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ME/CFS Severe → much betterIll 5 years before improving or writingNeeds ongoing treatment

Nearly bedbound with ME/CFS, now much better on fluoxetine and metoprolol

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
5 years
Last post
Sep 2026
In their words
  • At worst: Severeto the point where I was almost bed bound In context ↗
  • Now: Much bettercompared to a year ago, I'm a completely different person (in a good way). ... I still have bad days and am still dealing with a lot of pain overall In context ↗
  • Began after: COVIDI got COVID back in 2020.. I was the first one in my office.
Read from 71 of their posts and comments; links to the 31 this page draws on

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Summary

Valley 45001 caught COVID in July 2020 and spent five years with POTS, sinus tachycardia, chronic chest and shoulder pain, gut problems and fatigue. A severe infection in July 2025 left him nearly bedbound with insomnia, brain fog and depression. He credits 10 mg fluoxetine, taken with metoprolol, with cutting his resting heart rate 25-30 bpm and easing symptoms; by late 2026 he felt much better than a year earlier, though pain and bad days continued.

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What they tried

Their words about each treatment
  • Metoprolol · HelpedI've been on Metoprolol (25mg) for years ... even if it gets me from averaging 99 down to 93, something is better than nothing In context ↗
  • Sertraline · WorseI've tried Sertraline twice over the past few years and both times had awful experiences. In context ↗
  • Ibuprofen · HelpedSometimes I take ibuprofen and things abate. In context ↗
  • multivitamin gummy · Not saidI didn't do a thing different except taking a multivitamin gummy vs the pill I had been taking In context ↗
  • Propranolol · WorseBoth meds made me terribly fatigued, GI issues, irritable, ect. In context ↗
  • quitting alcohol · HelpedI also quit drinking months ago and felt better for it. In context ↗
  • melatonin gummy · Helpedtaking one melatonin gummy before bed has really let me get deeper sleep overnight and taken the edge off the drowsiness In context ↗
  • Gabapentin · No changeI was prescribed 900mg of gabapentin - barely touches the pain. In context ↗
  • cutting down caffeine · Not saidI'm currently working on caffeine, down to just a 10oz cup of coffee a day (most days) In context ↗
  • low impact walks · Helpedgoing for low impact walks does seem to be a little helpful to me. They certainly don't make me crash or anything In context ↗
  • getting out of bed when awake at night · HelpedIf I woke and remained awake for more than a few minutes in bed, I got out of bed, went somewhere else (living room) and sat on a chair and read a book for awhile. In context ↗
  • roll-on (Icy-hot) · HelpedIf I get the combination right, I can have hours of pain free life but it always ALWAYS comes back. In context ↗
  • muscle relaxer · Not saidOther times I have to take something stronger, like a muscle relaxer or Gabapentin. In context ↗
  • stretches · No changeI've tried stretches, different products, red light therapy.. nothing puts a dent. In context ↗
  • 72 hour water fast · No changeI just did a 72 hour water fast with my wife this week. In context ↗
  • epidural · No changeI've had persistent left sided chest, shoulder and neck pain for years now. Nothing touches it, including an epidural, physical therapy, meds In context ↗
  • Fluoxetine (Prozac) · Helped a lotcommitting to an SSRI (fluoxetine) was genuinely the turning point for me with LC In context ↗
  • physical therapy · No changeNothing touches it, including an epidural, physical therapy, meds In context ↗
  • humidifier · Helpedhave you tried adding a humidifier in your room? Massively improved my dryness In context ↗
  • therapy · HelpedI realized I needed to talk to a therapist and be open to medication and honestly it has helped me quite a bit. In context ↗
  • journaling · HelpedI started journaling. ... It was keeping my anxiety about everything down because I could see progress or regression In context ↗

Approaches: CBT & mindset · SSRIs · Diet

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
2020COVID-19 infection, deathly ill with fever and heart rate in the 120sI was running a fever and feeling deathly ill In context ↗Severe
July 2025biggest crash in five years; nearly bedbound with insomnia, brain fog and depressionI was devastatingly sick this July and August, to the point where I was almost bed bound In context ↗Severe
September 2025clawed back bit by bit with more food and rest, went for a jogin three months, I went from a 0/10 to like a 6/10 In context ↗Moderate
October 2025small crash after a jog and lifting weightsI had a small crash the next day or two but I don't think it was anything especially noteworthy. In context ↗Moderate
November 2025about 50% better, back at work and active with his childrenafter about 6 weeks of slow by steady progress, I'd say I'm 50% better than where I was In context ↗Mild
December 2025fluoxetine added to metoprolol; resting heart rate fell to 60-75my resting HR is 60-75 at my desk **EVERY DAY** since I started taking it In context ↗Mild
September 2026a completely different person than a year before, though bad days and pain continuecompared to a year ago, I'm a completely different person (in a good way) In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI just took the garbage out and blew the leaves in the driveway and I'm crashed on the couch. In context ↗
  • Brain fogI never suffered from brain fog or memory issues (nothing substantial anyway) until this summer. In context ↗
  • POTS & dysautonomiaI was diagnosed with POTS (which is probably legit) In context ↗
  • Sleep problemsI had an insomnia streak over the summer. In context ↗
  • Pain & fibromyalgiaI have had persistent, consistent physical *pain* throughout my long-haul journey. In context ↗
  • Heart symptoms & palpitationsmy heart rate was now in the 90s basically all the time unless I was asleep In context ↗
  • Muscle weaknesscouldn't even get out of a chair of off the floor for a few weeks In context ↗
  • Flu-like symptomsI FEEL sick very often In context ↗
  • Temperature regulationI get the chest pain, cold sweats everything like you In context ↗
  • Gut problemsFor basically the entirety of those 5 years, I have suffered GI issues In context ↗

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