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ME/CFS Severe → somewhat betterIll 4 years before improving or writingNeeds ongoing treatment

Housebound, sometimes bedbound with ME/CFS; somewhat better with pacing and MCAS regimen

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
4 years
Last post
Oct 2025
In their words
  • Condition: ME/CFSI have CFS along with POTS, MCAS, and several other things In context ↗
  • At worst: SevereIn the beginning I was housebound (bed bound some days), could barely hold a conversation because of the brain fog In context ↗
  • Now: Somewhat betterNow, if it’s a good day I can do about 35% of what a human with “typical energy” can do. In context ↗
  • Began after: injury or surgeryBut things got way worse after a horseback riding accident in 2020. I broke my wrist, was hospitalized for a couple of days for surgery, and within a week I started developing a whole host of symptoms
Read from 14 of their posts and comments; links to the 3 this page draws on

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Summary

Harbor 40562 fell ill in 2020 after a horseback riding accident and wrist surgery, becoming housebound and sometimes bedbound with brain fog, POTS, MCAS and SIBO. After four years with little medical support aside from PT and speech therapy, a 2024 POTS diagnosis led to other diagnoses; treatment included pacing, an MCAS regimen, low-histamine diet and thyroid and antiviral drugs, and they improved from severe to moderate, about 35% of normal energy on good days. A 0.01 LDN trial made them bedbound again.

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What they tried

Their words about each treatment
  • LDN · Much worseit was too sedating even at .01 (made me bed bound again and I'm having to claw my way back to civilization, again) In context ↗
  • NP Thyroid · HelpedI’m on the low end of normal thyroid. Prescribed by CFS doctor. Makes it significantly easier to wake up. In context ↗
  • Lactoferrin · Not saidLactoferrin 250mg – for Low Ferritin. In context ↗
  • Electrolytes and compression · Not saidElectrolytes: first thing when I wake up and throughout the day. In context ↗
  • Nasalcrom · Not saidstill trying to figure out if this is helpful for MCAS In context ↗
  • B12 and B complex · HelpedHelped significantly with shortness of breath. In context ↗
  • Zinc · Not saidZinc 15mg – for frequent infections In context ↗
  • Vitamin C · Not saidVitamin C 1,000mg – for frequent infections In context ↗
  • Claritin · Not saidClaritin 10mg for MCAS In context ↗
  • Pepcid · HelpedPepcid 10mg for MCAS: has helped significantly with flushing In context ↗
  • Quercetin · Helpedhas helped significantly for extreme fatigue caused by weather changes In context ↗
  • D3 · Not saidD3 alternate every other day 125/250mcg - w/ fat In context ↗
  • CoQ10 · Not saidCoQ10 100mg - w/ fat Can be stimulating - monitor carefully! In context ↗
  • Omega 3s · Not saidOmega 3s 1280mg - w/ fat In context ↗
  • Magnesium glycinate · HelpedMagnesium glycinate 240mg: helps with relaxation and regularity In context ↗
  • Probiotic · HelpedProbiotic: helps with regularity In context ↗
  • Valacyclovir · HelpedValacyclovir 1gm: helps with EBV reactivation. Colds used to last 2-4 weeks. Now they are less severe and shorter. In context ↗
  • Singulair · Not saidSingulair 10mg for MCAS In context ↗
  • Gastrocrom · HelpedHas helped with hives, nightly stomach pain, soreness upon waking (tight fascia). In context ↗
  • Clobetesol · Not saidClobetesol ointment for hives and psoriasos/eczema In context ↗
  • Tylenol · Not saidTylenol for aches/pains/headaches In context ↗
  • Excedrine · Not saidExcedrine for stubborn headaches In context ↗
  • 5HTP · Not saidI took 5HTP because my serum serotonin was low. Once it reached the threshold my CFS doctor wanted, then I stopped. In context ↗
  • z-pack · Not saidMy CFS doc also had me take a z-pack for two months because of lingering walking pneumonia and another infection he identified in bloodwork. In context ↗
  • hormone therapy · Not saidsome of his treatments have not been necessary such as trying hormone therapy In context ↗
  • Curable app · Helpedthe education segment about pain was eye opening and made me less fearful of pain In context ↗
  • DNRS · HelpedCBT portion helped with shifting mindset. I can’t think/meditate my way out of this illness, but shifting my mindset helped me with hopefulness. In context ↗
  • Gupta Program · HelpedTaught me a lot about meditation. I took what worked for me and left the rest. In context ↗
  • CBT for Insomnia · HelpedI only had to go three times before my sleep got sorted. In context ↗
  • Nidra Vidya meditations · HelpedMeditations help significantly with headaches and general overstimulation. In context ↗
  • Planning/pacing · Helped a lotBy using planning/pacing techniques I have clawed my way back to engaging with the world again. I take frequent breaks throughout the day whether I think I need them or not. In context ↗
  • graded activity progression · HelpedI went from all I could do in a day was folding towels to working my way to stretching, then recumbent bike, then walking outside, etc. In context ↗
  • Low Histamine Diet · Helpedthe smoothie definitely helps me feel better In context ↗
  • Vestibular physical therapy · Helped a lotVestibular physical therapy that helped tremendously with dizziness and planning/pacing. In context ↗
  • Speech therapy · Not saidSpeech therapist for brain fog, concentration and word finding In context ↗
  • Pelvic Floor Therapy · Not saidPelvic Floor Therapist for Urine Loss and Pelvic/Hip instability In context ↗
  • Chiropractic · HelpedA husband and wife chiropractic team that have helped with sublaxations and visceral massage. In context ↗
  • visceral massage · Helpedvisceral massage to loosen abdomen fascia, and MCAS treatment In context ↗
  • hydroxyzine · WorseI couldn't do the hydroxyzine because it was so sedating In context ↗

Approaches: Diet · Pacing

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
2020ME/CFS onset after horseback riding accident and wrist surgeryIn the beginning I was housebound (bed bound some days), could barely hold a conversation because of the brain fog, and couldn’t even watch tv because it was too stimulating – I could only listen to it. In context ↗Severe
2025bedbound again on 0.01 mg LDNI saw an MCAS specialist who let my try LDN, but it was too sedating even at .01 (made me bed bound again and I'm having to claw my way back to civilization, again). In context ↗Severe
2025-09improved from severe to moderate on pacing, MCAS treatment and other measuresNow, if it’s a good day I can do about 35% of what a human with “typical energy” can do. In context ↗ModeratePacing and the energy envelope

Adverse events

  • Low-dose naltrexone“I was on .01 LDN, and while it helped my hives, tight fascia, and stomach pain, the fatigue was intolerable. ... it was too sedating even at .01 (made me bed bound again and I'm having to claw my way back to civilization, again).” Made symptoms worse
  • “He also recommended too high of dosages which caused overstimulation (headache, dizziness, etc).” In context ↗ Side effects
  • Baicalein and quercetin“I then took out the quercetin because I was feeling overstimulated.” In context ↗ Side effects
  • Hydroxyzine (Atarax, Vistaril)“I couldn't do the hydroxyzine because it was so sedating” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseFatigue after working out In context ↗
  • Brain fogcould barely hold a conversation because of the brain fog, and couldn’t even watch tv because it was too stimulating In context ↗
  • POTS & dysautonomiaI was eventually diagnosed in 2024 (hence my Reddit name) with POTS which led to other diagnoses. In context ↗
  • Mast cell (MCAS) & allergiesI have CFS along with POTS, MCAS, and several other things that contribute to the fatigue. In context ↗
  • Sleep problemsWake every 2-3 hours at night In context ↗
  • Pain & fibromyalgiaHas helped with hives, nightly stomach pain, soreness upon waking (tight fascia). In context ↗
  • Headaches & migraineExcedrine for stubborn headaches In context ↗
  • Gut problemsconstipation alternating with loose stool In context ↗
  • Light & noise sensitivitySensitivity to light, sound, smell (seems to be improving with MCAS treatment, particularly smell) In context ↗
  • BreathlessnessHelped significantly with shortness of breath. In context ↗
  • Anxiety & low moodTearfulness when in a severe flare In context ↗
  • TinnitusTinnitus (seems to be improving with MCAS treatment) In context ↗
  • Temperature regulationTrouble regulating temperature In context ↗

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