Update on a ME/CFS patient

The patient has been under a lot of family stress. Stress is known to flare ME/CFS and to also alter the microbiome. One of the typical symptoms seen is an increase of brain fog.

The last sample was taken on Aug 20, 2021 with 20 symptoms entered.

My Usual Flow for Analysis

With the addition of “Consensus Suggestions” getting suggestions become easier. I can do several analysis and then work off the consensus report. This means less mental exertion for ME/CFS patients

Typically I will start with the top two shown below, but since ME/CFS is included. I have 3 to use

After getting three sets of suggestions by different paths

Takes from Consensus (highest values), there are 130 positive items. I will just pull the highlights.

odifierTake Net
trametes versicolor(Turkey tail mushroom)28.62
cinnamon (oil. spice)25.34
thyme (thymol, thyme oil)18.93
polymannuronic acid15.26
galacto-oligosaccharides (prebiotic)13.02
chitosan,(sugar) – Probable19

At lower values (and still good to take), are many typical ME/CFS supplements including:

The AVOID list

The flip side — the avoids — often this is hard for ME/CFS to implement. Often they are limited to choices due to available income or other issues (for example histamine issues). Occasionally, they have been convinced to need a specific type of diet.

Adding the new tools to the Analysis

First, I checked the medical conditions from the new site, GMRepo, and ME/CFS is not listed. This means that any researcher who have done a study, had not contributed their data there 😖. Going to the full list and seeing if anything sticks out for the latest sample there was nothing, there was a weak possibility for (Obesity, Morbid and Clostridium Infections).

Next, I looked at Symptom Forecasting

The predicted symptom really looked like ME/CFS, as shown below

Consensus Prediction of Symptoms

Reducing Salicylates in the diet would be an additional suggestion. I clicked on the top item, DePaul University Fatigue Questionnaire : Difficulty following things especially since the person reported more severe brain fog recently.

This takes me to a page showing the bacteria involved. We have 44 out of 49 bacteria having a strong or better match.

We then create an additional sample profile by clicking the [Create Other Samples Profile…] , view the suggestions and returned to the consensus page (which now uses all 4 suggestion list)

The rest of the lists are similar. The number of absolute takes did drop down by 30%.

KEGG Suggestions

KEGG works off the genetics of the bacteria involved (genus and species) and not the mechanisms used above. We get the following suggestions:

For possible supplements, we see the following that appears supported by the literature.

  • Magnesium – which helps many with ME/CFS and also stress related [Magnesium and stress]
  • D-Ribose – used by Dr. Jacob Teitelbaum [The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilot study]
    “D-ribose significantly reduced clinical symptoms in patients suffering from fibromyalgia and chronic fatigue syndrome.”
  • beta-alanine – which appears to be execrated more in ME/CFS [1996]
    “Increased excretion of beta-alanine was found in a subgroup of CFS patients, indicating that there may be a link between CFS and beta-alanine in some CFS patients.” [2007]
  • Cysteine – i.e. N-Acetyl Cysteine (NAC) on the take list above
  • Proline — “The disorder of arginine-proline metabolic pathway is detected in CFS middle school students before exercise intervention.” [2018]

There were also some items that I could not find any suitable literature on and thus I am ignoring.

Bottom Line

This has been a pro-forma walkthru of how to analysis the microbiome of a person with ME/CFS. We used several different approaches to get multiple sets of suggestions which we viewed in the Consensus Report. Each way used a different model of which bacteria to select (since no one knows the right one that works for everyone!).

Looking at the items above, my personal high priority choices would be to go hard on stress reducers:

Then add in at the next level

  • Thyme Oil
  • Anise Oil
  • B Vitamins
  • Probiotics

And then the appropriate items on the above lists.

REMEMBER — do not ignore the Avoid list. Doing so will reduce or eliminate the benefits from the Take list.

As always, this is not medical advice — all suggestions should be discussed with a knowledgeable medical professional before starting. This is a walkthru of using an academic model (not based on clinical experience) to model what may improve the microbiome examined. Every microbiome is unique and the contents of this post cannot be applied to other people.