Choline on the Brain? A Guide to Choline in Chronic Fatigue Syndrome
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Can't get my head around the exercise thing

Discussion in 'Lifestyle Management' started by jshu43, Jul 25, 2010.

  1. river


    Try to avoid, at least for the moment, any form of exercise standing up.
    You could use small weights while sitting or do 1-2 crunches or even attempt one push-up but avoid any standing exercise, we usually
    don't tolerate them expecially when so reactive as you sound.

    A person I know, without CFS, used to exercise three times a week for 40 minutes each workout.
    Now he converted to 5 minutes everyday. According to him is as strong and fit as ever so there was no change
    in splitting up the exercise-load of a day in daily mini-session. So for example instead of doing 5 knee bends you could
    do 1 knee bend everyday. But for the moment avoid exercising while standing up, you should suffer less next-day exhaustation.

    Also I never tolerate exercising in the morning, in fact the less I do in the morning (including talking) the better
    I feel slightly better in the evening so usually I do more around 6-7 pm
    In the morning PWCs have many post-night symptoms that worsen their condition including: dehydration from bad fluid ritention,
    low blood sugar from impaired sugar metabolism, low endorphine from impaired sugar metabolism, low concentration and high brain fogginess from the waking-up activity (it's actually as tiring as any other activity) and increaed REM phase, blood pooling from maintaning the same position for so many hours.

    Also try to eat something to recover after exercise, even if it's just 1 knees bend, try to eat a piece of fruit or anything afterward to take advantage of the post exercize recovering window. Even healthy people, if they don't after exercising, recover more slowly and feel more post-workout pain.

    This is the main feature of CFS.
    You accumulate "exhaustation" and you feel it the next day, when you push too much you might need days or week before you are
    even able to leave the bedroom, but it's always the next day. Which is bad because we have no signals that we're doing too much.
  2. curry

    curry Senior Member

    Dr Myhill's theory for delayed fatigue is the following:

    "In producing energy, ATP (three phosphates) is converted into ADP (two phosphates) and ADP is
    re-cycled back through mitochondria to produce ATP. However, if the cell is pushed (ie stressed)
    when there is no ATP about, then it will start to use ADP instead. The body can create energy from
    ADP to AMP (one phosphate), but the trouble is that AMP cannot be re-cycled. The only way that
    ADP can be regenerated is by making from fresh ingredients, but this takes days to do. This
    explains the delayed fatigue seen in chronic fatigue syndrome.

    So to summarise, the basic pathology in CFS is slow re-cycling of ATP to
    ADP and back to ATP again. If patients push themselves and make more
    energy demands, then ADP is converted to AMP, which cannot be recycled
    and it is this which is responsible for the delayed fatigue.

    I've been doing a treatment to improve mitochondrial performance, as outlined by Dr Myhill, and my energy level and exercise tolerance has greatly improved.

    Hope that helps.

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