About the author
I’m Michael Daniels, the creator of the GLA Axis framework and the subtype questionnaires hosted on this website.
Before becoming ill, I lived an active life — working a physically demanding job, spending time outdoors, and staying socially connected through hobbies and sport. Over time, ME/CFS progressively limited these activities in ways I did not initially understand.
Receiving a formal diagnosis was a turning point. It provided clarity after years of unexplained symptoms and medical uncertainty, and it fundamentally changed how I understood exertion, recovery, and illness progression. That shift — from self-blame and pushing through, to understanding physiological limits — is central to why this project exists.
My early thinking was strongly influenced by the work of Wirth & Scheibenbogen on post-exertional malaise (PEM), as well as by Patrick Ussher’s book Understanding ME/CFS and Strategies for Healing, which combines clear biological explanation with lived experience. That combination — rigorous models grounded in patient reality — directly shaped the development of the GLA concept.
As the framework evolved, I repeatedly arrived at ER–Golgi stress and recovery bottlenecks as a central constraint in ME/CFS. At that point, I encountered the work of Efthymios Kalafatis, whose systems-level approach to cellular stress provided a practical blueprint for organizing these ideas. By linking the vascular and exertion-based insights from Wirth & Scheibenbogen with Kalafatis’s ER-stress–focused modeling, I was able to resolve several open loops in the framework more quickly and coherently.
The GLA Axis is not a treatment protocol or a diagnostic tool. It is an interpretive, systems-level framework intended to explain why ME/CFS behaves the way it does — particularly why symptoms are delayed, systemic, and tightly linked to recovery failure rather than effort itself. The goal of this work is clarity: to replace confusion and blame with a biologically consistent explanation that matches lived experience, and that can continue to evolve as evidence improves.
For those interested in Efthymios Kalafatis’s work:
https://x.com/lifeanalytics
YouTube lecture
Purpose and scope
The goal of this website is to translate complex ME/CFS and Long COVID biology into a structured, testable framework that can guide pattern recognition, discussion, and future research.
What this site is
- Education, hypothesis-building, and pattern exploration
- A living framework that may evolve as evidence changes
- Tools to support clearer communication about symptom patterns
What this site is not
- A diagnostic test or clinical standard of care
- Medical advice or a substitute for professional evaluation
- A claim of clinical validation or guaranteed outcomes
If you notice an error, have a correction, or want to discuss research collaboration, you can reach me via the contact information linked below.
Key references
- Wirth & Scheibenbogen (PEM physiology / perfusion and ion handling) — PubMed
- Ussher, P. — Understanding ME/CFS and Strategies for Healing — Website
This list is intentionally brief. Full references are provided throughout the framework pages where specific claims are discussed.