The article by the Oslo Chronic Fatigue Consortium led by Alme, does not provide any scientific evidence for their "alternative narrative" which in reality has been dominating the field of ME/CFS and post infectious diseases for the last 35 years. Additionally, they ignore the overwhelming amount of evidence that ME/CFS and long Covid are physical diseases. Moreover, their own studies show that gradually increasing exercise/activities does not lead to objective improvements and has a negative instead of a positive effect on work and illness benefit status. Additionally, NICE concluded in October 2021 that gradually increasing exercise/activity is harmful and should not be used. If the medical profession had taken post infectious diseases seriously as we should have, instead of psychologising them for decades, then by now we would have had many different effective pharmacological treatments for long Covid and ME/CFS and the world would not be clutching at straws on how to treat the estimated 65 million patients with long Covid.
No takes yet. Share an insight, caveat, or question.
Vink et al. (2024) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: