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ME/CFS Moderate → no benefit

Mild ME/CFS after mono, unable to work, still no clear benefit from supplements

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Oct 2026

Summary

Prairie 54490 fell ill with ME/CFS after mono around 2005 and has had a mostly mild case, unable to work and limited to short walks. He tried low-dose Abilify, Adderall, natural antivirals and many supplements; Abilify helped briefly but caused anxiety and insomnia, Adderall helped but tolerance built, and supplements gave no clear benefit. He described ups and downs with bad flares, later worsening fatigue and depression, heavy brain fog and neck/upper back pain.

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What they tried

Also tried

Adderall· Helped a lot · wore offnicotine patches· Helped a lot · wore offWim Hof breathing· Helpedmagic mushrooms· HelpedAbilify (aripiprazole)· Helped · wore offketamine / esketamine (Spravato)· HelpedCymbalta· Helped · wore offRitalin· Helpeddeviated septum surgery· Helpedepsom salt baths· HelpedCBD gummies· HelpedWim Hof cold showers / cold pool swimming· No changeGinkgo Biloba· No changeLSD microdosing· No changeinflatable neck traction device· No changemuscle relaxers· No changeCPAP· No changeValtrex (valacyclovir)· No changeIron supplements· No changeMonolaurin pellets· No changecreatine· No changemandibular advancement device· No changeCialis and Viagra· No changeCialis and Viagra· No changeSS-31· No changeMOTS-C· No changepushing myself to exercise· Worseneck stretches· Worseinversion table· WorseCoQ10· WorseBenadryl· WorseMelatonin· WorseModafinil· WorseLDN (low dose naltrexone)· Worsetestosterone replacement therapy· WorseCelebrex· WorseCimetidine/Tagamet· WorsePrednisone· WorseMedrol (Methylprednisolone)· Worsedoxepin· Worselamictal (lamotrigine)· WorseTirzepatide· WorseRetatrutide· WorseSemaglutide· WorseQuviviq· Worseclonazepam· WorsehCG· WorseWellbutrin· WorseAuvelity· Worsedextromethorphan (DXM)· WorseSavella (milnacipran)· Worsebeta blockers (propranolol and other -olols)· Worsemethylene blue· Worsemulti B-vitamins· WorseNAD+· Worseanesthesia· Much worsemagnesium glycinate· Not saidzinc picolinate· Not saidascorbic acid (vitamin c)· Not saidprobiotics· Not saidketo diet· Not saidphysical therapy for neck pain· Not saidnatural antivirals (L-lysine, Monolaurin, Elderberry, Astragalus)· Not saidnatural antivirals (L-lysine, Monolaurin, Elderberry, Astragalus)· Not saidnatural antivirals (L-lysine, Monolaurin, Elderberry, Astragalus)· Not saidNefazodone· Not saidRinvoq· Not saidvagus nerve TENS (ear clips)· Not saidTrintellix· Not saidaspirin· Not saidMaca root· Not saidCOVID vaccination as treatment· Not saidNAC (N-acetylcysteine)· Not said
Their words about each treatment
  • pushing myself to exercise · WorseI started pushing myself to exercise again recently, and I feel awful. In context ↗
  • Wim Hof cold showers / cold pool swimming · No changeAs for the Cold therapy, I haven't found it beneficial other than being a way to shock the system and help wake me up In context ↗
  • Wim Hof breathing · HelpedI have found Wim Hof breathing to be surprisingly helpful ... I feel much improved the following day, energy and clarity wise
  • Adderall · Helped a lotAdderall is the only thing that has helped with my CFS, but I know it's not a long term solution. In context ↗
  • magnesium glycinate · Not saidcurrently taking magnesium glycinate, zinc picolinate, ascorbic acid (vitamin c) In context ↗
  • Ginkgo Biloba · No changeI recently bought Ginkgo Biloba to see if that would help, but it has not helped at all. In context ↗
  • probiotics · Not saidProbiotics fall in line with most vitamins/supplements for me, where I couldn't tell you if they are "working" or not, I don't feel any different In context ↗
  • magic mushrooms · HelpedI attribute a large dose of magic mushrooms with getting me out of a 2 or 3 year bad depressive funk/rut In context ↗
  • LSD microdosing · No changeIn the past I have also microdosed magic mushrooms and LSD, but didn't notice any improvements there, either In context ↗
  • keto diet · Not saidI could never stick to keto for long, maybe a week or two In context ↗
  • physical therapy for neck pain · Not saidI went to physical therapy for my neck pain a few months ago In context ↗
  • neck stretches · WorseI've been trying neck stretches and breathing every day, but I don't think I'm making any progress/feeling any better. In context ↗
  • inversion table · WorseI just hung upside down on an inversion table for a few minutes earlier and I got nauseous and immediately napped for an hour In context ↗
  • inflatable neck traction device · No changefound it to be kinda nice ... Not too helpful, though. In context ↗
  • CoQ10 · WorseI find I seem to crash really hard 4 or 5 hours after taking it In context ↗
  • Abilify (aripiprazole) · HelpedI think it helped my CFS a lot for a month or two, then followed that up with a month of two of feeling miserable and majorly fatigued In context ↗
  • natural antivirals (L-lysine, Monolaurin, Elderberry, Astragalus) · Not saidI have been taking natural antivirals for a month or so, they may or may not help, but they are not super expensive and I have had no noticeable side effects. In context ↗
  • Benadryl · WorseIf I take half a small Benadryl tablet I will be able to sleep usually, but at the cost of being heavily sedated the whole next day In context ↗
  • Melatonin · Worseeven a very small dose of melatonin causes me to have a big hangover effect the following day In context ↗
  • muscle relaxers · No changeShe prescribed muscle relaxers to help me sleep, but I don't feel like they do much In context ↗
  • CPAP · No changeI've been on a CPAP machine for about a month now and my energy levels have not improved yet In context ↗
  • Modafinil · WorseI just switched from Adderall to Modafinil, but I took Modafinil yesterday and just slept all day & night In context ↗
  • LDN (low dose naltrexone) · WorseI took it for 6 months and if anything I got worse, so I stopped taking it after finishing my last bottle recently. In context ↗
  • testosterone replacement therapy · WorseI'm in month 6-7 of testosterone replacement therapy, and feeling pretty miserable every day. In context ↗
  • Valtrex (valacyclovir) · No changeI don't think I improved at all, but I tolerated valtrex well, so I didn't have side effects or get worse. In context ↗
  • Celebrex · Worsethis combo has been kicking my butt the first 5 weeks In context ↗
  • Iron supplements · No changeCurrently trying Iron supplements as my Iron levels were surprisingly low (24) for eating an iron-rich diet. In context ↗
  • Cimetidine/Tagamet · WorseI tried cimetidine for a while and ended up breaking out in hives all over my body In context ↗
  • Prednisone · WorsePrednisone really kicks my ass! I have had to do a few rounds of prednisone (50mg per day) recently, and it always makes me just sleep and eat like crazy. In context ↗
  • Medrol (Methylprednisolone) · WorseSlept for like 16 hours today and still mega tired. Brain fog/daze is nuts. In context ↗
  • ketamine / esketamine (Spravato) · HelpedSpravato has helped me a lot with SI, personally. In context ↗
  • Cymbalta · HelpedI had one great month on Cymbalta, the only time I've felt like myself in the past few years In context ↗
  • Nefazodone · Not saidI was just prescribed Nefazodone for depression & anxiety In context ↗
  • Monolaurin pellets · No changeThe first week I took the monolaurin it really kicked my butt, so I was hoping it was a herx/die-off type of reaction In context ↗
  • Rinvoq · Not saidI just started Rinvoq (for eczema), which is classified as a JAK inhibitor In context ↗
  • nicotine patches · Helped a lotAfter 3-4 months, I had noticed some substantial improvement in my day to day life ... I do feel like I hit a roadblock about 4 or 5 months in, and stopped seeing benefits In context ↗
  • doxepin · WorseI tried a new antihistamine (doxepin) last night as a sleep aid ... but it knocked me the hell out In context ↗
  • lamictal (lamotrigine) · Worsecurrently on week 3, but the insomnia has been awful, and I feel miserable, fever-like body aches In context ↗
  • Tirzepatide · WorseTirzepetide caused full body aches and extra fatigue In context ↗
  • Retatrutide · WorseRetatrutide has those side effects as well but to a lesser extent, with the added heart rate increase & palpitations In context ↗
  • Semaglutide · Worseso far after a couple months, all I've had are side effects with no benefits In context ↗
  • Quviviq · WorseQuviviq works, in that I'll get 8, 9, 10+ hours of sleep ... but yeah then I just feel miserable the whole next day In context ↗
  • clonazepam · WorseI've been popping a lot of clonazepam lately ... I've been feeling completely wiped out, no matter how much I sleep In context ↗
  • Ritalin · HelpedI started on Ritalin recently. I like it In context ↗
  • vagus nerve TENS (ear clips) · Not saidI've been using the ear clips for about a week so far, can't tell any difference yet In context ↗
  • creatine · No changeI haven't noticed too much at 5g a day. In context ↗
  • hCG · WorseI tried HCG monotherapy last year but it just made me feel foggy In context ↗
  • anesthesia · Much worseanesthesia hits me like a ton of bricks and my CFS definitely regresses In context ↗
  • deviated septum surgery · HelpedI still had a 20% or so improvement after the surgery In context ↗
  • mandibular advancement device · No changeI don't think I've seen any improvement one way or another, sadly. In context ↗
  • Cialis and Viagra · No changeI have experimented with Cialis and Viagra, but not felt any noticable benefit in terms of fatigue/quality of life In context ↗
  • Wellbutrin · WorseI really wanted it to work, tried it on 4 different occasions ... Always had bad results, unfortunately In context ↗
  • Auvelity · Worseit caused a scary psychosis type of reaction, like a bad psychedelic trip In context ↗
  • dextromethorphan (DXM) · WorseYeah I'm still interested in Dextromethorphan, although I have bad reactions to it. In context ↗
  • Trintellix · Not saidWhen my fatigue started really getting worse was almost exactly when I stopped taking Trintellix In context ↗
  • Savella (milnacipran) · WorseI tried starting savella ... at a small dose (12.5 daily) but immediately had a lot of difficulty sleeping and heart rate issues In context ↗
  • epsom salt baths · HelpedStarted taking two baths a week lately which has been nice, with epsom salts. In context ↗
  • aspirin · Not saidBeen taking a lot of asprin, too, to help with the achyness/headaches. In context ↗
  • beta blockers (propranolol and other -olols) · WorseBeta blockers like propanolol (and all the other 'olols) lower the heart rate successfully, but also frequently cause insomnia. In context ↗
  • CBD gummies · HelpedSome CBD (with no THC) gummies can be helpful just for pain/inflammation In context ↗
  • methylene blue · Worseall of them seemed to have a negative effect on energy levels In context ↗
  • multi B-vitamins · WorseAnything with multi B vitamins in it crashes me pretty good In context ↗
  • SS-31 · No changeSS-31 and MOTS-C yielded no improvement for me In context ↗
  • Maca root · Not saidMost recently I've been taking 10g of Maca every day (which is a high dose), noticing 0 change, other than maybe more headaches. In context ↗
  • COVID vaccination as treatment · Not saidBut about 12 hours after the shot I developed a fever, shivering for hours, chills, then eventually being too hot & nauseated, back and forth. Achy all over. In context ↗
  • NAC (N-acetylcysteine) · Not saidmade me feel kind of flat, emotionally, if I recall. In context ↗

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
2005CFS began after mono (EBV)My CFS started with Mono 15 years ago. In context ↗
2020-03worst flare in 15 years: daily naps, heavy brain fogIn March and April my CFS was probably at it's worst in 15 years In context ↗
2020-05energy good, no naps, exercising moreNow this month (May) energy levels have been really good. I've been exercising a lot more, no napping at all In context ↗
2020-12reactivated EBV: about 10% of normal energy, heavy brain fogI was at 10% or so for a month or two In context ↗
2021-01back to 40-50% of normal energyI'm back to about 40-50% normal energy levels In context ↗
2021-10no work possible; 20-minute walks then straight to bedgoing on 20 minute walks sometimes, which I will usually come back and go right to bed afterwards In context ↗
2024-04noticeable improvement while using nicotine patchesI had some noticeable big improvement with the nicotine test In context ↗Nicotine patches
2024-09nicotine patch benefit plateaued and he started regressingI do feel like I hit a roadblock about 4 or 5 months in, and stopped seeing benefits In context ↗
2026-04doing better lately, more good days than beforeI'm doing better lately! In context ↗
2026-09still moderate ME/CFS with slow decline; Valtrex plus celecoxib trial roughClosing in on year 7 of feeling miserable, exhausted, and foggy (moderate ME/CFS) In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisegotta be careful not to crash, PEM comes easily In context ↗
  • Brain fogI'm in a particularly bad state of brain fogginess lately In context ↗
  • Sleep problemsMy insomnia has gotten extremely bad over the last 6 months In context ↗
  • Headaches & migrainethe brain fog/headaches have been quite bad In context ↗
  • Anxiety & low moodI definitely have depression and anxiety In context ↗
  • POTS & dysautonomiaI have POTS so I wonder if I should even be messing around with CoQ10 In context ↗
  • Heart symptoms & palpitationsa lot of anxiety, heavy/fast heartbeat In context ↗
  • Mast cell (MCAS) & allergiesI definitely have some strange histamine issues going on In context ↗

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