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i It’s so nice to see that one of their advisors is Paul Miller. Must be a great comfort to them.

make “unrefreshing sleep and concentration problems mandatory” the characteristic sleep problem of ME is reversal of the day and night rhythm and I don’t suffer from unrefreshing sleep. You don’t need to have concentration problems and I certainly don’t have them. I have bad cognitive problems...

Will those responsible, ever be held accountable?

Thank you, but I didn’t think it was. That’s very true and as always there is always criticism during the peer review process but also a compliment in the form of “excellent paper”.

No that is not correct. I had challenges because of the severity of my disease but also because it’s an extensive analysis of the Anomalies article.

Thank you for the compliment, much appreciated

Professor Todd Davenport, specialist in exercise physiology, commented on the study’s findings in the following manner: “The analysis is so spot-on. Thank you for getting it out into the world.”

Thank you!

Thank you!

Thank you. I had difficulty finding that sort of literature which shows the problems of GRADE. Can you recommend a good article about that?

Why is GRADE garbage?

In other words you are the exercise physiologist and they are not? “To document and assess PEM in CFS, a 2-day CPET was conducted to measure baseline functional capacity (CPET1) and provoke PEM. Twenty-four hours later, a second CPET assessed changes in related variables, focusing on PEM...

“The 2 day testing protocol is particularly helpful in documenting post-exertional malaise (PEM) and symptom exacerbation following physical activity” https://workwellfoundation.org/testing-for-disability/

The answer is actually pretty simple. If the original article is open access which it is, then a response should also be open access, but sometimes as we have seen before that needs to be pointed out to the (editor of the) journal

do you have a copy for me please.

Well, for example, from that anomalies article: “PW…receives personal consultancy fees from Swiss Re reinsurance company”

“a substantial number of patients with severe fatigue do not have deviant physical activity levels“ yes obviously, if you are very tired, your level of activity is the same as when you’re not tired.

Well done!

strange form of reasoning

That was a quote from the recover study, or I should say from the reply from the authors from that study, so they say that applies to the people with long Covid in their study. and I fully agree with you it doesn’t make sense, it sounds more like a copout.