MSD Manual (US): Chronic fatigue syndrome - updated Apr 2020 and Sept. 2021

rvallee said:
Evidence-based medicine did that. The cult of "is there a RCT for that?" did that.
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It's a very long article but these points are laid out in How EBM fundamentalism was weaponized against public health in 2023

Evidence-based medicine (EBM) has been a very useful paradigm for assessing evidence in medicine. However, like any other framework, it can be misused, particularly when fundamentalist EBM methodolatry leads to its inappropriate application to questions for which it is ill-suited, a misuse that has been weaponized against public health during the pandemic.
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waves99 said:
Looks like the patient and professional version was updated as of April 2025- main problems I see-still suggesting GET/CBT + no mention of post exertional malaise. https://www.merckmanuals.com/home/special-subjects/chronic-fatigue-syndrome/chronic-fatigue-syndrome
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I can't access that link. Is it the same as this (also Modified Apr 2025)?
www.msdmanuals.com

Chronic Fatigue Syndrome - Special Subjects - MSD Manual Consumer Version

Chronic Fatigue Syndrome - Learn about the causes, symptoms, diagnosis & treatment from the MSD Manuals - Medical Consumer Version.
www.msdmanuals.com www.msdmanuals.com

Treatment of Chronic Fatigue Syndrome​

  • Cognitive-behavioral therapy
  • Graded exercise
  • Medications for depression, sleep, or pain if indicated
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