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ME/CFS Very severe → no benefit

Severe rolling PEM crash in ME/CFS, barely up, no improvement with strict pacing

Condition
ME/CFS
At worst
Very severe (bedbound, unable to do basic care)
Ill for
Not stated
Last post
May 2026
In their words
  • Condition: ME/CFSI’m in a severe rolling PEM crash that’s been going on for about 3 weeks In context ↗
  • At worst: Very severeI’m being fed meals, minimizing movement and speaking as much as possible. In context ↗
  • Now: No benefitDespite this, I’m continuing to crash. In context ↗
Read from 1 of their posts and comments; links to the one this page draws on

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Summary

Plover 36390 reported a severe rolling PEM crash lasting about three weeks, with rapidly declining function. They were fed meals, minimised movement and speech, and could barely get up to the bathroom. Their PEM caused burning pain in the arms and legs, a 'brain on fire' feeling and severe insomnia. They were pacing strictly and planned to ask about low-dose Abilify and benzodiazepines.

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What they tried

Also tried

Their words about each treatment
  • Pacing · No changeI’m pacing as strictly as I can ... Despite this, I’m continuing to crash. In context ↗

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI’m in a severe rolling PEM crash that’s been going on for about 3 weeks In context ↗
  • Pain & fibromyalgiaintense burning pain in my arms and legs that worsens with any movement In context ↗
  • Sleep problemssevere insomnia In context ↗

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Asking aboutPlover 36390’s story

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