I wish this had a positive affect on my PEM. I take 1200 mg of Q10 as Ubiquninol twice per day, but have never noticed any decrease in PEM symptoms. I do take into regard that my PEM levels are extreme and I also have Rolling PEM, and so never recover from an episode. PEM for me is triggered easily from the slightest physical exertion (one could hardly call my current physical limits "exhausting", but for my system now, they are), and mental exertion, but the Q10 unfortunately makes no noticeable difference.