A systematic review and critical evaluation of the immunology of chronic fatigue syndrome.
Lyall, Marc, Peakman, Mark, Wessely, Simon·Journal of psychosomatic research·2003
Researchers reviewed all the studies looking at immune system problems in ME/CFS patients to see what patterns emerged. They found that results were mixed and often contradictory—some studies showed low natural killer cells, while others didn't, especially when looking at higher-quality research. The review suggests that how studies are designed and conducted can affect whether certain immune changes are found.