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Pacing with a heart rate monitor
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==Theory== People with [[Myalgic encephalomyelitis|ME]]/CFS have [[mitochondria dysfunction]] and biological [[List of abnormal findings in chronic fatigue syndrome and myalgic encephalomyelitis|abnormalities]] resulting from the disease which significantly restrict the amount of energy they can use for everyday activities.<ref name="ICC2011primer"/> Doing activities that exceed [[energy limit|available energy]] usually triggers a flood of [[cytokine]]s causing pain and immune symptoms, and a variety of other negative affects also occur, resulting in [[post exertional malaise]] (PEM).{{citation needed}} Some researchers believe that each time PEM is triggered, it is reactivating the disease process of ME.{{citation needed}} Using a heart rate monitor, to measure heart rate, [[heart rate variability]], and other factors, allows people with ME to observe their energy usage, and learn how to stay within their safe [[energy limit]]s.{{citation needed}} This [[pacing]] method is often used in conjunction with other treatments (electrolyte loading, pharmaceuticals to assist blood volume & cardiovascular function, extreme resting and meditation, etc).{{citation needed}}
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