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ME/CFS Mild → relapsedIll 10 years before improving or writingNeeds ongoing treatment

ME/CFS at their limit after 10-year remission ended, kratom helps pain and energy

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
10 years
Last post
Aug 2025

Summary

Plover 50281 became ill with ME/CFS for about three years before going into a 10-year remission at about 90% recovered; the remission ended around 2012, after an injury when they felt close to recovery. They work part-time as a substitute teacher, no more than two days in a row, and say kratom helps pain and energy reasonably well, while ritalin, cannabis and LDN give smaller relief for brain fog, energy or pain. There is no social life or hobbies left, and they are at their limit.

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What they tried

Their words about each treatment
  • Cannabis / marijuana · HelpedSmall doses of marijuana really help me with brain fog. 0.1 - 0.15g in a vaporizer. In context ↗
  • Kratom · HelpedKratom has been the most help for me. It helps with pain, energy, and dizziness In context ↗
  • Avoiding food intolerances / elimination diet · HelpedI have my IBS controlled by not eating wheat, soy, all spices, broccoli, Bok choi, onions and a few other things In context ↗
  • Exercise bike · HelpedI can ride an exercise bike (with the help of ritalin or another stimulant) for 30min and I do ok. In context ↗
  • Jogging · Worseanytime I've tried to jog I have ended up bedbound the next day and the PEM continues for a week or more In context ↗
  • Ritalin / Adderall · HelpedI have a good experience with methylphenidate. (I tried Adderall too same effect, but methylphenidate was cheaper so I went with that). In context ↗
  • Amitriptyline · WorseAmitryptiline made my brain fog a lot worse. In context ↗
  • Lyrica · WorseLyrica and gabapentin had the same brain deadening effects. In context ↗
  • Gabapentin / Neurontin · WorseLyrica and neurontin - maybe they helped pain but made me dumber than rock. Horrific drugs in my case In context ↗
  • LDN / low dose naltrexone · HelpedI found that LDN helps for about 2 weeks but at that point I always get suicidaly depressed... In context ↗
  • Phenibut · HelpedPhenibut - once every 3 days. Goes well with kratom. These are always my beat/most functional days. In context ↗
  • Melatonin · HelpedMelatonin - almost nightly for sleep In context ↗
  • Trazodone · HelpedTrazodone - half a pill once every 3 days for sleep. Has a mild effect but my sleep is awful so it is appreciated In context ↗
  • Benadryl · HelpedBenadryl - once a week or less for sleep. Not good to take regularly but if I need to sleep (and especially if I'm itchy!) this works wonders. In context ↗
  • Cymbalta · WorseCymbalta worked amazing for fatigue for ~48hrs. ... The following 2 weeks though I became sleeping beauty and slept maybe 20hrs each day. In context ↗
  • Tylenol · No changeTylenol - does nothing In context ↗
  • NSAIDs (ibuprofen, aspirin, aleve) · WorseNSAIDS (ibuprofen, aspirin, aleve, etc) - no pain relief and worse makes my blood stop clotting In context ↗
  • Baclofen · No changeBaclofen - no pain relief as far as I can tell In context ↗
  • Menthol creams / tiger balms · HelpedMenthol creams/tiger balms - distracts from bodily pain a bit In context ↗
  • Psychedelics / microdosing · HelpedMicrodosing psychedelics - helps with maintaining proper health behaviors, regulating emotions and goals in life. In context ↗
  • Polygala tenuifolia · HelpedMy depression has been much better and sensory overload has lessened too. I feel like it's made my cognition a step better. In context ↗
  • Meditation · HelpedMeditation has certainly been helpful for me in certain periods. In context ↗
  • Nortriptyline · WorseI tried Nortriptyline but stopped because it had gluten or some other filler I am intolerant too. In context ↗
  • rantidine · HelpedBe careful with long term use of rantidine. It loses its effectiveness and even worse there's a rebound period after quitting In context ↗
  • propranozole magnesium · HelpedI switched to propranozole magnesium a few years ago and i haven't had to deal with those issues since In context ↗
  • Pursed-lip breathing · HelpedI find that pursing my lips when breathing out (to slow down exhales) works great to counterbalance this. In context ↗
  • Wim Hof breathing · HelpedAs for the after lunch lack of energy, that no longer occurs now that i do wim hof breathing for 12mins of my lunch. In context ↗
  • Lions mane · HelpedThe past few weeks i have been doing the Wim hof method and taking lions mane. My memory has definitely improved In context ↗
  • Adrafinil · Not saidwhat I found was adrafinil. It sounds like its still legal and available most places. It metabolizes to modafinil. In context ↗
  • Cold immersion · Helpedit has been really beneficial for me. Mostly mobility and pain wise, but it has allowed gradual improvement In context ↗
  • Huperzine A · HelpedHuperzine A works for this (can also treat some me/cfs symptoms) but it gives worse sleep In context ↗
  • Floor exercise / being on the floor · HelpedJust staying off soft surfaces and being on the floor as much as possible is the most consistent for me and has had the best results In context ↗
  • Pacing · HelpedMy "pacing" is to cut things out of my life in order to make my life as small, manageable, and idiot proof as possible. In context ↗
  • Low-fat diet · Worsepreviously I was on the "low fat" diet for years which made my weight a constant struggle In context ↗

Approaches: Exercise and activity · Other drugs and medicines · Stimulants

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. 4 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
onsetME/CFS beganI've had ME for a total of 10 years now. In context ↗Not stated
12 molowest point of the first illness1 year gradually getting worse, maybe a a year at the bottom then 1 year getting better In context ↗Not stated
2 yremission at 90% recovered for 10 yearsit went into remission and I was 90% recovered. I had 10 decent years like this before ME returned In context ↗Near normal
2012injured while close to recovery; remission endedgot injured when I felt close to recovery then haven't improved since. My remission ended 2012 I think In context ↗Not stated
2015took a full-time job and crippling fatigue returnedI started feeling well so I accepted what amounted to a full time job. I was good a couple weeks before the crippling fatigue came back In context ↗Not stated
2017-01rehabbed deconditioning, able to clean the apartment againI've been rehabbing for 2-3 years and just in the last couple months I've been able to start clean out my apartment again. In context ↗MildEveryday exercise and activity
2018-05recovering from a year-long crash, heavily deconditionedI'm just recovering from a year log crash like that. In context ↗Mild
2018-12slow progress rehabbing injuries; danced a couple of daysI've been suffering for almost 2 years with injuries->deconditioning but have been slowly making progress. I even danced a couple days this week In context ↗MildEveryday exercise and activity
2019-11a bit better after two very bad years, but still no hobbiesAfter a couple of very bad years I am a bit better but even having a regular hobby is still out of my grasp. In context ↗Mild
2025-04working at most two days in a row, no social life or hobbiesi have done this by working no more than 2 days in a row ... I have no social life whatsoever and can't even maintain a hobby while working. In context ↗Mild

Adverse events

  • Amitriptyline (Elavil)“Amitryptiline made my brain fog a lot worse. ... It may have helped sleep and pain but made my fatigue and cognition worse. Overall negative effect for me.” Made symptoms worse
  • Pregabalin (Lyrica), Gabapentin (Neurontin)“Lyrica and neurontin - maybe they helped pain but made me dumber than rock. Horrific drugs in my case” In context ↗ Made symptoms worse
  • Low-dose naltrexone“I found that LDN helps for about 2 weeks but at that point I always get suicidaly depressed” In context ↗ Suicidal thoughts or attempt
  • Low-dose naltrexone“I also start feeling depressed ... the side effects caused me to quit” Mood or psychiatric effects
  • Low-fat diet“what made me gain weight was a "low fat" diet. What this really meant is I would eat a lot of carbs. This in turn made me binge eat.” In context ↗ Other
  • “The one "me/cfs" physiotherapist I visited was harmful...” In context ↗ Made symptoms worse
  • Duloxetine (Cymbalta)“Cymbalta - turned me into sleeping beauty ... It was so powerful I couldn't sleep at all. The following 2 weeks though I became sleeping beauty and slept maybe 20hrs each day.” Side effects
  • “NSAIDS (ibuprofen, aspirin, aleve, etc) - no pain relief and worse makes my blood stop clotting” In context ↗ Other
  • Nortriptyline (Pamelor)“I tried Nortriptyline but stopped because it had gluten or some other filler I am intolerant too.” In context ↗ Side effects
  • Methylphenidate (Ritalin, Concerta)“when I have a worsening (which can last months to more than a year) it doesn't help in this respect and can make me worse due to not being able to rest” In context ↗ Made symptoms worse
  • Ranitidine“It loses its effectiveness ... the acid reflux becomes worse than before using rantidine” In context ↗ Withdrawal problems
  • Methylphenidate (Ritalin, Concerta)“When i took ER I just felt overstimulated by the time of the nap” In context ↗ Side effects
  • Huperzine A“Huperzine A works for this (can also treat some me/cfs symptoms) but it gives worse sleep” In context ↗ Insomnia from treatment

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseanytime I've tried to jog I have ended up bedbound the next day and the PEM continues for a week or more In context ↗
  • Brain fogSmall doses of marijuana really help me with brain fog. In context ↗
  • POTS & dysautonomiaRitalin usually helps my POTS but if i overexert because of it, I get PEM which includes worsened POTS. In context ↗
  • Sleep problemsmy sleep is awful so it is appreciated In context ↗
  • Pain & fibromyalgiaKratom really helps with my ME and fibro symptoms (pain, brain fog, etc ) In context ↗
  • Gut problemsI still deal with nausea but much less than before In context ↗
  • Light & noise sensitivityI have similiar problems with sound sensitivity. I wear ear plugs most of the time at home now In context ↗
  • Anxiety & low moodThe depression and anxiety seem almost unavoidable when paired with CFS In context ↗
  • Muscle weaknessI could only get out of bed one way. I couldn't really pick things of the floor. My walking got awful. I would stumble when turning. In context ↗
  • BreathlessnessYes. I find that pursing my lips when breathing out (to slow down exhales) works great to counterbalance this. In context ↗

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