News from Germany

We've just had a negative trial for one of those! (Thread)
Technically, for Metformin, the use they're recommending is for preventing long COVID before it starts, not for symptom reduction in already sick people.
Metformin is regularly approved for the treatment of type 2 diabetes, particularly in overweight patients. Off-label, the drug can now be used for the prophylaxis of long/post-COVID-19. This is possible within 3 days of diagnosis of an acute SARS-CoV-2 infection in adults and adolescents aged 16 years and older who have the risk factor "overweight/obesity (BMI >25)" and whose COVID-19 symptoms have been present for less than 7 days.
 
"Individuals with statutory health insurance and long/post-COVID-19 will soon be able to receive treatment with certain medications for so-called off-label use.
The list:
Ivabradin (POTS & LC)
Metformin (LC)
Agomelatin (LC & ME/CFS)
Vortioxetin (LC)

This seems very strange.
It almost sems to be a recognition that German doctors need some placebos handy to deal with the LC patients.

Atypical anti-depressants can produce some pretty horrific side-effects too.
 
New Fatigatio brochure:
Functional breathing for people with ME and post-COVID syndrome
Dr Corinna Mandler focuses on ‘chronic hyperventilation’ in this brochure. It is repeatedly suggested that this is a central component of ME/CFS.
I do not suffer from hyperventilation and find the brochure questionable – 4 pages of breathing tips in a 36-page brochure, coupled with the repeatedly suggested hypothesis that we suffer from “chronic hyperventilation” and that this could explain most of the symptoms.
Is Fatigo another government funded crappy charity?
 
The "ME/CFS Psychotherapy Network" posted a statement on a position paper by the DGPPN/DGPM, I think it's the "German Society of Psychiatry and Psychotherapy, Psychosomatics and Nerve Medicine".

Statement: .

Post on Bluesky from one of the authors:


I think this is the statement they are responding to.

Sounds interesting, but unfortunately behind a paywall.

Translation:


I was able to find the session details with some additional infos from the congress‘ website. Professor Schomerus seems involved as well:
 
I'm not sure if it's allowed to request and post automated translations. I don't speak German.

Could someone advise how to get a translation on the phone, please? Something convenient. I keep clicking on the wrong things on a small screen.
 
Could someone advise how to get a translation on the phone, please? Something convenient. I keep clicking on the wrong things on a small screen.
You can copy the website URL into https://translate.google.com/?sl=auto&tl=en&op=websites and it'll translate the whole page. Or just copy bits of text to translate.

If you use Firefox browser, it also has built-in translation, explained here: https://support.mozilla.org/en-US/kb/website-translation#w_translate-the-full-page
 
You can copy the website URL into https://translate.google.com/?sl=auto&tl=en&op=websites and it'll translate the whole page. Or just copy bits of text to translate.

If you use Firefox browser, it also has built-in translation, explained here: https://support.mozilla.org/en-US/kb/website-translation#w_translate-the-full-page
Thank you very much!

I didn't realise you could put a URL into Google translate because the Google translate app on my phone which opens automatically when I click on translate.google.com links doesn't have it.

I'll work around it. Thank you!
 
Is Fatigo another government funded crappy charity?
This is the largest support group for people with ME/CFS in Germany.

Total number of members:
3,517 members as at 6 March 2026
Membership fees:
Financial year: 01/25 to 12/25
Total: €140,001 to €150,000
Public sector grants or subsidies (mostly health insurance funds):
Financial year: 01/25 to 12/25
approx. €250,000

So yes, it seems like Fatigo is another (indirectly) government funded crappy charity...

I’ve now left the group and am looking for another one.
 
Pay-walled but some excerpts were posted by bluesky users and it seems there is a lot of cope in attempting to manufacture a fake "social" Long Covid (literally in the title of the article) to cover up the real problem. Obviously "changes in daily routine" do not lead to significant losses in motor control, energy and performance. The whole premise is absurd, they will literally invent fake "mass hysteria" to cover up the consequences of a real pandemic that happened just a few years and while the virus is still circulating.

At this point medicine genuinely deserves to lose credibility for fumbling this so hard, and does not deserve to get it back until they've worked very hard at earning it. We can't have a system built on the premise of honest expertise be this blatantly dishonest and corrupt. This is a mockery of what expertise is supposed to do.

"Perhaps we are dealing with a kind of social long Covid"
 
Auf Deutsch:

Google translation:
  1. Research
  2. Health

Post-infectious diseases

Medical research

Effective treatment options for post-infectious diseases such as Long COVID or ME/CFS are currently lacking. The National Decade Against Post-Infectious Diseases is elucidating the causes and mechanisms and gradually laying the foundation for the development of new therapeutic options.
I was previously a bit pessimistic but given that Germany and in particular Berlin, where a large chunk of ME/CFS research in Germany is based, is severely cutting higher education funding especially for researchers and many very smart researchers are thinking about leaving academia as a consequence, it’s quite possible that some smart minds might be attracted by this funding.
 

"Living with ME/CFS: My child has been lying in the dark for two years | Frau TV | WDR "

From German news broadcaster WDR about an 18-year-old woman with very severe ME/CFS and her family's experience of it. German language, with english subtitles only available through auto-translate.
 
Medscape Biological Evidence May Reshape Long-COVID Diagnosis and Care

By 2024, more than 1.5 million people in Germany had been affected by long COVID and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Long COVID is recognized within postacute infection syndromes (PAIS).

At the 132nd Congress of the German Society for Internal Medicine in Wiesbaden, Germany, Christian Gogoll, MD, specialist in internal medicine and pulmonology and medical director of the outpatient services at the Evangelical Lung Clinic Berlin, and Carmen Scheibenbogen, MD, professor of clinical immunology and deputy head of the Institute of Medical Immunology, Charité - Universitätsmedizin Berlin, both in Berlin, Germany, reviewed current evidence on diagnosis and management.

Three years after the COVID pandemic, clinicians continued to encounter a condition that remained diagnostically and therapeutically challenging. Key questions focused on whether long COVID is a psychosomatic illness and which strategies effectively address its broad symptom profile.


 
Paywalled.
A doctor became so severely ill with ME/CFS after a coronavirus infection that she could no longer eat or go to the bathroom on her own. But then she gradually discovered what helped her. Now she wants to encourage others affected by the condition.

I‘m lacking the energy to summarize it properly. Here’s a short AI translated excerpt:
A genome screening revealed weak points in the energy metabolism.Measurements in her case showed short‑term rises in blood sugar followed by immediate severe hypoglycemia and an elevated lactate level, which points to an energy deficit. Encouraged by this, Susanne Möllmann began reducing long‑chain fats—those normally consumed in the diet—and consuming primarily medium‑chain fats, such as those found in coconut, similar to the therapy for comparable metabolic defects in infancy. These fatty acids are metabolized differently than long‑chain ones. “After three weeks I could sit again, drive a car and take part in social life,” Möllmann says rather matter‑of‑factly about this spectacular improvement in her condition that had been unthinkable for years. She found a laboratory where she paid for a complete genome screening and then went through the results with a bioinformatician.

It turned out that she has small vulnerabilities affecting energy metabolism across different genes. These can be minimal functional impairments of individual enzymes, transporters, or regulators—small vulnerabilities that by themselves do not cause disease. Only when an additional stressor, in this case the coronavirus, is added can this finely balanced system tip over. Then the previously “silent” weak points become apparent. Susanne Möllmann sums it up: “The virus unmasks a previously hidden susceptibility.”

She assumes that patients who, unlike her, suffer more from the classic symptoms of Chronic Fatigue Syndrome (CFS) such as inability to concentrate and other cognitive failures, probably have more of a problem getting glucose into the mitochondria than with fats. The brain, which in her case was comparatively little affected even during the worst phase of the illness, is highly dependent on glucose. It needs a reliable, constantly available energy supply. Therefore, disturbances in the part of metabolism where glucose is further processed can particularly easily lead to “brain fog.”
 
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