PEM: Prevention and Recovery
Confronting PEM requires a nuanced approach. It's not just about restoring glycogen, but understanding and supporting the intricate pathways of energy synthesis in our body. This careful balancing act can be the key to recovery and resilience.
Understanding PEM
Decoding Post-Exertional Malaise
Post-Exertional Malaise (PEM) is a key symptom of conditions like ME/CFS, Long COVID/Long Haulers, and similar syndromes. It is primarily characterized by a deficiency in glycogen, NAD+, or FAD.
This deficiency often stems from mineral imbalances and dysbiosis, leading to chronic immune responses and toxin-induced metabolic impairments.
​
Key Characteristics of PEM:
-
Glycogen deficiency can lead to symptoms like tinnitus, vision reduction, dizziness, and nausea.
-
The Protocol aims to address these root causes and improve glucose uptake and glycogen synthesis rates.
​
Managing Carbohydrate Intake
During periods of increased exertion or immune activity, it's crucial to adjust carbohydrate intake accordingly. This often means increasing low-GI carbohydrate consumption. However, in the event of a crash or PEM episode, the focus should shift to quickly restoring glycogen and sodium levels.
​
Quick Glycogen Restoration:
-
New Zealand Manuka honey is recommended for its simple carbohydrates and antimicrobial properties, beneficial during a PEM crash.
​
Asthma Inhalers as a Support Tool
For those with asthma, inhalers like salbutamol can be very effective in increasing catabolic activity during a PEM episode.