I am in the process (again) of going through all the tests etc from my new doctors to try and figure out what is wrong with me. I became sick in 2004. I am wondering in order to truly have CFS do you need to have cognitive dysfunction? I have none at all and never had from the very beginning. My two most prolonged symptoms are the chronic fatigue/exhaustion/low stamina and muscle twitching/burning/stabbing/shooting/icepick pains in my calf and foot. The fatigue is what disables me daily. Sometimes I am just extremely tired, sleepy, heavy or all of them. I have had many many other symptoms over the years but these two are the ones that are constant. The others come and go. Some of them have included unrefreshing sleep, insomnia, sweats, tender lymph nodes (neck), just feeling incredibly ill, crashes, burning eyes. I am sure there are more but at the moment I can't remember. I have no idea where to turn to. I am not sure my new doctor really knows much about the diagnosis process and what tests to do. I am having a CBC, metabolic, thyroid, panel done next week. I am also seeing an endocrinologist who is trying to taper my cortef since I have been taking it for 3 years. She wants to do a stim test but I need to wean down some. I am also tapering my thyroid meds and my levels are now all in the normal range. I never had any thyroid symptoms to begin with. I am sorry this is long but I have found this board to be helpful and would like some opinions on this. Thanks in advance.