1/ The problem with Myalgic Encephalomyeltis/Chronic Fatigue Syndrome #MECFS is that it seems so ridiculous that exercise could actually make patients worse

How can exercise be so bad for #pwME but so good for almost every other serious illness?

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2/ New study by @4WorkWell @sunsopeningband et al shows that #MECFS patients have metabolic defects that cannot be explained by exercise phobias, deconditioning or 'illness beliefs'

#pwME have reduced oxygen consumption during exercise tests
https://buff.ly/2CXH6Hj 
This @FrontiersIn review by @4WorkWell discusses how cardiopulmonary exercise testing #CPET can be used to help diagnose & research #MECFS

This table provides a helpful list definitions for patients and doctors to investigate #MECFS

#MedEd #MedTwitter
https://www.frontiersin.org/article/10.3389/fped.2018.00242
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