Need to bring in someone from Europe who knows how to run light rail… with proper speed, timeliness and reliability.
Such fast research! I’ve had PEM and POTS for a decade. A leaky BBB is the needle I found in the “natural” medicine haystack a few years ago. Although not a cure, cutting out gluten made a HUGE difference (see also leaky gut). Ab compression for POTS has also been a lifesaver.