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ME/CFS Moderate → somewhat betterIll 5.5 years before improving or writingNeeds ongoing treatment

Moderate to severe ME/CFS and POTS, somewhat better with LDN and CoQ10

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
5.5 years
Last post
Sep 2026
In their words
  • Condition: ME/CFSI got CFS and POTS after taking the original series of Pfizer in May 2021. In context ↗
  • At worst: ModerateThe Pfizer vaccine sent me from very mild to moderate/severe In context ↗
  • Now: Somewhat betterStill suffering from these but some treatments are starting to help. In context ↗
  • Began after: a vaccinationI got CFS and POTS after taking the original series of Pfizer in May 2021. In context ↗
Read from 18 of their posts and comments; links to the 12 this page draws on

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Summary

Cove 18566 developed CFS and POTS after the original Pfizer COVID vaccination series in May 2021, going from very mild to moderate or severe. MitoQ, CoQ10, NAC and phosphatidyl choline gave small or noticeable energy gains, low-dose naltrexone was helpful, Paxlovid got them through a COVID infection and a Novavax booster was tolerated. They were still using CFS treatments in 2026, and microdosed semaglutide made them worse.

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What they tried

Their words about each treatment
  • mitoq · HelpedI used mitoq for several years, first at the standard dose and then increasing to 1.5 dose for extra benefit. In context ↗
  • coq10 · HelpedI switched to coq10 which I take at double dose, and the benefit is the same for me as the mitoq but cheaper. In context ↗
  • paxlovid · HelpedI did that when I got COVID just in case the COVID might make my cfs worse. Paxlovid worked like a charm. In context ↗
  • NAC · HelpedCoq10, NAC, and phosphatidyl choline all gave me a small but noticable energy boost. In context ↗
  • low dose naltrexone · HelpedHe prescribed low dose naltrexone which has been helpful for me. In context ↗
  • Wellbutrin · Not saidI have also tried Wellbutrin at 75 and 100 mg. Not sure if it helps, I need to try it some more. In context ↗
  • head raising of bed · Not saidI worked my way up to 5 inch but 8 inch was too much and triggered my orthostatic intolerance. In context ↗
  • b12 shots · HelpedI get numbness in my hands and feet when I'm low in b12. ... I find I need to get the shots every three weeks. I had the doctor show me how to do them at home. In context ↗
  • nicotine patches · No changeCut. But didn't see a benefit from the patches. In context ↗
  • semaglutide · WorseI got microdosed semaglutide through ageless rx telehealth. I started with much less than the prescribed microdose, but it made me feel worse, and I was losing weight even on the tiny dose which I didn't want. In context ↗
  • COVID vaccination as treatment · WorseThe Pfizer vaccine sent me from very mild to moderate/severe In context ↗

Approaches: Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 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 wereAfter
May 2021Pfizer COVID vaccination series triggered CFS and POTSI got CFS and POTS after taking the original series of Pfizer in May 2021. In context ↗Moderate
2023-10-16some treatments starting to helpStill suffering from these but some treatments are starting to help. In context ↗Moderate
2024-10-23low-dose naltrexone helpful for fatigueHe prescribed low dose naltrexone which has been helpful for me. In context ↗ModerateLow-dose naltrexone
2026-05-23felt improved at 7.5 mg LDNI was on 5, but accidentally messed up and took 7.5 for a few days and felt improved. In context ↗ModerateLow-dose naltrexone
2026-09-29microdosed semaglutide made them feel worseI started with much less than the prescribed microdose, but it made me feel worse, and I was losing weight even on the tiny dose which I didn't want. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseSometimes I get numbness from PEM too, but it is dominated by other PEM symptoms. In context ↗
  • POTS & dysautonomiaI got CFS and POTS after taking the original series of Pfizer in May 2021. In context ↗
  • Neuropathy & tinglingI get numbness in my hands and feet when I'm low in b12. In context ↗

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