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[CFS-ME-Fibro] Anxiety attacks? Esogenous or endogenous?

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Dear friends,

I was wondering if the anxiety attacks and depression in CFS/ME could be

considered primary at times instead of secondary. Or, put it in other words, is

anxiety and depression always related to the fact that a prolonged illness

lowers moods and gives anxiety or there could be different endogenous reasons

like bacterias, fungi, toxins and viruses crossing the brain barrier?

Cheers,

Massimo

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