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Exactly. It's cumulative activities outside of a pwME 'energy window'.

Do they know (yet) whether these are new infections or reactivated infections?

Researchers at McMaster and Brock universities in Canada have developed a hand-held device that can provide rapid measurements of cancer biomarkers in blood samples.

The immune response to the vaccine might not last, and then we will need a booster shot monthly (twice?) or yearly? My second Hep B jab was the 'one' that negatively affected my stamina and brought me down.

@Leila I'm not anti-vaxx either. But, during my sudden ME viral onset I was vaccinated x4 (!) within a 2 month period. It was terrible timing and I'll never know if that triggered ME. I have not had a vaccine since (28 years). My immune system feels like it has been over active...

How does everyone feel about making this vaccine mandatory? Or can they?

@Jonathan Edwards So wearing a mask is much better at preventing us from contracting the virus in the first place. Not as practical as getting a vaccine, but something I would prefer.

The spinning type vertigo in my experience is a viral onset. I eventually stop spinning, but the equilibrium imbalances remain for several months. Since my onset was sudden viral vertigo, I think I may have some sort of injury in my vestibular system. The other equilibrium issues...

There are many causes of vertigo too.

Any type of exercise that causes PEM is not suitable. After many years, I'm still not confident that power walking (which I can do for an hour) is ok even though it doesn't trigger PEM. It can take years to realize with proper before and after testing (Workwell Foundation) to actually...

@butter. 4:30 minutes "some improvement".

Isn't that the definition of insanity? :emoji_thinking:

@Ravn My main issue is putting pwME into categories of 'mild, moderate and severe' and expecting a different outcomes.

No no no. I would have been considered "mild" in 2000. I was functioning at 80-90% as long as I got adequate rest in between activities. Some days I had to rest longer for whatever reason. I was not "restored" 3 days after exercise, yes I felt better, but I could not exercise...

https://dm5migu4zj3pb.cloudfront.net/manuscripts/132000/132185/JCI132185.v3.pdf

How many of these services are experienced in post-infectious autonomic dysfunction? ME is so not about fatigue.

I have watched short interviews with some of the supporters attending the rally in Florida, many don't have any issues with contracting the virus and referring to it as the 'flu'. They don't trust Dr. Fauci. One women said if Trump told them to wear masks then they would wear them. One...

https://www.bmj.com/content/371/bmj.m3434

to add . . . I'm not sure why the ME doctor prescribed it for me in the first place? I didn't have pain or any issues that would require any prescription except for a viral infection that was pretty much resolved by the time I saw him as a patient.