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ME/CFS Moderate → near normalIll 3 years before improving or writingNeeds ongoing treatment

Moderate ME/CFS with bedbound days, now near normal after pacing and better sleep

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Oct 2025
In their words
  • Condition: ME/CFSi believe my cfs is caused by covid lingering in the brain In context ↗
  • At worst: Moderatei have returned to almost baseline from moderate In context ↗
  • Now: Near normali am at 95% baseline from moderate. cfs from covid/antibiotic resistant pneumonia same time In context ↗
  • Began after: COVIDcovid - > pneumonia -> asthma with c-ptsd + autism + bipolar all flaring up at the same time was my cfs trigger
Read from 15 of their posts and comments; links to the 10 this page draws on

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Summary

Pebble 37023 developed ME/CFS after COVID and antibiotic-resistant pneumonia and was moderate, with bedbound days. Through pacing, very slow graded activity increases, mental-health work and better sleep he improved to mild and then to about 95% of baseline, calling himself in remission. Flare-ups now last a day or less, though he had one lasting several days in October 2025.

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What they tried

Also tried

THC· Helpedsteroid nasal spray (Mometasone Furoate)· Helpedmelatonin· Worseprescribed sleep medicines· Not saidcorticosteroids (daily, for asthma)· Not said
Their words about each treatment
  • pacing and resting immediately after tasks · Helpedi've had some of my ability regained by controlling my pacing, keeping my spirits up and hope in my progress, and managing my heart rate and sleep In context ↗
  • graded "activity" therapy · Helped a loti have returned to almost baseline from moderate with graded "activity" therapy (not! excersize.) In context ↗
  • therapy / mental health work · Helpedworking on my distress tolerance and my mental health was very key in getting to remission In context ↗
  • THC · Helpedsleep is the only thing that makes my symptoms better In context ↗
  • melatonin · Worsemelatonin makes me SO groggy unfortch! In context ↗
  • prescribed sleep medicines · Not saidi've been prescribed lots of sleep medicines but thc is by and far the best In context ↗
  • corticosteroids (daily, for asthma) · Not saidi take corticosteroids daily for asthma so maybe you're onto something, maybe those have helped me improve too In context ↗
  • steroid nasal spray (Mometasone Furoate) · Helpedhelps me a lot too. i got mine from covid and that space in the sinuses is probably a good viral reservoir In context ↗

Approaches: CBT & mindset · Pacing

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. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2022ME/CFS after COVID and antibiotic-resistant pneumoniacfs from covid/antibiotic resistant pneumonia same time In context ↗Moderate
2025-03-03slowly getting better with rest and pacingi'm grateful i'm getting slowly better over time so i'm not eager to push myself into more severity In context ↗MildPacing and the energy envelope
2025-07-22moved from moderate to mildmild now from moderate! grateful to have made some progress. In context ↗MildGraded exercise therapy (GET)
2025-09-09returned to almost baseline with graded activity and resti have returned to almost baseline from moderate with graded "activity" therapy (not! excersize.) In context ↗Near normalGraded exercise therapy (GET)
2025-10-07active flare-up lasting several daysi am in active flare up right now and have felt sick for days but its been a while since i have In context ↗Mild
2025-10-30about 95% of baseline; steroid nasal spray helps a lothelps me a lot too. i got mine from covid and that space in the sinuses is probably a good viral reservoir In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseif i do end up doing one i rest as though i am sure i'll have pem even if i feel healthy In context ↗
  • Brain fogany inkling of PEM like brain fog i stop drop and roll into resting In context ↗
  • Sleep problemswhen i was in active illness i would sleep 12-13 (!) hours and my watch would record maybe 30 minutes of deep sleep In context ↗
  • Flu-like symptomsi have chronic "sick blood" feeling in my head when i flare up In context ↗
  • Headaches & migrainefatigue like im made of lead, oversleeping, flu like feelings/sick blood/feverish feeling with no fever, headaches In context ↗

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