Full Pattern Quiz v2.4

This quiz shows patterns in how your body reacts to activity, stress, and recovery. It does not diagnose anything, measure how sick you are, or predict the future.

You can have different patterns in different sections — this is normal. None of these results mean your symptoms are permanent.

This quiz describes patterns in how your body responds to activity, stress, and recovery. It does not diagnose a condition, measure how sick you are, or predict the future.

Section A — What limits you first

This shows which type of symptom usually appears first during everyday activity: muscles, brain/blood flow, autonomic symptoms (heart rate, breathlessness), or a mix. It is about immediate responses, not crashes that happen later.

Section B — What crashes look like

This describes what happens during a full crash after overdoing it: which symptoms dominate, when the crash peaks, what makes it worse, and what improves first. Delayed crashes (1–3 days later) are common and real.

Section C — How symptoms fluctuate over time

This looks at whether symptoms come in flares with partial recovery, stay more constant, or mainly change based on posture or activity. An “Entrained / Locked” note means recovery is especially difficult right now — not that recovery is impossible.

Section D — Background stress on the system

This gives context about how things like meals, fasting, or demanding days affect you. A higher signal means these factors may shape how crashes feel or resolve — not that they are the cause.

• These results describe patterns, not diagnoses.
• You can have different patterns in different sections — this is normal.
• Patterns can change with time, illness stage, or treatment.
• No result means symptoms are permanent.

Use this summary to better understand your body and to communicate more clearly with clinicians — not to push beyond your limits.

This questionnaire reports pattern-level information across four distinct layers of physiology. Each section describes a different aspect of how symptoms are expressed, fluctuate, and recover. No single result should be interpreted in isolation.

Section A — Amplifier Pattern (Baseline Load Response)

The Amplifier result describes which physiological system tends to fail first under everyday load, such as light activity, standing, stimulation, or mental effort.

• M1 — Metabolic / muscle-dominant: early muscle heaviness, weakness, or fatigue appears before other symptoms.
• M2 — Vascular / perfusion-dominant: head pressure, lightheadedness, brain fog, or visual dimming appear first.
• M3 — Autonomic / low-volume-dominant: heart-rate instability, breathlessness, shakiness, or internal agitation appear first.
• Mixed amplifier: more than one system tends to worsen at the same time, or the dominant system varies by context.

The Amplifier is not a measure of illness severity and does not describe delayed crashes. It reflects baseline load sensitivity — what limits you during or immediately after activity.

Section B — Crash / PEM Architecture

This section describes how your body behaves during a full, deep crash after clear overexertion. It captures three independent features:

• Dominant crash pattern: which system dominates during the crash.
• Timing: when the crash reaches its worst point after exertion.
• Modifiers: what worsens symptoms during the crash and which systems recover first.

The timing information is particularly important. A delayed peak (24–72 hours or later) reflects delayed post-exertional physiology, not slow perception or psychological factors.

Section B is intentionally separate from Section A: many people have one baseline Amplifier but crash through a different dominant system.

Section C — SMPDL3B Instability Style

This section describes how symptoms fluctuate and recover over time, especially in response to stress. It does not describe which system fails first or how severe the illness is.

• Shedding-dominant pattern: episodic flares with variability and at least partial baseline return between episodes.
• Deficient-dominant pattern: persistent baseline impairment with slower or incomplete recovery and fewer true “good days.”
• Mixed / transitional pattern: overlapping features of both, often influenced by illness stage or amplifier dominance.
• Non-SMPDL3B dominant (Amplifier-driven): symptoms track posture or immediate load more directly than flare–recovery cycles.

An Entrained / Locked modifier indicates persistent baseline suppression or loss of recovery capacity. This modifier reflects recovery dynamics, not irreversibility.

This section is pattern-based only and does not replace biomarker testing for SMPDL3B.

Section D — GLA / ER-Stress Context

Section D provides context about metabolic, hepatic, and recovery-related load within the Gut–Liver–Autonomic (GLA) axis.

A higher context signal suggests that factors such as meal timing, fasting tolerance, post-meal burden, or delayed “toxic/heavy” feelings may influence how crashes feel and resolve. It does not define subtype, illness severity, or cause.

Important Interpretation Notes

• These results describe patterns, not diagnoses.
• Results may reflect earlier phases of illness if you are currently very severe, continuously flared, or rarely return toward baseline.
• Amplifier pattern, SMPDL3B instability style, and crash architecture are independent layers and should be interpreted together.
• No single result implies prognosis, permanence, or treatment recommendations.

Use these results as a framework for understanding symptom behavior and for more informed discussion with clinicians or researchers — not as a standalone clinical assessment.

• Patterns, not diagnosis: These results describe symptom patterns. They are not a medical diagnosis and do not replace clinical evaluation.
• Not a severity score: A “more intense” result does not automatically mean “more severe illness.” Sections A–D measure different layers, not overall sickness level.
• Context matters: Results can shift with sleep, dehydration, heat, infection, hormones, stress, medication changes, and recovery window.
• Illness stage can blur patterns: If you are continuously flared, very severe, or rarely return toward baseline, your answers may reflect a flattened stage rather than your earlier pattern.
• Mixed results are common: It is normal to show one baseline Amplifier (Section A) but crash through a different dominant system (Section B), or to show a mixed instability style (Section C).
• Section C is pattern-based only: “Shedding-like / deficient-like” labels describe timing and recovery dynamics. This quiz does not replace a laboratory biomarker test for SMPDL3B.
• Entrained / Locked is not a prognosis: This modifier indicates reduced recovery capacity in the current window. It does not imply permanence or irreversibility.
• Use the results safely: Do not use quiz results to justify pushing limits, testing exertion, or changing medications. Use them to improve pacing decisions and communication with clinicians/researchers.