That photo is from a story where this guy broke the world record for one person walking the most dogs at one time.
You can tell from this photo that holding onto the leashes for so many dogs a one time is not an easy task!
Realistically, though, there are not nearly enough dogs - only 38? - to represent all the ME/CFS symptoms.
The attached chart lists 39 symptoms that are "made worse due to physical or cognitive exertion" (from a study on PEM, post exertional malaise)
I recognize most of these but I have no idea what "brain twangs" are
I've got no energy to read/analyze the study but here's the link:
@ahimsa_pdx the length of that article fills me with angst and ennui but no anxiety