ME/CFS Evidence Browser — Classified Studies on Myalgic Encephalomyelitis

2422 studies

181–200 of 2,422 studies

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

How a Clinician Makes a Diagnosis for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

Vallings, Rosamund·Methods in molecular biology (Clifton, N.J.)·2025

This guide explains how experienced doctors diagnose ME/CFS when standard blood tests or scans cannot detect the illness. Since there is no single definitive test for ME/CFS, doctors must carefully evaluate a patient's symptoms, medical history, and how the illness affects their daily functioning. This chapter walks through the practical steps clinicians use to identify ME/CFS and distinguish it from other conditions.

Diagnostics

E3 PreliminaryReviewPEM not requiredReview-Narrative

Retracted: Chronic Epipharyngitis Treated with Epipharyngeal Abrasion Therapy: Symptoms, Diagnosis, Pathogenesis, and Treatment Outcomes.

Harabuchi, Yasuaki, Kumai, Takumi, Nishi, Kensuke et al.·JMA journal·2025

This article discusses chronic epipharyngitis—long-term inflammation in the upper throat—and describes a treatment called epipharyngeal abrasion therapy (EAT) that aims to reduce this inflammation. The authors note that this throat inflammation may cause various symptoms including fatigue, brain fog, dizziness, and cough, and they review evidence that EAT might help some patients, including those with long COVID. However, this paper has been retracted and should not be relied upon for clinical decisions.

Cognitive Impairment

E3 PreliminaryMechanismPEM unclearMechanistic

The potential causes of myasthenia and fasciculations in severely ill ME/CFS patients: the role of disturbed electrophysiology.

Wirth, Klaus J, Steinacker, Jürgen M·Frontiers in physiology·2025

This study proposes that muscle weakness, fatigue, and twitching in severely ill ME/CFS patients may result from a problem with a specific pump in muscle cells called the Na+/K+-ATPase. When this pump doesn't work properly, it allows too much sodium and calcium to build up inside muscle cells, damaging the cell's energy-producing structures (mitochondria) and making muscles weaker and more prone to cramping and involuntary twitching. The researchers suggest this single mechanical problem could explain many of the muscle symptoms severely ill ME/CFS patients experience.

Energy Metabolism

E3 PreliminaryCohortPEM unclear

Successful treatment of myalgic encephalomyelitis/chronic fatigue syndrome using hydrogen gas: four case reports.

Hirano, Shin-Ichi, Ichikawa, Yusuke, Sato, Bunpei et al.·Medical gas research·2024

This study looked at four patients with ME/CFS who were treated with hydrogen gas and reported improvements in their symptoms. The researchers described how each patient used hydrogen gas therapy and what changes they noticed over time. While the results are encouraging for these individual cases, this is a very small study that needs much larger research to confirm whether hydrogen gas could help ME/CFS patients more broadly.

Interventions

E3 PreliminaryReviewPEM unclearReview-Narrative

The role of clinical neurophysiology in the definition and assessment of fatigue and fatigability.

Tankisi, Hatice, Versace, Viviana, Kuppuswamy, Annapoorna et al.·Clinical neurophysiology practice·2024

This review article explains how doctors and researchers can better understand fatigue and 'fatigability'—the reduced ability to sustain physical or mental effort. The authors describe different types of tests that can measure these problems objectively by looking at how the brain, nerves, and muscles work, rather than relying only on what patients report. These specialized tests may help identify the actual cause of fatigue in different conditions, including long COVID and ME/CFS.

E3 PreliminaryReviewPEM requiredReview-Narrative

[Interdisciplinary multimodal pain therapy in postviral syndromes and ME/CFS : Features, pitfalls and model concept].

Luchting, Benjamin, Behrends, Uta, Eigner, Bianca et al.·Schmerz (Berlin, Germany)·2024

Standard pain therapy programs often push patients to gradually increase their activity levels, but this approach can be harmful for people with ME/CFS because of postexertional malaise (PEM)—a worsening of symptoms after physical or mental effort. This paper reviews how pain therapy should be redesigned specifically for ME/CFS patients and presents a new model clinic program that carefully adjusts treatment to each person's individual tolerance levels to avoid triggering symptom flares.

Post-Exertional Malaise

E3 PreliminaryMechanismPEM unclearObservational

Head-down tilt reduces the heart rate in postural tachycardia syndrome in acute setting: a pilot study.

Novak, Peter·Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·2024

This small study tested whether tilting the head downward slightly could help people with POTS (a condition causing rapid heart rate when standing). Researchers found that a 10-degree head-down tilt for 2 minutes safely reduced heart rate by about 10% and improved blood oxygen levels. Four of the seven patients tested also had ME/CFS, suggesting this approach might have potential for multiple related conditions.

Autonomic Nervous System

E3 PreliminaryReviewPEM not requiredReview-Narrative

Creatine Supplementation Beyond Athletics: Benefits of Different Types of Creatine for Women, Vegans, and Clinical Populations-A Narrative Review.

Gutiérrez-Hellín, Jorge, Del Coso, Juan, Franco-Andrés, Arturo et al.·Nutrients·2024

This review article examines how creatine, a natural substance that helps muscles produce energy, might help people beyond just athletes. The authors suggest creatine supplementation could reduce fatigue in women during certain phases of their menstrual cycle, help vegans and vegetarians compensate for lower creatine from their diet, and potentially support people with chronic fatigue syndrome, muscle loss, and other health conditions by improving how their cells produce energy.

Energy Metabolism

E3 PreliminaryReviewPEM not requiredReview-Narrative

Cardiac Geometry and Function in Patients with Reflex Syncope.

Coseriu, Giorgia, Schiop-Tentea, Patricia, Apetrei, Csilla-Andrea et al.·Journal of clinical medicine·2024

This review examines how the size and function of the heart relate to fainting episodes in people with reflex syncope. Researchers found that people with smaller hearts and very forceful heartbeats are more prone to fainting, and this pattern is also seen in some people with chronic fatigue syndrome. Understanding these heart differences may help doctors predict who will faint again and choose better treatments.

Autonomic Nervous System

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

KombOver: Efficient k-core and K-truss based characterization of perturbations within the human gut microbiome.

Sapoval, Nicolae, Tanevski, Marko, Treangen, Todd J·Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing·2024

This study describes a new computer tool called KombOver that analyzes bacteria in the gut more efficiently than previous methods. Researchers tested it on nearly 1,000 gut samples from people with ME/CFS and other conditions to see how microbial communities change in response to illness. The tool works much faster and requires less computing power than earlier versions, making it more practical for large research studies.

Gut Microbiome

E3 PreliminaryCohortPEM requiredCase-Control

Case-Control Study of Individuals With Small Fiber Neuropathy After COVID-19.

McAlpine, Lindsay, Zubair, Adeel S, Joseph, Phillip et al.·Neurology(R) neuroimmunology & neuroinflammation·2024

This study looked at 16 patients who developed nerve damage in their small nerves after COVID-19. The researchers found that 92% of these patients also had symptoms of ME/CFS, including post-exertional malaise (feeling much worse after activity). When 9 patients were treated with IVIG (an immune therapy), all of them improved significantly, while only 3 out of 7 untreated patients improved.

Post-Exertional Malaise

E3 PreliminaryMechanismPEM unclearCase-Control

Identification of CD8 T-cell dysfunction associated with symptoms in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID and treatment with a nebulized antioxidant/anti-pathogen agent in a retrospective case series.

Gil, Anna, Hoag, George E, Salerno, John P et al.·Brain, behavior, & immunity - health·2024

This study found that people with ME/CFS and Long COVID have immune cells (called CD8 T-cells) that don't work properly—they can't produce certain protective substances as well as healthy people can. The researchers also tested a nebulized (inhaled) treatment made from five natural antioxidant ingredients in a small group of patients and found that both the immune cell function and symptom severity improved over time with treatment, without serious side effects.

Immune System

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

Machine learning algorithms for detection of visuomotor neural control differences in individuals with PASC and ME.

Ahuja, Harit, Badhwar, Smriti, Edgell, Heather et al.·Frontiers in human neuroscience·2024

Researchers developed a new method using a simple headband that reads brain activity (EEG) to help identify people with long COVID or ME/CFS. The study used artificial intelligence to analyze brain patterns, and when trained on computer-generated synthetic data, the system was able to correctly identify these conditions 93% of the time. This approach could eventually help doctors diagnose and monitor these conditions more quickly.

Biomarkers

E3 PreliminaryCohortPEM unclearCross-Sectional

'Welcome to my world': a thematic analysis of the lived experiences of people with Myalgic Encephalomyelitis during the UK COVID-19 lockdown.

Portch, Emma, Moseley, Rachel L, Wignall, Liam et al.·Psychology & health·2024

This study asked 30 people with ME/CFS about their experiences during the UK's first COVID-19 lockdown in 2020. The researchers found that while digital tools became more accessible during lockdown (which helped some participants), people with ME/CFS had already developed their own coping strategies from being isolated by their illness for years. Participants were concerned that once lockdown ended, society wouldn't better understand what it's like to live with severe restrictions due to illness.

E3 PreliminaryReviewPEM unclearReview-Narrative

Hypocortisolemic ASIA: a vaccine- and chronic infection-induced syndrome behind the origin of long COVID and myalgic encephalomyelitis.

Ruiz-Pablos, Manuel, Paiva, Bruno, Zabaleta, Aintzane·Frontiers in immunology·2024

This review proposes that ME/CFS, long COVID, and post-vaccine syndrome may share a common cause: an immune system problem that damages the pituitary gland (a small gland that controls many hormones). The researchers suggest that in genetically susceptible people, a weak initial response to viruses can lead to an overactive immune response that mistakenly attacks the body's own pituitary gland, lowering levels of crucial hormones like cortisol. They propose that treatments like antivirals, steroids, and antioxidants might help by reducing inflammation and restoring hormone balance.

Immune System

E3 PreliminaryReviewPEM unclearReview-Narrative

Mast cells in the autonomic nervous system and potential role in disorders with dysautonomia and neuroinflammation.

Theoharides, Theoharis C, Twahir, Assma, Kempuraj, Duraisamy·Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology·2024

This study examines mast cells, which are immune cells found throughout the body, and how they may be involved in conditions like ME/CFS that affect the nervous system and cause abnormal heart rate and blood pressure responses. Mast cells sit near nerve endings and important organs, where they can release chemicals that affect how the body regulates basic functions like temperature and blood pressure. The researchers suggest that controlling mast cell activation might help treat these conditions, though currently there are no proven treatments.

NeuroinflammationImmune System

E3 PreliminaryMechanismPEM unclearMechanistic

Exploring the shared mechanism of fatigue between systemic lupus erythematosus and myalgic encephalomyelitis/chronic fatigue syndrome: monocytic dysregulation and drug repurposing.

Zheng, Daisi, Li, Xiaolong, Wang, Peicheng et al.·Frontiers in immunology·2024

Researchers discovered that ME/CFS and lupus (SLE) may share similar immune problems, particularly involving immune cells called monocytes that become overactive and produce excess inflammation. By studying genes and immune cells from both diseases, they identified five key inflammatory proteins that appear important in fatigue, and they predict that certain existing drugs—particularly N-acetyl-L-cysteine and camptothecin—might help reduce this inflammation.

Immune System

E3 PreliminaryReviewPEM unclearReview-Narrative

The molecular fingerprint of neuroinflammation in COVID-19: A comprehensive discussion on molecular mechanisms of neuroinflammation due to SARS-COV2 antigens.

Zayeri, Zeinab Deris, Torabizadeh, Mehdi, Kargar, Masoud et al.·Behavioural brain research·2024

This study explains how COVID-19 can damage the brain and nervous system, causing inflammation and injury. The researchers found that about half of people recovering from COVID-19 develop ME/CFS symptoms, and brain scans show reduced activity in key areas that control memory, movement, and mood. The study focuses on the biological mechanisms—essentially how viruses trigger harmful immune responses in the brain that can lead to long-term neurological problems.

Neuroinflammation

E3 PreliminaryBehavioralPEM unclearCase-Control

[Effect of ECT on chronic fatigue syndrome].

Novakovic, Mina, Løhde, Linda, Brandt-Christensen, Anne Mette et al.·Ugeskrift for laeger·2024

This case report describes an older woman who was diagnosed with ME/CFS 30 years ago but was later found to actually have depression with severe fatigue as a main symptom. She received electroconvulsive therapy (ECT) for depression and regained the ability to walk after six years of immobility. The case highlights how depression and ME/CFS can look similar and sometimes get confused with one another.

E3 PreliminaryDiagnosticPEM unclearMethods-Paper

Determining the societal value of a prospective drug for ME/CFS in Germany.

Gandjour, Afschin·PloS one·2024

This study examined how much money Germany should invest in developing a new ME/CFS drug to provide the greatest benefit to patients and society. Researchers calculated that an effective ME/CFS drug could improve quality of life for thousands of patients and save billions of euros, and they determined that Germany's optimal investment would be around €676 million. The study emphasizes that developing ME/CFS treatments requires countries to work together internationally because no single country can bear the full cost alone.

← Previous Next 20 studies →

Or browse by topic

PEM Immune Neuro Metabolic Biomarkers Severe ME Long COVID Cognitive

Evidence Atlas

Evidence browser

How a Clinician Makes a Diagnosis for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

Retracted: Chronic Epipharyngitis Treated with Epipharyngeal Abrasion Therapy: Symptoms, Diagnosis, Pathogenesis, and Treatment Outcomes.

The potential causes of myasthenia and fasciculations in severely ill ME/CFS patients: the role of disturbed electrophysiology.

Successful treatment of myalgic encephalomyelitis/chronic fatigue syndrome using hydrogen gas: four case reports.

The role of clinical neurophysiology in the definition and assessment of fatigue and fatigability.

[Interdisciplinary multimodal pain therapy in postviral syndromes and ME/CFS : Features, pitfalls and model concept].

Head-down tilt reduces the heart rate in postural tachycardia syndrome in acute setting: a pilot study.

Creatine Supplementation Beyond Athletics: Benefits of Different Types of Creatine for Women, Vegans, and Clinical Populations-A Narrative Review.

Cardiac Geometry and Function in Patients with Reflex Syncope.

KombOver: Efficient k-core and K-truss based characterization of perturbations within the human gut microbiome.

Case-Control Study of Individuals With Small Fiber Neuropathy After COVID-19.

Identification of CD8 T-cell dysfunction associated with symptoms in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID and treatment with a nebulized antioxidant/anti-pathogen agent in a retrospective case series.

Machine learning algorithms for detection of visuomotor neural control differences in individuals with PASC and ME.

'Welcome to my world': a thematic analysis of the lived experiences of people with Myalgic Encephalomyelitis during the UK COVID-19 lockdown.

Hypocortisolemic ASIA: a vaccine- and chronic infection-induced syndrome behind the origin of long COVID and myalgic encephalomyelitis.

Mast cells in the autonomic nervous system and potential role in disorders with dysautonomia and neuroinflammation.

Exploring the shared mechanism of fatigue between systemic lupus erythematosus and myalgic encephalomyelitis/chronic fatigue syndrome: monocytic dysregulation and drug repurposing.

The molecular fingerprint of neuroinflammation in COVID-19: A comprehensive discussion on molecular mechanisms of neuroinflammation due to SARS-COV2 antigens.

[Effect of ECT on chronic fatigue syndrome].

Determining the societal value of a prospective drug for ME/CFS in Germany.

Curated Collections

Neuroinflammation Evidence

Metabolism & Mitochondria

Biomarkers

PEM-Specific Research