Bedbound with ME/CFS and muscle wasting; no lasting benefit from sertraline or keto
- Condition
- ME/CFS
- At worst
- Severe (mostly bedbound)
- Ill for
- 30 years
- Last post
- Aug 2025
In their words
- Condition: ME/CFS
I've had CFS for nearly 30 years now
In context ↗ - At worst: Severe
I'm currently bedbound
In context ↗ - Now: No benefit
I'm currently bedbound
In context ↗
Read from 56 of their posts and comments; links to the 35 this page draws on
Summary
The user had had ME/CFS for nearly 30 years, with constant dizziness, brain fog, pain, disturbed sleep and PEM, needing a cane, then crutches and a rollator to leave the house. Sertraline improved sleep for only three weeks, and a ketogenic diet for lipoedema made fatigue much worse and cost a year of built-up stamina. By 2025 they were bedbound with muscle wasting.
Ask Miruvor AI
What they tried
Also tried
Their words about each treatment
- keto diet · Much worse
I've been on the keto diet for about 8 weeks now and my fatigue has gotten so much worse.
In context ↗ - CICO · No change
I tried CICO but it left me ravenous daily and it doesn't help lipoedema
In context ↗ - fish oil pills · Helped
I took fish oil pills for a while and they helped with cognition but the effect faded after a couple of months.
In context ↗ - sertraline · Helped
The only thing that helped was my anti-depressant, sertraline, when I first went on it last year.
In context ↗ - diazepam · No change
I've taken prescription diazepam because of my anxiety and it didn't help with my CFS/ME even a little bit.
In context ↗ - niacin · No change
I bought some and am taking 100mg (x2 50mg tabs) and it's not doing anything.
In context ↗ - anti-histamine · Helped
I take one daily with an energy tablet to counter the drowsiness
In context ↗ - energy pill · Helped
I take an energy pill once a day to counteract the drowsiness my anti histamine causes
In context ↗ - yoga · Helped
Doing yoga allowed me to get my resting heart rate down by 10bpm over the course of a few weeks.
In context ↗ - meditation · Not said
I've been doing it for 20 years.
In context ↗ - gentle stretching · Helped
I can often prevent it from becoming worse with gentle stretching
In context ↗ - weightlifting · Not said
I can sometimes go for a walk, or do some weightlifting or stretching.
In context ↗ - pacing · Helped
Pacing generally works well but a fluctuating condition is still gonna fluctuate.
In context ↗ - walking stick and crutches · Helped
Using a walking stick helped me for quite a number of years
In context ↗ - shower seat · Helped
Two words; shower seat.
In context ↗ - cold cap with gel inserts · Helped
The cooling def helped.
In context ↗ - clay earplugs · Helped
The clay works great.
In context ↗ - smartwatch by Popglory · Not said
I have a smartwatch by Popglory
In context ↗ - Visible app · Helped
There's an app called Visible that I've been using that is pretty good at helping me keep track of my baseline
In context ↗ - protien powder · Worse
I tried protien powder but it induced such bad nausea that I could hardly move the rest of the day.
In context ↗ - lo-salt · Not said
I put lo-salt in my drinks and take a dissolvable hydration tablet when I'm feeling dehydrated.
In context ↗ - Lucozade · Helped
I bought some Lucozade, it helped
In context ↗ - pain meds · Worse
Pain meds don't touch it, they just make me sleepy.
In context ↗ - lymph massage · Worse
I've tried it for other issues and I just find it exhausting to do.
In context ↗ - COVID vaccination as treatment · Worse
but I also was in almost constant PEM for about a month.
In context ↗ - Earplugs and ear defenders (Loop) · Not said
Foam earplugs were great for noise cancelling but gave me an allergic reaction.
In context ↗
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 29.2 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 |
|---|---|---|
| onset | ME/CFS onset, no trigger identifiedI've had CFS for nearly 30 years nowIn context ↗ | Not stated |
| 2021 | first COVID vaccine dose, ill for five weeksFirst dose I was ill for 5 weeks, barely able to leave the house, I even had a bunch of hair fall out.In context ↗ | Moderate |
| 2021-11-29 | dizziness eased for a few daysin the past few days my dizziness has died down quite a lotIn context ↗ | Moderate |
| 2022-07-17 | constant dizziness returned after a two-week remissionmy constant dizziness, went into a 2 week remission for no obvious reason at all then came backIn context ↗ | Moderate |
| 2022-11-10 | vegetarian keto diet wrecked a year of built-up strengthI tried vegetarian keto in an attempt to treat my lipedema and it wrecked me. I'm still recovering from it.In context ↗ | Moderate |
| 2023-07-23 | keto left them close to bedboundIt was terrible for me, I had to quit because I was unable to do anything. I wasn't bedbound but wasn't far off it.In context ↗ | Severe |
| 2025-01-22 | the unbearable fatigue eased after spending most of the day in bedThis has actually reduced for me since spending most of the day in bed.In context ↗ | Severe |
| 2025-08-01 | bedbound with muscle wastingI'm currently bedbound and have noticed some pretty bad muscle wastage.In context ↗ | Severe |
Adverse events
- COVID vaccination as treatment“I had standard immune system reactions for both, swollen glands and the like” In context ↗ Side effects
- COVID vaccination as treatment“but I also was in almost constant PEM for about a month.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“My second dose caused a 5-6 week crash and then I went back to my version of normal.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“First dose I was ill for 5 weeks, barely able to leave the house, I even had a bunch of hair fall out.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I even had a bunch of hair fall out.” In context ↗ Side effects
- Earplugs and ear defenders (Loop)“Foam earplugs were great for noise cancelling but gave me an allergic reaction.” In context ↗ Allergic reaction / anaphylaxis
- H1 antihistamines (unspecified)“I take one daily with an energy tablet to counter the drowsiness.” In context ↗ Side effects
- Keto and low-carb diets“I've been on the keto diet for about 8 weeks now and my fatigue has gotten so much worse.” In context ↗ Made symptoms worse
- Keto and low-carb diets“I tried vegetarian keto in an attempt to treat my lipedema and it wrecked me.” In context ↗ Made symptoms worse
- Keto and low-carb diets“It was terrible for me, I had to quit because I was unable to do anything.” In context ↗ Made symptoms worse
- Cryotherapy and cold exposure“On the front I have to place something between the cap and my forehead as otherwise it hurts” In context ↗ Side effects
- “Pain meds don't touch it, they just make me sleepy.” In context ↗ Side effects
- “I tried protien powder but it induced such bad nausea that I could hardly move the rest of the day.” In context ↗ Gut side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I also was in almost constant PEM for about a month
In context ↗ - Brain fog
I can never think clearly anymore, there's always some kind of fog there.
In context ↗ - POTS & dysautonomia
I've not been able to turn my head 180degrees without getting dizzy
In context ↗ - Sleep problems
I wake up dozens of time each night
In context ↗ - Pain & fibromyalgia
I'm in pain most days in various parts of my body. Pain meds don't touch it
In context ↗ - Anxiety & low mood
I've taken prescription diazepam because of my anxiety
In context ↗ - Hair loss
I even had a bunch of hair fall out
In context ↗ - Temperature regulation
a feeling like my head is too hot, especially on the inside
In context ↗