i think it depends on what is causing the damage to the endothelial cells and the associated inflammation
Greenedge's perspective on high carbohydrate diets which are contrary to the human evolutionary template having become normalised in the west, is valid as a general observation of todays culture - especially in the western world where a very large proportion of the population is suffering from obesity, type 2 diabetes, metabolic syndrome, non alcoholic fatty liver disease and other conditions that are undeniably associated with high carbohydrate intake.
however in the OP's case there is a history of vector born infection.
this is an even more apparent and direct source of damage to the blood vessels.
all three of the main vector born infections in the western world, Borrelia, Babesia, and Bartonella cause chronic inflammation in the microvasculature of its hosts.
further - by damaging and opening up cells in the endothelium to the host immune system - its is common for these infections to cause auto-immune antibodies to form - again relevant to the OP.
intracellular infections, such as bartonella, which drive the host immune cells to consume infected host cells containing these bacteria are particularly prone to causing auto-immunity - as in doing so large quantities of the internal contents of host cells, ( proteins, membrane components, dna etc ) are consumed by host macrophages and especially while the immune system is activated and dysregulated by the infections - this increases the risk of auto-antibodies forming.
bartonella is also emerging as one of the co-infections most associated with antibiotic treatment failure in Lyme disease patients - see latest papers by Horowitz for studies
i myself took 9 months of a triple antibiotics combination for lyme and bartonella - and still had bartonella clearly visible in my blood afterwards - it can be a very tough infection to shift.
symptoms can be a perfect match to CFS/ME - my symptoms matched the most prevalent symptoms in the symptoms surveys here on Phoenix Rising perfectly - including pronounced PEM.
i was also originally diagnosed as having either CFS UK NHS doctors - who know basically nothing about chronic vector born infections.
Bartonella is an emerging disease. only gradually coming to light as something that could cause illness humans in the 1980's after it was found in AID's patients - and then only much later that it could cause chronic illness in otherwise healthy humans. Primary care doctors like GP's and A&E staff are then typically 30years behind the forefront of this research - which is to say, in the case of bartonella, entirely ignorant.
Today there are 45 known species - most of them zoonotic and around half of these are now confirmed to cause human illness. Bartonella have been found in every mammal on the planet so far tested including, whales and dolphins, but is more commonly associated with rodents, cats and dogs - and farm animals.
in case you are thinking this is a rare disease - exposure is commonplace - around 50% of domestic cats that are allowed outdoors are infected
i also took large quantities of Japanese knotweed prior and during antibiotics - and while its usefulness as an anti-inflammatory and endothelium protecting herb is documented by many many different researchers - and i would say that it might take the edge of some inflammatory symptoms - but while and active infection that directly infects the endothelial cells - such as bartonella - is in effect - it will be unlikely to brink major improvements
this is slides of my blood compared to that of a known bartonella infected patients ( after 9m of antibiotics )
the clear vacuoles are the spaces that bartonella create around themselves inside the red cells - as is documented in teh literature.
this presentation is unique and definitive - no other infection, condition or artefact has this presentation
View attachment 52727
i also take NAC and many other supplements - and i do think mitigating inflammation and oxidation is helpful in managing this disease while treating it - but again - while infection is present - these will have only minor mitigating properties.
after many years being stuck in the wilderness - i am now 60% recovered by focussing on treating bartonella.
the organism is intracellular, biofilm forming and persister cell forming - so its is not a quick fix treatment
its more akin to something like tuberculosis - where treatment is many months to years of combination antibiotics.
there seems to be a general reluctance in the ME/CFS community to accept that their condition could be caused by a bacterial infection - which is unsurprising as this has been denied as a possibility by medical doctors for decades.
but i am proof that such infections can and do have precisely the symptoms of ME/CFS.
and in fact most sufferers are diagnosed with CFS prior to getting a proper diagnosis.
i very much doubt i am the only one - so i post here to help raise awareness about this dreadful disease and its similarity to CFS - and provide others hope of recovery.
if anyone wishes to lean more- please see my other posts -and or watch the video below - which is i think the best primer on bartonella available - its by world renowned researcher Ed Breischwerdt at North Carolina state university
symptoms checklist by invisible international- a highly professional education and advocacy organisation here