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

    I'm just wondering if we could get views from @Jonathan Edwards @Snow Leopard --- on this publication. Thanks in advance.
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    Dr. Kenny DeMeirleir was issued a world patent on a new CFIDS discovery, the increase of asparaginyl beta-hydroxylase (ASPH)

    From memory - I noticed James Baraniuk patented a leaky brain junction hypothesis/drugs which should reduce that, a few years ago - like you I was surprised. I assume that where you have developed a significant evidence base (doesn't apply here) then you can patent a discovery e.g. I think genes...
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    NICE ME/CFS guideline - draft published for consultation - 10th November 2020

    Government policy is supposed to be "evidence based"; the review panel will be required to operate on that basis. I'm not involved in health policy (I work at a junior level in planning policy - devolved UK administration); but it's really beyond a stretch to say that the (NICE) guidance, which...
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    NICE ME/CFS guideline - draft published for consultation - 10th November 2020

    The purpose on the review is guess what - to review the evidence. If there were well conducted reviews, e.g. with objective measures of improvement (activity monitors rather than questionnaires), then Per Fink should bring them to the review committee's attention. The second paragraph, you...
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    NICE ME/CFS guideline - draft published for consultation - 10th November 2020

    I think that, the standard Government line is that, all responses (to the consultation) are considered on there merits. E.g. Bupesh Prusty contribute to the NIH Conference a few years ago so "outside" input is fine. However, the "concept" is that if 1 million people support a crap idea and 1...
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    Liquid chromatography-mass spectrometry .. reveals increased levels of tryptophan indole metabolites in .. metabolic syndrome, 2020, Wrobel et al

    Yes Cort states "You have a vicious circle resulting in higher and higher cellular tryptophan levels." However, I assume that (to state that with confidence) you'd need to isolate all of the cell types, i.e. which rely on IDO1/2, and test them for tryptophan. Problem is there isn't a test e.g...
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    Informatics Inference of Exercise-Induced Modulation of Brain Pathways Based on Cerebrospinal Fluid Micro-RNAs in ME/CFS, 2020, Narayan et al

    I wasn't sure if this was a realistic option to select participants for a ME study i.e. maximal (VO2). E.g. Cara Tomas, and others, published a study recently (small number of participants) and it would be interesting to see that replicated in a larger study. However, selecting participants on...
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    Informatics Inference of Exercise-Induced Modulation of Brain Pathways Based on Cerebrospinal Fluid Micro-RNAs in ME/CFS, 2020, Narayan et al

    Thanks @Snow Leopard interesting i.e. "ventilatory threshold is it is the key measurement that is not affected by motivation" - I assume that there are issues with selecting participants (in studies) on this basis! @Michiel Tack
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    The biology of coronavirus COVID-19 - including research and treatments

    Yea, I was day dreaming about this; the bit where you have the amino acid sequence, for the virus spike protein, to identifying the genetic (RNA) code for that protein (the vaccine in essence) seems really quick - maybe two weeks? Since I don't know the underlying science I'm wowed by it e.g...
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    News about Long Covid including its relationship to ME/CFS 2020 to 2021

    Is there evidence to support the "2.5% incidence"? It might be useful in lobbying @Michiel Tack
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    Informatics Inference of Exercise-Induced Modulation of Brain Pathways Based on Cerebrospinal Fluid Micro-RNAs in ME/CFS, 2020, Narayan et al

    I recall an earlier paper by Baraniuk which suggested leaky blood brain barrier - I think Baraniuk took out a patient related to that. Still interesting though - if there's evidence. Is there a gut brain thing?
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    Informatics Inference of Exercise-Induced Modulation of Brain Pathways Based on Cerebrospinal Fluid Micro-RNAs in ME/CFS, 2020, Narayan et al

    Is there anything which should jump out in a GWAS study (or anything which has turned up in a GWAS study) which would support this hypothesis? EDIT - @Simon M - a GWAS study might give us clues here i.e. to see if there is indeed a basis for this hypothesis. Was the "key physiological finding...
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    Trial By Error: CBT and Irritable Bowel Syndrome

    I think this is a thing of beauty (you've probably highlighted it before) CBT for IBS ---- you wouldn't make it up. Do you do a microbiome test before, and after, CBT i.e. as an objective measurement of improvement ---?
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    Covid-19 vaccines and vaccinations

    I wouldn't expect it to be mandatory - why? because the efficacy is high (possibly 95%) and people who are vulnerable, and get vaccinated, may not get life threatening illness (necessitating ICU) --- so I wouldn't see a case for mandatory vaccination. If efficacy was low; therefore R=1 (or...
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    The biology of coronavirus COVID-19 - including research and treatments

    Just Google "Radio 4 Schedule" - you can access them via this link as well*: Episode 3 How to Vaccinate the World Tim Harford reports on what we know and don't know about the Oxford/Astra Zeneca Covid 19 vaccine with a panel of experts. *https://www.bbc.co.uk/programmes/m000py6x
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    The biology of coronavirus COVID-19 - including research and treatments

    There's a BBC Radio 4 program "How to vaccinate the world" which might help to provide some insight - a lot of these questions can't be answered yet --- once you've vaccinated a few million people, and time has elapsed, then you'll presumably have evidence of whether boosters are required and...
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    NICE ME/CFS draft guideline - publication dates and delays 2020

    More money for ME specialists; @Jonathan Edwards has highlighted how rheumatoid arthritis treatment was turned around by specialists. However, as Jonathan has indicated, I wouldn't get your hopes up about getting more resources (e.g. to fund specialists). I assume (haven't followed this or read...
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    DecodeME - UK ME/CFS DNA study underway

    Does anyone know when they are due to start requesting samples? OK it may be difficult to be definitive i.e. due the pandemic.
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    Aripiprazole - Abilify

    I recall hearing something about the discovery of a potential mechanism for the action of lithium in bipolar disorder. The suggestion was that lithium modifies the shape of a protein and that leads to an improvement in bipolar symptoms. Immunoregulatory drugs successfully treat autoimmune NMDA...
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