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Thank you, very helpful. I’ve been taking paracetamol 500 gm x 8 a day for 2 years now and don’t think it is helping. Is there likely to be any withdrawal effect if I, with the agreement of my GP, come off it?

Thank you for this. The most precise M.E. criteria are the International Consensus Criteria from 2011, based on the Canadian Consensus Criteria from 2002. One of the major differences between these two is that the panel of M.E. experts who wrote the ICC removed the wait period for diagnosis, based on the research available already back then (some done by panel members) as well as their clinical experience with 50,000 patients. They ICC panel also wrote a great Primer for doctors to further explain these criteria with a focus on what is possible with respect to differential diagnoses in clinical settings: “MYALGIC ENCEPHALOMYELITIS - Adult & Paediatric: International Consensus Primer for Medical Practitioners”. P.S. If you leave out the music, your videos will be more accessible for people with ME 🙃

Thank you for all your videos! I am also working with sleep disorders and have also observed the pain problem and also figured out the right causality. Do you have a reference about this?

As a high masking, high functioning autistic who has CPTSD, and who also has been diagnosed with fibromyalgia, I could not agree more with your research and what you are piecing together. I have definitely come to the same hypothesis on my own and would love more videos on this topic!

I hope your message is carried to health professionals far and wide to bring about some serious change. Not treating pain holistically is so damaging to the patients, ineffective in so many cases and costly (NHS paying for surgeries that cause secondary issues without solving the main one, for example, due to ignoring the potential for chronic pain to be neuroplastic). Many thanks for another informative video.

Stay away from toxic people, toxic situations, toxic neighborhoods..you get what Im saying? To have a permament injury is horible enough.

Long Covid = POTS

seeing how we are finally understanding how all our systems function together and affect each other is so hope inducing

Thank you for explaining about this very holistic approach to mitigating fibromyalgia pain. Will try to implement some of your suggestions

Well that explains at lot with the medication equalling weight

I just csme across you. appreciate your content and subscribed. Thank you

Amazing talk - answers many questions for me. Thank you.

Thank you so much for the videos you're making! They are very very helpful!

Thank you for your channel and your knowledge. It is so refreshing and promising to see a medical professional with this vast understanding of the complexity of these conditions. They all overlap in so many ways and it is so often common for medical professionals to want to lump them all in particular boxes. Thank you for your work.

Thank you sir, i hope to become a good doctor in future

I think you'd agree if you have to leave out certain food groups for whatever reason. You must find out which nutrients you may be depleting from your diet in doing so and making it up in some other way. No meat, vitamin b12 and heme iron are missing. So supplements to restore those elements is probably wise. Plus periodic testing to make sure you have enough in your system. If certain grains are out then you have to find alternatives for fiber. You can have food restrictions but always find substitutions for nutrients lost in the process. Best practice speak to a nutritionist.

Lifestyle Medicine is future of Medicine. - Dr. James Rippe ruclips.net/video/-2wQVwtc7ik/видео.html

Please more on this!

You are absolutely amazing!

Thank you Doctor

I am listening hoping to relieve neck pain.❤❤❤

You are one of the best doctors on RUclips. Thanks

Many thanks Doc., for being knowledgeable about this. Many doctors have no idea, over 40 years I have met so many “ it’s all in the mind”

Thankyou Dr Deepak Ravindran I have just found you & so very happy that I have your information)explainations on my brain fog is sooo me i was beginning to think that i was showing signs of Alzheimer's my mum had it ive not long being diagnosed with CFS im seeing a geriatrican have been for 4 visits @ 6 months intervals nothing showed up in brain scans ect for Alzheimer's hopefully nothing will i really feel/think its from my CFS 🙏

I have heard about the gut problems etc. Thanks for this timely reminder as i have pain everywhere. The worst is my left arm feels like someone suddenly gives me a chinese burn. This painful spasm makes me cry out. Ive realised that processed foods are toxic. Great video. Thank you.

Thanks doc

I greatly appreciate your video Dr. I’m 44 years old and I have had long COVID since October 2023. I lost my dad to COVID and my mother was on a ventilator and hospitalized for 51 days. Just recently I’ve been researching fibromyalgia and I have every common symptom of fibromyalgia. Some days it’s so bad I don’t feel like being alive. My primary care Dr. just shrugs of the idea of fibromyalgia and basically says it’s not even scientific. I would love to hear your input for any relief I could get because I truly don’t know how long I can continue living this way. Thank you for caring about us sometime forgotten casualties of COVID.

Thank you for the videos they help so much ❤

I am paying attention to my body.i have periods when the fatigue is so severe that i have to myself and then get burned out so easily. It seems I wake up with a thumbnail of energy and try to move the world with it. My body sometimes behaves as if it wants to just give up. Today I noticed a wave of fatigue and ask Siri about allergies and CFS and wow. I’m testing myself to see if the use of an anti histamine will help. Wish me luck! Never stop looking for your answers

I came down with CFS/POTs in 2016 after going to hospital for routine kidney stone surgery ...I got an ESBL infection turned to sepsis and been disabled ever since .

Great tips ! Stress usually causes muscle tightness which sets up a flare up . Relaxation techniques can help ,also I find eating a low inflammatory or high polyphenol food can help

I definitely see and agree with both of you

Thank you,very helpful summary,Dr Kevin

Love this Deepak - this was a very touching video to watch and as you know is the kind of cases I work with every day. To realise the connection of trauma and the origins of health issues and help people resolve things is the most beautiful and humbling work and so beautiful to see people heal at such a deep level. It truly feels like an honour to be granted the patients permission to be trusted to work at such a deep painful level with them. I love this work. So well presented Deepak - thank you. Case studies and stories speak so loudly I feel. Rodger Duckworth

Thank you for this. You may have already heard about this, but ME/CFS researchers have developed a hypothesis called the itaconate shunt hypothesis that explains how the innate immune system drastically lowers the amount of energy produced in the mitochondria. It’s worth looking into. Rob Phair is one of the lead researchers.

I can feel the inflammation in my brain when i over do it. Sometimes i ice my head, it seems to help.

Im very intelligent but have quite a bit of brain fog.

I like you a lot! ❤ Thank you.

Brilliant 👏🏻

Great story.❤

Very interesting video

Interesting

Hello doctor, I’m a doctor from India who would like to persuade a career in lifestyle medicine. Will you be kind enough to make a video on iblm certification/ other courses for lifestyle medicine.

thank you! I was looking for this

Thank you for helpful guidance re pills.

Excellent reminder of what we need to do..Thank you.

I'm an HCA and have since having covid been diagnosed with fibromyalgia following blood tests and assessment by rheumatologist. I do wonder if it's long covid

One thing that gets my stress levels raised is the idea of a fibromyalgia diagnosis being interpreted as not really an illness, or that it's all in the mind. My particular favourite is the snide question you get from medical practitioners such as "Were you diagnosed by a rheumatologist"? Actually it's an appalling question to ask. To any other doctors who may be reading this: avoid being punched in the face by your patients by first checking the notes before opening your mouth.

Thanks alot sir😢

Great video