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Which Tests to rule in/out ME - aerobic/anaerobic?

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I know there isn't yet a single perfect test, but there are certainly some

things we can do, if I understand the science I've ben reading here and

elsewhere.

I have not got an official CFS/ME dx. I'm trying to short-cut some the

CDC's " diagnosis by exclusion " and see if I've really got ME or if it's

something else. I have an appointment Thursday with doctor who has trested

many CFS people, Dr. Papernik.

In particular, I really want to know if I go right to anaerobic energy

production when I should be aerobic, so that I know whether I'm just getting

tired when I try to exercise or I am doing real damage to myself. (Am I

even asking the right question here?)

I've had some incidents that sem like push-crash, (rode the exercycle on a

Monday and Tuesday: Wednesday and Thrusday was in much worse shape, had toi

take off work) but I don't seem sick enough in many ways for ME (just from

reading here). Example - still working, but effectively only part-time as a

take 1 sick-day every week, nap during the day and sometimes just stare at

the screen. This has come on during the last year and a half, gotten

significantly worse the laast 6 - 8 months.

I'm thinking that if I'm ME, it's relatively early in the game.

My GP wants a stress EKG. (Tho he also wanted to tell me it was

psychological 7 months ago. Am seriously copnsidering a new GP.) This may

be unavoidable, but I sure as hell want to do this only once if at all.

I've read about use of " gas ergometry " to determine aerobic/anaeobic state.

Are there other tests?

What are the best tests to see if ME is probable or not?

I hope this has made some sort of sense.

Thanks.

- Bob Niederman

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