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Post-Exertional Malaise is the pathognomonic symptom of ME/CFS. It is a disproportionate to activity is the inability to recover normally after physical, cognitive, or emotional exertion. It is only known to exist in ME/CFS and a subset of those with Long COVID who meet criteria for an ME/CFS diagnosis. It generally results in a profound loss of function. On the mild end it could be caused by exercise, and on the severe end it can be caused by talking, sitting, or eating. If you think you have P
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