Pacing And Energy Management For ME/CFS And Long COVID
By Jacob Gordon, INHC, FMT-CPost-Exertional Malaise (PEM) is the defining feature of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and a central driver of disability in long COVID, yet most patients are never taught how to manage it.
In this post, we will discuss what PEM actually is at the mechanistic level, the energy envelope model of pacing, practical strategies for managing physical and cognitive exertion, heart rate monitoring, crash recovery protocols, overlapping conditions, testing, and the junction dysfunction biology behind exercise intolerance.
Jacob Gordon
INHC, FMT-C
Board Certified Health Coach
I spent years battling unexplained chronic illness before discovering biohacking, epigenetics, and functional medicine. Now I share that research at MyBioHack to help others find their own answers.
Book a ConsultationRelated Protocols & Supplements
Deep-dive chapters and recommended supplements for this topic
Lion's Mane
1000mg/day
Omega-3 (DHA)
2g/day
Phosphatidylserine
100mg 3x/day
