Review: 'Through the Shadowlands’ describes Julie Rehmeyer's ME/CFS Odyssey
I should note at the outset that this review is based on an audio version of the galleys and the epilogue from the finished work. Julie Rehmeyer sent me the final version as a PDF, but for some reason my text to voice software (Kurzweil) had issues with it. I understand that it is...
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Can hypothyroidism/adrenal fatigue mimic CFS?

Discussion in 'General ME/CFS Discussion' started by drob31, Aug 17, 2014.

  1. Gingergrrl

    Gingergrrl Senior Member

    There is definitely a clear viral connection in my case but cannot say this is so for everyone. I have no info re: swine flu but have heard anecdotal info of people getting CFS after having vaccines.
  2. SOC

    SOC Senior Member

    PEM (aka PENE) is not just fatigue, or even delayed fatigue. It includes "prominent" neuroimmune symptoms and exacerbation of flu-like symptoms.
    From the ICC

    Exercise intolerance is a different symptom:
    PWME can have both exercise intolerance and PEM. However, few, if any, ME/CFS patients can tolerate any cardio exercise because of problems with our aerobic metabolism.

    Exercise intolerance can result from many different conditions including thyroid and adrenal problems. If you think you have exercise intolerance rather than PEM, I suggest you ask your doctor to investigate causes of exercise intolerance. There are known treatments for many causes of exercise intolerance, while there are no established treatments for PEM, so it's worth looking into exercise intolerance if you don't get prominent neuroimmune and flu-like symptoms after exercise.
    drob31, Valentijn and Gingergrrl like this.
  3. drob31

    drob31 Senior Member

    Thank you for the thorough explanation. Exercise intolerance does seem to describe it more accurately, except for the delayed fatigue factor.
    SOC likes this.

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