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    The Timeline of Post Exertional Malaise in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, 2018, Nielsen, Hodges

    I do wonder, though perhaps ethically difficult, if actimetry and some form of video would work . Video would capture any modification of " normal" For example my daughter' s posture changes during/ after PEM. Her muscles and tendons tighten which increases pain so her positioning/ stance...
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    Michael Sharpe: Mind, Medicine and Morals: A Tale of Two Illnesses (2019) BMJ blog - and published responses

    I suspect that the supportive variety of CBT can be a helpful tool. The issue is that people are not aware that there is a different type, so will have more trouble understanding why someone would refuse it. If the " special type" of CBT was explained, particularly as public awareness seems to...
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    The troubled history of psychiatry

    Yep. We are medicalising life.
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    RCPCH conference 2019 abstract: When chronic fatigue syndrome leads to mutism, Moeda et al

    Given the impact of this research can anyone bring it to the attention of biomedical/ exercise specialists for comment. Perhaps thus weeks conference is an opportunity. This is really dangerous . Too many children have not recovered from similar rehabilitation.
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    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    Yes. Our chiro trips are the one thing that gives some temporary relief. Chiro is amazingly gentle, but not local.
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    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    Same for my daughter. very tight neck. Tendons/ attachments can look / feel like bone at times.
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    Charity funding

    given the cost of insulin in US you can appreciate why it's not in their interests
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    Skin crawling/formication

    Has anyone found anything useful re the formication? This is currently a huge issue for my daughter - it is worse when sleep is poor and the catch 22 is she can't sleep if this is manifest, even if she does actually feel sleepy ( as opposed to exhausted). Looking back though diet and...
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    Efficacy of supplements

    For my daughter the following have impact Magnesium makes a significant difference . If not taken fatigue, pain, brain fog increase. CQ10 as ubiquinol Antioxidant My aunt is severely affected and had huge issues with heart palpitations, which significantly reduced after injecting magnesium...
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    Charity funding

    Interesting link from Twitter -
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    The science of craniocervical instability and other spinal issues and their possible connection with ME/CFS - discussion thread

    It is worth remembering that we exist in a somewhat parallel universe. The most iniquitous manifestation of the BPS worldview can be seen in @Binkie4 and @Graham ' s posts. The complexities of ME are not understood in a medical system which at best simplifies the condition and at worst denies...
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    David Tuller: Trial By Error: FITNET-NHS Recruitment Ad Promotes ''Recovery''

    I have concerns re recruitment. Gps presenting info like this to families for direct recruitment to trial ( how many gps can diagnose accurately?) Families not knowing that they did not have to participate. @Tilly may have more knowledge.
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    Jen Brea: My ME is in remission

    I am so happy for @JenB and @Jeff_w . It must be a marvellous feeling, yet difficult to reconcile emotionally. I hope that your remissions continue. ME to me seems to be a common end state; given the variety of triggers, and gradual onset, there will be subsets, or indeed it may in future be...
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