Peripheral blood mononuclear cell beta-endorphin concentration is decreased in chronic fatigue syndrome and fibromyalgia but not in depression: preliminary report.
Panerai, Alberto E, Vecchiet, Jacopo, Panzeri, Paolo et al.·The Clinical journal of pain·2002
This study measured a natural pain-relieving substance called beta-endorphin in immune cells from people with ME/CFS, fibromyalgia, depression, and healthy controls. The researchers found that people with ME/CFS and fibromyalgia had significantly lower levels of beta-endorphin than healthy people and those with depression. This suggests the immune systems of people with ME/CFS and fibromyalgia may be working differently than in other conditions.