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Additionally, many adult ME/CFS patients make use of the self-scoring Bell Chronic fatigue immune dysfunction syndrome (CFIDS) disability scale, a symptom scale created by Dr David Bell in 1995 ( Figure 3 Additionally, PEM which can vary from very minimal to extremely severe (e.g

Please note that these steps are used in addition to comprehensive testing and a 360 degree approach to diet and lifestyle

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Cruz-Guilloty F, Saeed AM, Echegaray JJ, Duffort S, Ballmick A, Tan Y et al (2013) Infiltration of proinflammatory M1 macrophages into the outer retina precedes damage in a mouse model of age-related macular degeneration