What do you mean by this part:
(I was also fine enough for two years in between):
I got ill 2001, and after I had overcome EBV and was not too bad I got worse again over the next years, due to food (I didn´t look at that). Since 2004 I got slowly better, due to change of food (again by accident) but only after having stopped drinking tea (rich on manganese) and picked up coffee instead in 2007/8 I reached an alomst healthy state in 2009 (by accident again). 2010 I detoriated due to nutrition (once more by accident). Only 2015 I got aware of the dependence to intake of mangase.
So I wanted to say that I am confident to recover, because I had almost recovered in 2009/10. Here only uncomfortable legpain stayed, all other symptoms had gone (or had almost gone).
Now I am coming from a very bad state of feeling bad, but I am confident. Nonetheless the improvement was very difficult, not easy to grasp for doctors and anybody else. I couldn´t work anymore, while I slowly lost my pain and can sleep well right since 2015. Only the last 10 months while being on the forum I slowly discovered the other metals, thanksfully.
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@Wishful @debored13 )
In my opinion it must be a software problem. Some ppl feel better when they have an infection (often reported from a flu if I see rightly). True as well that one might also feel worse from an infection, I just had a jaw inflammation and after treatment I am better. But I was also good for half a day when I finally eliminated candida albicans in my mouth. Half a day, what a nonsense behaviour, what is the body doing?
I also think that the delayed appearance of worsening after exertion - on a quite regular basis - would only allow for an interpretation of some information processing. I am not an expert but I think this would not be thinkable from a response to any pathogen on a regular basis. I think it´s a feeling-ill, but it differs from any "normal" ill-feeling.
Finally there are the wide diversity of symptoms, and it looks difficult to grasp the common thing of the illness. What does it indicate, as the common thing is more and more recogniced to be this PEM, this strange worsening aftzer exertion, limiting one´s ability to act profoundly. In my opinion the only place in the body which could induce this wide spread diversitiy are basal ganglia and thalamus. In so far I don´t think that there is a riddle.
A riddle will be, I think, by which software exactly basal ganglia and thalamus were out of proper function. I am afraid that the possibilites of changes are not known well enough. What would chemicals or pathogenes change, probably on a two hit "event"? I think the known pathogenes are not important as a normal infection, here they would occure in ppl without cfs, which is indeed well recognized.
So I think the question must be: What can be a trigger, and what (different) properties do triggers have that they can change which (different) pathways? Pathways which do affect the infomation processing in basal ganglia and/or thalamus.