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ME/CFS Severe → somewhat betterIll 13 months before improving or writingNeeds ongoing treatment

Severe ME/CFS, stuck in bed much of the time, now somewhat better with low-dose naltrexone

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
13 months
Last post
Sep 2026
In their words
  • Condition: ME/CFSsince before I had me/cfs In context ↗
  • At worst: SevereI was more like severe when I first got my mobility aids In context ↗
  • Now: Somewhat betterI definitely credit it with my going from severe to moderate over the last year In context ↗
Read from 33 of their posts and comments; links to the 23 this page draws on

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Summary

Lynx 17316 fell ill around late 2023 and was severe, stuck in bed much of the time; a breast reduction in August 2024 took about eight months to recover from. Low-dose naltrexone (5 mg), started early 2025, gave more energy almost right away and they credit it with moving from severe to moderate, with milder PEM, brain fog, pain and migraines. By late 2026 they were moderate, cooking and doing hobbies again, still relying on a rollator.

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What they tried

Their words about each treatment
  • LDN · Helped a lotLDN changed my life practically overnight, I’m so much more functional now than I even dreamed I could be before I started taking it In context ↗
  • creatine · HelpedI think it’s given me slightly more energy, but the biggest thing is that it’s stopped my nightly insatiable carb cravings In context ↗
  • Zoloft/sertraline · Helpedit’s worked well to manage my anxiety and depression at a fairly low dose (50mg) In context ↗
  • vitamin C · Not saidIt’s hard to say if I’ve noticed any differences, though. In context ↗
  • zinc · Not saidI started vitamin C and zinc on the advice of my doctor, but I started them at the same time as LDN so I can’t really say if they’ve made any difference In context ↗
  • b12 · Not saidmost of them are for migraine prevention and I took them before I got sick In context ↗
  • cannabis / edibles · HelpedIt helps with my chronic pain, helps me rest, and makes my world more bearable. In context ↗
  • famotidine (Pepcid) · HelpedI’ve definitely noticed an improvement in PEM and cognitive function since then In context ↗
  • Zyrtec · Not saidI already take zyrtec for environmental allergies In context ↗
  • electrolytes (unflavoured Normalyte) · HelpedI find that it helps a lot more (especially with brain fog, but also dizziness) than other electrolytes I’ve tried In context ↗
  • toeless compression socks · Helpedthey’re cheap and they do the trick! In context ↗
  • warm baths with heart-rate monitoring and water · Helpedwith a few precautions they don’t cause crashes for me at all anymore In context ↗
  • tummy time in bed · Helpedit’s not completely gone but there’s a big improvement! In context ↗
  • breast reduction surgery · Worseit took about 8 months to get back to my pre-surgery baseline In context ↗
  • caffeine (tiny coffee, cola) · HelpedI do find it really helpful on days I’m not doing well but have something I *need* to focus on or do In context ↗
  • decaf coffee · Helpedit gives me a little energy boost but doesn’t make me jittery In context ↗
  • peppermint capsules (IBgard) · Helpedthey really work! In context ↗
  • cane · HelpedI got a (cheap) cane about a month ago and like the extra support In context ↗
  • rollator · HelpedI can walk so much further without feeling exhausted, and it’s sure nice to have a place to sit down whenever I want to In context ↗
  • rechargeable neck heating pad · Helpedit’s helped a lot with my neck pain In context ↗
  • ASMR videos · HelpedASMR videos help me a lot In context ↗
  • COVID vaccination as treatment · Not saidI’ve reacted quite badly in the past (very sick in the ways you describe for 4-5 days) In context ↗

Approaches: H2 blockers

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 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
late 2023became ill with ME/CFSI had a (gender affirming) breast reduction almost two years ago, which was 8 months after I got sick In context ↗Severe
August 2024breast reduction surgery; about a month mostly in bed afterwardsI basically slept for a full week after surgery, spent close to a month mostly in bed In context ↗Severe
early 2025started low-dose naltrexone and had more energy almost right awayI had more energy almost right away, and it also helped with brain fog and chronic pain very quickly In context ↗SevereLow-dose naltrexone
January 2026went from severe to moderate over a year on low-dose naltrexoneI definitely credit it with my going from severe to moderate over the last year In context ↗ModerateLow-dose naltrexone
September 2026moderate, cooking and hobbies again, using a rollator to walk furtherI’m moderate (now, I was more like severe when I first got my mobility aids) In context ↗Moderate

Adverse events

  • “I basically slept for a full week after surgery, spent close to a month mostly in bed, and it took about 8 months to get back to my pre-surgery baseline” In context ↗ Made symptoms worse
  • “I didn’t notice any side effects while awake other than generally feeling a little less anxious (unlike every prescription sleep med I’ve tried)” In context ↗ Side effects
  • Sertraline (Zoloft)“it’s mitigated the really bothersome side effects (sexual dysfunction is the big one” In context ↗ Side effects
  • COVID vaccination as treatment“I’ve reacted quite badly in the past (very sick in the ways you describe for 4-5 days)” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI rarely have bad PEM and recover more quickly when I do have it In context ↗
  • Brain fogwhen I’m in PEM my regular symptoms (brain fog, fatigue, joint pain, etc.) get more severe In context ↗
  • POTS & dysautonomiaI don’t have POTS but I do have orthostatic intolerance In context ↗
  • Pain & fibromyalgiamy hips are my biggest pain point In context ↗
  • Headaches & migrainemy migraines are much milder In context ↗
  • Sleep problemsI’ve had sleep problems/insomnia since I was a child In context ↗
  • Gut problemsIf I wake up before ~10 am I have intense nausea where I can’t eat and often vomit In context ↗
  • Light & noise sensitivityturning down the volume on everything so I don’t get as overstimulated In context ↗
  • Anxiety & low moodit’s worked well to manage my anxiety and depression In context ↗
  • Mast cell (MCAS) & allergiesI already take zyrtec for environmental allergies In context ↗

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