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:rofl: The summary is indeed quite something. The things humans are able to believe, and convince others of, continues to surprise me.

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This pdf is what comes up when I google Nottingham ME/CFS service: https://picsnhs.org.uk/wp-content/uploads/2019/09/PICS-Community-CFS-ME-leaflet.pdf It's titled 'Community Chronic Fatigue Syndrome/ME Pathway' and has a pics label. CFS/ME is mostly fatigue There are treatment options A...

It looks like the service has recently invested further in the idea of exercise being part of the rehabilitation of Chronic Fatigue Syndrome. Their team to deal with CFS seems to consist largely of physios, occupational therapists, rehabilitation exercise practitioners and pain clinicians. So...

Thanks Indeed, and yet Cochrane seems to embrace the term. I note that Cochrane reinterpreted the 2014 MUPS report in 2019 with a Cochrane Clinical Answers entry This Clinical Answer removes much of the uncertainty expressed in the 2014 review, making psychological therapies sound more...

I've been working my way through hundreds of threads about psychosomatic medicine as part of the forum re-organisation and it's quite depressing. It has been clear for years that the treatments based on that paradigm don't work , certainly not for ME/CFS, but also for all manner of other...

This Cochrane review from 2014 posted by @SlySaint is worth reviewing in the context of the long promised new Cochrane review of exercise therapy for ME/CFS. The 2014 review is about MUPS It would be very interesting to know what the current Cochrane Exercise Review for ME/CFS team's stance...

That's two randomised controlled trials. But, unblinded with subjective outcomes.

An Open-Label, Pilot Trial of HRG80™ Red Ginseng in Chronic Fatigue Syndrome, Fibromyalgia, and Post-Viral Fatigue, 2021, Teitelbaum and Goudie This recent study found great results for a special type of trademarked ginseng with "high levels of rare ginsenosides". But, it was open label with...

We have a thread on ginseng Ginseng']here[/URL].

These are the two studies included in the review by Yang et al mentioned above. We have a thread on another fairly recent study, this on Korean red ginseng, which it claims has a higher content of 'anti-fatigue substance'. Efficacy of Korean red ginseng (Panax ginseng) for middle-aged and...

We have a treatment thread on Ginseng here: Ginseng

Adderall, Coffee, Cocaine, and Chronic Fatigue Syndrome: A Troubled Romance A 2021 Healthline article by Kiki Dy seems to come to the same conclusion as we have - stimulants offer short term benefits, with pay back later.

That wasn't true less than 10 years ago. As I noted above, My son definitely did not/does not have ADHD and was not diagnosed with it. He was diagnosed with CFS. Methylphenidate and melatonin was prescribed at the first consultation. I would like to know if young people with ME/CFS are still...

Methylphenidate as a treatment for ME/CFS is discussed here: Methylphenidate (Ritalin)

I've talked about tragus stimulation elsewhere. The tragus is part of the ear. In humans, it seems it's not really known if the vagus nerve even properly goes to the tragus. It seemed that trans-cutaneous stimulation of the tragus might not even be affecting the vagal nerve. Of course, in...

Transcutaneous vagus nerve stimulation attenuates autoantibody-mediated cardiovagal dysfunction & inflammation in a rabbit model of [POTS], 2022, Deng A paper that claims that vagus nerve stimulation helps POTS. It's a tiny study, with only 5 participants, and the participants are rabbits.

On PEM days, my morning resting (supine) heart rate is higher, and it takes much less activity to make it spike. Just sitting on the sofa can make it go over 120. On PEM days, I generally have POTS - an increase in heart rate of more than 30 bpm when going from lying down to standing. When I...

Great find Mij. Wow, yes, it does come as a surprise. I wonder if there is any evidence to support the use of salt as a treatment for other sorts of orthostatic intolerance, or to improve orthostatic intolerance symptoms in ME/CFS. It would be good to know if people with ME/CFS are able to...

@ahimsa posted this relevant research Splanchnic Venous Compression Enhances the Effects of ß‐Blockade in the Treatment of Postural Tachycardia Syndrome, 2020, Smith et al