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For those not familiar with the criteria labels used for this research. The criteria used was the 1994 CFS-Fukuda, the 2003 Canadian Consensus Criteria and the 2015 ME/CFS IOM criteria.

The only one of those worth using for research is the CCC. Which is somewhat reassuring that that the findings are valid. But it is not a research criteria. It was created for clinical use. Any followup of that research should use patients who fulfill the more effective International Consensus Criteria (ICC) from 2011.

We have a great deal of research that supports the immune dysfunction as can be seen in the research lists here: https://open.substack.com/pub/colleensteckelmeiccinfo/p/myalgic-encephalomyelitis-research?utm_source=share&utm_medium=android&r=deavh

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