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Post-Exertional Malaise (PEM) The hallmark symptom of Long COVID and ME/CFS. And it's NOT just being tired after exercise. WHAT IS PEM? Your body's energy system completely crashing after even minor exertion. WHAT COUNTS AS EXERTION? Healthy people: Running a marathon, intense exercise Long COVID patients: Taking a shower Grocery shopping Having a conversation Standing for 10 minutes Even thinking too hard THE CATCH: IT'S DELAYED The crash doesn't happen immediately. You might feel okay during the activity. Maybe even fine for hours or a full day afterward. Then, 12-48 HOURS LATER: You collapse. Bedridden. Unable to function. And it can last days, weeks, or even MONTHS from a single episode of overdoing it. THE REALITY: There's no cure for PEM. The only treatment is PACING: Learning your energy limits Never exceeding them Because if you do, you'll pay for it for days or weeks It's like having a battery that's not just small, but that damages itself if you drain it too much. It's not laziness. It's survival. Full Episode 5 drops Nov 19: Complete deep dive into PEM, energy management, pacing strategies, and the science behind post-exertional crashes. Long COVID 101 playlist: • Long COVID 101: Full Episodes 📢 Subscribe for weekly Long COVID and ME/CFS research breakthroughs! #PEM #PostExertionalMalaise #LongCOVID #MECFS #ChronicFatigue #Pacing #EnergyManagement #Crash #DelayedSymptoms #ChronicIllness #Bedridden #SpoonieLife #DisabilityAwareness #InvisibleIllness #EnergyEnvelope ⚠️ DISCLAIMER: Educational purposes only. Not medical advice. Consult qualified healthcare professionals for diagnosis and treatment.