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Obesity
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==Severe obesity== The CDC's [[Fukuda criteria]] for [[chronic fatigue syndrome]] (1994), which was retired in 2017, did exclude patients with '''severe obesity''', which they defined as a BMI of 45 or greater, from a diagnosis of ME/CFS. Understanding of ME/CFS has changed considerably and it is no longer regarded as primarily a "fatigue" illness, but as a complex multi-systemic neurological disease, with [[post-exertional malaise]] rather than [[chronic fatigue]] as the hallmark symptom.<br> The CDC does not suggest obesity as a [[differential diagnosis]] for ME/CFS and does not list it as a common comorbidity. The phyiscal examination suggestions do not refer to weight or BMI values, although they may be assessed as part of routine practice or in identifying other existing conditions.<ref name="differential">{{Cite web|url=https://www.cdc.gov/me-cfs/healthcare-providers/diagnosis/other-conditions.html | title = Other Conditions for Evaluation {{!}} Diagnosis {{!}} Healthcare Providers {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | last = | first = | authorlink = | date = 2019-07-23 | website = CDC|language=en-us|archive-url=|archive-date=|url-status=|access-date=2022-01-11}}</ref><ref name="evaluation">{{Cite web|url=https://www.cdc.gov/me-cfs/healthcare-providers/diagnosis/evaluation.html | title = Evaluation {{!}} Diagnosis {{!}} Healthcare Providers {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | last = | first = | authorlink = | date = 2021-04-28 | website = CDC|language=en-us|archive-url=|archive-date=|url-status=|access-date=2022-01-11}}</ref><ref name="comorbid">{{Cite web|url=https://www.cdc.gov/me-cfs/healthcare-providers/diagnosis/comorbid-conditions.html | title = Comorbid Conditions {{!}} Diagnosis {{!}} Healthcare Providers {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) | last = | first = | authorlink = | date = 2019-07-23 | website = CDC|language=en-us|archive-url=|archive-date=|url-status=|access-date=2022-01-11}}</ref>
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