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Is a crash just the culmination of pushing yourself and ignoring the warning signs from PEM? A massively amplified exacerbation of PEM?

At the risk of exposing my statistical ignorance, there were 4 trials arms in PACE, each with 4 objective outcome measures, which equals 16 separate measurements in total. At a significance level of 0.05 there is a 1 in 20 chance of a random result. 1 in 16 is getting close to 1 in 20. If that...

Bold statement. Very bold. Plus, it assumes that all 'neurological' symptoms are driven by the neurological system. Could be the endocrine or immune systems that are doing the driving, for example. Apart from placebo effects not yet being demonstrated to be significant and sustained (with...

It is infuriating. Clearly there is something profoundly rotten in the heart of mainstream medicine. The fact that they have been able to get away with this for so long, and continue to do so, just proves how much political protection they have, and how willing they are are to use for ill...

At what point does this become criminal negligence? The IOM report came out 7 years ago.

They really are not letting go of the deconditioning angle. They have learned nothing. Are Dr Gough, et al, prepared to sign binding contracts taking full professional, moral, and financial responsibility for any adverse outcomes for patients?

Well said, @Trish.

Maybe 'exercise' has a specific meaning in medicine, like malaise does. But the use of exercise instead of activity is an issue for me. Any and all activity, including basal metabolism, is a problem for us. Inability to exercise is just a subset of that problem

Manipulating the Response Bias for Fun and Profit.

Woo and personal testimony go together like a horse and carriage. :emoji_musical_score:

:mad::mad::mad: How blatant does this have to get?

'Woo cures all' is a major red flag.

Based on very low-low quality evidence. Marketing, par excellence. :sick:

Call me a cynic, but I am guessing it is a lucrative program.

Yes, we do need to be careful here. There will be a lot more going on behind the scenes than we will ever know. Cochrane is the last big medical institution left nominally supporting the psycho-behavioural claim about CBT/GET, so fans of that approach will be fighting particularly hard there as...

No advance in three decades. We have heard this song before.

I am worried that long term sleep problems will have consequences for my physical health WTF is wrong with having that concern? IIRC, chronically poor quality sleep is well known to be associated with, and probably (partly) causal of, lower quality physical health. Society has been bombarded...

But they have already declared us mentally ill. QED. :rolleyes:;)

Which is exactly the situation they want. Ambiguity suits them fine. The moment they start gathering data that allows causal relationships to be clarified their pseudoscience will be exposed. That is why they are working so hard to lower methodological standards. So they can can eliminate the...

:thumbsdown: