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@Barry Stamina is a measure of how long you perform something at a set rate? Does power require more muscle strength? Thanks. I read your explanation and I think I understand.

@Barry Is power the same as stamina? I don't do things slowly, in fact I'm much faster than most. It's my nature. My problem is the next day after activities, I don't have the stamina and need to take it slow and rest. Does that make sense?

@Midnattsol Moving and walking within my limits helps relieve stiffness/soreness, and walking in nature lifts my mood. I feel a little extra energy the next day. My guideline is PEM avoidance, but it's the unknown that worries me a little.

What exactly is occurring with pwME who are able to do mild forms of exercise? Is this actually beneficial for us considering we have disturbances in fatty acid and metabolism? I'm able to do mild exercise, and cross my fingers that I'm not making things worse long term.

I wasn't feeling fatigued during my viral onset for 9 months, but I couldn't stand or walk for very long. It wasn't "fatigue". The ME doctor I saw in 1992 asked if I had weakness or fatigue, and I said I don't know, but it's not weakness.

I definitely have an 'energy envelop', so I can predict how much I can do before I need to get off my feet and lie down. But I do have periods or just a day or two, when I can't climb a flight of stairs. It doesn't give me PEM, it's just that I can't walk too far or climb the steps...

@Kitty My initial 'recovery' from my viral onset took 9 months. I was well enough to return to work, only to relapse 4 weeks later and became permanently disabled.

@Kitty https://meassociation.org.uk/wp-content/uploads/MEA-PVF-and-PVFS-Following-Coronavirus-Infection-30.04.20.pdf WHAT IS POST VIRAL FATIGUE (PVF) AND POST-VIRAL FATIGUE SYNDROME (PVFS)? Some degree of post-viral fatigue (PVF) or debility is a fairly common occurrence after any type of...

Ron Davis was measuring tryptophan in CELLS not in plasma.

It's odd for me when I read about 'long term' post COVID patients (3 months) after having ME for almost 30 years.

:hug: I hope this passes soon.

Mono is quite common among tennis players, some recover while others don't. This could be key to better understanding the pathophysiology of ME.

It is also similar to post-infectious EBV (without ME). There are several pro tennis players who have never regained their athletic abilities after contracting EBV.

:emoji_face_palm: I'm confuses. Are they talking about PEM or aerobic exercise. I've known 3 people with FM in real life who didn't experience PEM after over exertion or exercise. I personally don't perceive exercise as "effortful" for the most part. My issue is how I feel the next...

When the autonomic nervous system begins to malfunction it affects all bodily activities. It controls heart rate, respiration, digestion, perspiration, pupil dilation etc. The system reaches the brainstem and sends signals to the deepest parts of the brain. Dysfunction there can cause...

Just wait until they discover the term PEM.

When I worked at a clinic, I met many healthy seniors (80-90+years) who attributed their long life w/o severe illnesses to exercising and nutrition, or sharing their 'secret' of eating a can of sardines once a week. I used to believe this until . . .

He's also 90+ years old!

I'm reading through physician "Muir Gray" twitter, he's not understanding the differences between deconditioning and post-viral fatigue syndromes. He is advising various forms of exercise on twitter. Perhaps I'm misinterpreting him, but he comes across as a bit flippant.

I'm guessing the latter?