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But that is the definition of PEM (post exertional malaise).

During incremental exercise pwME oxidative stress enhanced earlier and antioxidant response was delayed. Don't know if this applies to other health conditions or if it's a normal response, but this was the case for me.

I understand your concerns. I think I may have been exposed to COVID early on, but I think a few weeks is still a very short period of time to be concerned? I've had viral infections that lasted for several months, including the one I'm currently dealing with. I'm very slowly improving...

Well 'brain fog' is also a prominent common symptom for so many other health issues too. I don't experience 'brain fog'. I started experiencing cognitive issues 10 years into the illness from exercising that continuously caused PEM. I hope this isn't going to become a focus piece for 'ME...

I know this wasn't addressed to me, but my experience is that 'crashes' can be caused by many triggers, such as food sensitivities, allergies, sensory issues (noise, fragrances, light overload), emotional stress, ignorant remarks etc, for me it's an instant reaction. When in PEM, it is...

People older than 80 accounted for 71 per cent of Canada's COVID deaths, followed by those aged 70 to 79 (18 per cent) and 60 to 69 (seven per cent). Together, those three groups account for more than two-thirds of all COVID-19 hospitalizations. To date we have 10,032 deaths in Canada.

"A small but growing body of research suggests as many as one in 10 people who get COVID-19 may fall into the long-hauler category". I don't think that's accurate. That would be a lot of people with long COVID!

But the backlogs to clear surgeries that were postponed in some Canadian provinces are up to 84 weeks. In Ontario between March and June hospitals accrued a backlog of 148,364 procedures. Surely there will be deaths as a result when all the data is collected?

Well I for one consider you to be a very astute smart lady.

My sister has Hashimoto and craves carbs and sweets. We can eat the same amounts of carbs/sweets and she will gain weight, but I won't. She is also quite active.

Adding muscle to your body burns fat because, well, muscle needs energy to survive. My muscle mass has decreased quite a bit in the last 5 years, but I'm still not gaining pounds, it's just that my body weighs less because I have less muscle. Muscle is heavier than fat.

I now refer to GET as Gaslighting Exercise Therapy. Gaslighting is very subtle. It’s not until you’re pretty deep into it that you realize you're worse off.

+1 Very important point. It doesn't even have to include exercise, it can be normal cumulative activities over time that can lead to becoming disabled.

I've always eaten a high protein diet. I feel better/stronger with a protein rich diet from meat products, but my amino acid test indicated low/poor values.

My sister had RLS back in 2012 when she came to visit and we tried to get to the bottom of what was causing it. She had low ferritin and was later diagnosed with Hashimoto's. She is being treated for HD, and when her iron levels were brought up to normal range her RLS went away.

Our Leaders in Canada to Canadians, "grow up". I agree.

Diet and custom made formulas based on my test results didn't prevent or correct the problem. Yes, deficiencies can be corrected with supplementation, but it doesn't address the underlying pathology.

Based on her information, this is she: https://www.linkedin.com/in/pooja-yerramilli-4676413a Young :(

@Kitty I wonder what the results would show before and after exercise, and if that would highlight what is occurring with PEM. Perhaps no difference?

"Muscle biopsies obtained from the vastus lateralis were collected from 9 CFS patients and 11 age/sex matched controls. On the day of biopsy, CFS patients completed a fatigue impact scale (FIS) questionnaire so that functional limitations due to fatigue could be measured25. Age, gender and body...