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Pacing is an activity management strategy to help ME/CFS patients limit the number and severity of relapses, and helps avoid deterioration, without avoiding all activity. First described by health psychologist Ellen Goudsmit in 1989, it gives patients the advice to: "do as much as you can within your limits".

Pacing recognizes research showing an abnormal metabolic and immunological response to exercise in ME/CFS. 

Pacing has been used as a management strategy in a number of multi-component clinical treatment trials, and in several large patient surveys the majority of patients found be helpful (more...)

pacing The practice of staying within one's "energy envelope" or personal limit by combining periods of activity with periods of rest or avoiding exerting beyond a certain level. ME/CFS patients use pacing to avoid or reduce post-exertional malaise (PEM). Some patients use a heart rate monitor to help with pacing.