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thenerdhead

4,473 karma · joined January 1, 2022

https://fnih.org/patient-engagement/patient-voices-fnih/long-covid-struggle-inspires-urgency/
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thenerdhead··on Study helps explain post-Covid exercise intolerance
Okay link it?
thenerdhead··on Study helps explain post-Covid exercise intolerance
What are you saying here? That this entire paper and subject area is an "opinion"?

I still do not know what your main points are here. This study isn't going to be replicated yet because it is considered a "breakthrough" and only two months published. It is going to have limitations because all studies do and authors disclose what they think are their limitations.

Also I haven't downvoted anything for what it is worth.

thenerdhead··on Study helps explain post-Covid exercise intolerance
Look, I'm more than willing to hear your opinion but I'm not going to dig for yours in a forum post. I took one look and immediately sent you that comment because those are opinions I do not even remotely share besides the last post of someone who linked a detailed newsletter talking about why this work is important.

There is also a great re-cap of this work here:

https://youtu.be/278vwGkFXRM?t=13406

thenerdhead··on Study helps explain post-Covid exercise intolerance
Thanks for sharing your opinion. I don't share it, but appreciate you taking the time.
thenerdhead··on Study helps explain post-Covid exercise intolerance
My RHR baseline(average) is 51. HRV baseline(average) is 95. I sleep very well & consistently but wake up feeling wired & tired (common in chronic fatigue I suppose). My cardio fitness averages to 52.9 which is a measurement of my VO2 max.

I have read thousands of covid / long covid papers. I think you would be surprised at what symptoms persistent virus in the gut lead to:

https://www.cell.com/cell/fulltext/S0092-8674(23)01034-6

The books "I contain multitudes" and "Gut" are excellent recent titles helping bring light to the power of the gut. I personally think some other organs may be involved too and even the vagus nerve. But none-the-less covid is hijacking mitochondria:

https://pubmed.ncbi.nlm.nih.gov/37556555/

thenerdhead··on Study helps explain post-Covid exercise intolerance
This is a big deal. Doctors are constantly telling patients they are “deconditioning” and encouraging exercise as a result. There is a large controversy of exercise clinical trials for that reason. Experiencing this first hand, I am in very good shape and have excellent stamina. On certain days when my mitochondria are hijacked(it is cyclical for my long Covid), you couldn’t tell the difference of me(young 30 year old gym goer) and an 80 year old man from walking up the stairs. The virus is persisting likely in our gut and hijacking our powerhouse of the cell! Many studies are showing this is likely the case.
thenerdhead··on Study helps explain post-Covid exercise intolerance
I have long Covid. I am in the best shape of my life but sometimes have stamina issues. All I can say is that as I would take supplements that target mitochondrial function, I’d notice that to increase. I believe the root cause is viral persistence and will require monoclonal antibodies, antivirals, and synbiotics to repair. Just taking synbiotics recently has slowly been increasing my alertness and lowering my fatigue levels. Look up SIM01 clinical trial.
thenerdhead··on Study helps explain post-Covid exercise intolerance
Yes agreed, but where has this study been replicated in the ME/CFS literature?
thenerdhead··on An AI that learns about chemical reactions and designs a procedure to make them
“Consider a future device … in which an individual stores all his books, records, and communications, and which is mechanized so that it may be consulted with exceeding speed and flexibility. It is an enlarged intimate supplement to his memory.”

By Vannevar Bush

thenerdhead··on Inhaled Covid vaccines stop infection in its tracks in monkey trials
The current push in science due to covid has been remarkable. These specific findings can make https://aspr.hhs.gov/NextGen/Pages/Default.aspx look very very good. Especially given the grants looking into these areas:

https://medicalcountermeasures.gov/nextgen/

Goes to show that if you align incentives, remarkable things can happen.

thenerdhead··on Goodreads asks users to help combat 'review bombing'
I mean some straight-forward ones might be...

Accounts need to verify themselves somehow.

Accounts should be old enough before contributing reviews.

Accounts should only be able to review X amount of titles an hour/day/etc.

Moderators should have tools to identify influx of reviews and decide mitigation strategies.

Moderators should be able to put up a banner on a title that may be review bombed so the community can report suspicious reviews.

Etc.

These aren't honestly policing much. Just general common sense for these platforms. Also heavily needed on many other platforms that get spam in similar ways.

thenerdhead··on More product, fewer product managers
You can summarize this article with a famous Einstein quote:

> Everything should be made as simple as possible, but not simpler.

Isn't it clear that scale governs the self-determination theory? You can run a company much like a startup if you choose to. Many people/businesses do not choose to do that and that allows bureaucracy and hierarchy to thrive.

This isn't a "product manager" problem. This is a loss of identity or culture. Many of your great people will leave because of this eroding. Blaming it on product managers is lazy because it shows you aren't looking close enough.

https://wikipedia.org/wiki/Self-determination_theory

https://wikipedia.org/wiki/Flat_organization

thenerdhead··on Goodreads asks users to help combat 'review bombing'
Maybe start with showing reviews that are verified or somehow legitimate. There is a problem on both ends of inflating and bombing titles.

I personally cannot stand the former where publishing teams will buy or fake mass amounts of reviews to play into the NYT bestseller formulae.

It is fairly easy to tell an ad hominem in a "review bomb" in my experience. Usually it relates around politics or something controversial rather than the actual thing itself.

thenerdhead··on Why Are So Many Americans Dying Early?
Since when is COVID behind us? We are all living with a novel virus that is deadly in many mammals except bats. We are seeing people developing long covid with each new infection. We’re seeing vaccines cause similar syndrome for an unfortunate few where antibodies created causes autoimmune issues.

The science is not perfect. Vaccines aren’t sterilizing, current treatments aren’t effective enough to prevent disease progression, and we are only approaching the 5 year mortality mark.

When we develop more effective vaccines and treatments, perhaps we will see this start to settle alongside all the other challenges that continue to get worse.

thenerdhead··on Wu Wei
I really like how they combine art and these concepts. They deserve imagery and are hard to visualize without them.

Alan Watts has a number of talks on Wu Wei and visualizations.

https://www.youtube.com/watch?v=eeD3wS4fGEY

Additionally the metaphor through "The Tao of Pooh" does a great job as well.

https://wikipedia.org/wiki/The_Tao_of_Pooh

They might be Western bastardizations of what it really means, but they inspired me to write a take on it:

https://jondouglas.dev/youre-trying-too-hard/

thenerdhead··on Chronic fatigue syndrome is more common than some past studies suggest, CDC says
There's no known treatments but many exciting clinical trials to find some. Also more clearer answers every year.
thenerdhead··on Vitamin B6 deficiency leads to social deficits and cognitive impairment
I use LabCorp, but people say good things about https://www.insidetracker.com/ (a bit more pricey). Most on-demand blood tests are HSA eligible.
thenerdhead··on Chronic fatigue syndrome is more common than some past studies suggest, CDC says
https://www.cell.com/cell/pdf/S0092-8674(21)00754-6.pdf

https://www.thelancet.com/journals/laninf/article/PIIS1473-3...

thenerdhead··on Chronic fatigue syndrome is more common than some past studies suggest, CDC says
Many long Covid researchers believe that if we can go all in to solve long Covid and its CFS manifestation, that we can likely solve other ones, especially if we find that it is caused by viral persistence. Dr. John Chia was ignored about his CFS research for decades.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770761/

I hope that if we find a reversible cure through antivirals, gut modulation, monoclonal antibodies, etc, that Mr. Chia gets the recognition he deserves given his influence on these hypotheses.

https://www.sciencedirect.com/science/article/pii/S073567572...

https://www.thelancet.com/journals/laninf/article/PIIS1473-3...

thenerdhead··on Chronic fatigue syndrome is more common than some past studies suggest, CDC says
Look up long Covid or post Covid condition.
thenerdhead··on Could Long Covid 'Brain Fog' Be an Acquired Form of ADHD?
> Could brain fog and acquired ADHD effectively be the same condition?

No. long covid "Brain fog" is clearly caused by the SARS-CoV-2 pathogen. Acquired ADHD has a much broader umbrella of brain injury, infections, environmental factors, and medical history.

https://www.thelancet.com/journals/laninf/article/PIIS1473-3... suggests that various symptoms included in the definition of long covid "brain fog" can be improved by balancing the gut microbiome. The gut is where we produce 90% of serotonin.

So another way to think of this might be "could long covid lead to conditions common of gut dysbiosis?" your answer is what we are seeing in research:

- Depression.

- Anxiety.

- Alzheimer's disease.

- Attention-deficit/hyperactivity disorder.

- Autism.

- Bipolar disorder.

- Dementia.

- Obsessive-compulsive disorder.

- Post-traumatic stress disorder.

- Schizophrenia.

- etc

thenerdhead··on FDA approves a CRISPR-based medicine for treatment of sickle cell disease
Historic. This opens the door for CRISPR. Very exciting to have followed this in Science/Nature magazine till today.
thenerdhead··on White House warns it might break patents of high-priced drugs
https://aspe.hhs.gov/sites/default/files/documents/0cdd88059...

Jeeze some of these are crazy. The notable one I was aware of was Paxlovid.

thenerdhead··on Child mask mandates for Covid-19: a systematic review
No, I am saying that the consensus has largely not changed(i.e. "Don't get infected") although we are ~4 years wiser and have ~400k research publications knowing how this single pathogen affects humanity.

https://www.ncbi.nlm.nih.gov/research/coronavirus/

I'm not arguing for or against preventative measures. I am arguing that our health officials could do a better job discussing what we know about it now to help individuals make choices.

thenerdhead··on Child mask mandates for Covid-19: a systematic review
The UK has a covid inquiry going on right now and I believe the former PM expressed their regret for how much they downplayed it alongside explaining their rationale of using the limited tools they had at their disposal. Very uncharacteristic for what their actions were during it.

You also have countries like Germany who are starting to realize the actual burden of infecting the general population and necessity to follow what current evidence we have to tackle the long-tail issues:

https://twitter.com/zurnull/status/1731941221503812060

thenerdhead··on Child mask mandates for Covid-19: a systematic review
Did anyone expect a different result here?

I think what people are more interested in is whether people who are dutiful with covid pre-cautions actually work(kids are a tough cohort). I think we know the answer there too.

For example, a systematic review of professionals in a workplace with mask policies versus those without.

Or systematic reviews on other helpful topics like ventilation, filtration, and testing from different cohort perspectives like kids and adults.

The current consensus we all have today is just "don't get infected" which does humanity very little good. There are evidence-based approaches that need to inform public policy makers and for those policy makers to be very clear with the public on what the risk each person entails without pre-cautions.

https://johnsnowproject.org/

thenerdhead··on Study of ancient British oral microbiomes reveals shift following Black Death
There are a number of gut microbiome testing companies sponsoring studies on this and university labs who have found some promising candidate probiotics being clinically trialed to restore gut microbiome. We may be able to fix ours.
thenerdhead··on Star neuroscientist may have manipulated data to support a major stroke trial
"Medicine is broken. We like to imagine that it's based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed." - Ben Goldacre
thenerdhead··on Charlie Munger – Feeling Like a Victim Is Perfectly Disastrous
His philosophy was heavily inspired by Benjamin Franklin and other philosophers who believed in the same ideas on self-pity.
thenerdhead··on Are remote workers more productive? That's the wrong question
Yeah and there's that adage that you want to hire lazy people because they will find an easy way to solve something.

The right question as alluded to in this article being "where are you happiest working?" is equally dumb. Of course people are happier in their preferred environment.

This whole discussion is just a distraction and the points don't even matter as to who wins the argument.

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