@cigana &
@Wishful -- well I figured it out for myself. Although the nature of CFS / ME is very unique and personal so I can't state if this would work for anyone or anything else... etc. etc. (***disclaimer, results will vary****)
I can't eat wheat, oats, most grain, which I already knew to a degree. I can't eat anything with a lot of sugar (ice cream, yogurts, candy bars, fruit juice, syrup, soda, starbucks *cry* etc. sweets) I can't eat processed food (which usually has wheat and tons of sugar anyway.)
If I eat any of the above I'm in trouble for about 72 hours. The long time it takes to snap out of it made it really hard to track down the trigger(s). I think my last great error was having a green smoothie which seemed inocuous and healthy at the time.
Also my gallbladder isn't great, so I don't do a lot of fat / oils / meat either. **goodbye fried anything**
I think the 20 minute time for me is the transport time from my stomach to the colon where the really bad bacteria / fungi or parasite lives that is stealing my glucose / carbs for itself leaving my cells body-wide and brain high and dry from receiving fuel to run on. No glycogen, no go.
PEM for me is probably my body trying to rebuild and recoup glycogen in my muscle groups and it just isn't available so it tares down muscle, takes forever to replenish and until then I'm down and out. The only time I didn't get PEM was drinking nearly straight sugar i.e. Vega brand sport drink >>during exercise<<, which happens to have Ginger in it. Ginger does seem to kill whatever the crappity crap is in my gut. It was probably enough sugar with guardian ginger in it to restore my glycogen stores.
In a perfect world my microbes would be on my team, happily symbiotic, but at least some are out to profiteer on what I'm eating without contributing. *freeloading microbes*
So I've done a few things differently. I was Zantac and PPI's for a long time which can contribute to SIBO. I've stopped all stomach drugs, all of them, even Tums. They're gone. I need my stomach acid to kill what ills me.
I take digestive enzymes -- ALWAYS. I take bromelain by itself and then I take a multi-enzyme pill. But always, always, always. I want the food broken down so that the friendly bacteria can do some magic with it.
I don't drink water with my meals because my stomach doesn't work quite right (see long term use of zantac and prilosec, long term gastritis that I finally resolved) stomach can't hack having food AND water in it at the same time. Big meals I put a little wine in with it to help break down the food, psuedo stomach acid.
I've dumped all NSAIDs into the garbage (not really - I'm too cheap for that, but they're gone from my pantry of drugs). No more will I ever take ibuprohen ever again, not when I found out what it does to the gut microbial system. I knew it would make my stomach bleed but it is like swallowing a gernade to the GI.
I take a daily multi-vitamin and high quality (waaaay too expensive) fish oil now and am on a very strict diet guided by principals of "don't eat stuff that kill you Paula" *got it finally* I eat a lot of veggies and bitter foods because I've read that evil gut microbes hate bitter foods.
I was taking L-Tryptophan and sometimes benedryl to help me sleep but I've stopped that and I'm working on a routine at night (no computer, gentle stretching, meditation, soft music -- *stuff* it varies on what I have energy for...) to help me rest and when I wake up and can't go back to sleep I get up and read a bit or play with the cat.
The million dollar life changing question is if the changes I've made will bring about lasting healing and positive change. Today I woke up normal, had more energy than my husband and my brain worked. IT WORKED -- both sides of it were talking, working, happy... it was impressively normal.
So if the question was put to me, can an evil self-serving microbe ruin your life? H3ll yes it can. It can destroy your life. But I did lay down the red carpet by taking ibuprophen for monthly migraines (a lot of it), taking PPI's, eating junk food and last but not least -- getting older. Darn you ticking clock.
I could be wrong, but since I am 95% sure this is what ails me and the 'solution' is just multi-faceted and although it seems easy when I write it out, it really isn't. I have had to track stuff, log stuff, and write myself notes for more months than I know. I utilized Google Calendar's reminder system to help me remember things so I could track a bit (it e-mails me regular reminders to write stuff down). But so many things seemed to dead end, like there is no wheat in my oatmeal, there is no grain in my green smoothie... so it has been a long haul and I've had to make a lot of changes and will still be making changes I'm sure. And most of the time, I didn't know what to track, is it food? Is it blood sugar? Is it my blood pressure? Is it my gallbladder? Is it an enzyme deficiency? Is it something I inherited? A type of depression? Lyme? West Nile? I've been bitten by loads of ticks in my life maybe something exotic...At one point I had over 20 possibilities on my list.
I tried to limit zebras and stick to looking for stuff that was more common. But instead of so much work....
I could have just done CBT ***total uncalled for snark*** #sarcasm