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  1. shak8

    Blog: Dr Ahmed Says

    I can't find any background on Dr. Amed. Is he a licensed physician? What's his training? There is another (?) Mend Collective website for a psychotherapy clinic in North Carolina, USA.
  2. shak8

    Pacing - different meanings of the term pacing in ME/CFS and other conditions, and the problems this causes.

    Regarding pacing for pain, FM throws that concept out hard on its tush. One or two arm movements can evoke a 10-day bout of increased local and body-wide pain (from a 5/10 baseline level of pain to an intolerable 7-8/10). FM pain generation has its particular rules base which take...
  3. shak8

    Let's talk about taking responsibility and living with a chronic disabling illness

    Do most people have the experience, intelligence and empathy combined to comprehend your unique POV, your subjective experience? (Consider the source. If you admire the values of someone, and other qualities, then I think their deep opinion about what you tell them of your situation MIGHT have...
  4. shak8

    Let's talk about taking responsibility and living with a chronic disabling illness

    In which areas of life does the concept of "taking responsibility" weigh heavily?
  5. shak8

    Preprint The Genetics of Fibromyalgia and its Relationships to Psychiatric and Medical Traits 2025 Bright et al

    Didn't read it deeply yet. These stood out as confounders to me. Linking FM and inactivity (and obesity and anxiety, depression) are of questionable relevance. That is because FM causes these, and does not necessarily precede onset of the FM condition. I don't see controls for this, as the...
  6. shak8

    The genetic architecture of fibromyalgia across 2.5 million individuals, 2025, Kerrebijnet al.

    There is also impairment of the descending pathway of pain modulation in FM that contributes to pain load. https://pubmed.ncbi.nlm.nih.gov/40819274/
  7. shak8

    Treatment - morphine for severe pain

    I have severe FM pain (x30 yrs and defined by # of body regions inputting pain signals) and managed to get my doc to prescribe low dose (5mg/day) methadone which I took for 20 years. After I tapered off methadone in 2021, I realized it was causing some hyperalgesia. I now use tizanidine and if...
  8. shak8

    Fibromyalgia and hand diseases: A case-control study, 2025, Magen et al

    Possible confounding factors: Participants were aged 18-90. The elderly age group may skew to more OA of the joints in the hand. FM patients on average make more visits to MDs because of their FM symptoms (and getting a diagnosis, ruling out other disease, trips to specialists for that) and...
  9. shak8

    Opinion Nociplastic pain: controversy of the concept

    The author Valdus Macionis is a plastic surgeon in Vilnius, Lithuania His Google Scholar publications include several articles that underpin his feelings against the idea of nociceptive pain. His surgeries involve nerves and nerve grafts. Whether or not there is nerve compression that causes...
  10. shak8

    Comparing different acupuncture methods for the treatment of chronic fatigue syndrome: a systematic review and network meta-analysis, 2025, Li et al

    I interpret nearly all TCM studies (traditional Chinese medicine) as primarily propaganda, if the reserach is done in China. The reason I think so is because the government of China has stated that they promote TCM for popular and nationalist reasons. This study comes from Chengdu University...
  11. shak8

    A theory of how to talk to other people about disability

    When I told my medical-journalist father in 1996 that I was diagnosed with FM (I waited several months before telling him), his told me that my FM was psychogenic per a NYTimes article quoting a surgeon**-author who said it was. **Memo to self: surgeons aren't neurologists or rheumatologists...
  12. shak8

    Growing old versus ME/CFS—which is which?

    I have primarily been diagnosed with FM in 1996, but also CFS. Maybe the following will be of some value: I turn 75 this year and my FM symptoms (pain, exhaustion, cognitive dysfunction) are always "worse" when I contemplate how to describe it for my annual MD visit. But yes, I do think I can...
  13. shak8

    Awakening the sleeping giant: Epstein–Barr virus reactivation by biological agents, 2024, Omkar Indari et al

    TWIV episode at a Harvard virology department retreat. Discussion of Epstein-Barr at 49 minutes by a researcher.
  14. shak8

    Why the BPS people think the way they do

    Openness as a personality trait---I think openness in a psychotherapist is a professional stance (in their training, therefore they are socialized in the profession to be open) to prod clients to verbalize their fears and troubling feelings. Openness can be masking tactic, hiding one's true...
  15. shak8

    You Might Have Already Fallen for MAHA’s Conspiracy Theories

    At the end of the Paul Krugman podcast is the assertion that scientists need to be spokespersons in the public eye--get out there and talk about what are the facts, why they matter and what is not true or effective, and what we don't know, disseminate information to the public better, despite...
  16. shak8

    You Might Have Already Fallen for MAHA’s Conspiracy Theories

    Outstanding podcast from vaccinologist Peter Hotez, climate scientist Michael Mann and Paul Krugman (nobel prize winning economist, whose substack is this podcast's origin). They trace the origins of the current decline and fall of science in the US...
  17. shak8

    Is ME/CFS something to do with Butyrate?

    Here's an article about sleep problems and the microbiome with quite a few "maybe's, "coulds" and "perhapses.". I want it to be relevant to sleep problems in ME. https://www.bbc.com/future/article/20250905-how-your-microbiome-affects-your-sleep and of course, butyrate is mentioned.
  18. shak8

    Trial Report Patient-reported improvements from use of IMC-2 alone and IMC-2 and Paxlovid® in a Long COVID cohort: a case series, 2026, Pridgen et al

    I think I'll adopt that phrase: "working on instinct" when I feel the need. Per the above report: (my bolding) "....alpha-gamma-herpesviruses, in folks with complex chronic illnesses such as #fibromyalgia. Working on instinct, Dr Pridgen trialed this protocol in #LongCOVID and saw a...
  19. shak8

    Alcohol Intolerance poll. Please do the poll even if your answer is no.

    I use alcohol as a drug to dampen brain activity. I use measure out less than an ounce (one ounce=a "drink") of vodka into an iced diet lemon lime soda and add fresh lime juice. I drink this usually before 3pm, so it doesn't interfere with sleep (awakenings) as much. It is also feels justified...
  20. shak8

    News From Jarred Younger / Neuroinflammation, Pain, and Fatigue Laboratory at UAB, From Aug 2020

    Well, that's useful. FM pain levels high this month and I was just going to spend some money on a trial of CBD:THC 30:1 tincture. So now I have to read the clinical trial data (re any FM patients) on suzetrigene (Nav1.8) trade name Journax might work for me....that's expensive as well. For...
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