Theodore Henderson, psychiatrist, treats CFS patients with antivirals. He has written an opionion piece in reaction to the Hanson paper about gut dysbiosis.
http://www.psychiatryadvisor.com/op...drome-is-not-merely-dysbiosis/article/520401/
http://www.psychiatryadvisor.com/op...drome-is-not-merely-dysbiosis/article/520401/
article said:Unfortunately, it takes the medical care of ME/CFS in the wrong direction. The cited article by Giloteaux and colleagues, Reduced diversity and altered composition of the gut microbiome in individuals with myalgic encephalomyelitis/chronic fatigue syndrome,2 seems to ignore the extensive research demonstrating a viral etiology for ME/CFS.
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Perhaps I am being dogmatic, but let me explain why this is a disservice to patients. I have been treating patients with ME/CFS for years. I have heard many stories of the way medical professionals have treated them: 1) Dismissal and scorn – “I feel tired too sometimes, dear,” “Well, you would feel so much better if you just exercised;” 2) Quackery – neurofeedback, rife machines, years upon years of “anti-inflammatory” therapy; 3) Ignoring – complaints of fatigue, mental fog, joint pain go unaddressed for years; and, 4) Psychiatric labeling – diagnosing depression,. In contrast, hundreds of patients in my care have seen improvement in 1-5 months on antiviral therapy. The Institute of Medicine committee reviewed all of the literature and spent months in deliberation before publishing their conclusions.3 High on their list of findings about ME/CFS is that it likely has a viral etiology and the strongest candidate is Epstein-Barr virus (EBV), also known as Herpes 4.
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Anything that takes the public eye or the medical community's effort away from treating ME/CFS as a viral illness is a disservice. Whether you look at the hundreds upon hundreds of patients treated by the late Dr. A. Martin Lerner4 or the hundreds of my patients who have resumed normal lives after anti-viral treatment5,6, it is hard to not feel the bile rise. Perhaps seeing it from a patient's perspective would be helpful.