Paul Garner
@paulgarnerwoof.bsky.social
Professor emeritus (public health, infectious diseases, evidence synthesis)
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...
Infectious Disease Professor: How I Recovered from Long Covid | Dr. Paul Garner
YouTube video by Raelan Agle
www.youtube.com
November 26, 2025 at 9:35 PM
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...
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
November 26, 2025 at 9:24 PM
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
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/journals/jam...
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.
jamanetwork.com
October 18, 2025 at 3:23 PM
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/journals/jam...
#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...
October 17, 2025 at 9:34 AM
#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...
Reposted by Paul Garner
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
t.co/ftZh0p9s0x
September 3, 2025 at 1:19 AM
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
t.co/ftZh0p9s0x
Reposted by Paul Garner
This will be a great lecture from a brilliant and impactful epidemiologist
📢The 2025 Pumphandle Lecture will be given by:
Dr Cesar Victora, Emeritus Professor of Epidemiology at Federal University of Pelotas, Brazil!!
"From Local Insights to Global Impact: Four Decades of Child Health and Nutrition Epidemiology in Pelotas, Brazil."
More information to come.
Dr Cesar Victora, Emeritus Professor of Epidemiology at Federal University of Pelotas, Brazil!!
"From Local Insights to Global Impact: Four Decades of Child Health and Nutrition Epidemiology in Pelotas, Brazil."
More information to come.
August 7, 2025 at 1:55 PM
This will be a great lecture from a brilliant and impactful epidemiologist
"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.
July 13, 2025 at 9:27 PM
"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.
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/...
June 12, 2025 at 9:48 AM
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/...
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
May 29, 2025 at 2:17 PM
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
Reposted by Paul Garner
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/...
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/...
May 14, 2025 at 2:36 PM
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/...
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/...
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.
April 2, 2025 at 5:26 PM
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.
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...
‘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
www.manchestereveningnews.co.uk
March 30, 2025 at 11:10 AM
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...
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
No — you’re wrong. See the reply (to your reply) below:
‘We refute that our findings are due to deconditioning, as Long COVID-related skeletal muscle differ fundamentally from those caused by deconditioning.’
www.nature.com/articles/s41...
‘We refute that our findings are due to deconditioning, as Long COVID-related skeletal muscle differ fundamentally from those caused by deconditioning.’
www.nature.com/articles/s41...
Reply: Muscle abnormalities in Long COVID - Nature Communications
Nature Communications - Reply: Muscle abnormalities in Long COVID
www.nature.com
February 21, 2025 at 6:48 PM
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
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
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?
rdcu.be
February 21, 2025 at 6:44 PM
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
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...
www.nature.com/articles/s41...
Reply: Muscle abnormalities in Long COVID - Nature Communications
Nature Communications - Reply: Muscle abnormalities in Long COVID
www.nature.com
February 11, 2025 at 7:35 PM
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...
www.nature.com/articles/s41...
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/news/health/...
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
inews.co.uk
January 9, 2025 at 7:30 PM
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/news/health/...
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....
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....
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...
www.sciencenorway.no
January 2, 2025 at 4:23 PM
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....
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....
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/fagessay/202...
Mind-Body ReprogrammeringsTerapi (MBRT): ny behandling for long covid
Modellen er utviklet for pasienter med betydelig redusert funksjonsnivå som følge av long covid.
psykologtidsskriftet.no
January 2, 2025 at 3:26 PM
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/fagessay/202...
"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/yvyh9e24
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.
tinyurl.com
November 25, 2024 at 5:36 PM
"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/yvyh9e24