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ME/CFS Mild → much betterIll 1 year before improving or writingNeeds ongoing treatment

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/CFSIt looks like I still have very mild mecfs, evidenced by ongoing small PEM and recent small crash. In context ↗
  • At worst: MildI’m mild, and I feel like I’ve responded to pacing and healthy diet. In context ↗
  • Now: Much betterSuper mild, almost not cfs at all, but it’s still there. In context ↗
  • Began after: COVIDThe problematic fatigue showed up months after 1st Covid, age 60. In context ↗
  • Says they never had: POTS & dysautonomiaI'm mild and don't have POTS
Read from 74 of their posts and comments; links to the 24 this page draws on

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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

Their words about each treatment
  • paleo diet · Not saidWent on paleo diet and lost 34 pounds in 4 months. In context ↗
  • supplements to treat adrenals · Not saidSupplements to treat adrenals. In context ↗
  • couples therapist · HelpedI had a mindset shift when I saw an awesome couples therapist many years ago. In context ↗
  • keto diet · HelpedKeto was good for me! In context ↗
  • different antibiotics · Worse3 months of different antibiotics, absolutely brutal hurx reactions, could never stay on the treatment for 4 full weeks. In context ↗
  • Eckhart Tolle videos · HelpedEckhart Tolle videos saved my life when I first had Lyme In context ↗
  • infrared saunas · Not saidmy Lyme buddies and I researched infrared saunas a lot, they feel soooooo good In context ↗
  • acupuncture · Worseacupuncture giving me migraine In context ↗
  • NyQuil sleep aid · WorseNyQuil sleep aid making me jittery In context ↗
  • low-fodmap diet · HelpedI have some kind of mild ibs, and the low-fodmap diet keeps it manageable. In context ↗
  • gf and df diet · HelpedHubby and I went gf and df to reduce inflammation, and we feel better from this change. In context ↗
  • caffeine (green tea) · HelpedI had been using caffeine as my self-prescribed drug. In context ↗
  • Vitamin C · Not saidthese are my staples: Omega 3, Cod Liver Oil, Spirulina, Vitamin C, fermented turmeric In context ↗
  • Omega 3 · HelpedThe omega 3 notably helps my skin. In context ↗
  • Spirulina · Not saidWas it the spirulina and / or cod liver oil? In context ↗
  • multi-vitamin · WorseI 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 · HelpedI used to take a wonderful B complex, but they stopped making it In context ↗
  • iodine salt · Not saidI’ve started using iodine salt instead of sea salt. In context ↗
  • niacin high dose · WorseI tried niacin high dose at one point and bloomed a spectacular all-body rash! In context ↗
  • melatonin · Worsemelatonin makes me jittery In context ↗
  • Ashwaganda · WorseAshwaganda makes me unbearably jittery. In context ↗
  • pacing · Helped a lotI 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 lotI have practiced aggressive rest and pacing, trying to have no exertion, no excitement. In context ↗
  • sleep hygiene · HelpedGood Sleep hygiene made a HUGE difference. In context ↗
  • increased protein, grass-fed · HelpedSince my big mecfs crash, I’ve increased protein, I think that helps, especially grass-fed. In context ↗
  • plenty of salt · Not saidEating clean and healthy, plenty of salt In context ↗
  • magnesium glyconate · HelpedI’ve been taking magnesium glyconate for a few weeks I think, it has helped me stay asleep wonderfully. In context ↗
  • coQ10 (liposomal) · Helped a lotA big change came with coQ10 (liposomal). Relief from brain fog, more energy. In context ↗
  • no potatoes · No changeThe past 2 weeks I tried no potatoes, since nightshades are suspect, but I don’t think that made any difference. In context ↗
  • ChatGPT · HelpedI 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 · HelpedI started on Hormone replacement about 8 months ago, and that helped with joint pain very much, helped with fatigue a little In context ↗
  • Ritalin · HelpedLost 10 pounds, less food noise, a beautiful 4 hours each day without brain fog. In context ↗
  • Excedrin migraine · Helpedplus once daily Excedrin migraine, seemed to get me upright again In context ↗
  • Other surgery (adrenal, lung, venoplasty) · Not saidGall 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

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y

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
WhenWhat happenedWhere they wereAfter
2023first Covid, months later the problematic fatigue and PEM appearThe problematic fatigue showed up months after 1st Covid, age 60. In context ↗Mild
July 2024second Covid, fatigue more pronouncedEven more pronounced months after 2nd Covid, age 61. In context ↗Mild
November 2024big crash after Thanksgiving exertions and election stressI was incapacitated: big migraine, fatigue and shakiness like flu/Covid In context ↗Mild
16 December 2024felt normal after two weeks of aggressive rest and pacingit was like a switch had been flipped and I feel normal In context ↗MildPacing and the energy envelope
February 2025most days feeling mostly like herself, still tiredI started having most days feeling mostly like myself. Still super tired, but not sick. In context ↗MildCoQ10 / ubiquinol
5 June 2025symptoms resolved, long stretches of pretty normal lifeI got better… I don’t seem to have cfs me any more. In context ↗Near normalPacing and the energy envelope
24 July 2026crashed 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 20263-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 ↗MildPacing and the energy envelope
17 October 2026mild ME/CFS held stable by pacingI’m mild, and I stay mild because I’m fortunate, and pacing works. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisethat mild PEM is sticking around In context ↗
  • Brain fogmental fogginess and confusion In context ↗
  • Sleep problemswaking up right after falling asleep; not sleeping long enough In context ↗
  • Headaches & migrainemigraines for 1st time In context ↗
  • Gut problemsI have some kind of mild ibs In context ↗
  • Heart symptoms & palpitationsheart pounding, sometimes at night for no apparent reason In context ↗
  • Temperature regulationI’m constantly putting layers on and off, can’t maintain a temp. In context ↗
  • Flu-like symptomsI feel like I’ve been poisoned In context ↗
  • Anxiety & low moodlots of fatigue and depression for 2.5 weeks In context ↗
  • Loss of smell or tastemy sense of smell has been malfunctioning In context ↗
  • Vision problemsfrequent problem getting eyes to focus, see double In context ↗
  • Breathlessnesslungs sometimes feel weak or heavy In context ↗

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