I read the whole paper and I'm gonna try to summarize what I believe to be the most important points in a CFS-friendly fashion.
- The treatment tested consists of a beverage made of "fruits, greens, vegetables and nuts in proportions necessarily to achieve desirable concentration of soluble oxalates" in doses of 250ml. There were 11 total patients enrolling at different times ranging from 8 to 150 weeks (2 months to a little over 3 years).
- The other supplements (1200 mg alpha-lipoic acid + 12 mg thiamine + 27 mg niacin + 2.5 mg riboflavin per day) were introduced later and not tested on all 11 patients. The supplements were found to have a beneficial effect but the efficacy of the oxalates treatment was assessed without the extra vitamins and supplements.
- To introduce a sort of placebo control, they added calcium carbonate to the oxalate rich beverage so that the oxalic acid would turn into calcium oxalate which is not absorbable. They called this concoction "Quenched Drinkable". They then administered it to the patients without the patients knowing they were taking something different, and they did notice CFS symptoms coming back when the inactive drink was consumed instead of the active form.
- They made 6 versions of this active beverage with different recipes, and they found one in particular to be effective. They determined that the efficacy of the active beverage was related to: "concentration of soluble oxalates; ratio between soluble and insoluble oxalates; types of soluble oxalates and ratio between different types of soluble oxalates". They also found that the ideal concentration of soluble oxalates was between 0.39g/Lt and 0.87g/Lt (their best recipe had 0.61g/Lt).
- There is a long section that talks about Lactate, how they tested for Lactate, how thy found that CFS patients had higher than normal Lactate, and how they believe Lactate to be a biomarker for CFS and Lactate levels to correlate with severity of symptoms. Interestingly they mention how Lactate is normally metabolized primarily (60%) by the liver. Maybe this could be the connection with the liver
@mariovitali has been working on?
- According to this study, ALL patients experienced improvement of their symptoms from the first dose of the beverage and very quickly after consumption. The relief was temporary and lasted from 2h to 4.5h. After continuing the treatment for weeks, all the patients were experiencing relief for 4.5h after drinking the active beverage. It's also mentioned that when symptoms did appear (maybe between doses or when tested with placebo, I'm not clear), they were milder.
- The oxalate active beverage seems to decrease Lactate levels in the patients. One patient had Lactate tested after reading (which caused him brain fog, pain and head pressure) and the level was pretty high. After consuming the standard 250ml of the active beverage, his Lactate levels dropped from 6.2 to 0.5 mrnol/L and the symptoms disappeared. Also, all the other patients showed normal Lactate levels while being treated with the active beverage and they experienced a drastic increase in Lactate after discontinuation (along with dramatic worsening of their symptoms). I'm not clear if they got worse than their pre-treatment baseline or not.