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8/ Humans use aerobic metabolism for the majority of daily activities such as walking and seated tasks But a reduced aerobic capacity of #MECFS patients likely forces a switch to less efficient anaerobic metabolism leading to premature fatigue and #PEM
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9/ Exercise studies also show that the increased reliance on anaerobic #metabolism in #MECFS patients results in increased metabolites such as lactic acid which likely leads to an inability to maintain work and a reduction in activity
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10/ Physical therapists should be aware that post-exertional malaise #PEM in #pwME is due to objectively measurable deficits in metabolism So yes, exercise is beneficial for nearly every illness... ..but the science shows that #MECFS is the exception
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