I developed ME/CFS one year after a TMI (bicycle accident). Slowly declined and ended on severe spectrum. Had tried no treatments - until I started Wahl's Paleo Plus - Keto - felt well enough to see ME/CFS specialist and started supplements and then the MAF. I went in and out of full remission over the next year until I figured out that I needed to stay Keto and stay on the MAF (the new formula didn't work and Im back on the old formula again).
Full remission - working out, cycling and walking - NO PEM symptoms. !!
Daughter developed ME/CFS at age 15 after amoeba and mono. She recovered somewhat and is now mild - able to work part time.
Second daughter developed ME/CFS at age 31 (was living at home). Declining in severe spectrum though trying many treatments, including medication and diet. My keto/MAF combo doesn't work for her. :(