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  1. Hoopoe

    Metabolomic Evidence for Peroxisomal Dysfunction in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2022, Levine,Hornig,Lipkin et al

    I have a low allele frequency mutation in the gene for the first step in the synthesis of plasmalogens. It could be a coincidence but it's also suspicious. Also a mutation in a choline transporter that is involved in the synthesis of phospholipids and acetylcholine. Affordable whole genome...
  2. Hoopoe

    Phenotypic characteristics of peripheral immune cells of ME/CFS via transmission electron microscopy: A pilot study, Jahanbani et al, 2022

    It seems that lipid accumulation or abnormalities that suggest lipid accumulation might be occurring keep coming up in various studies. A patient here on the forum also had a muscle biopsy which showed increased lipids and was not definitive enough for another diagnosis.
  3. Hoopoe

    Breathlessness and air hunger in ME/CFS

    Lately I've had concerning levels of some kind of breathing problem or air hunger. Undoubtedly in part caused by the hot summer, but I also noticed how it got worse during physical activity and lasted a day. Maybe a return of my childhood asthma, now in more insidious and chronic form instead...
  4. Hoopoe

    A look at my whole genome sequencing results

    I found something that might be part of the genetics of ME/CFS or associated illnesses. The chance that this is important is probably low but it's still encouraging. We should be studying more families where people have ME/CFS and associated illnesses like POTS or orthostatic hypotension. I'm in...
  5. Hoopoe

    Predictors of “brain fog” 1 year after COVID-19 disease, 2022, Cristillo et al

    Is it depression if someone with an incurable illness that is not taken seriously does not feel hopeful about the future? Or just a realistic assessment, and when that hopelessness is expressed to another person, a way to communicate that help is needed? Why pathologize that? It seems cruel and...
  6. Hoopoe

    Persistence of somatic symptoms after COVID-19 in the Netherlands: an observational cohort study, 2022, Ballering et al

    I'm not getting the impression that the authors are biased towards psychogenic explanations. The questionnaire they used initially was developed for somatization. Maybe they were expecting to find evidence for psychogenic causes but changed their mind as the data came in? Anyway, one concern is...
  7. Hoopoe

    A look at my whole genome sequencing results

    Another interesting mutation in the PRKAG3 gene, although difficult to interpret and not clearly pathogenic.
  8. Hoopoe

    Do people with ME/CFS and joint hypermobility represent a disease subgroup? An analysis using registry data, 2024, Kathleen Mudie et al

    I'm assuming that by "significant differences" they mean those that were statistically significant. These were: Self-reported EDS Family history of EDS Self-reported POTS Loss of balance, unsteadiness on feet when standing or inability to focus vision There are some other differences listed...
  9. Hoopoe

    A look at my whole genome sequencing results

    I spoke to a neurologist who agreed with everything I said about the possibility of "medium chain acyl-CoA dehydrogenase deficiency". He believes it would show up on my muscle biopsy. I'm waiting for the results of that. PS: and based on what I've read, this disease would not be able to explain...
  10. Hoopoe

    Eph/ephrin interactions modulate vascular sympathetic innervation, 2010, Damon et al

    Abstract Ephs and ephrins are membrane-bound proteins that interact to modulate axon growth and neuronal function. We tested the hypothesis that eph/ephrin interactions affected the growth and function of vascular sympathetic innervation. Using RT-PCR analyses, we detected both classes of ephs...
  11. Hoopoe

    Patient-led Research Collaborative and Fund for Long COVID

    Mold exposure doesn't seem to have any credible evidence behind it as far as I know. I wouldn't mind if a good study was conducted, it just seems a bit odd to highlight this topic. Mast cells and and hypermobility / connective tissue problems seem to be speculative and perhaps relevant only to...
  12. Hoopoe

    Phenylephrine alteration of cerebral blood flow during orthostasis: effect on n-back performance in chronic fatigue syndrome, 2014, Medow et al

    My summary In CFS subjects, phenylephrine reduces the decrease in cerebral blood flow that occurs during head up tilt testing. This had a positive impact on performance in a cognitive test. The study might hint at how to treat ME/CFS and at the underlying mechanisms of reduced cerebral blood...
  13. Hoopoe

    A look at my whole genome sequencing results

    Did you know that we all have a huge amount of genetic mutations? In some of my genes I have hundreds of mutations, in others just five or so. The difficulty is figuring out what these mutations do, and which ones are relevant to the problem we're trying to solve. We don't seem to know what the...
  14. Hoopoe

    A look at my whole genome sequencing results

    Small update: The fatty acid oxidation mutation found is in the gene corresponding to the disease "medium chain acyl-CoA dehydrogenase deficiency". As mentioned this is an autosomal recessive disease which would not be expected to manifest when only one of the two inherited genes is affected...
  15. Hoopoe

    Facioscapulohumeral Dystrophy (FSHD)

    Generally speaking, having a mutation that is expected to cause disease does not mean that it will necessarily do so. I've read about this happening in various other diseases. Knowing that a person has a mutation is often not sufficient to diagnose a disease, one must also look at symptoms...
  16. Hoopoe

    A Double-Blind, Placebo-Controlled, Randomized, Clinical Trial of the TLR-3 Agonist Rintatolimod in Severe Cases of CFS, Strayer et al, 2012

    Some patient advocates are just incompetent. This also seems to be tied to the belief that ME/CFS is a continued infection by one specific virus. The antiviral Ampligen fits with that belief, and that the results are really weak, with terrible cost-benefit profile doesn't seem to register. If...
  17. Hoopoe

    The Guardian: I gave up hope of a cure for my chronic condition. And it’s made me happier than ever before

    Society should accept too that we're disabled. Part of why patients find it difficult to accept that they're disabled is that society generally has a high resistance to accept that people with this illness are disabled. We ended up in the absurd situation where the patient's belief that they...
  18. Hoopoe

    The Guardian: I gave up hope of a cure for my chronic condition. And it’s made me happier than ever before

    I think this is a good piece that uses mildly provocative language about giving up hope to first attract some attention, and then in the end, really say that patients need support and treatments.
  19. Hoopoe

    Can abnormalities in cadherin signalling lead to impaired blood perfusion?

    It turns out cadherins and integrins play a role in the body's response to upright posture. If I understand all this right, a problem with these or more generally cell-cell adhesion could plausibly lead to orthostatic intolerance. And the body might respond to that problem by dumping lots of...
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