I've got a diagnosis of cfs for many years.
In the end it turned to be lyme disease and pots (disautonomia)
I've got a long cycle of antibiotics for lyme disease and they helped me a lot.
But pots remained, I am still taking drugs for it. I'll have it all my life. But I've found I can manage it through exercise.
Before antibiotics I was so tired that any amount of exercise would bed ridden me for weeks. I was very ill.