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ME/CFS Severe → somewhat betterIll 14 years before improving or writingNeeds ongoing treatment

Bedbound by an ME/CFS crash, now somewhat better with thiamin and magnesium

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
14 years
Last post
Aug 2021
In their words
  • At worst: SevereI was spending most of my time in bed when I started because standing/sitting gave me PEM In context ↗
  • Now: Somewhat betternow I am able to go for walks in nature every week and stand up to make meals and do dishes and go grocery shopping—so huge! In context ↗
  • Says they never had: Pain & fibromyalgiawhen I developed CFS at age 16, I never got the pain other CFS patients experience
Read from 26 of their posts and comments; links to the 17 this page draws on

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Summary

A Reddit user who developed CFS at 16 was bedbound by a crash and POTS flare-up in February 2020 and could not finish college coursework. From March 2020 high-dose thiamin (3 g daily, with magnesium) brought a profound improvement, with better energy, digestion and appetite. Oral rehydration solution later pulled them out of a bedbound crash, leaving them able to walk weekly and cook. They lost 100 lb on a low-vitamin-A diet.

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What they tried

Also tried

eMoods app· Helpedmagnesium· Helpedriboflavin (B2)· Helpedeating more calories· Helpedwhole foods diet / nutrition· HelpedLow Vitamin A Diet (Grant Genereux)· Helpeddairy-free diet· Helpedamino acid supplements· No changetherapist· No changeKeto· No changecod liver oil and vitamin A supplements· Much worse
Their words about each treatment
  • cod liver oil and vitamin A supplements · Much worseVitamin A made me extremely sick (I developed hypervitaminosis A). In context ↗
  • eMoods app · HelpedI have used it for a year to help me dose supplements and such. Very helpful thing to do. In context ↗
  • High Dose Thiamin Therapy (thiamin HCL) · Helped a lotmy CFS/POTS symptoms have been responding well to HDT therapy ... there have been remarkable changes In context ↗
  • magnesium · HelpedMagnesium can be great, though. In context ↗
  • amino acid supplements · No changeFor me, amino acid supplements did nothing. In context ↗
  • riboflavin (B2) · HelpedI notice deeper sleep when I take vitamins B1 and B2. In context ↗
  • biotin · Helpedas well as taking smaller amounts of riboflavin, biotin, niacin, and inositol ... B vitamins have been amazing for me
  • inositol · HelpedI also supplemented with inositol (for PCOS), which may have been another positive factor. In context ↗
  • eating more calories · HelpedWhen I forced myself to eat a much higher number of calories every day, I ended up sleeping for like four months straight. In context ↗
  • whole foods diet / nutrition · HelpedI got back into nutrition and that has made such a difference in my general health (PCOS is better now). In context ↗
  • therapist · No changeOh yeah, my therapist was useless. Didn’t understand at all. In context ↗
  • Pacing · HelpedFor me, personally (after trying dozens of alternative approaches in the 1.5 decades I have had CFS/ME): 1. Pacing In context ↗
  • Low Vitamin A Diet (Grant Genereux) · HelpedLow Vitamin A Diet - This is extremely experimental, and has not cured my CFS/ME or anything, but it has improved my digestive troubles and low appetite and reversed my PCOS In context ↗
  • Keto · No changeIt did not help me, but I am not sensitive gluten. In context ↗
  • Oral Rehydration Solution · Helped a lotit made SUCH a difference ... It pulled me out of my most recent major CFS crash (bedbound situation) In context ↗
  • dairy-free diet · HelpedI do not eat dairy because it exacerbates all my symptoms severely In context ↗

Approaches: POTS medication · Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered14 y14.5 y15 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 13.8 years after onset: the story doesn’t say how ill they were before that. 1 step has no time and sits in story order between the steps around it. 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
age 16developed CFS/ME as a teenagerwhen I developed CFS at age 16, I never got the pain other CFS patients experience, just POTS and fatigue and brain fog In context ↗Not stated
February 2020bedbound with a CFS crash and POTS flare-upI was completely bedridden in February with a CFS crash and POTS flare-up and couldn’t complete my college coursework due to brain fog In context ↗Severe
2020-05-11gentle walk and sitting up socializing without PEM after starting high-dose thiaminI went for a gentle walk this afternoon and did a lot of socializing sitting upright, and I can still read and write afterwards In context ↗MildThiamine / benfotiamine
—major CFS crash, bedboundIt pulled me out of my most recent major CFS crash (bedbound situation) In context ↗Severe
2021-05-30weekly walks, standing to cook and grocery shopping after starting oral rehydration solutionnow I am able to go for walks in nature every week and stand up to make meals and do dishes and go grocery shopping—so huge! In context ↗ModerateSalt, electrolytes and fluids

Adverse events

  • “Vitamin A made me extremely sick (I developed hypervitaminosis A).” In context ↗ Side effects
  • “when eating 8000%+ the RDA of vitamin A, I experienced INSANE levels of panic every night, which of course caused insomnia and made all my symptoms far worse” In context ↗ Mood or psychiatric effects
  • Pacing and the energy envelope“got comfortable with pacing. That was really freeing in some ways, but it made my health worse in general (I developed PCOS)” In context ↗ Other

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI was spending most of my time in bed when I started because standing/sitting gave me PEM In context ↗
  • Brain fogcouldn’t complete my college coursework due to brain fog In context ↗
  • POTS & dysautonomiaI have CFS with mild POTS, and the ORS basically reduces my “nap attacks” In context ↗
  • Sleep problemsI used to have chronic insomnia In context ↗
  • Gut problemsit has improved my digestive troubles and low appetite In context ↗
  • Anxiety & low moodI suffered from suicidal depression and episodes of hypomania for 7 years, and have now completely recovered without medication In context ↗
  • Neuropathy & tinglingthat crawling, tingling, heated pressure that makes my brain feel like it’s in a sauna In context ↗

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