Endocrinology and ME/CFS: Q&A with Professor Vinod Patel

Purpose To provide expert insights from Professor Vinod Patel on endocrinology and its potential role in managing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).

Key Points

1. Role of Endocrinology
   • Endocrinologists specialize in managing hormone-related conditions, such as Addison’s Disease and thyroid disorders.
   • ME/CFS has no defined endocrine-based healthcare approach but may benefit from ruling out endocrine conditions and addressing energy, sleep cycles, and pain.
2. Cortisol’s Function
   • Cortisol peaks at 9 AM to support daily activities. Low cortisol affects stress response and recovery, but treatment with hydrocortisone is effective.
3. Testing and Diagnosis
   • Synacthen tests evaluate adrenal gland function; alternative methods like saliva testing exist but may be less reliable.
   • Needle phobic patients can opt for capillary testing.
4. Dietary and Lifestyle Advice
   • Hypoglycemia symptoms (e.g., shaking, fatigue) can be managed with quick sugar intake followed by slower-absorbing foods.
   • A low glycemic index diet is recommended to stabilize blood sugar levels.
5. Addressing ME/CFS Symptoms
   • Tremors and tightening sensations may benefit from neurology consultations or supervised trials of vasodilators.
6. Additional Support
   • Remote consultations with endocrinologists are possible through GP coordination.

Target Audience Individuals with ME/CFS, their families, carers, healthcare providers, and those interested in endocrinology’s role in chronic illness management.

Overall Outcome The Q&A highlights the importance of tailored healthcare approaches, leveraging endocrinology expertise, and collaborative support for improving the quality of life for ME/CFS patients.