pem

  1. forestglip

    Preprint Safety of Cardiopulmonary Exercise Testing in Patients with Severe Post- COVID-19 Condition: A Matched Case- Control Study, 2026, Weber et al

    Safety of Cardiopulmonary Exercise Testing in Patients with Severe Post- COVID-19 Condition: A Matched Case- Control Study Abstract Patients severely affected by post-COVID-19 condition (PCC) and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) exhibit reduced physical capacity...
  2. John Mac

    Irisin Signaling Resistance in ME: A Proposed Mechanistic Framework for Post-Exertional Malaise Involving the TSP-1–HSP90α–αvβ5, 2026, Moreau et al

    Full title: Irisin Signaling Resistance in Myalgic Encephalomyelitis: A Proposed Mechanistic Framework for Post-Exertional Malaise Involving the TSP-1–HSP90α–αvβ5 Axis Abstract Myalgic Encephalomyelitis (ME) is a chronic, multisystem disease characterized by systemic metabolic dysfunction and...
  3. SNT Gatchaman

    Impact of post-exertional malaise frequency and fatigue in Long COVID patients on health-related quality of life, 2026, Thölking et al.

    Impact of post-exertional malaise frequency and fatigue in Long COVID patients on health-related quality of life PURPOSE The aim of this study was to investigate the impact of post-exertional malaise (PEM) frequency and PEM severity on health-related quality of life (HRQoL) among individuals...
  4. Nightsong

    New Scientist: Exercise advice for long covid may be doing more harm than good

    Exercise advice for long covid may be doing more harm than good Exercise has been touted as a tool for managing and treating long covid, but much of the evidence has neglected one of its most debilitating symptoms: post-exertional malaise [url...
  5. forestglip

    Hypothesis Pathophysiological mechanisms of [PEM]: an integrative analysis based on the metabolism-immune-neuro interaction model, 2026, Jin et al

    Pathophysiological mechanisms of post-exertional malaise: an integrative analysis based on the metabolism-immune-neuro interaction model Abstract Post-exertional malaise (PEM) is a common core symptom in various chronic debilitating conditions, such as Post COVID-19 Condition (PCC, also known...
  6. nataliezzz

    Have you experienced being asymptomatic when not in PEM?

    I am curious how many people have experienced the phenomenon of being asymptomatic at baseline but still experiencing episodic PEM -- and when I say asymptomatic at baseline, that would include ability to do activities of daily living without rapidly fatiguing/bringing on symptoms - if you only...
  7. Nightsong

    Identifying post-exertional malaise subtypes: Differentiating physical and mental PEM manifestations, 2026, Tuzzolino et al

    Abstract: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a chronic illness with post-exertional malaise (PEM) as a key symptom. This study categorized participants with ME/CFS who met PEM criteria into four groups based on severity of physical and mental PEM: severe physical PEM...
  8. Nightsong

    Single cell epigenomic profiling identifies a distinct classical monocyte subset driving inflammation in ME/CFS, 2025, Iu et al

    Moved post --------------- There is a brief abstract in the supplement to the Journal of Immunology - Single cell epigenomic profiling identifies a distinct classical monocyte subset driving inflammation in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME) Not sure if this needs a...
  9. Chandelier

    Open Validation of the Vienna Post-Exertional Malaise Assessment Questionnaire (V-PEM-AQ) – Rob Wüst

    https://xcancel.com/robwust/status/1991503273484841039?s=12 Rob Wüst @RobWust ME/CFS & Long COVID patients: we need your help! We’re validating a new tool to measure post-exertional malaise (PEM). Current questionnaires don’t capture its severity or impact. Your input changes that! English...
  10. T

    Temporal dynamics of the plasma proteomic landscape reveals maladaptation in ME/CFS following exertion, 2025, Germain et al.

    Highlights • Plasma profiling of 7,288 proteins during post-exertional malaise in ME/CFS. • ME/CFS participants show sustained immune, metabolic, and neuromuscular dysregulation during post-exercise recovery. • Exertion disrupts T and B cell signaling, IL-17 pathways, and mitochondrial...
  11. M

    Cold or PEM?

    I am experiencing something new and I'm not sure how to interpret it. Recently, I stopped most of my anti depressants, and my head started to feel clearer in a subtle way. I actually started to improve. Last week I was feeling so well, that I almost started hoping that the extreme fatigue had...
  12. forestglip

    Post-Exertional Symptom Exacerbation after Sub-Maximal Exercise in Individuals with [ME/CFS] and Post-Acute Sequelae of COVID-19, 2025, Berardi et al

    Post-Exertional Symptom Exacerbation after Sub-Maximal Exercise in Individuals with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Post-Acute Sequelae of COVID-19 Berardi, Giovanni; Janowski, Adam; McNally, Samuel; Post, Andrew; Garg, Alpana; Sluka, Kathleen A. [Line breaks added]...
  13. Simon M

    Should we initiate development of a new, short questionnaire to identify PEM (to aid diagnosis)?

    I think it would help PwME if we had a short questionnaire that does a good job of identifying postexertional malaise (PEM), the cardinal symptom of this illness. It could be useful in two ways: 1. Doctors, especially those in primary care, could use it to help diagnose people who have ME/CFS...
  14. Trish

    A brief, comprehensive measure of post-exertional malaise, 2025, Jason and Chee

    A brief, comprehensive measure of post-exertional malaise, Jason and Chee https://www.explorationpub.com/Journals/ent/Article/1004116 Abstract Aim: Post-exertional malaise (PEM) has been a challenging construct to measure, particularly with self-report instruments, which have the benefits of...
  15. John Mac

    American College of Sports Medicine’s Guidelines for Exercise Testing

    New CPET Guidelines: What They Mean for People with ME/CFS The American College of Sports Medicine’s Guidelines for Exercise Testing and Prescription, for the first time, includes a section on ME/CFS. ACSM is a leading authority on exercise science, and these guidelines serve as a foundational...
  16. SNT Gatchaman

    Heightened innate immunity may trigger chronic inflammation, fatigue and [PEM]…, 2025, Che, Hornig, Bateman, Klimas, Komaroff, Lipkin+

    Link to published paper here Preprint: Heightened innate immunity may trigger chronic inflammation, fatigue and post-exertional malaise in ME/CFS Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is characterized by unexplained fatigue, post-exertional malaise (PEM), and cognitive...
  17. ahimsa

    DePaul University, Center for Community Research: Symptom Questionnaires

    I thought it would be helpful to post a link to the DePaul University web page with their symptom questionnaires: https://csh.depaul.edu/about/centers-and-institutes/ccr/myalgic-encephalomyelitis-cfs/Pages/measures.aspx
  18. Trish

    Open DSQ PEM survey - DePaul University, open October 2025

    Copy of Facebook post by Leonard Jason: From the DePaul Group: Are you 18 or older? Do you experience Post-Exertional Malaise? Or are you a member of the general population interested in contributing to research? We are conducting a brief online survey as part of a research study focused on...
  19. M

    Do sleep medication or sleep aids support PEM recovery?

    I am currently going through a pretty bad PEM episode (it's actually the first time I realise I have PEM; I used to call it 'a setback'). One of the symptoms is insomnia/sleep disturbances (trouble falling asleep and staying asleep). It makes sense to me that better quality sleep would support...
  20. John Mac

    Trial Report Precision Medicine Study of Post-Exertional Malaise Epigenetic Changes in ME/CFS Patients During Exercise, 2025, Tate et al

    Abstract Post-exertional malaise (PEM) is a defining symptom of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), yet its molecular underpinnings remain elusive. This study investigated the temporal–longitudinal DNA methylation changes associated with PEM using a structured two-day...
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