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ME/CFS Moderate → somewhat better

ME/CFS fatigue after basic tasks and TMJ ear pain, somewhat better with Nurtec and Botox

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
Not stated
Last post
Jun 2023
In their words
  • Condition: ME/CFSmy old debilitating fatigue In context ↗
  • At worst: Moderateback to my old debilitating fatigue In context ↗
  • Now: Somewhat betterI feel like my fatigue, is better overall as the pounds come off In context ↗
Read from 11 of their posts and comments; links to the 8 this page draws on

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Summary

A Reddit user with CFS described fatigue that lingered after basic tasks and ear pain from TMJ; they found Nurtec, rizatriptan and Botox most effective among treatments they tried. Modafinil gave a night-and-day improvement that faded within a year even at a higher dose; vestibular practices through occupational therapy helped their balance. On Wegovy and Ozempic their fatigue was briefly worse after an injection but better overall as they lost weight.

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What they tried

What they credit

Also tried

Modafanil· Helped a lot · wore offVestibular ‘practices’· Helpedheating pad· HelpedHylands PM leg cramp pills· HelpedNurtec· HelpedRiztriptain· HelpedBotox injections· Helped
Their words about each treatment
  • Vestibular ‘practices’ · HelpedIt helped my balance a lot. In context ↗
  • Modafanil · Helped a lotwhen I stared Modafanil it seemed like a miracle drug. I felt I was somewhat cured ... less than a year later and the drug made zero difference, even at a higher dose. In context ↗
  • heating pad · HelpedA heating pad helps. In context ↗
  • Hylands PM leg cramp pills · HelpedI have used the Hylands PM leg cramp pills for years and I can definitely recommend those. In context ↗
  • Nurtec · HelpedThe most effective have been Nurtec, Riztriptain, and Botox injections with my Neurologist. In context ↗
  • Wegovy and Ozempic · HelpedI found the fatigue just a little worse the day or two after the injection. HOWEVER, I feel like my fatigue, is better overall as the pounds come off In context ↗

Approaches: GLP-1 drugs

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
—Ongoing CFS fatigue with basic tasksthe fatigue is still there lurking once you do the most basic tasks. In context ↗Mild
—Started modafinil and felt a night-and-day improvementI felt I was somewhat cured and even cried with joy at the night and day difference In context ↗MildModafinil / armodafinil
2021-12Modafinil stopped working, even at a higher dosesoon there was zero effects at all. My doctor even switched me to a higher dose and I still saw no difference in my fatigue. In context ↗ModerateModafinil / armodafinil
2023-06-19On Wegovy/Ozempic fatigue briefly worse after injections but better overall as weight came offI feel like my fatigue, is better overall as the pounds come off In context ↗MildSemaglutide (Ozempic, Wegovy)

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Headaches & migraineThe most effective have been Nurtec, Riztriptain, and Botox injections with my Neurologist. In context ↗
  • Pain & fibromyalgiaI get a lot of ear pain because of TMJ. In context ↗

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