Michael R Scoma MD
@DrScomaME_CFS
Infectious Disease Immunology physician delivering proactive treatments to Long COVID and ME patients. Views are my own; no medical advice given.
I am transitioning off a waitlist and gearing up for big news! Stay tuned and please direct virtual and in office consultation requests to [email protected] and they will be answered in the order in which they are received. #MECFS #LongCovid #MCAS #LymeDisease

Had an excellent discussion with @microbeminded2 and @PutrinoLab. Looking forward to a meaningful collaboration aimed at advancing understanding and proactive care in Long COVID and related chronic disease states. Excited for what lies ahead. #LongCOVIDTreatments
I am unclear as to the mystique surrounding Pemgarda as this beacon of unattainability. Approval is straightforward - I’ve done it for 30+ patients, ~10 more pending. It’s the eye of the tiger. Private practice equates to freedom to be proactive and do what’s best for patients.

Post-exertional malaise (PEM) is the central physiologic barrier in ME/CFS and ~50% of Long COVID. While difficult to substantially modify, I have observed durable and reproducible partial mitigation of crash intensity and duration with targeted pharmacologic support.
