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ME/CFS Severe → somewhat betterNeeds ongoing treatment

Mostly bedbound with ME/CFS, now somewhat better with POTS and MCAS drugs

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSI also got ME/CFS from Covid. In context ↗
  • At worst: SevereI am 95% bedbound and only get up to go to the bathroom In context ↗
  • Now: Somewhat betterI was recently able to sit on the balcony for 10 minutes for the first time in over a year. In context ↗
  • Began after: COVIDI also got ME/CFS from Covid. In context ↗
Read from 65 of their posts and comments; links to the 31 this page draws on

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Summary

Comet 39019 became ill with ME/CFS after Covid, spending the first year at the mild end of moderate. IVF about a year in sent them crashing into severe, where they have mostly remained bedbound and reliant on carers, though they can now briefly sit on the balcony. POTS medication gave a little extra usable energy, some medication helped sleep, and MCAS drugs helped, while a seven-month ketogenic diet and an unnamed therapy made them worse.

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What they tried

Their words about each treatment
  • Metoprolol, later Nebivolol · HelpedI take Nebivolol and it does actually give me a little extra usable energy. In context ↗
  • ketogenic diet · Much worseI was on a ketogenic diet following the advice of a doctor for about 7 months ... During that time, my POTS got significantly worse. In context ↗
  • IVF treatment · Much worsethe exhaustion of the whole procedure sent me crashing into severe, where I have been ever since In context ↗
  • extra electrolytes and increased water intake · Not saidI was told by the doctor who advised me to try keto to increase my water intake, and I also took extra electrolytes. In context ↗
  • cold water chugging · HelpedI could indeed somewhat manage the POTS if I chugged a lot of very cold water very fast, and that improved my HR for about 30mins or so. In context ↗
  • Mestinon · Helpedat first it worked great for my POTS ... Now I'm more or less back to where I was before starting Mestinon. In context ↗
  • LDN · Not saidI am still titrating up so can't really tell if the LDN is helping much, yet In context ↗
  • daridorexant (Quviviq) · HelpedQuviviq works pretty well for me, but you need to take it consistently and it only really starts working after a month or so. In context ↗
  • melatonin · HelpedI took slow release melatonin at various phases in my illness and they always worked pretty well. In context ↗
  • Ketotifen · HelpedIt did help with adrenaline dumps/ tachycardia especially at night and thus improved my sleep. In context ↗
  • Famotidin · HelpedMine got a lot better with POTS treatment and antihistamines (Ketotifen + Famotidin + Cromolyn). In context ↗
  • Nattokinase · HelpedNattokinase helps with my POTS, though not nearly as effective as medication. In context ↗
  • D-Ribose · HelpedD-Ribose improves my overall energy a bit In context ↗
  • ibuprofen · Helpedwhat works wonders for that is good old ibuprofen. Lifts that flu- feeling right off. In context ↗
  • TENS unit with ear clips for vagus nerve stimulation · HelpedI got a TENS unit for vagus nerve stimulation and it slightly improved my sleep and slight helped me relax/calm down my stress response. In context ↗
  • micropacing by heart rate · HelpedI micropace specifically with my HR for my POTS. In context ↗
  • non-stim rest · HelpedI have been incorporating a lot more non-stim rest which I feel is overall good for me. In context ↗
  • yoga nidra and breathing exercises · Not saidI like yoga nidra, especially those with a focus on the body scans. In context ↗
  • sports compression leg sleeves · HelpedI wear these sports compression leg sleeves ... they are better than nothing and they are so much more wearable in the summer. In context ↗
  • hyposensitization for dust mite allergy · HelpedI did one about a decade ago and it really improved my symptoms. In context ↗
  • intermittent hypoxic therapy · Much worseI did a couple of sessions and it absolutely made me worse. In context ↗
  • lymphatic self massage on my face · WorseI've tried lymphatic self massage on my face and it gave me the most horrible MCAS flushes. In context ↗
  • treatments at an ME/CFS practice · WorseWaren teure Behandlungen, die meinen Zustand am Ende nur verschlechtert haben. In context ↗

Approaches: Beta-blockers · Radical rest · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

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 dashed part: the story doesn’t say when. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
onsetME/CFS after Covid; still trying to conceive, mild end of moderateI also got ME/CFS from Covid. ... For the first year of being sick, I was still on the mild end of moderate so we kept tryingModerate
about a year into my illnesscrashed into severe after IVF treatmentthe exhaustion of the whole procedure sent me crashing into severe, where I have been ever since In context ↗Severe
—POTS much worse during seven months of ketogenic dietI was on a ketogenic diet following the advice of a doctor for about 7 months. ... During that time, my POTS got significantly worse. In context ↗Severe
2026-04POTS improved after stopping keto and eating carbs againwithin less than 2 weeks, my HR went back down to around 110 when standing, and the symptoms got much more bearable In context ↗Severe
2026-07able to sit on the balcony for 10 minutesI was recently able to sit on the balcony for 10 minutes for the first time in over a year. In context ↗Severe
2026-07still bedbound apart from toilet trips; POTS better medicatedI am bedbound and only take toilet trips In context ↗Severe

Adverse events

  • Keto and low-carb diets“I was on a ketogenic diet following the advice of a doctor for about 7 months. ... During that time, my POTS got significantly worse.” In context ↗ Made symptoms worse
  • Keto and low-carb diets“After starting keto, my HR went from about 70 (resting) to easily 140-150 (standing).” In context ↗ Heart rhythm problems
  • Keto and low-carb diets“In the beginning, I was sent to the ER once (which was a whole terrible experience on its own) because the symptoms were so severe.” In context ↗ ER visit
  • Mestinon / pyridostigmine“I get these all the time as a side effect from Mestinon. ... Didn't have them before.” Side effects
  • “Waren teure Behandlungen, die meinen Zustand am Ende nur verschlechtert haben.” In context ↗ Made symptoms worse
  • “I did a couple of sessions and it absolutely made me worse. ... the session absolutely sent me over the edge.” In context ↗ Made symptoms worse
  • Keto and low-carb diets“Keto made my POTS significantly worse, and had no discernible benefit for me. Also caused horrible constipation.” In context ↗ Gut side effects
  • “I didn't get pregnant, but instead the exhaustion of the whole procedure sent me crashing into severe, where I have been ever since.” In context ↗ Made symptoms worse
  • Manual lymphatic drainage“I've tried lymphatic self massage on my face and it gave me the most horrible MCAS flushes.” In context ↗ Autoimmune or inflammatory flare

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseThen I have another 2-3 days (sometimes more) with just full blown PEM without breaks, followed by another 2-3 days In context ↗
  • POTS & dysautonomiaI still have POTS and am mostly bedbound In context ↗
  • Mast cell (MCAS) & allergiesMy skin issues are more related to dry skin, rosacea and similar rashes related to MCAS. In context ↗
  • Sleep problemsAnd my sleep still sucks. I can only sleep when medicated. In context ↗
  • Heart symptoms & palpitationsheart feeling like it's going to jump out of my chest In context ↗
  • Breathlessnesspain and tightness in the chest, difficulty breathing In context ↗
  • Muscle weaknessmy hands and arms are just too weak to manage In context ↗
  • Flu-like symptomsMy biggest problem when in PEM is the flu-like feeling In context ↗
  • Temperature regulationI often get temperature dysregulation where I feel very cold despite actually being very hot. In context ↗
  • Gut problemsAlso caused horrible constipation. In context ↗
  • Anxiety & low moodMy therapist, who has seen me through years of depression before I got sick with ME In context ↗

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