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ME/CFS Moderate → no benefit

Unable to work with ME/CFS and PEM, no better after hydrocortisone and pacing

Condition
ME/CFS
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Feb 2026
In their words
  • At worst: ModerateDoing almost nothing, feeling a little better, doing some house shores or something fun for myself and feeling worse again In context ↗
  • Now: No benefitIt used to help with some symptoms but now I couldn’t even float in a pool In context ↗
Read from 5 of their posts and comments; links to the 4 this page draws on

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Summary

Swan 41751 has ME/CFS and PEM and cannot work. Hydrocortisone for low cortisol gave them more energy for a week and eased shaking hands, hair loss, loss of appetite and very low blood pressure, but their energy dropped again. They paced and rested extremely for a month and became depressed again; by February 2026 they could no longer even float in a pool.

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What they tried

Their words about each treatment
  • hydrocortisone · HelpedFor me the cortisone tempered down some of the symptoms I had like shaking hands, hairless, loss of appetite and very low blood pressure. ... Energy went down again… In context ↗
  • antidepressants · Not saidI got depressed again after years of being good because of this illness. ... So I upped my antidepressants again. In context ↗
  • pacing · Not saidI have been pacing/extreme resting for a month now and I noticed that emotional or cognitive stress is worse then physical stress. In context ↗
  • extreme resting · Not saidI have been pacing/extreme resting for a month now In context ↗
  • spa · HelpedGoing to the spa. It used to help with some symptoms but now I couldn’t even float in a pool In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered9 mo12 mo

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. The chart starts 9 months after onset: the story doesn’t say how ill they were before that. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
late 2025very bad two weeks doing very littleI did have a very bad 2 weeks where I didn’t do a lot In context ↗Moderate
January 2026more energy and felt a lot better in first weekI felt a lot better the first week of taking it, more energy too. In context ↗ModerateHydrocortisone / cortisol
January 2026energy dropped again after first weekBut after that first week only those symptoms above were less noticeable. Energy went down again… In context ↗ModerateHydrocortisone / cortisol
2026-01-30depression returned during a month of pacing and extreme restI got depressed again after years of being good because of this illness. In context ↗ModeratePacing and the energy envelope
2026-02-19too depleted even to float in a poolIt used to help with some symptoms but now I couldn’t even float in a pool In context ↗Moderate

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseDoing almost nothing, feeling a little better, doing some house shores or something fun for myself and feeling worse again. In context ↗
  • Anxiety & low moodI got depressed again after years of being good because of this illness. In context ↗
  • Hair losssymptoms I had like shaking hands, hairless, loss of appetite and very low blood pressure In context ↗
  • POTS & dysautonomiavery low blood pressure In context ↗

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