From The Guardian.
Graded exercise therapy is not the right way to treat people with ME or long Covid, argue Dr Charles Shepherd and Rachel Harding.
Dr Alastair Miller, Professor Paul Garner and Professor Peter White are not correct when they state that graded exercise therapy (GET) is a safe and effective treatment for ME/chronic fatigue syndrome (Letters, 11 March).
Having reviewed all the published evidence from clinical trials, the new Nice guideline no longer recommends GET as an effective treatment for ME/CFS.
Patient evidence submitted to Nice, and analysed by Oxford Brookes University, also concluded that GET caused symptoms to worsen in the vast majority of people who had tried it. The new Nice guideline on ME/CFS therefore recommends that people should remain within their energy limitations and not be prescribed GET.
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