Trying to understand chronic fatigue syndrome

For some people (About 50%, from memory). Others show little to no change, and the rest get significantly worse.

Thankfully I am in the middle group, not the last. The only thing that has helped me is pacing, and slowly increasing how much I try to do. It has been 10 years and I still couldn’t keep a part time job, but at least I am not stuck in bed sleeping for 18 hours a day.