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Interesting post from Ken Lassesen's blog...
He makes some treatment recommendations in the remaining part of the blog post.
Latest model on what CFS is, and implication for treatment
This is a statement of what my model is, which will revised(typically tuned) as more facts come:
CFS (and likely IBS and FM) is a case of mild to severe Lactic Acidosis. Lactic acid is typically produced exercising.
The associated change of pH has been attempted with various breathing techniques (I did Hale’s breathing during one onset of CFS, it was popular for a while) with some reduction of symptoms. By altering of pH alone by breathing is unlikely to address the root cause.
- Loss of capacity to recover from acidosis on repeat exercise in chronic fatigue syndrome: a case-control study.[2012]
- Increased d-lactic Acid intestinal bacteria in patients with chronic fatigue syndrome. [2009] [Full text]
- “CFS simulations exhibited an increased acidosis and lactate accumulation consistent with experimental observations.” [2015]
- Is chronic fatigue syndrome synonymous with effort syndrome? [1990]
The cause of this lactic acidosis appears to be a shift of gut bacteria [2009] [1998] 2001] (see my earlier posts for more references). Gut bacteria is well known to shift due to stress, viral infections, bacterial infections, and even immunizations. In general, the shift returns to normal in > 99% of the cases, but 0.1 – 5.0% do not within 6 months (depending on infections), with roughly 50% of these returning in the next 6 months (with decreasing odds after that). The low incidence of the gut bacteria being stuck in a dysfunction often falls in the experimental error rate of studies and thus “no evidence”.
- Hyperventilation and chronic fatigue syndrome. [1995]
- The grey area of effort syndrome and hyperventilation: from Thomas Lewis to today. [1993]
Lab results: With a shift of bacteria, the ability for bacteria to extract and process food is altered. In short, increases and decreases of amino acids, vitamins, minerals can all be explained by this — including contradictory results because the shift of bacteria will not be identical for all CFS patients.
He makes some treatment recommendations in the remaining part of the blog post.
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