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ME/CFS Moderate → no benefitIll for 4 yearsNeeds ongoing treatment

ME/CFS with PEM and POTS, still ill with constant anxiety despite herbs and ketotifen

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
4 years
Last post
Sep 2026
In their words
  • Condition: ME/CFSI have been suffering from CFS, PEM and POTS since 2022. In context ↗
  • At worst: Moderateback to moderate/severe CFS, unfortunately In context ↗
  • Now: No benefitI feel like living in anxiety and fear is my body's/spirit's only state of living, it's horrible In context ↗
  • Began after: COVIDI've been sick with LC for years now
Read from 20 of their posts and comments; links to the 16 this page draws on

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Summary

Spruce 33891, a woman in the EU, has had ME/CFS with PEM and POTS since 2022; a second COVID left her highly medicine-sensitive. Antiparasitic herbs including Artemisia gave a short energy boost, and a ketogenic diet helped until she returned to carbs. Lumbrokinase caused adrenaline surges and worse POTS, naltrexone was not tolerated, and low-dose ketotifen helped her sleep. She was still ill in 2026 with constant anxiety.

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What they tried

Their words about each treatment
  • SSRI · Not saidI took them for 6 months only in 2024 by my nervous system is still stuck in fight or flight badly In context ↗
  • anti-parasitic herbs (Artemisia absinthium) · Helped a lotit felt like a miracle for a couple of days! The treatment was for 14 days only In context ↗
  • LDN · Much worseI went slowly up to 1 mg and made my physical fatigue and tiredness/sleepiness/sleep so much worse that I had to stop it :/ In context ↗
  • keto diet · HelpedI also felt much better while on it, then back to eating carbs, back to moderate/severe CFS In context ↗
  • lumbrokinase (bolouke) · WorseI have been on lumbro for 5 days (one pill a day) and been having high anxiety/adrenaline In context ↗
  • Midrodine · WorseMidrodine Gave me bad sfx at only 15 mg. In context ↗
  • ivabradine · WorseMidrodine Gave me bad sfx at only 15 mg. Also ivabradine. In context ↗
  • Ketotifen · HelpedKetotifenr low dose helps me sleep i still wake up at 3 am and 6 am but much less intense adrenaline and can fall back asleep In context ↗
  • Activate charcoal · WorseActivate charcoal causes me headaches In context ↗
  • benfotiamine · WorseI took benfotiamine by supersmart and it gave me vertigo when moving my head in bed, horrible horrible. In context ↗
  • coherent breathing and yoga nidra · HelpedI have been doing only coherent breathing and yoga nidra which relaxes me, yet when the session ends I go back to being on high alert In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 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. 1 step has no time and sits in story order between the steps around it. 2 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2022ME/CFS with PEM and POTS beginsI have been suffering from CFS, PEM and POTS since 2022. In context ↗Moderate
2023second COVID infection; medicine sensitivity worsenedSince my second COVID my med sensitivity is off the charts :( In context ↗Moderate
2024six months of SSRI and Xanax, nervous system left in fight or flightI took them for 6 months only in 2024 by my nervous system is still stuck in fight or flight badly In context ↗ModerateAntidepressants (unspecified)
2024short energy boost from a 14-day antiparasitic herb courseit felt like a miracle for a couple of days In context ↗Not statedAntiparasitics
—felt much better on a ketogenic dietI also felt much better while on it In context ↗Not statedKeto and low-carb diets
—returned to carbs and went back to moderate/severe CFSback to eating carbs, back to moderate/severe CFS, unfortunately In context ↗Moderate
May 2025five days of lumbrokinase brought adrenaline surges and worse POTSI took bolouke for 5 days only and my pOTS is worse and Im scared, also had high adrenaline from it In context ↗ModerateLumbrokinase
September 2026still ill with constant fight-or-flight anxietyI feel like living in anxiety and fear is my body's/spirit's only state of living, it's horrible In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI have been suffering from CFS, PEM and POTS since 2022. In context ↗
  • Anxiety & low moodmy nervous system is still stuck in fight or flight badly In context ↗
  • Sleep problemsI cannot sleep without it In context ↗
  • Mast cell (MCAS) & allergieshow strong I get triggered by the mast cells, in the morning In context ↗
  • Temperature regulationI can't even be in the sun without developing sunstroke side effects In context ↗
  • Gut problemstoxins, klebsiella overgrowth In context ↗

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