Pal lists observations not unique to MECFS and does not give a detailed explanation of how those levels are first elevated. Secondly Pal does not deal in any way with PEM, exercise intolerance, the remitting relapsing nature, autoimmunity, NK cells, CD69, TNF alpha. Pal's paper is not a model. The Morris Maes paper is the only published model for MECFS, and describes several new components that have never had a mechanistic explanation even in isolation. Work that does not explain the whole picture is not a model.