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ME/CFS Severe → somewhat betterIll 7 years before improving or writing

Close to bed-bound with ME/CFS, now somewhat better with valacyclovir and Abilify

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
7 years
Last post
Sep 2024
In their words
  • Condition: ME/CFSI’ve had ME since 2017, recently worsened by COVID. In context ↗
  • At worst: SevereI went from severe ME to mild ME in a few years until I got COVID. In context ↗
  • Now: Somewhat betterThe effects are kind of waning now, but it’s still a lot better than without it. In context ↗
  • Began after: a bacterial or tick-borne infectionI suspect my ME came from Lyme, but it could’ve also come from a really bad flu I had years before COVID was a thing.
Read from 54 of their posts and comments; links to the 31 this page draws on

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Summary

Rain 50925 has had ME/CFS since 2017, was close to bed-bound and improved to mild over a few years with pacing. COVID in October 2022 brought them back to severe, and a Tdap booster in late 2023 made them steadily worse. Valacyclovir improved their baseline by around 20-30% with less brain fog and better exertion tolerance, though the effect waned; low-dose Abilify and famotidine helped a little.

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What they tried

Their words about each treatment
  • pacing · HelpedI got better over time the more I paced. I’m no longer bed-bound and can do most things in moderation. In context ↗
  • cutting out high carb foods · Not saidI once lost 50 pounds just by cutting out high carb foods In context ↗
  • cannabis · HelpedIt helps my pain a lot. In context ↗
  • low dose Abilify · Helpeda low dose of Abilify has slightly helped my energy levels In context ↗
  • ivermectin · HelpedThe IVM helped with both. In context ↗
  • famotidine · HelpedLow dose Abilify and famotidine have kind of helped a bit In context ↗
  • Effexor (venlafaxine) · HelpedIt works great for my depression and anxiety, but it’s done very little to help with fatigue from ME/CFS. In context ↗
  • ginger ale · HelpedGinger ale sometimes takes the edge off In context ↗
  • Vyvanse · HelpedIt really helps with the brain fog that comes with ME/CFS In context ↗
  • dexamethasone · HelpedDexamethasone always makes me feel great. In context ↗
  • mindfulness · Helpedmindfulness is a great tool and it’s helped me through my worst lows In context ↗
  • caffeine · WorseSometimes caffeine helps my brain fog but it always makes me crash really bad after it wears off. In context ↗
  • compression socks · HelpedI bought compression socks for my POTS symptoms and noticed it had a positive effect on my brain fog as well. In context ↗
  • Zofran (ondansetron) · Helpedginger ale and a Zofran Rx really helped In context ↗
  • deep breathing, yoga, meditation · No changedeep breathing, yoga, meditation, and “finding a hobby” would cure me of ME/CFS (not shockingly, those things haven’t helped me at all) In context ↗
  • clonazepam · Helpedthe only thing that’s helped me personally was clonazepam because panic attacks are a huge part of mine (taken only as needed) In context ↗
  • vitamin D supplements · HelpedSupplementing vitamin D and magnesium actually help me a lot. In context ↗
  • beta blockers · WorseI get weird psychological effects from beta blockers too. In context ↗
  • therapy · WorseI can hardly attend therapy sessions because it gives me bad PEM. In context ↗
  • valacyclovir · HelpedStarted taking valacyclovir like 4 days ago. It has reduced my brain fog a lot and has increased my tolerance for exertion. In context ↗
  • antihistamines · HelpedThey mildly improve some things for me but not nearly enough. In context ↗
  • Tetanus / Tdap vaccine · WorseAfter that I feel like my condition has been steadily going downhill, and have even been experiencing symptoms I haven’t felt before. In context ↗

Approaches: Antivirals · Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered5.5 y6 y6.5 y7 y

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 first step with a time is 5.5 years after onset: the story doesn’t say how ill they were before that. The dashed part: the story doesn’t say when. 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
WhenWhat happenedWhere they wereAfter
2017ME/CFS began; suspected Lyme or an earlier bad fluI’ve had ME since 2017 In context ↗Not stated
—close to bed-bound, in bed most of the dayI used to be close to being bed-bound (I was in bed the majority of the day) In context ↗Severe
by 2022improved from severe to mild over a few years and lived independentlyI went from severe ME to mild ME in a few years until I got COVID In context ↗MildPacing and the energy envelope
October 2022back down to severe after COVID infectionwhen I got COVID it brought me back down to severe In context ↗Severe
October 2023steadily downhill after a Tdap booster, with new symptomsAfter that I feel like my condition has been steadily going downhill In context ↗Severe
January 2024brain fog and exertion tolerance improved on valacyclovirIt has reduced my brain fog a lot and has increased my tolerance for exertion. In context ↗ModerateValtrex / valacyclovir
2024-04-29still improved on valacyclovir, though its effect is waningThe thing that has helped my ME the most has been valacyclovir In context ↗ModerateValtrex / valacyclovir

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI can hardly attend therapy sessions because it gives me bad PEM. In context ↗
  • Brain fogIt has reduced my brain fog a lot and has increased my tolerance for exertion. In context ↗
  • POTS & dysautonomiaI bought compression socks for my POTS symptoms In context ↗
  • Mast cell (MCAS) & allergiesI think the cause of mine is more MCAS related so I’m not sure. In context ↗
  • Pain & fibromyalgiaMostly fatigue and joint pain. The IVM helped with both. In context ↗
  • Sleep problemsIt definitely helps me with sleep and that burning brain feeling. In context ↗
  • Gut problemsI experienced this for at least two months post infection. It eventually went away on its own In context ↗
  • Anxiety & low moodIt works great for my depression and anxiety In context ↗
  • Loss of smell or tasteThe only symptoms I have are no smell/taste and a mild cough. In context ↗

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