Did you start the Valycte and has it helped? Side effects?
To be honest it's still too early to really tell - all the studies so far say 6 months minimum so I'm hesitant to start shouting from the rooftops just yet. And I'm starting to think I'm probably not the best person that people should use to judge the effectiveness of Valcyte from anyway.
That said based on symptoms now I'd say I'm free of ME/CFS (I think this possibly has been the case for a while) but I do seem to have a persistent level of Excessive Daytime Sleepiness and that has made it very hard to distinguish if I still have ME/CFS or not.
Excessive Daytime Sleepiness alone doesn't characterise ME/CFS but it might be some form of narcolepsy that perhaps was going on before I had the ME/CFS attack or it was triggered or made much worse since then.
I say this because I had most of the symptoms that characterise ME/CFS at one stage including PEM with OI. That seems to have largely disappeared but I'm always struggling to feel alert in the daytime. But becoming a nightowl I don't seem to have anywhere near the same issues.
I've had sleep studies (even a daytime one) and they all turned up negative so I'm thinking of seeing a neurologist who specialises in narcolepsy. It could well be something that is a co-morbid in my case which confounded things or possibly its a mild-moderate case of narcolepsy that was missed in the sleep studies. The testing for narcolepsy is still really in its infancy and there is no gold standard test as yet.
I certainly wouldn't say I have the severe symptoms of that condition but it certainly is bad enough that no amount of melatonin or waking up early in routine seems to help with things.
At the moment it's up to caffeine and modafinil to get me through the day. And if it's bad enough it seems avoiding meals when I have classes is essential as food just makes me even more drowsy.
Another concern is could it be exacerbated as a side-effect of the Valcyte. Valcyte can cause Neuropathy but my liver/kidney/blood monitoring has been good and I reguarly take NAC which may (at least I hope) protect the body from Valcyte side-effects. I'm actually taking a few days of Valcyte now as a half-way break.