In Dr. Lapp’s words:
This Cochrane review study is a sore subject!
I obtained a copy of the entire review, and it is just horrible. The author examined 9 studies, accepted only 5, and none were from the USA. Here are some of the problems:
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Chronic Fatigue Syndrome (CFS), which is sometimes also referred to as Chronic Fatigue Immune Dysfunction Syndrome (CFIDS) or Myalgic Encephalomyelitis (M.E. or ME), is an autoimmune illness characterized by prolonged, devastating fatigue. A new study may provide hope for those who suffer from this disabling condition. According to researcher M. Edmonds with the Cochrane Collaboration research group, patients who participated in a three-month program of exercise therapy that consisted of 30-minute exercise sessions several times a week had improvement in both their energy levels and their quality of life.
Addendum: Many patients with Chronic Fatigue Syndrome suffer from exercise intolerance. Therefore, be sure to see Dr. Lapp’s response to this study.
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Pammy is the main character in two comic strips by 
A professional writer since 1984, Pamela Rice Hahn is the author of more than 20 published books.