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    PEM discussion thread - post-exertional malaise

    It depends on the type of cognitive effort. Back when I still got PEM, socializing and driving were the most noticeable triggers, and the PEM from driving increased with the driving conditions (icy roads at night were horrible). Number-handling didn't seem to be a problem nor did strategy...
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    PEM discussion thread - post-exertional malaise

    Posts moved from this thread One thing about my ME is that I never noticed any reduction in my physical ability. I didn't do any fancy tests with fancy lab equipment, but my ability to dig large volumes of soil, or handsaw firewood, or ride a bike up steep hills, didn't seem to change. Other...
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    Tiredness, fatigue and exhaustion: all the same or manifestations of a continuum?—Food for thought, 2022, Matti et al

    This triggers a question: do any other languages have better words to differentiate between these similar but unrelated symptoms? Does, for example, Chinese writing have different logograms for fatigued, tired, and exhausted? Hmmm, is there one for brainfog? On I suppose a related note, I...
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    Provide feedback to Google re NHS ME/CFS info

    While checking for something else, I noticed that Google's 'list of common questions' showed this: Does Graded exercise therapy work for CFS? A recent Cochrane review of graded exercise therapy (GET) for chronic fatigue syndrome (CFS) concluded that GET is effective and safe (Larun et al...
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    A Double-Blind, Placebo-Controlled, Randomized, Clinical Trial of the TLR-3 Agonist Rintatolimod in Severe Cases of CFS, Strayer et al, 2012

    Were the tests done on patients who were severe? If not, the results might not apply to severe patients. I'm really skeptical about the precision of the results (14% rather than ~15%). To me that reported precision means they may have cranked out the numbers with no real feel for what they...
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    Tryptophan metabolites in cerebrospinal fluid of ME/CFS patients, Maccallini, 2022

    CSF may not contain the abnormal metabolites that might be occurring in ME. It's possible for them to be localized to specific parts of the brain.
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    Chronic fatigue in general practice: is counselling as good as cognitive behaviour therapy? A UK randomised trial, Ridsdale et al, 2001

    It's a shame that they didn't include one or more other groups, to test the comparative effectiveness of watching TV or playing computer games or eating donuts. I hereby recommend that all similar types of studies in the future should include such alternative treatments.
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    Could the kynurenine pathway be the key missing piece of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) complex puzzle?, 2022, Kavyani

    @DMissa , perhaps you can comment on my hypothesis about dietary niacin causing suicidal moods. I started getting suicidal moods soon after developing ME. I eventually figured out that the severity correlated with both TRP and dietary niacin. So, my hypothesis is that ME causes elevated QA...
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    Rapamune / Rapamycin/ mTOR

    Yup, not very useful, especially since it's anecdotal evidence. My guess is that if they'd asked people to try magic crystals or random treatments meant for disease unrelated to ME, they'd come up with fairly similar numbers.
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    Rapamune / Rapamycin/ mTOR

    The comments mentioned another thread about someone who benefited from it, but also a comment from someone who almost died from taking it. I remember coming across a list of treatments PWME have tried, and how they rated them. The results didn't seem all that useful, at least for trying to...
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    Rapid improvement in severe long COVID following perispinal etanercept, 2022, Tobinick et al

    I expect there would be plenty of volunteers from the ME community who would be willing to give this a try. If it doesn't help significantly, at least it would eliminate some theories.
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    Sooner or Later, We’ll All Belong to the Kingdom of the Sick (Interview with Meghan O'Rourke, author of The Invisible Kingdom)

    Yes, we still have no reliable test for actual fatigue, or even a clear definition of what fatigue is, so asking a patient "Do you feel fatigued?" doesn't help much in diagnosing a disorder. The same holds true for a lot of symptoms. "I don't feel well and I can't think clearly." is not going...
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    Edzard Ernst: Quackery is on the rise, and the placebo effect is part of the problem

    One solution is to require 'placebo effect treatments' to include a disclaimer such as: "Works just as well as snorting gummy bears! <or some other obviously silly treatment>."
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    United Kingdom: NHS East Kent Hospitals University - CFS/ME

    "We who make money selling physiotherapy services have a hammer. ME looks like a nice profitable nail."
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    The emerging role of microbiota-derived short-chain fatty acids in immunometabolism, 2022, Jasim et al

    My ME has responded to several species of longer-chained fatty acids. Palmitic made me feel worse unless I also consumed enough carnitine. CLAs improved my sleep. I haven't read anything to indicate that longer-chained FAs get broken down into shorter ones, so that's probably not how they had...
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    Psychology needs to get tired of winning, 2022, Haeffel

    An easier solution to this problem: just redefine psychology as 'not a valid science'. If they're not following the rules and procedures of science, they don't qualify. Libraries can move psychology books to the 'fiction' section. Has psychology provided any really useful results?
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    ME/CFS might be caused by defects in cellular housekeeping

    My cognitively-induced PEM would occur 30 minutes to an hour or two after the trigger (chatting, driving in poor conditions), so I don't think there's enough time for housekeeping to fail, and it definitely rules out the 'sleep maintenance failure' hypothesis. I think my physically-induced PEM...
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    Immunogenetic Studies In Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), 2022, Hajdarevic PhD thesis

    It could be that some of these genes bias other functions in the body that makes it more likely for us to get stuck in this abnormal state. Thus it might not be "this gene causes ME" but rather "this gene and that gene and this diet and this exposure to this toxin as a child, plus this stressor...
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