Another way to look at cfsme is that it's a catabolic condition. This can lead to sarcopenia in aging as well as many other chronic health conditions.
Our catabolic conditions are outweighing our anabolic processes.
This is understandable especially when many with cfs have low anabolic hormones like dhea, testosterone and growth hormone and all are negatively effected in healthy people who have poor sleep, so image cfsme with chronically poor sleep.
Replacing these hormones to optimal levels isn't necessarily a cure but it can help reverse sarcopenia, reverse the balance of the body from catabolism to anabolism and this can help the body repair and heal from inflammation and oxidation. This can help the body retain nutrients better and use nutrients better ie nutrient partitioning. Just helping move the body from a stress and breaking down stage to a growth and repair stage.
This is a common strategy used in treating HIV pts along with directly treating HIV. Before there were antiretroviral drugs in HIV, anabolic steroids and growth hormone stopped and reversed the muscle wasting and in some cases improved immune function and anemia and also increased life span and quality of life.
So we can definitely borrow things like hormone replacement therapy from the antiaging crowd