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Tom Kindlon
@tomkindlon.bsky.social
95% of posts on #MyalgicEncephalomyelitis, #LongCovid or #chronicillness. With ME/CFS 35 years, severe ME 30 years. @IrishMECFSAssoc trustee 27 years 26 publications in peer-reviewed journals Social media: me-pedia.org/wiki/Tom_Kindlon
1.2k followers69 following3.3k posts
TKtomkindlon.bsky.social

5/ FIGURE 2. Post-exertional malaise (PEM) From: Diagnosis and Management of #MyalgicEncephalomyelitis / #ChronicFatigueSyndrome (Grach et al., 2023) www.mayoclinicproceedings.org/article/S002... #MEcfs #CFS #PwME #LongCovid #PwLC #postcovid #postcovid19 #LC

FIGURE 2. Post-exertional malaise (PEM)
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TKtomkindlon.bsky.social

6/ TABLE. Management considerations for ME/CFS based on symptoms. From: Diagnosis and Management of #MyalgicEncephalomyelitis / #ChronicFatigueSyndrome (Grach et al., 2023) www.mayoclinicproceedings.org/article/S002... #MEcfs #CFS #PwME

Table Management considerations for ME/CFS based on symptoms.
Symptom	Management considerations
Post-exertional malaise	Pacing/rest, stimulus reduction, tracking devices or diaries for symptoms
Fatigue	Pacing, low-dose naltrexone, low-dose aripiprazole, anti-inflammatory diets, supplements, vitamin deficiency treatment
Sleep issues	Melatonin, trazodone, suvorexant, doxepin/tricyclic antidepressants, gabapentin/pregabalin
Cognitive dysfunction	Journaling, memory aids, occupational therapy, low-dose naltrexone, low-dose aripiprazole, careful use of stimulants
Orthostatic intolerance	Fluids/electrolytes/compression, fludrocortisone, midodrine, propranolol, pyridostigmine, guanfacine (best guided by postural orthostatic tachycardia syndrome subtype or tilt vital signs)
Dizziness (frequent)	Consider persistent postural-perceptual dizziness diagnosis, vestibular therapy, low-dose selective serotonin reuptake inhibitor or serotonin-norepinephrine reuptake inhibitor
Muscle or joint pain
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TK
Tom Kindlon
@tomkindlon.bsky.social
95% of posts on #MyalgicEncephalomyelitis, #LongCovid or #chronicillness. With ME/CFS 35 years, severe ME 30 years. @IrishMECFSAssoc trustee 27 years 26 publications in peer-reviewed journals Social media: me-pedia.org/wiki/Tom_Kindlon
1.2k followers69 following3.3k posts