The neuroendocrinology of chronic fatigue syndrome and fibromyalgia.
Parker, A J, Wessely, S, Cleare, A J·Psychological medicine·2001
This review examined how hormones and brain chemicals differ in ME/CFS patients. Researchers found that some patients have lower stress hormone (cortisol) levels, and their bodies show unusual patterns in serotonin and other brain chemical systems when tested. However, the findings were inconsistent across studies, and it's still unclear whether these changes cause ME/CFS symptoms or result from living with the illness.