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ME/CFS Severe → much betterNeeds ongoing treatment

Severe ME/CFS at times, now much better with LDN and pacing

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Jun 2026
In their words
  • At worst: SevereI was severe and now am moderate/light. In context ↗
  • Now: Much betterI was on disability for 18 months and now I’m employed and work full time. I’m on the mild side In context ↗
Read from 15 of their posts and comments; links to the 12 this page draws on

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Summary

Marsh 20784 had ME/CFS before 2020, was severe at times, and spent 18 months on disability. By late 2025 they worked full time and rated themselves mild, later moderate/light, crediting medication (LDN), microdosing plant medicines, a Mediterranean diet, pacing with naps and rest, and controlling their environment; a vagus nerve stimulator was still unproven. Childhood insomnia is managed with Xanax, taken for about 12 years. They later took GLP-1 drugs for pre-diabetes.

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What they tried

Also tried

Their words about each treatment
  • coconut water · Not saidI just started drinking as an alternative to water, and for electrolytes. ... For me, it’s an effective way to digest potassium. In context ↗
  • melatonin · No changeI take it (cause why not) but it hasn’t been effective for me. In context ↗
  • ambien and other medicated sleep aids · WorseI’ve tried medicated sleep aids (ambien etc) and they just keep me up and then I’m groggy. In context ↗
  • xanex (Xanax) · HelpedI take 1mg before bed. ... I can feel when it kicks in — not in a “party” sense, it just allows me to get sleepy. In context ↗
  • magnesium · Not saidRe: supplements - zero clue if they’re effective or not. def don’t have issues if I skip them. In context ↗
  • Visible · No changeI fully forgot I even had a subscription to it ... That’s to say it didn’t work for me. In context ↗
  • Apple Watch · HelpedI have an Apple Watch and it helps with heart rate and pacing I’ve figured out myself along with medication. In context ↗
  • pacing / naps / rest before events · HelpedPacing is critical for me. ... - pacing / naps / rest before events etc
  • LDN · HelpedI was severe and now am moderate/light. ... - LDN In context ↗
  • Mediterranean diet · HelpedTrying to focus on anything that can reduce neurological inflammation. ... - Mediterranean diet In context ↗
  • control of my environment · Helped- control of my environment (all smart lights, sleep mask, white noise machine, headphones, etc) In context ↗
  • vagus nerve stimulator · Not said- testing out a vagus nerve stimulator but TBD if it’s effective (can take up to 30 days to show effects) In context ↗
  • microdosing “plant medicines” · Helped- also microdosing “plant medicines” ... has seemed to be helpful but difficult to quantify In context ↗
  • knitting and Lumenate neural entrainment · HelpedI cannot meditate in the literal sense but find meditation through other methods ... having a mechanical (like knitting) or visual (like neural entrainment) helps me get to a meditative state for the benefits In context ↗
  • GLPs · HelpedI had gotten pre-diabetic so I went on GLPs a few years ago. It helps me maintain what I was prior to getting sick. In context ↗

Approaches: Diet · 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. 2 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
before 2020ME/CFS onsetI had CFS prior to 2020. In context ↗Not stated
—severe ME/CFS, 18 months on disabilityI was severe and now am moderate/light. In context ↗Severe
at CFS diagnosisfelt 100% better after diagnosis; wore off after a few weeksWhen I was diagnosed with CFS the opposite happened, felt 100% better, but that wore off after a few weeks. In context ↗Not stated
2025-10-31back in full-time work, mild sideI was on disability for 18 months and now I’m employed and work full time. In context ↗MildLow-dose naltrexone
2025-12-16severe to moderate/light with medication, diet and pacingMild

Adverse events

  • “A side effect of the medication is “vivid dreams.” My doctor cautioned me about it, and I didn’t think too much - but there’s been a significant difference and I’m borderline lucid dreaming now” In context ↗ Side effects
  • “I’ve tried medicated sleep aids (ambien etc) and they just keep me up and then I’m groggy” In context ↗ Insomnia from treatment

Symptoms mentioned

Their words about their symptoms

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