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ME/CFS Moderate → somewhat betterIll 10 years before improving or writingNeeds ongoing treatment

In bed for a year with ME/CFS, now somewhat better with ketosis and low-dose Abilify

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
10 years
Last post
May 2026
In their words
  • Condition: ME/CFSI've had cfs for ten years In context ↗
  • At worst: ModerateI'm mild/moderate. I become mostly bedbound when I exert myself, and have low energy on most days. I cannot work etc. In context ↗
  • Now: Somewhat betterLDA transitioned me into mild from moderate, but mild is also so emotionally challenging. In context ↗
  • Began after: another virusI got the cmv that triggered cfs In context ↗
Read from 54 of their posts and comments; links to the 34 this page draws on

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Summary

Summit 53929 became ill with CFS after a CMV infection around 2014, was in bed for a year by 2018 and later called herself mild to moderate and unable to work. Ketosis gave her more usable hours, and low-dose Abilify moved her from moderate to mild. She was moderate again by 2026, still brain fogged, and said alcohol, Adderall and many supplements only propped her up at a cost.

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What they tried

Their words about each treatment
  • beginner aerial silks class · WorseThat particular class left me fuzzy headed and dizzy for a week afterward In context ↗
  • dexedrine · HelpedResting this much helps me manage the brain fog, dexedrine also helps In context ↗
  • alcohol · Helped5 stops PEM to a certain extent In context ↗
  • compression tights · HelpedMy doc just prescribed compression tights and I have been fainting less and have a slightly easier time standing In context ↗
  • tryptophan · WorseI supplemented with tryptophan when I first started getting ill to improve my sleep quality, and the next day was hell In context ↗
  • trazodone · WorseI initially fell asleep for about an hour on trazodone, then woke up and my brain was on fire In context ↗
  • 5-htp · WorseIf I take 5-htp I end up crying and exhausted the next day In context ↗
  • apple cider vinegar · HelpedNow, when I feel one coming, I drink a few shots worth of apple cider vinegar throughout the day, as much as necessary really In context ↗
  • phenazopyridine · HelpedIt helps with pain and also forms a barrier to keep the bacteria from sticking to the lining of your urinary tract In context ↗
  • keto · HelpedI'm keto now but every meal is a chore. Idrc though because I feel better on it ... Seems to prevent crashes for me as well
  • rest · HelpedI always end up having a remission of random lengths if I put the time to rest in In context ↗
  • vaccines · HelpedI actually briefly improved after all of my vaccines. Got worse again after catching a very mild case of covid In context ↗
  • LDN · HelpedI like it but it makes me susceptible to migraines In context ↗
  • LDA · Helped a lotLDA transitioned me into mild from moderate In context ↗
  • nicotine · HelpedIt can help me feel more energized but no lasting change In context ↗
  • IV saline · Helped a lotIVs help me immensely In context ↗
  • propranolol · HelpedPropranalol helped me at first but now I don't need it In context ↗
  • Magnesium malate · Helpedhe wanted to start me on a supplement stack ... surprisingly it worked In context ↗
  • Feverfew · HelpedFeverfew - 380mg x2 a day In context ↗
  • Coenzyme q10 · HelpedCoenzyme q10 - 200 mg 2x a day In context ↗
  • Vitamin b2 · HelpedVitamin b2 - 100 mg a day, sometimes twice In context ↗
  • milk thistle · HelpedI take 3 milk thistle pills before drinking and it helps so much with hangovers In context ↗
  • duloxetine · No changeIt was incredibly physically motivating, but it didn't help "fatigue" ... it was masking the fatigue, not treating it In context ↗
  • Mestinon · HelpedMestinon really helped with my POTS btw! In context ↗
  • L-citruline · HelpedL-citruline: 3,000 mg on an empty stomach. Subtle but consistently better able to move In context ↗
  • Ubiquinol · HelpedUbiquinol: 400 mg In context ↗
  • Adderall · HelpedAdderall: 10-20mg (couldn't handle while moderate but ok now that im mildish In context ↗
  • Methelyne blue · HelpedMethelyne blue: 10 drops as needed In context ↗
  • creatine · HelpedIt helps for sure but it makes me ugly my looks are sort of my only consistent asset right now In context ↗
  • glp-1 · WorseI wanted to lose some vanity pounds i picked up from lda but the glp-1 made me so tired for a few days ... for now I'm off of them In context ↗
  • Retatrutide · WorseRetatrutide has been overall bad for my quality of life. I can't access the mania I need to get through projects while I am on it ... It makes me more tired, if anything In context ↗
  • psychedelics · Helpedpsychedelics gave me a good spiritual foundation that continues to comfort me on bad days In context ↗
  • Bupropion (Wellbutrin) · Not saidIt makes me see the shadow people, unfortunately. In context ↗

Approaches: POTS medication · Diet · Other drugs and medicines · Radical rest · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered4 y6 y8 y10 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 4 years 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 wereAfter
onsetCFS triggered by a CMV infectionI got the cmv that triggered cfs In context ↗Not stated
2018laid in bed for a yearI had been laying in a bed for a year In context ↗Moderate
2022remission after a month of restingI was crashing pretty hard for a month and woke up a week ago manic and have been able to work and do stuff I enjoy In context ↗ModerateRadical rest
2024mostly in bed for the summerI had spent the rest of the summer before mostly in bed In context ↗Moderate
2024-10-16weekend lake trip without crashingI didn't crash after despite doing a bit of swimming and walking In context ↗MildKeto and low-carb diets
2025-09-15LDA moved her from moderate to mildLDA transitioned me into mild from moderate In context ↗MildLow-dose Abilify / aripiprazole
2026-04-30moderate again, worse with alcohol and retatrutideI'm moderate but can alleviate my symptoms with 1,000 supplements, Adderall, and liquor + electrolytes In context ↗Moderate

Adverse events

  • Dexamfetamine (Dexedrine)“I take dexedrine, and experience a v similar thing, but my body goes the opposite direction. I get extremely low blood pressure and grey out constantly. Also high HR.” In context ↗ Low blood pressure or fainting
  • Tryptophan“I supplemented with tryptophan when I first started getting ill to improve my sleep quality, and the next day was hell. I remember crying, and being entirely unable to move.” In context ↗ Made symptoms worse
  • Trazodone (Desyrel)“I initially fell asleep for about an hour on trazodone, then woke up and my brain was on fire. I couldn't fall back asleep” In context ↗ Insomnia from treatment
  • 5-HTP“If I take 5-htp I end up crying and exhausted the next day.” In context ↗ Made symptoms worse
  • Low-dose naltrexone“LDN lowers my migraine threshold, really wish I could fully explore using it” In context ↗ Side effects
  • Low-dose Abilify / aripiprazole“Following because the same thing happened to me. I didn't tough it out because I was still trying to get through school at that point and couldn't afford the derailment. It also seems to lower my migraine threshold.” In context ↗ Insomnia from treatment
  • Duloxetine (Cymbalta)“It was incredibly physically motivating, but it didn't help "fatigue". Just turned up the "wired" on the "tired but wired" sensation. Also i couldn't orgasm.” In context ↗ Side effects
  • Bupropion (Wellbutrin)“It makes me see the shadow people, unfortunately.” In context ↗ Mood or psychiatric effects
  • GLP-1 drugs (unspecified), Retatrutide“I wanted to lose some vanity pounds i picked up from lda but the glp-1 made me so tired for a few days.” In context ↗ Made symptoms worse
  • Low-dose Abilify / aripiprazole“This was never a problem before the abilify appetite, so I started taking Retatrutide to counteract that” In context ↗ Side effects
  • Retatrutide“Retatrutide has been overall bad for my quality of life. I can't access the mania I need to get through projects while I am on it. ... It makes me more tired, if anything.” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI also experience post exertional malaise after active days In context ↗
  • Brain fogI'm still experiencing severe brain fog relative to my healthy cognitive capacity In context ↗
  • POTS & dysautonomiaI get extremely low blood pressure and grey out constantly In context ↗
  • Headaches & migraineI have atypical hemiplegic migraine with aura In context ↗
  • Sleep problemsAbout the same anxiety and insomnia In context ↗
  • Anxiety & low moodI've had much less depression during my PEM when I can just radically accept the reality of it In context ↗

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