Sign in

Koen ME/LC

@helldogbe.bsky.social
212 followers 220 following 126 posts

2020 Longhauler

PostsRepliesMedia
Koen ME/LC @helldogbe.bsky.social · 20/06/2025
My eating greatly improved and I developed a real appetite for all kinds of cuisine. I could now eat steak and veggies and was no longer left at the table every night for an hour until my plate was finished but I could garble it down in minutes...
110
Koen ME/LC @helldogbe.bsky.social · 20/06/2025
I had suspected light MECFS as a child and couldn't eat properly until I had a tonsillectomy done. At the time it was never linked to my low energy levels and I was just known as a docile easy child. Hope science cures this disease soon so your son can have a better life.
110
Koen ME/LC @helldogbe.bsky.social · 31/05/2025
There's a lot of emotions involved I can imagine. It's terrible to lose your life while you're still starting out.
000
Koen ME/LC @helldogbe.bsky.social · 08/05/2025
Don't forget neuroSPECT scans! Mine looks like this - = hypoperfusion, + = hyperperfusion orbi.uliege.be/bitstream/22...
000
Koen ME/LC @helldogbe.bsky.social · 01/05/2025
Here's what my SPECT looks like (- = hypoperfusion, + = hyperperfusion)! No help offered but to "live with it".
050
Koen ME/LC @helldogbe.bsky.social · 25/04/2025
Toen ik enkele jaren geleden nog beter was had ik met PEM na fysieke inspanning trouwens altijd aften in de mond, dus ik was op m'n hoede voor een verlaagd immuunsysteem. Maar heb daar totaal geen last van gehad. M'n hersenscan toont trouwens wel extreme inflammatie/hypoperfusie aan.
100
Koen ME/LC @helldogbe.bsky.social · 25/04/2025
Ik heb het op eigen houtje geprobeerd. Gestart aan 2mg/week, opbouwend tot 5mg/week en dat 3 weken aangehouden zonder enig (neven)effect. Kostprijs is ongeveer 25€/week aan 5mg/week.
200
Koen ME/LC @helldogbe.bsky.social · 23/04/2025
From Belgium: @johanvawe.bsky.social Persistent presence of SARS-CoV-2 RNA found in long COVID patients Marc Jamoulle: Vascular encephalopathy demonstrated by brain single-photon emission computed tomography (SPECT-CT scan) in Long Covid patients orbi.uliege.be/bitstream/22...
orbi.uliege.be
281
Koen ME/LC @helldogbe.bsky.social · 23/04/2025
Link to the article
bjgplife.com
Suzanne O’Sullivan’s new book ‘The Age of Diagnosis’ and her curious characterisation of Long Covid as a psychosomatic condition
O'Sullivan and others fail to recognise the likelihood that most Long Covid patients will have already tried psychological and behavioural approaches ... the idea that there might be issues that, if a
000
Koen ME/LC @helldogbe.bsky.social · 23/04/2025
Yes, Rob Wüst is also researching those same changes for ME. www.zonmw.nl/en/article/b...
zonmw.nl
Blog: What changes in skeletal muscles and blood of people with M
Patients with ME/CFS experience many problems related to their muscles, such as fatigue and muscle ache. Exertion makes these problems worse (post-exertional ma
120
Koen ME/LC @helldogbe.bsky.social · 17/04/2025
PS it measures average blood flow over a longer time (minutes). So I believe it wouldn't hurt to go in with bad PEM. Unfortunately I had to drive myself so I wasn't at my worst, but maybe the driving helped ramp things up. We don't really know how episodic PEM causes these issues.
010
Koen ME/LC @helldogbe.bsky.social · 17/04/2025
Yes, it's my first tangible result after lots of damage from graded exercise. Trying to get into postviral care now and hope it will be enough proof to avoid further psychologisation (and attacks on my disability income). Can't CBT or FND actual blood flow problems... Good luck and keep us updated
210
Koen ME/LC @helldogbe.bsky.social · 17/04/2025
My PCP was willing to write the order. I just asked for a "brain SPECT" and gave her the PDF I linked and they wrote in the referral that I had severe PEM from covid with cognitive and physical exhaustion and unrestful sleep. As I understand its a cheaper scan than an MRI and I got in within days
110
Koen ME/LC @helldogbe.bsky.social · 17/04/2025
How about a SPECT scan? Mine shows clear problems with brain hypo- and hyperperfusion orbi.uliege.be/bitstream/22...
110
Koen ME/LC @helldogbe.bsky.social · 17/04/2025
Metformin (XR)? Heb door LC/ME flink last van energie/suikerdips waardoor ik vaak snackte na maaltijden. Dit helpt me echt enorm om de buitensporige eetlust te remmen. Zeker doordat ik amper het huis verlaat slechts nood heb aan zo'n 1200kcal per dag.
110
Koen ME/LC @helldogbe.bsky.social · 11/03/2025
Voor ME al LDN of LDA geprobeerd? Voor POTS Mestinon? longcovidcentrum.nl/de-behandeli...
longcovidcentrum.nl
De behandeling van POTS bij Long COVID | Long Covid Centrum
2 januari 2023 De tekst van de podcast die je vindt op www.mepodcast.nl Vandaag praten we over de behandeling van POTS, maar voordat we daaraan beginnen wik ik nog even de criteria in herinnerring bre...
000
Koen ME/LC @helldogbe.bsky.social · 08/03/2025
Isn't the Universal Credit already ridiculously low? As in not enough to live from? Or are there other systems in place to prevent sick people from going bankrupt/homeless?
310
Koen ME/LC @helldogbe.bsky.social · 08/03/2025
What dose are you trying? I tried 2mg up to 5mg once a week for 2 months but couldn't feel a thing either. Best of luck!
110
Koen ME/LC @helldogbe.bsky.social · 05/03/2025
So sorry to hear you're under pressure to either recover or lose benefits. It's an impossible task proving they don't understand the nature or recovery rates of this disease. Wish I had some helpful advice but as you're aware I'm in a similar scenario. It's that they don't want to understand...
110
Koen ME/LC @helldogbe.bsky.social · 03/03/2025
Not a Neuro SPECT-scan by any chance? In need of some objective proof ASAP myself! In Belgium we lack basic education on #LongCOVID with healthcare providers...
120
Koen ME/LC @helldogbe.bsky.social · 03/03/2025
Low spoonie version of the PEM study of cerebrospinal fluid alterations in #MECFS
Cerebrospinal Fluid Metabolic and Lipidomic Alterations in Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome (ME/CFS) 
• This study investigated cerebrospinal fluid (CSF) metabolomics and lipidomics in ME/ CFS patients, comparing them to sedentary controls, both at baseline and after submaximal exercise to model post-exertional malaise (PEM). 
ME/CFS patients showed elevated serine and reduced 5-methyltetrahydrofolate (5MTHF) in their CSF, indicating disruptions in one-carbon pathways and serine metabolism. 
• Further analysis revealed elevated levels of sarcosine, creatine, purine intermediates, and transaconitate in ME/CFS patients, suggesting alterations in multiple metabolic pathways including the tricarboxylic acid (TCA) cycle. 
• Exercise led to lipid consumption in both ME/ CFS patients and controls, but metabolite consumption in ME/CFS patients contrasted with metabolite generation in controls. highlighting a differential metabolic response to 
• Pathway enrichment analysis revealed significant alterations in methionine phenylacetate, pantothenate, pyrimidine, glycine, serine, arginine, proline, riboflavin, and betaine metabolism, implicating dysfunction in several key metabolic processes. 
• Lipid analysis showed enrichment in nervous tissue components, suggesting potential myelin and white matter dysfunction in ME/ CFS, further supported by pathway analysis indicating involvement of oligodendrocyte specification and sphingolipid pathways. 
• Correlations between metabolite levels and questionnaire items revealed associations between elevated serine and fatigue, consistent with ME/CFS diagnostic criteria, while other metabolites showed links to exercise, gender, and age, emphasizing the complexity of metabolic dysregulation in this condition
13011
Koen ME/LC @helldogbe.bsky.social · 03/03/2025
Een clinical trial die voor (zware) PEM weinig te bieden heeft. Hopelijk wat toename in levenskwaliteit voor sommigen, maar niet iets met de potentie dat je er als ernstig geinvalideerde terug van kan werken in mijn ervaring.
110
Koen ME/LC @helldogbe.bsky.social · 01/03/2025
Zorgwekkend, maar verklaart ook waarom mijn controlearts (België) niet wil weten van een aanslepende LC. Wou ook geen documentatie wou inkijken ivm post-exertionele malaise, long covid symptomen, herstelkans enz.
000
Koen ME/LC @helldogbe.bsky.social · 28/02/2025
One of my last fun trips in 2020. Wish I kept more pictures of 2021 when I was still able to go on small walks with #LongCOVID as well as my temporary remission on Meloxicam (NSAID which allowed me to exercise and go back to work for a few months). Now I can't even stand YouTube rollercoasters.
Picture on a rollercoaster theme park ride of me with 3 friends
010
Koen ME/LC @helldogbe.bsky.social · 27/02/2025
Zielig, incel... Dat lost het probleem niet op dat ook ik brave huisvaders ken die naar Joe Rogan luisteren en er twijfelachtige ideeën opdoen. Net als 20miljoen andere subscribers van z'n podcast, waar Spotify trouwens een deal van $250mio aan gaf.
010
Koen ME/LC @helldogbe.bsky.social · 27/02/2025
We hebben een excuus om de ondertiteling aan te zetten😇 Het was bij mij toch hier en daar echt nodig, naar het Engels natuurlijk. 😂 Le bureau des légendes toevallig 2 maand terug gekeken toen ik een betere periode had. De moeite om te bingen.
110
Koen ME/LC @helldogbe.bsky.social · 26/02/2025
That 300k house from ten years ago is now 500k. Inflation on large sums can't be outsaved on a single wage. Becoming disabled and living alone definitely doesn't help.
120
Koen ME/LC @helldogbe.bsky.social · 25/02/2025
Graag gedaan. Deze pagina heeft ook een mooie PDF onder 'relevante links': mecvs.nl/nieuws/belei....
mecvs.nl
De inzet van LDN bij ME/CVS - MECVS Nederland
Vermoeidheidkliniek zet LDN standaard in bij behandeling Low Dose Naltrexon (LDN) wordt al langer ingezet bij de behandeling van ME/CVS. Naltrexon is een ontwenningsmiddel. Het is een hulpmiddel dat v...
010
Koen ME/LC @helldogbe.bsky.social · 25/02/2025
De prijs is nog te overzien, als het helpt: www.mijnapotheek.nl/ldn
mijnapotheek.nl
LDN capsules en druppels - mijnapotheek.nl
LDN of lage dosis Naltrexon HCl is een receptplichtige geneesmiddel dat door MijnApotheek.nl wordt bereid.
120
Koen ME/LC @helldogbe.bsky.social · 25/02/2025
It makes me angry when the reality of my existence is being denied. But I don't have the spoons to fight the medical system, nor to get the right support to deal with the medical trauma. For now I have to be content with disability pay and being alive it seems. Bottom rung on the Maslow pyramid.
110
Koen ME/LC @helldogbe.bsky.social · 25/02/2025
Gez Medinger's latest short clip (9min) on fasting for #LongCovid TLDW: extended fasting (no solid food for 1-3 weeks) could help with inflammatory conditions
youtu.be
Extended Fasting: An Effective Intervention for Long Covid? | The Rationale and the Science
YouTube video by Gez Medinger
371
Koen ME/LC @helldogbe.bsky.social · 24/02/2025
Worst of all I had brought documentation from reputable sources about LC prevalence, list of symptoms, mechanisms of physiological illness and explanation of post-exertional malaise. They refused to look at any of it. Citing that is for my treating doctors while denying the existence of LC 🤯
110
Koen ME/LC @helldogbe.bsky.social · 24/02/2025
They have prolonged my disability status, but did not believe or know about long covid at all. In their opinion all covid consequences resolve quickly and it definitely can't be due to an infection that I have these neurological problems 4 years later. State of healthcare for #LongCovid in Belgium
130
Koen ME/LC @helldogbe.bsky.social · 24/02/2025
Wat ik ook soms doe is het NL of ENG nieuwsartikel van 1 à 2p vooraan steken en dan de studie zelf erachter te nieten. Dan heeft men de keuze om iets toegankelijks te lezen, maar ook de wetenschappelijke onderbouwing te verifiëren.
110
Koen ME/LC @helldogbe.bsky.social · 24/02/2025
Ieder artikel heeft ook de originele bron vermeld, dat zijn telkens hele lange teksten van 10p. of meer. Ik neem altijd een mix van artikels en studies mee. In mijn ervaring komen artsen toch niet veel verder dan het abstract. Ik highlight ook al zelf in de PDF wat op mij meest van toepassing is.
210
Koen ME/LC @helldogbe.bsky.social · 24/02/2025
I'll cheat with more than one and say these in Dutch: PEM explainer: www.c-support.nu/wp-content/u... Samenvatting uit 2023: www.c-support.nu/long-covid-e... Mechanismes en behandeling eind 2024: www.c-support.nu/mechanismes-... Zieker van inspanning: www.revalidatie.nl/ntr/patiente...
110
Koen ME/LC @helldogbe.bsky.social · 23/02/2025
This was my first google result that had a positive endpoint for probiotics: www.newscientist.com/article/2409... Can't testify to the quality of the study or wether the results have been replicated yet.
newscientist.com
Probiotics helped reduce fatigue and memory loss from long covid
A study involving more than 450 people found that a mixture of prebiotics and probiotics alleviated some symptoms of long covid when taken daily for six months
010
Koen ME/LC @helldogbe.bsky.social · 23/02/2025
And every time your mana bar hits zero from overextending, your permanent debuffs get worse and you permanently lose stat points!
010
Koen ME/LC @helldogbe.bsky.social · 23/02/2025
Please don't! I spent 8 months exercising my way through and went from mostly housebound and being able to go out twice a week to mostly bedbound and only going out for medical appointments. Not to mention my cognitive PEM has gotten way worse as well, so now I'm bored 24/7.
000
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
And the video:
youtu.be
The Power Crisis Behind Long Covid & ME/CFS | Latest Mitochondrial Research Explained
YouTube video by Gez Medinger
253
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Gez Medinger's latest video explains mitochondrial dysfunction's role in long covid and ME/CFS and outlines how damaged mitochondria in skeletal muscles lead to energy production issues. Low spoonie version in images below. TLDR: extended fasting might help and will be explained in the next video

Mitochondria are cell 
powerhouses 
Mitochondria convert food and oxygen into ATP, the energy currency of cells, crucial for bodily functions. Their proper function means adequate energy for physical and cognitive abilities 
Dysfunction linked to ME/CFS 
and long covid 
Recent studies suggest that mitochondrial dysfunction in skeletal muscles is at the core of ME/CFS and long covid, with visible mitochondrial damage observed in these patients' muscle tissue. 
Vicious cycle caused by poor blood flow 
In ME/CFS, inadequate blood flow leads to anaerobic metabolism, creating a buildup of sodium. This sodium overload, combined with calcium influx, results in mitochondrial damage and reduced energy production 
Acquired ischemic mitochondrial myopathy 
The condition may be termed acquired ischemic mitochondrial myopathy, highlighting how poor blood flow triggers mitochondrial issues in muscle cells, causing energy deficits even from slight exertion. 
Risk factors for long covid 
complications 
Factors like autoimmunity, genetic predispositions, and blood vessel conditions can explain why not all long covid patients develop severe ME/CFS symptoms, suggesting a need for targeted treatments. 
Potential treatment strategies 
Understanding the underlying mechanisms gives hope for treatments that enhance blood flow, target autoantibodies, and mitigate energy production issues, potentially breaking the cycle of dysfunction. 
Importance of energy 
management 
For individuals with ME/CFS and long covid, respecting energy limits is vital. Patients should pace themselves to avoid exacerbating mitochondrial damage facilitating recovery from symptoms
362
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
That's some good news! My disability review is coming up on Monday, have had terrible experiences in the past. Different doc this time, so fingers crossed 3 years later they have learnt some lessons on postcovid/ME 🤞
110
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Covid is natuurlijk volledig out voor diegenen die niet getroffen zijn. Nu toegeven dat er gevolgen zijn waardoor er veel geld moet uitgetrokken worden lijkt wel politieke zelfmoord met de hoeveelheid mensen die alles aan de vaccins toe schrijven. Liever de hele pagina uit de geschiedenis wissen.
000
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Frappant hoe we liever zovele miljoenen naar uitkeringen laten gaan. Genoeg studies over de economische impact, lijkt wel het typische kortetermijndenken waardoor politieke wil (of is het kennis?) ontbreekt. Wanneer wordt onze brandhaard groot genoeg om te blussen?
100
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Klinkt idd als symptoombestrijding met offlabel meds gekend voor ME, waarvan we weten dat de winst in levenskwaliteit beperkt is. Vooral dat er geen extra budgetten zijn voor biomedisch onderzoek om echt de bron van het probleem te vinden en medicatie te ontwikkelen op een dierlijk model.
000
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Moesten we nu nog het gevoel krijgen dat men er op grote schaal wat aan wil doen... Ondertussen 4 jaar ver met deze sh*t!
000
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Is he your only carer or is your mom still there for you? I can empathize with your dilemma and worries. Trust that the hospital provides good care. He's aware of your condition and there's nothing you can do that you wouldn't be able to do over the phone if he were able to communicate.
210
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
Sorry to hear your dad's not doing well. I hope he pulls through so that you can spend a few more years together. It's awful seeing a parent go. Especially in our condition where we're still dependent on them and have to wonder how we'll manage without.
110
Koen ME/LC @helldogbe.bsky.social · 22/02/2025
They're fitting a load of physiological findings consistent with a persistent viral infection in LongCovid to the biopsychosocial model. Worrisome...
010
Koen ME/LC @helldogbe.bsky.social · 21/02/2025
This is a really good page that explains how brainfog feels to me during bad PEM days!
000