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@lcsupportaotearoa.bsky.socialOct 16, 2026, 12:39 AM

We had a wonderful talk from Raewyn Burroughs neurophysio about PEM and pacing this morning.

#longcovid #pacing #PEM

@airiredcat.bsky.socialOct 15, 2026, 9:15 PM

Heute an der Uniwiese langgelaufen und da haben Studis Hobbyhorsing betrieben, Wikingerschach gespielt, und sich gegenseitig huckepack getragen und ich vermisse das Studisein und Gesundsein und einfach auf der Wiese mit Freunden sitzen. 🥹

Einmal im Kreis laufen war schon zu viel.

#PEM #LongCovid

@workwellfoundation.bsky.socialOct 15, 2026, 5:04 PM

LATEST NEWS ON TODD'S SUBSTACK
ME/CFS is characterized by post-exertional malaise. PEM is variously defined, but it involves an abnormal multi-system & multi-symptom response to often-trivial levels of exertion.
Read more: conta.cc/4rQWitY
#MECFS #LongCOVID #PEM #Science @sunsopeningband.bsky.social

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@benking01.bsky.socialOct 15, 2026, 3:43 PM

Paced like a BOSS this afternoon (teaching).

#Pacing to avoid overexertion and #PEM

#LongCovid

Pacing line running just behind pacesetter all afternoon
@semg.bsky.socialOct 15, 2026, 2:01 PM

🔜Ya falta menos para esta Jornada organizada por #SEMG y la Asociación de Personas con Encefalomielitis Miálgica (#PEM):

🥼Más allá de la Fatiga: Diagnóstico diferencial de la Encefalomielitis Miálgica (#EM/#SFC)

🗓️26 de octubre de 2026

⏰️ 18.00 a 19:30 h.

👩‍⚕️/💻️ Formato híbrido (presencial y online)

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@benking01.bsky.socialOct 15, 2026, 5:50 AM

Rested well. 06:45 Thursday 🤞

Visible Health Stable - although Resting HR is slightly elevated

EliteHRV 10 out of 10 Readiness and PNS/SNS Balanced

KubiosHRV Readiness on the Lower end of my 'Normal'

Dare I believe that I'm going to escape debilitating #PEM symptoms? 🤞

Looking Stable 4Readiness 10Kubios 54%
@swastrosarah.bsky.socialOct 15, 2026, 5:21 AM

All my knowledge comes from learning from vs #ME and any open source literature my medically uneducated mind can absorb.
B12 supplementation masks underlying pathology. Use with caution. Like an opiate it may make ME worse long term.
Fibromyalgia is a diagnosis for no #PEM CFS.
Kidney stones are not

@tomkindlon.bsky.socialOct 14, 2026, 9:05 PM

2/
From: "Assessment of Post-Exertional Malaise (PEM) in Patients with ME and CFS: A Patient-Driven Survey" (2019) by a Leonard A. Jason team
pmc.ncbi.nlm.nih.gov/articles/PMC...

#PostExertionalMalaise #PEM

@bettinagrande.bsky.socialOct 14, 2026, 7:49 PM

Es geht um mehr als wissenschaftliche Sorgfalt oder wertschätzende Worte. Ein falsches Krankheitsverständnis führt zu schädigenden Behandlungsempfehlungen.
Wer #MECFS #PEM nicht versteht, kann Patienten freundlich begegnen und sie dennoch schwer schädigen. Freundlichkeit ersetzt keine Fachkompetenz.

@tanukirypeaches.bsky.socialOct 14, 2026, 7:27 PM

Too many faces? Not enough faces? I don't know...
But hey, at least it looks like it's coming together nicely 😅

Maybe her butts too high...

#Blender | #Pem | #idkfrogorsomething

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@oudais.bsky.socialOct 13, 2026, 8:18 AM

興味深いのは、ME/CFSの特徴的な症状である「運動後倦怠感(PEM)」が挙げられている点と、急性ワクチン反応とはあまり関連付けられていないように見えるものの、PACVSとは関連している「息切れ」が挙げられている点である。
#PACVS
#LongVax
#LongCovid
#コロナ後遺症
#ワクチン後遺症
#コロナ
#Covid19
#コロナワクチン
#ワクチン
#予防接種
#副反応
#ME/CFS
#線維筋痛症
#慢性疲労症候群
#PEM
#運動後倦怠感

@achronicvoice.comOct 12, 2026, 10:30 PM

"we’re #exhausted. Not just from the #PEM. From explaining it over & over to people who think they know better..Which, if you think about it, is rather the whole problem.": buff.ly/tydQbXg

by @darthfoo.bsky.social
#ChronicFatigue #ableism #disabled #NEisVoid #ChronicPain #ChronicallyIll

@benking01.bsky.socialOct 12, 2026, 2:44 PM

Mission accomplished 🙏

Heartrate back down.

Pacing line falling further behind my daily Pacesetter 😊

#Pacing to avoid overexertion and the #PEM symptoms that come with my #LongCovid

#LongCovidTeacher

Pacing line no longer rising. Horizontal.
@benking01.bsky.socialOct 11, 2026, 2:59 PM

4pm. Home. And still not used a single PacePoint all day.

This is the danger of a Parasympathetic Swing! I've done so much today, albeit very slowly and with lots of resting on my telescopic stool 🙏

#Pacing to avoid overexertion and debilitating #PEM symptoms associated with my #LongCovid

Still 0.9 pace points
@tomkindlon.bsky.socialOct 11, 2026, 2:00 PM

2/
POST-EXERTIONAL MALAISE (PEM) IN ME/CFS

#mecfs #pem #postexertionalmalaise

POST-EXERTIONAL MALAISE (PEM) IN ME/CFS 
PEM is the delayed worsening of symptoms, such as cognitive dysfunction and fatigue, following minimal physical and/or mental exertion. It often has a profound impact on daily activities. 
ME/CFS research highlights: 
• Lower threshold for anaerobic respiration / lactic acid (lactate) production. Elevated lactate at rest associated with more severe PEM. 
• Sodium-potassium pump dysfunction in skeletal muscle may impair mitochondria and contribute to PEM. 
• Increased activation of certain brain regions post-exercise may be associated with PEM. 
Although these studies have limitations, they provide a foundation for future research. 
PEM is the hallmark feature of ME/CFS 
• 

INFORM. INFLUENCE. INVEST. Full overview and references at [tinyurl.com/PEMsymptomsat] 
1111111 111141 RESEARCH UK 00030042
@tomkindlon.bsky.socialOct 11, 2026, 1:53 PM

2/
What post-exertional malaise (PEM) in ME/CFS feels like

#mecfs #pem #PostExertionalMalaise

What post-exertional malaise (PEM) in ME/CFS feels like 
worst flu 
complete energy drain 
worst hangover 
poisoned pain aching 
sleep making no difference 
having been run over/hit by a vehicle 
made of lead 
nausea weak 
body shutdown 
jet lag 

bone deep exhaustion 
wading through mud 
plug pulled out 
Recurring themes from ME Research UK 
Symptom Saturday PEM Survey 
INFORM. INFLUENCE. INVEST. 

R UK e
@swastrosarah.bsky.socialOct 10, 2026, 9:39 AM

I've been hoping a newer country, like Ireland or New Zealand would lead the way on safe medical management of #ME. Take a look at this, given by microbiologist Prof Warren Tate, findings linking epigenetics with #PEM in NZ.
Thanks to ANZMES for making it public www.youtube.com/watch?v=giis...

@tomkindlon.bsky.socialOct 8, 2026, 2:13 PM

From the popular Diploma Duck account on IG, FB and probably elsewhere

“ME/CFS (explained by ducks)” (58 seconds)

#MyalgicEncephalomyelitis #ChronicFatigueSyndrome #MEcfs #CFS #PwME #PEM

3
@benking01.bsky.socialOct 7, 2026, 6:30 PM

A reminder to anyone who, like me, is trying to work out what on Earth is going on inside our #LongCovid bodies:

Pacing as I do and keeping within my daily 'energy envelopes' for Movement (KiActiv) and PacePoints (Visible Health) I am keeping free of Post-Exertional-Malaise #PEM symptoms 🎉