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ME/CFS Severe → much better

Slept 20 hours a day and barely crossed the house, now much better on low-dose naltrexone

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Aug 2025
In their words
  • Condition: ME/CFSprofile for mild to moderate ME/CFS (and POTS and MCAS) In context ↗
  • At worst: SevereI was exhausted, sleeping 20hours a day and barely able to walk to the other end of the house. In context ↗
  • Now: Much betterthings are looking up again. But I have a fair way to go to get back to that point. Still in the mild category though In context ↗
  • Began after: nothing they could nameHated PE but made it through. In retrospect I understand why it all felt so hard. In context ↗
Read from 6 of their posts and comments; links to the 5 this page draws on

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Summary

At their worst they slept 20 hours a day and could barely walk across the house, with light and noise sensitivity. They had Lyme treatment, and after low-dose naltrexone they worked four days a week and walked 12,000 steps a day on gentle routes. A whooping cough vaccine four years ago cost them those long walks, and losing their Lyme-literate doctor set them back; vitamin A and MCAS treatment have things looking up, though they are still mildly ill with a way to go.

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What they tried

Also tried

rest· Helpedwater· HelpedExtra Vit A· Helpedsome histamine interolance/MCAS treatment· HelpedCOVID vaccination as treatment· Not said
Their words about each treatment
  • rest · HelpedI swapped my showers to night time when I got sicker. ... Any exercise (walking, shopping, cleaning) gets done after 2pm because otherwise I'm wiped for the rest of the day.
  • water · HelpedI've also recently started drinking 250-500mL of water before getting up in the morning, and that's making a bigger difference than I would've imagined it could. Never really treated the orthostatic intolerance before. In context ↗
  • Lyme treatment · HelpedMum and I both got positive results from a Lyme PCR within weeks of each other. ... I no longer have access to a Lyme literate doctor and have gone backwards. In context ↗
  • LDN · Helped a lotI've had a couple years as OP describes more recently too. After LDN. Working 4 days a week at a desk job. 12k steps a day In context ↗
  • Extra Vit A · HelpedExtra Vit A, some histamine interolance/MCAS treatment and things are looking up again. In context ↗
  • COVID vaccination as treatment · Not saidMy reaction to the covid vaccine was in line with expectations - a couple of off days. In context ↗

Approaches: Antibiotics

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
school agealready unwell at school, struggled through PEHated PE but made it through. In retrospect I understand why it all felt so hard. In context ↗Mild
age 25got much worse at 25Got way worse at 25 though. In context ↗Not stated
—exhausted, sleeping 20 hours a day, barely able to walk across the houseI was exhausted, sleeping 20hours a day and barely able to walk to the other end of the house. In context ↗Severe
—couple of years of near-normal lifeI've had a couple years as OP describes more recently too. After LDN. Working 4 days a week at a desk job. 12k steps a day, if I walked in the afternoon/evening on routes with minimal hills. In context ↗Near normalLow-dose naltrexone
4 years agowhooping cough/diphtheria/tetanus vaccine; lost the long walksGot tripped up by the whooping cough/diphtheria/tetanus vaccine 4 years ago and lost my ability to do those long walks. In context ↗Mild
2024-12symptoms improved significantly for no clear reasonMy symptoms have improved significantly since then. Not sure what I did to make that happen but the specialist wasn't surprised. In context ↗Mild
2025-01went backwards after losing access to a Lyme-literate doctorI no longer have access to a Lyme literate doctor and have gone backwards. In context ↗Mild
2025-08looking up again with extra vitamin A and MCAS treatment, still mildly illExtra Vit A, some histamine interolance/MCAS treatment and things are looking up again. But I have a fair way to go to get back to that point. Still in the mild category though In context ↗Mild

Adverse events

  • COVID vaccination as treatment“My reaction to the covid vaccine was in line with expectations - a couple of off days.” In context ↗ Side effects
  • “The pertussis vaccine though, had a significant impact on my health. ... Got tripped up by the whooping cough/diphtheria/tetanus vaccine 4 years ago and lost my ability to do those long walks.” Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseAny exercise (walking, shopping, cleaning) gets done after 2pm because otherwise I'm wiped for the rest of the day. In context ↗
  • Sleep problemsI was exhausted, sleeping 20hours a day and barely able to walk to the other end of the house. In context ↗
  • Light & noise sensitivityIn retrospect I was also super sensitive to noise, light and being touched hurt so much. In context ↗
  • Headaches & migrainewithout triggering a migraine from a sugar crash afterwards In context ↗
  • POTS & dysautonomiaNever really treated the orthostatic intolerance before. In context ↗
  • Mast cell (MCAS) & allergies(and POTS and MCAS) In context ↗

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