Do your salivary glands ultrasound results mention any score?

Hi!

I have just received the results of the ultrasound of my salivary glands “Mild nonspecific bilateral salivary gland parenchymal inhomogeneity”. Should it also include any kind of score which would indicate the degree of this inhomogeneity?

I am on the fence about this, as I do not have positive Sjogren’s specific antibodies. I am going to have a lip biopsy nevertheless, but am slightly scared that they miss it.

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u/Purple-Trex-8541 — 1 day ago

Any long haulers of 5-6 years here?

How have you been doing guys?

I never got better over the course of the illness. Only steady decline to very severe ME/CSF. I am still trying to push for investigations of autoimmunity in my case (small fibre neuropathy, possible autoimmune ganglionopathy and all that stuff).

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u/Purple-Trex-8541 — 1 day ago
▲ 11 r/cfs

ME/CFS as a lysosomal storage-like issue?

Hi everyone.

TL;DR: ME/CFS and Long COVID share exact symptoms with Lysosomal Storage Diseases (like Fabry) where toxic lipids build up in vessels, nerves, brain, other organs (depending on the disease). Recent studies confirm severe sphingomyelin and lipid metabolism defects in both ME/CFS and Long COVID.

Therea is a detailed summary of the findings on the topic on Health Rising, if someone is interested.

In classic lysosomal storage diseases (LSDs) like Fabry disease, unmetabolized lipids (sphingolipids) pathologically accumulate in blood vessels and the brain. The typical symptoms mirror our conditions perfectly:
- Severe, debilitating fatigue and exertion intolerance
- Dysautonomia and sweating abnormalities
- Small fiber neuropathy (neuropathic pain)
- Brain fog and severe GI issues

A recent 2025 study by Moreau, Fluge, and Mella (link) (+ the last 2 authors are principal investigators in the Daratumumab trial) found a major sphingomyelin issue in ME/CFS: the SMPDL3B protein is pathologically cleaved off immune cells. This drives chronic immune dysfunction, and higher levels of this free-floating protein strongly correlate with ME/CFS severity.

This builds directly on Naviaux’s 2016 metabolomics paper, which originally identified disrupted sphingolipid metabolism as a dominant chemical signature in ME/CFS.

There is long COVID connection as well.

Has anyone else been researching this hypothesis? After reading the symptoms of a typical lysosomal storage disease my heart sank, honestly. Are we fucked?

u/Purple-Trex-8541 — 13 days ago

Help finding my undertone! Fair/cool body vs. face/neck with yellow-ish hues

Hi everyone! I’m new here and would really appreciate some help figuring out my undertone.

I have a mismatch that makes foundation shopping confusing: the skin on my body is very fair and cool-toned (I burn instantly and never tan), but my face and neck have a noticeable yellowish hue in the sun, likely due to my ethnicity. Under electric light I tend to look rather neutral.

Here are a few clues that might help identify my undertone:
- Jewelry: gold looks awful on me. I strictly wear silver or white gold.
- Makeup: Brown tones and warm-toned lipsticks make me look very unwell. There is also a photo of me with warmer coloured hair and makeup in warm brown tones which I think doesn’t suit me well?..
- Clothing: I think I look best in cool shades (oxblood, royal blue, etc.) and khaki. I look terrible in yellow or orange.

Has anyone else dealt with this pale/cool vs. yellow mismatch? Given these clues, could I be a cool olive? Any advice or foundation recommendations would be amazing!

u/Purple-Trex-8541 — 15 days ago
▲ 27 r/cfs

How did you process reintegration into society after recovering from severe ME/CFS?

Hi everyone!

I have a small glimmer of hope that I may actually be getting better after very severe ME/CFS, and I’m trying not to get ahead of myself, but it’s hard not to feel emotional about it.

I know one of the hardest parts will be figuring out how to re-enter society and reconnect with people face to face after so long. I feel hopeful about that, but I also feel deeply hurt and bitter about how some so called friends ghosted me along the way. It left me feeling ostracized from society, and I don’t really know how to process that.

For those of you who have improved or recovered: how did you handle the emotional side of reintegration? How did you deal with grief, resentment, loneliness, or feeling left behind?

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u/Purple-Trex-8541 — 2 months ago

Does anyone here with POTS/dysautonomia and/or long COVID receive therapeutic ketamine treatment?

What dosage are you on (oral or IV)? Does ketamine exacerbate your POTS/dysautonomia?

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u/Purple-Trex-8541 — 2 months ago

Has body hair loss and complete lack of sweat reversed for anyone?

I have been having very severe (ME CFS like) long COVID for the last 2-3 years (I am bedridden), and not only I stopped sweating completely, but I also noticed hair loss on my arms and legs.

Has that improved for anyone?

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u/Purple-Trex-8541 — 2 months ago

Are there any good specialists in Turkey - SFN/autonomic neuropathy?

Hey!
I originally come from a different country but was wondering if anyone is aware of a good dysautonomia specialist in Turkey. I am looking for immunotherapy (privately) for small fibre/autonomic neuropathy.

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u/Purple-Trex-8541 — 2 months ago

Are you aware of any specialists in Turkey?

Hey!
I originally come from a different country but was wondering if anyone has a good dysautonomia specialist in Turkey. I am looking for immunotherapy for small fibre/autonomic neuropathy.

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u/Purple-Trex-8541 — 2 months ago

Did anyone with slow motility quit Pyridostigmine successfully?

Hey there!
I have been struggling with very slow gut motility due to dysautonomia caused by POTS/ME CFS like long COVID. I have realised recently that Pyridostigmine actually intensifies my allergic symptoms and this wired mental feeling and I have been thinking about quitting Pyridostigmine. However, even the mixture of Prucalopride, Movicol and Bisacodyl is not enough for my peristaltic system.

Has anyone noticed if their GI symptoms stabilised after quitting Pyridostigmine?

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u/Purple-Trex-8541 — 2 months ago
▲ 6 r/cfs

Anyone’s parents got ill as well (ME or long COVID)?

I am pretty sure my mum got long COVID (she’s in her early 60s). I have had ME for almost 6 years now (very severe) and couldn’t stop crying when I got her messages today (“I want to lie down all the time” and “My insomnia is insane”).

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u/Purple-Trex-8541 — 3 months ago
▲ 22 r/cfs

Does anyone else get detailed blissfully happy dreams once in a while?

About every two weeks, I have these incredibly vivid, long and blissfully happy dreams that have zero connection to my real life. I wake up absolutely euphoric, like I’ve been pumped full of endorphins.

In reality, though, I’m very severe, bedridden and, therefore, I’m emotionally flat and numb from the physical toll. It’s kinda weird that my brain conjures these escapes. Is this its way of coping with harsh reality?

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u/Purple-Trex-8541 — 3 months ago