Hip
Senior Member
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@zzz
Well... thinking about Dr Goldstein's SPECT scan findings you described above, it's possible then that hypoperfusion may be a red herring, and may have little direct causal connection to ME/CFS symptoms; rather the hypoperfusion may arise, like Goldstein suggested, from factors such as increased norepinephrine, which causes vasoconstriction and thus hypoperfusion.
So perhaps my considerations earlier in this thread on the vasodilatation effects of nitroglycerin were wide of the mark, and in fact there might be some other biochemical effects of nitroglycerin which are responsible for bringing about instant remission from ME/CFS in certain patients.
But what?
It could still be nitric oxide-related, perhaps the strong pulse of NO produced by nitroglycerin acting to reset certain NO systems in the brain.
And this study says that nitroglycerin induces induces c-Fos immunoreactivity in brainstem and forebrain structures of the rat. I read that c-Fos immunoreactivity is used as a measure of neuron activation, so nitroglycerin seems to have an activating effect on these brain areas.
@zzz, what are the other main drugs that Dr Goldstein found have instant remission effects, acting within minutes? Did you try any of these other instant remission drugs, by the way?
Do you know if these instant remission drugs always work as per your experience: ie, just a single dose of the drug causes a permanent ME/CFS remission that can last many years, without requiring any further doses? Or do some patients need to take these drugs every day in order to maintain their remission?
It would be interesting to examine viral loads before and after these Goldstein instant remission treatments, for the viruses most commonly associated with ME/CFS, such as enterovirus, Epstein-Barr virus and HHV-6.
For example, a week or two after one of these Goldstein instant remission treatments, would the patient's viral load become greatly reduced? If you look at Dr Chia's work with IV interferon and oxymatrine for enterovirus-associated ME/CFS, the viral loads in his patients' stomach biopsy tissues went down significantly when there were improvements or remissions in their symptoms as a result of these antiviral / immunomodulatory treatments. You can see how effectively oxymatrine reduced stomach tissue viral loads from the images in this post.
It seems that Goldstein did not look at the viral issues of ME/CFS that much; I am curious about how Goldstein's instant remission treatments may have affected the patient, from the viral perspective.
It seems to me that these instant remissions occur too quickly for there to be an antiviral mechanism, at least in the initial stages. For example, you say your remission process began within minutes of taking a single dose of isosorbide dinitrate (and was fully complete in three days). No antiviral response is going operate on a timescale of minutes.
However, if the isosorbide dinitrate normalized your metabolic functioning, it may conceivably have also normalized your immune system too, such that it was then able to better fight off any infections that were playing a role in your ME/CFS. So it would have interesting to have observed your viral loads a few weeks after that single dose of isosorbide dinitrate that caused your full remission.
Well... thinking about Dr Goldstein's SPECT scan findings you described above, it's possible then that hypoperfusion may be a red herring, and may have little direct causal connection to ME/CFS symptoms; rather the hypoperfusion may arise, like Goldstein suggested, from factors such as increased norepinephrine, which causes vasoconstriction and thus hypoperfusion.
So perhaps my considerations earlier in this thread on the vasodilatation effects of nitroglycerin were wide of the mark, and in fact there might be some other biochemical effects of nitroglycerin which are responsible for bringing about instant remission from ME/CFS in certain patients.
But what?
It could still be nitric oxide-related, perhaps the strong pulse of NO produced by nitroglycerin acting to reset certain NO systems in the brain.
And this study says that nitroglycerin induces induces c-Fos immunoreactivity in brainstem and forebrain structures of the rat. I read that c-Fos immunoreactivity is used as a measure of neuron activation, so nitroglycerin seems to have an activating effect on these brain areas.
@zzz, what are the other main drugs that Dr Goldstein found have instant remission effects, acting within minutes? Did you try any of these other instant remission drugs, by the way?
Do you know if these instant remission drugs always work as per your experience: ie, just a single dose of the drug causes a permanent ME/CFS remission that can last many years, without requiring any further doses? Or do some patients need to take these drugs every day in order to maintain their remission?
It would be interesting to examine viral loads before and after these Goldstein instant remission treatments, for the viruses most commonly associated with ME/CFS, such as enterovirus, Epstein-Barr virus and HHV-6.
For example, a week or two after one of these Goldstein instant remission treatments, would the patient's viral load become greatly reduced? If you look at Dr Chia's work with IV interferon and oxymatrine for enterovirus-associated ME/CFS, the viral loads in his patients' stomach biopsy tissues went down significantly when there were improvements or remissions in their symptoms as a result of these antiviral / immunomodulatory treatments. You can see how effectively oxymatrine reduced stomach tissue viral loads from the images in this post.
It seems that Goldstein did not look at the viral issues of ME/CFS that much; I am curious about how Goldstein's instant remission treatments may have affected the patient, from the viral perspective.
It seems to me that these instant remissions occur too quickly for there to be an antiviral mechanism, at least in the initial stages. For example, you say your remission process began within minutes of taking a single dose of isosorbide dinitrate (and was fully complete in three days). No antiviral response is going operate on a timescale of minutes.
However, if the isosorbide dinitrate normalized your metabolic functioning, it may conceivably have also normalized your immune system too, such that it was then able to better fight off any infections that were playing a role in your ME/CFS. So it would have interesting to have observed your viral loads a few weeks after that single dose of isosorbide dinitrate that caused your full remission.
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