Treatment
The following is taken from a booklet written by Dr. Ros Vallings of Auckland, New Zealand:
  • Rest
  • Exercise
  • Fresh Air
  • Diet
  • Supplements
  • Depression
  • Sleep

Rest
This is the most important route to recover, but must be balanced with some activity to avoid muscle weakness and poor sleep pattern.

Exercise
Too much too soon will usually lead to a relapse, so the right balance must be attained with a very gradual build-up in activity.

Fresh Air
Because ME/CFS sufferers feel unwell, there is a great temptation to stay inside all day. However, being outside in fresh air and light for an hour each day should be part of the rehabilitation.

Diet
A good rule is to stick to as normal diet as possible, with plenty of fresh fruit and vegetables. Avoid unnecessary additives, such as artificial colouring, flavoring or preservatives. It is also wise to cut out caffeine, which is in coffee, tea, cocoa, chocolate products and cola.

Supplements
In ME/CFS the appetite may be poor or digestion affected. Deficiencies are often found in the initial blood tests and should be corrected. B vitamins, folic acid, zinc and vitamin C may be helpful.

Depression
Any illness has effects on the mind as well as the body. It is not surprising that those with an illness which seems to be endless, often become very depressed. Tri cyclic anti-depressants help to restore normal functioning and improve sleep patterns. They are safe and non habit-forming and those with ME/CFS usually respond to quite small doses.

Sleep
The effects of ME/CFS may include difficulty in getting to sleep, wakefulness or a need to sleep all the time. If medication is needed, it is better to use a mild tri cyclic anti-depressant which has the effect of re-regulating the sleep cycle. These drugs are non-addictive and only very small doses are required.

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