This is from 2021 and there is even more information now. However, it is still a great summary. Look at the tables especially. This offers good information to bring to your physical therapist or rehab team. If you are not getting this kind of care, it can offer guidance while you look for better care. For example, think about “submaximal” exertion while you try to recover: going at less than your capacity until you have gotten to the point PEM isn’t a big problem. Tables: fatigue assessment recommendations (table 1), common symptoms, manifestations, systems, testing options, and referral options (table 2), diagnostic criteria for ME/CFS (table 3), fatigue treatment recommendations (table 4), and health equity considerations (appendix). Example of nuance in the article: ”In patients presenting with fatigue, it is important to consider the evaluation of fatigue and diminished activity tolerance as related but distinct conditions. As these two symptoms may intersect, the differential etiologies of fatigue should be considered in conjunction with a separate differential for lowered activity tolerance.”
Read over the tables and the concept of “submaximal effort” for treating fatigue
Print the report and highlight all the parts that resonate with you; show it to your medical team and ask them how your treatment plan will embody the thoroughness of this report’s recommendations