICE guidance on ME/CFS is to diagnose new people who come through the door with FND instead. Problem solved, ME/CFS disappeared.
  14. Sid

    Open US: Brain Donor Project

    They should have been doing postmortem examinations of brains and other tissues since the 1980s clusters. Better late than never I guess.
  15. Sid

    Chris Armstrong - Melbourne ME/CFS researcher, research updates and general chat

    Same here. It's a reliable indicator of what the rest of the day is going to be like.
  16. Sid

    Electroconvulsive Therapy

    More women get ECT for the simple reason that more women get depression than men. It’s a 60:40 split. There’s no conspiracy. The activists are trying to spin this into some women’s rights issue.
  17. Sid

    Electroconvulsive Therapy

    300 ECT sessions is far beyond the normal standard of care. I don’t know what NZ was like in 1994 but in 2024 Europe MRI is done routinely. The article also mentioned that the surgery for the benign cyst caused a stroke. The fake expert quoted at length is a known psychologist and ideological...
  18. Sid

    Mitochondrial structural alterations in fibromyalgia: a pilot electron microscopy study 2024 Israel et al

    Hopefully these findings are not an artefact of obesity and low physical activity levels often seen in FM.
  19. Sid

    Trial Report Prediction of myalgic chronic fatigue syndrome disorder with machine learning approach, 2024, Yagin & Georgian

    Machine learning with n=26 will result in an overfitted model that likely won’t replicate elsewhere.
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