It certainly is unusual. But 6 months from epub to print edition isn't that unusual (I think it happened with a couple of my letters) so still within the range of possible. There could be a logical explanation e.g. the journal has decided to do a themed edition on CFS (or anorexia or something that is somehow related to the paper) perhaps?It's from ages ago! I wonder if the reviewers asked for some extra work? Having an MS (or similar) control group would be an obvious improvement.
edit: Or is it not unusual to have this sort of delay?
On some journal sites, they have a separate section for "pre-publication articles" (not sure that is the exact wording for any of them but that sort of idea). I think very occasionally I have seen an article that was over 12 months there (they are often sorted by date) and I have wondered why it was taking so long.