Fatigue and pem can be accumulative and one can be in a constant state of pem too? ?
I think the constant pem is common in those that work especially when in bed when not at work and then notices improvement when they get 2 weeks off. Maybe it's the constant pem that causes many to crash ie straw that broke the camels back? ?
I think the constant pem is common in those that work especially when in bed when not at work and then notices improvement when they get 2 weeks off. Maybe it's the constant pem that causes many to crash ie straw that broke the camels back? ?
Similar things happened again after prolonged over-exertion. It was always unavoidable exertion, e.g. scavenging firewood trying to keep warm, having to move things for builders and clean up their mess afterwards, and caring for a terminally-ill cat. I ended up very ill twice, taking at least 2 years after the last serious exacerbation to get back to 'my normal', I think. But it wasn't until after the second serious illness (which led to 4 days in hospital) that I realised what was causing it! (and of course no doctors did