Chronic fatigue syndrome (CFS): when exhaustion becomes part of everyday life
19. June 2025

Chronic fatigue syndrome (CFS): when exhaustion becomes part of everyday life
Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME/CFS), is a serious and complex condition that can severely limit sufferers both physically and mentally. People with CFS suffer from profound fatigue that is not relieved by sleep and often lasts for months or years.
What exactly is CFS?
CFS is more than just being tired. The illness manifests itself through a combination of different symptoms. The most common symptoms reported by sufferers are
• Extreme exhaustion after the slightest physical or mental exertion (so-called “post-exertional malaise”)
• Sleep disorders despite being very tired
• Concentration and memory problems (“brain fog”)
• Muscle pain, headaches or sore throat
• Circulatory problems, e.g. dizziness when standing up
The causes have not yet been conclusively clarified. Viral infections, autoimmune processes, disorders of the nervous system and environmental factors are being discussed.
How is CFS diagnosed?
Diagnosing CFS is a challenge as there is no clear laboratory test. Doctors initially rule out other illnesses. The diagnosis is only considered if the symptoms persist for more than six months and the patient’s ability to cope with everyday life is severely restricted.
Living with CFS – what helps in everyday life?
Everyday life with CFS requires a great deal of sensitivity to one’s own limitations. Many sufferers develop strategies such as
• Pacing (energy management): Activities are planned in such a way as to avoid overexertion.
• Rest periods and a structured daily routine
• Adapted diet and gentle exercise, if possible
• Psychological support, e.g. to overcome fears and frustrations
Alternative treatment approaches are also discussed, including various infusion therapies, micronutrients and immunomodulating procedures.
Toxopheresis – an innovative approach to support with CFS
Toxopheresis is a complementary approach to supporting CFS sufferers. This is a special blood purification procedure that is offered in some specialized clinics, centers and private practices. The aim is to remove certain inflammatory substances, autoantibodies or toxic components from the blood that may be contributing to the symptoms. Initial experience reports show that some patients experience noticeable relief from their symptoms – particularly in cases of cognitive impairment or permanent fatigue.
Conclusion
CFS is a serious illness that often leads to a lack of understanding and social isolation. A sensitive approach, individually tailored treatment approaches and openness to new methods such as toxopheresis can help to make everyday life more liveable despite restrictions. It is important to note that every person with CFS experiences their illness differently – which is why the path to suitable support is just as individual.
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