Chronic fatigue, long Covid and nervous system dysregulation. We track every member against the same clinical instruments used in research, and publish what they show, including the parts that do not flatter us.
83%improve across most of what we measure
2×the size of improvement by month three
5★only five-star reviews on Trustpilot
What the data shows
Across everyone we have measured.
83%
improve across most of what we measure
Four or more of the eight clinical measures we track
2×
the size of improvement by month three
Average gains roughly double between week six and month three, then hold steady.
91%
report feeling better than when they started
Self-reported, at their most recent check-in
Progress is not about more people improving over time, it is about how far they get. By six weeks most clients have moved. By three months they have moved about twice as far, and it holds.
Based on the 23 clients who have logged two or more check-ins, median 76 days. Everyone else is either too new to measure twice or not yet due a repeat. These are self-reported outcomes from our own clients, not a controlled trial.
What improves, and how often
Not everything moves at the same rate.
Physical symptoms
83%
Mood
78%
Overall health
78%
Anxiety
74%
Fatigue
70%
Emotional regulation
70%
Daily function
65%
Health problems
61%
Percentage of clients who improve in each area. Daily function moves slowest, which matches what people tell us.
How much it moves
Among clients who improve in each area
Overall health+16 points out of 100
Fatiguedown 10 points
Daily functiondown 7 points
Emotional regulationdown 7 points
Anxietydown 5 points
What we measure: Fatigue Severity Scale, Work and Social Adjustment Scale, GAD-7, PHQ-9, PHQ-15, EQ-5D, and a measure of emotional regulation. Standard clinical instruments, completed monthly.
Member story
From housebound to hiking in Ireland.
Jess was barely leaving the house — exhausted, unable to function, her world shrinking week by week. She went from that to dancing at a nightclub, walking 20,000 steps in Barcelona, and completing a hiking trip abroad. Watch her tell the full story.
Jess · On the Mend member · fatigue & nervous system dysregulation
Case study
10,000 steps a day, surfing again.
Zach came to On the Mend with fatigue and brain fog, stuck in the stop-start cycle of crashing every time he pushed. By the end of the programme he was walking 10,000 steps a day, working out several times a week, and back in the water — with the crashes reduced to brief, manageable dips. Here's his story, in his words.
Zach · On the Mend member · fatigue & brain fog
8/10
Quality of life since starting
10k
Steps a day, consistently
5 → 8
Overall wellbeing, tracked
"I'm walking 10,000 steps a day, working out multiple times a week, surfing occasionally — and my crashes are very, very short-lived, and not even really crashes, just my body adjusting."
Zach, on where he is now
"There is a real goal in mind and reasoning behind everything done. A lot of other things are gimmicks."
Zach, on what made On the Mend different
ZA
Zach
US · Verified review
This was a great experience for me
"A lot of my symptoms were nervous system related and the program put me on the right track. There is great explanation behind everything done in the program and everyone is super helpful and nice. If you really put in effort it is very beneficial."
Unprompted reviewvia Trustpilot
His weekly tracked data tells the same story — dips included.
Zach
Fatigue · brain fog · 114 days on programme
Improved on every measure
114 days on the programme, and he improved on every measure we track. Started at 5 on overall, now tracking at 7–8. Dips included, because that is normal.
Scores out of 10 · higher is better
Validated clinical measures
Standard instruments used in ME/CFS, long Covid and mental health research, scored at intake and at the end. Each scale is plotted so further right is always better, which makes the bars comparable.
Where he started Where he finished
FatigueFSS
22 → 18-4
Work & socialWSAS
21 → 6-15
AnxietyGAD-7
17 → 7-10
MoodPHQ-9
9 → 5-4
Physical symptomsPHQ-15
7 → 4-3
Self-rated healthEQ VAS
65 → 79+14
Emotion regulationDERS-SF
61 → 35-26
Worse→Better
Every bar moves right, so every measure improved. The raw scores move up or down depending on the scale, since most count symptoms while self-rated health counts wellbeing. On the WSAS, above 20 indicates moderately severe impairment: Zach started at 21 and finished at 6.
Case study
Karen — still on the programme.
Seventy-seven days in, across seven check-ins, and still going. She had spent thousands on other treatments, therapies and supplements before finding us. Her own words are in her review below.
Validated clinical measures
Seven check-ins over her first 77 days. She is still on the programme, so these are scores in progress rather than a finished result. Plotted so further right is always better.
Where she started Where she is now
FatigueFSS
61 → 41-20
Daily functionWSAS
33 → 17-16
Overall healthEQ VAS
30 → 70+40
Worse→Better
The Fatigue Severity Scale runs to 63. Karen started at 61. On the WSAS, above 20 indicates moderately severe impairment: she started at 33 and is currently at 17. One person's scores, still moving, and not a prediction of anyone else's.
Live member data
Other results
Members track their progress weekly — including the dips, because real data is more useful than curated highlights.
Anna
Exhaustion · post-exertional symptoms · 6 weeks on programme
Improving
Energy climbing week on week. Neuro symptom severity reducing — lower is better on that metric.
Scores out of 10 · higher is better
Saima
Fatigue · low energy · 9 weeks on programme
Significantly improved
Steady climb across energy, sleep and emotional health over nine weeks of tracking.
Scores out of 10 · higher is better
George
Severe fatigue · neurological symptoms · 17 weeks on programme
Significantly improved
Started at the most severe end, with almost every score a 1 or a 2 for the first two months. The climb began around week nine and has held since, across energy, sleep and symptoms alike.
Scores out of 10 · higher is better
Programme completers
Earlier cohort — full programme outcomes
Members who have completed the programme. Progress tracked weekly from joining to end.
Milly
Fatigue · brain fog · returned to full-time work after 2 years
Sleep quality
+300%
Energy levels
+167%
Emotional health
+167%
"I've been part of On The Mend for a month and it's made an incredible difference. I've noticed big shifts in my ability to allow sensations and experience emotional releases." — Milly
Sophie
Severe fatigue and pain · significant functional decline prior to joining
Energy levels
+200%
Overall wellbeing
+67%
Consistent upward trend in energy and overall wellbeing throughout — including a return to activities she'd stopped over 18 months prior to joining.
Nancy
Fatigue · POTS · gut dysregulation · 6 months on programme
+7 pts regulation
Emotional regulation started at 1/10 — now consistently 7–8. Gut health moved from 3 to 8. The longest dataset we have: 10 months of weekly tracking.
Scores out of 10 · higher is better
From the community
What progress actually looks like
Real messages from the member WhatsApp group, shared with permission. Not the dramatic moments — the small wins that show a nervous system finding its way back.
🕺
Jess
"Managed to go to a club for an hour and do a bit of dancing! Not been to a night club since before getting ill — I get very overstimulated normally from the noise. I was in good company and it wasn't an issue. Really pleased."
🚂
Nancy
"I go to London for work twice a month — 5 hours of trains plus a full day of work — and it normally wipes me out for days after. This time I didn't get wiped out and was productive the next day. A big shift."
🌍
Johanna
"I managed to travel and visit some friends and had such a good time. For a couple of days I almost felt normal again — which gave me a lot of hope for the future."
💡
Anonymous member
"I got curious about a wave of intense fatigue instead of distracting myself. I noticed a deep sadness underneath and started sobbing. When the sadness lifted, some of the fatigue did too. This stuff really works!!!!"
☀️
Jess
"Just back from Barcelona — walked over 20,000 steps a day for 4 days straight. Before the programme, short walks would wipe me out for days."
🌊
Anonymous member
"Had a difficult moment but instead of spiralling I just stayed with it. It passed. Two hours later I felt completely fine. Things that used to last days — now lasting hours. That's the shift."
Reviews & member quotes
What members say about us
Milly
Fatigue · brain fog · October 2025
★★★★★
"I've been part of On The Mend for the past month and it's made an incredible difference to my recovery already. Harry provides amazing 1:1 support, we have regular group somatics sessions, and a wonderful community. I've noticed big shifts in my ability to allow sensations and experience emotional releases."
A
Ania
Fatigue · nervous system dysregulation · January 2026
★★★★★
"The programme provides a safe container and structure in which recovery takes place. I have experienced slow and steady progress in my energy levels — I would recommend On the Mend to anyone who resonates with its approach."
Nancy
Fatigue · POTS · nervous system dysregulation
"I go to London for work twice a month — 5 hours of trains and a full day of work. It used to wipe me out for days. Now I can do it without crashing and be productive the next day. That's a big shift and really exciting."
J
Jess
Fatigue · exhaustion · severe functional decline
"Before the programme I was barely leaving the house. Now I've been to Barcelona, walked 20,000 steps a day, been to a nightclub, and hiked in Ireland. I never thought I'd say any of that."
"
I never knew what I didn't know. The biggest blessing isn't a return to training — it's the unravelling of the automatic responses that for so long had me stuck. I push not to run away from something, but toward it.
— Harry Boby, founder
📋
Results vary between individuals. Recovery from nervous system dysregulation and related conditions is non-linear and depends on many factors. The data shown reflects real member outcomes and is not a guarantee of any particular result. We track weekly self-report scores and where relevant validated clinical scales. We share all data honestly — including dips — because we believe transparency serves our members better than cherry-picked highlights.
What members have written.
Unprompted reviews on Trustpilot.
Want to know if this could work for you?
Book a free 30-minute assessment. Tell us where you're at and we'll be honest about whether we think this is the right fit.
