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ME/CFS Mild → no benefitIll for 3.5 years

Mild fatigue and brain fog with ME/CFS, no improvement on low-dose naltrexone

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill for
3.5 years
Last post
Jun 2023
In their words
  • Condition: ME/CFSGot the CFS in 2020 In context ↗
  • At worst: MildI first became (perhaps unrelatedly, or not?) mildly fatigued in November 2019, after going on Sertraline. In context ↗
  • Now: No benefitGot the CFS in 2020 ... I tried LDN briefly, though experienced greatly increased brain fog. In context ↗
  • Began after: nothing they could nameThe exact causes are unclear.
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

Crest 73735 became mildly fatigued in November 2019 after starting sertraline, then developed brain fog in early 2020; both gradually reached their current level by late 2020, and they got CFS in 2020. In March 2023 low-dose naltrexone at 1.5 ml caused a bad reaction with greatly increased brain fog, so they stopped and planned a lower-dose retry. By June 2023 they were still demoralised about investigating and trying treatments.

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What they tried

Their words about each treatment
  • Sertraline · WorseI first became (perhaps unrelatedly, or not?) mildly fatigued in November 2019, after going on Sertraline. In context ↗
  • LDN (low-dose naltrexone) · WorseI started on 1.5ml and had a bad reaction, but hopefully it will go better when I start again from a much reduced dosage tomorrow. In context ↗

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happened
November 2019Mild fatigue began after starting sertralineI first became (perhaps unrelatedly, or not?) mildly fatigued in November 2019 In context ↗
February 2020Occasional brain fog beganI began to experience occasional brain fog in around February 2020. In context ↗
April/May 2020Fatigue and brain fog frequency and severity jumpeda slight jump in frequency and severity of that and the fatigue in April/May In context ↗
late 2020Fatigue and brain fog reached present levelsboth gradually got to present levels by late 2020-ish. In context ↗
March 2023Bad reaction to LDN with greatly increased brain fogI started on 1.5ml and had a bad reaction In context ↗
June 2023Still ill and demoralised, planning lower-dose LDN retryI tried LDN briefly, though experienced greatly increased brain fog. In context ↗

Adverse events

  • Low-dose naltrexone“I started on 1.5ml and had a bad reaction, but hopefully it will go better when I start again from a much reduced dosage tomorrow.” In context ↗ Side effects
  • Sertraline (Zoloft)“In April 2020 I may have had COVID (though it's quite likely the feverish feeling was from Sertraline withdrawal when I ran out of pills for a few days).” In context ↗ Withdrawal problems
  • Low-dose naltrexone“I tried LDN briefly, though experienced greatly increased brain fog.” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Brain fogI tried LDN briefly, though experienced greatly increased brain fog. In context ↗
  • Anxiety & low moodI am frequently demoralised and disaffected about everything In context ↗
  • Temperature regulationthough it's quite likely the feverish feeling was from Sertraline withdrawal when I ran out of pills for a few days In context ↗

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