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ME/CFS Mild → somewhat betterIll 7 years before improving or writing

ME/CFS with constant fatigue, PEM and severe anxiety, now somewhat better

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
7 years
Last post
Mar 2025
In their words
  • Condition: ME/CFSI had my first ME episode in 2018 and lasted for about a year and half. In context ↗
  • At worst: MildI am in the 70% on the scale of cfs. In context ↗
  • Now: Somewhat betterA bit better in some ways. It takes way more to trigger PEM and the fight or flight is gone but I developed migraines with an aura…still overall id say i am better than when I posted that comment. In context ↗
  • Began after: COVIDAfter a few covid infections last year it slowly but surely came back and worse than before…
Read from 11 of their posts and comments; links to the 7 this page draws on

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Summary

A 25-year-old professional swimmer who first had an ME episode in 2018, recovered to 90-95% for three and a half years, then relapsed after COVID in September 2023 and an October cold. He stopped training in December 2023 with constant fatigue, PEM and severe anxiety. By December 2024 he could barely work a couple of hours a day as a coach; by March 2025 he found PEM harder to trigger and his fight-or-flight response gone, though migraines with aura had appeared.

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What they tried

Their words about each treatment
  • ferrous sulfate · Not saideven after supplementing 3 times a day with 250mg ferrous sulfate In context ↗
  • return to the gym · WorseI tried to return to the gym but I was hit almost every time with PEM In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered2 y3 y4 y5 y6 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 18 months 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 were
2018first ME episodeI had my first ME episode in 2018 and lasted for about a year and half. In context ↗Not stated
2019recovered 90-95% for three and a half yearsAfter that I was recovered 90-95% for 3 years and a half. In context ↗Near normal
September 2023mild COVID, fine after two weeksI had a mild for in september(my 4th time getting covid and the mildest form).Got better in 2 weeks In context ↗Near normal
October-November 2023cold, then downhill until rock bottom during trainingAfter this cold everything started going downhill in the course of the month until in November when I hit rock bottom during training. In context ↗Mild
December 2023stopped training, full rest, severe anxiety and depressionI kept dragging myself training until 20th of December when I decided to stop training and go for full rest.Since then my mental health has also declined into severe anxiety and depression In context ↗Mild
March 2024constant fatigue, PEM on gym attempts, walking 5 km a dayI can walk 5km per day or even a bit more and most of the time I dont trigger PEM but I do feel the constant fatigue lurking. In context ↗Mild
June 2024office job, PEM almost daily, still slowly worseningI got myself an office job but I trigger PEM almost daily due to walking to work and concentrating at work. In context ↗Mild
December 2024coaching about two hours a day, no support from familycan barely work 2 hours a day as a coach for my team but I dont know how long I can keep this up In context ↗Mild
March 2025a bit better, PEM harder to trigger, anxiety gone, migraines with aura appearedA bit better in some ways. It takes way more to trigger PEM and the fight or flight is gone but I developed migraines with an aura…still overall id say i am better than when I posted that comment. In context ↗Mild

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI tried to return to the gym but I was hit almost every time with PEM In context ↗
  • Pain & fibromyalgiaCramping legs especially thighs and slight pain In context ↗
  • Muscle weaknessmy legs feeling heavy and cramping at the slightest effort In context ↗
  • Anxiety & low moodmy mental health has also declined into severe anxiety and depression In context ↗
  • Headaches & migraineI developed migraines with an aura In context ↗
  • Heart symptoms & palpitationsfatigue gets worse to the point I can’t move, high heart rate In context ↗

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