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Clinical Bottom Line Tilt table testing is a procedure in which blood pressure, pulse, and electrocardiography are continuously monitored as a bed moves rapidly from a supine to a vertical (head-up) position. Tilt table testing is useful for evaluating patients with syncope of unknown cause...

Case A 43-year-old woman presented with a 1-year history of recurring symptoms of sudden onset of fatigue, palpitations, dyspnea, chest pain, lightheadedness, and nausea that were associated with standing and resolved with sitting. These symptoms began 1 month after mild COVID-19 infection. At...

Physiological pain serves as a warning of exposure to danger and prompts us to withdraw from noxious stimuli to prevent tissue damage. Pain can also alert us of an infection or organ dysfunction and aids in locating such malfunction. However, there are instances where pain is purely...

Merged thread AIM ImmunoTech Announces Charles Lapp, MD, as a Consulting Medical Officer for its ME/CFS and Long COVID Programs OCALA, Fla., April 15, 2024 (GLOBE NEWSWIRE) -- AIM ImmunoTech Inc. (NYSE American: AIM) (“AIM”) today announced that Charles Lapp, MD, is joining the company to...

The Chinese medicine Si-Jun-Zi Decoction is a famous herbal formula composed of four Chinese herbs: Ginseng Root, Atractylodes macrocephala, licorice root, and Poria root. Ginseng made me feel very jittery and brought on insomnia years ago. It took me a while to figure out why my sleep changed...

Lab website is online now. https://www.prustylab.org/

I drink cold water which is what some cardiologist recommend.

You can request a full PDF text here https://www.researchgate.net/publication/379704464_Low_Vasopressin_in_Myalgic_EncephalomyelitisChronic_Fatigue_Syndrome_P4-4006

@duncan According to the link, Principal Investigator, Dr. Michal Caspi Tal, PhD https://www.bayarealyme.org/our-research/our-scientists/michal-caspi-tal-phd/ There is a phone number listed. Perhaps she could help provide more info?

Advancing understanding of chronic illness following infection and identifying novel biomarkers of Lyme disease and Long COVID The MIT MAESTRO study leverages leading edge technology through collaborations with academic and industry partners. The goal of our study is to investigate why some...

Vestibular involvement in cognition should also be studied. This is an issue in my case.

I can understand that. I don't have many symptoms so it's easier for me to identify a change in fatigue state and know when it's time not to go over my baseline. It took many years of trial and error figuring this out though

I agree. Our experiences with PEM will differ. During the first several years of illness I would get a sore throat after over exerting, but that was during the PVFS phase. Symptoms change over time, and for those of us who have been ill for decades it's easily distinguishable.

I was tested for many viruses via PCR/DNA/RNA but nothing ever showed up, even when I felt 'viral' or bad. The testing was done about one year after that EBV and HHV6 reactivated episode. It's difficult to test for I think unless you're very symptomatic? Dunno I hope they find something...

I had very sudden symptoms one morning but not bad enough to stay home. I was feeling very well during that time period, about 90% improved in 2001. I had a doctors appt that day so went to see my doc who asked how I was doing and I said 'great', when I really wasn't sure why I feeling so...

These are the 2 most comfortable positions when I'm upright. I think it pumps blood back up? I can't sit with my legs dangling for very long, it's very uncomfortable.

@duncan I'm not sure what you're asking. I was explaining to Eddie that over exertion PVFS in my case feels very different from delayed M.E PEM from going over my energy limits. If I have a viral infection over exertion I would experience immediate PEM but that does not include the same...

My reading measurements would differ between morning and evening. Might indicate something else is going on.

Lessons In Persistence https://www.science.org/content/article/long-covid-trials-aim-clear-lingering-virus-help-patients-need Not sure where to post this article.

Full Title: Orthostasis Is Impaired Due to Fatiguing Intensive Acute Concentric Exercise Succeeded by Isometric Weight-Loaded Wall-Sit in Delayed-Onset Muscle Soreness: A Pilot Study, 2023, Balázs Sonkodi et al Abstract The aim of the study was to investigate any indication of diminished...