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  1. InitialConditions

    In your opinion, what has changed, if anything, in ME/CFS research in the last 10 years? If it has, what do you think was the catalyst?

    One of the biggest changes has been Germany and Austria coming on board. I'm not entirely sure what sparked that but it was probably the jump in cases due to covid.
  2. InitialConditions

    Ambient AI in primary care: an exploratory mixed methods survey of UK general practitioners, 2026, Blease et al.

    The transcript from my most recent GP appointment, which is viewable on the NHS app, was a complete mess. About half the words were wrong. Not sure if AI or not. The next time I checked the transcript had been corrected.
  3. InitialConditions

    Postural Orthostatic Tachycardia Syndrome (POTS) and Dysautonomia: International Multidisciplinary Expert Consensus, Sivakoti et al, 2026

    Dysautonomia is about as neutral a term as you can get. The term specifies *autonomic* nervous system dysfunction, not just that it's connected to the nervous system. The common thread through this pattern of signs and symptoms is altered function of the autonomic nervous system, some of it...
  4. InitialConditions

    Open TRI-ME: Trimetazidine to treat Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A double-blind, randomised, placebo-controlled efficacy trial

    https://redcap.deakin.edu.au/surveys/?s=4TC9WCPFXETWHMN7 There are some very suspect claims on here about reversing mito energy issues etc.
  5. InitialConditions

    Postural Orthostatic Tachycardia Syndrome (POTS) and Dysautonomia: International Multidisciplinary Expert Consensus, Sivakoti et al, 2026

    What is the claim about pathology? This is just terminology for the sake of the paper. They explicitly say that they are not proposing this term is introduced beyond the scope of the paper. The conflicts of interests are listed at the end of the paper, under Disclosures.
  6. InitialConditions

    Postural Orthostatic Tachycardia Syndrome (POTS) and Dysautonomia: International Multidisciplinary Expert Consensus, Sivakoti et al, 2026

    Postural Orthostatic Tachycardia Syndrome (POTS) and Dysautonomia: International Multidisciplinary Expert Consensus Abstract Background Current diagnostic criteria for postural orthostatic tachycardia syndrome (POTS) require history of orthostatic intolerance and heart rate elevation of ≥30...
  7. InitialConditions

    What to do when in PEM

    This is exactly what I suffer with. Much worse in PEM. It's like just looking is an instant trigger — the brain can't cope with processing vision, especially from a screen. And I get the burning eyes too.
  8. InitialConditions

    Review JAMA - Postural Orthostatic Tachycardia Syndrome (POTS) A Review - Chung, Raj, 2026

    Yes, we absolutely need more research on this, in both POTS and ME/CFS. We know some of the key mechanisms likely driving orthostatic intolerance, haemodynamic alterations and compensatory tachycardia, though we need more and better quality evidence. The hard part will be understanding their...
  9. InitialConditions

    Review JAMA - Postural Orthostatic Tachycardia Syndrome (POTS) A Review - Chung, Raj, 2026

    This is exactly what POTS is. Let's just focus on POTS. I don't follow this. What is the definable physiologic abnormality in POTS? Are you talking about the tachycardia criteria? If so, I agree that the syndrome should not be centred on this trait. We have had these conversations elsewhere...
  10. InitialConditions

    Review JAMA - Postural Orthostatic Tachycardia Syndrome (POTS) A Review - Chung, Raj, 2026

    You think POTS is a bogus syndrome? Why would POTS be a bogus syndrome but ME/CFS not? Or is ME/CFS a bogus syndrome too? The epidemiological evidence that POTS exists is of the same form as the epidemiological evidence that ME/CFS exists.
  11. InitialConditions

    Review JAMA - Postural Orthostatic Tachycardia Syndrome (POTS) A Review - Chung, Raj, 2026

    The abstract looks pretty reasonable to me. Good to get a review in a top journal.
  12. InitialConditions

    A cardiometabolic perspective on [PEM] in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID, 2026, Westermeier et al

    Probably no peer review either judging by the dates of submission and acceptance in the above screenshot.
  13. InitialConditions

    A cardiometabolic perspective on [PEM] in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID, 2026, Westermeier et al

    I agree... a whole lot of words but not much more. I was going to say that I also don't understand why this is published in Cadiovascular Diabetology, but perhaps this explains why:
  14. InitialConditions

    United Kingdom: News from Forward-ME Group

    She did, but also recovered in around a year. I wonder if it was more of a PVFS thing.
  15. InitialConditions

    Help me name a US advocacy organization focused on ME research funding/lobbying

    I wouldn't be surprised if she makes a reasonable recovery and can resume her old career. She seems to have several things in her favour from what I can tell from her videos and posts.
  16. InitialConditions

    Help me name a US advocacy organization focused on ME research funding/lobbying

    I would not be in favour of tying a name to any one person. It's a recipe for disaster.
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