Mermaid Central Medical Clinic Research

Sharing research in Long COVID, POTS, fibromyalgia and other areas

Dr Graham Exelby 2026 About This Paper This document is a simplified companion to a series of more detailed scientific papers exploring Long COVID, POTS, ME/CFS and related disorders. The formal papers examine the underlying biology in depth, including neurovascular dysfunction, pericyte biology, autonomic regulation, inflammatory signalling, metabolism, recovery physiology and the renin–angiotensin–aldosterone system (RAAS). While these concepts are important, the scientific

Dr Graham Exelby June 2026 About This Paper This paper is part of the Understanding Series, a collection of companion guides designed to explain complex medical concepts in a practical and accessible way for patients, families and healthcare professionals. The aim of this paper is to explain how recovery may become impaired in Long COVID, POTS, ME/CFS and related disorders using straightforward language. Many important scientific concepts have therefore been simplified to imp

Dr Graham Exelby 2026 Abstract Hashimoto's thyroiditis and thyroid nodules are traditionally viewed as manifestations of autoimmune and endocrine disease arising from genetic susceptibility, environmental triggers, loss of immune tolerance, thyroid autoantibody production, and progressive glandular dysfunction. While these mechanisms remain central to disease pathogenesis, they incompletely incorporate the regional venous and lymphatic anatomy upon which normal thyroid physio

By Dr Valerio Vittone Screendumps from Dr Vittone's presentation at the MCAS Conference April 2023