piece in Washington Post by Julie Reymeher, Jen Brea and Brian Vastag
https://www.washingtonpost.com/health/long-haul-covid-patients/2020/10/23/ab7c5324-0712-11eb-9be6-cf25fb429f1a_story.html?fbclid=IwAR3bJ6QHbmTMzkg9YV6jEybvkGPpAgstVE0EdrCGbezeO9E6PArfTML57KY&mc_cid=a292066a60&mc_eid=7dd94a557c
Apologies if this sounds garbled ( and it could well be wrong ) , I looked at PPP some time ago when.looking at D Ribose as a means of reducing PEM.
Is the pentose phosphate pathway more energy intensive ? Ie net energy deficient and takes some time to generate ATP.
I have no doubt psychological stress can play a role, but THE role ?
PEM inducing stresses would seem more likely, especially if in a state of rolling PEM.
Thanks @Midnattsol .
I wondered if the lack of ATP upstream caused a mitochondrial feedback loop.
One complex is overproducing because the other is under producing .
It would be useful to know how many were female - other studies have flagged up a propensity for females to switch to aminos in preference to fat .
Also AMPK is a key signalling molecule which seems to have many functions , it modulates metabolism in many conditions including diabetes ...
Everyone else has to improve their " resilience" , or in other words it's your own fault if you can't cope. A get out clause for employer and workforce/ work dynamics.
This has been the buzzword/ favoured instigation for recent years.
at the other extreme - given one of the female spikes for incidence is puberty - does the rise in estrogen in puberty have some significance re immune function that may contribute to onset?
You can drive a horse and cart through most of the papers quoted.
The concept of an asymmetric power relationship seems lost. When you have the very real consequences of failure to attend, an expectation of progressive, linear improvement , and so little understanding , diaries...
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