ME/CFS
Outcome unclear
ME/CFS with usual PEM; nicotine patch caused herx-like reaction, Lief life changing
- Condition
- ME/CFS
- At worst
- Not stated
- Ill for
- Not stated
- Last post
- Jul 2025
In their words
- Condition: ME/CFS
they feel different than my usual PEM
In context ↗
Summary
Someone who describes their usual PEM tried a nicotine patch for the first time and had a distinct herx-like reaction unlike their PEM, one of only a few such reactions over the years after new medications or supplements. In 2023 they had been using a Lief biofeedback device for a little over a week and called it life changing, and were new to resonance breathing and could not vouch for the long term.
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What they tried
Also tried
Their words about each treatment
- resonance breathing · Helped
breathing at that rhythm has amazing effects on HRV, both short term and longterm (well, I'm new to this, so I can't vouch for the longterm yet)
In context ↗ - Lief biofeedback app · Helped a lot
I've only been using mine a little over a week and honestly it's been life changing.
In context ↗ - nicotine patch · Worse
that is just what I experienced after trying nicotine patch for the first time
In context ↗
Their path
They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.
| When | What happened | After |
|---|---|---|
| 2023-08-07 | began resonance breathing guided by Lief biofeedback for HRVI've only been using mine a little over a week and honestly it's been life changing.In context ↗ | |
| — | herx-like reaction after first nicotine patchthat is just what I experienced after trying nicotine patch for the first timeIn context ↗ | Nicotine patches |
| 2025-07-17 | still having usual PEMthey feel different than my usual PEMIn context ↗ |
Adverse events
- Nicotine patches“that is just what I experienced after trying nicotine patch for the first time.” In context ↗ Herx / die-off reaction
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
they feel different than my usual PEM
In context ↗