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Onset of ME/CFS
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== Pre-onset triggers == The [[International Consensus Criteria]] (ICC) Primer includes a patient assessment form, which includes factors that may have triggered ME, these can be infectious (for example, a virus), or non-infectious (for example, exposure to chemical [[toxin]]s or severe physical injury). === Infectious exposure or events === * minor [[Infection|infections]], [[Vaccine|vaccination]], [[Upper respiratory infection|upper respiratory infections]], [[sinusitis]], [[pneumonia]], [[Gastrointestinal tract|gastrointestinal illness]] (after sinusitis or pneumonia), [[Dental infection|dental infections]], [[vaginal infection]], [[cystitis]], [[prostatitis]], [[Blood donation|blood transfusion]] * exposure to: sick people, unfamiliar [[Infection|infectious]] agents when traveling, particularly following [[Vaccine|vaccinations]], [[contaminated water]], poor quality [[recycled air]] === Non-infectious exposure or events === * exposure to: chemical toxins, [[heavy metals]], or [[Mold|moulds]] * severe physical trauma e.g. whiplash/spinal injury/[[Guide for patients having surgery|surgery]] * anaesthetics * undue [[stress]] * [[Steroid|steroids]] Other triggers have been recognized besides these, and some people report several potential triggers or no known cause.<ref name="Chu" />
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