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There have been discussions for a long time between patients, though not everyday discussions, that a pandemic or major outbreak leading to mass ME might be necessary to make people play attention. This does not make it desirable. Its more a silver lining situation. The tragedy is if the medical...

Not if you do something like 16/8 fasting, also known as eating time restriction. You can eat more or less normally, just not during 16 hours a day. Prolonged fasting might be a problem. However it is claimed, and I have not seen proof, that fasting makes the body more careful with nutrients.

It does appear that fasting can induce changes in the immune system. However you have to ask what kind of changes? The notion of a reset is problematic. I do think short fasts might help many of us, they are helping me, but given that so many of us cannot reliably get food and fast a lot anyway...

I am hoping that the nanoneedle, or other blood test, might decrease the need for exercise tests. Force our blood cells to exert and see their failure ... that is enough.

My current hypothetical stand is the distinction may be arbitrary. It may just be putting a different label to the same underlying physiology.

o_O Gotta give up reading psychobabble I guess ...

The problems we label mental illness are real and can be devastating. The theories and ideas being used in much of psychiatry are hugely speculative even now. The very concept of mental is a problem. I prefer thinking about brain function. The problem here is that the brain is still largely not...

There is a blurred line between these two when you consider that often most of the symptoms are due to the immune response, and that does not switch off overnight.

.. or they were asymptomatic, or had only very mild symptoms?

Please keep us posted, but I am hoping I next read you recovered or at least went back to your normal. I am not counting on it, but we all deserve to recover.

Most cold and flu symptoms are indeed caused by the immune reaction. Only late stage damage is unique to the virus. Indeed a hyper immune response is a major way to die from the flu. Its the immune system that kills you in a lot of cases.

Exactly. I think we will be seeing researchers figure out pieces of this puzzle for years. We should not assume anything about any new virus.

Said in my best stupid voice ... "duh, but its just a flu isn't it?"

I have read of rare cases lasting 5 years. Not at all common though.

Yet the research indicates that some of those with MS do not have PEM. We need to be able to identify PEM objectively, and currently only repeat CPET seems to do that, and its not ideal as a general test.

This is a point I have been making for five years. SEID+exclusions might be workable as a research criteria, but as has been discussed since 2015, how PEM is operationalised is critical.

That is a direct implication of the IOM report, and from memory was emphasised in that report or the associated discussions.

That list looks like exercise intolerance, not PEM.

Hi, this is still my suspicion. What intrigues me, hardly proven, is that fasting increases catabolic activity.

Some years back, and with my memory I am not sure when, I woke up one morning and had trouble seeing. After blinking a bit and closing one eye then the other, I realised I was blind in my left eye. I also developed more severe type 2 diabetes, which is not treatable by any of the drugs. So I...