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catch up november 2022 …

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Catch Up November 2022 …

So, I didn’t manage to do my journal for any of October. And then on 1.11.2022 I tested positive for covid and I am still struggling today 16.11.2022.

I did, however, make notes about my symptoms and so I will hopefully update them to here before the end of November …

Don’t forget whenever you see MiA … it means I have been unable to journal anything on that day due to serious illness or just because I was unable to do anything, except keep my head above water, on that particular day.

What’s New …

I have covid.

What’s Important …

I caught covid, tested positive on 1.11.2022. I don’t even leave the house, so I’m guessing my husband brought it home when he went into the office one day last week …

Diary (November 2022)

1st

MiA

Monday 31.10.2022 : awake 04:45. Andrew tested positive. I feel poorly but tested negative.

Symptoms : temperature, front headache and eye pain, burning sore throat, cough, severe leg + arm pain, poor appetite, feeling nauseous.

Worse Symptom(s) today : all over flu like feeling.

Tuesday 01.11.2022 : awake vey early. Slept really poorly. On the settee all day and went to bed at 20:00 because I felt so unwell. Tested feintly positive.

Symptoms : temperature, front headache and eye pain, burning sore throat, earache, cough, leg pain, no appetite, blood in my urine. Took full allowance of CoCodamol + 6 aspirin.

Worse Symptom(s) today : all over flu like feeling / felt like my limbs were being snapped / exhaustion / very high temperature / migraine.

2nd

MiA

Wednesday 02.11.2022 : awake 02:00. Migraine all day. Slept extremely poor.

Symptoms : really high temperature, front headache and eye pain on top of typical migraine, burning sore throat, earache, cough, leg pain, no appetite. Took 3 aspirin (trying to not take any more in case that’s what’s causing the blood in urine) + full allowance of CoCodamol.

Worse Symptom(s) today : migraine.

3rd

MiA

Thursday 03.11.2022 : awake from 02:00 onwards. Headache all day. Slept extremely poor. Temperature. Body pain that feels like I’ve got broken bones.

Symptoms : temperature, front headache and eye pain on top of typical bad headache, burning sore throat, earache, cough, leg pain, body pain, agony back pain, poor appetite.

Worse Symptom(s) today : body pain.

4th

MiA

Friday 04.11.2022 : awake 02:00. Extremely weak all day. Slept poor but better than other nights. Tested very positive today. Probably my worse day in terms of not having the energy to actually feel like I could stay alive and deal with the virus.

Symptoms : temperature, front headache and eye pain on top of typical migraine, burning sore throat, earache, cough, leg pain, no appetite, anxiety.

Worse Symptom(s) today : exhaustion unable to stand long enough to make a drink. I think I had an energy crisis today (feeling like I don’t have the energy to keep myself alive).

5th

MiA

Saturday 05.11.2022 : awake 02:00. Exhausted all day. Slept extremely poor. Stayed in bed most of the day.

Symptoms : temperature dropping, pouring in sweat, burning sore throat, earache, small cough, major anxiety (so much so that I couldn’t wear my earphones (felt super claustrophobic) and couldn’t be left alone when Andrew did food shopping so went with him in my PJs and sat in the car), poor appetite.

Worse Symptom(s) today : total exhaustion and anxiety attacks.

6th

MiA

Sunday 06.11.2022 : awake 03:30. Migraine all day. Slept a lot and extremely poorly.

Symptoms : temperature, front headache and eye pain on top of typical migraine, burning sore throat and chest, burning cough, breathless on movement, feeling very weak, unable to go up and down the stairs, no appetite.

Worse Symptom(s) today : burning in chest / wind pipe / throat / mouth + migraine + weakness.

7th

MiA

Monday 07.11.2022 : awake 03:00. Very bad headache.

Symptoms : headache, no appetite, burning sore mouth, throat, windpipe, burning cough and chest, feel weak and shaken, numbness in left hand and fingers, anxiety and tearful.

Worse Symptom(s) today : anxiety.

8th

MiA

Tuesday 08.11.2022 : awake 05:45. Massive headache but responded to tablets.

Symptoms : feel breathless today, burning cough, extremely weak bladder, burning tongue, burning throat, burning windpipe, poor eyesight, anxiety, I hadn’t realised or didn’t realise but I’ve completely lost my sense of smell and taste, which upon realisation gave me huge anxiety (today, I’ve started smell & taste things), to lose my smell & taste for good would be too much to bear.

Worse Symptom(s) today : no smell or taste.

9th

MiA

Wednesday 09.11.2022 : awake loads during the night (but also retain it was Andrew touching me that disturbed me), finally awake 06:11 with massive headache, which hasn’t really responded to tablets.

Symptoms : temperature, headache, burning tongue, recurrent burning sore throat, and windpipe, earache, full blocked right ear, eczema on left elbow, random attacks of anxiety, very loud tinnitus, sweating, no sense of smell and very little ability to taste, except sweet, sour, and bitter. Had my first latte in days, maybe even a week, tasted of nothing but the sweet chocolate sprinkles I put on it. But, will do it again tomorrow.

Worse Symptom(s) today : no smell or taste and nasty headache.

10th

MiA

Thursday 10.11.2022 : awake twice during the night coughing. Woke at 06:30. Sent urine sample off.

Symptoms : headache, burning cough, burning chest, burning windpipe, burning throat, burning tongue. Thick phlegm, cough, blocked right ear. No sense of smell or sense of taste, thought my taste was coming back but burning mouth increased and taste non existent again.

Worse Symptom(s) today : cough, blocked right ear, headache, no smell or taste.

Additional info : was prescribed amoxicillin for ear infection. (started at 22:00)

Antibiotics : 1/15

11th

MiA

Friday 11.11.2022 : awake at 03:00 with massive headache and feeling really super hungry. Got up and had 3 crackers with cheese and small slice of cake (must be on the mend).

Symptoms : headache (non tablet responsive), cough a lot looser, ear still half full but releasing, awful bitter taste, a teeny tiny sense of smell, very little sense of taste.

Worse Symptom(s) today : headache, feeling very unwell today.

Antibiotics : 4/15

12th

MiA

Saturday 12.11.2022 : awake at 06.45 with massive headache and unable to move.

Symptoms : headache, burning mouth and tongue, burning windpipe, chest and throat, ear still not good and more blocked up than yesterday, diarrhoea and really bad stomachs gripes (probably the antibiotics), anxiety, no sense of smell or sense of taste, serious coughing to the point of exhaustion, burning hands, pins and needles especially in left hand.

Worse Symptom(s) today : headache, cough, burning tongue and throat.

Antibiotics : 7/15 halfway mark

13th

MiA

Sunday 13.11.2022 : (take a test) tested negative,which was a massive surprise because I still feel incredibly unwell.

Symptoms : headache, no sense of smell or taste, coughing, awful burning mouth and throat, burning hands, pins and needles and numbness in both hands especially thumbs, really dry skin and big patches of eczema on elbows, knees, ankles, heels.

Worse Symptom(s) today :

Antibiotics : 10/15

14th

MiA

Monday 14.11.2022 : woke at 06:40 with massive headache.

Symptoms : non tablet responsive, headache, coughing, chest pain, no sense of smell or sense of taste, upper back in agony (pain medications not working for it in any way), ear blocked again, feel so poorly still.

Worse Symptom(s) today :

Smell training : still can’t smell anything or taste anything.

Antibiotics : 13/15

15th

MiA

Tuesday 15.11.2022 : woke after an hour of sleep coughing. Got up had honey & lemon then slept till 06:45.

Symptoms : headache but mildly responded to tablets (first time in weeks), coughing, sore throat and earache,

Worse Symptom(s) today :

Smell training :  a tiny little bit of smell and a bit of taste, but nowhere near what I’m used to.

Antibiotics : 15/15 finished

16th

MiA

Wednesday 16.11.2022 : woke at 05:00 with a bad bad headache.

Symptoms : headache, cough, feeling pretty unwell again, burning tongue, windpipe, and throat.

Worse Symptom(s) today : sticky phlegm and cough.

Smell training : less smell and taste than yesterday.

17th

MiA

Thursday 17.11.2022 : woke at 06:30 bad head, so sense of smell or taste.

Symptoms : headache, cough, burning tongue, mouth and windpipe,

Worse Symptom(s) today : no sense of smell or sense of taste.

Smell training : smell and taste are non existent today.

18th

MiA

Friday 18.11.2022 : major headache, upper back, body aches, just plain old unwell and feel like I’ve got covid again.

Symptoms : cough, no sense of smell, no taste, headache, upper back aches,

Worse Symptom(s) today : just everything.

Smell training : sad because I cannot smell or taste

19th

MiA

Saturday 19.11.2022 : woke early with bad head.

Symptoms : headache, a little smell but no taste, upper back really painful, cough.

Worse Symptom(s) today : upper back.

Smell training :

20th

MiA

Sunday 20.11.2022 : (take a test). Bad headache. Earache. Loads of phlegm.

Symptoms : too poorly to document any longer.

Worse Symptom(s) today : the whole lot.

Smell training :

21st …

MiA

22nd …

MiA

23rd …

MiA

24th

MiA

25th

MiA

26th

MiA

27th

MiA

28th

MiA

29th

MiA

30th

MiA

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My birth name is Denise, but I’m know as Bella to those who love me. I have a first class honours degree in education & psychology and a strong passion to keep learning and educating others ... I have severe ME/CFS and lots of other chronic illnesses and I started this blog as an expansion to my instagram page, where I advocate for chronic illness. I am married and have two grown up boys, or should I say young men. I have three gorgeous grandchildren, one boy and two girls. And despite being chronically sick and housebound I am mostly happy. 🥰

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10 steps to practicing Radical Acceptance
according to DBT’s founder, Marsha Linehan:

 

1.  Observe that you are questioning or fighting reality (“it shouldn’t be this way”)

2.  Remind yourself that the unpleasant reality is just as it is and cannot be changed (“this is what happened”)

3.  Remind yourself that there are causes for the reality (“this is how things happened”)

4.  Practice accepting with your whole self (mind, body, spirit) - Use accepting self-talk, relaxation techniques, mindfulness and/or imagery

5.  List all of the behaviors you would engage in if you did accept the facts and then engage in those behaviors as if you have already accepted the facts

6.  Imagine, in your mind’s eye, believing what you do not want to accept and rehearse in your mind what you would do if you accepted what seems unacceptable

7.  Attend to body sensations as you think about what you need to accept

8.  Allow disappointment, sadness or grief to arise within you

9.  Acknowledge that life can be worth living even when there is pain

10.  Do pros and cons if you find yourself resisting practicing acceptance

Logo of ijpsych

2009 Oct-Dec; 51(4): 239–241.
doi: 10.4103/0019-5545.58285: 10.4103/0019-5545.58285
PMCID: PMC2802367
PMID: 20048445

The biochemistry of belief

Address for correspondence: Dr. TS Sathyanarayana Rao, Department of Psychiatry, JSS University, JSS Medical College Hospital, M.G. Road, Mysore - 570 004, India. E-mail: moc.oohay@91oarsst
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

“Man is what he believes”

Anton Chekhov

Beliefs are basically the guiding principles in life that provide direction and meaning in life. Beliefs are the preset, organized filters to our perceptions of the world (external and internal). Beliefs are like ‘Internal commands’ to the brain as to how to represent what is happening, when we congruently believe something to be true. In the absence of beliefs or inability to tap into them, people feel disempowered.

Beliefs originate from what we hear - and keep on hearing from others, ever since we were children (and even before that!). The sources of beliefs include environment, events, knowledge, past experiences, visualization etc. One of the biggest misconceptions people often harbor is that belief is a static, intellectual concept. Nothing can be farther from truth! Beliefs are a choice. We have the power to choose our beliefs. Our beliefs become our reality.

Beliefs are not just cold mental premises, but are ‘hot stuff’ intertwined with emotions (conscious or unconscious). Perhaps, that is why we feel threatened or react with sometimes uncalled for aggression, when we believe our beliefs are being challenged! Research findings have repeatedly pointed out that the emotional brain is no longer confined to the classical locales of the hippocampus, amygdala and hypothalamus.[1] The sensory inputs we receive from the environment undergo a filtering process as they travel across one or more synapses, ultimately reaching the area of higher processing, like the frontal lobes. There, the sensory information enters our conscious awareness. What portion of this sensory information enters is determined by our beliefs. Fortunately for us, receptors on the cell membranes are flexible, which can alter in sensitivity and conformation. In other words, even when we feel stuck ‘emotionally’, there is always a biochemical potential for change and possible growth. When we choose to change our thoughts (bursts of neurochemicals!), we become open and receptive to other pieces of sensory information hitherto blocked by our beliefs! When we change our thinking, we change our beliefs. When we change our beliefs, we change our behavior.

A mention of the ‘Placebo’ is most appropriate at this juncture. Medical history is replete with numerous reported cases where placebos were found to have a profound effect on a variety of disorders. One such astounding case was that of a woman suffering from severe nausea and vomiting. Objective measurements of her gastric contractions indicated a disrupted pattern matching the condition she complained of. Then a ‘new, magical, extremely potent’ drug was offered to her, which would, the doctors proclaimed, undoubtedly cure her nausea. Within a few minutes, her nausea vanished! The very same gastric tests now revealed normal pattern, when, in actuality, she had been given syrup of ipecac, a substance usually used to induce nausea! When the syrup was presented to her, paired with the strong suggestion of relief of nausea, by an authority figure, it acted as a (command) message to the brain that triggered a cascade of self-regulatory biochemical responses within the body.[2] This instance dramatically demonstrates that the influence of placebo could be more potent than expected drug effect.

An important observation was that, part of the placebo response seemed to involve the meaning of the disorder or the illness to the individual. In other words, the person's belief or how she/he interprets (inter-presents or internally represents) directly governs the biological response or behavior. Another remarkable study involved a schizophrenic. This woman was observed to have split personality. Under normal conditions, her blood glucose levels were normal. However, the moment she believed she was diabetic, her entire physiology changed to become that of a diabetic, including elevated blood glucose levels.[3]

Suggestions or symbolic messages shape beliefs that in turn affect our physical well being. Several cases of ‘Disappearance of warts’ have been reported by Ornstein and Sobel wherein they ponder on how the brain translates the suggestions (sometimes using hypnosis) into systematic biochemical battle strategies such as chemical messengers sent to enlist the aid of immune cells in an assault on the microbe-induced miniature tumor or probably small arteries are selectively constricted, cutting off the vital nutrient supply to warts but not touching the neighboring healthy cells.[2]

Findings of carefully designed research indicate that our interpretation of what we are seeing (experiencing) can literally alter our physiology. In fact, all symptoms of medicine work through our beliefs. By subtly transforming the unknown (disease/disorder) into something known, named, tamed and explained, alarm reactions in the brain can be calmed down. All therapies have a hidden, symbolic value and influence on the psyche, besides the direct specific effect they may have on the body.

Just as amazingly life-affirming placebos are, the reverse, “Nocebo' has been observed to be playing its part too. It is associated with negative, life-threatening or disempowering beliefs. Arthur Barsky, a psychiatrist states that it is the patient's expectations – beliefs whether a drug or procedure works or will have side effects – that plays a crucial role in the outcome.[4]

The biochemistry of our body stems from our awareness.[5] Belief-reinforced awareness becomes our biochemistry. Each and every tiny cell in our body is perfectly and absolutely aware of our thoughts, feelings and of course, our beliefs. There is a beautiful saying ‘Nobody grows old. When people stop growing, they become old’. If you believe you are fragile, the biochemistry of your body unquestionably obeys and manifests it. If you believe you are tough (irrespective of your weight and bone density!), your body undeniably mirrors it. When you believe you are depressed (more precisely, when you become consciously aware of your ‘Being depressed’), you stamp the raw data received through your sense organs, with a judgment – that is your personal view – and physically become the ‘interpretation’ as you internalize it. A classic example is ‘Psychosocial dwarfism’, wherein children who feel and believethat they are unloved, translate the perceived lack of love into depleted levels of growth hormone, in contrast to the strongly held view that growth hormone is released according to a preprogrammed schedule coded into the individual's genes!

Providing scientific evidence to support a holistic approach to well being and healthcare, Bruce Lipton sheds light on mechanism underlying healing at cellular level. He emphasizes that ‘love’ is the most healing emotion and ‘placebo’ effect accounts for a substantial percentage of any drug's action, underscoring the significance of beliefs in health and sickness. According to him, as adults, we still believe in and act our lives out based on information we absorbed as children (pathetic indeed!). And the good news is, we can do something about the ‘tape’ our subconscious mind is playing (ol' silly beliefs) and change them NOW.[6] Further recent literature evidences provided knowledge based on scientific principles of biology of belief. There are limited studies on clinics of traditional beliefs and if we get more scientific data, we can use these traditional systems in clinical mental health management. Human belief system is formed by all the experiences learned and experimented filtered through personality.[7] The senses to capture inner and outer perceptions have higher brain potentials. Some questions that arise in this context are, does the integration and acceptance of these perceptions result in the establishment of beliefs? Does the establishment of these beliefs depend on proof demonstrations? The proofs might be the perceptions, which we can directly see or having scientific proof or custom or faith.[8,9] Beliefs are developed as stimuli received as trusted information and stored in the memory. These perceptions are generalized and established into belief. These beliefs are involved in the moral judgment of the person. Beliefs help in decision-making. Bogousslavsky and Inglin explained that, how some physicians were more successful by taking an account of patient beliefs. Beliefs influence factors involved in the development of psychopathology. They also influence the cognitive and emotional assessment, addictiveness, responses to false positives and persistent normal defensive reactions. Total brain function is required in stabilizing the belief and in responding to environmental system. Some of the brain regions and the neural circuits are very important in establishing beliefs and executing emotions. Frontal lobes play a major role in beliefs. Mental representations of the world are integrated with sub-cortical information by prefrontal cortex. Amygdala and Hippocampus are involved in the process of thinking and thus help in execution of beliefs. NMDA receptor is involved in thinking and in the development of beliefs. These beliefs are subjected to challenge. A belief that is subjected to more challenges becomes stronger. When a new stimulus comes, it creates distress in the brain with already existing patterns. The distress results in the release of dopamine (neurotransmitter) to transmit the signal.[10,11] Research findings of Young and Saxe (2008) revealed that medial prefrontal cortex is involved in processing the belief valence.[12] Right temporoparietal junction and precuneus are involved in the processing of beliefs to moral judgment. True beliefs are processed through right temporoparietal junction.[13,14] Saxe (2006) explained that beliefs judging starts at the age of five years citing example of judging of belief questions on short stories by the children.[15] Belief attribution involved activating regions of medial prefrontal cortex, superior temporal gyri and hippocampal regions. Studies by Krummenacher et al, have shown that dopamine levels are associated with paranormal thoughts suggesting the role of dopamine in belief development in the brain.[16] Flannelly et al, illustrated on how primitive brain mechanisms that evolved to assess environmental threats in related psychiatric disorders.[17] Also were highlighted the issues such as the way beliefs can affect psychiatric symptoms through these brain systems. The theories discussed widely are related to (a) link psychiatric disorders to threat assessment and (b) explain how the normal functioning of threat assessment systems can become pathological. It is proposed that three brain structures are implicated in brain disorders in response to threat assessment and self-defense: the regions are the prefrontal cortex, the basal ganglia and parts of limbic system. The functionality of these regions has great potential to understand mechanism of belief formation and its relevance in neurological functions/dysfunctions. Now it is clear that biology and physiology of belief is an open area for research both at basic and clinical level. The future directions are to develop validated experimental or sound theoretical interpretation to make ‘BELIEF’ as a potential clinical management tool.

Perceptual shifts are the prerequisites for changing the belief and hence changing the biochemistry of our body favorably. Our innate desire and willingness to learn and grow lead to newer perceptions. When we consciously allow newer perceptions to enter the brain by seeking new experiences, learning new skills and changed perspectives, our body can respond in newer ways –this is the true secret of youth. Beliefs (internal representations/interpretations) thus hold the magic wand of remarkable transformations in our biochemical profile. If you are chasing joy and peace all the time everywhere but exclaim exhausted, ‘Oh, it's to be found nowhere!’, why not change your interpretation of NOWHERE to ‘NOW HERE’; just by introducing a gap, you change your awareness – that changes your belief and that changes your biochemistry in an instant!

Everything exists as a ‘Matrix of pure possibilities’ akin to ‘formless’ molten wax or moldable soft clay. We shape them into anything we desire by choosing to do so, prompted, dictated (consciously or unconsciously) by our beliefs. The awareness that we are part of these ever-changing fields of energy that constantly interact with one another is what gives us the key hitherto elusive, to unlock the immense power within us. And it is our awareness of this awesome truth that changes everything. Then we transform ourselves from passive onlookers to powerful creators. Our beliefs provide the script to write or re-write the code of our reality.

Thoughts and beliefs are an integral part of the brain's operations. Neurotransmitters could be termed the ‘words’ brain uses to communicate with exchange of information occurring constantly, mediated by these molecular messengers. Unraveling the mystery of this molecular music induced by the magic of beliefs, dramatically influencing the biochemistry of brain could be an exciting adventure and a worth pursuing cerebral challenge.

REFERENCES

1. Candace Pert. Molecules of emotion: Why you feel the way you feel. New York, USA: Scribner Publications; 2003. ISBN-10: 0684846349.
2. Ornstein R, Sobel D. The healing brain: Breakthrough discoveries about how the brain keeps us healthy. USA: Malor Books; 1999. ISBN-10: 1883536170.
3. Robbins A. Unlimited power: The new science of personal excellence. UK: Simon and Schuster; 1986. ISBN 0-7434-0939-6.
4. Braden G. The spontaneous healing of belief. Hay House Publishers (India) Pvt. Ltd; 2008. ISBN 978-81-89988-39-5.
5. Chopra D. Ageless body, timeless mind: The quantum alternative to growing old. Hormony Publishers; 1994. ISBN -10: 0517882124.
6. Lipton B. The biology of belief: Unleashing the power of consciousness, matter and miracles. Mountain of Love Publishers; 2005. ISBN 978-0975991473.
7. Bogousslavsky J, Inglin M. Beliefs and the brain. Eur Neurol. 2007;58:129–32. [PubMed: 17622716]
8. Gundersen L. Faith and healing. Ann Intern Med. 2000;132:169–72. [PubMed: 10644287]
9. Mueller PS, Plevak DJ, Rummans TA. Religious involvement, spirituality, and medicine: Implications for clinical practice. Mayo Clin Proc. 2001;76:1225–35. [PubMed: 11761504]
10. Patel AD, Peretz I, Tramo M, Labreque R. Processing prosodic and musical patterns: A neuropsychological investigation. Brain Lang. 1998;61:123–44. [PubMed: 9448936]
11. Tramo MJ. Biology and music. Music of the hemispheres. Science. 2001;291:54–6. [PubMed: 11192009]
12. Young L, Saxe R. The neural basis of belief encoding and integration in moral judgment. Neuroimage. 2008;40:1912–20. [PubMed: 18342544]
13. Aichhorn M, Perner J, Weiss B, Kronbichler M, Staffen W, Ladurner G. Temporo-parietal junction activity in theory-of-mind tasks: Falseness, beliefs, or attention. J Cogn Neurosci. 2009;21:1179–92. [PubMed: 18702587]
14. Abraham A, Rakoczy H, Werning M, von Cramon DY, Schubotz RI. Matching mind to world and vice versa: Functional dissociations between belief and desire mental state processing. Soc Neurosci. 2009;1:18. [PubMed: 19670085]
15. Saxe R. Why and how to study Theory of Mind with fMRI. Brain Res. 2006;1079:57–65. [PubMed: 16480695]
16. Krummenacher P, Mohr C, Haker H, Brugger P. Dopamine, paranormal belief, and the detection of meaningful stimuli. J Cogn Neurosci. 2009 Jun 30; [Epub ahead of print] [PubMed: 19642883]
17. Flannelly KJ, Koenig HG, Galek K, Ellison CG. Beliefs, mental health, and evolutionary threat assessment systems in the brain. J Nerv Ment Dis. 2007;195:996–1003. [PubMed: 18091193]

Articles from Indian Journal of Psychiatry are provided here courtesy of Wolters Kluwer -- Medknow Publications

HRPacing ...

Description

Heart Rate Pacing is a technique used to stay within ones energy reserves. The anaerobic threshold (AT) is the heart rate at which aerobic energy surges. The threshold is often around about 60% of a ones maximum heart rate, though each person is different and an individual's threshold may vary from day to day or within a day.

(Note: Maximum heart rate is 220 minus ones age. For a 50 year old, 60% of maximum heart rate is (220 - 50) x 0.6 = 102 bpm.)

Features:

* Changes colour to indicate:

- Resting - (REST) Lavender

- Recovery (RECOVER) - Green (RHR + 10%)

- Exertion (EXERT) - Orange (RHR + 20%)

- Anaerobic Threshold (AT) - Red ((220-50)x0.6)

* Set an alert based on:

- reaching Anaerobic Threshold Zone, or

- custom set Maximum Heart Rate.

* Set the Anaerobic Threshold Tolerance from 0.6 (default) to 0.5 if desired.

* Set a custom interval between alerts (15 secs default).

* Displays 12/24 hour clock based on user settings in Fitbit profile.

cognitive deficits in patients with ME/CFS …

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… duplicitous …

duplicitous …

summary of the 5 major diagnostic criteria from 1988 onwards …

summary of the 5 major diagnostic criteria from 1988 onwards …

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