I have managed to get back on track somewhat to exercise. The main problems seem to be using adrenaline or strength when the CFS is at its largest. I believe body movement is very important but from what i've found graded exercise focuses around gyms or walking. Even when i was fit, my body hated walking. It tires me out quicker than any other exercise. I was able to teach and train in mixed martial arts which involves alot of fitness. Basically i stopped using adrenaline and strength, exercises that are good for this are: Any thing that moves the body without massively increasing heart rate. While graded exercises focuses on goals, I find if i let my body measure it i tend to go better. Encouraged Yoga Tai Chi Qi Gong Stretches Walking Very light jogging (depending on how you're going) Discouraged: Heavy weights Sprinting Cardio Using anger while exercising. Supplements that can help: Iron (red blood cells) B12 (again red blood cells) Magnesium (releases muscles) Potassium/sodium (electrolyte function) Sea salt (salt is useful for the kidneys + small amounts of trace minerals) Calcium (pumps the heart Body therapies can help too, having practitioners focus around the diaphragm and kidneys especially works well for me. Have other people found what works well for them? I am by no means cured exercise wise but i've found ways to work around not moving.