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Condition not stated Mild → no benefitIll for 5 years

Five years of muscle fatigue and heaviness, steady with walking and sulbutiamine

Condition
Condition not stated
At worst
Mild (working or studying, with limits)
Ill for
5 years
Last post
Sep 2026
In their words
  • Condition: Condition not statedI haven’t been officially diagnosed with ME/CFS. In context ↗
  • At worst: MildMy symptoms aren’t severe enough to leave me bedridden, and I can still work and live a relatively normal life, but they definitely restrict me. In context ↗
  • Now: No benefitIn my case, it has stayed more or less at the same level, with better and worse days. In context ↗
  • Began after: nothing they could nameI’ve been dealing with unexplained fatigue and muscle symptoms for the past few years. In context ↗
  • Says they never had: Post-exertional malaiseI don’t clearly notice that I’m worse the next day after exercise
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

Woman in Europe, 33, described five years of unexplained muscle fatigue and heaviness with small efforts, tiredness and tension pain. ME/CFS was never diagnosed; chronic fatigue and fibromyalgia had been considered. She worked from home and kept a relatively normal but restricted life, with symptoms steady over time. Regular walking made walks slightly easier and sulbutiamine helped a little; IV iron eased only breathlessness.

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Asking aboutZephyr 67365’s story

What they tried

Their words about each treatment
  • sulbutiamine · HelpedI’ve also been taking sulbutiamine, which seems to give me a little more energy, but it definitely doesn’t solve the underlying problem. In context ↗
  • Mestinon · No changeI didn’t notice any difference at all, I stopped it. In context ↗
  • IV iron · HelpedI stopped getting as out of breath as easily. But unfortunately, it didn’t seem to make any difference to the muscle symptoms at all. In context ↗
  • low-dose escitalopram · WorseI also tried low-dose escitalopram, around 5–10 mg (for 1 year), but I didn’t notice any improvement in the muscle symptoms. If anything, I just felt sleepier and more tired. In context ↗
  • regular walking / treadmill · Helpedif I manage to walk regularly during the week ... those same walks can become slightly easier ... maybe 10–20% easier In context ↗
  • diet · Not saidWith diet I managed to bring my HbA1c down In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2021unexplained fatigue and muscle symptoms beganI’ve been dealing with unexplained fatigue and muscle symptoms for the past few years. In context ↗Mild
2026-09-18regular walking made walks somewhat easierwalking to pick up my son may feel maybe 10–20% easier after I’ve been more consistent with walking for a while In context ↗MildEveryday exercise and activity
2026-09-22still working from home, symptoms steady with better and worse daysit has stayed more or less at the same level, with better and worse days In context ↗Mild

Adverse events

  • Escitalopram (Lexapro)“I also tried low-dose escitalopram, around 5–10 mg (for 1 year), but I didn’t notice any improvement in the muscle symptoms. If anything, I just felt sleepier and more tired.” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Muscle weaknessa strange muscle fatigue/heaviness that appears while I’m actually using my muscles In context ↗
  • Pain & fibromyalgiait can start to feel tight and develop that kind of tension pain In context ↗
  • Sleep problemsI know I don’t get enough sleep because of work In context ↗
  • BreathlessnessI stopped getting as out of breath as easily In context ↗
  • Temperature regulationDuring colder months my muscles can feel more rigid In context ↗

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