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ME/CFS Very severe → much betterIll 25 years before improving or writingNeeds ongoing treatment

Bedbound with ME/CFS after graded exercise, now much better with pacing and rest

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill before improving or writing
25 years
Last post
Sep 2026
In their words
  • Condition: ME/CFSVery clear post viral sudden onset MECFS in 2001. In context ↗
  • At worst: Very severeBedbound and v severe from about 2002-2004 (in bed but able to go to the bathroom which was about 10 steps from my bedroom, sleeping 17h a day ... Say 5% of normal energy. In context ↗
  • Now: Much betterI went from fully bedbound constant toxic feeling horror show ... to now still housebound but comparatively doing much better. I can listen to audiobooks or watch some TV without issues 90 percent of the time. In context ↗
  • Began after: another virus2001, got sick during sports training, shivery, cold, fever ... was sick for 2 weeks with what felt like a weird flu. Never got better.
  • Says they never had: Mast cell (MCAS) & allergiesI don't really have any mast cell issues
  • Says they never had: Pain & fibromyalgiaI do not have fibromyalgia, so normally don't have muscle pain
Read from 131 of their posts and comments; links to the 35 this page draws on

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Summary

Heron 99807 fell ill in 2001 after a two-week viral illness and never recovered. A prescribed graded exercise programme left them bedbound and very severe for two years, with very low energy. Very slow improvement over two decades of pacing, rest and avoiding PEM brought them to housebound, with two to three hours of home computer work a day and small extra gains from methylcobalamin.

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What they tried

Their words about each treatment
  • physical therapy / graded exercise (GET) · Much worsePhysical therapist prescribed GET. ... I quickly transitioned to bedbound and very severe (though not feeding tube severe) for 2 years directly after the GET. In context ↗
  • T4 and T3 thyroid medication · HelpedMy brain fog lessened when I started taking T3. (Was already taking T4) In context ↗
  • supplement mix from an MECFS specialist · No changegave up on taking all of that after a few months when I didn't notice any difference In context ↗
  • pacing · HelpedI attribute it to pacing and avoiding crashing like the plague. In context ↗
  • several diets · No changeTried several diets, each for at least a month, with no or very minimal improvement In context ↗
  • low sugar and limited dairy diet · HelpedI feel a little better when I cut it sugar and severely limit dairy In context ↗
  • vegetarian diet · WorseGoing vegetarian was a clear energy decline In context ↗
  • Gupta and ANS Rewire · No changeI've tried the brain retraining programs (Gupta, ANS rewire). They did nothing more than any other meditation or relaxation techniques I tried. In context ↗
  • yoga · WorseI try yoga occasionally, but it's not or miss when it comes to PEM/crashing after, and always results in really sore muscles for days. In context ↗
  • paracetamol · Helpedload up on paracetamol (this works well enough so I've not looked into anything else) In context ↗
  • Garmin Vivoactive watch · Not saidwhich I think also is a decent "did too much" indicator In context ↗
  • vitamin D supplements · Not saidVit D was also really low, slight surprise because I was already half-assed supplementing that.. Upped that dosage and am now taking it daily, plus attempting some sunlight In context ↗
  • N95/N99 masking and infection avoidance · HelpedI have not been sick at all since the start of 2020 and that (or just time passing) has improved my baseline a little I think In context ↗
  • Pfizer COVID vaccine (2 doses) · WorseDefinite PEM, but a relatively mild crash. In context ↗
  • regular B12 (cobalamin) tablets · No changeTook regular B12 cobalamin before, did nothing In context ↗
  • methylcobalamin (methyl B12) tablets · HelpedMethylated B12 definitely got me a little permanent extra energy! In context ↗
  • cooler showers · Worsejust cooler showers. Nope, crashed from the easing into it part. In context ↗
  • salt and compression socks · HelpedI used to get really dizzy when standing, but it's much less of a symptom/problem for me now I am not careful with salt In context ↗
  • maca root powder · No changeI tried it for a month but by then had grown to dislike the taste and since it did absolutely nothing for any of my symptoms I stopped. In context ↗
  • Visible app and band · No changeVisible did not work well either for me In context ↗
  • Dr. Ellie dental care routine (Closys, Crest, Listerine, ACT) · HelpedI just started the Dr. Ellie dental care stuff (2x/day rinse with Closys, brush with Crest - rinse with Listerine, rinse with ACT ) and my teeth are super smooth. In context ↗
  • doxycycline · WorseI've never felt so nauseous in my life! Couldn't lay down, couldn't sit up, couldn't nothing. Skin was crawling. In context ↗
  • NAC · Not saidAnd maybe NAC a little bit that stuff is so acidic I haven't really tried it yet. In context ↗

Approaches: Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset5 y10 y15 y20 y25 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
2001flu-like illness during sports training; never recoveredwas sick for 2 weeks with what felt like a weird flu. Never got better. In context ↗Mild
2002bedbound for two years after prescribed graded exerciseI quickly transitioned to bedbound and very severe (though not feeding tube severe) for 2 years directly after the GET. In context ↗Very severeGraded exercise therapy (GET)
2004began very slowly improving after two years bedboundI started to improve after 2 years bedbound - no clue why - which has been great! In context ↗Severe
2020crashed for weeks after trying short walks outsideI tried to go for a short walk outside a few days a week for a while, but that was a bit of a disaster ... It inevitable led to a week(s) long miserable crash In context ↗Moderate
2022housebound but able to work 2-3 hours a day; credits pacingNow housebound and working 2-3 hours a day. ... I attribute it to pacing and avoiding crashing like the plague. In context ↗ModeratePacing and the energy envelope
September 2024small baseline energy gain on methylcobalaminBaseline is up I'd say 5 percent from about 15-20 percent of a normal healthy person to 20-25 ish? In context ↗ModerateVitamin B12
July 2026still housebound, working three hours a day from home, mostly stableNow still housebound but working a few hours a day. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseas soon as I do too much it's guaranteed PEM and all symptoms are back at full intensity in the foreground In context ↗
  • Brain fogBrain fog has lessened a lot compared to years ago. In context ↗
  • Sleep problemsI have trouble falling asleep and wake up one or two times a night, and then have trouble falling asleep again In context ↗
  • Headaches & migrainePEM is pretty much always followed by back/neck -> head pain that ends in a migraine. In context ↗
  • Light & noise sensitivitymajor issues with scents sound light food etc In context ↗
  • Flu-like symptomsThe feverish toxic feeling has toned down considerably, only increases with pem In context ↗
  • Temperature regulationIf it's too cold or hot and I go outside, I can still feel it drain energy so fast though. In context ↗
  • Heart symptoms & palpitationsalready have a rapid heart rate tendency, especially when sick. Waking up with a fever and 140-180 bpm is horrible. In context ↗
  • Muscle weaknesswith very easily fatiguing muscles a book gets uncomfortable and heavy to hold In context ↗
  • Neuropathy & tinglingthe whole tingly legs/feet at night stuff that I thought was part of CFS seems to be going away In context ↗
  • Anxiety & low moodI did get a ton of anxiety since onset though, never had that before either In context ↗

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