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/CFS
I've been sick since 2020 and I have the ME/CFS version
In context ↗ - At worst: Moderate
I think I'm late mild maybe early moderate
In context ↗ - Now: Somewhat better
Ldn has improved my fatigue-brought me back from early moderate to late mild.
In context ↗ - Began after: COVID
I 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
- Jun 2026
- Mar 2026
- Oct 2026
- Feb 2023
- Aug 2023
- Oct 2023
- Nov 2023
- Aug 2024
- Dec 2023
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- Nov 2025
- Feb 2023
- Jan 2024
- Mar 2026
- Dec 2023
- Jul 2026
- Dec 2023
- Oct 2025
- Jun 2023
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.
Ask Miruvor AI
What they tried
What they credit
Also tried
Their words about each treatment
- electrolytes, salt with potassium and compression socks · Helped
I've drunk my electrolytes and put on my compression socks -pots treatments and both have helped me
In context ↗ - inhaler · Helped
I do have some leftover breathlessness aside from my dysautonomia and my inhaler helps.
In context ↗ - mirtazapine · Helped
I had mirtazapine before which did really help but it made me really hungry at night
In context ↗ - trazodone · Helped
So I switched to trazodone and haven't noticed extra side effects?
In context ↗ - speech therapy (brain breaks) · Helped
A thing that helped me from the speech therapist is set alarms to take brain breaks throughout the day.
In context ↗ - Meclizine · Helped
I 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 · Worse
gabapentin at 600mg made me feel jittery and awful, but gabapentin at 300mg makes me sleep for ages
In context ↗ - eye drops · Helped
I also find eye drops help with my eye pain.
In context ↗ - methylphenidate · No change
I 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 · Helped
I take Dextroamphetamine (generic dexedrine) and it is more helpful to me with fatigue and adhd.
In context ↗ - zyrtec (cetirizine) · Helped
I rested A LOT, started taking zyrtec daily
In context ↗ - lamotrigine · No change
I'm tapering off of it right now.
In context ↗ - memantine · Not said
I've also taken Lamotrigine and memantine together and I don't recommend it.
In context ↗ - CBD topical cream · Helped
Cbd topical helped some.
In context ↗ - midodrine · Helped
If you haven't tried midodrine that helped lessen my crashes a lot
In context ↗ - boswellia (Swanson 800 mg) · Helped
as far as I know it can be credited with my migraines being much less severe now
In context ↗ - nasal spray (Flonase) · Not said
My allergy pills only go so far and I need the nasal spray now.
In context ↗ - Mestinon · Worse
I tried it but it gave me worse headaches
In context ↗ - low-histamine diet · Helped
I went with low histamine rather than FODMAP. It actually has really helped my GI symptoms
In context ↗ - ginger tea with honey · Helped
I love ginger tea, I put honey in it, and it helps my stomach settle
In context ↗ - GLP-1 (Scripps trial) · Much worse
Started GLP-1, felt MUCH worse, stopped
In context ↗ - wheelchair · Helped
I 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 · Helped
I take Vitron-C for my low iron, usually with food to be easier on my stomach.
In context ↗ - LDN (low-dose naltrexone) · Helped
Ldn has improved my fatigue-brought me back from early moderate to late mild.
In context ↗ - ME/CFS-competent physical therapy · Helped
I have made progress in my PT (my pt doesn't push me to crash)
In context ↗ - pacing · Helped
Pacing and not becoming infected again prevents worsening and may bring some improvement, it did for me!
In context ↗ - aggressive rest · Helped
Also resting aggressively did bring my ability to do some things back.
In context ↗ - propranolol · Helped
I take propranolol for it and it helps.
In context ↗ - COVID vaccination as treatment · Not said
I 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
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
| When | What happened | Where they were | After |
|---|---|---|---|
| 2020 | COVID-19 infection; Long Covid beganI was still teaching theatre (including dance) like 20-30 hours a week when I first got sickIn context ↗ | Mild | |
| summer 2024 | worked 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 baselineIn context ↗ | Moderate | |
| March 2026 | got 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 constantlyIn context ↗ | Mild | |
| October 2026 | late mild, still working a few hours a week and using a wheelchairLdn has improved my fatigue-brought me back from early moderate to late mildIn context ↗ | Mild | Low-dose naltrexone |
Adverse events
- Mirtazapine (Remeron)“it made me really hungry at night and then I would eat at night and I think that influenced the probably GERD that I now have. and I gained weight on it b/c of that.” In context ↗ Side effects
- “I was put on a medicine on way too high of a dose and it made me feel horrible and had the opposite effect of what it should have” In context ↗ Side effects
- Gabapentin (Neurontin)“gabapentin at 600mg made me feel jittery and awful” In context ↗ Side effects
- Gabapentin (Neurontin)“some people take it throughout the day but it makes me sleeppppppp.” In context ↗ Side effects
- Compression garments“my feet were maybe from these compression socks that were made badly. So I was already susceptible to compression nerve injuries and then it got a lot worse” In context ↗ Nerve pain
- COVID vaccination as treatment“I 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 ↗ Side effects
- COVID vaccination as treatment“I got a rash (pityriasis rosea) from Moderna” In context ↗ Other
- GLP-1 drugs (unspecified)“More worse insomnia (I was like wow oh shit it can still get worse)” In context ↗ Insomnia from treatment
- GLP-1 drugs (unspecified)“the nausea never subsided it just got worse and I also had extra fatigue, stronger insomnia, derealization, no appetite” In context ↗ Gut side effects
- GLP-1 drugs (unspecified)“Started GLP-1, felt MUCH worse, stopped” In context ↗ Made symptoms worse
- GLP-1 drugs (unspecified)“EXTRA FATIGUE like our type of fatigue, maybe extra headache.” In context ↗ Made symptoms worse
- Mestinon / pyridostigmine“-difficulties breathing - severe tight chest - mumbling words” In context ↗ Side effects
- Mestinon / pyridostigmine“I tried it but it gave me worse headaches” In context ↗ Side effects
- Propranolol (Inderal)“it does make me dizzy when I'm standing” In context ↗ Side effects
- “it gave me a “dark, fast feeling” kind of like jittery i guess and maybe like dark flashing in my head?” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I got cocky and now I've been in PEM for five days and I'm regretting pushing it
In context ↗ - Brain fog
And my memory is quite bad
In context ↗ - POTS & dysautonomia
I have dysautonomia (nervous system dysfunction), as many with long covid do
In context ↗ - Sleep problems
I usually sleep for closer to 16-18 hours a few times a week
In context ↗ - Pain & fibromyalgia
I'm generally in a lot less pain than that the beginning
In context ↗ - Headaches & migraine
I have vestibular migraines
In context ↗ - Gut problems
It actually has really helped my GI symptoms
In context ↗ - Light & noise sensitivity
sunlight can cause my eyes searing pain
In context ↗ - Breathlessness
I do have some leftover breathlessness aside from my dysautonomia and my inhaler helps.
In context ↗ - Neuropathy & tingling
for my hands and arms it seemed like I was compressing a nerve in my chest that was affecting them
In context ↗ - Anxiety & low mood
I have adhd and long covid and depression
In context ↗ - Temperature regulation
HEAT is a huge trigger for me!
In context ↗ - Vision problems
I have a very impaired VOR and I think a convergence problem
In context ↗
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