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 cover mold illness, post-viral recovery, methylation, and complex chronic disease, drawing on ten years of clinical research, work inside a functional medicine clinic, and my own recovery from all of it. Every claim here is cited.
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
