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Health Rising’s Recent Hiatus

 

The blogs stopped for quite a spell. This is not because of health problems or my taking a break. Instead, I’ve been immersed in what’s turned out to be a large DIY project to upgrade the solar system in the trailer I live in. I had no idea it was going to take up so much time. I hope to start installing it in the next week or so and the blogs should proceed more or less normally after that. Now, onto the blog!

Geoff’s Translation

The GIST

The Brain Inflammation Collaborative

“We support people who are affected by brain inflammation but are often not included in clinical research or trials.”

 

Health Rising’s Quickie Summer Donation Drive is On!

Keeping up with the latest research in ME/CFS, long COVID, fibromyalgia, and allied diseases. Exploring new treatment possibilities. Learning how others have recovered. All in as thoroughly and comprehensively as we can. 

Please support Health Rising during our quickie summer donation drive. Our goal is to raise $15,000. 

 Find out more here.

“We want to demonstrate that neuroinflammation is not a fringe theory but a foundational principle in understanding mental and physical health”. The Brain Inflammation Collaborative

Making ME/CFS visible has been a common theme. There was Dorothy Wall’s 2005 “Encounters with the Invisible” book, Mari Canon’s “The Invisible Fight”, and Dr. Ruhoy’s recent “Invisible No More” book. Now we have a new take on the visibility theme – one that applies not just to ME/CFS but to long COVID and scores of illnesses of brain inflammation – the unhide® Solve Together Unified Platform run by the Brain Inflammation Collaborative.

Recently I spoke with Christy Jagdfeld CPA, co-founder and President of the Brain Inflammation Collaborative (BIC) and Scientific Director, Meghan Fitzgerald PhD (Neuroscience and Neurology). Both have lived experienced with these diseases (Christy – her daughter; Meghan – long COVID).

For Christy Jagdfield, her youngest daughter kept getting sick. As a baby she had thrush 4 or 5 times. When she was three, she battled strep throat for an entire year. One year, she experienced more than seven infections. Her autonomic nervous system issues (racing heart) started at five. (Her doctor said she was just more aware of her body.)

Flat feet, ankle, knee and wrist pain, and some double-jointedness pointed to Ehlers-Danlos Syndrome (EDS) (missed by the medical profession). Repetitive behaviors (blinking eyes, thumb movements, shrugging shoulders) began with an abscessed tooth in the 5th grade.

Then, in the summer between 6th and 7th grade, a tick bite escalated everything. Despite immediately going on antibiotics, her daughter experienced dizziness, light-headedness, nausea, terrible stomach pains, joint pain, unexplained behavioral and mood changes, insomnia, separation anxiety and irrational fears.

As she looked for help, at times Christy experienced the eye-rolling, and then angry and frustrated doctors that so many of us have experienced.

THE GIST

  • Making ME/CFS visible has been a common theme. There was Dorothy Wall’s 2005 “Encounters with the Invisible” book, Mari Canon’s “The Invisible Fight”, and Dr. Ruhoy’s recent “Invisible No More” book. Now we have a new take on the visibility theme – one that applies not just to ME/CFS but to long COVID and scores of illnesses of brain inflammation – the unhide® platform by the Brain Inflammation Collaborative.
  • The Brain Inflammation Collaborative was co-founded in 2021 by Christy Jagdfeld after her daughter suffered through a series of mysterious illnesses. IVIG ultimately returned her daughter to health (see blog), but Christy experienced the same dismissals by doctors that many of us have experienced.
  • The Brain Inflammation Collaborative (BIC) and its database – the unhide® platform – was created to provide a way for people with brain inflammation illnesses like ME/CFS, long COVID, PANS, POTS, Sjogren’s Syndrome, MS to track their symptoms, produce reports, etc. and for to give researchers easy access to patients for their studies.
  • Back in 2020, Solve M.E. created a similar patient registry which evolved into the You+ME registry which had much the same objectives. Patients could easily track their symptoms, input wearable data, take surveys, etc. and participate in research studies.
  • In 2025, the BIC, Solve M.E., and two newer organizations, ChronicleBio and the Complex Disorders Alliance joined with CareEvolution to form an expanded platform called the unhide® Solve Together Unified Platform which includes pediatric patients (2 years and up), many more illnesses (30+ neuroinflammatory illnesses), pacing notifications/alerts, brain fog and treatment surveys, opportunities to engage in research and more.
  • The unhide® Solve Together Unified Platform presently contains data on more than 3,000 participants, and has over 70,000 days of symptom data. Nearly half of the participants have provided wearable data and a quarter provided electronic health records. Most have ME/CFS or long COVID. A large, older population (20% over 65, 40% over 50) provides data on an understudied group.
  • Gathering pediatric data is difficult and rare. Unhide® provides ways to quickly visualize what’s happening in a child’s health. Parents can print a pdf that demonstrates what a month in a child’s life looks, or how they are sleeping, or how they responded to treatments to help doctors that might otherwise dismiss a child’s needs understand what’s happening.
  • When you join unhide®, you get the opportunity to participate in bevy of surveys and studies. The “What helps? What Doesn’t?” survey –  is a quick easy, peasy 10-minute survey that contains 6 questions about treatments you have tried. It includes open-ended questions such as “What treatments helped you the most?”; “What treatments have somewhat helped?”
  • It’s difficult to capture what brain fog is using standardized cognitive tests perhaps because it’s produced by “metacognitive” problems. (See blog for more). The Brain Fog Survey is a 20‑minute, online research instrument that asks simple questions that attempt to capture the metacognitive and real-world nature of brain fog.
  • On the research side, unhide® makes researching these conditions easier and less costly by providing a recruitment database, by allowing researchers to target subsets of patients using wearable data, lab reports, duration, sex, sleep patterns, etc., and by giving researchers more access to housebound patients.
  • The unhide® Solve Together Unified Platform also has the potential include omics (molecular) data and the Vassar Microbiome study is using the platform. Because unhide® includes so many different conditions, getting more omics data in it could allow us to understand which biological pathways are unique or common to each of these disease.
  • Ultimately, the platform could provide a key role in understanding the commonalities and differences these neuroinflammatory diseases share.
  • The platform is currently being used to enroll 1,000 trial participants from across the U.S. in the REVERSE-LC trial at Vanderbilt, the big SCRIPPS GLP-1 agonist (tirzepatide) long COVID (LoCITT) trial, and T-cell response studies at University at Mass. Note that the LoCITT trial can be done from home.
  • Enrolling in the unhide® Solve Together Unified Platform is easy. If you were already in the SolveTogether platform ,you are already enrolled. If you aren’t ,you can find out more about the unhide® Solve Together platform here and sign up here.

An IVIG Success Story

Her daughter was lucky, though. Over time, Christy learned where to go – a Wisconsin dysautonomia center (now gone), and an Oklahoma researcher (Dr. Kern – now deceased) who was studying autoantibodies in postural orthostatic tachycardia syndrome (POTS).

As they traveled from Wisconsin to Minnesota, Massachusetts, and Oklahoma, the pieces began to fit together. Over time, her daughter was diagnosed with postural orthostatic tachycardia syndrome (POTS),  Ehlers Danlos Syndrome (EDS) and mast cell activation syndrome (MCAS).

antibodies

IVIG swamps the immune system with healthy antibodies.

A QSART sweat test in Wisconsin indicated she had dysautonomia. Next, a pinprick test by her local neurologist resulted in a small fiber neuropathy diagnosis. Antibody assessments in an Oklahoma study filled out the picture. With a diagnosis of autoimmune autonomic neuropathy, her daughter had enough evidence for an insurance company to pay for an IVIG trial.

The first dose resulted in aseptic meningitis (!) but they persevered. Within a month of the second dose, her nausea, most of her joint pain in her hips and knees (she also has EDS), and almost all of the neuropathy in her feet and hands were gone. She also gained 25 pounds (putting an anorexia diagnosis by a doctor to shame).

It took a year before the dizziness and light-headedness and other symptoms became manageable. By then she was able to return to competitive swimming. Three years into IVIG, she was swimming competitively – and did so for all 4 years of college. She is now getting a Master’s Degree in anesthesiology at the Medical College of Wisconsin. She still gets IVIG once a month. Attempts to wean her off it have failed.

The Case for IVIG Treatment in Chronic Fatigue Syndrome (ME/CFS), Fibromyalgia, Small Fiber Neuropathy, and POTS : IVIG#3

Interlude: Major Long-COVID IVIG Study Underway

One of the RECOVER Initiative’s few big wins was its 200 person IVIG long-COVID study. The study, which was part of the autonomic nervous system branch of clinical trials, began in March 2024 and is expected to complete, depending on where you look, in July or November of this year. The trial is not only focusing on orthostatic intolerance and dysautonomia but is also gathering data on possible biomarkers.

We don’t know what they’re looking at, but if RECOVER can link success with IVIG to specific biomarkers, it could open the door to more widespread use of IVIG in long COVID. Since we know that IVIG works in some people with ME/CFS, the biomarkers could then be assessed in ME/CFS and other infection-associated conditions.

An IVIG Chronic Fatigue Syndrome (ME/CFS) / POTS Treatment Success Story: IVIG#1

Interlude: A Single, Comprehensive, Autoimmune Test Coming?

Speaking of autoimmunity, getting an autoimmune diagnosis can open the door to many treatments, but getting one is not easy.  Using something called immune receptor sequencing data, Stanford researchers produced a single test that was able to accurately identify dozens of autoimmune illnesses. The BIC, which regularly provides research updates, reported on this study in the video below.

The Brain Inflammation Collaborative’s Early Mental Health Focus

The BIC was cofounded in Dec. 2021 by Christy Jagdfeld. It originally focused on the effects of neuroinflammation on mental health (anxiety, OCD, depression, eating disorders, irritability), neurology (nerve pain, seizures, dizziness), cognition and fatigue. A disease called PANS (Pediatric Acute Onset Neuropsychiatric Syndrome), that is often triggered by infections or inflammatory responses and produces severe neuropsychiatric symptoms, was an initial focus.

Unhide #1 – the Database Begins

In collaboration with a Stanford researcher, BIC launched the unhide® project in 2023 to use AI to decipher what symptom tracking, wearable results and lab results could tell them about neuroinflammatory disorders. An important goal was to create a longitudinal registry that would track illness patterns.

The goals were clear: a) help parents and adult patients not go through what Christy and her family went through; and b) create a platform that would provide the infrastructure for, and stimulate, research.

The BIC believes that when a child presents with frequent colds or is displaying mental health symptoms, doctors should be asking parents their family history of autoimmunity, asthma, allergies, psoriasis, chronic sinus infections, strep infections, rheumatic fever, Epstein-Barr, MS, and Ehlers-Danlos Syndrome.

SolvingTogether

You+ME

Solve M.E.’s 16-year-old You+ME registry was folded into unhide®.

Solve M.E. had created a similar database about a decade earlier. The SolveCFS Biobank and Patient Registry in was created in 2010 to track ME/CFS progression, symptom patterns, and provide patients for research studies.

In 2020, it became the You + M.E. Registry and Biobank and was expanded to include data from other illnesses, wearables (activity levels, sleep, heart rate, HRV, etc.), better symptom tracking, life event tracking, and was able to generate patient-generate reports for clinicians.

The database provided a “research‑ready cohort” that allowed investigators to more quickly and easily recruit ME/CFS and long-COVID participants, identify controls, and conduct remote studies (critical for homebound patients). The goal was to attract new researchers, provide rigorously characterized samples, and support big‑data style analyses. Over time, the database grew from a simple patient registry into the largest U.S. patient‑reported database for ME/CFS, long COVID, and infection‑associated chronic conditions.

While no master list of studies that have used Solve Together exists, it’s clear that it has been used to for biomarker discovery, genomic/epigenetic work, etc.

A Collaboration Blooms 

In April 2025, Solve M.E., Brain Inflammation Collaborative (BIC), ChronicleBio, the Complex Disorders Alliance, and CareEvolution launched a partnership to accelerate research on ME/CFS, Long Covid, and Infection Associated Complex, Chronic Illnesses (IACCI’s). With that the unhide® Solve Together Unified Platform was borne.

Many of us probably don’t know these groups, but the fact that they exist speaks to the increasing interest in the post-infectious and complex, chronic disease space. We all know Solve M.E. – here are the rest.

  • ChronicleBio is an AI driven program that is entirely focused on diseases like POTS, ME/CFS, long COVID, persistent Lyme disease, Sjogren’s Syndrome, IBS, migraine, intracranial hypertension, dysautonomia, etc., (but not fibromyalgia?). It’s working with major universities (Stanford, Oxford, UCSF), clinics (Bateman Horne Center, FourPeaks Healthcare), research groups (PrecisionLife), ME/CFS and long-COVID organizations (Solve M.E.) to train their advanced AI engines on patient data (biospecimens, wearables, multi-omics, and lived experience) and uncover patterns and improve diagnostics.
  • The Complex Disorders Alliance (CODA) funds and supports research on neuroimmune axis disorders such as long COVID, ME/CFS, POTS/Dysautonomia, Chronic Migraine, Sjögren’s, EDS/HSD, MCAS, CRPS, Fibromyalgia, Endometriosis, Gastroparesis, Food Allergy, IBS, IBD, and others. Founded by Fidji Simo, its Scientific Advisory Board includes Ovid Armitay (former Solve M.E. chief), Peter Rowe MD, and Steve Gardner (President of Precision Life).
  • CareEvolution – maintains the MyDataHelps database Solve M.E. created and the Brain Inflammation Collaboration recently took over.

Notice that all these groups are focused on breaking down silos and studying and understanding these diseases as they should be – as interrelated complex, chronic disorders.

The unhide® Solve Together Unified Platform

In 2025 the Solve Together database from Solve M.E. was incorporated into unhide® to form the unhide® Solve Together Unified Platform. Under the new collaboration, the platform includes:

  • Children (age 2 and up)
  • Many new diagnoses (neuroinflammatory and infection‑associated conditions)
  • Wearable data
  • Laboratory data
  • Pacing notifications/alerts
  • Long term assessments
  • More mental health questionnaires
  • Brain fog / treatment assessment surveys
  • Spanish‑language access
  • Open‑source data access for vetted researchers
  • Cross‑disciplinary research integration to break down silos

Unhide® presently contains data on more than 3,000 participants, and has over 70,000 days of symptom data. Nearly half of the participants have provided wearable data and a quarter provided electronic health records. Most have ME/CFS or long COVID. A large, older population (20% over 65, 40% over 50) provides data on an understudied group.

Pediatric Element Fills an Important Gap

The pediatric element was particularly important as little data exists on pediatric populations in ME/CFS, long COVID or other IACCIs. Megan – the BIC’s chief investigator – noted that children weren’t believed at first to come down with COVID-19 or get long COVID. We now know that they do, and that the symptoms and illness trajectories in children differ from adults – and even differ according to the developmental stage of the children.

Young People with ME/CFS and/or Long COVID: What Do We Know?

Children are difficult to study for a couple of reason. Informed consent is more rigorous and, because their bodies are changing, they’re more complex.

Unhide® provides ways to quickly visualize what’s happening in a child’s health. Parents can print a pdf that demonstrates what a month in a child’s life looks, or how they are sleeping, or how they responded to a treatment, to help doctors that might otherwise dismiss a child’s needs understand what’s happening.

Other than the RECOVER Initiative, unhide® is the only program I know that’s following and documenting the health of children and adolescents with long COVID over time. RECOVER’s cohort is huge (@ 24,000 children and adolescents) but unhide®’s program is more comprehensive as it’s built to include children and adolescents with many neuroinflammatory diseases (ME/CFS, fibromyalgia, POTS and many other diseases. RECOVER is still tracking children but it’s doing so with a smaller cohort now. The BIC will be tracking children’s health for the foreseeable future.

The BIC’s pediatric & adolescent neuroinflammation study is using patient reported data to track how neuroimmune disorders affect brain development, and daily function in children as young as 2 years old.

Surveys

When you join unhide®, you get the opportunity to participate in a bevy of surveys/questionnaires.

The “What helps? What Doesn’t?” survey –  is a quick easy, peasy 10-minute survey that contains 6 questions about treatments you have tried. It includes open ended questions such as: “What treatments helped you the most?”, “What treatments have somewhat helped?”

As the data comes in and gets analyzed, the BIC will be trying to see if they can identify subsets of people more likely to respond to certain treatments.

A Metacognitive Disease? 

Designed by Columbia University neuropsychologist Dr. Mara Kuvaldina, the brain fog survey is designed to capture the realworld lived experience of brain fog across ages and diagnoses. “Brain fog” typically produces only small changes on standardized cognitive tests but can be very troubling for those who experience it.

There’s the normal mental work – reasoning, deducting, decision-making, paying attention to something – that standard cognitive tests are good at assessing, and there’s metacognitive work which monitors and manages how the work is going (that they’re not).

Metacognitive processes ask: “Did I understand the paragraph I just read? (No I have to go back and reread it.)”; “Is my answer likely correct? (I’m not sure – I need to look at it again)”, and can lead to conclusions like “I don’t trust my brain today”.

Subjective cognitive states (“My brain is not working well right now”) often do not track well with cognitive test results. Across diseases, people who report feeling cognitively impaired often do better than they expect on cognitive tests. That pattern is so persistent that a new term to describe it, “subjective cognitive decline”, was introduced in 2014. It should be noted that the presence of “subjective cognitive decline” – something many of us experience – does not reliably predict cognitive decline over the next ten years or so.

While many things can potentially cause brain fog (blood flows, mitochondrial problems, oxidative stress, BBB deterioration, etc.), something called the Bayesian brain hypothesis may help understand it better. In the Bayesian brain hypothesis, the brain is constantly trying to understand the world and predict what comes next so we can react appropriately.

When the brain gets it wrong and something it didn’t predict would happen happens, a “prediction error” is produced. At that point, the brain integrates the new information and updates itself so that the next time it’s able to predict better.

The idea in ME/CFS/FM, long COVID, POTS, Lyme disease, etc., is that neuroinflammation is throwing off the usual brain prediction and update process by sending the brain “noisy” signals that produce more and more prediction errors.

The brain’s attempt to deal with these “noisy” signals (this is all happening on an unconscious level) causes it to work harder, resulting in mental fatigue. Plus, extra burden imposed on it causes it to slow down. Note that this is all happening on the metacognitive level that most cognitive tests don’t assess.

Many people may adopt adaptive strategies like avoiding complex tasks, and double-checking everything.

All the problems in these diseases are metacognitive. Straight cognitive problems such as slowed processing speeds and reduced sustained attention exist, and there are ways to deal with them and the metacognitive hits that are present. They include taking scheduled micro-breaks before feelings of decline occur, pre-deciding when to take a break when the errors start to pile up, and pacing – include short rest intervals.

 The Brain Fog Survey

brain

The brain fog survey takes a new, and hopefully more illuminating, look at brain fog.

The brain fog survey is a 20‑minute, online research instrument that asks simple questions: “How do you personally experience brain fog”, how severe it is, how it affects work, social or school performance, how it’s triggered, and then my favorite part, it allows the participants to select words or phrases from a word cloud (word-finding difficulty, sluggish thinking, etc.) that best describe their experience.

Since “brain fog” – the term was first used in the 1850s – is found in a variety of diseases (ME/CFS, FM, long COVID, chronic pain, POTS, perimenopause, Lyme disease, traumatic brain injury), this approach may be able to uncover differences within and between diseases. Ultimately, it could be used to target specific areas of the brain.

Other Validated Surveys – unhide® includes other validated surveys that can help assess functioning and other aspects of these diseases over time, and help guide researchers to the patients they want in their studies.

The Caregiver Strain Index – one of the validated surveys is the “caregiver strain index” – a 13 question, timed questionnaire which identifies the different kinds of strains (employment, financial, work, social, emotional) that caregivers have to deal with.

Research

Unhide® can make doing research on these conditions easier and more efficient. There are, after all, only so many dollars available to these researchers. If they can save on recruitment – typically a quite expensive part of a study – by getting patients from unhide, they can include other tests in their studies or enlarge their studies. Recruitment, for instance, is typically quite expensive.

Efficiency

unhide® provides the opportunity for more efficient and productive research efforts.

Because unhide® is online, it opens up the possibility of having patients that rarely participate in studies (homebound patients, patients in rural areas, pediatric patients) participating by answering surveys and having tests delivered to them. Unhide makes it easy to target subsets of patients. The wearable data makes it crystal clear, for instance, how functional a patient is.

Other types of patients – younger, older, longer, shorter duration, poor or better sleep (circadian rhythms, insomnia (bedtime/early morning), deep/REM sleep, etc.) – can easily be targeted.

Being able to access lab records means studies can even more deeply target patients. I, for instance, may be part of a rare subset – consistently high IgG 4 levels – which researchers would hardly be able to target without something like unhide®.

Unhide® also has the potential to include omics (molecular) data and the Vassar Microbiome study is using the platform. Because unhide includes so many different conditions, getting more omics data in it could allow us to understand which biological pathways are unique or common to each of these disease.

Unhide® is currently being used to enroll 1,000 trial participants from across the U.S. in the REVERSE-LC trial at Vanderbilt, the big SCRIPPS GLP-1 agonist (tirzepatide) long COVID (LoCITT) trial, and T-cell response studies at University at Mass. Note that the LoCITT trial can be done from home.

Joining unhide® 

If you were a member of Solve M.E.’s database you’re already in unhide®. I was in the Solve M.E .database and quickly and easily uploaded years of Oura ring and Garmin data into the new database. Next, I will add my electronic health data.

The unhide® Solve Together platform is available to people living in the U.S. Find out more about the unhide® Solve Together platform here. Sign up here.

 

Please Support Health Rising and Keep the Information Flowing

HEALTH RISING IS NOT A 501 (c) 3 NON-PROFIT

 

Health Rising’s Quickie Summer Donation Drive is On!

Keeping up with the latest research in ME/CFS, long COVID, fibromyalgia, and allied diseases. Exploring new treatment possibilities. Learning how others have recovered. All in as thoroughly and comprehensively as we can. 

Please support Health Rising during our quickie summer donation drive. Our goal is to raise $15,000. 

 Find out more here.

Please support Health Rising in our Quickie Summer Donation Drive! Our goal is $15,000.Click here for more.

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