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=== Symptoms during pregnancy === There has been very little research on pregnancy and ME/CFS. One retrospective survey found that 41% of respondents reported no change in symptoms during pregnancy, 30% improved and 39% got worse.<ref name=":1">{{Cite journal | last = Schacterle | first = Richard S. | last2 = Komaroff | first2 = Anthony L. | date = 2004-02-23 | title = A Comparison of Pregnancies That Occur Before and After the Onset of Chronic Fatigue Syndrome|url=http://archinte.jamanetwork.com/article.aspx?articleid=216675|journal=Archives of Internal Medicine|language=en|volume=164|issue=4 | pages = 401|doi=10.1001/archinte.164.4.401|issn=0003-9926}}</ref> In clinical practice, Dr. [[Nancy Klimas]], Dr. [[Lucinda Bateman]], and Dr. [[Charles Lapp]] report higher rates of improvement or remission during pregnancy. Klimas reports that in the 20 women she has followed through pregnancy, improvement in symptoms during pregnancy was "almost universal" and in some cases resulted in total temporary remission. Dr. Lapp reported that 25 out of 27 patients in his practice felt better during pregnancy. Dr. Klimas suggests that improvement may be due to increased blood volume during pregnancy or hormonal changes.<ref name=":0" />
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