The new German "guideline tiredness" was published today. ME doesn't get its own guideline in Germany, only a chapter in the "guideline tiredness". It's basically the German NICE guideline for ME. It was last updated in 2011. http://www.degam.de/files/Inhalte/Leitlinien-Inhalte/Dokumente/DEGAM-S3-Leitlinien/053-002 Leitlinie Muedigkeit/Aktuelle Fassung 2018/053-002l_Muedigkeit_neu_180121.pdf The chapter on ME or "chronic tiredness syndrome" as G93.3 is officially named in Germany starts at page 40. At first sight it looks as horrific as anticipated.