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    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

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What has helped more with your sleep?

WoolPippi

Senior Member
Messages
556
Location
Netherlands
o yes, sleep hygiene is key, I totally agree.

sleep restriction is something else. It's a forceful thing people try when sleep hygiene doesn't cut it. Basically you kick your body out of bed too early in the morning so the need to sleep builds up during the day. You do this two weeks every day. Feeling shitty and tired.
The theory is that it forces your body to use its nightly hours to sleep. Good quality sleep.

I think it's best for people who have messed up circadian rhythm, to "reboot the system".
People with ME shouldn't ever reboot the system, it's way too delicate. That's why supplements need to start low and slow, imo.

However, I am on the mend from CFS/ME and am now trying this therapy. Very cautious though! With supplement of hydrocortison and four weeks of no stressors.
I try it because I've tried everything else. (except sleeping pills).

I've just had my first week. No good sleep yet.
I'm tired during the day. Even fell asleep twice.
Need more Hydrocortisone and Progesterone just to function. And an extra meal. And more carbohydrates. I'm also more wired, even hyper at times
My rhythm of activity and rest rotates faster during the day than it did before, I can hardly keep up. One minute I'm folding laundry, next I need to lay on the couch pronto. Way more faster than before, with "just ME".
Yesterday I was dehydrated and started hallucinating for the first time ever and it was scary.

So this is a dangerous therapy for us indeed. You need to be well versed in all your symptoms and you need some robustness in health.
I try it ten more days, I'll get back to you with results. But the psychologist was an idiot for suggesting this without knowing anything about ME/CFS or adrenal issues. Luckily I do.
 

Valentijn

Senior Member
Messages
15,786
Yesterday I was dehydrated and started hallucinating for the first time ever and it was scary.
Fuck sleep hygiene. ME sleep problems have nothing to do with good sleep hygiene, and sleep restriction is dangerous and pointless for us.

I tried pushing through jet lag, and ended up unable to see properly or keep my balance. It was like my awareness was rapidly flashing in and out, so I had a jerky and incomplete awareness. I was completely non-functional and felt like I was losing it.

Get some sleep when you can, and throw the sleep hygiene into the trashbin with the rest of the psychobabble.
 
Messages
87
Location
Kaneohe, HI
Not to sound crazy or anything, but the only times I feel like I get a deep restful sleep is when I drink a little bit of Whiskey before I go to bed. Not sure why it works exactly, but I know my friend said that's what her parents gave her when she was little when she couldn't sleep.
 

Little Bluestem

All Good Things Must Come to an End
Messages
4,930
I don't think there is anything wrong with standard sleep hygiene (she says as she goes to get her blue-blocking glasses). It can be a part of a more extensive sleep program.
 

amaru7

Senior Member
Messages
252
High dose Vitamin D made me sleep as deep as ever, but my sleep wake cycle is still messed up pretty much. It all has to do with neurotransmitters, which are messed up with CFS patients. Melatonin synthesis needs serotonin, one of the most important neurotransmitters, that controls sleep amongst other things
 

Sparrowhawk

Senior Member
Messages
514
Location
West Coast USA
High dose Vitamin D made me sleep as deep as ever, but my sleep wake cycle is still messed up pretty much. It all has to do with neurotransmitters, which are messed up with CFS patients. Melatonin synthesis needs serotonin, one of the most important neurotransmitters, that controls sleep amongst other things
Very interesting, I hadn't read about a link between D and sleep before. But I did start sleeping better after doing topical D. Thanks for the tip.
 

acrosstheveil

Senior Member
Messages
373
i have never been a good sleeper but it has been insane these days. i found mirtazapine will knock you out cold for 10-12 hours. Much stronger than even benzos for me and way less side effects / addiction potential. it's also one of the most potent antihistamines on the market if you have allergy trouble. That's another reason I chose mirtazapine, i have mast cell activation issues and antihistamines help reduce the symptoms.
 

physicsstudent13

Senior Member
Messages
611
Location
US
You NEED sufficient SAMe!! It makes sure Histamin can get decreased and it helps create melatonin.
Wow how did I miss this amazing insight? sam-E may have nootropic qualities and help produce neurotransmitters. It also may help repair liver damage in pubmed studies and you can get it at pipingrock.com I'm going to get tracheotomy again because I can't exhale and the asv doesn't work that well- what a terrible journey

actually klonopin isn't addictive and it has been proven in studies to reduce central apneas by 50% or actually another drug triazolam in the same family
 
Last edited:
Messages
97
kklonopin isn't addictive? How's that possible?
I was sorta thinking the same thing. But in one sense it isn't, as it doesn't give you the fast rush of Xanax (alprazolam), so the dose typically doesn't escalate fast even in people with "addictive personalities" (Whatever that means, exactly).

On the other hand, it very very much causes tolerance, downregulation of GABA receptors, physical dependence, and possibly the nightmarish withdrawal tolerance, often in a manner of weeks. I would consider it a drug of last resort.

Interestingly, kava kava works as a benzo but may induce UPregulation of GABA receptors, as this discussion illustrates.
 

acrosstheveil

Senior Member
Messages
373
had to stop the mirtazapine. gave me wicked hangovers and felt strange the following days. My doc now gave me gabapentin. It has worked well in the past but does have some risk of dependency.
 

WoolPippi

Senior Member
Messages
556
Location
Netherlands
what has helped you be on the mend from CFS/ME?
yes, in a blogpost on my profile page but it's a tiresome read

I did two things:
  1. ease up on my overwhelmed body (no job, no mother-in-law, no vegetables, no noise, yes stomach acidifier, yes self made chicken soup, yes full fat butter, yes Rest & Digest). Focus on healing the digestive en the nervous systems. Trial and error and no arguing with the body about its sensitivities and what it ought to.
  2. find the causes of the overwhelming, which I believe to be multiple and individual in ME.
my individual causes are in my signature. It was hard to figure them out. Needed a GP dr. that let me take the lead.
Supplementing vit. D, Lithium and Progesterone were my turning points together with Gupta Amygdala training. But by then my body had regained some of its robustness due to years of doing nr.1.

my progress:
  • Listening solely to my body and ignoring conventional "wisdom" about what's healthy brought me from an activity level of 10% up to 35% and a livable life. (2008-2012) I felt like a freak but my body responding were victories.
  • Treating some of my causes brought me to 45% (2012-2014) I felt trapped but overtime I registered progress and patterns.
  • Taking progesteron everyday (it's nót a female sex hormone, its a basic building block) and desensitizing the Amygdala brought me to 75% practically overnight May 2014. I feel ungrateful because I sulk that I still have to do that maddening prioritizing MEers do all day every day too. Only not on the life necessities any more.
  • I'm scared that I mess this up, that I am breaking something slowly. That I run this body into the ground.
Right now I'm building strength and trying to fix my sleep. Sleep Restriction Therapy has not given solid results yet. Will report back on that when the conclusion is clear.
After that there's methylation but I've got to be at drastically lower doses than people on this forum advocate and then only twice a week.
 

heapsreal

iherb 10% discount code OPA989,
Messages
10,097
Location
australia (brisbane)
well if you can't function without a substance, that sure seems like addiction to me.

Diabetics then become addicts as they cant function without insulin??

I think addiction to me is about someone using a substance who is chasing after a high and then when they stop have a hunger for more of that substance to get high.

Dependence is something different again but can go hand in hand with addiction too but doesnt have too.