Mild ME/CFS crash: unable to sit at work long, now much better with rest and pacing
- Condition
- ME/CFS
- At worst
- Mild (working or studying, with limits)
- Ill before improving or writing
- 1 year
- Last post
- Oct 2026
In their words
- Condition: ME/CFS
It looks like I still have very mild mecfs, evidenced by ongoing small PEM and recent small crash.
In context ↗ - At worst: Mild
I’m mild, and I feel like I’ve responded to pacing and healthy diet.
In context ↗ - Now: Much better
Super mild, almost not cfs at all, but it’s still there.
In context ↗ - Began after: COVID
The problematic fatigue showed up months after 1st Covid, age 60.
In context ↗ - Says they never had: POTS & dysautonomia
I'm mild and don't have POTS
Read from 74 of their posts and comments; links to the 24 this page draws on
Summary
A US graphic designer, 62 in early 2025, who suspects early mild ME/CFS after COVID infections and a Thanksgiving 2024 crash; during that crash they could not sit at work for more than an hour or two. Aggressive rest, pacing, a clean diet, supplements and reduced work helped, and a holiday trip felt near normal, but symptoms returned with work and stress.
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What they tried
What they credit
Also tried
Their words about each treatment
- paleo diet · Not said
Went on paleo diet and lost 34 pounds in 4 months.
In context ↗ - supplements to treat adrenals · Not said
Supplements to treat adrenals.
In context ↗ - couples therapist · Helped
I had a mindset shift when I saw an awesome couples therapist many years ago.
In context ↗ - keto diet · Helped
Keto was good for me!
In context ↗ - different antibiotics · Worse
3 months of different antibiotics, absolutely brutal hurx reactions, could never stay on the treatment for 4 full weeks.
In context ↗ - Eckhart Tolle videos · Helped
Eckhart Tolle videos saved my life when I first had Lyme
In context ↗ - infrared saunas · Not said
my Lyme buddies and I researched infrared saunas a lot, they feel soooooo good
In context ↗ - acupuncture · Worse
acupuncture giving me migraine
In context ↗ - NyQuil sleep aid · Worse
NyQuil sleep aid making me jittery
In context ↗ - low-fodmap diet · Helped
I have some kind of mild ibs, and the low-fodmap diet keeps it manageable.
In context ↗ - gf and df diet · Helped
Hubby and I went gf and df to reduce inflammation, and we feel better from this change.
In context ↗ - caffeine (green tea) · Helped
I had been using caffeine as my self-prescribed drug.
In context ↗ - Vitamin C · Not said
these are my staples: Omega 3, Cod Liver Oil, Spirulina, Vitamin C, fermented turmeric
In context ↗ - Omega 3 · Helped
The omega 3 notably helps my skin.
In context ↗ - Spirulina · Not said
Was it the spirulina and / or cod liver oil?
In context ↗ - multi-vitamin · Worse
I keep trying to take a multi-vitamin because I don’t eat great, but I get reactions (jittery, tremors, hot flashes)
In context ↗ - B complex · Helped
I used to take a wonderful B complex, but they stopped making it
In context ↗ - iodine salt · Not said
I’ve started using iodine salt instead of sea salt.
In context ↗ - niacin high dose · Worse
I tried niacin high dose at one point and bloomed a spectacular all-body rash!
In context ↗ - melatonin · Worse
melatonin makes me jittery
In context ↗ - Ashwaganda · Worse
Ashwaganda makes me unbearably jittery.
In context ↗ - pacing · Helped a lot
I stopped all non-essential activity (I was very active before the crash, didn’t know i was having PEM)
In context ↗ - aggressive rest · Helped a lot
I have practiced aggressive rest and pacing, trying to have no exertion, no excitement.
In context ↗ - sleep hygiene · Helped
Good Sleep hygiene made a HUGE difference.
In context ↗ - increased protein, grass-fed · Helped
Since my big mecfs crash, I’ve increased protein, I think that helps, especially grass-fed.
In context ↗ - plenty of salt · Not said
Eating clean and healthy, plenty of salt
In context ↗ - magnesium glyconate · Helped
I’ve been taking magnesium glyconate for a few weeks I think, it has helped me stay asleep wonderfully.
In context ↗ - coQ10 (liposomal) · Helped a lot
A big change came with coQ10 (liposomal). Relief from brain fog, more energy.
In context ↗ - no potatoes · No change
The past 2 weeks I tried no potatoes, since nightshades are suspect, but I don’t think that made any difference.
In context ↗ - ChatGPT · Helped
I found my ai to be life-changing level of helpful because it gave me someone to talk to and investigate my ideas.
In context ↗ - Hormone replacement · Helped
I started on Hormone replacement about 8 months ago, and that helped with joint pain very much, helped with fatigue a little
In context ↗ - Ritalin · Helped
Lost 10 pounds, less food noise, a beautiful 4 hours each day without brain fog.
In context ↗ - Excedrin migraine · Helped
plus once daily Excedrin migraine, seemed to get me upright again
In context ↗ - Other surgery (adrenal, lung, venoplasty) · Not said
Gall bladder removed, then dangerous elevated heart rate next day, probably from anesthesia.
In context ↗
Approaches: CBT & mindset · Diet · Mind-body practices · Other drugs and medicines · Pacing · Radical rest · Supplements
Their path
How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were | After |
|---|---|---|---|
| 2023 | first Covid, months later the problematic fatigue and PEM appearThe problematic fatigue showed up months after 1st Covid, age 60.In context ↗ | Mild | |
| July 2024 | second Covid, fatigue more pronouncedEven more pronounced months after 2nd Covid, age 61.In context ↗ | Mild | |
| November 2024 | big crash after Thanksgiving exertions and election stressI was incapacitated: big migraine, fatigue and shakiness like flu/CovidIn context ↗ | Mild | |
| 16 December 2024 | felt normal after two weeks of aggressive rest and pacingit was like a switch had been flipped and I feel normalIn context ↗ | Mild | Pacing and the energy envelope |
| February 2025 | most days feeling mostly like herself, still tiredI started having most days feeling mostly like myself. Still super tired, but not sick.In context ↗ | Mild | CoQ10 / ubiquinol |
| 5 June 2025 | symptoms resolved, long stretches of pretty normal lifeI got better… I don’t seem to have cfs me any more.In context ↗ | Near normal | Pacing and the energy envelope |
| 24 July 2026 | crashed after an overseas solo vacationI didn’t bounce back, lots of fatigue and depression for 2.5 weeks after returning… then a legitimate PEM crash, 2 days ago.In context ↗ | Mild | |
| September 2026 | 3-week holiday away from home, only one PEM knockdown3 weeks away from home, less work, I was able to do a bunch of things, only one PEM knockdown.In context ↗ | Mild | Pacing and the energy envelope |
| 17 October 2026 | mild ME/CFS held stable by pacingI’m mild, and I stay mild because I’m fortunate, and pacing works.In context ↗ | Mild |
Adverse events
- Antibiotics (unspecified)“3 months of different antibiotics, absolutely brutal hurx reactions, could never stay on the treatment for 4 full weeks.” In context ↗ Herx / die-off reaction
- Antibiotics (unspecified)“the antibiotic treatment was worse than the illness for me” In context ↗ Made symptoms worse
- “I tried niacin high dose at one point and bloomed a spectacular all-body rash!” In context ↗ Side effects
- Multivitamins (Centrum)“I keep trying to take a multi-vitamin because I don’t eat great, but I get reactions (jittery, tremors, hot flashes)” In context ↗ Side effects
- Melatonin“melatonin makes me jittery” In context ↗ Side effects
- Ashwagandha“Ashwaganda makes me unbearably jittery” In context ↗ Side effects
- Magnesium“I added Magnesium glycinate which made my chest flutter, so reduced the dosage” In context ↗ Heart rhythm problems
- CoQ10 / ubiquinol“I realized that I've been very restless. And today, I rage responded to someone on Reddit” In context ↗ Mood or psychiatric effects
- CoQ10 / ubiquinol“It was way too much energy, so I had to cut that dose in half too.” In context ↗ Side effects
- Green tea, matcha and EGCG“I was getting up to 3 green teas a day plus a black tea to get me through the afternoon ... I think that played a part in my PEM.” In context ↗ Made symptoms worse
- Acupuncture“acupuncture giving me migraine” In context ↗ Made symptoms worse
- “NyQuil sleep aid making me jittery” In context ↗ Side effects
- Other surgery (adrenal, lung, venoplasty)“Gall bladder removed, then dangerous elevated heart rate next day, probably from anesthesia.” In context ↗ Heart rhythm problems
- Hormone replacement therapy (HRT)“helped with fatigue a little, but I think it makes me depressed ... HRT also made my ADHD sooooo bad” In context ↗ Mood or psychiatric effects
- “Since Covid, vaccines make me more sick each time.” In context ↗ Made symptoms worse
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
that mild PEM is sticking around
In context ↗ - Brain fog
mental fogginess and confusion
In context ↗ - Sleep problems
waking up right after falling asleep; not sleeping long enough
In context ↗ - Headaches & migraine
migraines for 1st time
In context ↗ - Gut problems
I have some kind of mild ibs
In context ↗ - Heart symptoms & palpitations
heart pounding, sometimes at night for no apparent reason
In context ↗ - Temperature regulation
I’m constantly putting layers on and off, can’t maintain a temp.
In context ↗ - Flu-like symptoms
I feel like I’ve been poisoned
In context ↗ - Anxiety & low mood
lots of fatigue and depression for 2.5 weeks
In context ↗ - Loss of smell or taste
my sense of smell has been malfunctioning
In context ↗ - Vision problems
frequent problem getting eyes to focus, see double
In context ↗ - Breathlessness
lungs sometimes feel weak or heavy
In context ↗
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