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ME/CFS Severe → much betterIll 6.5 years before improving or writingNeeds ongoing treatment

Almost bedridden with ME/CFS, now much better after a specialist regimen and pacing

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
6.5 years
Last post
Oct 2026
In their words
  • Condition: ME/CFSFull blown ME/CFS by early 2023. In context ↗
  • At worst: SevereBy 2023 I was almost bedridden. Couldn’t be in a room with talking or bright light. In context ↗
  • Now: Much bettermanaged to move me from bedbound/housebound to mild ... I'm taking a class twice a week In context ↗
  • Began after: COVIDI got COVID in March of 2020.
Read from 54 of their posts and comments; links to the 33 this page draws on

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Summary

A California woman infected with COVID in March 2020 was sick six months, partly recovered, then relapsed and was almost bedridden by early 2023, unable to drive and sensitive to light and noise. An out-of-pocket ME/CFS specialist regimen of LDN, Abilify, guanfacine, rapamycin, antivirals, antihistamines and pacing brought her to mild by 2025. She now drives locally and takes a class twice a week but cannot do a big family shop or garden.

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What they tried

Their words about each treatment
  • low carb diet · Helpedas did reducing my carbs to around 30g/day In context ↗
  • intermittent fasting · HelpedI will second the intermittent fasting. That helped a lot as did reducing my carbs to around 30g/day. In context ↗
  • Ozempic / Mounjaro (tirzepatide) · Helped a lotPreviously I have taken Ozempic and seen a good improvement - I would say remission. But that didn't last and I got really sick In context ↗
  • exercise · Worsestepped up my exercise game. Beat the T2D. Felt better … until I kept getting sick after exertion In context ↗
  • Zyrtec (cetirizine) · HelpedI take Zertec and famotodine twice per day and I don’t get the adrenaline rush or the chest pain. In context ↗
  • famotidine (Pepcid) · HelpedCombining an H1 and an H2 is best. I take Zyrtec in the morning and famotodine in the evening. In context ↗
  • pacing · HelpedI seriously rested when I was really sick and kept my heart rate below 80 as much as I could. In context ↗
  • rest · HelpedI aggressively rested and gave up all my household duties. In context ↗
  • yoga nidra · Helpedyoga nidra is exceptionally helpful In context ↗
  • propanolol · Helpeda beta blocker (propanonol has helped me) In context ↗
  • low dose naltrexone (LDN) · HelpedI have found it helps with brain fog and headaches. In context ↗
  • 5-HTP (Thorne) · HelpedI started 5-htp this weekend and I’ve had two awesome nights of sleep. In context ↗
  • abilify · HelpedLDN seems to help, and Abilify. In context ↗
  • guanfacine · HelpedNone were on their own a silver bullet but each moved me forward. In context ↗
  • Tenofovir · HelpedI'm taking Tenofovir and finding that it helps a lot. In context ↗
  • rapamycin · HelpedI’ve been on it for about 8 months and have seen an improvement. I take 6 mg once a week. In context ↗
  • midodrene · HelpedMost recent add was midodrine. In context ↗
  • CoQ10 · Helpedthis was one of the supplements she recommended. Like most things for ME/CFS, the improvements are small but worth it. In context ↗
  • fish oil · HelpedWhat worked for me: pacing and rest; antihistamines - H1 & H2 morning and evening; low dose naltrexone; fish oil; CoQ10; vitamin D; aloe In context ↗
  • vitamin B complex · Not saidI also take antihistamines, CoQ10, fish oil, B supplements and aloe. In context ↗
  • Wellbutrin · Not saidI'm currently taking abilify, LDN, Wellbutrin, and a host of supplements. In context ↗
  • melatonin · No changeI have tried melatonin, cannabis and noratriptaline (sp?). Nothing worked. In context ↗
  • Valtrex · Not saidI’ve been taking Valtrex and paxlovid, but I’m not sure if they are helping. In context ↗
  • Adderall · HelpedI recently added ADHD to my list and got Adderall which helps a bit with drive but not too much or I overdo it. In context ↗
  • dexamethasone · Not saidI take dexamethasone when I’m in a crash. In context ↗
  • magnesium · Not saidmelatonin, magnesium, Adderall In context ↗
  • berberine · HelpedI tried the berberine and it worked beautifully. In context ↗
  • Visible app with polar heart rate monitor · HelpedI found the app somewhat useful. In context ↗
  • walking stick · HelpedI have a walking stick and a disabled badge for my car. Helps a lot to conserve energy. In context ↗
  • Bed jet · HelpedBed jet - heating or cooling for the bed. Sooo good. In context ↗

Approaches: H1 antihistamines · H2 blockers · POTS medication · Antivirals · Other drugs and medicines · Pacing · Radical rest · Supplements

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 were
March 2020COVID-19; sick for about six monthsI got COVID in March of 2020. Felt really sick for 6 months. In context ↗Moderate
mid-2020slowly got better but never back to 100%Was sick for months - maybe August before I was feeling better. Still really tired and no real stamina. In context ↗Mild
2022felt great, exercising and riding e-bike 2-3 times a week, about 85-90% of normalNot 100% but I’d say 85-90%. ... I was riding my e-bike 2-3/week up until the end of 2022.Mild
early 2023relapse: almost bedridden, light and noise sensitivity, could not drive or readBy 2023 I was almost bedridden. Couldn’t be in a room with talking or bright light. Couldn’t think straight or drive. In context ↗Severe
November 2023moderately ill, mostly houseboundI’m now moderately ill, mostly housebound but I’m lucky to have huge support from family regarding cooking, housekeeping, etc. In context ↗Moderate
March 2024still mostly housebound at about 60% of functional capacityMostly housebound. About 60% of my functional capacity. In context ↗Moderate
February 2025ME/CFS specialist regimen; can drive locally, watch movies, run errandsI finally found a ME/CFS specialist and things have got much better since then. ... I can watch a movie, talk to people, run errands and drive locally. In context ↗Mild
November 2025crash after a week of daily outings on AdderallOn Sunday afternoon it hit me and I had to go back to my dark room and sleep in the middle of the day. In context ↗Severe
October 2026mild; takes a class twice a week and drives locally but still limited in shopping and gardeningI’m currently taking a 3 hour class twice a week and visiting my Mom an hour away for a couple of hours every week. I still can’t really do a big family shop or work in my garden. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI still have to pace. If I do too much I pay for it the next day. In context ↗
  • Brain fogBrain fog so bad I couldn't read or listen to audiobooks or drive. In context ↗
  • POTS & dysautonomiaprobably some POTS, dysautonomia In context ↗
  • Mast cell (MCAS) & allergiesguanfacine (orthostatic intolerance and MCAS) In context ↗
  • Sleep problemsI sleep for 10-12 hours and still feel tired. In context ↗
  • Pain & fibromyalgiamy symptoms (extreme fatigue, brain fog, body aches) came back In context ↗
  • Headaches & migraineConstant migraines. In context ↗
  • Light & noise sensitivityCouldn’t be in a room with talking or bright light. In context ↗
  • Heart symptoms & palpitationsHigh heart rate even when doing practically nothing. In context ↗
  • Flu-like symptomsWhen I don’t take it I get flu like symptoms when I go into PEM. In context ↗
  • Tinnitustinnitus, brain fog, word loss In context ↗
  • Temperature regulationMain symptoms are brain fog, poor sleep, PEM, temperature regulation. In context ↗
  • Anxiety & low moodwaking up in the night with straight up anxiety and an adrenaline dump In context ↗
  • Hair lossChest pain, hair loss, appalling sleep quality In context ↗

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