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Is PEM Inherently Dangerous? boom or bust is pem dangerous mecfs mecfs recovery barriers push crash cycle May 31, 2026

Welp. I need to talk about something I saw the other day on Instagram. I wish I could tell you that it was a cute video of a puppy dressed up in human clothes (I mean, that’s like 50% of my algorithm these days), but it wasn’t.

It was a reel from someone with ME/CFS saying, with absolute certainty,...

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Why Everyone Is Talking About The Nervous System (In MECFS) bidirectional illness chronic illness healing is pem dangerous mecfs mind body connection nervous system regulation May 24, 2026

 The other day I got into an argument with a keyboard warrior, the likes of which I had never seen, and about something I never expected. I think at this point I have met them all; people who think nervous system work is pseudoscience, people who don’t believe in pacing and think you can climb a mou...

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Air Hunger in MECFS Explained (it's not what you think) airhunger chronic fatigue syndrome co2intolerance mecfs mecfs recovery Feb 03, 2026

I've been working a lot this past month on Pillar 3 of recovery (supporting the body), focusing on things like nutrition, sleep, movement, and hormonal balance.

And by the way — yes, my recovery is an ongoing process of maintenance. The same tools I used to get well across the four pillars, are the...

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Anj Granieri
What PEM Really Is (It’s Not Just Fatigue)
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What PEM Really Is (It’s Not Just Fatigue) chronic illness education energy limiting illness mecfs mecfs recovery neuroimmune fatigue neuroimmune illness pem post exertional malaise Dec 15, 2025

If you have MECFS, you've probably heard of PEM — post-exertional malaise. PEM is the hallmark feature of ME/CFS, and one of the clearest ways clinicians distinguish it from other illnesses. PEM, as it is defined in ME/CFS, does not occur in other conditions in the same way.

However, the term post-...

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Anj Granieri
How to Answer When Someone Asks "How Are You?"
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How to Answer When Someone Asks "How Are You?" authenticity brain retraining cfs chronicillnessrecovery mecfs recoverystrategies reorienting to the positive Nov 14, 2024
The Welp. This made me laugh... a lot.

Hey, LISTEN, beautiful souls. It certainly can be a challenge to know how to respond to this question, especially because I find that we tend to say "how are you?" to people without REALLY wanting to know how they ACTUALLY are. It's more at least in the USA,
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Anj Granieri
Regulating Tools: Lifelines For MECFS & Beyond
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Regulating Tools: Lifelines For MECFS & Beyond ans dysfunction bottom-up processing mecfs mecfs recovery regulating tools viral trigger Aug 10, 2024

Today I was in the hospital in Bali, with an infection that started minimally a week ago and has now spread. The last few days I have been in a remote part of the island, trying to find good care. It has been challenging, and I have had little choice in how I had to push my body past fatigue to trav...

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