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ME/CFS Moderate → somewhat betterIll 21 months before improving or writingNeeds ongoing treatment

Housebound with ME/CFS, now somewhat better after rest and low-dose naltrexone

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
21 months
Last post
Oct 2026
In their words
  • Condition: ME/CFSOnset 2022, diagnosed March 2024. In context ↗
  • At worst: ModerateIt’s been three years for me where I have fluctuated from mild to moderate and maybe severe for small while in the beginning. In context ↗
  • Now: Somewhat betterI have gone back to occasional work and multiple volunteer activities. In context ↗
  • Began after: stress or burnoutthe only thing i can associate with my experience is the stress/trauma that was occurring at the time of “the event”
Read from 63 of their posts and comments; links to the 24 this page draws on

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Summary

A teacher in their late forties fell ill in 2022 and was off work with ME/CFS from December 2023, housebound with pain at 8-9/10 each evening. Rest, low-dose naltrexone (five months to work), gabapentin, therapy and meditation lifted them to mild, and they returned to teaching in August 2024. Overdoing it at work crashed them back to moderate and they resigned; they now do occasional substitute teaching and volunteering. A hiking holiday set them back again, and major surgery slowed recovery but did not ruin their baseline. One supplement cost $74 a month.

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What they tried

Their words about each treatment
  • nose strips · HelpedI don’t find I need them all the time. But when I do it’s heaven. In context ↗
  • Zyrtec · HelpedI’m a sneezer, or at least I was. Now that I’m taking Zyrtec I don’t. In context ↗
  • meditation · HelpedI would rank this up there with LDN in terms of effectiveness. In context ↗
  • Wellbutrin · HelpedIt’s only been 6 days, but I would say I see a difference in a positive way. In context ↗
  • low dose naltrexone · Helped a lotLDN: took 5 months to work, and the typical insomnia and other things I had to deal with. I take it in the mid morning now. It has been great. In context ↗
  • one supplement · HelpedI’m currently taking one supplement that’s $74/month In context ↗
  • therapy · HelpedI find therapy to be helpful. In context ↗
  • cannabis · HelpedCannabis used to help me to sleep. Yet now it doesn’t help. In context ↗
  • gabapentin · HelpedGabapentin: took two weeks to work, was the first med I tried, and it did allow me more freedom in movement. In context ↗
  • lexapro · Not saidMedications LDN, gabapentin, Zyrtec, Wellbutrin, lexapro. In context ↗
  • somatic experiencing · HelpedIt has had a profound impact on me so far In context ↗
  • flexeril · HelpedTypically a muscle relaxer doesn’t work for me, but I have been overly tense for a week and it’s been helpful I think. In context ↗
  • ibuprofen · Not saidThey prescribed flexeril and more ibuprofen. In context ↗
  • tramadol · Not saidgave me fluids and a more powerful type of anti inflammatory - tramadol maybe In context ↗
  • myofascial release therapy · HelpedMyofascial release therapy is my thing. It relieves a lot of tension for me. In context ↗
  • propranolol · HelpedI’m currently taking propranolol to chill me out. It’s semi-helping. In context ↗
  • magnesium lotion · HelpedMagnesium lotion or anything magnesium: I have had extreme pain for most of this disease. Magnesium is bomb for muscle relaxation. In context ↗
  • oura ring · Not saidI wasn’t a ring wearer and I had no problem adjusting to the oura ring. I recommend it In context ↗
  • pacing · HelpedIt wasn’t until I started doing this that I feel like if nothing else- I’ve leveled out. In context ↗
  • eye mask and ear plugs · HelpedEye mask/ear plugs: these two things initially seemed silly to me but wow are they critical in calming my nervous system. In context ↗
  • eating small meals more regularly · HelpedI need to eat small meals more regularly. It helps me feel more normal, but that is a difficult thing to do. In context ↗
  • cutting out social media, politics and news · HelpedI completely had to remove myself from social media, politics, nearly all news. It was certainly keeping my nervous system unregulated! In context ↗
  • cold or ice on the back of my neck · Helpedputting cold or ice on the back of my neck is quite helpful In context ↗
  • benzos · HelpedRest, eye mask, ear plugs (sometimes with emdr beats), and at it’s worst- benzos In context ↗
  • Other surgery (adrenal, lung, venoplasty) · WorseThe first two weeks were hell. I required assistance every hour or so. In context ↗

Approaches: CBT & mindset · Mind-body practices · Other drugs and medicines · Pacing · Radical rest · Trauma & somatic work

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 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
2022onset; could not wake up fully, kept teaching on and offOnset 2022, diagnosed March 2024. On and off work for 2 years. ~50%. In context ↗Mild
December 2023off work on leave, housebound, pain 8-9/10 every afternoon and eveningI’ve been off since December 2023 ... The pain I experience all the time, and it goes to 8-9/10 every afternoon/evening.Moderate
May 2024began to feel better after five months off work, with rest and medicineI did not start feeling better until May. In context ↗ModerateLow-dose naltrexone
August 2024back teaching but not pacing; wired, overstimulated, dropped lower than beforeI feel like I’m headed in the wrong direction, again. ... this down is lower than before.Mild
September 2025crashed after a hike on first holiday in three years; slipped from mild back to moderateWent on my first vacation in 3 years. Did a hike I should not have done. ... I have recently gone from mild-ish back to moderateModerate
March 2026back to occasional work and volunteering, still unable to pace while workingI have gone back to occasional work and multiple volunteer activities. In context ↗MildPacing and the energy envelope
June 2026major surgery; first two weeks needed help every hour, felt flu-like most nightsThe first two weeks were hell. I required assistance every hour or so. In context ↗Severe
July 2026slow recovery from surgery but baseline held; substitute teaching occasionallyIt has not ruined my baseline. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI STILL feel the effects of overdoing it when I feel like I’ve done very little. In context ↗
  • Brain fogMy brain wasn’t fully functioning bc I forgot things, important things, multiple times throughout the day In context ↗
  • POTS & dysautonomiaI’m having other dysautonomia symptoms I don’t want to mention. In context ↗
  • Mast cell (MCAS) & allergiesI’m a sneezer, or at least I was. In context ↗
  • Sleep problemsI’ve never been someone who can or does nap. Instead just awake and so very tired. In context ↗
  • Pain & fibromyalgiaI have had extreme pain for most of this disease. In context ↗
  • Headaches & migraineI had a headache for a week straight. In context ↗
  • Light & noise sensitivityI have cognitive issues and also am/was overstimulated by everything I did In context ↗
  • Muscle weaknessIt just seems like my legs are wasting away regardless of what I do. In context ↗
  • Neuropathy & tinglingI have experienced severe pain in my jaw and have had weird nerve things in the same area that would shoot up my skull and down the jaw In context ↗
  • Anxiety & low moodI have never struggled so much with my brain, the feeling of impending doom, SI, all of which I did not have prior to CFS. In context ↗
  • Flu-like symptomsI have gone to bed most nights feeling like I have the flu or am getting sick. In context ↗
  • Temperature regulationVery much so. And reading another’s comment just now has reminded me that putting cold or ice on the back of my neck is quite helpful! In context ↗

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