MEDICAL MATTERS
- Medical Matters features questions asked by Members of the ME Association on health-related topics.
- Dr Charles Shepherd and the ME Association's other advisers answer these questions by sharing their expert knowledge.
- Medical Matters is based on the popular ‘Ask the Doctor’ series in ME Essential magazine.
- It is a free resource that supplements the detailed information contained in the full range of literature that can be found in the website shop.
Search all questions
Choose a letter to see our categories
- Show all
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
- ME Connect
- ME/CFS
- ME/CFS Biobank
- MMR
- MNA
- MRI
- MS
- MUST
- Macrocytosis
- Magnesium
- Magnetic Resonance Imaging
- Mainstream Media
- Malnutrition
- Malnutrition Universal Screening Tool
- Management
- Manchester Brain Bank
- Mast Cell Disease
- Mast Cells
- Media
- Medical Condition
- Medical Consent
- Medical Disclosure
- Medical Records
- Medical Research
- Medical assessment
- Medications
- Melatonin
- Memory
- Memory Problems
- Menieres’s Disease
- Meningitis
- Menopause
- Menstruation
- Mental Function Assessment
- Mental Health
- Mental Health Act 1983
- Mepivacaine
- Mestinon
- Metabolism
- Metabolites
- Metabolomics
- Methylprednisolone
- Metoclopramide
- Micro Clots
- Microbiome
- Microbiota
- Migraine
- Minerals
- Mini Nutritional Assessment
- Mirtazapine
- Mitochondria
- Mobility
- Mobility Adis
- Mobility Aids
- Modafinil
- Molnupiravir
- Mononeuropathy
- Mortality
- Motor Neuropathy
- Mouth Ulcers
- Multidisciplinary
- Multiple Sclerosis
- Muscle
- Muscle Cramps
- Muscle Pain
- Muscle Relaxants
- Muscle Spasm
- Muscle Wasting
- Muscle Weakness
- Myalgic Encephalomyelitis
- Myalgic Encephalopathy
- Myasthenia Gravis
- Myelin Sheath
- Myoclonic jerks
- Myoclonus
- Myopathy
- Myositis
Questions in the Category: Muscle Wasting
Decreasing muscle strength as we grow older – sarcopenia
I am in my mid sixties and have had moderate ME/CFS for about 20 years. Over the past year I've noticed a slow but steady decline in the muscle strength in my thigh muscles. This has reduced the distance I can comfortably walk and some difficulty in climbing stairs.
My GP was very good and in addition to doing a physical examination checked some blood tests – all of which were normal. He has told me that I probably have something called sarcopenia and that ME/CFS is exacerbating what can be a natural consequence of ageing.
My question is whether most people over the age of 60 who have ME/CFS are likely to experience a similar decline in muscle strength and whether there is anything that can be done to help.
Diet and Nutrition: Malnutrition
I ask because there is a great deal of positive discussion on internet forums about the benefits of unproven special diets, restrictive and exclusion diets, and dietary supplements. At the same time, very little attention is paid to the dangers of cutting out or reducing the intake of specific food groups such as dairy or wheat. And people with more severe ME may have significant problems in obtaining groceries, preparing meals and even eating a full meal. All of which could be having an adverse effect on their overall health. So, do we need to start looking at diet and nutritional status in ME from both a clinical and research point of view?
Dr Charles Shepherd
Dr Shepherd has been Trustee and Hon. Medical Adviser to the ME Association for more than 40 years. He is integral to the charity's activities and provides information and support based on his professional knowledge, personal experience as a doctor with ME/CFS, and the understanding gained from helping many thousands of people with the condition. He was a member of the comittee responsible for the 2021 NICE Clinical Guideline and is a recognised expert on ME/CFS in the UK. His knowledge extends to Post-Viral Fatigue Syndromes (PVFS), Myalgic Encephalopathy/Encephalomyelitis (ME), Chronic Fatigue Syndrome (CFS), and Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or Long Covid.
If you have questions about ME/CFS or Long Covid, you can:
- Review the free information in the What is ME/CFS section of the website, and the free Covid-19 and Long Covid information in the website shop.
- Review the largest range of literature covering all aspects of living with ME/CFS. Download detailed information about symptoms, diagnosis, management, co-mordidities, employment, education, related health conditions, The 2021 NICE Clinical Guideline, welfare benefits etc.
- Join the ME Association as a member and you'll receive the highly-rated ME Essential magazine, and you can ask questions of the charity’s expert advisers including Dr Shepherd.
- Contact us via the ME Connect Telephone Helpline (open 365 days a year) and speak to one of the national team of fully-trained volunteers who waiting to provide information and support.
- Contact us via email or social media:
Medical Matters is based on the popular ‘Ask the Doctor‘ series featured in the highly-regarded member’s magazine, ME Essential, and in the healthcare professional magazine, ME Medical. Both are produced by the ME Association and published as hard-copy magazines every 3 months and sent to members and healthcare professionals by post to home or business addresses.
If you are a Health Care Professional you can sign-up to receive ME Medical magazine (people with ME/CFS can also nominate their HCP by completing the sign-up form).