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ME/CFS Moderate → somewhat betterIll 3 years before improving or writing

ME/CFS crash left her winded by a coat; somewhat better with rest and salt

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Mar 2024
In their words
  • Condition: ME/CFSThe lack of improvement from the hydroxychloroquine led to the diagnosis of me/cfs In context ↗
  • At worst: ModerateI took 2.5 months off. I laid down a lot! Slept whenever I needs. In context ↗
  • Now: Somewhat betterI credit my partial recovery to taking rest very seriously In context ↗
  • Began after: a bacterial or tick-borne infectionI see the clamydia that boyfriend gave me and subsequent pelvic infection it caused in conjunction with my IUD, followed by two pelvic surgeries, as either causing my me/cfs, or continuing to it.
Read from 101 of their posts and comments; links to the 43 this page draws on

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Summary

After fatigue that worsened during lockdown, she crashed badly in February 2023 and spent 2.5 months off work, winded by putting on a coat. She credited disciplined rest, salt, electrolytes and compression garments with a partial recovery, and was also on LDN and other medications; she was back full time from home by June 2023. She stayed crash-free for months by keeping under 3,000 steps a day, though she still felt limited and low; by early 2024 she reported a general decline and higher heart rate.

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What they tried

Their words about each treatment
  • CPAP · HelpedI got a CPAP a few years ago after years of other insomnia treatments and when that no longer made me restful In context ↗
  • narcolepsy medicine · HelpedI recently started on a narcolepsy medicine, which only brings me to a baseline functional. In context ↗
  • trazedone · No changeTrazodone is a good sleep aid. It just didn't work for me. In context ↗
  • Xanax · Not saidI'm petrified and taking Xanax for the panic. In context ↗
  • ibuprofen · HelpedIf I wake up at night I immediately take two ibuprofen. works amazing for me. In context ↗
  • tramadone · Not saidI also have tramadone, a sedative indica cannabis and last night the solution was finally gabapentin. In context ↗
  • cannabis · HelpedI'm a big cannabis user, for both pain releif and escapism In context ↗
  • gabapentin · HelpedI love gabapentin! I take it for sleep, unfortunately whatever dosage I'm on it wanes in effectiveness In context ↗
  • dry brushing · HelpedI find dry brushing my whole body before bed therapeutic. In context ↗
  • veneflexine · No changeFor me veneflexine is neither helping or making it worse. In context ↗
  • continuous use birth control · Helped a lotIt took a long time to find the right type for me, but it was a game changer for me and bonus, no period! In context ↗
  • special mouth guard · HelpedI wear a special mouth guard which has really helped my migraines In context ↗
  • LDN · HelpedOther contributors, in no particular order are, whole foods, LDN, amyltriptaline, adequate rest, electrolytes, compression clothing, the zero gravity chair. In context ↗
  • migraine injection · Not saidI'm due for my migraine injection tomorrow and I always have a few migraines and additional emotions the week before my injection. In context ↗
  • hydroxychloroquine / plaquenel · HelpedSince starting hydroxychloroquine those symptoms have lessened quite a bit. In context ↗
  • rowing machine and floor-based core exercises (PT) · Not saidI also recently started PT and I'm using my rowing machine (carefully) but I'm not yet finding a correlation to effort on the rowing machine with any decline the following day. In context ↗
  • winter swimming and cold plunge · HelpedI was able to hot and cold plunge twice this week! In context ↗
  • valtrex · No changeI'm on daily valtrex and have been for years, and I'm my worst ever. In context ↗
  • salt, salt tablets, electrolytes and compression garments · HelpedI credit my partial recovery to disciplined resting, salt, salt tablets, electrolytes and compression garments. In context ↗
  • metoprolo · HelpedI've been taking metoprolo mostly for my comfort by reducing the palpitations. In context ↗
  • whole foods, gluten-free, no refined sugar diet · HelpedI don't eat gluten, it irritates my autoimmune stuff. I cut sugar to almost zero for the same reason. In context ↗
  • vitamins and minerals · Not saidI'm also on LDN, cymbalta, hydroxychloroquine, two thyroid meds and a whole host of vitamin and minerals and supplements In context ↗
  • cymbalta / duloxatene · Not saidI also started LDN shortly after my crash, duloxatene and some supplements. In context ↗
  • two thyroid meds · No changeI don't think it's doing anything for me In context ↗
  • rest / time off work · HelpedI took 2.5 months off. I laid down a lot! Slept whenever I needs. Watched about 3 horror movies a day and got high. It helped so much! In context ↗
  • creatine · WorseCreatine makes me sick to my stomach In context ↗
  • amyltriptaline · HelpedAmyltriptaline is helping me with sleep. I feel much more rested since starting it In context ↗
  • zero gravity chair · Helpedadequate rest, electrolytes, compression clothing, the zero gravity chair. In context ↗
  • melatonin · Not saidI use melatonin and amyltriptaline and sometimes ibuprofen. In context ↗
  • NAD+ · HelpedI started it, a bottle from Amazon, and it seems to be helping In context ↗
  • CoQ10 · Not saidI take this one too. Not sure if it helps, but I take it anyways. In context ↗
  • breathwork (triangle breathing) · HelpedI do about 20 minutes a night and since starting a couple weeks ago breathing overall feels so much more effective. I have less air hunger In context ↗
  • acceptance · HelpedThe most improvement I've made is through acceptance. In context ↗
  • honey · HelpedI thought honey was helping me, even included mention of it in a recent post In context ↗
  • Midodrine · HelpedMidodrine! It has helped me mentally so much. In context ↗
  • CBD oil · No changeMan. I wish CBD oil helped me! In context ↗
  • intermittent fasting · Not saidI do intermittent fasting and I eat from 7:30-3. In context ↗
  • pacing (steps under 3k) · HelpedI mostly credit, without much science, not walking more than 3k steps a day In context ↗
  • IUD (hormonal or copper) · Not saidWhen I had the mirena I had like a non-stop spotting and I still got pmdd. In context ↗

Approaches: CBT & mindset · POTS medication · Diet · Pacing · Radical rest · Supplements · Tricyclic antidepressants

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
2020fatigue returned during lockdown and kept worseningI stayed to get really tired again during the lock down ... Things only continued to get worse. In context ↗
2023-02major crash after daily winter swimming; off work 2.5 months on disabilityI'm also experiencing my worst crash ... Yesterday putting on my coat winded me In context ↗
2023-04-25crashed after cutting calories on a Paleo-style dietI've had many pretty good days eating like this until yesterday I started to crash In context ↗
2023-05-08returned to work after 2+ months on disability and completed a full shiftI completed a full shift of work today! In context ↗Pacing and the energy envelope
2023-11-20stable for two weeks, no significant crash in months, keeping under 3,000 steps a dayI've been feeling emotionally and physically stable for like two weeks! In context ↗Pacing and the energy envelope
2024-02-18decline after her parents left her alone; stopped adding salt to watergenerally I've been in decline since my parents left me alone In context ↗
2024-03-19still mostly shitty, heart rate higher after stopping metoprololI feel the same, mostly shitty. In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI have definitely had PEM symptoms, cold/flu/fatigue in response to efforts In context ↗
  • POTS & dysautonomiaI have so many dysautonomia symptoms In context ↗
  • Sleep problemsfor me when I'm in a crash, as I am now, I wake up at night, go to the bathroom, then can't fall back to sleep because of the pain In context ↗
  • Muscle weaknessI've never experienced such muscle fatigue In context ↗
  • BreathlessnessI have less air hunger In context ↗
  • Heart symptoms & palpitationsI've been on metoprolo for years for a heart palpitation In context ↗
  • Anxiety & low moodI get really low and contemplate suicide In context ↗
  • Flu-like symptomsthe sore throat/cold symptoms were from the Sjorgrens In context ↗

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