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ME/CFS Severe → no benefitNeeds ongoing treatment

ME/CFS with bedbound spells, no overall improvement after beta blockers and Cytomel

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill for
Not stated
Last post
Jan 2026
In their words
  • Condition: ME/CFSLiving with CFS is the most disciplined thing I've ever done in my life. In context ↗
  • At worst: SevereI ordered flowers for my desk I can look at from my bed that gives me small joy to see bloom. In context ↗
  • Now: No benefitI do still have to severely limit any screen time or I feel ill. In context ↗
Read from 7 of their posts and comments; links to the 5 this page draws on

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Summary

They described living with CFS, with bad spells spent in bed and severe limits on screen time, plus body and hand pain. Beta blockers helped day to day, and quitting their job helped with a fight-or-flight state; valium was used when it spiked. Cytomel made their dysautonomia much worse. A 2.5 mg dose helped, and two tries at a higher dose caused agitation.

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What they tried

Their words about each treatment
  • valium · Helpedwhen it spikes I use valium to get my body to turn In context ↗
  • Beta blockers · HelpedBeta blockers help me a lot on a day to day basis In context ↗
  • active rest (self massage, humming, meditation) · HelpedResting as much as possible (active rest, like self massage, humming, meditation, etc) In context ↗
  • pacing · Helpedpacing is a must for me to stay out of that state In context ↗
  • cytomel · Worsecytomel was terrible for my dysautonomia symptoms and really messed with my sympathetic nervous system In context ↗
  • LDN · Helped2.5mg I've tried twice to go up but it has made me feel really agitated both times even after a week and 2.5 helps so here I stay :) 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. 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 were
onsetdeveloped ME/CFSLiving with CFS is the most disciplined thing I've ever done in my life In context ↗Not stated
2025-10bad spell, largely in bedI ordered flowers for my desk I can look at from my bed that gives me small joy to see bloom. In context ↗Severe
2025-10-23quit their job and the fight-or-flight state easedMine only got better after I quit my job In context ↗Moderate
2026-01-15on low-dose naltrexone 2.5 mg and beta blockers, still severely limiting screen time2.5 helps so here I stay In context ↗Moderate

Adverse events

  • Liothyronine (Cytomel)“cytomel was terrible for my dysautonomia symptoms and really messed with my sympathetic nervous system” In context ↗ Made symptoms worse
  • Low-dose naltrexone“2.5mg I've tried twice to go up but it has made me feel really agitated both times even after a week and 2.5 helps so here I stay :)” In context ↗ Mood or psychiatric effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisetoo much exertion can flip me to that hyper-aroused state and then back around to "hypo-aroused" and bedbound In context ↗
  • POTS & dysautonomiacytomel was terrible for my dysautonomia symptoms and really messed with my sympathetic nervous system In context ↗
  • Pain & fibromyalgiaI will use the voice navigation if my body hurts and my hands hurt In context ↗

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