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Updates to CDC and NHS treatment recommendations
CDC
- Post-exertional malaise is a new compulsory symptom
The CDC re-wrote its website, largely removing recommendations for graded exercise and CBT, now no longer mentions graded exercise, talks about activity within "energy envelope", some patients may not be able to do anything except daily living activities.
- Graded exercise not mentioned. Also see Elizabeth Unger of CDC - Medscape article.
- Diagnosis and Treatment of ME/CFS Syndrome: A Systematic Review of the Evidence replaces 2014-2015 ARHQ review, links to pdf
- CDC treatment
- "There is no cure or approved treatment for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, some symptoms can be treated or managed."
- Healthcare providers tool-kit rewritten, separate advice for post-exertional malaise refers to anerobic exercise