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Letters |1 December 2015

Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

M.E. Beth Smith, DO; Elizabeth Haney, MD; Heidi D. Nelson, MD, MPH

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We thank the authors for their comments and Dr. Speedy for sharing his personal experience. Regarding Dr. White and colleagues' statements about the harms of exercise, we acknowledge that exercise testing differs from graded exercise programs. However, patients may consider both forms of exercise harmful. To clarify the results of Moss-Morris and associates' trial, whereas 44% of participants in the intervention group declined repeated exercise testing, 20% did so because of their perception of harm (1). Also, although the Cochrane review did not identify harms of exercise, the authors drew similar conclusions to ours, stating that,...
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Smith MB, Haney E, Nelson HD. Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Ann Intern Med. 2015;163:888. doi: 10.7326/L15-5176

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Published: Ann Intern Med. 2015;163(11):888.

DOI: 10.7326/L15-5176

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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