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ME/CFS Moderate → somewhat betterIll 2 years before improving or writing

Too sick to continue a degree with ME/CFS, somewhat better with pacing and rest

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
2 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSPEM wasn't noticeable for me until around 6mo after the migraines started. In context ↗
  • At worst: Moderatewas midway through my bachelor's degree when I became too sick to keep going In context ↗
  • Now: Somewhat betteron the days that I do manage to pace well and prioritize rest, it genuinely does help. I've been able to do more of the things I loved doing before I got sick In context ↗
  • Began after: nothing they could nameFor me it was migraines, especially after cognitive exertion, and massive brain fog. In context ↗
Read from 2 of their posts and comments; links to the 2 this page draws on

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Summary

A university student developed migraines after cognitive exertion and heavy brain fog, sliding from straight-A grades to barely passing over a year; post-exertional malaise showed up about six months in. About two years before their latest post they became too sick to continue their degree, and physiotherapy helped only their neck pain. By October 2026 they said pacing well and resting genuinely helped, letting them do more art and music.

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What they tried

Their words about each treatment
  • physiotherapy · HelpedI went to physiotherapy, and although strengthening my neck muscles seemed to help with postural pain, the rest of my symptoms kept worsening. In context ↗
  • pacing and prioritizing rest · Helpedon the days that I do manage to pace well and prioritize rest, it genuinely does help In context ↗

Approaches: Pacing

Their path

Very severeSevereModerateMildNear normalRecoveredonset3 mo6 mo

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 dashed part: the story doesn’t say when. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
around 2024, at universitymigraines after cognitive exertion and heavy brain fog began; grades fell from straight A to barely passing over a yearFor me it was migraines, especially after cognitive exertion, and massive brain fog. In context ↗Mild
about 6 months into the illnessphysiotherapy helped postural neck pain but other symptoms kept worsening; PEM appearedPEM wasn't noticeable for me until around 6mo after the migraines started. In context ↗Moderate
2026-10-22pacing well and prioritising rest lets them do more art and music on good dayson the days that I do manage to pace well and prioritize rest, it genuinely does help. I've been able to do more of the things I loved doing before I got sick, like art and music. In context ↗MildPacing and the energy envelope

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Headaches & migraineFor me it was migraines, especially after cognitive exertion, and massive brain fog. In context ↗
  • Brain fogmassive brain fog In context ↗
  • Post-exertional malaisePEM wasn't noticeable for me until around 6mo after the migraines started. In context ↗
  • Pain & fibromyalgiastrengthening my neck muscles seemed to help with postural pain In context ↗

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