Hi Rothco, Welcome to the forum. I was never able to go back to work. I struggled with it day after day. To tired to get up, drug myself out of bed always late, up to 3 hours late. Then I felt so bad I couldn't stay at work, I would go home & crash. My sleep was totally unrefreshing. I felt like I hadn't even slept.
Over the last couple of years I have been dealing with my sleep issues & my pain & fatigue. I have found that good sleep is very important without the sleep you will continue to cycle down until your body says "no more". So, do you have a Doctor? Do you have a diagnosis? The first thing you need to address is your sleep. You need to take something for sleep or have a sleep study done or both. Sleep apnea is a familiar problem to those with CFS. I take cyclobenziprine (generic Flexeril), a muscle relaxant & Melatonin 5mg Sublingual, both for sleep. You may find that Melatonin is all you will need. It may take some time to find the right meds & dosage for you, so hang in there & work with your Physician.
I take a multi-vitamin, a B Complex for pain & B 12 Sublingual for energy. The B12 really helps me, I'm not running in marathons but I can do more & have more energy then before. Sublingual is dissolved under the tongue so it gets into the bloodstream faster. Make sure you check with your physician before you take anything, even something over the counter.
I wish I had an answer for you, I wish they would find the reason for CFS & find a cure. I hope you find some answers. Hugs, Denise