Sign in

Alex

@drglammie.bsky.social
198 followers 669 following 0 posts

#pwME #Cavies

PostsRepliesMedia
Reposted by Alex
George Monbiot @georgemonbiot.bsky.social · 24/09/2026
Here's today's column on the astonishing, ongoing mistreatment of people with #ME/CFS. Please spread it far and wide: the only thing which can break the media's wall of indifference is seeing an article about the issue go viral. Thank you. 1/2 www.theguardian.com/commentisfre...
theguardian.com
Abandoned, dismissed and gaslighted: there is no excuse for the way ME sufferers have been betrayed | George Monbiot
Changes in guidance and science seem to have little impact on millions of devastated lives. It’s a social crisis playing out behind closed doors, says Guardian columnist George Monbiot
17925341729
Reposted by Alex
Eleanor Fielding @meownersclub.bsky.social · 28/01/2026
#ME #LongCovid #Lyme #POTS #PEM #LivesWeCannotLive @meassociation.org.uk @longcovidsupport.bsky.social #Justice4ME @ashleydaltonmp.bsky.social @decodemestudy.bsky.social @thelancet.com @nhsengland.bsky.social @georgemonbiot.bsky.social @profstevegriffin.bsky.social @davidjoffe64.bsky.social
This Week in Disbelief

A woman with a megaphone is shouting “The problem in #ME is not what I can do, it's what I can recover from!”

The cartoon maker is #FanningTheFlames
0204
Reposted by Alex
Adam @abrokenbattery.bsky.social · 10/12/2025
Five years after Covid, and given the early predictions about long-term illness, it’s astonishing that a major UK study comparing ME/CFS and Long Covid is only being done now and has to rely on charity. This type of work should have been funded by the government from the start.
0278
Reposted by Alex
Anil van der Zee @anilvanderzee.bsky.social · 13/11/2025
After some hardcore protesting in Germany!! Well done‼️‼️🇩🇪🇩🇪 "The coalition plans to invest 500 million euros by 2036 in the fight against #LongCovid and chronic fatigue syndrome (#MECFS)." www.spiegel.de/politik/karl...
spiegel.de
(S+) Ex-Gesundheitsminister Lauterbach: Forschung gegen ME/CFS wird ausgeweitet
Union und SPD wollen mehr Geld in die Erforschung postinfektiöser Erkrankungen wie Long Covid stecken. Deutschland könne damit zum weltweiten Vorreiter werden, sagt Ex-Gesundheitsminister Lauterbach.
05616
Reposted by Alex
David Tuller @davetuller1.bsky.social · 07/10/2025
Berkeley's fall crowdfunder for Trial By Error is now up! crowdfund.berkeley.edu/project/47768
crowdfund.berkeley.edu
David Tuller's Trial by Error Fall 2025
Help UC Berkeley raise $68,000 for the project: David Tuller's Trial by Error Fall 2025. Your gift will make a difference!
0157
Reposted by Alex
ME Foggy Dog @mefoggydog.bsky.social · 24/08/2025
Merging the #Disability Minister role with Social Security guarantees insufficient focus on the real issues. We won't stop demanding a dedicated Minister with the power to make change. This campaign isn't going away. Please sign and share: chng.it/vZfxTDjPGJ #Carers #UK #MEcfs
chng.it
We Can Make an Impact.
Create a Dedicated Minister for Disabled People Role
095
Reposted by Alex
Janet Dafoe @janetdafoe.bsky.social · 14/08/2025
Community Symposium on the Molecular Basis of ME/CFS returns Sept 5 on zoom! 8am-1pm PST Attendance limited to 5,000. Registration required and can’t be shared. Registration link: stanford.zoom.us/webinar/regist… See photo below:
23715
Reposted by Alex
Adam @abrokenbattery.bsky.social · 10/08/2025
Full Article - The Times As my daughter died of ME, the state met in secret to blame me Maeve Boothby O’Neill’s mother had no idea she was being accused in private of causing or fabricating the illness that would take her life aged 27 archive.ph/2025.08.09-2...
archive.ph
24625
Reposted by Alex
Adam @abrokenbattery.bsky.social · 09/08/2025
Natasha Devon’s LBC phone-in on #MECFS (38 mins). Callers discuss their experience, including stigma and medical gaslighting, as well as their thoughts on the largest genetic study to date. @natashadevon.bsky.social youtu.be/-2XxcsUXRJs?...
youtu.be
LBC - Natasha Devon Phone In - DecodeME Results
YouTube video by Broken Battery
22410
Reposted by Alex
Adam @abrokenbattery.bsky.social · 06/08/2025
Clip: Channel 4 News, Prof Chris Ponting tells a participant that the DecodeME study found eight genetic differences in people with MECFS — demonstrating that it’s a biological, organic illness.
25123
Reposted by Alex
Carla Denyer @carladenyer.bsky.social · 08/07/2025
In case you missed it, the government is now overruling the outcome of local referendums in Bristol and Sheffield, imposing its opinion on how local councils should work, directly against the democratically expressed will of those communities themselves.
12248107
Reposted by Alex
Frances Ryan @francesryan.bsky.social · 30/06/2025
I’m sorry, the DWP announcing “don’t worry, the benefits u-turn means only 150,000 people will be pushed into poverty now!” is just insane. Cruel, incompetent ghouls who shouldn’t be allowed to run a bath let alone a system sick people rely on to live.
DWP says 150,000 more people pushed into poverty by benefit cuts - not 250,000 as forecast said before U-turn
The Department for Work and Pensions has just published an analysis saying that, allowing for the concesssions announced last week, the welfare cuts will still push an extra 150,000 people into relative poverty.
14393208
Reposted by Alex
Peter Stefanovic @peterstefanovic.bsky.social · 30/06/2025
This is shocking. The Government's own impact assessment of the latest welfare changes shows 150,000 adults are still expected to fall into relative poverty by the end of 2029-30 Are Labour MPs seriously going to vote to do that?
716165
Reposted by Alex
Tom Kindlon @tomkindlon.bsky.social · 22/05/2025
I thought I would repost this to highlight again some of the many varied symptoms that can be found in #MyalgicEncephalomyelitis / #ChronicFatigueSyndrome Particularly relevant when similarities with the #LongCovid presentation in some people are being missed #MEcfs #CFS #PwLC 1/
APPENDIX 2. ME/CFS Symptom Prevalence and Severity (These prevalence and severity figures are from A definition-based analysis of symptoms in a large cohort of patients with chronic fatigue syndrome, P. De Becker, N. McGregor, and K. De Meirleir. Journal of Internal Medicine 2001;250:234-240.) A total of 2,073 consecutive patients with major complaints of prolonged fatigue were assessed. Among them 1,578 met the Fukuda criteria and of those, 951 met the Holmes criteria. The figures indicate the differences in prevalence and severity of symptoms between these patient groups.
2218
Reposted by Alex
barefootwriter @bfwriter.bsky.social · 21/05/2025
LDN has been being used for POTS and ME/CFS (two common components of Long COVID), but it can be difficult to access.
2214
Reposted by Alex
Josh @joshclimate.bsky.social · 13/05/2025
I missed #MEAwarenessDay yesterday, but great to see @zackpolanski.bsky.social talking about this issue. Millions of people live with ME yet next to nothing is being done to fund dedicated support and research into it. As the overlap between long-covid and ME becomes clearer, action is needed now.
0173
Reposted by Alex
It's ME(Jaime) @exceedhergrasp1.bsky.social · 13/05/2025
What a great job @thesicktimes.bsky.social did covering the #MillionsMissing protest at Washington DC yesterday! Quoted: me, Laurie Jones, Shaina Coleman, David Burke Lots of wonderful photos. Check it out and please do share! thesicktimes.org/2025/05/12/m...
thesicktimes.org
“Millions Missing” protest at the Capitol demands myalgic encephalomyelitis funding, social support - The Sick Times
Myalgic encephalomyelitis (ME), Long COVID, and other chronic disease advocates demonstrated outside the Capitol Building in Washington, D.C., this afternoon. Organized by the advocacy group #MEAction...
29440
Reposted by Alex
Carole Bruce @cabruce.bsky.social · 12/05/2025
Every single person with #ME or #longcovid deserves better. Better care, better recognition, better research, a better life. Please read this statement and, if possible, pass it around. We are all devastated and angry. It’s long past time that we were listened to and appropriate action was taken. 💙
0149
Reposted by Alex
Bateman Horne Center @batemanhornecenter.bsky.social · 09/05/2025
The Clinical Care Guide for #MECFS, #LongCOVID & IACCs is here! Download, share, and use it to support better care. BHC's approach is now freely available—designed to help providers manage complex conditions with clarity & compassion. Download it. Share it. Use it. bit.ly/432YdzF
Graphic with a stethoscope and a doctor’s arm, displaying the text 'CLINICAL CARE GUIDE Managing ME/CFS, Long COVID, & IACCs.' The Bateman Horne Center and MERC logos are at the bottom, with a background of a deep blue gradient.
1515492
Reposted by Alex
Tessa Munt MP 🔶 @tessamunt.bsky.social · 08/05/2025
So delighted that all 72 LibDem MPs signed this letter to @rthonwesstreeting.bsky.social @ashleydaltonmp.bsky.social asking the govt to back the ME/CFS Delivery Plan with the resources it deserves. May this be a huge encouragement to the ME community and the start of meaningful change. #WorldMEDay
1114757
Reposted by Alex
Anil van der Zee @anilvanderzee.bsky.social · 01/05/2025
1) OMG we did it‼️‼️ In this film for #MEawarenessmonth, five medical doctors open up about living with #PAIS/#IACC conditions like ME, #longCOVID, and chronic #Lyme. It’s a format that I believe has never been shown before. They speak candidly about their experiences youtu.be/J0ywwLIfH_w?...
youtu.be
Doctors as Patients (with subtitles)
YouTube video by Anil about ME
27204107
Reposted by Alex
Scribbler Pen @scribblerpen.bsky.social · 02/05/2025
A #disability charity has blocked Prime Minister Keir Starmer from moving his constituency office into its building – over discriminatory #welfare policies. www.camdennewjournal.co.uk/article/char... #DisabilityRebellion #BenefitCuts
camdennewjournal.co.uk
Charity snubs Prime Minister Sir Keir Starmer over constituency office move
Exclusive: Chair of trustees says request was 'inappropriate' after welfare benefit cuts
073
Reposted by Alex
Yann (ME/LC) @me-cfs.bsky.social · 07/04/2025
“Cure ME/CFS” banner at a German football league match. I love this kind of activism—it builds public awareness and sympathy in ways otherwise impossible. Guerrilla actions are so hard for pwME, who often don’t have the energy. But thankfully, some still manage to make it happen. @emptystands.me
04816
Reposted by Alex
Jeremy Corbyn @jeremycorbyn.bsky.social · 18/03/2025
This is a seminal moment: a Labour government cutting disability benefits. Not just continuing Tory levels. Cutting. This comes after a week of speculation, itself an act of cruelty by a government toying with people’s dignity. These cuts are disgraceful - and they will cost lives.
732695931
Reposted by Alex
Gina @gina25.bsky.social · 13/03/2025
The NHS GP-Patient Survey is 5 times bigger than the ONS Survey with nearly 700K respondents. They estimate over 3M people in the U.K. have long Covid. COVID-19 is still causing long Covid yet we’re doing nothing about it. We should prevent illness not punish disabled people!
14120
Reposted by Alex
Caroline Lucas @carolinelucas.bsky.social · 09/03/2025
That must be one of the most Orwellian statements ever. It’s bad enough to cut people’s benefits. To pretend some kind of higher “moral” duty while you’re doing so is insulting and offensive
inews.co.uk
Ministers have 'moral' duty to cut benefits spending, Labour MPs say
Labour is anxious to reduce the rising welfare bill as it plans boosting defence spending at a time when the Chancellor is perilously short of extra cash
801104398
Reposted by Alex
PH 🕊️🌱😷 @ph-ph-ph.bsky.social · 03/03/2025
Cerebrospinal fluid ‘..may indicate myelin and white matter dysfunction in ME/CFS’
043
Reposted by Alex
Jon Douglas @atranscendedman.bsky.social · 03/03/2025
Georgetown study finds ME/CFS patients have elevated serine, reduced folate, and altered lipid metabolism in cerebrospinal fluid, suggesting brain dysfunction. Exercise worsens imbalances, unlike in healthy controls. www.nature.com/articles/s41...
nature.com
Cerebrospinal fluid metabolomics, lipidomics and serine pathway dysfunction in myalgic encephalomyelitis/chronic fatigue syndroome (ME/CFS) - Scientific Reports
Scientific Reports - Cerebrospinal fluid metabolomics, lipidomics and serine pathway dysfunction in myalgic encephalomyelitis/chronic fatigue syndroome (ME/CFS)
26327
Reposted by Alex
Scribbler Pen @scribblerpen.bsky.social · 23/02/2025
Disability Rights UK @disrightsuk.bsky.social is urging #disabled people & organisations to take part in a non-government #consultation on a proposal for an Additional Costs Disability Payment to replace #PIP Deadline 14 March. Find out more: www.commissiononsocialsecurity.org.uk
commissiononsocialsecurity.org.xn--uk-02t
212
Reposted by Alex
North West Bylines @northwestbylines.co.uk · 06/02/2025
Why do UK Infection Prevention and Control (IPC) guidelines still not acknowledge airborne transmission of Covid-19? | Anne Marie McConway @annemarie1.bsky.social northwestbylines.co.uk/news/health/...
northwestbylines.co.uk
‘Airborne’ seems to be the hardest word
Why do UK Infection Prevention and Control (IPC) guidelines still not acknowledge airborne transmission of Covid-19?
717083
Reposted by Alex
Sten Helmfrid @stenhelmfrid.bsky.social · 03/02/2025
Research paper: Post-Exertional Malaise in people with #MECFS evaluated by analysis of the cerebrospinal fluid. www.mdpi.com/1422-0067/26...
mdpi.com
Exertional Exhaustion (Post-Exertional Malaise, PEM) Evaluated by the Effects of Exercise on Cerebrospinal Fluid Metabolomics–Lipidomics and Serine Pathway in Myalgic Encephalomyelitis/Chronic Fatigue...
Post-exertional malaise (PEM) is a defining condition of myalgic encephalomyelitis (ME/CFS). The concept requires that a provocation causes disabling limitation of cognitive and functional effort (“fa...
295
Reposted by Alex
Sten Helmfrid @stenhelmfrid.bsky.social · 05/02/2025
People with #MECFS suffer from post-exertional malaise, a general exacerbation of symptoms after physical or mental activity. Did you know that cells from #pwME that are stressed with saline water show a delayed response that is different from healthy controls? #MEAwarenessHour
2125
Reposted by Alex
Richard Burgon MP @richardburgon.bsky.social · 03/02/2025
There is hardly any fraud in the disability benefits system. In response to my parliamentary questions, the DWP says just 0.2% of personal independence payment (PIP) spending is due to fraud. Today I called for an end to the scapegoating of disabled people on benefits.
1316559
Reposted by Alex
David Tuller @davetuller1.bsky.social · 03/02/2025
A letter to @bmj.com from Professor Jonathan Edwards of UCL about Cochrane's indefensible decision to abandon a long-promised update of its very flawed 2019 review of exercise therapy for ME/CFS: virology.ws/2025/02/03/t...
virology.ws
Trial By Error: Professor Edwards' Letter to BMJ on the Cochrane Mess | Virology Blog
By David Tuller, DrPH The Cochrane mess, which I wrote about the other day, is threatening to take on a life of its own. Perhaps Cochrane thinks the fuss ov ...
08026
Reposted by Alex
George Monbiot @georgemonbiot.bsky.social · 29/01/2025
This is deeply shocking and disturbing, the opposite of scientific good practice. As I see it, a group of diehards promoting a discredited treatment (exercise "therapy" for ME/CFS patients) are seeking to stifle medical progress - to protect their reputations. And Cochrane has kowtowed to them. 🧵
20464174
Reposted by Alex
Science for ME (S4ME) @s4me.info · 25/01/2025
Petition update: * Retraction Watch reports on Cochrane abandoning the planned review. * Cochrane's Independent Advisory Group [IAG] release an open letter expressing dismay and concern. * Hilda Bastian, the lead of the IAG, blogs sharing her view on the decision. www.change.org/p/cochrane-w...
change.org
News from the IAG, and other good things
Things have been happening! And so we'll put our examination of Cochrane's second excuse for abandoning the replacement review process in the next update. In this update, we cover a Retraction Watch a...
0208
Reposted by Alex
Tom Kindlon @tomkindlon.bsky.social · 15/01/2025
Well done to Mark Vink on getting another piece published: this one has the provocative title, "CBT and graded exercise therapy studies have proven that ME/CFS and long Covid are physical diseases, yet no one is aware of that" www.frontiersin.org/journals/hum... #MEcfs #CFS #PwME
frontiersin.org
Frontiers | CBT and graded exercise therapy studies have proven that ME/CFS and long Covid are physical diseases, yet no one is aware of that
The cognitive behavioral model (CBmodel) (1,2) has dominated the world of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) since the 1990s. Accord...
1222182
Reposted by Alex
C.H. Romatowski @romatowski.bsky.social · 18/01/2025
Not the news I’d hope to share but—NIH’s massive Long Covid study has a new paper finding 1 in 22 participants who had Covid developed the neuro disease I have, ME/CFS. 80% of people w/ME are too sick to hold a full-time job—gov abandoning us to face this risk on a daily basis is unconscionable.
link.springer.com
Incidence and Prevalence of Post-COVID-19 Myalgic Encephalomyelitis: A Report from the Observational RECOVER-Adult Study - Journal of General Internal Medicine
Background Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) may occur after infection. How often people develop ME/CFS after SARS-CoV-2 infection is unknown. Objective To determine the inci...
8281150
Reposted by Alex
Maxim @maxim7745.bsky.social · 04/01/2025
Every single person who confuses correlation and causation ends up dying.
211326
Reposted by Alex
Chaminda Jayanetti @cjayanetti.bsky.social · 18/01/2025
Now let's look at this dogshit article. "a reform that could have taken 10,000 back into work" So: the DWP forecast that 450,000 people would be hit by cuts and/or tighter conditions under the plans by 2029. The OBR forecast that just 15,400 more people would find work in that time as a result.
Fraser Nelson's article text:

At the time, this struck me as defeatism in the face of catastrophe.
It turns out the minister was quite right. This week the High Court killed off a mild attempt to tighten sickness benefit criteria, saying the consultation was too short and “so unfair as to be unlawful”. The money-saving implications were not spelt out. Such quibbles are enough to torpedo a reform that could have taken 10,000 back into work and saved £1 billion. Meanwhile, a rotten system is left to do its worst.
28712
Reposted by Alex
Chaminda Jayanetti @cjayanetti.bsky.social · 16/01/2025
NEW: The DWP consultation into plans to slash billions of pounds from disability benefits has been ruled unlawful in a damning High Court ruling. Mr Justice Calver repeatedly described the consultation held in autumn 2023 as “misleading”, “rushed” and “unfair” www.bigissue.com/news/social-...
bigissue.com
DWP's consultation on disability benefit reforms unlawful, High Court rules
The DWP's consultation into plans to slash billions from disability benefits has been ruled unlawful in a damning High Court ruling.
11204115
Reposted by Alex
Disability News Service @johnpring.bsky.social · 17/01/2025
Conservative ministers prevented research that showed disabled people on out-of-work benefits were subject to high levels of stress, debt and isolation from being included in a controversial policy paper that called for cuts to spending on those benefits.
buff.ly
Tory ministers blocked ‘unique’ research on ESA claimants from inclusion in benefit cuts green paper
Conservative ministers prevented research that showed disabled people on out-of-work benefits were subject to high levels of stress, debt and isolation from being included in a controversial policy…
12824
Reposted by Alex
María Richardson @diatoma.bsky.social · 26/12/2024
All I want for Christmas is for the world to recognize that #ME is a veritable health and human rights scandal. And that the ongoing pandemic is making it exponentially worse. #GreatestMEdicalScandal #LongCovid #MECFS #pwME #JohnVsJonVsME @johnvsjonvsme.bsky.social johnvsjon.com
Photograph of a Mexican white woman wearing a green robe and lying down on a tan couch by a cushion with flowers. Text covers runs down a central column, covering her face, reading "All I want for Christmas is for the world to recognize that ME is a veritable health and human rights scandal. And that the ongoing pandemic is making it exponentially worse. The neglect is so inhumane that people with severe ME regularly choose euthanasia. This is systemic injustice, not 'bad luck."
19332
Reposted by Alex
Adam @abrokenbattery.bsky.social · 09/12/2024
SKY News segment on #MECFS (20 mins), Includes interview with Heather Gordon, whose daughter Karen has effectively been trapped in hospital for a year with severe ME. Also features Chris Ponting and Anna Gregorowski from BACME. youtu.be/FX6Fk9-WSmo?...
youtu.be
SKY News Karen Gordon
YouTube video by Broken Battery
36037
Reposted by Alex
Whitney Dafoe @whitneydafoe.bsky.social · 08/10/2024
It says a lot about #MECFS and #LongCovid that there could not be an ME/CFS Olympics...Because if we tried to push the physical limits of our bodies like that, all the winners would simply die... New post on my blog: www.whitneydafoe.com/mecfs/?post=...
whitneydafoe.com
ME/CFS Olympics
It says a lot about the unique and widely misunderstood challenges that ME/CFS and Long Covid patients face that there could not be an ME/CFS Olympics. Because if we tried to compete and push the phy...
36515
Reposted by Alex
Chris Ponting @cgatist.bsky.social · 11/11/2024
Reposting some #MyalgicEncephalomyelitis content here on bsky: #DecodeME: Being female, being older and being over 10 years from #MEcfs onset are significantly associated with greater severity of disease. In DecodeME, 83.5% #pwME are female. openresearch.nihr.ac.uk/articles/3-20
openresearch.nihr.ac.uk
NIHR Open Research Article: Typing myalgic encephalomyelitis by infection at onset: A DecodeME study.
Read the latest article version by Andrew D. Bretherick, Simon J. McGrath, Andy Devereux-Cooke, Sian Leary, Emma Northwood, Anna Redshaw, Pippa Stacey, Claire Tripp, Jim Wilson, Sonya Chowdhury, Isabe...
36829
Reposted by Alex
Trish Davis @ozfish.bsky.social · 10/11/2024
Cochrane is stubbornly refusing to withdraw the 2019 review recommending exercise therapy for ME/CFS despite being supplied with ample evidence that it doesn't work and causes harm for #pwME with post exertional malaise. Please sign the petition: chng.it/zTZ7vX9Czd
chng.it
Can you spare a minute to help this campaign?
Cochrane: Withdraw the harmful 2019 Exercise therapy for CFS review
6252138
Reposted by Alex
Irish ME/CFS Association @irishmecfsassoc.bsky.social · 09/11/2024
7/ One of the slides from David Tuller's recent talks in Ireland This is on the £5 million PACE trial testing graded exercise therapy, CBT, etc. #MEcfs #CFS #PwME
Outcome Switching in PACE

Primary outcome: Physical function on SF-36 (0-100)  

Trial:  Entry score required to demonstrate disability = 65 or less 

Protocol: Scores of 75 and 85 = “improvement” and ”recovery” for physical function

Psychological Medicine, 2013: “recovery” for physical function = 60

13 % of 641 participants were already ”recovered” on physical function at entry

Why were they in the trial in the first place? 

Why was this important fact NOT DISCLOSED in any of the published papers?

 Other outcome switching: 
       Multiple examples of this in PACE
       All had effect of weakening protocol measures
284
Reposted by Alex
Tom Kindlon @tomkindlon.bsky.social · 20/09/2024
The impact of ME/CFS versus funding Illnesses listed on the bottom if you can't see it: Sickle Cell Disease, Brain Cancer, Parkinson's, Multiple Sclerosis, HIV/AIDS, ME/CFS. From Jeffrey Tran's video (warning: is a bit noisy) www.tiktok.com/@poisedleft/... #MEcfs #CFS #PwME
2 graphs comparing the prevalence rates and funding for the following conditions: 

Sickle Cell Disease, Brain Cancer, Parkinson's, Multiple Sclerosis, HIV/AIDS, ME/CFS
3186
Reposted by Alex
Tom Kindlon @tomkindlon.bsky.social · 06/11/2024
Muscle physiologist Rob Wüst has been awarded a grant from ZonMw for his research project, ‘From sick to sicker with exercise: deciphering the base of #postexertionalmalaise in #postCOVID’. ZonMw is also funding 4 additional research projects involving Wüst as a co-applicant vu.nl/en/news/2024...
vu.nl
Rob Wüst receives ZonMw grant for research into Long COVID - Vrije Universiteit Amsterdam
Muscle physiologist Rob Wüst has been awarded a grant from ZonMw for his research project into Long COVID.
45522