• Neurologist@mander.xyz
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    8 hours ago

    Hey I’m a researcher who works on ME (in the past called CFS).

    ME/CFS is currently classified as a disease/biological illness according to the CDC.

    ME is a disease state in itself. We don’t know much about it, but it can’t be explained by other diagnoses, as the defining factor, neuro-immune abnormalities including immune activation showing up post exertion is unique to it. You’re completely right that we don’t yet have a reliable biomarker. We have a test that differentiates from healthy controls, but it was discontinued for ethical reasons because conducting the test leads to a sometimes permanent worsening of the illness.

    In the past it’s been mixed up and jumbled a lot, but the picture is getting clearer.

    There have been a few case reports of degenerative forms of the illness. But in general it takes a more classical relapsing remitting pattern. Although even in less bad stages some patients are severely functionally disabled, even bedridden and tubefed. It has a really wide range of severities with the least severely affected able to work part time and walk and travel, while the most severe might not even be able to communicate.

    • HobbitFoot @thelemmy.club
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      7 hours ago

      It looks like the state of the art has advanced since the last time I was exposed to it. Thanks for the clarification.