Some of the recent research suggests that ME patients cannot use glucose properly and may therefore use other metabolic pathways to compensate (and I understand some ME folks have concluded low-carb is the way to go). But things can't be as simple as that? Or a ketogenic diet would be our cure and there doesn't seem to be anybody claiming that, even if some people do say they feel somewhat better on low-carb or keto diet. So is the ketogenic metabolism also damaged, as well as the glucose one? And is there then a third, highly inefficient, metabolic pathway that kicks in when neither carbs nor fat can be used properly (I understand protein gets converted to glucose in the body)?