I've been getting good results from supplements focused on calming the body down and reducing a relaxed state, specifically: L-Theanine 200-400mg/day, California Poppy Seed 500-1000mg/day, and Passionflower 2-6g/day. The results have been phenomenal, though, I haven't used them long term, but I have tested each individually after letting the fx from the med I tested before each die down so I'm sure they all have their own power to them. I don't know if you'll be able to stomach them but though maybe your gut could handle a liquid extract. The kind of passionflower I take is in a liquid extract form, one I made sure was alcohol free as many PWMEs, myself included, react strangely to alcohol, and just throwing it out there since you probly don't wannna waste time getting one that is an alcohol extract and having to get another one or something and I think most of the extracts I looked at contained alcohol. Another thing about liquid extracts is that a good number of them don’t have many doses per bottle, like the passionflower extract I bought only has 15 doses per bottle where as a bottle of capsules of them might have 50 doses and perhaps other liquid extracts would have that many as well, just a pitfall to avoid.
Have you tried sublingual supplements?
Another thing I have found to help has been adaptogens which, if you haven’t run across them thus far, are herbs that modulate the stress response and help the body deal with exertion in a healthier way, so, they may help get you out of a sympathetic state. Once again I haven’t used these for an extended amount of time as I’ve been testing a lot of things one by one lately so I don’t know quite the extent of their power or whether they are something that will continue to work long term but so far every adaptogen I’ve tested, each for one week at a time, has shown promising effects.
Here is some info from my notes on adaptogens taken from various sources:
do adaptogens in 5 days on 2 days off w/ every 4th week off (Note: this may be true of other herbs too)
Many people take adaptogens almost every day, while others will take them several times a day based on their needs (check with a professional for guidance about what’s right for you). Gaia does
recommend that you take a day off from your adaptogens each week; if you’re using them for more than six weeks, to also take a full week off; and if you’re using them for six months, to take a full month off. (These little breaks are said to let the herbs really take effect in your system).
Rhodiola is used as a single dose for acute stress suggest that doses three times the dose used for long-term supplementation. No side effects of been reported for clinical trials, but at higher doses some individuals might experience greater irritability and insomnia(another source I found also listed rhodiola as potentially causing insomnia)
The suggested daily dose of standardized rhodiola extract is between 200 mg and 600 mg. The daily intake can be divided into 2 capsules or tablets. The first dose should be taken in the morning before breakfast and then later in the afternoon just before lunch.
Notes from adaptogen webinar by gdx: (
https://gdx.net/clinicians/medical-...onse-womens-health-and-the-role-of-adaptogens)
If adaptogens stop working for you change the dose around, they can be relaxing or energizing based on dose. This is true for all adaptogens.
For CFS use the least stimulating adaptogens, known to be relaxing. Start with adaptogens that are relaxing like ashwaghanda. Also, for CFS try the really nutritive ones like maca. Start with the lowest dose at the lowest frequency. Rhodiola is safe to take along with SSRI’s and SNRI’s
Eleuthero is rec by her for CFS.
She says to be careful when using adaptogens in persons with hypertension.
Books on adaptogens. David Winston has a book on them. Adaptogens by Donald Yance is good as well. Also rec the botanical safety handbook.
Be very careful with kava kava and st johns wart. Kavakava can, in rare cases, can cause hepatic damage.
You mention going out and exercising daily, have you tried resting in bed all day, what happens if you don't exercise?
Could the constipation be a reaction to one of the medicines you're taking on an ongoing basis, if you're taking any? Perhaps a recent change of dosage or something?
About the chronic constipation, I've had something similar in the past, when I first developed CFS I had bloating, especially around big meals, and endless burping, as well, and, I don't know if you have been dealing with anything like this, but I also had severe chronic constipation at the time, years of having barely more than a movement a week, tried a lot of things but eventually came upon Betaine HCL and Digestive Enzymes which normalized my bowel movements within a few days, don't know which specifically is responsible. Betaine HCL is a strong acid meant to acidify the stomach, I only had to take one table with meals but some recommend more such as increasing the dose you take with meals till the dose induces burning and then reducing the dose to one less tablet than would cause the burning. Never take the stuff without food. If you don't notice any difference from taking Betaine HCL after a while it might be best to stop using it as your body may not need the acid and might be getting too much, again, the results were immediate for me, within days and definitely within less than a week I noticed a certain increase in bowel function.
My bowel function continued to improve over the course of several months after starting Betaine HCL and digestive enzymes until it was really working well and right around the time it started really functioning perfectly the CFS I had at the time went away, it might well have stayed away too if i hadn't immediately jumped into working long hours under very stressful conditions immediately after getting back to wellness.
Let me say that I suspect I may have damaged my gut with Betaine HCL right at the time my most recent CFS came on. I had been taking Betaine HCL and enzymes with each meal with no problem at that point and my BMs were all healthy looking, regular color/no undigested stuff, but I was desperate as I wanted to keep working my job but my energy levels were being whittled away lower and lower each week from energy expenditure/stress. I tried ramping up the dose of HCL tablets until I was taking around 10 with each meal, I never went beyond one per meal before this test and one was plenty. Many of the meals I ate while ramping up the dose of betaine HCL contained little protein which probably accentuated the problem as the acid acts on the protein, eventually I got a tingling all over my body that lasted several minutes right after one such meal and I had to quit work within the next week, although, my energy may have just been hitting rock bottom at that point from overwork, cant say for sure.
That was also the second time i developed severe consipation, right as this most recent CFS hit me four-five years ago. I started only having one movement every three days and all bowel movements since then have been light brown in color, tried the one capsule of betaine hcl and different brands of enzymes with meals again with no results, after some months i tried DGL which is a form of licorice, immediately my bowel movements increased to one per day. I took DGL tablets for around 9 months then stopped to see what would happen, turns out it permanently fixed the problem so I no longer need to take the DGL.
I should mention that I still take digestive enzymes, don't notice any overt effect from it but I see results on the stool test I take every now and then, the chymotrypsin levels were low but normalized as i increased the dosage of digestive enzymes from one to eventually two with each meal.
I think the constipation and the CFS or the state that allowed CFS came about as a result of stimulants I took as a child for hyperactivity, I wouldn't have movements on days where I took the drugs nor would I have an appetite during the day, I also had to deal with insomnia, paranoia, and fatigue on the days where the meds were used but being a kid I never put 2 and 2 together. Sympathetic dominant symptoms for sure though
My doctor has told me of one of her patients who many times the regular dose of betaine hcl with each meal for a while and eneded up destroying her esophageal sphincter and is in constant pain from it, further evidence high doses, if not needed by the body, can be dangerous.
All the best