(Mods please move if there is a better place for this question) Given that in the IOM diagnostic unrefreshing sleep must be present (correct me if I misinterpret) for a diagnosis of ME/CFS, if that one criterion is under control (no longer present/significantly true) does that mean the patient does not have ME/CFS by that IOM standard? If so, what does that mean? Cured? Remission? Never was? Is there a differential diagnosis to consider for that case?