I think this is one of the best explained posts Ive seen on how I experience it too.. It sucks that we have to go with making sure we dont over do things for very very long periods (eg maybe 6mths or more) to then have a 10 spoons baseline go up to something like 11 spoons, improvement (unless you find something else which helps a bit) happens so so slowly and may not even be noticed except when one looks back to how one was a year or two ago (that is if one isnt overdoing things). I think many over do it without realising it and hence they dont see this pattern going on (you just cant consider just what you did the day before but the preceding DAYS have to be considered), others may have different illnesses so never see this pattern of the sickness being connected to how much you are doing, while others have other things due to this illness that they need to find and fix and get out of the way first before they have any hope of seeing this pattern.. eg if one has food intollerences going on they may miss this activity pattern as the days they eat the foods making them worst, may be a lot worst then the other days... the food patterns mixing with the other patterns eg activity level patterns.. may make it very hard to see any pattern at all, food or activity wise. Then there is the temperate too.. if one dont take that in account eg hot days may be worst, that too can prevent someone from seeing an activity level pattern to things. Once you learn what does and how everything else affects you, it is far easier to see your patterns with activity. There is always a reason why ones body is worst some days then others, it can be quite a challenge working out those things.