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ME/CFS Mild → somewhat betterIll 10 years before improving or writingNeeds ongoing treatment

Mild ME/CFS with brain fog and crashes, somewhat better on naltrexone and D-ribose

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
10 years
Last post
Apr 2026
In their words
  • Condition: ME/CFSI've had ME/CFS for almost a decade now In context ↗
  • At worst: MildMine is a mild case In context ↗
  • Now: Somewhat betterSince then, I've managed to stop going full tilt downhill towards severe. In context ↗
Read from 9 of their posts and comments; links to the 8 this page draws on

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Summary

Orchid 89369 has had ME/CFS for almost a decade and calls it a mild case, with brain fog, tinnitus, sore throat, swollen lymph nodes and head pressure that build until they crash for a day or more. They say low-dose naltrexone (4.5 mg daily) and D-ribose are the two things they cannot function without, and that a powered wheelchair stopped them sliding toward severe. Their first flu shot caused a bad reaction; Covid vaccines did not.

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What they tried

Their words about each treatment
  • LDN · Helped a lotLDN is now one of the two things I cannot function without but I'm ok with it. In context ↗
  • D-Ribose · HelpedIt's not as dramatic as going without the LDN but it's a noticeable difference. In context ↗
  • lower carb/keto style diet · Helpedwhen I go strict keto, my brain fog disappears but so does my energy In context ↗
  • rest / pacing · Helpedthe only reason it's not worse is because I allowed myself to rest, stopped listening to everyone else and started listening to my body In context ↗
  • motorized wheelchair · HelpedI would never leave my bed if not for my wheelchair. I will never regret getting it. In context ↗
  • stretching · Not saidThe most I do is stretch out the stiffness in the morning of whichever joint is groaning the most. In context ↗
  • Midol · Not saidI will be absolutely useless, and that's WITH coffee, Midol, Bayer Back and Body, and electrolytes. In context ↗
  • Flu vaccine · Not saidI know I reacted badly to the first flu shot I got, but the rest have been minor In context ↗

Approaches: Pacing · 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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
~2015ME/CFS beganI've had ME/CFS for almost a decade now ... Mine is a mild case In context ↗Mild
2025-01-16bought a motorized wheelchair for outingsI finally saved up and got a motorized wheelchair and I am so happy I did. In context ↗Mild
2026-04-07powered wheelchair for every outing; decline haltedSince then, I've managed to stop going full tilt downhill towards severe. In context ↗Mild
2026-04-30still needs wheelchair to leave bed/house; rest days each periodI would never leave my bed if not for my wheelchair. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseif I don't stop and #ActuallyRest I crash and end up sleeping for a whole day or more In context ↗
  • Brain fogFirst my brain fog gets worse In context ↗
  • Tinnitusthe cicadas in my ears (tinnitus) get louder In context ↗
  • Flu-like symptomsI get a sore throat and dry eyes, then lymph nodes swell up In context ↗
  • Headaches & migrainepressure builds up in my neck and head In context ↗
  • Pain & fibromyalgiastretch out the stiffness in the morning of whichever joint is groaning the most In context ↗

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