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  1. InitialConditions

    Do Medications Actually Help in Patients with Postural Orthostatic Tachycardia Syndrome?: A Qualitative Study, Uppal et al., 2026

    Abstract Background Postural orthostatic tachycardia syndrome (POTS) is a chronic autonomic disorder associated with debilitating symptoms. No medications have been approved for treatment, and patients commonly use off-label medications to treat symptoms. The hemodynamic implications of certain...
  2. InitialConditions

    2011 BMJ article: Researchers get £1.6m to look at scientific basis of chronic fatigue syndrome

    You can check the publications associated with each project by clicking 'Publications' on the corresponding project's UKRI page, e.g., https://gtr.ukri.org/projects?ref=MR/J002720/1&pn=0&fetchSize=10&selectedSortableField=firstAuthorName&selectedSortOrder=ASC for the Ng study of fatigue. Note...
  3. InitialConditions

    2011 BMJ article: Researchers get £1.6m to look at scientific basis of chronic fatigue syndrome

    https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.29.1_supplement.1055.34 + others listed on the UKRI project site (see note in the next post).
  4. InitialConditions

    The Guardian: 'Long Covid is still here. I know – my life came to a stop because of it' -

    Garner's not going to be able to contain himself reading this
  5. InitialConditions

    Still to open Australia: Double Blind 12 week Clinical Trial to investigate the effects of low dose naltrexone (LDN) in individuals with ME/CFS

    This is ambiguous to say the least. The Facebook post says nothing about long covid, but the poster says participants must be diagnosed with "ME/CFS to CCC/ICC and long covid."
  6. InitialConditions

    Postural orthostatic tachycardia is not a useful diagnostic marker for chronic fatigue syndrome, Roerink et al. 2016

    This survey estimated 27%: https://meassociation.org.uk/2023/11/the-me-association-postural-orthostatic-tachycardia-syndrome-survey-results/
  7. InitialConditions

    Postural orthostatic tachycardia is not a useful diagnostic marker for chronic fatigue syndrome, Roerink et al. 2016

    Ok, but that means you have to measure blood pressure, which it sounds like they didn't do for half the test. Active stand rather than TTT will likely explain the low POTS rates. I don't trust anyting from Knoop + co having looked into some of his work.
  8. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    Yep. We are perfectly capable of reconditioning ourselves — if only our bodies would allow that.
  9. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    I think they are seeing things through the lens of exercise science, because most of them are exericse scientists. The focus on physical exercise and rehab is party, I think, because many still think PEM is just about exercise intolerance — this is something I tried to convey in my response. So...
  10. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    Ah ok. Yes, these are not blanket statements — they are refering to the individual patient, but perhaps that's not clear. "if there is no evidence of deconditioning in a patient" night have been better.
  11. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    The crux is what is driving these abnormalities. You could get similar results, for example in CPET, from very different mechanisms, which is sort of what Charlton et al are arguing. I don't intend to argue that deconditioning isn't present in some patients, only that we should challenge the...
  12. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    I have just subitted the following rapid response. Not sure how often this journal publishes RRs, and this might be too off-topic for a sports medicine journal, so I'm posting here. It was helpful to get my thoughts in order, but now I need a break. -- Post-exertional malaise cannot be reduced...
  13. InitialConditions

    Post-exertional malaise and the myth of cardiac deconditioning: rethinking the pathophysiology of long covid, 2026, Charlton, Wüst et al

    For me, the issue is the simplisitic cause–effect language that is used to describe exertion and PEM. It's just not that simple in reality. There seems to be an element of randomness and it's very easy for patients to fall into the trap of over-attributing PEM and crashes to exertion/activity...
  14. InitialConditions

    UK Government Delivery Plan for ME/CFS, published 22nd July 2025

    Thread here about a FOI request by @Lucibee showing pitiful numbers of NHS staff taking the ME/CFS Delivery Plan e-learning courses. https://skyview.social/?url=https%3A%2F%2Fbsky.app%2Fprofile%2Flucibee.bsky.social%2Fpost%2F3megstha5j22m&viewtype=tree Twitter link here:
  15. InitialConditions

    Semaglutide ameliorates osteoarthritis progression through a weight loss-independent metabolic restoration mechanism, Qin et al., 2026

    Highlights • Semaglutide alleviates OA in a weight loss-independent manner • Semaglutide shifts chondrocyte metabolism from glycolysis to oxidative phosphorylation • Semaglutide exerts its chondroprotective effect via the “GLP-1R-AMPK-PFKFB3” axis • Semaglutide could serve as an effective drug...
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