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ME/CFS Severe → somewhat better

Bedbound with ME/CFS, now somewhat better, crediting low-FODMAP diet and pacing

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Feb 2026
In their words
  • Condition: ME/CFSI am diagnosed CFS/ME In context ↗
  • At worst: Severegot severe and bedbound In context ↗
  • Now: Somewhat betterI did recover a bit as well. I'm mostly housebound (again) and moderate. In context ↗
Read from 12 of their posts and comments; links to the 9 this page draws on

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Summary

Comet 77737 started out moderate or mildly affected, pushed through on doctors' advice and became severe and bedbound, later recovering somewhat to being mostly housebound and moderate. They credited a low-FODMAP diet and pacing, which took years, and said creatine helped their physical condition and modafinil caused fewer crashes, though none resolved their CFS symptoms. They still got PEM despite high vitamin D levels.

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What they tried

Their words about each treatment
  • quetiapine · Not saidI am just trying it now. ... It's supposed to help sleep, but I still wake up very often during the night. In context ↗
  • mirtazapine · Not saidThere is a slight hangover in the morning but, again, WAY less than mirtazapine (for me). In context ↗
  • low FODMAP diet · HelpedI do well on the low FODMAP diet. In context ↗
  • exercise · HelpedExercise helps me. ... it greatly reduces my own visceral sensitivity for a while. In context ↗
  • methylphenidate · WorseI am prescribed methylphenidate for my ADHD, but I often find that this treatment is at odds with my pacing needs. In context ↗
  • modafinil · HelpedI find modafinil to be slightly more forgiving, if somewhat less effective. I am doing better with it and crashing less. In context ↗
  • creatine · HelpedI take creatine along with amino acids every day, mainly to support my strength on a low meat diet. I find this very helpful for my physical condition. In context ↗
  • vitamin D · Not saidI take a rather large dose of vitamin D every day, and have for many years. ... I still get PEM with great vitamin D levels In context ↗
  • CPAP · WorseI HATE cpap machines. They also give me lots of stress and make me unreasonably upset. In context ↗
  • oral appliance · Not saidI was able to get an oral appliance prescribed instead. This is like a retainer that goes inside your mouth and holds the jaw slightly open. In context ↗
  • beta blocker · HelpedIt's definitely some amount easier to focus on reading or watching something when my heart isn't racing at 160bpm. In context ↗
  • pacing · HelpedIf I have five minutes, I spend five minutes. If I have to stop in the middle of cleaning, I stop in the middle. In context ↗

Approaches: Amino acids and carnitine · Diet · Pacing · Stimulants · Supplements

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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
—started out moderate or maybe mildI started out moderate or maybe mild In context ↗Moderate
—pushed through on doctors' advice, became severe and bedboundpushed through at the behest of poor advice from my doctors, got severe and bedbound In context ↗Severe
2026-01-07recovered a bit, mostly housebound and moderateI did recover a bit as well. I'm mostly housebound (again) and moderate. In context ↗Moderate
2026-02-19pacing chores in short stints with a chair, still chronically behindI am still chronically behind on all this too, but I am making (some) progress by allowing cleaning to be as easy as possible. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI still get PEM with great vitamin D levels and on days or weeks with little to no gastritis. In context ↗
  • Sleep problemsI still wake up very often during the night. In context ↗
  • Gut problemsI also have gastritis that comes and goes my whole life In context ↗
  • POTS & dysautonomiaThe orthostatic intolerance seems bad each time I go up in dose but also levels out after a few days. In context ↗
  • Heart symptoms & palpitationswhen my heart isn't racing at 160bpm In context ↗

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