A third batch of responses to NICE CFS / ME Editorial and Review: BMJ

A third batch of responses to the NICE CFS/ME Editorial and Review have been published on the Rapid Response pages of the BMJ website

6] NICE guideline is unfit for purpose and too costly to implement
1 September 2007

Dr Charles B Shepherd, Medical Adviser, ME Association, 4 Top Angel, Buckingham, MK18 1TH, UK

7] Chronic Fatigue Syndrome: NICE and CDC miss the boat
1 September 2007

Dr Charles B Shepherd, Medical Adviser, ME Association, 4 Top Angel, Buckingham, MK18 1TH

Shirwan Mirza points out one of the many significant omissions in the NICE guideline – namely considering vitamin D deficiency, especially in those on restrictive diets and lack of access to sunlight.

Vitamin D deficiency often goes unrecognised and can cause bone or muscle pain and muscle weakness.

The 2007 edition of ME Association guidelines for health professionals – ‘ME/CFS/PVFS: An Exploration of the Key Clinical Issues’ – does stress this point, but it shouldn’t be left to a medical charity to do so.

Competing interests: Physician with personal experience of this illness

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