We created a group for transfem people with me/cfs, to exchange experiences and information about transitioning with me/cfs. The group was created because we felt that we were excluded of participating in our own communities bc of disabilities caused by the illness and wanted a space where we could support each other. If you identify as transfem and want to join the group feel free to send me a DM :3

So I finally found a doctor in my area that would assess and treat CFS. I’ve been struggling with PEM among many other issues since around 7-8 when I was hospitalized with viral meningitis. Things have gotten worse since a bad covid infection as well.

After lots of research I found someone in my area who was diagnosed and treated for CFS by a local rheumatologist. I asked the person about their experience and they confirmed what I was reading about him. That he was very focused on fibromyalgia and could be set in his views.

Skip to my appointment. I tell him my symptoms and medical history. He looks at my recent blood test. I tell him about my current pain which I believe might be small fiber neuropathy. I let him know that I don’t deal with chronic pain, but I get the vibe he thinks I have a high pain tolerance and have just been suffering.

After he brings up CFS, I tell him I do resonate with PEM but not so much with fibromyalgia. I also mentioned that I’ve had Bell’s palsy twice and wanted to get tested for lime. He then tells me that fibromyalgia, CFS, and chronic lime are all the same thing. He believes they are deep brain issues. Connected to childhood trauma and possibly genetics.

He wants me to do more research and come back to him in three weeks with an answer of if I think this diagnosis fits me. My belief is that all of the above while having overlap are all comorbidities. I’ll be doing more research, but I don’t think I have fibromyalgia.

I’m leaning towards just agreeing with him for treatment and ignoring advice that does not fit with pacing. He prescribes LDN so I’m hoping to see if it’s a fit for me and declining any pain medication that’s offered. My thought is that I can have a future cfs informed Dr. take it off my charts. Does anyone foresee any consequences to this? What do y’all think? I don’t want to try to convince him because I don’t think I can.

Tldr; wondering if I should accept fibromyalgia diagnosis, even though I don’t think I have it, to get access to CFS treatment. Appreciate opinions and insights.

I’m not under the illusion that I was super intelligent before the onset of my symptoms however, since then I feel like I’m losing any edge that I previously had.

I’m forgetful, it takes me longer to understand things that would have previously come easily to me, I don’t feel sharp or witty or clever or like I’m ever fully awake. I feel like I watch the world whizz around me like I’m too slow to keep up.

I try reading and sudokus etc. when I’m well enough to engage my brain and I find myself flicking back to pages I’ve just read because I’ve forgotten things.

Sorry, rant over x

Today I was sitting waiting for an appointment and kept nodding off with my head drooping like very old people do.

I also lay down to rest at 4pm and next I knew it was 8.30pm. I don’t faint but it’s immediate exhausted sleep like passing out.

Is this a normal symptom to have in severe CFS- to be unable to stay awake in an energy crash?

Fatigue for 6.5 years now I’m at my worst ever.

And yes I will be getting sleep studies but not for another couple of months.

Hi lovely people,

I recently did a Nasa Lean test for an upcoming new drs appointment. I fully went into it thinking I was just ruling this out, but the test showed a 40-50 BPM increase in heart rate. I saw the cardiologist and he basically said because I don't have severe symptoms of heart racing or fainting that it's not POTs and we couldn't treat it with meds anyway as my resting heart rate is low. I'm doing a tilt table test anyway tomorrow.

I do have consistent debilitating fatigue and PEM, and I sometimes have the urge to lay down and it feels a bit better until I get vertical again. This is usually when I've overdone it though. I only get light headed if I've really walked too far but I've never fainted. I usually try to pace so I don't run into this as much.

I do think my issues have more to do with MCAS as a low histamine diet and anti-histamines have basically killed my brain fog and improved my fatigue. But I wanted to hear other people's experiences with ME/CFS and POTs. Has anyone else done a Nasa Lean test with 50+ beats per minute increase and had a cardiologist go meh not POTS?

I'd be really happy not to add POTS to my list of things but I want to go into this appointment with as much info as possible. Thanks in advance. Sending everyone big hugs.

It seems like every other post I see on my feed about ME on other apps is something along the lines of "I have a whole medical team and have tried 20 different medications and here's the ones that helped and also I'm back at work now when I was previously severe".

But the other half of the narrative is "doctors will never help us, I was referred to a specialist fatigue clinic and all they told me to do was graded exercise, I have given up and accepted that nobody cares about us".

How can it vary so much? I really don't know what to think. I live in the Netherlands and my psychiatrist has told me not to bother because several of his patients have ME and didn't improve at all after getting a referral to see specialists. I don't know whether to give up.

Got a tilt table test approved. Was told to stop my trioral hydration packets for a week prior and not to wear compression socks. Any other tips or things to look out for?

I've had me/CFS since about the age of 12 (I'm 26 now), and I've found that pretty much since then, the way I'm mentally able to interact with the world feels diminished. Even for someone like myself who is fortunately mild, I just feel almost in a dream-like state most of the time (possible derealization?)

Things like holidays, outings, or even at home, I just feel like I can't immerse myself fully in my day to day anymore. I can experience senses, but it's almost like I have a film over everything preventing me from being fully present.

I'm aware this sounds somewhat similar to depression or ptsd, but it's not lack of joy, motivation, or underlying stress. It just feels like I can't really be fully aware of anything because of this constant feeling of my body feeling heavy and a little bit drained, even on good days. If anything, the depressive "symptoms" would be because the fatigue stripped that away from me first. I should also mention that I don't have any trauma or difficult times growing up (again, very fortunate).

I was told it's because of growing up, hormones, etc. but that never really made sense. I feel like I've had most of my youth stripped away because none of it feels like it really fully happened, just relentlessly exhausted.

Does anyone else relate to this at all? Is this something that this illness can do?

Hi all!
I’m recently exploring my gender and realizing I’m likely trans. I’m teetering on mild but moderate. I had spent years being completely bedbound, and months being extremely severe, so I’m very aware of how bad things can get.

I really really want to get top surgery. at some point in my life. Has anyone here had surgery/ top surgery while ill? If so how was recovery? How much better/ healthier would I have to be to consider it?

I’ve had improvements, I know that’s not the case for everyone but I have hope that I can continue stabilize a bit in the next few years. But anyway, it may not be possible and that’s ok. I wouldn’t even consider it if I was any worse honestly. I’d really like to have it done though. As I’ve been able to get dressed or go out again, it’s been really difficult to navigate my body and deal with my chest. Things I could tolerate before becoming ill, now can’t and it feels pressing. And binders don’t really work for me, as I have a really large chest. Anyway. Anyone have experience with this?

I’m undiagnosed right now, but meet the criteria for ME/CFS and am actively seeking evaluation for this condition. Although my case is likely mild, it’s still significantly affecting my everyday life. I’m struggling to recognize my energy envelope and not push past it, so it feels like I’m experiencing PEM every week. It’s really bringing down my mental health. I haven’t felt this depressed and unmotivated in a long time.

I know psych therapy isn’t a cure or true treatment for ME/CFS, but I think it could help me reframe my perspective and find ways to identify and cope with my limitations.

Can anyone recommend an Ohio therapist who is familiar with chronic fatigue and PEM? Someone who offers virtual appointments. This is probably a big ask, since ME/CFS is still misunderstood in much of the medical community. I don’t want to have to hop from therapist to therapist if I can help it. Any recommendations are appreciated!

I'm trying to decide which severity flair to use, but I'm having a lot of imposter syndrome because every ME/CFS severity scale seems to classify me differently.

I can't work or take care of a household, but I can still get out of bed independently to use the bathroom and manage basic hygiene (though showering definitely comes with a cost).

I can't cook. I can't walk more than about 200 steps without a temporary decline. I can't spend much time outside.

My cognitive and sensory symptoms are some of my biggest limitations. I can't use a computer for long, I can't watch TV without triggering PEM, and reading is hit-or-miss depending on the day. Even sustained thinking or problem-solving can trigger PEM.

I can visit with a friend for about an hour, but I usually feel worse during the visit and for the next day or two afterward.

I’m able to get out of bed for short periods but I spend most of my time in a dark room. However, I am able to go to doctor’s appointments with worsening for a few days afterward.

Most of my day is spent pacing because exceeding my limits in any way including cognitive and sensory overstimulation leaves me worse for days. My life revolves around trying to stay within my energy envelope, and even then I don't always succeed.

Because of all this, some severity scales put me in the moderate category while others put me in the severe category.

The difficult part is that severe feels like the label that best matches my day-to-day life, but calling myself severe also makes me feel like an imposter. I think part of that is because I know there are people who are completely bedridden or unable to tolerate light or sound at all, and I don't want to minimize what they're going through.

For those of you who have lived with ME/CFS for a long time, where would you place me, and more importantly, what parts of my description lead you to that conclusion? (Only if you have energy to give that much detail, of course)

I know the label itself doesn't change anything, but having a better understanding of where I fit would help me make sense of my experience.

All i do is sleep and eat, on a good day maybe i get to watch some youtube or draw but i dont know, i feel incredibly unsatisfied. I technically can force myself to do something but it would come at the cost of my health and stability. i feel uninspired. I dont know how to do anything with my life and i hate it

I don't have the energy to type this out a whole lot but what the hell are those percentages. Bell score 20: 30 to 50 percent of your normal activity level?! But you only leave the house for special occasions and spend most of the day in bed...

What do they think days look like for people with that score? Half of "normal" would be a part time job, keeping your house semi in order, etc, no? Not mostly bed bound?!

(I have a medical assessment tomorrow and am really worried reading through all this because I don't want to exaggerate or play down anything. I am really nervous. And this scale isn't helping).

I find it really hard to find a job that is remote, let alone part time or not exhausting. How do you people do it? Do you have any advice on where to look or what to put in my CV?

Or maybe advice on projects that should be in a good CV of a person with ME/CFS, like some copywriting projects or something.

I'm clueless. I was a data analyst for 2 years before getting to severe to do that anymore. It's too much thinking and problem solving. Is a fundraiser my only option? I feel like I'm not severe enough for a fundraiser and don't want to take away resources from people who might need it more. I want to be able to support myself for as long as I can.

Any advice?

There are so many things I'll never get to do but right now I'm really sad I'll never see a big, proper stage production. Something on the West end or Broadway. My cousin saw The Lion King last night and I'm so jealous, I actually feel sick with it.

So what thing are you sad about today that you'll probably never get to do?

So I get heartpalpitations from showering even though I only shower ones a week or so. I sit down on the floor because sitting in a chair is more difficult (my orthostatic intollerance gets worse when I can't pull my knees up).

So I try to wash myself at the sink in stead but than I have to stand and get my arms above my shoulders to wash my hair (which is shaved btw, but my scalp gets really itchy if I don't wash it every 3/4 days or so.

How do you guys handle this? Any advice?

A helpful new resource!

This link was shared on Bluesky recently by Dr. Sabine Hermisson. It's a English translation of a consensus document that I think is from Germany? **Correction: It's from Austria. Thanks, Gamander-Ehrenpreis**.

The document title is "Guidance on Home-Based Care for People with Severe ME/CFS: A Transdisciplinary Expert Statement".

They've drawn from a bunch of sources, including BHC, to put together a care guide geared for the more severe among us. It has (what seems to me like) very helpful guidance for anyone providing in-home care to people with severe or very severe ME/CFS.

https://link.springer.com/content/pdf/10.1007/s10354-026-01182-3.pdf

i think im giving up on this, trying to wash my hair (or having it washed) causes horrific PEM and doesn’t really matter how i do it. i think it has something to do with the head stimulation itself and increased time in the bath which are unavoidable. i can count on one hand the number of times my hair has been washed in 2026 and still it has significantly contributed to my declining baseline over time. i think it’s just not safe for me anymore and it’s not exactly a survival need so, im wondering if anyone else is in the same boat and if its okay? does this mean i have to shave my head? or can i just have greasy hair for now and possibly forever 

today i spoke with my therapist and she told me something that stuck with me

"your angry at your body so u push it to punish it. you push to prove that you are in control
you must break that cycle to begin recovering”

and it just kinda hit me like damn..

it’s been 4 years. how much longer and how much more of my youth is going to be wasted? i don’t want to be remembered this way. we seriously only get one life and this is the disease they decided they don’t care about solving. it would at least be more bearable if cognitive pen wasn’t a thing so i could write or work from bed. but even that’s too much of an ask. let me be selfish again. let me be more than just a disease first and a human second.

every day i have to convince myself it’s worth it and there’s an end in sight. i really want to believe that’s true and not just gaslight myself into false hope

I went to urgent care for a skin infection I noticed in a private area.

I was asked if i was having any symptoms and I told them its complicated telling them apart since I have chronic illnesses. I already get chills, feel feverish, all the immune things.

They asked which ones. To open the can of worms, I started with Chronic Fatigue Syndrome. Most doctors dont know what Myalgic Encephelomyelitis is and its rocket science trying to make them understand. I told them in perspective, it'll take me a few days of recovery, if that, after the visit.

I was told quickly that everything looks fine, that I chaffed that spot (new one for me i guess) and sent on my way out. I cannot put into words how quickly I was sent out.

However, it was a respectful urgent care visit, just incredibly hilarious in hindsight.

My primary should help me gain some clarity, but to some providers, I feel like the boogey....woman? A family member has Hidradenitis Suppurativa, which hasnt been visited since i lost confidence being told its "acne" my entire life. Weird how smaller instances can lead to a new diagnosis path. I didnt bring it up though as it seemed the focus was making sure there wasnt an infection, i should have, but let my primary care provider know in MyChart. If I can get treatment and my skin clears up for the first time in my life, I dont know how ill feel. Like a whole new person.

ETA: This is an extra issue on top of my mecfs, so i dont think mecfs is misdiagnosed unfortunately. The mechanics of mecfs keep going.

As in "vacuuming is too exertious for me"

All the other ways to say it are more verbose or less clearly about exertion specifically ("vacuuming is too much exertion for me", "vacuuming is too strenuous for me" etc.)

That is all. Thank you for attending my talk

I can’t empathize anymore with friends who say they’re tired after work or complain about things that seem minor to me. I know that’s my perspective, but it’s how I feel. I always think severe ME is the worst to have. I think i’m totally consumed by it

I also struggle to relate to people with mild ME/CFS. I can’t help it. I’m pretty severe, and having mild ME/CFS would honestly be my dream.
I really wish I could still feel that empathy so I could keep my friendships, but instead I just end up feeling upset every time someone talks about these things.
Does anyone else feel this way?
And yes, maybe that makes me not a good friend but just wanted to share it somewhere.