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ME/CFS Moderate → somewhat better

ME/CFS with POTS and gastroparesis, unable to attend school, somewhat better with pacing

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
Not stated
Last post
Dec 2019
In their words
  • Condition: ME/CFSdue to CFS, gastroparesis and other issues In context ↗
  • At worst: Moderatemy feed is flooded with party pictures, school events and get together s I just can't make it too In context ↗
  • Now: Somewhat betterI am not getting any repercussions atm, and I fell as if my POTS/OI symptoms are a little better In context ↗
Read from 14 of their posts and comments; links to the 5 this page draws on

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Summary

A high-school student with CFS, POTS/OI and gastroparesis, they could not attend school in person and relied on sugar for short bursts of energy. Six months of trainer-led exercise worsened their fatigue though their POTS improved; stopping in June 2019 eased their naps and thinking. Strict pacing from October 2019 helped them do more, and they restarted gentle exercise, walking six minutes on a treadmill without repercussions.

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What they tried

Their words about each treatment
  • personal trainer gym program · WorseNow the PEM was horrendous. I would come home after a workout and nap for 8+ hours ... I did this for 6 months. In context ↗
  • intermittent fasting · No changeI have sort of tried intermittent fasting, I did the 8-16 block method for about 2 months. I didn't notice much weigh loss In context ↗
  • rest · WorseWith all this rest, my POTS/OI symptoms went down hill rapidly, making is hard to move around and concentrate along with other symptoms. In context ↗
  • strictly pacing · HelpedIn October this year (4 months after stopping), I tried strictly pacing. This made me feel a bit better and I was able to do more things! In context ↗
  • gradual exercise, increasing up to the point of no PEM · HelpedSo far, I am able to walk on a treadmill for 6 minutes at 4km/hour. It took me 3 weeks to increase from 5 minutes to 6. ... I am not getting any repercussions atm, and I fell as if my POTS/OI symptoms are a little better. In context ↗

Approaches: Pacing

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. 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
—became ill and had to stop dramaI use to love doing drama before I go sick. In context ↗Not stated
first half of 2019fatigue worsened over 6 months of trainer-led exerciseMy fatigue was getting worse, however my POTS/OI symptoms had never been better! In context ↗ModerateGraded rehab and self-made programmes
June 2019stopped gym exercise; less tired, shorter napsFor the first three months after stopping, I actually started to fell less tired. My naps had reduced to 5+ hours a day and my cognitive symptoms got a little better. In context ↗Moderate
October 2019strict pacing helped them do moreIn October this year (4 months after stopping), I tried strictly pacing. This made me feel a bit better and I was able to do more things! In context ↗ModeratePacing and the energy envelope
December 2019restarted very gentle exercise; POTS a little betterSo far, I am able to walk on a treadmill for 6 minutes at 4km/hour. In context ↗ModerateGraded rehab and self-made programmes

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisethe PEM was horrendous In context ↗
  • Brain fogmy cognitive symptoms got a little better In context ↗
  • POTS & dysautonomiathe POTS/OI stuff still continued In context ↗
  • Sleep problemsI would come home after a workout and nap for 8+ hours In context ↗
  • Gut problemsdue to CFS, gastroparesis and other issues that I struggle to eat a lot In context ↗
  • Anxiety & low moodI can't do caffeine because it induces anxiety symptoms for me In context ↗

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