iiinova — where your digital self keeps evolving

Paul Garner @paulgarnerwoof.bsky.social · 09/09/2026

TB of the pericardium is dangerous. A re-analysis a large trial testing corticosteroids, changed the trial result from no difference to benefit. Go to Cochrane. The New England Journal of Medicine is less reliable. paulgarner865718.substack.com/p/corticoste...

paulgarner865718.substack.com

Corticosteroids in people with pericardial tuberculosis

Cochrane helps reinterpret findings from a major trial

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Paul Garner @paulgarnerwoof.bsky.social · 22/04/2026

People with the post-COVID19 condition and ME/CFS are often told they will not recover. This is not correct. We compiled recovery stories from people with mind-body conditions on The Recovery Channel. recovery-channel.org

recovery-channel.org

The Recovery Channel - Hope in recovery

The Recovery Channel™ is a patient-led collaborative network. We want to inspire hope and disseminate strategies to help recovery in people with chronic fatigue conditions, post-covid and related mind...

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Paul Garner @paulgarnerwoof.bsky.social · 26/11/2025

People with #MECFS and #longcovid need hope, information, and support. People need help from people who understand these conditions, like Raelan Agle www.youtube.com/watch?v=zvGk...

youtube.com

Infectious Disease Professor: How I Recovered from Long Covid | Dr. Paul Garner

YouTube video by Raelan Agle

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Paul Garner @paulgarnerwoof.bsky.social · 26/11/2025

NICE ME/CFS guidance BANS WALKING. Yes, @nicecomms.bsky.social let that sink in. So people NICE encourage bedrest in ME/CFS which makes people worse. "Graded Exercise Therapy", as evaluated in the excellent PACE trial, is described here: WALKING

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Paul Garner @paulgarnerwoof.bsky.social · 18/10/2025

The Oslo RCT in longcovid intervention of psychoeducation and increasing mental and physical activity led to large benefits. These were even BIGGER effects in those in the upper quartile of PEM. This is important. IE BIGGER BENEFITS IN PEOPLE WITH PEM jamanetwork.com/journals/jam...

jamanetwork.com

Outpatient Rehabilitation for Post–COVID-19 Condition

This randomized clinical trial examines the effectiveness of a 2- to 6-week outpatient cognitive and behavioral rehabilitation program for individuals with post–COVID-19 condition.

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Paul Garner @paulgarnerwoof.bsky.social · 17/10/2025

#longcovid core to recovery is to understand that prediction effects are causing symptoms. Don't "ignore and push" but "understand, note and lean into.... activities you enjoy..." Rebecca Kennedy explains here www.youtube.com/watch?v=bCo8...

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Reposted by Paul Garner

Benjamin Ryan @benryanwriter.bsky.social · 03/09/2025

For @unherd.com, I plumb the depths of the tangled and tortured case of Gordon Guyatt, who threw his team’s research funder under the bus and contradicted his own research findings to appease an activist mob. t.co/ftZh0p9s0x

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Reposted by Paul Garner

George Davey Smith @mendelrandom.bsky.social · 07/08/2025

This will be a great lecture from a brilliant and impactful epidemiologist

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Paul Garner @paulgarnerwoof.bsky.social · 13/07/2025

"Chronicity rhetoric" underpins the UK NICE ME/CFS guidance. The word "recover" appears ONCE and then implies relapse. @NICEComms contributes to a discourse that creates barriers to recovery. Shame on you.

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Paul Garner @paulgarnerwoof.bsky.social · 12/06/2025

Recovered #LongCovid #MECFS patients state 11 June in BMJ that the message, "no hope without a biomedical cure", is HARMFUL. NICE-you need to wake up to the damage you have done www.bmj.com/content/389/...

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Paul Garner @paulgarnerwoof.bsky.social · 29/05/2025

NICE Guidance UK misleads. People with severe ME will not get better with this advice, and they are denied cognitive approaches that can help recovery

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Reposted by Paul Garner

The BMJ @bmj.com · 14/05/2025

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) affects around 250 000 people in the UK. Reframing beliefs about illness, along with specialist rehabilitation, can help recovery in people with severe ME/CFS, @paulgarnerwoof.bsky.social and colleagues www.bmj.com/content/389/...

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Paul Garner @paulgarnerwoof.bsky.social · 02/04/2025

This is a terrific seminar, linking the science of the stress response to the post-COVID condition and ME/CFS. "We need to "We need to listen to communities of people who have recovered from illness"-and brain-body retraining programmes really help people recover.

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Paul Garner @paulgarnerwoof.bsky.social · 30/03/2025

Excellent journalist. I am not sure the ME/CFS association comment is correct-they have not kept up with the science. In my view, this means the association is impairing people’s access to approaches that will help them recover. www.manchestereveningnews.co.uk/news/uk-news...

manchestereveningnews.co.uk

‘This explanation of Long Covid helped me overcome my struggle with the illness’

Professor Paul Garner, a specialist in infectious diseases, was 'beaten up' by Long Covid for around 10 months, then he was given an explanation that transformed his life

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Paul Garner @paulgarnerwoof.bsky.social · 21/02/2025

so two independent, published critiques of Appelman point out this study is flawed and the patients were deconditioned. What is important is that Appelman inferences are also incorrect, as both these criticisms point out, from different disciplinary angles

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Paul Garner @paulgarnerwoof.bsky.social · 21/02/2025

study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. A second critique, from specialists in muscle, say pain after exercise is not specific to covid-19, and exercise IS helpful in muscle recovery. rdcu.be/eaOtl

rdcu.be

Should we be careful with exercise in post-exertional malaise after long COVID?

Nature Communications - Should we be careful with exercise in post-exertional malaise after long COVID?

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Paul Garner @paulgarnerwoof.bsky.social · 11/02/2025

A study in Nature claimed exercise damaged people with post-exertional malaise from #LongCovid. We found their evidence does NOT support this: patients were deconditioned, the exercise was extreme, and there were no proper controls #MEcfs www.nature.com/articles/s41...

nature.com

Reply: Muscle abnormalities in Long COVID - Nature Communications

Nature Communications - Reply: Muscle abnormalities in Long COVID

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Paul Garner @paulgarnerwoof.bsky.social · 09/01/2025

Great piece in the "I" about #LongCovid treatment by @ClareWilsonMed : sensible, basic rehabilitation with cognitive approaches and incremental activity, and steer away from quack medicine that are "high on promise and low on evidence". inews.co.uk/news/health/...

inews.co.uk

The long Covid ‘treatments’ to avoid

People with long Covid are resorting to a range of unproven remedies, from supplements to stem cells, but simple rehabilitation techniques are proving the best medicine

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Paul Garner @paulgarnerwoof.bsky.social · 02/01/2025

Improvement and recovery are possible for individuals living with chronic fatigue conditions. This comes from extensive research, clinical experience, and the perspectives of patients who have experienced positive changes and full recovery. www.sciencenorway.no/chronic-fati....

sciencenorway.no

Health researchers believe: Chronic fatigue disorders are not incurable.

OPINION: A new study shows that cognitive behavioural therapy (CBT) and other rehabilitation measures are effective for so-called 'Long Covid.' At the same time, studies have shown that neither medica...

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Paul Garner @paulgarnerwoof.bsky.social · 02/01/2025

Excellent article on the theoretical underpinning of neuroplastic programmes to help people recover from #longcovid, and the structured active approach to reframe to make activity safe psykologtidsskriftet.no/fagessay/202...

psykologtidsskriftet.no

Mind-Body ReprogrammeringsTerapi (MBRT): ny behandling for long covid

Modellen er utviklet for pasienter med betydelig redusert funksjonsnivå som følge av long covid.

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Paul Garner @paulgarnerwoof.bsky.social · 25/11/2024

"insisting that symptoms in these [post-viral fatigue] conditions are wholly biomedical - unrelated to evolved biological stress responses...and the promotion of unfounded theories, such as “microclots” causing chronic fatigue conditions, in itself could be harmful". tinyurl.com/yvyh9e24

tinyurl.com

Plasmapheresis to remove amyloid fibrin(ogen) particles for treating the post‐COVID‐19 condition - Fox, T - 2023 | Cochrane Library

Select your preferred language for Cochrane Reviews and other content. Sections without translation will be in English.

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