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ME/CFS Severe → much betterNeeds ongoing treatment

Practically bedbound with ME/CFS, now much better after steroids and Contrave

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Jun 2024
In their words
  • Condition: ME/CFSI have asthma and obviously energy problems with CFS and it helps with both. In context ↗
  • At worst: SevereWhen I stopped trying to exercise I went from practically bedbound to able to do short spurts of activities In context ↗
  • Now: Much betterWhat seems to have gotten me out of moderate to mild is a round of steroids followed by taking Contrave (Wellbutrin and naltrexone), amitriptyline, and bronkaid. In context ↗
  • Began after: nothing they could nameLittle by little things became harder and harder and I needed to rest more and more. In context ↗
Read from 17 of their posts and comments; links to the 12 this page draws on

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Summary

A Reddit user with ME/CFS, once a very active gym-goer, declined gradually until they were practically bedbound, spending a week or more in bed after graded exercise. Stopping exercise let them do short bursts of activity, and steroids plus Contrave, amitriptyline and bronkaid took them from moderate to mild, though they still could not shower daily. By June 2024 they felt worse, unsure if a cold, PEM or a lower baseline was to blame.

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What they tried

Also tried

Their words about each treatment
  • caffeine · Worsetrying to continue my normal routine with the aid of caffeine was making me sicker In context ↗
  • graded exercise advice · Much worseWhen I was following the graded exercise advice, I would try to be active and spend a week or more in bed. In context ↗
  • stopping exercise / resting instead · HelpedWhen I stopped trying to exercise I went from practically bedbound to able to do short spurts of activities In context ↗
  • a round of steroids (prednisone) · Helped a lotBecause then the prednisone makes me feel amazing. In context ↗
  • naltrexone (in Contrave) · HelpedI take naltrexone and it helps me quite a bit. In context ↗
  • Wellbutrin · Helpedfollowed by taking Contrave (Wellbutrin and naltrexone), amitriptyline, and bronkaid In context ↗
  • amitriptyline · HelpedI can’t sleep without amitriptyline. It has helped my symptoms all around. In context ↗
  • Bronkaid · HelpedI have asthma and obviously energy problems with CFS and it helps with both. In context ↗
  • volume vegetables and fruit diet · Not saidI’ve been eating volume vegetables and lots of fruit. In context ↗
  • tonsillectomy · HelpedIf I went back in time, I would do it again ... once they are out life quality is improved, imp. In context ↗
  • brain retraining audio · Worsemy drs made me try that and it only made me aware of how much pain I was distracting myself from so I stopped using it. In context ↗

Approaches: Other antidepressants · Other drugs and medicines · Pacing · Surgery & structural · Tricyclic antidepressants

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
—gradual decline from a very active life (gym, heavy weights, cardio, maintaining a property)Little by little things became harder and harder and I needed to rest more and more. In context ↗Mild
—became nearly severe and practically bedbound while following graded exercise adviceI am a lot more gentle with myself after becoming nearly severe. In context ↗Severe
2024-05-21stopped trying to exercise and could do short bursts of basic activityWhen I stopped trying to exercise I went from practically bedbound to able to do short spurts of activities — not to be confused with sports. In context ↗ModeratePacing and the energy envelope
2024-05-25went from moderate to mild on steroids then Contrave, amitriptyline and bronkaidWhat seems to have gotten me out of moderate to mild is a round of steroids followed by taking Contrave (Wellbutrin and naltrexone), amitriptyline, and bronkaid. In context ↗MildCorticosteroid pulses
2024-06-24felt good for a while then worse, unsure whether a cold, PEM or a lower baselineI felt good for a while and I can’t tell if I’m just sick with a cold or something, in PEM, or my baseline is getting lower In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseWhen I was following the graded exercise advice, I would try to be active and spend a week or more in bed. In context ↗
  • Pain & fibromyalgiawalking can leave me very tired and sore In context ↗
  • Sleep problemsI still need a lot of sleep, and rest between activities in the day In context ↗
  • BreathlessnessI have noticed respiratory issues have greatly increased since being diagnosed with CFS. In context ↗
  • Anxiety & low moodEvery time something else gets taken from me, I get very depressed. In context ↗

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