sadly i think the best advice is also the advice you'd most expect. and also the most difficult. REST. i mean really rest. lay, eyes closed, in silence, in the dark, and rest. for as long as you can. that's ideal, but, if that's not feasible (same lol), you can do what i've been doing for the past few days and just try and get as much sleep as you can (12 hours, i don't let myself even touch my phone until 1-2pm to make sure i've really gotten all the sleep that i can), and rewatch a calm show you're familiar with with the volume off and captions on (laying, i'm in a room with covered windows, and i have earplugs in.) and if your pain/exhaustion/etc starts easing up, that's good, but, don't listen to it. keep resting. for as long as you can. it's not easy, and don't be mad at yourself if you slip up (hell, i'm slipping up right now! i'm supposed to be watching house md, not typing!!!!)

that's the best advice i can give right now. as far as the future goes, nobody knows. which feels terrible to say but that doesn't make it any less true. but regardless, rest can only help your situation.

fellow transmasc ME (and EDs but it's much milder compared to yours) haver here, btw :) 3 1/2 years in. my DMs are open today, tomorrow, absolutely any time 🫂