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ME/CFS Severe → much betterNeeds ongoing treatment

Severe ME/CFS, unable to walk dog most days, much better on low-dose naltrexone

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSGetting a ME/CFS + fibromyalgia + POTS diagnosis has ended any dreams I had of going pro In context ↗
  • At worst: SevereWithout meds I am severe. In context ↗
  • Now: Much betterI take 6mg and it's been a miracle for me. I was moderate- severe without it. Now I'm mild. In context ↗
Read from 26 of their posts and comments; links to the 17 this page draws on

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Summary

Former competitive cheerleader with ME/CFS, fibromyalgia and POTS who said they were severe without medication, unable to walk their dog 400 m most days and crashed for days after 10 minutes of exercise. Low-dose naltrexone at 6 mg brought them to mild, while 10 mg made them worse; gabapentin, modafinil and a beta blocker helped pain, big days and heart rate. They returned to part-time retail work but still crash after exertion like gaming.

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What they tried

Their words about each treatment
  • Botox · HelpedI get Botox for my migraines and it helps. In context ↗
  • Ubrelvy · Helped a lotFor break through migraines, I take Ubrelvy. It's been a god send. In context ↗
  • baths · HelpedI take baths. It's easier on my body and I can take my time. In context ↗
  • Stanford CFS clinic · Helped a lotI went from severe to mild-moderate with their help! In context ↗
  • LDN · Helped a lotI take 6mg and it's been a miracle for me. I was moderate- severe without it. Now I'm mild. In context ↗
  • Visible · HelpedI have the visible band so that helped me track. In context ↗
  • sensory deprivation sessions · HelpedBaths, sensory deprivation sessions (eye mask and noise cancelling headphones), naps, salty foods In context ↗
  • naps · Helpednaps, salty foods (ceviche, pozole, ramen, etc) In context ↗
  • salty foods (ceviche, pozole, ramen, etc) · Helpedsalty foods (ceviche, pozole, ramen, etc) In context ↗
  • Pepcid · HelpedMedicine wise LDN with 40mh of Pepcid and modafinil for days I know are going to busy. In context ↗
  • modafinil · HelpedIt doesn't help with PEM but it gets me through the day. In context ↗
  • pacing · HelpedI get migraines when I don't pace properly. In context ↗
  • gabapentin · HelpedI take 300mg of gabapentin for the fibromyalgia In context ↗
  • beta blocker · Not saidIf I do decide to do yoga or something I take a beta blocker to help with my HR going too high. In context ↗
  • valtrex · No changeWhen I was first diagnosed they tried me on valtrex. It didn't do anything for me unfortunately. In context ↗
  • daily red bull · HelpedIt helps with migraines, doesn't help with energy, but it's delicious. In context ↗
  • Qlipta · HelpedI get Botox, take Qlipta daily, and ubrelvy for any that I get. In context ↗
  • CoQu10 · Helped a lotCoQu10 helps me a lot. Even before I was diagnosed I noticed that it just made me feel... Stronger?? In context ↗
  • glp1 · HelpedIt did help my period not hit me so hard but as an already small adult I said I would stop taking it if I went under 105 lbs In context ↗

Approaches: Other drugs and medicines · Pacing · Stimulants · Supplements

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
onsetME/CFS began, ending her competitive cheerleading pathI used to compete in cheerleading at the highest level, CFS is why I didn't try out for Pro League. In context ↗Not stated
—severe when unmedicatedWithout meds I am severe. In context ↗Severe
2026-03-19improved from severe to mild-moderate with clinic careI went from severe to mild-moderate with their help! In context ↗Moderate
2026-03-28raised LDN to 10 mg and felt worse, went back to 6 mgWent up to 10 and felt worse. In context ↗Moderate
2026-04-23mild on medication, living a normal but non-active lifeI have a lot of help from meds so I am mild In context ↗MildLow-dose naltrexone
2026-09-28able to take a part-time retail jobI'm able to work a part time retail job bc of it. In context ↗MildLow-dose naltrexone
2026-10-27mild on LDN, working part-time, still crashes after exertionI take 6mg and it's been a miracle for me. I was moderate- severe without it. Now I'm mild. In context ↗MildLow-dose naltrexone

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaise10 mins of working out sends me into PEM for days In context ↗
  • Headaches & migraineI get migraines when I don't pace properly. In context ↗
  • Pain & fibromyalgiaI take 300mg of gabapentin for the fibromyalgia In context ↗
  • POTS & dysautonomiaGetting a ME/CFS + fibromyalgia + POTS diagnosis has ended any dreams I had of going pro In context ↗
  • Heart symptoms & palpitationsI take a beta blocker to help with my HR going too high In context ↗
  • Anxiety & low moodThis is BIG for me mentally bc I also have depression. In context ↗
  • Light & noise sensitivityShowers are wayy too overstimulating for me. In context ↗

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