Rebecca under the papyrus
Senior Member
- Messages
- 181
PEM will hit when I go over a certain threashold. I will wake up with it the next morning. 2-3 days of maximal demolition, where I am basically bedbound (I'm low moderate normally), have a lot of muscle pain and more sound sensitivity, then 2-3 weeks to get back to baseline.
Like your crash-flare distinction I wonder wether in those 2-3 weeks the PEM mechanism is still at work or wether I am "only" recovering from it.
When I was mild, the whole PEM-complex would only last 2-3 days.
Just like you when I did a little too much, but didn't cross the threashold, I will also be more fatigued and have muscle pain, but in severity not comparable with actual PEM. This sets in right during the exertion and lasts an hour to a few days, depending on the amount of "exercise".
Another type of flare is during and after immune activation. Severity and length here are in proportion to the amount of activation (days and housebound for a cold, 2 months and bedbound in the beginning for the Covid vaccine).
And I don't think that I ever had PEM from mental exercise. I have brain fog, and am easiliy exhausted mentally and emotionally, even for days, but haven't yet gotten anything PEM-like from it.
Like your crash-flare distinction I wonder wether in those 2-3 weeks the PEM mechanism is still at work or wether I am "only" recovering from it.
When I was mild, the whole PEM-complex would only last 2-3 days.
Just like you when I did a little too much, but didn't cross the threashold, I will also be more fatigued and have muscle pain, but in severity not comparable with actual PEM. This sets in right during the exertion and lasts an hour to a few days, depending on the amount of "exercise".
Another type of flare is during and after immune activation. Severity and length here are in proportion to the amount of activation (days and housebound for a cold, 2 months and bedbound in the beginning for the Covid vaccine).
And I don't think that I ever had PEM from mental exercise. I have brain fog, and am easiliy exhausted mentally and emotionally, even for days, but haven't yet gotten anything PEM-like from it.