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A preliminary prospective study of nutritional, psychological and combined therapies for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) in a private care setting
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  • Published on:
    Re:Second Reply: A Highly Biased and Flawed Study

    Dear Dr Geraghty,

    This paper was based on a preliminary study and so was not 'perfect' by any means. BMJ Open states that in addition to more traditional studies "we also welcome more preliminary or only locally relevant research if it raises good questions and is cautiously interpreted". There are a number of limitations with this study and these have been discussed both in the paper and in our previous respons...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re:Didn't help me

    Dear Dr Goudsmit,

    Thank you for your eletter.

    Are you referring to the following study?

    Paul, L., Wood, L., Behan, W.M.H., & Maclaren, W.M. (1999). Demonstration of delayed recovery from fatiguing exercise in chronic fatigue syndrome. European Journal of Neurology, 6, 63-69.

    I find no mention of ME in this paper, which uses the Fukuda et al. (1994) criteria for diagnosis of CFS....

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    Conflict of Interest:
    None declared.
  • Published on:
    Didn't help me

    I have been diagnosed with ME since 1984 and was a patient at the Optimum Health clinic. I found the staff sympathetic but the advice just didn't help.

    Three MRIs have shown increasing demyelination. Brain scans on fellow patients have also identified other abnormalities, e.g. enlarged ventricles. We're not talking about a disorder without evidence of pathology.

    When the NHS shows little interest,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Second Reply: A Highly Biased and Flawed Study

    Dear Authors,

    Thank you for your response. I have looked even more closely at your paper, it's methodology, and your results, and I stand over my original contention that this is a biased study.

    The primary bias is that Dr. Arroll and Mr. Howard have a vested financial interest in the products being sold, notably psychological support and life coaching and so on. This fact would not preclude an in- hou...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re:A Highly Biased and Flawed Study

    Dear Dr Geraghty,

    Many thanks for your eletter. We will respond to each of your concerns in turn.

    1. The clinic offers psychological and nutritional approaches for the management of ME/CFS. Individuals do indeed pay for the support offered by the clinic, often because they have felt that the care they have received previously was lacking. Numerous countries offer private care and conduct research on the...

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    Conflict of Interest:
    None declared.
  • Published on:
    A Highly Biased and Flawed Study

    I find this study highly biased and flawed for the following reasons.

    1. Alex Howard is founder of this clinic, which he started some years ago offering counselling and life coaching to people looking for support. Alex Howard runs the OHC as a private enterprise. The term clinic evokes a clinical setting, yet this is a non-clinical business. The term patients is often used by Mr Howard, yet this is a non-clinical...

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    Conflict of Interest:
    None declared.