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Oh dear. This is one of the two peer-reviews, if you can call it that.

"Given that fatigue is such a core component of PESE and long while PESE is not a type of fatigue in itself, in the studies that we have found here, it is often being used in, it is often being used as a measure of fatigue." Are you telling me 7 co-authors and 2 or 3 reviewers have read this...

I thought they were inventing a new thing for a second, but it's another typo. Quite a bad one too. I really wish co-authors and reviewers would read the paper in front of them.

Well, this grammar does not inspire confidence. Does anyone read the first line of the abstract these days?

I do not know how formal the rapid response system is. Is it expected that the authors respond?

There's also another new, critical response from someone who seems to work in clinical evidence synthesis and medical statistics: https://www.bmj.com/content/387/bmj-2024-081318/rr-4

@ME/CFS Skeptic's excellent response has now been published: https://www.bmj.com/content/387/bmj-2024-081318/rr-5

I have to admit: I did not have ultrasound-assisted preparation of sweet corn cob polysaccharide selenium nanoparticles on my bingo card.

Another excellent takedown. I hope you can work with David and others to make sure all of this gets back to the editor.

Jumping on this thread to say that on Monday evening I had onset of what feels like it might be BPPV. I was just led in bed watching Masterchef and I sat up or got up to the toilet and had the spinning room sensation. I guess it was more vertigo than dizziness. I thought I'd just go to sleep...

Not one mention of ME/CFS, CFS, or even 'chronic fatigue' — just one instance of 'chronic post-viral syndrome.' At this point it's deliberate ignorance and obfuscation.

Excellent letter.

I briefly took 5HTP in 2012 after my onset of CFS-like symptoms, many years before meeting ME criteria. I can't even remember why now, but I suspect low mood, given I didn't want to try an anti-depressant at that stage. I don't think I stayed on it very long, and I can't remember how it went. I...

I have a feeling this review will be instrumental in pushing CBT/'rehab' programmes into the future. The review is terrible, and I'm not saying that just because I don't like its conclusions. It's really badly done — they've broken numerous standards for systematic reviews and evidence...

I don't know if this is a new initiative or not. They seem to have lots of signatures already. Anyone know?

Does this need its own thread in the Advocacy sub-forum? Seems important. Done

I would agree that some of the low quality studies we see — pushing supplements and complementary medicine as treatment; focus on unevidenced hypotheses — is doing us harm in that they trivialise the illness and they also make dubious claims. On the latter point, I think of the example of all...

Thank you. Have just seen that; I missed all the discussion around that time.

My rapid response has been published online. I am just looking back at the REGAIN BMJ publication and it seems that they had to correct their main conclusions to state that the results were based on a specific population of patients, namely adults with post-covid-19 condition at least three...

I have submitted my letter. At least I think I have; the page took a long time to submit.