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ME/CFS Mild → somewhat betterIll 6 years before improving or writing

ME/CFS fatigue, headaches and pain, somewhat better with choline and myo-inositol

Condition
ME/CFS
At worst
Mild (working or studying, with limits)
Ill before improving or writing
6 years
Last post
May 2026
In their words
  • Condition: ME/CFSI have also wondered sometimes if I might have some "mild" case of CFS. In context ↗
  • At worst: Mildonly being able to work 40% to 60% In context ↗
  • Now: Somewhat betterI still feel tired often, but most of the time I can ignore it and keep going without a problem. In context ↗
  • Began after: stress or burnoutStarted 6 years ago with a burnout, though I'm not sure to this day if the burnout was the consequence or the root cause. In context ↗
Read from 5 of their posts and comments; links to the 4 this page draws on

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Summary

Marsh 49667 dates fatigue, chronic headaches and muscle pain to a burnout around 2017 and for years could work only 40-60% of a self-employed job, needing rest and paying for exertion with weeks of muscle pain. Migraine and pain medication, gentle exercise, meditation and yin yoga helped; in 2026 choline with myo-inositol gave all-day energy, and shifting work to evenings and nights helped them get things done. They still tire easily but can mostly keep going.

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What they tried

Also tried

Zen breathing meditation and Yin Yoga· Helped a lotShifting working hours to evening and night· Helped a lotAlmotriptan· HelpedEssential amino acids· Not saidCreatine· Not saidNADH· Not said
Their words about each treatment
  • Amitriptyline · HelpedAmitriptyline: low dose for treating chronic pain ... I'm definitely feeling better In context ↗
  • Almotriptan · HelpedAlmotriptan + Domperidone: to abort migraine attacks. ... I'm definitely feeling better In context ↗
  • Novalgin · HelpedNovalgin: to support the above, reducing pain. ... I'm definitely feeling better In context ↗
  • Riboflavin · HelpedRiboflavin and Magnesium: prevent migraines and make sure my cells can produce as much energy as they're able to. In context ↗
  • Very careful daily exercise · Helpedcareful daily exercise, with very small increments of intensity In context ↗
  • Zen breathing meditation and Yin Yoga · Helped a lotZen breathing meditation and Yin Yoga has helped me enormously, managing pain and mood and mental recovery In context ↗
  • Choline · Helped a lotOut of all the supplements I've tried for years, choline has been making a real difference these last few weeks. In context ↗
  • Myo-Inositol · Helped a lot900 mg daily of Choline + Myo-Inositol. Keeps me energized and focused all day. In context ↗
  • Shifting working hours to evening and night · Helped a lotShifting my working hours to evening and night. In context ↗
  • Essential amino acids · Not saidOn top of essential amino acids, creatine and NADH. In context ↗

Approaches: Other drugs and medicines · Physiotherapy and rehab · Supplements · Tricyclic antidepressants

Their path

Very severeSevereModerateMildNear normalRecoveredonset2 y4 y6 y8 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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
2017fatigue, chronic headaches and muscle pain began after a burnoutStarted 6 years ago with a burnout, though I'm not sure to this day if the burnout was the consequence or the root cause. In context ↗Mild
2022started migraine and chronic pain medication after seeing a neurologist; less pain, less fatigue, more energyI'm taking meds for atypical migraines and chronic pain and I'm definitely feeling better. Less pain, less fatigue, more energy. In context ↗Mild
2026-01-02choline gave energy all day instead of constant nappingOut of all the supplements I've tried for years, choline has been making a real difference these last few weeks. I have energy all day, instead of constant napping. In context ↗Mild
2026-03-09choline with myo-inositol and shifting work to evening and night; energized and focused all dayThe two things that really made a big difference in the last few months: ... Shifting my working hours to evening and night. In context ↗Mild
2026-05-04night-active schedule with light days and rest as neededOne of the biggest wins for me lately has been to become night active. In context ↗Mild

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseEverything I do costs me a disproportionate amount of energy, be it work, hiking, exercising or meetings with friends. In context ↗
  • Pain & fibromyalgiaEvery kind of using muscles just a little bit over my daily exercise, results in muscle pains and tensions for weeks. In context ↗
  • Headaches & migrainespecialists for psoriasis arthritis (autoimmune ), migraines, burnout, depression, troubled sleep In context ↗
  • Brain fogwhen I couldn't get anything done at all for brain fog and lack of energy In context ↗
  • Sleep problemstroubled sleep for years In context ↗
  • Anxiety & low moodburnout, depression, troubled sleep for years In context ↗

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