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

ME/CFS after COVID, more disabled by overwork, now somewhat better with pacing, wheelchair

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill before improving or writing
6 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSI've been sick since 2020 and I have the ME/CFS version In context ↗
  • At worst: ModerateI think I'm late mild maybe early moderate In context ↗
  • Now: Somewhat betterLdn has improved my fatigue-brought me back from early moderate to late mild. In context ↗
  • Began after: COVIDI got Long Covid from my initial infection, and that made me disabled
Read from 107 of their posts and comments; links to the 43 this page draws on

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Summary

After COVID-19 in 2020 she was still teaching theatre 20-30 hours a week; overworking for 8-10 weeks in summer 2024 left her more disabled, never back to baseline, now working four hours a week and using a wheelchair. Pacing, rest breaks and a wheelchair help; she describes herself as late mild or early moderate.

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What they tried

Their words about each treatment
  • electrolytes, salt with potassium and compression socks · HelpedI've drunk my electrolytes and put on my compression socks -pots treatments and both have helped me In context ↗
  • inhaler · HelpedI do have some leftover breathlessness aside from my dysautonomia and my inhaler helps. In context ↗
  • mirtazapine · HelpedI had mirtazapine before which did really help but it made me really hungry at night In context ↗
  • trazodone · HelpedSo I switched to trazodone and haven't noticed extra side effects? In context ↗
  • speech therapy (brain breaks) · HelpedA thing that helped me from the speech therapist is set alarms to take brain breaks throughout the day. In context ↗
  • Meclizine · HelpedI DO take meclizine 1-3 times a day but at 12.5, which is the recommended dose for my brand of vestibular issue In context ↗
  • gabapentin · Worsegabapentin at 600mg made me feel jittery and awful, but gabapentin at 300mg makes me sleep for ages In context ↗
  • eye drops · HelpedI also find eye drops help with my eye pain. In context ↗
  • methylphenidate · No changeI am also fairly sensitive to some medications and did not like methylphenidate/didn't think it was helping enough to be worth it In context ↗
  • dextroamphetamine · HelpedI take Dextroamphetamine (generic dexedrine) and it is more helpful to me with fatigue and adhd. In context ↗
  • zyrtec (cetirizine) · HelpedI rested A LOT, started taking zyrtec daily In context ↗
  • lamotrigine · No changeI'm tapering off of it right now. In context ↗
  • memantine · Not saidI've also taken Lamotrigine and memantine together and I don't recommend it. In context ↗
  • CBD topical cream · HelpedCbd topical helped some. In context ↗
  • midodrine · HelpedIf you haven't tried midodrine that helped lessen my crashes a lot In context ↗
  • boswellia (Swanson 800 mg) · Helpedas far as I know it can be credited with my migraines being much less severe now In context ↗
  • nasal spray (Flonase) · Not saidMy allergy pills only go so far and I need the nasal spray now. In context ↗
  • Mestinon · WorseI tried it but it gave me worse headaches In context ↗
  • low-histamine diet · HelpedI went with low histamine rather than FODMAP. It actually has really helped my GI symptoms In context ↗
  • ginger tea with honey · HelpedI love ginger tea, I put honey in it, and it helps my stomach settle In context ↗
  • GLP-1 (Scripps trial) · Much worseStarted GLP-1, felt MUCH worse, stopped In context ↗
  • wheelchair · HelpedI got my wheelchair!!! I love her she's blue and I've been working part time and it's much better without having to stand constantly. In context ↗
  • Vitron-C · HelpedI take Vitron-C for my low iron, usually with food to be easier on my stomach. In context ↗
  • LDN (low-dose naltrexone) · HelpedLdn has improved my fatigue-brought me back from early moderate to late mild. In context ↗
  • ME/CFS-competent physical therapy · HelpedI have made progress in my PT (my pt doesn't push me to crash) In context ↗
  • pacing · HelpedPacing and not becoming infected again prevents worsening and may bring some improvement, it did for me! In context ↗
  • aggressive rest · HelpedAlso resting aggressively did bring my ability to do some things back. In context ↗
  • propranolol · HelpedI take propranolol for it and it helps. In context ↗
  • COVID vaccination as treatment · Not saidI recently had novavax and flu shot together - I had sore arms and some added fatigue but not too crazy. I also got a sore throat that lasted several days. In context ↗

Approaches: H1 antihistamines · POTS medication · Pacing · Physiotherapy and rehab · Radical rest

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 y6 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
2020COVID-19 infection; Long Covid beganI was still teaching theatre (including dance) like 20-30 hours a week when I first got sick In context ↗Mild
summer 2024worked mostly full time for 8-10 weeks, went into rolling PEM and never returned to previous baselineafter working 8-10 weeks mostly full time I was in rolling PEM, became more severe, and have never gone back to my previous baseline In context ↗Moderate
March 2026got a wheelchair and returned to part-time teachingI got my wheelchair!!! I love her she's blue and I've been working part time and it's much better without having to stand constantly In context ↗Mild
October 2026late mild, still working a few hours a week and using a wheelchairLdn has improved my fatigue-brought me back from early moderate to late mild In context ↗MildLow-dose naltrexone

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI got cocky and now I've been in PEM for five days and I'm regretting pushing it In context ↗
  • Brain fogAnd my memory is quite bad In context ↗
  • POTS & dysautonomiaI have dysautonomia (nervous system dysfunction), as many with long covid do In context ↗
  • Sleep problemsI usually sleep for closer to 16-18 hours a few times a week In context ↗
  • Pain & fibromyalgiaI'm generally in a lot less pain than that the beginning In context ↗
  • Headaches & migraineI have vestibular migraines In context ↗
  • Gut problemsIt actually has really helped my GI symptoms In context ↗
  • Light & noise sensitivitysunlight can cause my eyes searing pain In context ↗
  • BreathlessnessI do have some leftover breathlessness aside from my dysautonomia and my inhaler helps. In context ↗
  • Neuropathy & tinglingfor my hands and arms it seemed like I was compressing a nerve in my chest that was affecting them In context ↗
  • Anxiety & low moodI have adhd and long covid and depression In context ↗
  • Temperature regulationHEAT is a huge trigger for me! In context ↗
  • Vision problemsI have a very impaired VOR and I think a convergence problem In context ↗

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