Well, there is the RER measure, which is taken to be a measure of effort. So, if it is the same, around 1.1, then I don't believe it is possible to dismiss the finding as just being the result of less effort.
Yes, I don't think enough attention is paid to normalising energy expenditure prior...
A number of posts about 'whether 2XCPETs are an objective indicator of PEM' and 'the definition of PEM' have been moved to
Post-Exertional Malaise - a discussion including defining and measuring PEM
Gosh.
In my non-exercise physiologist way, I'll give you a personal example to try to explain what I am saying. I participated in a two day CPET. I did the first CPET in the early afternoon. Later that night, I had a period of PEM for some hours - crushing pain, feeling ill, chills, glands...
Heading off topic, but just because Workwell say something, doesn't necessarily make it true. The 2xCPET does seem to show an abnormal reaction to exercise in ME/CFS. A reduced workrate at Anaerobic Threshold on the second test isn't what I and most people call PEM though. That reduced...
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