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    Have there been any high-profile critiques of open-label, subjective-measures BPS randomised trials? If not, why not?

    We've been subservient to a psychology culture since the early days of TV. That's only worsened by institutions like the NHS and NIH and CDC. I don't think I'm alone in saying I was raised to look at psychologists as the arbiters of reality. To look at disinterested researchers within the NIH...
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    PEM-like descriptions and accounts in non-ME illnesses

    My wife was born with Andersen-Tawil Syndrome, a potassium channelopathy. She has classic ATS1, and as such one muscle noticeably affected is her heart muscle. This can manifest in atypical Long QT, or cardiomyopathy or even heart failure. The thing is this: It's not immediately following...
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    Case report: Effect of ECT on chronic fatigue syndrome 2024 Novakovic et al

    By this logic we should also consider heat therapy, open-ended antibiotics, exercise, and prayer. Each of these has been anecdotally reported to help - and pretty much without the psych repercussions of ECT. Desperation is desperation, but it should not be the foundation of a therapy imo.
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    Cognitive assessment in ME/CFS: a cognitive substudy of the multi-site clinical assessment of ME/CFS (MCAM), 2024, Lange, Unger +

    This is a step in the right direction, but I worry about the abstract/summary; many clinicians will jump to results and conclusions and only see I've taken five tests of this type over the last several years, and I've found them generally off-mark. They need to compare premorbid scores of...
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    Oral minocycline therapy as first-line treatment in patients with Myalgic encephalomyelitis and long COVID: A pilot study, 2024, Miwa

    I recall 15 years or so ago mentioning a similar phenomenon, but involving one of the tetracyclines' effect on MS, with one of my doctors. I seem to remembering him being dismissive and suggesting those MS patients probably were misdiagnosed. I didn't respond one way or the other, but I didn't...
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    Unknown disease with flu-like symptoms kills almost 150 sparking pandemic fears

    Unknown Disease With Flu-like Symptoms Kills Almost 150 Sparking Pandemic Fears Replace "kills almost 150" with "permanently debilitates almost 150", and I suspect the rest of the headline would sink like a stone. This is the truth behind cultural aversion to chronicity.
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    Establishing a consensus on ME/CFS exclusionary illnesses 2022, Jason et al

    I see under infectious diseases they've listed Lyme disease and parasitic diseases. How do they definitively know whether someone actually has Lyme disease or a babesiosis strain or a bartonella strain? Seems like they are comfortable building in a number of assumptions that may muddy the...
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    PEM-like descriptions and accounts in non-ME illnesses

    Channelopathies have PEM-like delays of symptom exacerbation, typically 12 to 24 hours after exertion. What I find particularly interesting is their version of PEM comes after resting following exertion. Mornings are frequently bad for such people precisely because rest is involved.
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    Exhaustion in ME/CFS, what is it and what causes it - discussion thread

    True. In fact, my wife is normokalemic, and her channelopathy has had its gene - KCNJ2 - identified and verified.
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    Have you limited your activity more than you needed to?

    I think the question for many pwME is somehow wrong or misapplied. A PEM threshold is not necessarily set; it can vary. So a limit that you observe one day may not apply in 30 days. I can shuffle around some days for over 20 minutes, but on others, such an extravagance can result in bad stuff...
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    Could there be an on/off switch for ME/CFS and if there is, what would that tell us??

    Or a third party antigen allowing for this EBV emergence, i.e. there's an immune dysfunction that provides for the reactivation of EBV that was established though a different pathogen. I'm not clear on how either could be turned on or off by any mechanism; that doesn't mean it can't happen.
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    Preprint Chronic Viral Reactivation and Associated Host Immune Response and Clinical Outcomes in Acute COVID-19 and [PASC], 2024, Maguire+

    It's possible this study inadvertently demonstrates a concept of immune tolerance, and by extension, its implications. I am not referring to it as it pertains to protecting embryos. In some circles, in theory at least - and if I'm not mistaken - this framing of immune tolerance relates to how it...
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    CoRE: Long Covid, Lyme and related conditions clinic at Mt Sinai hospital

    I cannot navigate their website. I'm curious as to the credentials of the researchers and clinicians involved in all three diseases, but particularly Lyme. This is in New York. Who are their ME/CFS experts? They're are plenty of good names in that area. Lyme experts? LC? I would think the...
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    News from the USA, United States of America

    If it gets this far, they should expand the search during those autopsies to include other pathogens.
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    The Concept of ME/CFS

    There are a couple words that may lose their conventional meaning with ME/CFS. Balance/vertigo/dizziness come to mind. Neuropathy. Brain fog - yuck, but it's accepted (personally I'd opt for cognitive decline and the erosion of clarity). Ditto for malaise, not happy with it. But all of these...
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    Perhaps, even if ME/CFS is very much tied into energy issues, PEM is triggered by something other than exceeding or insulting energy thresholds, e.g. heart rate or blood flow or vascular impairments of a sort.
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    I've learned over the years to mitigate or often avoid PEM from overdoing things "physically" , that is walking, lifting etc, so I may be off in this, but it seems to me that those produce PEM in 48 hours or so. But emotional stress or heavy and prolonged concentration will total me within 12...
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    Is PEM triggered by physical exertion the same as worsening triggered by sensory stimuli, cognitive exertion or emotions? What are the implications?

    My first thought relates directly back to the thread title: There is an argument that says emotional stress and sensory stimuli result in forms of exertion, e.g., heart rate, breathing etc. Concentration and focus are forms of exertion, too. If anything, there may be a consistency between what...
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    Hampshire and Isle of Wight

    Yes, it may help to see it in black and wight.
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    The Concept of ME/CFS

    You may be correct. In my layman's way, I've seen enough cannibalism among the medical community - specifically over contested diseases - to leave me with the impression that most doctors just won't give a shit what or how anything is explained to them, even from a respected and credentialed...
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