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Just a reminder:

For those who do not know what #PEM is ( i do not like the word „malaise“, because it’s not malaise - it’s a horror trip) Definition excerpt from the Canadian Consensus Criteria document (2002/2005):
1/x
„2. Post-Exertional Malaise and/or Fatigue
Physical or mental exertion often causes debilitating malaise and/or fatigue, generalized pain,deterioration of cognitive functions,and worsening of other symptoms that may occur immediately (‼️) after activity or (‼️) be delayed (‼️)2/x
Patients experience rapid muscle fatigue and lack endurance. These symptoms are suggestive of a pathophysiology which involves immune system activation,channelopathy with oxidative stress (‼️) & nitric oxide related toxicity (‼️),and/or orthostatic intolerance (‼️)(#OI #POTS) 3/x
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