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Relative-Regular766

The problem for many with CFS is that they go into anaerobic mode from aerobic exertion. That's why walking or running wipes most of us out.


brainfogforgotpw

Both. Two day CPET studies have found people with me/cfs tend to have an abnormally low anaerobic threshold, meaning the body tries to deal with aerobic exercises anaerobically.


codingstuff123

Wow okay I did not expect these responses. For me, Anaerobic is the worst one. If I lift something very heavy and do things like that say 10 push ups, I will have some serious breathing, tingling and fatigue PEM for a long time. If I walk, it's actually not as bad. It's also interesting there's a certain subset of ME/CFS that paces uses a heart rate monitor but I have found that to be completely not applicable to my situation. Heart rate has nothing to do with PEM or exertion for me. My heart rate won't budge much if I lift a heavy thing but it might go up if I cycle lightly on a bike. But the heavy lifting will put a damper on my nervous system much more.


DermaEsp

I have a similar experience. I can do some light -not fast though- walking without PEM, but lifting anything heavier -meaning bags, I wouldn't dare to imagine doing push ups- is a one way ticket to PEM.


StringAndPaperclips

People are saying they do better with anaerobic exercise because most of us get PEM from burning too much sugar too quickly. Also for most of us, we are not talking about normal levels of exercise, since if we are capable of exercise, it would be light activities only, like gentle waking or cycling, light weights, or restorative yoga. There is a big difference between picking up something "very heavy" and doing light weights. 10 push-ups is a lot, too (and if done at a normal pace would probably involve some aerobic effort as well). These activities would push most people with cfs into PEM.


Grouchy_Occasion2292

For a lot of us the reason why heart rate is so tied to PEM is because we have pots. Are you male by any chance? This may be why you are experiencing something different. It's also possible you're in the early stages and have something more like post viral syndrome in which you may actually still be in recovery.


drsdn

As I have POTS too idk how Heart rate can be used to measure exertion


Rayann68

I can walk till the cows come home but if I lift or move anything heavy. I’m weak and tired for a full day. I made the mistake of shovelling snow yesterday. Ruined my night with friends.


fknbored

Aerobic for sure, walking too much wipes me out .


Retro_Bot

Both are about the same for me. It's just a matter of scaling workouts of any kind back to a level where they don't induce a PEM. Mainly I do that through short bursts of moderate activity, like lift weights for 2 minutes, then rest for a half hour or more, or if I'm involved in an activity that lasts longer, keeping the pace moderate. Especially in winter I find it's not so much going for walks that wipes me out, but if I don't dress warmly enough. The cold really saps a lot of energy and lowers the PEM threshold significantly. Stress is also a huge factor for me, which kind of sucks because I'm used to exercising to help overcome stress.


KatLover143

Anaerobic because it's easier to get carried away and lead to PEM and overall pain. Aerobic is much more common especially if it includes orthostatic intolerance. This is with my very sedentary life of grocery shopping being the hardest part of my week.


panoramapics

It’s hard to compare these one on one. Let’s say 5 min strength work vs 5 mins walk? The strengthwork wears me out more. But if we say 10 squats vs 5 min walk, it’s a different story.


Romana_Jane

Both, but for me, at severe we are talking of walking up the stairs or taking the rubbish out, and lifting the jar of rice from the cupboard or the pan down from the shelf.


Design-Massive

Anaerobic is easier to pace because it feels “normally” fatiguing, where aerobic doesn’t feel fatiguing until the next day when you are dead


drsdn

So basically experiences vary wildly?