It's Small Win Sunday! What are your small wins recently? Or what small win are you soooooo close to/looking forward to?

Ill go first! Over this past week for the first time in 10 months (!!!!!), I washed a few of my dishes!

And yesterday I was able to clean 1/2 of my dogs teeth (like a dental cleaning). His teeth are in ruff shape because mama has not been able to take care of them, but now one side is squeaky clean again!

Next small win will be cleaning the other half. No more ratchet dog breath and I can stop calling him Stinky 😂😂

Would love to know yours!

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u/little_half_pint — 1 day ago

We made the front page of r/popular and r/science yesterday! Why this study?

Hurrah! It is great to see our condition getting some attention in the limelight, even if it is just reddit. The comments were packed full of support, which I love to see! Many people with ME/CFS commented too. I even saw some people that comment regularly on here in the comment section! Love that!

Why do you think this study, out of all studies for ME/CFS, was the one that made the front page? It seems a bit random to me, but hey, I am not going to look the proverbial awareness raising gift horse in the mouth. I would love to know your thoughts though!

It was such a nice surprise, I did not go looking for it. Just found it while doomscrolling late at night 😅 But seriously it is crazy that reddit knows all about this now but doctors are mostly clueless about the condition. Clearly they need to doomscroll reddit more!

Link to the reddit post: https://www.reddit.com/r/science/s/fmGrsVTFX3

u/little_half_pint — 2 days ago

If treating another condition resolves ME/CFS‑like symptoms, how do we make sense of that?

TLNS (Too long no spoons): I’m curious how people tell the difference between a condition that mimics ME/CFS and one that co‑exists with it, especially in cases where treating another condition leads to full or partial resolution of ME/CFS‑like symptoms.

Let's say someone had been diagnosed ME/CFS for 3 years. At the 3rd year mark, they discover a root cause for their illness. The root cause is treated, and the ME/CFS symptoms completely resolve over a period of time.

How do we understand cases where ME/CFS symptoms resolve after treating another condition?

ME/CFS is known to be a diagnosis of exclusion, at least historically. Before 2015, it was a broad, catch-all diagnosis for anyone who did not fit into a specific diagnosis and experienced profound fatigue as a symptom. This led to many people being labeled with ME/CFS even when another condition was actually responsible.

However, in 2015 the goal posts changed. The National Academy of Medicine is now treating ME/CFS as a positive clinical diagnosis. Now, the diagnostic criteria include experiencing the hallmark symptom of PEM amongst other symptoms for at least 6 months. The CDC website also states that, "healthcare providers need to diagnose ME/CFS based on a thorough medical history and physical exam, laboratory test results, and ruling out other fatiguing illnesses with a targeted work-up." (1)

This can be confusing, because PEM is the defining feature of ME/CFS, but it can be hard to describe and recognize, especially because other conditions can cause post‑exertional worsening that look almost identical.

So, to me, it seems that if someone discovers another illness later on, they can still have a valid ME/CFS diagnosis if that illness triggered ME/CFS, even if that illness normally wouldn’t cause ME/CFS‑type symptoms or PEM in most people. In other words, treating the root‑cause illness might fully resolve the ME/CFS symptoms in some people, while in others the ME/CFS symptoms continue because the trigger set off a longer‑lasting ME/CFS process.

For example, someone might develop gallbladder inflammation. Gallbladder inflammation normally does not cause slam-dunk ME/CFS type symptoms, although there can be some overlap. However, it is possible that the illness puts enough stress on their body to trigger ME/CFS. Once the gallbladder problem is treated, their ME/CFS symptoms fully resolve. In another person, the same gallbladder illness could trigger ME/CFS in a way that does not go away after the gallbladder issue is fixed, and the PEM and ME/CFS symptoms persist.

It is my opinion that both of these examples had ME/CFS, but one resolved and the other did not. I wonder if anyone would question the ME/CFS diagnosis in the first example, because in that case the root cause was identified. Maybe they would think that the ME/CFS symptoms were just rare manifestations of the missed gallbladder diagnosis.

However, we seem to tread through murkier water with diseases that closely relate to ME/CFS, of which there are many. For example, Addison's disease, Hashimoto's, sleep apnea, autoimmine diseases, chronic infections (Lyme, hep C, etc) and functional neurological/somatic symptom disorders are just a few examples of diseases that can experience profound fatigue, orthostatic intolerance, cognitive slowing, exercise intolerance, post-exertional worsening, and PEM like crashes.

Even structural disorders like craniocervical instability (CCI) can almost exactly mimic ME/CFS, as famously demonstrated in the documentary Unrest with Jennifer Brea.

So where is the line drawn between diseases that mimic ME/CFS versus co-existing with ME/CFS? EBV reactivation is an extremely common trigger of ME/CFS. But does everybody with EBV reactivation (which I was told that I have myself) have ME/CFS? I think this question is a more obvious no, because similarly, only about half of the individuals who develop Long Covid then go on to develop ME/CFS. But the distinction is not always so clear.

I know that in the UK, you cannot have both a fibromyalgia diagnosis and and a ME/CFS diagnosis, but in the US you can. How do we make sense of that?

Finally, I want it to be known that I am not and will never question anyone’s diagnosis or experience. My aim is hoping to explore how people understand these patterns.

Source: (1) https://www.cdc.gov/me-cfs/hcp/diagnosis/index.html

u/little_half_pint — 3 days ago

Have you ever had a non ME/CFS or complex illness specialist know what ME/CFS is?

**Post title should say non ME/CFS doctor

I am in Florida, and just had an appointment with a urologist at Shands, a major academic and teaching center. She was such a nice doctor - kind, patient, helpful, a fantastic urologist - but admitted to me that she had never heard of ME/CFS before... ever.

I am not surprised that not one single provider at my local hospital in the boonies had not heard of the disease, but I for some reason I thought doctors at major academic centers would have encountered the term before. She is a very niche urological surgeon, so maybe she really is just a super expert in her area.

Have any of you run into "regular" doctors that knew what ME/CFS was? At my 7 day hospital stay, I probably saw around 10 providers and who knows how many nurses and not one of them had heard of this disease.

I did go to a Minute Clinic at CVS once and had a nurse practitioner who knew what it was. That was a surprise, haha. It is just so crazy to me because this is my life. I live, breathe, and eat this disability and it seems like soooo many people have it.

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u/little_half_pint — 6 days ago
▲ 31 r/openmecfs+1 crossposts

EU Funds €7.5M ME/CFS Project to Identify Biomarkers and Treatment Targets

Major new ME/CFS research project launched in Europe: DISCOVER-ME, led by MedUni Vienna, has received over €7.5 million from the EU Horizon Europe program.

The project will run for four years and aims to improve ME/CFS diagnosis and treatment by identifying biomarkers, biological subtypes, and potential targeted therapies.

Researchers plan to analyze data from 2,000 patients, plus biological samples from more than 700 ME/CFS patients and nearly 200 controls, looking at immune, metabolic, hormonal, mitochondrial, proteomic, and epigenetic changes.

One especially interesting part: the project will use disease mapping, computer models, and “digital twins” to screen more than 9,000 existing drugs, narrowing them down to 20–50 promising candidates for future research.

This is exactly the kind of large-scale, biology-focused ME/CFS research we need: better diagnostics, patient stratification, and a path toward mechanism-based treatments.

Source: MedUni Vienna
https://www.meduniwien.ac.at/web/en/about-us/news/2026/news-in-june-2026/me/cfs-international-research-project-launched-under-the-leadership-of-meduni-vienna/

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u/j_spru — 6 days ago

Do you have any completely whackadoodle things you say to yourself to cope when things are particularly rough?

Someone mentioned this on another sub, but I have been thinking the same thing for months! And I think its kind of hilarious and I am maybe 1/10th convinced that it is true, because I like to think that suffering is somehow metaphysically justified.

Anyways, when Im REALLY in the depths of the suffering void, I tell myself that being on planet Earth is a cosmic test that I have to pass for some greater purpose, like a sci-fi movie/book. As in, my soul was chosen (or self selected because I am clearly a masochist) to train on planet Earth and suffer dearly in order to prepare my psyche for what is to really come... which is more difficult.

And in order to pass, I have to not only endure the suffering, but do so with courage, mental strength, and fortitude. Only then can I earn my position in the elite, 12th dimension forces beyond all human comprehension.

And I am graded! The more I sulk, the lower my rank. And if I fail, my soul is annihilated and no form of me will ever live again.

Believe it or not, it kind of helps a bit.

What are yours?!

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u/little_half_pint — 7 days ago

You recently found out that someone you know was just diagnosed with ME/CFS. What is in their survival kit gift box that you send them?

Ill go first!

  1. Eye mask

  2. Quality ear plugs/protection

  3. Body wipes

  4. Pajamas

  5. Migraine Ice Cap

  6. LMNT Electrolytes

  7. Dry Shampoo

  8. Quality foot cream (my feet got sooo dry when I stopped walking so much!)

  9. Audible subscription

  10. A $25,000 power reclining custom made wheelchair, because I am the richest, best friend ever 😁😁😁

What's in yours?! (It does not have to be 10 things)

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u/little_half_pint — 9 days ago

New, supportive community for those with ME/CFS, r/openmecfs!

Hello r/ChronicIllness!

We are thrilled to announce a new ME/CFS community, r/openmecfs! On this subreddit, we promote the freedom to respectfully express all opinions regarding experiences, theories, and recovery. We do not moderate with a heavy hand or adhere to/promote a strict narrative. We welcome open-minded and rigorous discussion. We hope to establish a thriving community, brimming with hope, evidence based research, and inclusivitiy, to include related conditions. Come check us out at r/openmecfs!

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u/little_half_pint — 9 days ago

The real problem with opioids: a perspective from someone who is prescribed a lot of them.

Hello! People keep asking about what is so wrong with being prescribed opioids, and I think I have something to say. I am a 33F and currently on hospice due to severe functional decline and symptom burden for severe ME/CFS. Before becoming unable to work 1 year ago, I was a nurse in the Emergency Department.

I am prescribed dilaudid, 4mg every 3 hours. In bad flares, I took that much that often and it controlled my pain adequately. When not in a flare, I never took that much. I would take 4mg once or twice per day on average, some days none, some days more. I never took more than prescribed, never felt a high, never felt a craving, and never absued them. I never took them unless my pain was a 7/10, and even sometimes when it was a 7/10 I didnt take it because I was worried about dependence. It took me a couple of months to work up to that dose, as they started me on morphine. I never thought I would get dependent, because I didnt even take the medication every day! Big LOL.

Then, a few months in I got dependent. I had NO idea what was happening. I was waking up every morning DRENCHED in sweat. My illness is super weird, so I thought it was a weird new symptom because Ive had that happen before when sick.

However, the mornings got worse and worse. One morning, I woke up in complete panic. Thats when it clicked. OMG. My body is going into withdrawl every night! I almost never took opioids in the evening, so my body was going 16+ hours without the med sometimes and I had become dependent.

So then I had to start taking it around the clock. I wanted the minimum effective dose to control my pain without getting withdrawls and that was AWFUL. I went through a "stabilization period" where I wasnt in acute withdrawal, but I felt SO bad. Depressed, irritable, anxious. That took three weeks. My stabilization dose was 4mg every 8 hours.

Then the problem became, your body is used to the stabilization dose. So if you have pain, you need MORE than you originally did AND your body goes into withdrawls as soon as the medication wears off in 3-4 hours. So in order to control your pain, youd need to go up and up on doseage and youre always on a roller coaster of withdrawls unless you take it around the clock, every 3-4 hours. That means messing up your sleep to take it in the middle of the night on an alarm. Also, your body gets used to that dose so if you have breakthrough pain, you need MORE. Then you get dependent on the higher dose, need to stabilize on the higher dose, and if yoi have breakthrough pain, you have to increase the dose. This will happen because your body gets used to the opiates. The cycle perpetuates.

It was too brutal of a cycle. I decided that Im getting off of this medication instead because it was just too much for my body to handle. I was getting pulled this way in that with relief and then brutal withdrawls immediately after 3-4 hours. The relief wasnt even full after awhile, because like I said, you're body gets used to it. The relief just becomes your baseline.

So Im tapering off, and tapering off of opioids is HARD. Every time I taper down by a TINY bit, I get irritable, anxious, and depressed for at least a week, usually 2. Theres a reason people are on suboxone for life. The pain also comes back much worse than before. The time in between doses feels like hell, and you do feel like a druggie because you ARE looking forward to that next dose because you are in so much distress.

I also have to add that even when dependent, I never "craved" the medication. I just went into withdrawls and felt terrible but I always white knuckled it until my next dose when tapering down. If someone didnt have the ability to tolerate a lot of suffering (because pain/withdrawl effects increase by a lot when tapering down or stabilizing), I feel like they would cave and take their dose before the scheduled time and be dependent forever.

Anyways, Im happy to answer questions and I hope that helped. The grass isnt always greener. I must also add that due to the severity of my illness, if there are questions it might take me a long time to answer, but I will do my best!

Edit: I guess I should say my long term plan. My long term plan is to get off of the dilaudid for months so that my tolerance goes back to 0 (this might take 8+ months of tapering and Ive already been tapering for 1.5 months) and then ONLY use it when I feel like Im dying and would go to the ER, so 9/10 pain or 10/10. Once or twice a week max, otherwise I believe dependence could occur. I was taking it when my pain got to 7/10, but it gets to 7/10 every day.

I am currently on dilaidid 4mg in the morning, 1mg in the afternoon, and 4mg at night. (I only take the night dose to evade the withdrawls in the AM, which feels wrong and like a waste, but oh well). I am tapering down 1mg tomorrow, so Im in for it for the next couple of weeks.

Edit 2: I am on hospice and not palliative care because there is no palliative care where I live, so it is hospice or nothing. I do not live in a big city.

Also, I am still a firm believer that people should be prescribed opioids for pain if they need it, and not in a stingy way. This expeience did not change my views on that, I just want people to be aware of the nasty side that many, including me as a nurse who has seen and treated opioid dependence 1000 times, didnt know about. Regardless of this taper, opioids have been life saving for me and I wish everyone who needed them could get them, with awareness. Thats all I am trying to do. Is be pro-opiate while educating people so they can make the best decisions possible for themselves while taking them. And I realize my expeience has not been everyone's experience, and some people are on high doses of opioids without any issues like I had. And that is fantastic for them! I just want people to be as pain free as is possible with our awful diseases.

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u/little_half_pint — 19 days ago
▲ 781 r/cfs

Finally made it from my bed to the couch! And look who decided to join me!

I still cant walk to the couch - I have to use my wheelchair to get there but it is so nice to not be locked in my room or as light/sound sensitive anymore! Although I am still wearing my dark glasses, but it is still progress!

Even posting on reddit is huge - I was a huge redditor until MECFS happened and havent posted in about 8 months (this is a new account). I couldnt use my phone at all for 3-4 months so that is a huge win too!

I wish you all a very merry Monday 💜

Edit: Gosh you all are so supportive. Its making me tear up! I am so grateful for this community 🥹🥹😊😊

u/little_half_pint — 28 days ago