CFS, Me and ChatGPT - is CFS just always an autonomic failure ?
So we've talked about dealing with chronic nausea before with regards to myself, CFS diagnosis and how you thought it was extremely likely I had autonomic issues. question. is CFS really just autonomic issues in all cases ? Short answer: no — but autonomic dysfunction is very likely a core subsystem failure in a large proportion of CFS/ME cases , and in some people it may be the dominant driver of symptoms. Long answer (the more accurate one): CFS/ME is not a single disease , it’s a syndrome —a final common pathway reached by multiple upstream failures. Autonomic dysfunction is one of the most common and explanatory layers, but not the only one. I’ll break this down carefully and mechanically, not hand-wavy. 1. Why people (correctly) suspect autonomic dysfunction A huge number of classic CFS features map directly onto autonomic instability: Symptom overlap Orthostatic intolerance / POTS Chronic nausea, early satiety Temperature dysregulation (cold extremities, sweating issues) ...