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Severe myalgic encephalomyelitis or chronic fatigue syndrome
(section)
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==NHS definition== '''Severe ME/CFS''' People with [[severe and very severe ME|severe ME/CFS]] are unable to do any activity for themselves or can carry out minimal daily tasks only (such as face washing or cleaning teeth). They have severe [[cognitive dysfunction|cognitive difficulties]] and may depend on a [[wheelchair]] for mobility. They are often unable to leave the house or have a severe and prolonged after-effect if they do so. They may also spend most of their time in bed and are often extremely sensitive to light and sound.<ref name="ng206"/> The UK's [[National Health Service]] definition of severe and very severe ME/CFS can be found within the 2021 [[NICE guidelines]].<ref name="ng206">{{Cite web|url=https://www.nice.org.uk/guidance/ng206 | title = Myalgic Encephalomyelitis (or Encephalopathy)/Chronic Fatigue Syndrome:diagnosis and management. NICE guideline. | last=NICE Guideline Development Group | first = | authorlink = |publisher=[[National Institute for Health and Care Excellence]] | date = 2021-10-29}}</ref>
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