Cortisol - my favourite measure
Plasma cortisol mol/L
Patients Mean 334 Standard deviation 151
Controls Mean 349 Standard deviation 202
Look at the difference between the means, relative to the standard deviations for the samples. There is no difference, nothing at all to suggest that...
Yes, it's like they don't want to say 'there is no effective treatment'.
'poorly responsive to several allopathic and alternative therapies'
Allopathic medicine is
So, they are saying the symptoms are poorly responsive to several conventional drugs and alternative therapies. It's such an odd...
That final author is the BPS Wyller.
(crosspost) Note the definition of CFS - 3 months of unexplained fatigue of new onset.
The paper notes that previous attempts at relating gene expression to clinical symptoms of CFS have struggled, and that it might be because things are rather...
https://pubmed.ncbi.nlm.nih.gov/28494812/
Whole blood gene expression in adolescent chronic fatigue syndrome: an exploratory cross-sectional study suggesting altered B cell differentiation and survival
Chinh Bkrong Nguyen 1 2, Lene Alsøe 3, Jessica M Lindvall 4, Dag Sulheim 5, Even Fagermoen 6...
(Thread created at the request of a member)
IQWIG
The independent Institute for Quality and Efficiency in Health Care (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, IQWiG) examines the benefits and harms of medical interventions for patients...
It's not the worst review I've seen, but you know that's a very low bar. Sorry, but this is disappointing, it seems superficial. It doesn't change my view of Bansal as teetering on the edge of BPS thinking.
What is that actually saying? That immune dysfunction might be involved, but it might...
This reinforces the need for epidemiological studies of the prevalence of ME/CFS and Long Covid in some of the parts the world that are so often left out of medical research (and not just in less wealthy countries - we know nothing about the incidence of ME/CFS in Australian indigenous people)...
This is important.
There is IACFSME - I can't see them organising an international response, but can anyone in that organisation say what approach they will take to respond to this? Lily Chu @hope123, Keith Geraghty?
There is the IAfME or whatever acronym they are using. There was a brief...
I have a bit of sympathy with that point too. I think the NICE Guideline made energy management/pacing sound a lot more like a therapy, a lot more scientific, than it is. That was a product of the therapists wanting to be needed, wanting to be the experts, wanting to write energy management...
That would be the Chronic Pain Guideline, the one that recommends acupuncture and did not involve patient organisations. The guideline that doctors had this to say about:
It's the Guideline that 150 pain specialists wrote to complain about:
(not to mention the (lack of) evidence for...
They (the BPS people) have been busy. They don't seem to have even got all the things they think they agree with right:
It's actually ME/CFS. And the guideline did not suggest that GET is an evidence based therapy for CFS/ME or even ME/CFS.
The guideline doesn't use the word negotiate...
In Nature Cardiovascular Research, authors are associated with
Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Department of Medicine, Division of Infectious Diseases, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Department of Medicine...
Yes. I think it is particularly needed if Stanford is still prescribing Abilify to new ME/CFS patients.
Like I said, there could be a trial done on those who think that they are getting sustained benefit. How many people do you think there - would there be 20? The ME/CFS clinicians at Stanford...
Yes. I've said it before, even if we can't achieve anything at all, our contribution to human progress can still be greater than that provided by people dedicated to pushing BPS agendas. Even people awarded knighthoods, who are widely feted as successful, may in fact have caused net harm to...
Patient groups might have had a fair excuse before translations facilities on the internet. Now it's just a matter of running papers through some software.
The patient group helped these Spanish researchers source participants for the study, a lot of participants. Basic due diligence would...
That sounds about right to me. It took about 4 years before I was tested to rule out an endocrine disorder, and that was as a result of a lot of pushing to get seen by a specialist (an infectious diseases specialist, by chance). My cortisol and ACTH response were fine, but I think people with...
It is interesting - to get statistically significant results with such a small sample suggests that there might be something here.
The researchers paid attention to pre-testing factors that might confound things e.g. the matching of participants and
I thought salt intake might differ, as...
I'm sure you are right. But they suggest that this paper is important. It is far from the first paper to find symptom overlaps between Long Covid (or at least a subset of Long Covid) and ME/CFS. And other papers have done a better job of describing that overlap.
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