ME/CFS with vomiting, feeding tubes and PEM, now somewhat better with pacing and cannabis
- Condition
- ME/CFS
- At worst
- Very severe (bedbound, unable to do basic care)
- Ill before improving or writing
- 18 years
- Last post
- Jun 2026
In their words
- Condition: ME/CFS
I have ME/CFS and was diagnosed with CCI (craniocervical instability) this year.
In context ↗ - At worst: Very severe
By the time I was diagnosed, I had severe ME/CFS and by the time of surgery I was very severe.
In context ↗ - Now: Somewhat better
Now it's a litter grayer as I've regained some abilities but still need to spend a significant amount of time in bed or on the couch.
In context ↗ - Began after: glandular fever or EBV
Mono caused my cfs but every single virus I caught absolutely laid me out for weeks
Read from 228 of their posts and comments; links to the 52 this page draws on
- Aug 2025
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Summary
Plover 72859 fell ill at 12 after mono in 2006/7 and was diagnosed with ME/CFS at the Mayo Clinic in 2019 after about a year of vomiting and weight loss that required feeding tubes. Pacing, aggressive rest, cannabis, B12 injections and saline helped only partly; by late 2024 they described themselves as severe, with PEM and POTS.
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What they tried
What they credit
Also tried
Their words about each treatment
- Savella · Much worse
Started it for fibromyalgia, ended up in a year and a half vomiting cycle, lost 80lbs in 10 months and needed a feeding tube
In context ↗ - physical therapy on cervical spine with dry needling · Helped
physical therapy for my cervical spine 1-2x a week where my pt works on the muscles and does dry needling (I find this to be the most helpful thing we do)
In context ↗ - Amitriptyline · Helped
I take amitriptilyne at night for sleep (I maxed out on it for headaches but couldn't wean off it without my sleep disturbances causing crashes so I still take 25mg just for sleeping)
In context ↗ - strict sleep schedule and bedtime routine · Helped
Getting into a fairly strict sleep schedule has helped me wake up easier in the mornings
In context ↗ - cannabis (THC and CBD) · Helped
I find cannabis mostly helps to regulate my nervous system and that makes the fatigue less awful
In context ↗ - B12 injections · Helped a lot
Now I get less of that burst of energy but feel absolutely horrible if I skip a dose.
In context ↗ - strict pacing · Helped a lot
So far strict pacing, utilizing mobility aids and making every task easier on myself has been the most helpful.
In context ↗ - masking · Helped
I haven't caught a single thing since 2019 (I do stay home way more compared to the average person and that helps too) and 100% attribute it to my masking
In context ↗ - nasojejunal feeding tube · Helped a lot
The feeding tube absolutely helped so much and I had a tiny bit of energy.
In context ↗ - Mayo Clinic ME/CFS & Fibro clinic · Worse
I got my diagnosis (not very clearly) and attended the ME/CFS & Fibro clinic and it had some interesting information but was mostly very harmful.
In context ↗ - mobility aids (cane, rollator, manual and power wheelchair) · Helped
With a power chair, I go into PEM way less
In context ↗ - saline infusions · Helped
Saline makes such a huge difference for me. Dropped my migraines by 24% and I feel significantly worse if I skip them
In context ↗ - surgery preparation protocol · Helped
My doctor had me drink gatorade the night before and morning of, I was hooked up to fluids in pre-op
In context ↗ - Botox · Helped
Botox every 3 months (brought me down by 50%)
In context ↗ - Aimovig · Helped
Aimovig worked for about 1-1.5 years and i had to stop when it stopped working completely.
In context ↗ - Emgality and Ajovy · No change
all the injectables options (aimovig, emgality, ajovy) without much success
In context ↗ - Vyepti · No change
I also trialed Vyepti but it wasnt successful for me (though no side effects!!)
In context ↗ - Sumatriptan · Helped
Sumatriptan kinda helped, the nasal spray is infinitely better than the pills
In context ↗ - Zavzpret nasal spray · Helped
not as nasty as zavzpret which I just recently tried and found helpful
In context ↗ - OTC abortives (Excedrin, Advil migraine) · Not said
otc excedrin or sumatriptan but they often don't work
In context ↗ - functional neurologist · Not said
The functional neurologist was able to point me in the direction of getting an official POTS diagnosis and that was significant to my care but I can't think of anything he did that helped long term.
In context ↗ - low-dose naltrexone · No change
Several years ago but I didn't feel any effect. I titrated up to 4mg and was on that for 4-5 months.
In context ↗ - Visible app with Polar Verity Sense · Not said
I'm trying out the Visible app with the polar verity sense tracker. I'm not sure how helpful it is yet but I see a lot of potential
In context ↗ - aggressive rest · Helped
But then around the 3 month mark, I started noticing improvements. I got into rest much more quickly, my symptoms started leveling out
In context ↗ - meditation, yoga nidra and breathwork · Helped
I found I like doing breathwork and it can help lower my heart rate when I do it at the beginning of rests
In context ↗ - sleep herbs · Not said
I actually slept really well last night but that might be the new sleep herbs I started taking
In context ↗ - soft cervical collar · Helped
once I started wearing a cervical collar, watching the position of my head, and focusing on keeping my traps relaxed
In context ↗ - Midodrine · Not said
despite 10mg (twice my usual dose) my BP was still below 100/70
In context ↗ - nadolol · Helped
Nadolol - stopped me vomiting first thing every morning and after showers (prescribed when diagnosed with POTS)
In context ↗ - Buspirone · Helped
Buspirone - take at mealtimes and it helps with the pain in my digestive tract
In context ↗ - Esomeprazole · Not said
Esomeprazole - for acid reflux
In context ↗ - Zofran (ondansetron) · Helped
Zofran - antinausea, mostly prevents me from vomiting (I've been stuck on this for years now though and it's not ideal)
In context ↗ - FDgard · Helped
FDgard - taken at meals, it's basically peppermint oil but it does something because the second I cut back on it my symptoms start returning
In context ↗ - tizanidine · Helped
I regularly take tizanidine for muscle spasms, same dose.
In context ↗ - cupping · Helped
Cupping (for muscle tension during a migraine)
In context ↗ - hot baths · Helped
Hot baths have always been helpful too (but this can speed up the migraine and cause it to intensify at first)
In context ↗ - various diets · No change
I've tried a lot of diets but so far none have made a lasting difference to my symptoms.
In context ↗ - cromolyn sodium · Helped a lot
Cromolyn sodium has been such a game changer for me. I went from picking at meals for 2 hours to eating my meals all at once.
In context ↗ - H1 antihistamines (Claritin, Zyrtec, Xyzal) · Not said
I also take h1 + h2 blockers, vit c, zinc carnosine, and 2 types of enzymes with food.
In context ↗ - Pepcid · Helped
I'd say pepcid (h2), cromolyn sodium, and the enzymes make the most difference.
In context ↗ - NaturDAO and Enzymedica Digest Gold · Helped
NaturDAO helps me eat more but Enzymedica Digest Gold makes me goooo.
In context ↗ - vitamin C and zinc carnosine · Not said
vit c, zinc carnosine, and 2 types of enzymes with food
In context ↗ - collagen · Not said
collagen (for EDS and growing back my hair after a bad bout of malnutrition)
In context ↗ - vitamin D and vitamin K · Not said
vitamin K (to take with vit d)
In context ↗ - ashwagandha · Not said
recently started ashwaganda but not sure it's making any difference
In context ↗ - continuous mini pill · Helped
has significantly reduced the negative effects of my luteal phase
In context ↗ - oxycodone · Helped a lot
oxycodone greatly reduced, delayed, or eliminated PEM as long as I took it every day
In context ↗ - red light lamp · Not said
I was advised to try it for my me/cfs. It's not a super affordable option but if it's in either of your budgets, it does feel really nice
In context ↗ - Kate Farms meal replacement shakes · Helped
Kate farms are lifesavers if you can afford them
In context ↗ - Trauma Release Technique (TRE) · Worse
However, it did cause PEM for me, which is probably related to my CCI.
In context ↗ - anti-epileptic for CCI episodes · Worse
I ended up being allergic to the anti-epeleptic
In context ↗ - Parkinson's drug for CCI episodes · Helped
saw some success with the Parkinsons drug
In context ↗ - occipital-cervical fusion C0-C2 · Helped a lot
For the first time in a long, long time, I can stand up and walk around without feeling like I'm going to pass out or fall over the entire time.
In context ↗ - hydrocortisone · Helped a lot
I've also started hydrocortisone as my specialist wants to address a possible adrenaline insufficiency. I'm not up to the full dose but it already feels like it's helping.
In context ↗ - bone growth stimulator · Not said
I've also been using a bone growth stimulator daily (yay for insurance coming through).
In context ↗ - IUD (hormonal or copper) · Worse
I tried Mirena and rejected it and it sent me to the ER two days in a row where I had to get it removed.
In context ↗
Approaches: Craniocervical surgery · H2 blockers · Antihistamines & MCAS · Diet · Hormones & thyroid · Other drugs and medicines · Pacing · Radical rest · Sex hormones
Their path
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 13.1 years after onset: the story doesn’t say how ill they were before that. 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
| When | What happened | Where they were | After |
|---|---|---|---|
| 2006 | mono at age 12; fatigue symptoms beganGot mono in 6th grade when I was around 12 (2006/7)In context ↗ | Not stated | |
| 2019 | uncontrollable vomiting and 40% weight loss; NJ feeding tube; diagnosed with ME/CFS at Mayo ClinicI lost 40% of my bodyweight in 10 months back in 2019In context ↗ | Severe | |
| 2024-07 | moderate, mostly homebound, sometimes bedbound; pacing and mobility aids most helpfulI would place myself in the moderate category, mostly homebound, sometimes bedbound in the colder monthsIn context ↗ | Moderate | Pacing and the energy envelope |
| 2024-11 | declined into the severe categoryI'm now in the severe categoryIn context ↗ | Severe | |
| 2024-12 | about three months into aggressive rest, thresholds and symptoms started levelling outBut then around the 3 month mark, I started noticing improvements.In context ↗ | Severe | Radical rest |
| 2025-08 | very severe and 90% bedbound after travel for CCI surgeryFour months ago I was 90% bedbound, only able to walk to and from the bathroom with assistance and sit in a recliner for some meals.In context ↗ | Very severe | |
| 2025-09 | C0-C2 fusion; out of daily CCI episodes, walked further than in a year, no post-surgical PEMit was almost instant after surgery that I was back into severeIn context ↗ | Severe | Craniocervical fusion / tethered cord |
| 2025-12 | housebound apart from appointments, sometimes bedbound, hobbies back, still gets PEMI've gotten a few hobbies back, mainly knitting, writing, and TV.In context ↗ | Severe | Craniocervical fusion / tethered cord |
Adverse events
- “Same, it also made me crash because of the setup they had.” In context ↗ Made symptoms worse
- Tube feeding (NG, NJ, PEG, TPN)“It exacerbated my migraines and headaches quite a bit but otherwise it wasn't bad.” In context ↗ Made symptoms worse
- Radical rest“When I first started doing aggressive rests, I also felt pretty shitty.” In context ↗ Made symptoms worse
- “I also haven't been out of PEM for more than 12 hours since before I had surgery end of November which has been rough.” In context ↗ Made symptoms worse
- “PEM after surgery for me typically includes absolutely insane levels of pain that put me in the ER and I end up admitted 50% of the time anyway” In context ↗ Hospitalisation
- IUD (hormonal or copper)“I tried Mirena and rejected it and it sent me to the ER two days in a row where I had to get it removed.” In context ↗ ER visit
- Milnacipran (Savella)“Savella. Started it for fibromyalgia, ended up in a year and a half vomiting cycle, lost 80lbs in 10 months and needed a feeding tube.” In context ↗ Gut side effects
- Milnacipran (Savella)“It may have also contributed to the liver disease I had at the time.” In context ↗ Liver or kidney problems
- “it would cause episodes and migraines and I absolutely cannot attempt them if I'm in PEM” In context ↗ Made symptoms worse
- Trauma work (EFT, EMDR, TRE)“However, it did cause PEM for me, which is probably related to my CCI.” In context ↗ Made symptoms worse
- Cromolyn (Gastrocrom, Nalcrom)“The initial side effects and titrating up was pretty gnarly” In context ↗ Side effects
- “I ended up allergic to one of the two I was prescribed but did really well with just the one” In context ↗ Allergic reaction / anaphylaxis
- Craniocervical fusion / tethered cord“Aside from the neuralgia and swallowing difficulties that are both improving, there haven't been any negative side effects from the surgery.” In context ↗ Nerve pain
- Craniocervical fusion / tethered cord“my POTS actually got a bit worse after the surgery” In context ↗ Made symptoms worse
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I still get PEM, especially from common triggers like disrupted sleep
In context ↗ - Brain fog
Memory recall is much better but there are still memory gaps
In context ↗ - POTS & dysautonomia
I still have POTS but my symptoms have improved a lot even though my heart rate seemed worse
In context ↗ - Mast cell (MCAS) & allergies
I have MCAS which I'm on multiple medications for
In context ↗ - Sleep problems
I still require medication to help me stay asleep during the night
In context ↗ - Pain & fibromyalgia
my fibro pain will go through the roof
In context ↗ - Headaches & migraine
I still have daily headaches and get migraines but they aren't nearly as debilitating as before
In context ↗ - Gut problems
My GI symptoms are actually what led to me finally getting a diagnosis.
In context ↗ - Light & noise sensitivity
Only recently been able to tolerate some daylight but blackout darkness is so much better symptom wise
In context ↗ - Heart symptoms & palpitations
Palpitations or other POTS symptoms
In context ↗ - Muscle weakness
Crashes for me look like significant fatigue and muscle weakness
In context ↗ - Neuropathy & tingling
it also helps some of my nerve pain which i think contributes to my fatigue
In context ↗ - Flu-like symptoms
it's like waking up with the flu, even my voice gets scratchy
In context ↗ - Temperature regulation
Inability to regulate temperature
In context ↗ - Vision problems
I still have some swelling in my neck and occasionally it causes blurry vision
In context ↗ - Loss of smell or taste
Food used to randomly taste like dirt or mold and that hasn't happened since I started treatment.
In context ↗
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