Blunted heart rate and implications for pacing in ME/CFS

In a nutshell: Chronotropic incompetence (CI) - the inability of the heart to keep pace with increased activity - is common in myalgic encephalomyelitis (ME/CFS)CI is worse in women with ME/CFS but both men and women have a lower than expected heart rate at the anaerobic thresholdCI is worse in those who have a more … Continue reading Blunted heart rate and implications for pacing in ME/CFS

Energy systems and pacing in ME/CFS

Click here for audio recording of this blog. Summary The aerobic energy system is "broken" in ME/CFS and cannot be fixed with exercise (i.e., graded exercise therapy, also known as GET).The anaerobic (glycolytic) system appears to be somewhat functional in ME/CFS (but see McGregor's work) and, in theory, can be trained to be more efficient … Continue reading Energy systems and pacing in ME/CFS

Over the past week or so I have felt it increasingly necessary to comment on a video that has been circulating recently. At first, I hoped it would be confined to the far-right sites where it is being promoted. These past few days I have seen an uptick on social media and feel it is … Continue reading

Some thoughts on COVID-19 from my ME/CFS specialist

All posts on COVID-19 become outdated rapidly. I will try to provide updates where relevant. Yesterday (4/24/2020) I had the opportunity to consult with my ME/CFS specialist and, naturally, I was eager to get his take on COVID-19 and ME/CFS. I had many questions, but they boiled down to the following: How is the disease … Continue reading Some thoughts on COVID-19 from my ME/CFS specialist

Keto-friendly stuffed mushrooms

I am a huge fan of mushrooms and eat them daily for their B5 (pantothenic acid) content. B5 is especially important for people with ME/CFS because it is one of two important precursors for acetylcholine (ACh), the primary neurotransmitter of the parasympathetic nervous system (PSNS). The other important nutrient for ACh is choline, which is … Continue reading Keto-friendly stuffed mushrooms

Be a voice of support during COVID-19

As with many people, I reached coronavirus saturation about a week ago. That said, I don't want to miss out on key research findings so I continue to scour Twitter for commentary from experts and for newly-published peer-reviewed papers on SARS-CoV-2 (the virus) and COVID-19 (the disease). But in the past few weeks, I have … Continue reading Be a voice of support during COVID-19

Low-carb Larb

This is nutrient-dense version of larb, a traditional Thai dish. It is a very versatile recipe that can handle many substitutions and additions. I am a "little bit of this, little bit of that" kind of cook and encourage people to use artistic license with this recipe. The key to this recipe is the fresh … Continue reading Low-carb Larb

10 tips for getting started on a ketogenic diet with ME/CFS

As I approach my one-year anniversary on a ketogenic diet, I am reflecting on some of the many lessons I have learned along the way. My hope is that my experience will be helpful to others with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Why the ketogenic diet for ME/CFS? There are many reasons why keto could … Continue reading 10 tips for getting started on a ketogenic diet with ME/CFS

Keto chia seed scones

Need a nutrient-dense treat to go with your afternoon tea? This recipe will not disappoint! The recipe makes 12 scones, with each one having 4 net carbs and loads of fiber and thiamine. The full skinny on the micronutrients can be found here. Ingredients 2 cups sunflower seeds1/2 cup chia seeds2 tablespoons coconut flour1/3 cup … Continue reading Keto chia seed scones

My trip to Stanford Cardiology for high cholesterol (and ME/CFS)

Seeing a new specialist can be a bit dicey when you have ME/CFS. Most doctors are not very knowledgeable about the disease and if they are let's just say it is not in the way we might hope. I have learned the hard way to keep expectations as neutral as possible. Many who read my … Continue reading My trip to Stanford Cardiology for high cholesterol (and ME/CFS)