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ME/CFS Very severe → much betterIll 32 years before improving or writingNeeds ongoing treatment

Bedbound at worst with ME/CFS, much better after hysterectomy and testosterone

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill before improving or writing
32 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSme/cfs since childhood 40+ now In context ↗
  • At worst: Very severefrom very severe and totally bedbound In context ↗
  • Now: Much betterI’m 32 years in on me/cfs been mild to severe and back to moderate and I go back and forth now. In context ↗
Read from 88 of their posts and comments; links to the 30 this page draws on

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Summary

Zephyr 24996 had ME/CFS since childhood, over 30 years, ranging from mild to very severe and totally bedbound. A hysterectomy and testosterone took them from severe to mild; pacing, rest, a powerchair and overnight oxygen brought further gains to moderate. An IIH diagnosis in late March 2026 forced 12 hours upright daily and cost ground; they now describe themselves as very severe and still crash easily from mental effort.

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What they tried

Their words about each treatment
  • pacing and rest · Helped a lotI pace and rest extremely consistently, and I am able to do activities that are meaningful to me. In context ↗
  • deep rest · HelpedWith a very long period of deep rest I am able to do much more. In context ↗
  • increasing activity by 1% per week · HelpedI have been able to improve by increasing my activity by 1% per week. In context ↗
  • powerchair · Helped a lotOver two years I moved from severe to moderate. 100% because of my wheelchair. In context ↗
  • overnight oxygen · Helped a lotOvernight oxygen was a game changer for me. In context ↗
  • CPAP · HelpedIt’s the only thing that HELPS my nonallergic rhinitis In context ↗
  • nighttime anti-inflammatory · HelpedOxygen + CPAP + nighttime dosing of my anti-inflammatory which makes me sleepy. In context ↗
  • hysto · Helped a lotA hysto and starting testosterone have significantly improved my condition. In context ↗
  • calcium channel blocker · Helpedswitching to a different calcium channel blocker helped In context ↗
  • LDN · WorseI would say that LDN definitely made me worse in terms of the difficulty of dealing with the cptsd stuff In context ↗
  • gabapentin · Much worseAbsolutely fucking wrecked me. Not a medication I would ever take again In context ↗
  • stimulant · Worseit’s why I can’t take stimulants. Because in three months the accumulated debt comes due In context ↗
  • anti-depressants or anti-anxiety meds · HelpedAre anti-depressants or anti-anxiety meds going to cure me? No, but they did let me out of the PEM misery cycle with my mental health. In context ↗
  • promethazine · HelpedShe gave me promethazine which is a type of antihistamine and anti-nausea drug ... It helped me out of my last crash In context ↗
  • meditation · WorseMeditation made things worse for me, but I know it helps some people. In context ↗
  • therapy · HelpedIt HAS worked. I am better than I was and my me/cfs has improved along with working through my cult upbringing. In context ↗
  • ultra low histamine diet · WorseUltra low histamine diets can produce some of these impacts ... I have been through this myself, every time I have a severe crash. In context ↗
  • water + electrolytes · HelpedWater + electrolytes keeps me out of uti jail In context ↗
  • cigarette smoke in mouth · Helpedcigarette smoke in my mouth can help, but it makes the rest of my body feel bad In context ↗
  • Qulipta · Helped a lotQulipta is a wonder drug tbh. I hope it comes through 🤞 In context ↗
  • Earplugs and ear defenders (Loop) · Not saidthey create a negative pressure sometimes, which doesn’t bother most people but I can find uncomfortable In context ↗

Approaches: CBT & mindset · Calcium channel blockers · Other drugs and medicines · Pacing · Physiotherapy and rehab · Radical rest · Sex hormones · Surgery & structural

Their path

Very severeSevereModerateMildNear normalRecovered30 y31 y32 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. The chart starts 29.2 years after onset: the story doesn’t say how ill they were before that. 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
childhoodME/CFS since childhoodme/cfs since childhood 40+ now In context ↗Not stated
December 2023no longer bedbound and only moderately housebound after hysterectomy and testosteroneI’m not cured, but I am no longer bed bound! And am only moderately housebound. I would consider myself mild instead of severe now. In context ↗MildTestosterone
August 2024usual level is bedrest 18-20 hours a day with a full-time powerchairMy normal level is bedrest for 18-20 hours a day, full time powerchair and very little self care. In context ↗Severe
late 2024bedbound for three months after poor pacinghaving been bedbound for three months again (due to poor pacing) In context ↗Very severe
February 2025couch bound and slowly improvingCurrently couch bound (step down from house bound) but slowly improving In context ↗SeverePacing and the energy envelope
January 2026moved from severe to moderate over two years using a powerchair, up 2-6 hours a dayOver two years I moved from severe to moderate. 100% because of my wheelchair. In context ↗Moderate
August 2026IIH diagnosis, 12 hours a day upright to drain cerebrospinal fluid, losing regained groundI’m losing all the ground I’ve regained, but the alternative is blindness In context ↗Very severe
September 2026back to moderate but going back and forth, crashes easily from mental effortbeen mild to severe and back to moderate and I go back and forth now In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseDelayed PEM from my appointment Friday, ugh. In context ↗
  • Mast cell (MCAS) & allergiesthe estrogen/progesterone cycle provokes histamine release and mast cell degranulation that also contributed to my body struggling In context ↗
  • Sleep problemsOxygen is the #1 thing that helps me sleep through the night. In context ↗
  • Pain & fibromyalgiaPain and stress both spike my heart rate, and I am ruthless about both now. In context ↗
  • Headaches & migraineStill have migraines, but not all the time and they’re sooo much more bearable. In context ↗
  • Gut problemsMaking some progress on my constipation LOL In context ↗
  • Light & noise sensitivityI wear noise canceling headphones, a windbreaker (I am sensitive to air blowing on my skin In context ↗
  • Heart symptoms & palpitationsRacing heart rate for me meant that I wasn’t getting enough oxygen. In context ↗
  • Anxiety & low moodI definitely go through it sometimes, but I would say that in general I am not depressed. In context ↗

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