Hosted By
Post-exertional malaise (PEM) is more than just feeling tired after activity — it’s a delayed and often severe worsening of symptoms that affects many people with ME/CFS and other energy-limiting conditions. In this episode, Anna unpacks what PEM is, why it happens, and what current research is beginning to reveal.
Anna explains how PEM differs from everyday fatigue, explores emerging insights into energy production, inflammation, and stress responses, and discusses why “pushing through” can be harmful. She also reflects on what this research means in real life, and how it can support safer pacing, validation, and more compassionate approaches to recovery.
This episode is a helpful listen if you want to better understand PEM, feel more validated in your experience, or learn how research can guide gentler, more supportive ways of managing energy.
Useful Links
Take the Chronic Fatigue Quiz: https://app.annamarsh.co.uk/quiz-page
Instagram: https://www.instagram.com/anna__marsh_
Work with me: https://annamarsh.co.uk/work-together/
Website: http://annamarsh.co.uk/
Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/
Article Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12408823/
Shownotes Navigating a fatigue recovery experience can also come hand in hand with navigating changes in body, shape, and size. For some, this is...
If you find yourself struggling to do things you know you should be doing to support your health, this episode of the Chronic Fatigue...
This week on the podcast we do something a little different. We share a recording from the Nurturing Resilience Membership where we focus on...
