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ME/CFS Moderate → relapsedIll 4.5 years before improving or writing

ME/CFS: housebound, remission then relapse, still limited; tirzepatide works, not fatigue

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
4.5 years
Last post
Aug 2025
In their words
  • Condition: ME/CFSI lost over 50kg during which time I developed CFS/ME. In context ↗
  • At worst: Moderategiven I can't work and I hardly leave the house at the moment because I feel so awful In context ↗
  • Now: RelapsedI had a period of remission for a about 6 months after having major surgery earlier this year. Unfortunately it relapsed some time after I developed shingles. In context ↗
  • Began after: nothing they could nameYeah mine was gradual.
Read from 50 of their posts and comments; links to the 23 this page draws on

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Summary

Hare 57429 describes ME/CFS that began gradually around 2020, having felt mildly affected since their teens. A six-month remission followed major abdominal surgery in 2024, but shingles and life stressors brought symptoms back and they were housebound from October 2024 and unable to work. They improved again in February 2025 without crediting a treatment and remain limited. They have used tirzepatide since July and report it works for them, though it has not helped their fatigue.

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What they tried

Their words about each treatment
  • weight loss (over 50kg) · No changeNope. I lost over 50kg during which time I developed CFS/ME. So I lost the weight yet felt the worst I've ever felt in my life. In context ↗
  • iron infusions · HelpedI was being treated for anemia prior to my CFS diagnosis. I had iron infusions. It helped *something* but unfortunately didn't make the other symptoms go away. In context ↗
  • Garmin watch (HRV and body battery) · No changeI've had a garmin that measures HRV for the past three or so years ... I find it exactly zero help to manage my CFS. In context ↗
  • modafinil / armodafinil · WorseI took it occasionally before I developed ME and it was great. Now it just makes me feel wired and kind of more unwell. In context ↗
  • mounjaro / tirzepatide · No changeIt's not helped my fatigue but I don't think it has made it any worse. Hard to tell really as I've been in a crash for months In context ↗
  • venlafaxine · WorseI tried it for a week before stopping because I felt fucking terrible on it. Weird nerve sensations all over my skin In context ↗
  • gluten free diet · No changeI didn't do it for ME/CFS per se as I wasn't diagnosed at that point. I did it on the suggestion of a women's health specialist to see if it helped my PMDD symptoms. In context ↗
  • therapy · HelpedI see a therapist on zoom for an hour a fortnight. Yes it is exhausting. ... It is some guaranteed safe gentle social time, and for me that is worth the exertion. In context ↗
  • pacing · No changeThis winter I have a diagnosis, I have been sedentary/pacing, so unwell and dying of boredom and brain rot. I felt no better for it. In context ↗
  • diazepam · HelpedNo idea but I find it helps as well. In context ↗
  • codeine phosphate · HelpedI only use it on really bad days though as tolerance builds very quickly and it's not without its own negative effects. In context ↗
  • Visible armband · No changeBetween them I'm not sure either is actually much help. I've experimented playing the game with pace points, and then ignoring it and just being sensible on a good day (those are rare) and I feel absolutely no difference either way. In context ↗
  • slow walking · Not saidI walk very slowly when I feel able to. I can't say whether it does or does not contribute to symptoms but not noticably In context ↗
  • reduced-caffeine coffee (60:40 caffeinated to decaf) · Not saidI started mixing my caff beans with decaf because "full fat" coffee was proving too much for me. I do about 60:40 in the favour of caff. In context ↗

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 were
2020 (4-5 years before January 2025)gradual onset, mild since teens, more noticeable weakness and achingmine was gradual. Fairly sure I've had it mildly since my teens now I think about it. In context ↗Mild
spring/summer 2024six-month remission after major abdominal surgeryafter major surgery I had the only period of remission I've had since I started having symptoms In context ↗Mild
2024, after surgerysymptoms crept back after shinglesafter I had shingles symptoms started to creep back in over the following months In context ↗Moderate
beginning of October 2024housebound, unable to workI can't work and I hardly leave the house at the moment because I feel so awful. In context ↗Moderate
middle of February 2025started feeling better againCome the middle of February I miraculously started feeling better again. In context ↗Mild
April 2025still limited, good days rareI still have days where I cry because I'm so fucking lonely, bored, or unwell. In context ↗Mild

Adverse events

  • Tirzepatide (Mounjaro, Zepbound)“I have been using mounjaro since the beginning of July and I feel like it's had a negative effect on me. I'd actually had the longest period of remission I'd had in over 18 months and about a month after starting mounjaro I started getting weak and wobbly again.” In context ↗ Made symptoms worse
  • Tirzepatide (Mounjaro, Zepbound)“Hasn't helped me at all. I've been on it since July and I've been in a horrible, worsening crash since September.” In context ↗ Made symptoms worse
  • Modafinil / armodafinil“Now it just makes me feel wired and kind of more unwell.” In context ↗ Made symptoms worse
  • Venlafaxine (Effexor)“Anyway I tried it for a week before stopping because I felt fucking terrible on it. Weird nerve sensations all over my skin, I felt like my entire body and brain had pins and needles and I felt unsafe to drive.” In context ↗ Nerve pain

Symptoms mentioned

Their words about their symptoms
  • Temperature regulationI get awful chills. In context ↗
  • Muscle weaknessI started getting weak and wobbly again In context ↗
  • Pain & fibromyalgiaunexplained body aches In context ↗
  • Anxiety & low moodI still have days where I cry because I'm so fucking lonely, bored, or unwell. In context ↗
  • Headaches & migraineI will get a headache in the following hours or the next morning In context ↗

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