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Colleen Steckel: ME-ICC Info's avatar

Thanks for covering this topic! Getting IV fluids weekly has improved my quality of life. If more doctors understood this, more patients would get IV fluid treatment.

I wrote about my experience with IV fluids here: https://colleensteckelmeiccinfo.substack.com/p/iv-fluids-for-treating-myalgic-encephalomyelitis

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Bridgette Jones Brokevitch's avatar

TYSM will sdd thid to my files ss I fight now s fourth yesr for them. Only received one nurse visit in two snd s hslf yesrs since my cardiologist rxd them.

Ps myself and sppsrently st least s few other patients in Natelson’s mount Sinai PEM trial ehich measured our blood volume w nuclear medicine methods two days in s row before esch of two days of five minutes of bike exercise with CPET

displayed not low blood volume but hiiiigh blood volume. 🥴😮‍💨 severely high as in critical care wards.

I figured I must have induced this by drinking soooo much salt 🧂 water 💧 so on the fternoom of day 1️⃣ one as the pem kicked in I cut back on intake. A lottt. I was very determined to see if I could see what effect that had on day two measurements but was really stymied bc holy hell my thirst I slesys violent. Especially off pots meds as I was.

The real shocker to me isn’t just that I had high blood volume. It’s that restricting fluid in setting of pem increased it. 😮‍💨 severely.

We can wonder how much reducing intake may have increased blood volume or ehether thst is just what my body does during pem. But holy hell there’s a there there.

And it’s not what eveb most of the smartest conventional wisdom suggests.

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Colleen Steckel: ME-ICC Info's avatar

That is interesting. I wonder if that is a case of different conditions causing similar symptoms. There is a danger of lumping multiple patient groups under one vague criteria. ME/CFS (IOM report/ what CDC now uses) is far too vague. We need to stratify patients using biological findings.

Level of blood volume may be one aspect to stratify patients.

I wonder if this difference could be due to cause of onset.

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Tara Mitchell's avatar

Thanks for researching and writing this! I've had ME for half a decade. The first couple of years were horrific. I fainted while getting blood tests because my blood was so thick it took ages to get enough for testing. I read an article on Health Rising about low blood volume and it resonated with me. It recommended oral rehydration salts (ORS), which are cheap. I now drink a litre a day, which is a lot. Of all the supplements I take, and dietary and lifestyle changes I've made, nothing has had a bigger impact than ORS, though I remain housebound and unable to work.

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Pepper1252's avatar

Thank you so much for this article. Really encapsulates the lived experience through science.

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Peter Kemp's avatar

Very interesting and disturbing. I wonder if RBC lifespan has ever been investigated in ME? There are various tests available. In my microscopy experiments which put RBCs under moderate stress, a proportion remain visually sound for several days, while others turn transparent suggesting a ruptured membrane causing 'ghost cells'. The difference is striking and to me suggests the presence of vulnerable cells.

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Hillary Johnson's avatar

Aspects of this have been explored in earlier studies, to be addressed in my next post.

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Eleni's avatar

My very first ME symptom was an inability to stand for more than a few minutes before feeling I was about to faint. I’d have to lie down immediately. Along with that came the classic ME symptom not much mentioned anymore of feeling I was not in fact fainting but actually dying…

I have another classic symptom which is an inability to tolerate most drugs. They are ok for a day or two then I feel like I’m being poisoned. I imagine that could be a result of having less blood? Would that not magnify the level of drug in the system to a whole new level? Which after a day or two would presumably be quite toxic if your system doesn’t clear it quickly enough?

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M (is) Living with Long Covid's avatar

Wow! I just got diagnosed with hypovolemic POTS (and have ME/CFS and LC) so this was an incredibly fascinating read.

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Janet Quiles's avatar

Amazing work. Very interesting and enlightening.

There was one typo I noticed:

In an obituary about Streeten, published in the Journal of Clinical Endocrinology and & Metabolism

and &

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Hillary Johnson's avatar

Merci!

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