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Neuroinflammation, Pain, and Fatigue Lab at UAB
United States
Приєднався 14 січ 2016
I'm Jarred Younger, PhD and my full time job is to figure out fibromyalgia, ME/CFS, Gulf War Illness, Long-COVID, and other chronic pain and fatigue conditions. I use neuroimaging, clinical trial, and immune modulatory techniques to create new treatments and diagnostics.
I am posting a video every week to keep everyone up to date on my lab's work and important news from other research groups. I hope you are able to follow along the research journey.
Thanks!
Jarred
I am posting a video every week to keep everyone up to date on my lab's work and important news from other research groups. I hope you are able to follow along the research journey.
Thanks!
Jarred
041 - Thanks to all the Veteran research participants
It is Veterans Day in the U.S., and Armistice Day or Remembrance Day in many countries throughout the world. I thank my funders and research team for all their support, and in particular thank the Veteran research participants who give their time to help us discover new treatments. - Jarred Younger
Переглядів: 571
Відео
040 - We need to talk about C-Reactive Protein (CRP) a bit more
Переглядів 3,7 тис.День тому
As promised, here are the new data on systemic inflammation in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). - Jarred Younger
039 - We need to talk about C-Reactive Protein (CRP)
Переглядів 7 тис.14 днів тому
C-Reactive Protein (CRP) is a sensitive marker of inflammation. I am presenting some new data on CRP elevations I see in chronic pain and fatigue conditions. - Jarred Younger
038 - Update on clinical trials for pain, fatigue, and cognitive issues
Переглядів 3,6 тис.Місяць тому
Here is a quick update on our current clinical trials. Below are screening links for our psilocybin (for fibromyalgia) study and curcumin, stinging nettle, and resveratrol (for Gulf War Illness) study: Screening link for psilocybin and fibromyalgia study: uab.co1.qualtrics.com/jfe/form/SV_20jbBUG5kx7bLBI?S=Y Screening link for botanicals and Gulf War Illness study: uab.co1.qualtrics.com/jfe/for...
037 - NIH needs your Long-COVID treatment suggestions
Переглядів 2,9 тис.Місяць тому
The National Institutes of Health's RECOVER-TLC (Researching COVID to Enhance Recovery - Treating Long COVID) initiative is collecting treatment ideas to prioritize for clinical trials. If you have experience with an intervention that helped Long-COVID, please submit the information at the site below: fnih.org/our-programs/accelerating-covid-19-therapeutic-interventions-vaccines-activ/recover-t...
036 - Elevated adrenaline in ME/CFS
Переглядів 7 тис.Місяць тому
This recent meta-analysis found that individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) may have elevated adrenaline while people with fibromyalgia (FM) do not. - Jarred Younger
035 - A new clinical trial for ME/CFS (LIFT)
Переглядів 4,1 тис.Місяць тому
The Open Medicine Foundation (OMF) has started a clinical trial of low dose naltrexone (LDN) and pyridostigmine bromide (PB) for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). In this video, I discuss the details and my impressions of the study design. More info can be found at the links below. The ClinicalTrials.gov site: clinicaltrials.gov/study/NCT06366724 The OMF signup page: ...
034 - My list of potential treatments to test
Переглядів 5 тис.2 місяці тому
If you were curious about the compounds I plan to test for ME/CFS, FM, GWI, and Long-COVID, here is my full list! These are chemicals that may return microglia to their normal state and reverse chronic brain inflammation. - Jarred Younger
033 - Updates from the 2024 Stanford ME/CFS Working Group
Переглядів 7 тис.2 місяці тому
The annual Stanford ME/CFS Working Group meeting concluded last week. In this meeting, researchers were able to share their preliminary results before public release. In this video, I give my observations on the state of the science. - Jarred Younger
032 - A new clinical trial for fibromyalgia using EMDR
Переглядів 3,3 тис.2 місяці тому
A new publication this week (not from my lab) shows eye movement desensitization and reprocessing (EMDR) therapy may help fibromyalgia pain. I wanted to share my opinions on how confident we can be that the results are meaningful. This is an open access paper: pubmed.ncbi.nlm.nih.gov/38835548/ - Jarred Younger
031 - Air Quality Can Affect Chronic Fatigue and Pain
Переглядів 3,4 тис.2 місяці тому
Here are some new results from our lab showing poor air quality may increase ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) fatigue and pain. This report is being prepared by graduate student Chloe Jones and is being submitted for peer-review now. - Jarred Younger
030 - Does ME/CFS involve low brain oxygen?
Переглядів 6 тис.2 місяці тому
Some brand new data from my lab using a cerebral perfusion scan to detect low brain oxygen. This scan is being used to determine (or rule out) poor brain oxygen in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). - Jarred Younger
029 - We need research on severe ME/CFS now
Переглядів 5 тис.3 місяці тому
25% of myalgic encephalomyelitis (ME/CFS) sufferers reported being homebound, and 4% report being bedridden. Research is urgently needed to better understand these severe cases of ME/CFS. Below are links to the two open-access articles I mention in the video: www.ncbi.nlm.nih.gov/pmc/articles/PMC8535418/ www.mdpi.com/2227-9032/9/2/106 - Jarred Younger
028 - New findings: more evidence of poor oxygen perfusion in the brain.
Переглядів 22 тис.3 місяці тому
We seeing high levels of lactate and low levels of choline in the brains of Gulf War Illness sufferers. This quick update covers our new analyses and why the may be important to those with chronic pain, fatigue, and cognitive issues. - Jarred Younger
027 - New lab results - low brain oxygen in chronic disease
Переглядів 20 тис.3 місяці тому
Here are brand new results from a recent brain study we conducted. We found reduced oxygen circulation in the brains of people with Gulf War Illness. We are also analyzing individuals with ME/CFS and fibromyalgia. You can find the 7 Tesla brain images at: histopath.nmr.mgh.harvard.edu Jarred Younger
026 - What clinical trials are happening now?
Переглядів 2,2 тис.3 місяці тому
026 - What clinical trials are happening now?
025 - How a virus damages our sense of smell.
Переглядів 1,5 тис.4 місяці тому
025 - How a virus damages our sense of smell.
024 - Can French maritime pine bark help pain and fatigue?
Переглядів 5 тис.4 місяці тому
024 - Can French maritime pine bark help pain and fatigue?
023 - Inflammation causes depression
Переглядів 10 тис.4 місяці тому
023 - Inflammation causes depression
022 - Resveratrol for inflammatory body pain
Переглядів 4,8 тис.4 місяці тому
022 - Resveratrol for inflammatory body pain
021 - The brain's inflammation thermostat
Переглядів 16 тис.5 місяців тому
021 - The brain's inflammation thermostat
020 - Research priorities for the second half of 2024
Переглядів 2,2 тис.5 місяців тому
020 - Research priorities for the second half of 2024
019 - Stinging nettle for chronic pain
Переглядів 3,8 тис.5 місяців тому
019 - Stinging nettle for chronic pain
018 - Green light therapy for chronic pain
Переглядів 11 тис.5 місяців тому
018 - Green light therapy for chronic pain
017 - Remote Clinical Trial Update
Переглядів 2,3 тис.5 місяців тому
017 - Remote Clinical Trial Update
016 - Could a fecal transfer abolish your chronic pain and fatigue?
Переглядів 5 тис.6 місяців тому
016 - Could a fecal transfer abolish your chronic pain and fatigue?
015 - Why the microglia have turned against you
Переглядів 35 тис.6 місяців тому
015 - Why the microglia have turned against you
013 - Dextronaltrexone for Chronic Pain and Fatigue
Переглядів 13 тис.6 місяців тому
013 - Dextronaltrexone for Chronic Pain and Fatigue
012 - Good News from the FDA - Time to Start Scanning!
Переглядів 5 тис.7 місяців тому
012 - Good News from the FDA - Time to Start Scanning!
Yikes… 11 days is not a lot for people who suffer from brain fog, PEM and exhaustion.
I have some questions: It is likely that the appointment of RFK Jr and his expressed plans for America public health will have an affect on ME/CFS research going forward? Also is there concern that the new department of government efficiency may deem research into ME/CFS as a waste and cut funding? If it does happen what will that mean for the future of this research? I'm worried
I’ve been on LDN for 5 months now. My brain fog has improved, but not my energy (yet). I’m at 4.5mg and my doctor recommended I increase the dosage. The first two months were really hard: I took it before bed, it messed with my sleep and made me drowsy all day. The brain fog was awful! But then I switched to taking it in the morning, my body got used to the medication and the drowsiness and brain fog slowly went away. I’d recommend taking it for more than two months - maybe even 6 - especially when you’re titrating up very slowly (I increased by 0.5mg every 2 weeks) because it takes time to work.
@youngerlab could Ldn help with Arachnoidits/spinal neuroinflammation and the pain and discomforting sensations/symptoms that arise from it, could it perhaps help bring the chronic ongoing inflamitory cascade closer to homeostasis once more? P.s also can you look into Spm's (specialised pro resolving mediators) and talk about them, they have helped me somewhat but also they look not only to have a good safety profile but they tackle inflammation in a novel way of which has some focus on resolution of which could be an important factor in the battle against inflammatory conditions
You mention causes of neuro inflammation but you don't mention food as a possible cause. It's well known that the refined carbs and seed oils in processed foods can cause inflammation, couldn't this be the cause of flares?
Any update on this research ?
Can we please try rTMS for CFS?
I use a cpap and still feel like I’m dying. I’m in Alabama, is there any way you guys could check me out?
One hopes the incoming government will see the obvious value of continuing research to help these people, given that the presumed head of that government views such people as somehow less than worthy of the investment. This research is extremely important for the veterans and for everyone with related illnesses and injuries. Thanks to all involved.
Thanks. I, of course, will be keeping a close eye on federal allocations to NIH and DoD-CDMRP (Congressionally Directed Medical Research Program). I'll make an announcement if there are any major changes to funding. - Jarred Younger
❤👍👍
It was is Remembrance Sunday here in the UK yesterday the 10th, the first Sunday in November, where we remember everyone who fought in wars all around the world. Thanks for helping Gulf War veterans and the rest of us who have ME or FMS. Congratulations on getting the grant application submitted.
Thanks! - Jarred Younger
First, I want to thank all the Veterans for your Service, Dedication and Sacrifice for America!! Dr. Younger, Thank You for all your hard work and dedication to find help and possibly cures for us with FM, ME/CFS and Gulf War Illness. I have great Appreciation and Gratitude for you all, Thank You So Much!!! 0:06
Thank you Dr. Younger turns out the biggest problem for me was/is parasites. Thank you for all the work you are doing to help the world at this time. Peace
Parasites are outside of my area of research, but I know they can mimic many other chronic conditions. I don't know the prevalence of parasites in chronic disease, but I am pretty sure these issues are underdiagnosed. If someone has chronic symptoms that are unexplained after all the standard medical tests, it is worth exploring parasitic causes. - Jarred Younger
Thank you, Dr. Younger. I am a Gulf War Veteran. I am a sick/ill Veteran. I am having an MRI of my brain and cervical spine in four days. Since most of my neurological symptoms are also MS symptoms the tests are to determine whether I have MS or GWI mimics MS. I already have swollen optic nerves. I have had MRIs of my brain in the past with normal results. However, I have never had a MRI of my spine.
Both of those scans can be useful for differentiating MS from other conditions with overlapping symptoms. It makes sense to do the scans given the symptoms and findings of optic nerve issues. I can't speak for the radiology team and your physician, but I think the scans will give a good indication on if it is MS, GWI, or something else. I hope they are able to figure out the issue! - Jarred Younger
@youngerlab Thank you for your reply. I am getting ahead of myself since the MRIs are scheduled for tomorrow. I suspect the swollen optic nerves are the result of presumed neuroinflammation in my brain and the other neurological symptoms are from the neuroinflammation and autonomic dysfunction caused by exposure to multiple neuro toxins including chemical nerve agent sarin gas during the Gulf War.
Agent orange? And the rest of the rainbow vets and their offspring are suffering and dying
Thank you!
Dr Younger would it be possible to do the same test with people standing vertically? I am sure it will show reduced oxygen because the blood is pooling towards gravity as often also seen in other forms of autonomic small fiber neuropathy.
The difference between a good life and a bad life is how well you walk through the fire. - Carl Jung The fire of inflammation is quenched by high dose linalool. Thank me later LOL
My hypothesis as to why the "normal" group is so high, is because they aren't normal. People become adapted to low level chronic pain, to the point where they don't even notice it. Women are also known to have a higher pain tolerance than men, so it might be interesting to compare the CRP of men who identify as not having pain and the women who identify as not having pain. If the pain tolerance is a factor, then (for a sufficiently large and random populations) the men should have lower CRP (because they have a lower pain tolerance, if higher CRP is causing pain, then the men will select out of the control at lower CRP levels)
"I can't just show these data in a paper, it merely serves as an input to develop a hypothesis". Wish 80% of other medical researchers would think this way :-)
LDN did nothing for my CFS.
Thank you for your dedication and determination . I am a typical Fibro/ CFS patient. ( led speaker based support group 13 years at local hospital. My final diagnoses from neurosurgeon experts : Chiari 0 and tethered spinal cord. Specialized urodynamic studies are the only way to make a final diagnosis of TC. Long story. In the large volume Spinal Cord Medicine : Principles and Practice, ( editor in Chief Vernon W. Lin, MD, PhD) is an entire chapter “ Immune System and Inflammatory Response in Persons with SCI. “ SCI patients show multiple abnormalities in the laboratory testing of the immune and inflammatory response...” Tethered cord does not present as what doctors think of as the classic spinal cord injury. Neurosurgeon Mehmet Selcuki presented a paper stating that idiopathic scoliosis may be the only sign of TC. But also, hammer toes, high arches raise suspicious. A lot to this, but degree of spinal cord tension may present in a spectrum and degree of various symptoms. Checking to see if any research includes C reactive protein elevations. But mine was ekevated several years ago. Now - positive ANA and circulation immune complexes.
Dr. Younger, are you aware of any studies that support that magnesium theronate calms the microglila back into the resting state? I would speculate that people with neuroinflammation from mitochondrial dysfunction might benefit from this supplementation.
XMRV viruses also benefit from magnesium. Be careful
Yeah but... where is the money that is going to fund all of this coming from? Thin air?
Are these tests hsCRP tests?
thank you for your work! people like you give me hope. :)
If I do have inflammation issues it must be coming from my brain because my levels are always normal. I thought the pain and fatigue is coming from inflammation in the brain 🤷
Same, it's such a struggle. Only sleep resolves my inflammation and pain, brain must be clearing itself. MRI's, CRP's are all normal.
Thank you for keeping us all updated with your research. 🙏
There's an add about Covid vaccination attached to this video. My ME/CFS doctor don't recommend any vaccination for ME/CFS patients. I feel this is a good and right advise for me (everyone need to make a decision for themselves) Could you please highlight ME/CFS and different vaccinations?
I'm wondering what is the relationship between CRP and ESR? I have always had normal CRP but ESR is elevated. I understand both are markers for inflammation - do you have info on this please?
ERROR: The hs-CRP values I show in this video are in mg/L units (not mg/dL as I claimed). I will look over the videos and see if I need to remove them or reupload with notes added. For now, just note that all values I mention are actually mg/L, which is what you are most likely to see from your clinic or hospital anyway. Sorry for the mixup! - Jarred Younger
Thx for pinning, this is important! Was worried about that when watching because my crps are always round about 0.5mg/dl (=5 mg/l; all tests over months/years 0.3-0.5 mg/dl) and would have fallen out of your study while having bedbound mecfs. I am sry and feel dumb to ask but Is there any other difference in hsCRP and CRP that turns the same value from "significantly inreased" of 3-5mg/l hsCRP to completely normal and healthy of everything below 5mg/l in normal CRP? I thought the main difference was just the sensitivity of the hsCRP test in lower values being more accurate and differ in test timetables. Ie just more acurately defined the lower values. So how do the exact same values / concentration get completely redefined? It doesn't make sense to me😢
It was understood😊
ERROR: The hs-CRP values I show in this video are in mg/L units (not mg/dL as I claimed). I will look over the videos and see if I need to remove them or reupload with notes added. For now, just note that all values I mention are actually mg/L, which is what you are most likely to see from your clinic or hospital anyway. Sorry for the mixup! - Jarred Younger
From Australia, my CRP which should have been between 2- 3. I was seriously ill with diverticultus with a CRP if 248 I nearly died. 1 year later admitted to hospital with a CRP 75 antibiotics drip 3 days. 3 years later CRP 9. Still very ill with my bowel disease.
Hi I have just come across your videos on pain and inflammation, I have question, if do not mind as a scientist and running trials on people with inflammation. Do you use people from the EDS community because we have13 different genre faults with connective tissue all over the body and different types of inflammation that if you don't EDS it maybe of interest to you on some level investigation, thanks for blood test info, stay safe 🙏🏴
Does the same pattern show up in men with ME/CFS?
I wonder if CRP would fluctuate through the day?
Yep, it can move over about 3 hours. So it is possible to have maybe 3 high/low cycles in a waking day. I've done hourly CRP tests and it doesn't move much hour-to-hour, but can move significantly over a few hours. - Jarred Younger
CRP is too broad - we need commercial tests for individual interleukins. Psoriatic Arthritis has the same problem - often low CRP, low TNF, but raised IL-23/IL17. Another problem is raised CRP is used as a metric to select patients for clinical trials (since they want a number to treat). Subsequently, doctors are biased by those results into thinking CRP has to be high to indicate PsA (while this is only true <50%). So it becomes a self-fulfilling prophecy. We have to be very careful in choosing a metric which might actually condemn half the people with the disease. ME/CFS might fall into the same CRP trap. Also we need immune repertoire sequencing to easily identify/exclude autoimmune diseases. Celiac for example get's diagnosed on a few well-characterized antibodies and the rest gets put into a basket of 'Non-Celiac Gluten Sensitivity' simply because those additional antibodies were never characterized.
I agree with all this. I collect around 50 inflammatory blood-based variables (mostly chemokines/cytokines) in many of my studies. And I see inflammatory conditions that "bypass" most of the conventionally recognized acute and innate immune mechanisms and instead rely on things like leptin and fractalkine. The repertoire approach is what I like, as long as there is someone to properly interpret the findings. - Jarred Younger
Hi I’m sick for 65 years and never had a raised CRP so wondering why? I have pain , fatigue and hypothalamic pituitary dysfunction. Any ideas 13:40
Hi I’m sick for 65 years and never had a raised CRP so wondering why? I have pain , fatigue and hypothalamic pituitary dysfunction. Any ideas
I'll be talking about this soon. My main research is about inflammation that is in the brain but not expressed much in the body. The aggravated microglia in the brain don't cause an increase of inflammatory markers in the peripheral blood. - Jarred Younger
What about nasal spray glutathione?
Just started taking neonatal adrenal glands. Seems to be helping post-mold.
I got a me/cfs , fibromyalgia,ibs diagnosis 3 years now ,i looked up the many blood test i have done and i found crp values 2 times witch is always below 0,3 . Watching your analysis and even though iam male and your data is from female i should start questioning my diagnosis.
I suggest trust your sense of reality and assessment no matter what one individual research study presents. Not questioning Jarred's work, just know this from 4 decades of PVS/ME/CFS/FM, as a male. Different research captures one specific angle on this disease process.
Would you say Gulf War Illness is also Long COVID (long Lyme, mycotoxin toxicity, etc)? Are they just different names for an as yet unnamed post infectious disease or post traumatic event disease?
I went from 11 - 5.7 with LDN in a few months. Working on the last bit!
Most fibromyalgia is really just horribly treated myofascial pain syndrome. Myofascial pain syndrome is more common than fibromyalgia. Evidence for an association of serum microanalytes and myofascial pain syndrome Aishwarya Pradeep 1, Aybike Birerdinc 2, Travis Branigan 3, Vy Phan 1, Hailey Morris 1, Jay Shah 1, Secili DeStefano 4, Siddhartha Sikdar 5, John Srbely 3, Dinesh Kumbhare 6, Antonio Stecco 7, James Paik 8, Lynn H Gerber
I know it's a triggering drug in political terms but I understand ivermectin is being used in long COVID in Australia to good effect. It's a massive anti inflammatory
I really love your videos. Most researchers are terrified of talking about conjectures just in case they might turn out to be wrong. It's very refreshing to hear you speculate on some theories. Keep it up please! As to CRP, I wonder if it could be an early predictor to later chronic diseases. There are a lot of slow developing chronic diseases that we miss because we look at the wrong parameters, and we classify people as "healthy" although some blood values are already far in the red. (IMO "healthy" is much, much more than "symptom free".) Take for example fasting insulin and/or the HOMA score which are excellent predictors of later T2D, but they're missed in practice because hardly anyone measures fasting insulin. (Everyone looks only at blood glucose which is often lags decades behind insulin.) So, if we had time, then I'd take 1000 "healthy controls", partition them by CRP, observe them for 10 years and see which kind of chronic diseases they develop. My conjecture would be that those with high CRP have a much higher risk of developing ME/CFS or Fibromyalgia.
Test everyone for ochratoxin A. from aspergillus.
were the participants in this study asked to discontinue use of anti-inflammatories before having the blood tests? if not, why not? thank you very much for your work.
Good question. They weren't allowed to participate if they had autoimmune/rheumatologic disorders, or taking anti-inflammatories daily. We also screen out for high ESR, ANA, rheumatoid factor, and dozens of other things. But we allow participants to stay on their meds during participation because I don't feel comfortable altering their therapy regimen. - Jarred Younger
@@youngerlab Hi Dr. Younger, just wanted to share this information for you to keep in mind for when you screen for rheumatological disorders and do the ANA test. "Based on the analysis in this testing cohort, it seems that none of the three methods included (ANA by IFA, EIA, and MIA) have sufficient sensitivity such that a negative result conclusively excludes a diagnosis of a CTD." pubmed.ncbi.nlm.nih.gov/33626797. I'm someone who has repeatedly negative ANA by IFA but is ANA positive by ELISA, I have positive anti-chromatin and strongly positive anti-histone antibodies, all other extensive blood tests normal including ESR and hsCRP. I suspect there are a lot of people out there like me, they only kept testing me because I have an identical twin with SLE. I eventually received a diagnosis of UCTD, however I do also fulfill SLICC criteria for SLE, I do also have a diagnosis of ME/CFS. I wonder if ME/CFS is a manifestation of neuropsychiatric SLE.
Excellent! 😎❤🤨