-
there is evidence of disrupted biology at cell membrane level
-
there is evidence of abnormal brain metabolism
-
there is evidence of widespread cerebral hypoperfusion
-
there is evidence of central nervous system immune dysfunction
-
there is evidence of central nervous system inflammation and demyelination
-
there is evidence of hypomyelination
-
there is evidence that ME/CFS is a complex, serious multi-system autoimmune disorder (in Belgium, the disorder has now been placed between MS and lupus)
-
there is evidence of significant neutrophil apoptosis
-
there is evidence that the immune system is chronically activated (eg. the CD4:CD8 ratio may be grossly elevated)
-
there is evidence that NK cell activity is impaired (ie. diminished)
-
there is evidence of hair loss in ME/CFS
-
there is evidence that the vascular biology is abnormal, with disrupted endothelial function
-
there is novel evidence of significantly elevated levels of isoprostanes
-
there is evidence of cardiac insufficiency and that patients are in a form of cardiac failure
-
there is evidence of autonomic dysfunction (especially thermodysregulation; frequency of micturition with nocturia; labile blood pressure; pooling of blood in the lower limbs; reduced blood volume (with orthostatic tachycardia and orthostatic hypotension)
-
there is evidence of respiratory dysfunction, with reduced lung function in all parameters tested
-
there is evidence of neuroendocrine dysfunction (notably HPA axis dysfunction)
-
there is evidence of recovery rates for oxygen saturation that are 60% lower than those in normal controls
-
there is evidence of delayed recovery of muscles after exercise (note: there is no evidence of deconditioning)
-
there is evidence of a sensitive marker of muscle inflammation
-
there is evidence that the size of the adrenal glands is reduced by 50%, with reduced cortisol levels
-
there is evidence that up to 92% of ME/CFS patients also have irritable bowel syndrome (IBS)
-
there is evidence of at least 35 abnormal genes (acquired, not hereditary), specifically those that are important in energy metabolism; there are more abnormal genes in ME/CFS than there are in cancer
-
there is evidence of serious cognitive impairment (worse than occurs in AIDS dementia)
-
there is evidence of adverse reactions to medicinal drugs, especially those acting on the CNS
-
there is evidence that symptoms fluctuate from day to day and even from hour to hour
-
there is no evidence that ME/CFS is a psychiatric or behavioural disorder.