Martin W. Angler

Martin W. Angler

@martinangler.com

Science Journalist #LongCovid Context ABSW 2024 Awards Finalist theMHS 2024 Awards "Highly Commended" Portfolio https://muckrack.com/martinangler

705 followers279 following91 posts

The keyword that is missing here is #prevention. The impact has been assessed, recovery is non-existent for many, and there is currently no preparedness to deal with #LongCovid / future pandemics. WHO's Strategic Plan still recommends surgical masks instead of KN95/FFP2. Not good enough.

The costs associated with #LongCovid amounted to 32 billion Euro in Germany, reducing the country's GDP by 0.75% - in 2024 alone. The German government's response: they are cutting the funding of Long Covid research by ~90%, according to Handelsblatt. 1/x

Why this is an economic problem: The kinds of costs listed below have long-term consequences. Ignoring this issue may seem cheaper to some politicians, but this attitude is highly likely to backfire in the mid to long run. 2/3

Martin W. Angler reposted

SAVE THE DATE - Hybride ME/CFS-Fachtagung des Fatigatio e.V. am 20.09.2025 in Hannover & via Live-Stream auf YouTube. Mit renommierten internationalen Gästen & den neuesten Erkenntnissen aus Wissenschaft & Forschung schaffen wir abermals eine wertvolle Plattform für Austausch & Diskussion. 🧵 1/7

Review: "Metformin is an intriguing multiaction drug that may play a significant role in treating ME/CFS and Long Covid" pubs.acs.org/doi/full/10....

pubs.acs.orgA Perspective on the Role of Metformin in Treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long COVIDMyalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID (LC) are increasingly recognized as debilitating postinfectious conditions that impact both individuals and society. Recent research highlights the potential of metformin, an antidiabetic agent, as a treatment for these syndromes by targeting their underlying mechanisms. This review assesses the effectiveness of metformin in ME/CFS and LC, which involve complex dysfunctions related to cytokines, glycolysis, ATP generation, oxidative stress, gastrointestinal microbiomes, and vascular endothelial function. Metformin, traditionally known for its antihyperglycemic properties may offer broader therapeutic benefits by influencing these pathological pathways. It works by inhibiting complexes I and IV of the electron transport chain, which reduces the strain on malfunctioning complex V and decreases the production of harmful free radicals. Additionally, metformin’s impact on mTOR signaling could improve energy metabolism in ME/CFS and LC by downregulating an overactive but underperforming protein, thereby alleviating symptoms. Beyond the impact on cellular metabolism, metformin has shown to have anti-inflammatory, vascular, gastrointestinal, neuroprotective and epigenetic effects. We explore this impact of metformin and the potential role it could play to help people with ME/CFS. While metformin shows promise, it is unlikely to be a stand-alone solution. Instead, it may be part of a broader treatment strategy that includes other therapies targeting neurocognitive and autonomic impairments.

Martin W. Angler reposted

#Masern: Südtirol ist mit Abstand das italienische Schlusslicht beim #Impfen (hellgelbe Provinz ganz oben auf der Karte, Kinder <2 Jahre). Italienweiter Durchschnitt: ca. 85% Südtirol: ca. 75% Alle anderen Regionen > 90% Ähnliche Zahlen bei #Polio-Impfungen bei 5/6-Jährigen.

Dass nach wie vor vereinzelte Stimmen der Wissenschaft den Schritt von Schwerstbetroffenen zur Sterbehilfe als Beleg für eine psychische Genese der Erkrankung deuten, verurteilt Anschober: "Suizid ist ja der Aufschrei der Verzweiflung - und den zu instrumentalisieren, ist letztklassig".

sn.atAnschober sieht bei ME/CFS "dramatische Vernachlässigung"Österreichs ehemaliger Gesundheitsminister Rudolf Anschober (Grüne) sieht bei der Multisystemerkrankung ME/CFS eine "dramatische Vernachlässigung" - und das seit Jahrzehnten. Medizin, Wissenschaft und...

This is the resolution of a 7T vs. a 3T MRI. It's like looking at a 4K screen vs. 720p. If your MRI results look fine, they could be. Or the pic was too blurry for the doc to see the details. Many patients hear "but your results look fine". We should talk more about uncertainty & not knowing.

Martin W. Angler reposted

One more time, just in case anyone hasn't yet seen it. Gutted at today's news of a double child drowning. Please read and share.

Trish Greenhalgh@trishgreenhalgh.bsky.social

Thanks for the reminder @janemunday.bsky.social. Every summer, I repost this article DROWNING DOES NOT LOOK LIKE DROWNING. To date, I know of FOUR kids who were saved after someone who'd clicked on the link learnt how to spot actual drowning. Take time to read and pass on. slate.com/technology/2...

In dem Interview steht so manches Richtige & Schätzenswerte. Doch hier drei Gedanken/Korrekturen dazu. 1. Die Forderung nach 1 Mrd. Forschungsgeldern zu stellen, ist schön, aber aus dem politischen Abseits einfach, besonders wenn man selbst nicht (mehr) in der Pflicht ist, sie umzusetzen. 1/3

DER SPIEGEL@spiegel.de

Seit Corona leiden viele Menschen an der chronischen Krankheit ME/CFS. Hier spricht Ex-Gesundheitsminister Lauterbach über eigene Fehler und erzählt, warum ihm der Fall einer jungen Frau besonders nahegeht.

2. Ein großes Forschungsbudget allein ändert nichts, wenn das Geld nicht in guten Studien landet. Solange viel Geld in klitzekleinen, schlechten (zB vage Teilnehmer-Auswahl) Studien verpufft, und "Interventionen" wie Kneippen und Yoga getestet werden, kommt unterm Strich nichts heraus. 2/3

3. Die Aussage, dass ME/CFS für Pharmafirmen zu selten und deshalb unrentabel ist, kann man so nicht stützen. ME/CFS hat siebenmal mehr Betroffene als MS, aber nur ein Zehntel geförderter Studien und einen Bruchteil der Forschungsgelder. An der Menge der Betroffenen liegt das also sicher nicht. 3/3

Fun fact for those who rent: In Italy, a landlord is legally required to ensure your apartment has working heating in order to protect you from the cold. But for #heat, no protection is guaranteed or required. If your place gets dangerously hot, then that's your problem.

Double standards: pharma companies managed to get approval for Covid vaccines in less than a year bc of the emergency (and rightly so). Yet, finding meds and even trials for off-label use are now sluggish (and often badly designed) - yet, despite 400M LC patients this is not an emergency. 1/

Nor is it a priority. How is it that science could move mountains during the initial phase of the pandemic and now it‘s braking on ethical grounds „oh jut we have to respect the process“ when it was apparently feasible and doable to bypass the rules for a greater good? The answer is: hypocrisy. 2/

Everybody involved could do better if they really wanted to. Politics: More funding & careful screening ie avoid esoteric studies. Science: better study designs & concerted efforts instead of trying to reinvent the wheel with tiny study cohorts and lumping heterogeneous patient groups together 3/3

Status Quo: 5 years of Long Covid research. 56 years of ME/CFS research. 0 treatments, especially for PEM* Band-aids for other symptoms. * "Pacing" is not a treatment. It's basically saying: stop doing things.

Martin W. Angler reposted

I'd probably only trust someone like Jamie Ducharme to write this one. The psychologization of severe-presenting #MECFS and #LongCOVID. Worth a read. 🧪 Props to Rivka Solomon, and other people with lived experience who spoke. time.com/7206080/long...

time.comDismissed and Disbelieved, Some Long COVID Patients Are Pushed Into Psychiatric WardsThe chronic illnesses that make doctors doubt their patients often start after what “should” be a short-lived sickness—like COVID-19.

Ich habe beim BfArM nachgefragt, wie es um die Off-Label-Liste für Long Covid und #MECFS steht. Ein kurzer 🧵 Takeaways aus schriftl. Antwort eines Sprechers: Die Evidenzrecherche macht das WIG2-Institut. Sie wird bis voraussichtlich Mitte 2025 abgeschlossen sein. Danach... 1/x

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Ich habe hierzu auch an einem der letzten Abende mit Dr. Maibaum aus der Expertengruppe gesprochen. Er sagt sinngemäß, dass: 1. Die Off-Label-Liste noch deutlich vor Jahresende veröffentlicht wird & 2. Auch #MECFS-Betroffene davon profitieren werden. 5/x

Ich habe beim BfArM nachgefragt, wie es um die Off-Label-Liste für Long Covid und #MECFS steht. Ein kurzer 🧵 Takeaways aus schriftl. Antwort eines Sprechers: Die Evidenzrecherche macht das WIG2-Institut. Sie wird bis voraussichtlich Mitte 2025 abgeschlossen sein. Danach... 1/x

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...als würden #MECFS-Betroffene von der Liste nicht profitieren, die wg anderer Infektionen und aus sonstigen Gründen MECFS haben (meine Worte). Auf Nachfrage dazu schreibt der BfArM-Sprecher, dass die Expertengruppe die Arzneien primär wissenschaftlich beurteile. 3/x

Erstattungsfragen hingegen würden dann erst im weiteren Verlaufe vom G-BA bearbeitet. (BfArM-Sprecher) Klarheit für MECFS-Betroffene gibt es hierzu also noch keine (meine Worte). 4/x

Ich habe beim BfArM nachgefragt, wie es um die Off-Label-Liste für Long Covid und #MECFS steht. Ein kurzer 🧵 Takeaways aus schriftl. Antwort eines Sprechers: Die Evidenzrecherche macht das WIG2-Institut. Sie wird bis voraussichtlich Mitte 2025 abgeschlossen sein. Danach... 1/x

... entscheidet die Expertengruppe über jedes einzelne Medikament. "Die Liste wird sich [...] an Patientinnen und Patienten mit bestätigter Long CoVID-Symptomatik, einschließlich Patienten, die an ME/CFS im Zusammenhang mit Long CoVID leiden, richten" Das liest sich so... 2/x

Hier kommt mein Übersichtsartikel über Long Covid in Bild der Wissenschaft (hinter einer Paywall oder im aktuellen Heft). EN: My piece on Long Covid is out (Paywall, German). Gespräche dazu unter anderem mit @zalaly.bsky.social und @scheibenbogen.bsky.social. www.wissenschaft.de/bdwplus/die-...

wissenschaft.deDie SchattenpandemieMillionen Menschen leiden unter den Spätfolgen einer Corona-Erkrankung. Die Forschung zu Long Covid und den Ursachen ist komplex. von MARTIN W. ANGLER Es i

Mein Interview mit Christian Puta von der @uni-jena.de über (muskuläres) #PEM ist online! EN: My interview with Christian Puta on #PEM is now online and accessible without paywall (it's in German but browser translation does a decent job): www.wissenschaft.de/gesundheit-m...

wissenschaft.de»Den Muskeln fehlt der Sauerstoff«Das Leitsymptom von Patienten mit schwerem Long Covid und ME/CFS ist die post-exertionelle Malaise, kurz PEM. Sportmediziner Christian Puta erforscht die Mechan

Am Freitag 20.12.2024 kommt die neue "Bild der Wissenschaft" ins Kiosk. Darin mein Überblick-Beitrag über #LongCovid, und ein Interview über (muskuläre) #PEM ist auch dabei. Und ein Stück meiner eigenen Erfahrung mit Long Covid.

Martin W. Angler reposted

[10 Dec 2024] Opening Remarks from Dr Tedros at yesterday’s @who.int media briefing: “We cannot talk about COVID in the past tense. “It’s still with us, it still causes acute disease and Long COVID, and it still kills. “The world might want to forget about COVID-19, but we cannot afford to.”

“Long COVID is not a psychological condition,” Becker said. “It is a medical condition, and it should be treated as such.” -Jacqueline Becker, neuropsychologist at Mount Sinai Now, who tells the online docs without LC expertise who claim that LC is psychosomatic? www.apa.org/monitor/2025...

apa.orgA new definition of Long COVIDNew research and a formal definition of Long COVID from the National Academies of Sciences, Engineering, and Medicine can guide psychologists in helping patients battling the condition

Martin W. Angler reposted

#UniteToFight2024 All 50 talks of the so-far biggest conference on #MECFS and #LongCovid are now available with 🇬🇧 subtitles. Transcribed by amazing volunteers, many of them patients themselves 🙏💙 Please share and help make the incredible insights of this conference more broadly accessible.

Katharina 🦋🍋🍀@katha1970.bsky.social

#UniteToFight2024 🇬🇧 subtitles In this 🧵 I will continue to add all talks that have been transcribed & 🇬🇧 subtitled by volunteers. I am humbled and deeply impressed by how much effort so many volunteers have been putting into this, despite many being ill themselves. Thank you all so much! 🙏💙

This is a big question mark for studies that assess LC recovery using patients‘ self-reporting. How do you distinguish between actually being better or merely having adapted to a new lower baseline? Recovery claims in such studies may be misleading = too high.

Kate Massey@katemassey.bsky.social

It turns out my #LongCovid wasn't "better". After 4 years, I am just very good at pacing. Deciding to "push through the fatigue" on a busy weekend has resulted in a week of pain and exhaustion. Hey ho. Lesson learned. Grateful that my case is mild so such errors are just inconvenient not disastrous

"Australian primary school students have recorded their best ever results in an international maths and science assessment, curbing concerns about lockdowns disrupting learning." Must be a hard blow for those claiming how detrimental the lockdowns were. 1/2 www.theguardian.com/australia-ne...

theguardian.comAustralian primary students score best ever result in global maths and science test, despite pandemic disruptionTimss report finds year 4 students ranked equal fifth internationally out of 58 countries, up from ninth in 2019

A real long-term or forever lockdown & exclusion from social life is happening right now for those kids who have developed Long Covid. It's years and entire young lives lost. Do those people who decry the lockdown effects in 2020/2021 worry about this, too? I don't see that happening. 2/2

It's all about framing. This Guardian piece's headline is perfectly correct. But here is an eq. correct alternative: "Thirty percent of teenagers with Long Covid not recovered after two years, study shows" Which one leads readers to view LC as less harmful? www.theguardian.com/world/2024/d...

theguardian.comMost teenagers recover from long Covid after two years, study showsWorld’s largest ‘longitudinal cohort study’ reports that older teens and society’s most disadvantaged most likely to be affected

Prime example of how studies get misinterpreted and instrumentalised to fit one's own worldview. Open Access & online studies are a great achievement. The downside is that people who can't properly read & understand a scientific study just conveniently fit findings to their own narrative.

Nate Bear@natebear1.bsky.social

Mainstream media will not report on this peer-reviewed study that shows being vaccinated against covid is no guarantee that covid will not infect your skull and your brain and your nervous system membrane for years www.cell.com/cell-host-mi...