Pacing and Energy Management

See also: Visible

Potential Benefits

  • Pacing and Energy Management (PEM Prevention)
    • Tracking heart rate and heart rate variability (HRV) can help you recognize when your body is nearing overexertion.
    • Many people with CFS use their wearable to identify their “anaerobic threshold” — staying below it helps avoid post-exertional malaise (PEM).
    • Apps like Visible, Fatigue Science, or Oura’s readiness scores can help visualize recovery vs. strain.
  • Sleep Monitoring

    • Chronic fatigue often includes non-restorative sleep. A wearable can track sleep stages and total rest to help identify whether you’re getting adequate deep or REM sleep.

  • Symptom Awareness and Data for Providers

    • Tracking daily metrics (steps, HR, temperature, sleep) provides objective data to discuss with your clinician and correlate with symptom flares.
  • Biofeedback and Routine Regulation

    • Wearables can prompt mindful rest, breathing exercises, or reminders to hydrate and stretch—helpful for pacing and grounding.

⚠️ Cautions

  • Data Overload or Anxiety: Over-tracking can increase anxiety or lead to “pushing to meet numbers,” which worsens fatigue.

  • Accuracy Limitations: Consumer devices vary widely in HRV and sleep accuracy. Use them for trends, not exact values.

  • Battery and Sensory Sensitivity: Some people with CFS/ME are sensitive to pressure or EMF; comfort and tolerance vary.

  • Interpretation Requires Context: Wearables can’t capture the full complexity of immune, mitochondrial, or autonomic issues in CFS.


💡 Practical Tips

  • If using the Visible app (the CFS-specific one, available on iOS/Android), it integrates with Fitbit, Apple Watch, or Oura and helps track “crash days,” PEM, and pacing.

  • Track RPE (Rate of Perceived Exertion) alongside wearable data — how you feel matters as much as what the numbers say.

  • Share summaries with your clinician to support graded pacing, not graded exercise.



Body Mind Spirit Success
How to be successful in a body, using energy psychology.
Find this blog at: https://bodymindspiritsuccess.blogspot.com/
Also visit: http://hypnosisrecordings.blogspot.com/
Jane Leu Rekas, LCSW

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