A reminder that avoiding PEM crashes is the most effective treatment

I think we all know this, and most ME CFS patient resources start by emphasizing pacing. But many of us forget it and get pulled into searching for medications and supplements. Your single most important and effective treatment is to identify all the emotional, mental, and physical activities that trigger a PEM crash and do whatever you can, at any cost, to prevent it. We are dealing with a very complex illness whose underlying mechanisms are still largely unknown, but we do know we are caught in a vicious cycle that keeps worsening. Breaking this cycle is the first requirement for healing.