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ME/CFS Mild → somewhat betterIll 33 years before improving or writing

ME/CFS kept putting her in bed; somewhat better on ketogenic diet and naltrexone

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
33 years
Last post
Jan 2025
In their words
  • Condition: ME/CFSI have ME/CFS, with fibromyalgia pain that was pervasive and unrelenting In context ↗
  • At worst: MildI have it, a milder case and with the decades I have learned pacing In context ↗
  • Now: Somewhat betterI am not normal yet, but I have gained a lot of function back. In context ↗
Read from 31 of their posts and comments; links to the 19 this page draws on

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Summary

Pond 39964 had ME/CFS from about age 35, diagnosed five years before her son was born when she was 40. Pregnancy and full-time breastfeeding gave relief until he was weaned at 18 months, then daily after-meal slumps kept putting her in bed. A stricter ketogenic, near-carnivore diet in late 2024 improved her energy and function, and low-dose naltrexone keeps her pain managed, so she is not normal yet but has gained a lot back.

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What they tried

Their words about each treatment
  • serotonin reuptake inhibitor (SSRI) · HelpedI was on antidepressants for 20 years, but went off due to a CBD oil capsule straw of the camel's back serotonin syndrome incident In context ↗
  • CBD oil · Much worseCBD oil in capsule form, which I had begun taking for insomnia In context ↗
  • caffeine · HelpedYes, it helps me with the afternoon crashes I get after eating. In context ↗
  • ketogenic diet · Helped a lotA more restricted keto, almost carnivore, in my case focusing on fatty fish, worked. In context ↗
  • restricted time feeding · HelpedLow carb eating, restricted time feeding (6-8 hour eating window 1-2 meals per day no snacking) greatly improved my energy levels. In context ↗
  • Low dose naltrexone (LDN) · Helped a lotI have no discernable side-effects and my chronic pain is well-managed. In context ↗
  • shower chair · HelpedI got a minimal shower chair, measuring first to ensure it would fit my tub In context ↗
  • pacing within my energy envelope · HelpedI have learned the principle of hormesis. I think of it as an envelope of allowable exercise. In context ↗
  • walking · HelpedI will exercise in the morning and will get an hour of walking in In context ↗
  • nightshade vegetables · Helpedwhen I told him I had muscular pain and cramping. He said, "In my experience, that's nightshade." And it was the nightshade vegetables. In context ↗
  • zinc · Not saidthe zinc I was taking heretofore unaware that they are a supplement couple In context ↗
  • copper · Not saidI needed to couple "2 mg/day of copper, no more no less" with the zinc In context ↗
  • pink rock salt · HelpedI take a few grains of pink rock salt when I get dizzy. In context ↗
  • therapist · HelpedI think a really good therapist to work on a specific problem, is well worth it. In context ↗
  • time released melatonin · Helpedtime released melatonin (to initiate and reinitiate sleep during the night) In context ↗
  • progesterone · Helpedprogesterone before bed In context ↗
  • sleep inducing relaxation audio · Helpeda sleep inducing relaxation audio (of a video turned away so you can't see the light) In context ↗
  • magnesium glycinate · Helpedresolves for me when I took magnesium glycinate In context ↗
  • COVID vaccination as treatment · Not saidI had a bad reaction getting them both on the same day. It took me 2 weeks to recover. In context ↗

Approaches: Diet · Exercise and activity · Pacing

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
age 35ME/CFS onset, diagnosed as chronic fatigue/fibromyalgiaI had my son at 40 and had had the ME/CFS diagnosis (called chronic fatigue/fibromyalgia in those days) for 5 years. In context ↗
age 40 (pregnancy and nursing)symptoms eased during pregnancy and full-time breastfeedingI got relief of my ME/CFS symptoms during pregnancy and while nursing and fully supplying all of his food to my infant. In context ↗
about 18 months after his birthsymptoms returned as her son was weaned onto solid foodmy ME/CFS was arrested as long as I was breast feeding, but returned as I gradually moved my son to whole foods, starting at 18 months. In context ↗
2024daily after-eating slumps put her in bed; needed a shower chairpostprandial (after eating) slumps, which would put me in bed, sometimes to nap, every single day. In context ↗
2024-11stricter ketogenic, near-carnivore diet; gained function and energyA more restricted keto, almost carnivore, in my case focusing on fatty fish, worked. ... I am not normal yet, but I have gained a lot of function back. In context ↗
2025-01chronic pain well managed on low-dose naltrexoneI have no discernable side-effects and my chronic pain is well-managed. In context ↗Low-dose naltrexone

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIf I notice post exertional malaise after exercise, I stop to rest In context ↗
  • Sleep problemsmy insomnia is severe In context ↗
  • Pain & fibromyalgiaFor chronic pain from ME/CFS, Low Dose Naltrexone made up in a compounding pharmacy has worked for me. In context ↗
  • Headaches & migraineI have them (and ME/CFS), but usually only the ocular ones In context ↗
  • POTS & dysautonomiaI take a few grains of pink rock salt when I get dizzy. In context ↗
  • Heart symptoms & palpitationsMy heart raced. In context ↗

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