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ME/CFS Severe → near normalNeeds ongoing treatment

ME/CFS with complete fatigue, now nearly back to normal on clarithromycin and benfotiamine

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Aug 2025
In their words
  • Condition: ME/CFSI had sinusitis and along with that complete fatigue. In context ↗
  • At worst: SevereI would be bedridden without it and I now have a normal life. In context ↗
  • Now: Near normalIt has given me my life back. ... I would be bedridden without it and I now have a normal life. In context ↗
  • Began after: a bacterial or tick-borne infectionI had sinusitis and along with that complete fatigue. In context ↗
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

They described sinusitis with complete fatigue and said they would be bedridden without clarithromycin. They took clarithromycin 500 mg twice daily, four days on and three off, for 20 years, which they said gave them their life back. Benfotiamine also helped their fatigue; after five years off clarithromycin they felt very fatigued, and by August 2025 they reported a normal life.

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What they tried

Their words about each treatment
  • Clarithromycin · Helped a lotIt has given me my life back. In context ↗
  • acidophilus · HelpedIt is very important to take acidophilus one hour after clarithromycin morning and night. In context ↗
  • BENFOTIAMINE · Helpedthat also helps my fatigue In context ↗

Approaches: Antibiotics

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. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
onsetsinusitis with complete fatigue; bedridden without clarithromycinI had sinusitis and along with that complete fatigue. ... I would be bedridden without it In context ↗Severe
20 years of treatment before 2025started pulse-dose clarithromycin; life backIt has given me my life back In context ↗Near normalClarithromycin (Biaxin)
April 2025 (off it for five years)stopped clarithromycin; very fatiguedI have been off it for 5 years. I am noticing that off it I am very fatigued. In context ↗Not stated
August 2025back on clarithromycin pulse therapy plus benfotiamine; normal lifeI would be bedridden without it and I now have a normal life In context ↗Near normalClarithromycin (Biaxin)

Adverse events

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