An estimated 20–24 million people worldwide suffer from ME/CFS or long COVID, with 3–5 million in the US alone, yet the medical community lacks reliable tests or treatments.
Snapshot · The Diary Of A CEO with Steven Bartlett
An estimated 20–24 million people worldwide suffer from ME/CFS or long COVID, with 3–5 million in the US alone, yet the medical community lacks reliable tests or treatments.
Where this was said
At 2:22:13 · chapter starts 2:18:10
This is the most requested topic from Picard's online audience, and he addresses it with both data and compassion. The numbers are staggering: 20–24 million worldwide suffer from ME/CFS or Long COVID-related chronic fatigue, yet medicine has no reliable diagnostic biomarker and no proven treatment. The breakthrough study used muscle biopsies from the quadriceps to measure mitochondrial energy flux directly, finding a clear and measurable deficit in people with chronic fatigue syndrome — which mechanically explains why exercise triggers crashes (post-exertional malaise) rather than improvement. Unlike healthy people, whose GDF-15 dips back to baseline after exercise, in ME/CFS patients it appears to skyrocket. Picard then shares the story of a family friend who had debilitating chronic fatigue in her 20s, tried every conventional treatment unsuccessfully, and unexpectedly recovered after an emotionally transformative summer experience — never relapsing. He doesn't claim to know the mechanism, but offers it as evidence that the system can heal in ways science doesn't yet predict.
The best study on chronic fatigue syndrome found a measurable deficiency in mitochondrial energy transformation capacity in muscle biopsies from patients. Their mitochondria simply cannot flux energy properly — which is why exercise makes them worse rather than better, unlike healthy people.
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