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  1. Snow Leopard

    If ME/CFS research got £1 billion, what would stop it being wasted?

    Let s4me allocate it over time (say a period of 10-15 years). I don't really have great hopes otherwise. LongCOVID has set things backwards rather than forwards.
  2. Snow Leopard

    Perspectives of Rehabilitation Professionals on Long COVID Interventions to Facilitate Return-to-Work 2025 Janaudis-Ferreira et al

    Basically some people are recovering naturally, adjusting their activity levels naturally and these "rehabilitation specialists" are thinking they're making a difference when they're largely bystanders.
  3. Snow Leopard

    What could it mean biologically that both physical and cognitive exertion can cause PEM?

    As previously discussed, in many patients, the symptoms are not the same, depending on the triggering activity. Four out of five people report differences: https://www.s4me.info/threads/poll-physical-vs-cognitive-pem-same-or-different.16948/ Cognitive activity does not cause any additional...
  4. Snow Leopard

    Evidence for spinal disinhibition as a pain-generating mechanism in fibromyalgia syndrome 2025 Marshall et al

    Note that Hoffman reflex is a muscular reflex (due to muscle spindle afferents). It is not a pain signal and some people are naturally hyper-reflexive. The effect size for the H-reflex rate-dependent depression wasn't super large and there was substantial overlap between patients and controls...
  5. Snow Leopard

    Opinion CBT and graded exercise therapy studies have proven that ME/CFS and long Covid are physical diseases, yet no one is aware of that, 2024, Vink

    Because people like to oversimplfy things to the point of inaccuracy. Many people don't shake when anxious, it is separate learned behaviour and vasovagal syncope is largely is a consequence of hyperventilation. So it is cognition->behaviour->cerebral blood flow consequences->vasovagal...
  6. Snow Leopard

    Opinion CBT and graded exercise therapy studies have proven that ME/CFS and long Covid are physical diseases, yet no one is aware of that, 2024, Vink

    This is largely untrue, at least with respect to training of muscles. You are greatly overstating the effect of cognition/emotions on autonomic regulation.
  7. Snow Leopard

    Improving GPs’ approaches to functional somatic syndromes: a pilot training program with a focus on compassion & communication, 2025, Ariane

    From the introduction: So they are training medical doctors to push non-consensus/non-evidence based explanations. How can you search for solutions if you have no understanding of the cause? It begs the question. So we come to the crux of it: This training isn't about patient care at...
  8. Snow Leopard

    What do we mean by a diagnosis like ME/CFS?

    It is not just DecodeME that gives us clues. I think PEM is woefully undercharacterised. The overall symptomatic patterns (eg pain associated with fatigue, exacerbation of OI or POTS, headaches etc) and durations is not always consistent, it varies based on task and duration - whether cognitive...
  9. Snow Leopard

    Burden of Infections in Early Life and Risk of Infections and Systemic Antibiotics Use in Childhood, Brustad et al, 2025

    This was an issue for me, I had frequent infections and antibiotic treatments when I was young - and I contracted diseases like mumps despite being fully vaccinated.
  10. Snow Leopard

    Johnny Boufarhat—mystery illness

    If you're suffering from ongoing brain fog, you can't code to any level of quality. I suspect he simply recovered naturally and stated working on his project as his functionality improved.
  11. Snow Leopard

    How a neuroscientist solved the mystery of his own long COVID

    CIDP is not Long Covid and has established diagnosis and treatment, although looking at stories on reddit /GBS, patients frequently seem to have delayed or misdiagnoses.
  12. Snow Leopard

    Anidulafungin (IV antifungal)

    I can't remember, it was probably speculation.
  13. Snow Leopard

    Thesis Establishment of a primary dorsal root ganglion cell culture to screen for autoantibodies for patients with ME/CFS or Post COVID, 2024, Wachutka

    That is ChatGPT slop in an nutshell. Note the Thesis states: I suspect the author doesn't have the greatest skills in written English.
  14. Snow Leopard

    Preprint: Pharmacological blockade of muscle afferents and perception of effort: a systematic review with meta-analysis, 2021, Bergevin et al

    This was published, not sure if any changes Pharmacological Blockade of Muscle Afferents and Perception of Effort: A Systematic Review with Meta-analysis Systematic Review Published: 01 November 2022 Volume 53, pages 415–435, (2023)...
  15. Snow Leopard

    Thesis Establishment of a primary dorsal root ganglion cell culture to screen for autoantibodies for patients with ME/CFS or Post COVID, 2024, Wachutka

    Came across this and wanted to see if there was a discussion here. I'm not sure this is a dorsal root ganglion based autoimmune disorder. But the methods are novel (and I don't think screening of CSF antibodies using rat DRG is "idiocy", it's a common method to try and uncover otherwise unknown...
  16. Snow Leopard

    Perceived fatigue does not alter effort-based decision making but does undermine confidence in the ability to perform physical actions, 2024, Dekerle+

    This finding might be common sense, but it certainly contradicts the whole "fatigue is a stop signal" nonsense.
  17. Snow Leopard

    High Prevalence of Perineural Cysts in Patients with Fibromyalgia and Chronic Fatigue Syndrome, Hulens et al, 2020

    I'm revisiting this I think the proposed pathogenic mechanisms "Possible pathophysiological mechanisms are central sensitization, moderately or intermittently increased cerebrospinal pressure, the particular characteristics of the blood–nerve barrier in the dorsal root ganglia, and axonal...
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