<p>Do you experience Post-Exertional Malaise? I have for a number of years now, and it can be utterly debilitating. </p><p>But, like the term <a target="_blank" href="https://natashalipman.substack.com/p/brain-fog-chronic-illness-pain-long-covid?s=w#details">“brain fog”</a>, I know what PEM means, what it feels like, subjectively, but I didn’t know all that much about what we actually mean when we talk about PEM. </p><p>What’s actually happening inside our bodies when we experience these exacerbation of symptoms hours or days after exerting ourselves? </p><p>These are questions I’ve been pondering for a while, so I’m delighted to be joined for this episode by Todd Davenport, a Professor at the Department of Physical Therapy at the University of the Pacific in California in the US. Todd has been involved in pioneering studies of Post-Exertional Malaise in ME/CFS patients using CPET exercise techniques and has such fascinating insights and understanding of PEM, which I can’t wait to share with you. </p><p>In this episode we cover: </p><p>* The science of PEM</p><p>* What are the symptoms of PEM </p><p>* How to recognise it </p><p>* What triggers it </p><p>* What we can do to reduce PEM </p><p>* A realistic conversation about pacing to mitigate PEM…</p><p>…and much more! </p><p><em>To listen, you can just click play at the top of this email, or you can listen on </em><a target="_blank" href="https://substack.com/redirect/2e6217ec-7363-4646-b937-2d40cf92cda5?r=1ahah2"><em>Apple</em></a><em>, </em><a target="_blank" href="https://substack.com/redirect/c4970e64-2789-400d-8907-6c85a7d28815?r=1ahah2"><em>Spotify</em></a><em>, </em><a target="_blank" href="https://substack.com/redirect/396681c9-dfb6-4176-8e21-8d3a9045d436?r=1ahah2"><em>Amazon</em></a><em> and </em><a target="_blank" href="https://substack.com/redirect/5bfbb7a0-af88-41f3-a036-c0527d950f5c?r=1ahah2"><em>Google</em></a><em>.</em></p><p><em>If you’d rather read the transcript of the episode, </em><a target="_blank" href="http://natashalipman.com/post-exertional-malaise-podcast-transcript"><em>I’ve made that available on my blog</em></a><em>.</em></p><p><em>Please note: if you receive this email within the first few hours of it being sent out, it might take a few hours for the podcast to filter through to some of the podcast platforms like Amazon or Spotify.</em></p><p>Thanks to my brilliant producer Philly Guillou at <a target="_blank" href="https://substack.com/redirect/2e418e62-4a2f-425c-ad39-1c77310f3e30?r=1ahah2">OG Podcasts</a>, to Lucy Dove for the episode art, and to Amit Rai for my intro music.</p> <br/><br/>This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://natashalipman.substack.com?utm_medium=podcast&utm_campaign=CTA_1">natashalipman.substack.com</a>
