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ME/CFS Moderate → relapsed

Moderate ME/CFS back to mild with whole-food diet, then housebound after reinfection

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
Not stated
Last post
Oct 2026
In their words
  • Condition: ME/CFSThen I got covid last year and went into moderate. A diet overhaul and hiring a cleaner and getting some accommodations at work is slowly moving me back into mild though. But yeah, my ME was not triggered by a viral infection. In context ↗
  • At worst: ModerateI went from mildish to properly moderate, housebound, unable to cook, clean, do laundry or much at all 3 months ago In context ↗
  • Now: RelapsedI went from mildish to properly moderate, housebound, unable to cook, clean, do laundry or much at all 3 months ago when I caught the latest covid strain. I've been off work for this time. In context ↗
  • Began after: stress or burnoutI was suffering autism burnout after university, started a part time physical job (field archaeology) and suddenly developed exhaustion, pots symptoms and brain fog
  • Says they never had: Flu-like symptomsI didn't initially get flu-like symptoms
Read from 23 of their posts and comments; links to the 10 this page draws on

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Summary

Beech 74647, in the UK, developed very mild ME after autism burnout and a physical job, later reaching mild. COVID in 2022 pushed them to moderate; a whole-food diet, a cleaner, work adjustments and later duloxetine with reduced hours brought them back to mild, walking 40+ minutes daily on a 2025 holiday. A COVID reinfection in 2026 left them housebound and off work again.

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What they tried

Their words about each treatment
  • Orlistat · Much worseOrlistat gave me pancreatitis and I constantly had the shits... never again In context ↗
  • sertraline, fluoxetine and citalopram · No changeI've tried 3 SSRIs (sertraline, fluoxetine and citalopram) and all 3 we're dogshit In context ↗
  • diet overhaul (whole foods, low GI carbs, more protein, veg and fats) · HelpedI genuinely feel a lot better? I haven't needed an afternoon nap in 10 days In context ↗
  • reducing work hours, resting more, more naps · HelpedDuloxetine and reducing work hours and resting more. In context ↗
  • duloxetine (SNRI) · Helped a lotI doubled my duloxetine dose after 6 weeks. Since then my insomnia has gone and I can sleep at least 8h a night In context ↗
  • fresh air and sunlight for vitamin D · Helpedgetting outside for vitamin D and fresh air (even just sitting outside) In context ↗
  • vitamin supplements · Helpedmore naps, more vitamin supplements, starting and being on duloxetine 60mg for 4 months now In context ↗
  • propranolol · Not saidMedicines I'm currently on are 120mg duloxetine and 80mg propranolol. In context ↗
  • intermittent fasting · No changeIntermittent fasting has never worked for me. In context ↗
  • mini pills to stop periods · HelpedThis was me before I took mini pills to stop my periods. ... It's been amazing for me not to bleed In context ↗

Approaches: SNRIs · Diet · Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
after universityautism burnout, then exhaustion, POTS symptoms and brain fog; diagnosed very mild MEstarted a part time physical job (field archaeology) and suddenly developed exhaustion, pots symptoms and brain fog ... they settled on (very mild) ME In context ↗Mild
before covidweight gain, full-time desk work, another autism burnout; now met all the mild criteriathe ME got more noticeable and met all the mild criteria In context ↗Mild
2022caught covid, went into moderateThen I got covid last year and went into moderate In context ↗Moderate
September 2023diet overhaul, hired a cleaner, work accommodations; 15 minute slow walks on some daysI've even been able to go on 15 minute slow walks on some days!! ... A diet overhaul and hiring a cleaner and getting some accommodations at work is slowly moving me back into mildMild
end of 20244-6 week long crash into moderatemy last 4-6 week long crash ... another crash into moderate where I was the end of last year In context ↗Moderate
May 2025duloxetine, fewer working hours and more rest; holiday in Crete walking 40+ minutes a day, 10k steps and a 2 hour walkI even did over 10k steps yesterday and walked for 2 hours! ... I've had no crashes in 2025 as a result and been mildMild
October 2026caught the latest covid strain, properly moderate and housebound, off workI went from mildish to properly moderate, housebound, unable to cook, clean, do laundry or much at all 3 months ago when I caught the latest covid strain. I've been off work for this time In context ↗Moderate

Adverse events

  • “Orlistat gave me pancreatitis and I constantly had the shits... never again” In context ↗ Gut side effects
  • “Orlistat gave me pancreatitis and I constantly had the shits... never again” In context ↗ Other

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseWent from housebound in rolling PEM to mild In context ↗
  • Brain fogbrain fog and inability to concentrate. Forgetting words, names, can't problem solve In context ↗
  • POTS & dysautonomiasuddenly developed exhaustion, pots symptoms and brain fog In context ↗
  • Sleep problemsI have to sleep twice a day, not once, because I can't be awake for many hours In context ↗
  • Pain & fibromyalgiajoint pain, primarily elbows, wrists, fingers, knees and ankles ... Also muscle pain (back) In context ↗

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