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ME/CFS Moderate → no benefit

Homebound and unable to work with ME/CFS after a crash, tried pacing

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Mar 2026
In their words
  • Condition: ME/CFSMost doctors who aren't specialized in the area know nothing about this disease. In context ↗
  • At worst: Moderateresulted in me ending up homebound and no longer able to work In context ↗
  • Now: No benefitI was mild for a year. Listening to a doctor who told me that there was no harm in doing physical activities that would lead to a crash resulted in me ending up homebound and no longer able to work. In context ↗
Read from 7 of their posts and comments; links to the 5 this page draws on

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Summary

A Reddit user with ME/CFS was mild for a year, then followed a doctor's advice that exertion was harmless, crashed and became homebound and unable to work. Pacing with strict time limits and rest breaks made a big difference, and a heart rate monitor helped them spot overexertion. A low-dose medication taken at night for five years helped them sleep, though early waking and leg pains remained.

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What they tried

Their words about each treatment
  • Acupuncture · WorseI did it once. May have done too much. Put me in PEM. In context ↗
  • Physical activities advised by a doctor · Much worseListening to a doctor who told me that there was no harm in doing physical activities that would lead to a crash resulted in me ending up homebound In context ↗
  • Pacing · HelpedDiscipline around time limits has made a big difference for me. In context ↗
  • Meditation · Not saidStopping for 10 minutes every hour to meditate/rest. In context ↗
  • Mirtazapine · HelpedI've been taking it at a low dose at night for 5 years now. Only thing I've ever found that helps me sleep through the night and doesn't make me feel out of it the next day. In context ↗
  • Visible · HelpedThe heart rate monitor lets me know when I'm overdoing something. In context ↗

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 wereAfter
—mild ME/CFS for a yearI was mild for a year. In context ↗Mild
before March 2025followed a doctor's advice to do physical activities; crashed, became homebound and stopped workingresulted in me ending up homebound and no longer able to work In context ↗Moderate
2025-05-25strict time limits on activity, visits and hourly rest breaksDiscipline around time limits has made a big difference for me. In context ↗ModeratePacing and the energy envelope
2026-03-26using Visible heart-rate and symptom tracking to cut energy useThe heart rate monitor lets me know when I'm overdoing something. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Sleep problemsI still wake up too early some days with leg pains In context ↗
  • Heart symptoms & palpitationstaking a shower (sitting) and getting dressed were both spiking my heart rate In context ↗

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