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Management of ME/CFS As well as there being insufficient diagnostic testing available for ME/CFS patients, there are also no effective therapies (60, 488, 529531) and few established non-pharmacological treatments for ME/CFS (60), paucity of diagnostic tools (60), heterogeneity between patients (60, 529), disbelief from health care workers (60), unpredictable relapses, and multiplicity of symptoms have made it difficult to formulate a treatment for ME/CFS

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Testosterone Replacement Therapy (TRT): Strong clinical evidence when used appropriately under medical supervision