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ME/CFS Mild → somewhat betterNeeds ongoing treatment

Mildly affected by ME/CFS with PEM, unable to work, somewhat better with pacing

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
Not stated
Last post
Apr 2026
In their words
  • Condition: ME/CFSI’ve had CFS for +2 years, I'd say is mild but unable to work In context ↗
  • At worst: MildI still consider myself 'mild', but I can’t work or exercise anymore In context ↗
  • Now: Somewhat betterI used to live in a cycle of activity/crash now I know how to pace and feel a bit better In context ↗
  • Began after: COVIDI got infected and took me about a month to recover from it and when I tried to exercise I felt sick again In context ↗
  • Says they never had: Brain fogI don't really have cognitive problems
Read from 76 of their posts and comments; links to the 31 this page draws on

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Summary

Alpine 44613, a former competitive triathlete in Belgium, fell ill with COVID in 2022 and kept exercising, which made him worse. Four years on he remains mildly affected, unable to work or train, with PEM as his main symptom, though a trip to Italy briefly left him feeling 75-90% normal. Pacing within his limits gave him a better quality of life, and cutting phone use eased his neck and trap pain. CFS supplements and red light did nothing for his energy, though red light gave temporary fibro relief.

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What they tried

What they credit

Their words about each treatment
  • micro dosing psilocybin · No changeI did micro dosing a few years ago and that did absolutely 0, I only got an upset stomach In context ↗
  • lifting weights and pushing exercise · Worsein 2023 and 2025 I had major crashed due to insisting on lifting weights and that made my condition worse each time In context ↗
  • pacing · Helpednow I know how to pace and feel a bit better In context ↗
  • pregnancy belt for core support · Helpedhas been working great so far, I sleep with it and use it most of the day In context ↗
  • salt water gargles · Helpedby the next day the pain is gone and normally i dont fall ill In context ↗
  • magnesium bisglycinate · HelpedFor me the one that makes the difference with sleep is only magnesium bisglycinate In context ↗
  • sauna · Helpednow I use it 3 times per week up to 25min and that seems to be perfect In context ↗
  • yoga nidra audio · HelpedYoga nidra audio helps me a lot when I can't sleep In context ↗
  • doing nothing at all for months · No changeI have tried doing nothing at all for months and I don't feel any better compared to when I do minor things In context ↗
  • PQQ · No changePQQ and Ubiquinol for 3 weeks but haven't noticed anything at all In context ↗
  • separate mattresses · Helpednow I barely wake up In context ↗
  • NAC · No changefor the last 12 weeks taken NAC, PQQ, Ubiquinol, glutamine, creatine, d-ribose, l-carnitine, R-ALA which do absolutely nothing AT ALL In context ↗
  • creatine · No changeI have taken creatine for a long time but I see no real difference in anything In context ↗
  • R-ALA · No changeI took for 3 months the main components of mitocore (R-ALA, L-carnitine, NAC) and so no benefit at all In context ↗
  • red and near-infrared light panel · HelpedI do feel noticeably better for a few hours after using it. But the pain always returns In context ↗
  • addressing the mold possibility and whole-house air filter · Not saidI am currently addressing the mold possibility and see if I improve In context ↗
  • coffee · No changeI do drink coffee but it doesn't really make much of a difference In context ↗
  • psychotherapy · Not saidAfter many expensive sessions, the psychologist was puzzled by my lack of progress and suggested that the real problem was CFS In context ↗
  • morning outdoor light · Helpedstep outside for 10-15min, if there is sun I feel much better In context ↗
  • Huberman sleep toolkit · HelpedI solved mine using this guide ... Basically you need to reset your circadian rhythm. In context ↗
  • potassium + sodium in water with lemon · Not saidI am currently doing potassium + sodium in a big glass with water and lemon and so far I enjoy it very much In context ↗
  • phone time limits with a PIN (Digital Wellbeing, Block) · Helpedmy fibro is finally under control. I’m pain-free most days because I’m no longer straining my neck In context ↗
  • fast-acting liquid melatonin · Helpedfast-acting liquid melatonin (not mentioned by Huberman, but works very well for me at a very small dose) In context ↗
  • L-theanine · Helpedl-theanine combined with magnesium glycinate has worked wonders for me In context ↗
  • mindfulness and reading · Helpedpracticing mindfulness, which helps a lot regardless of how I'm feeling physically In context ↗

Approaches: Pacing

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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2022COVID infection, then felt sick whenever he exercisedI got infected and took me about a month to recover from it and when I tried to exercise I felt sick again In context ↗Mild
2023crash after a year of pushing exercise; later crashes from lifting weightsit went like this for a year until I had a crash and from there all went to hell In context ↗Mild
March 2025trip to Puglia, Italy: walking 8-10 hrs a day with no PEMspent 6 days outdoors walking 8-10 hrs ... yet felt 75-90% normal! In context ↗Near normal
March 2025back in Belgium, a 1-hour walk dropped him back to baselinethen a 1-hr walk dropped me back to my usual 70-75% and haven't improved In context ↗Mild
October 2025living a fairly normal life within his limitsAfter 2 years of investigating and trial and error I finally found a way to live a fairly “normal” life as long as I stay within my limits In context ↗MildPacing and the energy envelope
January 2026cut phone use from 5-8 hours to 90 minutes a day; neck and trap pain mostly goneMost importantly, my fibro is finally under control. I’m pain-free most days because I’m no longer straining my neck. In context ↗Mild
April 2026still mild, unable to work or train, no change in fatigue or PEMI manage now to keep mild only because I never cross my daily limits In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisemy only symptom is PEM when I exceed my limit In context ↗
  • Pain & fibromyalgiaI deal with CFS and fibromyalgia, specifically in my right trap and neck In context ↗
  • Flu-like symptomsmid-severe fatigue, sore throat, intense back paint In context ↗
  • Sleep problemsI had also a lot of stress from work, barely sleeping due to stress In context ↗

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