Dr David Streeten discovered while treating patients for orthostatic intolerance that one had a low plasma volume and another had a low circulating blood volume both of these patients turned out as having an
ME/CFS diagnosis, when contacted by Dr David Bell who had ME/CFS patients with the same symptoms further research was carried out with results published 1997-1998 ncf-net.org/library/Bell-St...
Epogen is a human Erythropoietin, glycoprotein that controls red blood cell production in bone marrow.
Used as a treatment in orthostatic hypertension a condition in which blood pressure drops upon standing,
causing dizziness, light headedness or fainting.
Neurocirculatory asthenia is a long winded term for the rather straightforward findings following Dr. Bell and Dr. Streeten's research. In plain English, it describes a person's inability—arising from the brain—to maintain adequate, normal blood flow to all areas of the body.
The test of any theory is does it adequately describe the symptoms we know of while predicting areas for research previously not suspected, it also as Bell has said ends one theory "Nobody can say that a half-normal blood volume is psychosomatic,"
POTS (Postural tachycardia syndrome) an autonomic nervous system dysfunction with similar symptoms that ME/CFS experience bmjopen.bmj.com/content/4/6...
Understanding poor circulation, blood pooling, heart arrhythmia, headaches, poor digestion caused by the autonomic nervous system management of vascular constriction and dilation provides some insight for treatment that eases some of the symptoms.
Lower blood volume - basically dehydrated
Drink more water, check your mouth and lips to see if they are dry, If they are, drink
Eat more salt. Unless you have high blood pressure or heart failure, you need more salt than most people. Enjoy salty foods as well.
Fewer red blood cells (red blood cell mass) to carry oxygen and nutrients
A blood test for ferritin levels (iron levels are associated with fatigue -anaemia)
Low thyroid levels affect red blood cell production