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ME/CFS Moderate → somewhat betterIll 7 years before improving or writingNeeds ongoing treatment

ME/CFS with brain fog and PEM, somewhat better on methyl-B12 and supplements

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
7 years
Last post
Dec 2024
In their words
  • Condition: ME/CFSI'm neuro-cognitive cfs In context ↗
  • At worst: ModerateAt most I can handle going out to eat once in a while with people or a car ride to the store with someone. In context ↗
  • Now: Somewhat betterYeah I'm at a somewhat better baseline now with the rest of my stack but my cognitive PEM can still turn into a disaster In context ↗
Read from 27 of their posts and comments; links to the 21 this page draws on

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Summary

Meadow 67645 has had ME/CFS for over seven years, with cognitive PEM, brain fog, daily flu-like feelings, air hunger, muscle heaviness and food and gut sensitivities. They describe a somewhat better baseline held up by a supplement stack, including 2000 mcg of methyl-B12 daily that they say keeps them alive. Stopping everything crashes them back to housebound.

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What they tried

Their words about each treatment
  • methyl-b12 · HelpedMethyl-b12 is one of the only things keeping me alive, my sweet spot with it is 2000 mcg and I use the bestvite capsules that only have a little rice flour in them. In context ↗
  • nicotine patches · HelpedNicotine improves my focus and I can feel more dopamine like feelings with it too but after it starts to wear off my focus goes into the negatives and my anxiety shoots through the roof. In context ↗
  • vitamin D3 (vegan d3) and calcifediol · WorseI had to do so much trickery with my body to get it to accept d3. In context ↗
  • salt · Helpedif I eat a bunch of salt when it hits it becomes slightly more tolerable In context ↗
  • coffee · HelpedI cant live without it, like I actually can't as my body would stop functioning. In context ↗
  • THC · Worseall forms of thc besides microdoses in full spectrum cbd oil make me go mad. I cant handle it at all, its not my personality. In context ↗
  • kava · WorseI used to be a heavy kava drinker, eventually gave me bad digestive issues but with mine now I might go back In context ↗
  • fasting / partially fasted state · HelpedThe only way I found to minimize it is fasting and living in a partially fasted state. In context ↗
  • dietary trigger elimination · HelpedI've also pinned down a lot of stranger dietary triggers making worse, so there is also a lot of micromanagement involved too im still figuring out. In context ↗
  • supplement stack · Helpedmy supplement line up keeps me at least alive as if it drops disaster strikes In context ↗
  • therapy · Not saidI forced myself to go to a later therapy appointment and the brain fog was so thick that I could barely talk right or fluidly think. In context ↗

Approaches: Diet · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered7.7 y7.8 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 7.7 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
2017became ill with ME/CFSI needed it since I got ill over 7 years ago at this point. In context ↗Not stated
—crashed to housebound when off their supplementsIf I stop everything I just crash to housebound. In context ↗Moderate
2024-09-03made some progress on a supplement stackI've made progress and with every failure I only learn more. In context ↗ModerateVitamin B12
2024-11-06somewhat better baseline but still very limited sociallyAt most I can handle going out to eat once in a while with people or a car ride to the store with someone. In context ↗Moderate

Adverse events

  • Vitamin B12“I can override the physical fatigue with high doses of methyl-b12 but there's side effects for doing so” In context ↗ Side effects
  • Vitamin B12“Ill typically take more if I'm in for a brutal week energy drain wise I cant avoid but also ends up cognitively taxing me more in the long run.” In context ↗ Made symptoms worse
  • Vitamin B12“If I go lower its not enough and higher I get the adrenaline dump and crash.” In context ↗ Made symptoms worse
  • Vitamin D and sun exposure“I cant handle ANY vitamin D supplements without life ruining side effects either” In context ↗ Side effects
  • Vitamin D and sun exposure“I still got far sicker with every dose but sometimes I'd get more energy randomly.” In context ↗ Made symptoms worse
  • Vitamin D and sun exposure“I then tried calcifediol for a couple days which made me extremely lethargic but better in some areas, I couldn't continue taking it.” In context ↗ Made symptoms worse
  • Nicotine patches“Nicotine helps for a brief amount of time but then I rebound into a far worse position” In context ↗ Made symptoms worse
  • Nicotine patches“after it starts to wear off my focus goes into the negatives and my anxiety shoots through the roof” In context ↗ Mood or psychiatric effects
  • Nicotine patches“Nicotine is kind of on and off with me with the patches, sometimes it's alright and others I just feel more tired.” In context ↗ Made symptoms worse
  • Cannabis (THC, marijuana)“all forms of thc besides microdoses in full spectrum cbd oil make me go mad. I cant handle it at all” In context ↗ Mood or psychiatric effects
  • Kava“I used to be a heavy kava drinker, eventually gave me bad digestive issues” In context ↗ Gut side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisemy cognitive PEM can still turn into a disaster if I don't abide my old limits In context ↗
  • Brain fogthe brain fog was so thick that I could barely talk right or fluidly think In context ↗
  • Flu-like symptomsits the daily flu like garbage In context ↗
  • Anxiety & low moodanxiety and other mood stuff In context ↗
  • Gut problemsMy guts are like that, too much too often and I'm a mess In context ↗
  • Muscle weaknesslead body when exhausted In context ↗
  • Temperature regulationI get overheated but its difficult for me to sweat in general In context ↗

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