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ME/CFS Moderate → somewhat betterIll 6 years before improving or writingNeeds ongoing treatment

Mostly housebound with ME/CFS, now somewhat better with pacing and meds

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
6 years
Last post
May 2025
In their words
  • Condition: ME/CFSI’m diagnosed with CFS In context ↗
  • At worst: ModerateI was moderate, mostly housebound since 2019. In context ↗
  • Now: Somewhat betterI’m not healed, I’m not recovered, but I am improving In context ↗
  • Began after: injury or surgerymy CFS journey started after a pulmonary embolism and taking Eliquis for several months
Read from 24 of their posts and comments; links to the 18 this page draws on

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Summary

Fjord 28977 was diagnosed with ME/CFS in 2019 after a pulmonary embolism and was mostly housebound, able to sit only an hour and rating themselves at 5% of earlier capacity. Over six years a specialist-guided mix of pacing, aripiprazole, low-dose naltrexone, valacyclovir, pregabalin and other medications, plus a shower chair, Q-collar and compression boots, brought them to roughly 10-15% of their old capacity. They remain mostly home-resting and say they are improving but not recovered.

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What they tried

Also tried

Trazadone· Helped · wore offDroxydopa· HelpedDextromethorphin· Helpedshower chair· Helpedpneumatic compression boots· HelpedQ-collar· Helpedphysical therapy· No changeLorazepam· WorseEliquis / blood thinners· Not said
Their words about each treatment
  • physical therapy · No changeI would attend twice a week, and had no issue with the exercises themselves, but I would sleep extensively between therapy sessions. In context ↗
  • pacing · HelpedAfter years working with a specialist, pacing, the right combination of medications, and experience managing exertion I’ve expanded my energy envelope significantly. In context ↗
  • Aripiprazole · Helped a lotInitially several of my symptoms cleared up, Christmastime was probably the best I’ve felt in two years. In context ↗
  • Trazadone · HelpedI took Trazadone for a while but it lost its effectiveness. In context ↗
  • Lorazepam · WorseThen I tried Lorazepam, it was very very good for helping me sleep but it made me suicidal. In context ↗
  • Clonidine · HelpedI’m taking a combination of Clonidine and melatonin now. It does the job but it’s inconsistent. In context ↗
  • LDN · HelpedIt took me about 3-4 months before I saw any results. In context ↗
  • Eliquis / blood thinners · Not saidI’ve taken blood thinners religiously for the past two years without incident. In context ↗
  • Pregabalin · Helped a lotPregabalin has been amazing for my pain. The days I forget to take a dose are like hell for me In context ↗
  • Famotidine · HelpedFor me it’s been the combination of all of them together that seems to have contributed the most and each seems to target a different symptom. In context ↗
  • Bupropion · HelpedBupropion has been the one that works best for me, but everyone is different. In context ↗
  • shower chair · HelpedShowering more frequently for less energy has actually been really really helpful. In context ↗
  • pneumatic compression boots · Helpedwhen I use this in the evenings it helps me sleep easier, reduces my pain, and reduces later PEM. In context ↗
  • ice packs · HelpedI use ice packs on my abdomen and the back of my neck, the areas that tend to overheat. In context ↗
  • Q-collar · Helpedit’s reduced my PEM symptoms significantly In context ↗

Approaches: H2 blockers · POTS medication · Proton pump inhibitors · Alternative therapies · Antivirals · Beta-blockers · Other antidepressants · Other drugs and medicines · Pacing · Supplements

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
2019ME/CFS onset after pulmonary embolism; mostly houseboundI’d say I was at 5% of my original capacity in 2019 In context ↗Moderate
August 2020able to sit at a desk for a few hoursA year ago I could only sit for an hour max before needing to lay down for a few hours to recover, but today I’m able to sit at a desk for a few hours In context ↗Moderate
December 2020best they had felt in two years after starting aripiprazoleInitially several of my symptoms cleared up, Christmastime was probably the best I’ve felt in two years. In context ↗ModerateLow-dose Abilify / aripiprazole
May 2023health improving, testing new limitsmy health has been improving recently and it made sense for me to test my new limits In context ↗Moderate
April 2024energy envelope expanded with specialist-guided pacing and medicationsI still spend most of my time at home resting, but I’m able to do so much more right now. In context ↗ModeratePacing and the energy envelope
May 2025still improving, using Q-collar and compression boots to cut PEMThird is a Q-collar. It’s pricey (~$200), but it’s reduced my PEM symptoms significantly. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseWhat triggers my PEM though is when my heart rate goes above 120 for longer than 2 minutes. In context ↗
  • Brain fogmy brain fog is nearly non-existent right now except after some level of exertion In context ↗
  • Headaches & migraineI used to have horrible migraines almost daily. They stopped when I started taking Abilify In context ↗
  • Sleep problemsI’ve gone nearly full nocturnal since my diagnosis. In context ↗
  • Pain & fibromyalgiaPregabalin has been amazing for my pain. In context ↗
  • POTS & dysautonomiaI’ve been diagnosed with POTS, Fibromyalgia, and Ulcerative Colitis. In context ↗
  • Temperature regulationTemperature regulation sucks, and it’s easy to get overheated. In context ↗

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