Perhaps tangentially supporting the glucose problem. If your glucose energy production system is screwed, would lack of starting energy not be a given ?
I do wonder about choice in an asymmetric power situation.
Many kids agree to things to either " please" the authority figure, or in the hope it makes them/ the situation go away.
If you are in an intensive therapy environment , ( do you have parents/ advocates?) , how much control do you...
When professionals still do not understand PEM, what chance do kids and their parents stand?
It' s the same crass supposition that " fatigue" is the most important aspect- that somehow cognitive function is not an intrinsic part of an energy envelope :banghead:
Given that this age group has a better prognosis for recovery , without intervention, ( does this ever get allowed for as a variable ?) seems that more trees have been killed in vain
( To put it diplomatically) .
Given limited geographical reach could a licensed network of biobanks be established- perhaps linked to research establishments?
Is there a known difference, in gene expression, between rural and urban patients? Given pesticide and organophosphate use there may be differences? Or perhaps this...
I would agree re mild in particular. Education have difficulties construing the level of disability for mild. It is not like "mild diabetes", " mild asthma", it requires a totally different mindset.
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