Hi Rufus,
It is my belief that there may be a number of ways of getting ME, but rather than genetically predisposed that we have manufactured this illness through the overuse of antibiotics and pesticides (including continuous low dose through farming), possibly selecting for individual forms of bacterial overgrowth, the worst being D-Lactic, which I believe has already killed a number of the worst affected patients who had both Gastrointestinal and Neurological illness. Although bacterial overgrowth could be either cause or part of a chain or cycle with other underlying causation including Viral.
The illness could have been caused by a combination of Viral input, through reproduction during lytic or lysogenic cycles in the Gut that are reinforced through antibiotics selecting to make superbacterial overgrowth through resistance giving advantage over other symbiotic bacteria, which cause changes to things like Gut Motility simply through increased metabolites and gasses directly affecting autonomic dysfunction, which in turn increases the production of organic acids such as D-Lactate, which cause Mitochondrial Dysfunction and damage to cells. It would be very good if such a marker could be found.
There could be a number of individual insults such as EBV, which I had at the point when my illness started and so many others; that trigger the problems at a point of low immunity and other contributing factors.
I am going on the results of both Mitochondrial and Autonomic investigations performed by Dr. Myhill and NHS investigations which showed low Mitochondrial Function, which I will dig out. I suffered periods of bad Hypoglycemia, which stopped after using antibiotics. I now believe that the Blood Sugar problems were due to Mitochondrial Dysfunction which stop the ability to transfer or utilize Glucose and Oxygen. Since stopping certain Carbohydrates these problems have not returned although I sill get D-La back if I return to using Carbohydrates for a few days and would dearly love to be able to go back to a normal diet.
I am finding the diet difficult, especially through the Coronavirus. I could only get a few cakes and bread because the meat shelves had been cleared a few weeks ago which started a bad exacerbation, and have often thought of trying an antivirals to see if the overgrowth is related to Viral causation. Any thoughts?