A Complementary Recovery System for Your ME/CFS, Long COVID & Fibromyalgia Patients
CFS Recovery is a coaching-based nervous system retraining recovery system with published outcome data across 5,300+ assessments, including SF-36 Health Surveys and proprietary Nervous System Health Assessments. We work alongside your clinical care, not in place of it.
Review our evidence from 2,400+ unique clients, methodology, and referral pathway below.
The Clinical Challenge You're Facing
Your ME/CFS, Long COVID, and fibromyalgia patients present a difficult clinical picture:
- Standard diagnostics return normal results
- Pharmacological interventions manage symptoms but don't resolve the underlying condition
- Patients cycle through specialists without improvement
- The conditions are chronic, debilitating, and associated with high healthcare utilization
- Patients are frustrated, discouraged, and often feel dismissed
You're not failing these patients. The clinical tools available for these conditions are limited.
The Gap, and Where We Fit
CFS Recovery addresses the nervous system component: the element that standard medical care is not designed to treat.
We are not a replacement for medical care. We are a structured coaching-based recovery system that works alongside your clinical management. Many of our clients continue seeing their physicians, specialists, and allied health professionals throughout their recovery.
Our Role
Systematic nervous system retraining through daily practice, coaching, and progressive capacity building. Delivered by coaches who have personally recovered from these conditions.
Your Role
Clinical oversight, medication management, and ongoing medical monitoring. Your clinical expertise remains central to your patient's overall care.
Together: a more complete approach.
Published Outcome Data: Two Validated Instruments
CFS Recovery tracks client outcomes using two complementary assessment tools: our proprietary Nervous System Health Assessment (NSHA) across 2,400+ clients, and the SF-36, a clinician-recognized standardized health survey used in clinical research worldwide.
For the full data, methodology, and limitations on one page, see our outcomes page. Practitioners can also explore our live SF-36 outcomes dashboard (interactive, refreshed nightly, de-identified, code-gated). Email [email protected] with your name, role, and clinic to request an access code and our practitioner packet, or message us on LinkedIn.
Nervous System Health Assessment (NSHA)
Our proprietary assessment maps cognitive capabilities (7 sub-domains), physical capabilities (7 sub-domains), symptom load, polarization patterns, and activity levels on validated scales. 825 clients completed multiple assessments over time, providing longitudinal before-and-after data with a median tracking period of 124 days.
SF-36 Health Survey (Standardized)
The SF-36 is a clinician-recognized, peer-reviewed health outcome instrument used in thousands of published studies (we score it with the standard RAND-36 algorithm). Our dataset covers 90 unique clients across 699 survey administrations. Each client completes one baseline and one follow-up survey; the columns below group those follow-ups by client tenure, so they represent different clients at different stages rather than repeated measurements of the same clients over time.
| SF-36 Domain | Baseline | 0-6 Month | 6-12 Month | 12+ Month |
|---|---|---|---|---|
| General Health | 35% | +18% | +28% | +57% |
| Physical Functioning | 48% | +16% | +28% | +34% |
| Role Limitation (Physical) | 6% | +14% | +29% | +36% |
| Role Limitation (Emotional) | 17% | +35% | +29% | +50% |
| Energy / Fatigue | 25% | +18% | +24% | +17% |
| Emotional Wellbeing | 47% | +16% | +20% | +12% |
| Social Functioning | 34% | +26% | +37% | +55% |
| Pain | 61% | +8% | +8% | +39% |
| Average (All Domains) | 34% | +19% | +25% | +37% |
SF-36 scores range from 0 to 100, where higher scores indicate better health. Values shown are percentage-point gains from baseline. Because each band is a different set of clients (n=84 baseline, n=92 at 0-6mo, n=61 at 6-12mo, n=14 at 12+mo), the columns are cross-sectional snapshots by tenure, not a within-person trajectory over time. The 12+ month band is small (n=14).
Most Severe Cases Show the Largest Gains
Clients who entered at the lowest baseline scores showed an average +41% improvement across all SF-36 domains, compared to +22% for the overall population, with the largest gains in Pain (+60%), Social Functioning (+49%), Emotional Wellbeing (+47%), and Role Limitation Emotional (+45%). Part of this gap reflects regression to the mean: clients selected at the floor tend to move upward on remeasurement regardless of intervention. We present it as an observed pattern worth studying, not as proof of effect.
Data Notes for Practitioners
- These are aggregate outcomes, not controlled trial data
- No placebo control or randomization. This is real-world outcome data from a coaching-based recovery system
- NSHA tracks cognitive and physical capabilities on a 0-5 scale across 14 sub-domains, plus symptom inventory, polarization patterns, and activity level
- SF-36 outcomes measured at baseline, 0-6 months, 6-12 months, and 12+ months post-enrollment
- We are transparent about the limitations of our data. We publish what we have, not what we wish we had
- Full domain-level breakdowns and methodology documentation available on request
- We welcome conversation about our methodology and data with interested practitioners
SF-36 Outcomes: Methodology & Collection Protocol
Version 1.0 · June 2026 · Owner: Miguel Bautista
This is how we measure client health outcomes with the SF-36, the rules for when surveys are sent and who is included, and the safeguards that keep the data accurate and reproducible. Outcome data has been collected since December 2023, and collection was standardized under this protocol in June 2026.
Study Design
- Observational pre/post design. Each included client completes one baseline survey (Survey 1) and one follow-up survey (Survey 2), measured within-person across the validated SF-36 domains.
- No control or comparison group. Results describe outcomes observed among participants, not a causal effect attributable to the recovery system alone (see Limitations).
Scoring
- Scored with the standard RAND-36 algorithm: eight health domains, each on a 0 to 100 scale (higher is better), each computed as the mean of the participant's non-missing items.
- Deterministic and unit-tested. Identical inputs always produce identical outputs, and an automated test suite verifies the implementation, so the outcomes are fully reproducible.
Limitations (stated for transparency)
- Observational and uncontrolled. Improvements are real and measured, but without a comparison group the data show outcomes, not proof the recovery system alone caused them.
- Self-selection. Clients who complete the follow-up survey may differ from those who do not, which can bias results upward.
- Instrument scope. The SF-36 measures function and quality of life, not post-exertional malaise (the defining feature of ME/CFS). A normal-range SF-36 score reflects return to normal-range functioning on this instrument, not a clinical determination of recovery.
- Email-based matching. Differing or mistyped email addresses between surveys can cause missed pairings.
View the full collection protocol
Surveys
- Survey 1 (Baseline): sent at program start ("Day 1"), before meaningful program exposure.
- Survey 2 (Follow-up): sent once per participant, per the timing rules below.
Follow-up timing
- Academy (monthly): Survey 2 is sent at the 6-month mark, or upon cancellation, whichever comes first.
- Platinum (fixed-term): Survey 2 is sent at the end of the contracted term, 6 months for the 6-month product or 12 months for the 12-month product, or upon early cancellation, whichever comes first.
- Grace window: a follow-up is considered on-time if completed within plus or minus 30 days of its target date.
Inclusion and exclusion
- Included: participants who completed Survey 1 and a qualifying Survey 2 and completed at least one full paid month of the program.
- Excluded: free trials and anyone who left before completing one full paid month, on the basis that they did not receive meaningful program exposure. Excluded records are retained in the raw data but flagged out of the outcomes cohort. The one-month minimum may modestly lower average improvement, which is accepted as the more honest figure.
Matching and reporting
- Survey 1 and Survey 2 are paired by the participant's email address; the most recent submission is used if a survey is submitted more than once. A unique customer identifier carried into both surveys is a planned upgrade.
- A participant is counted as "due" for Survey 2 once their target date has passed (6 months for Academy and the 6-month Platinum product; 12 months for the 12-month Platinum product). Participants who have not reached their target date are not yet due and are excluded from the completion figure, so completion is not understated by recent enrollees.
- Each Survey 2 is recorded with its trigger (6-month milestone, end-of-term, or cancellation) and the participant's tenure at the time of sending.
Change History
- Version 1.0 (June 2026): Initial documented protocol. Outcome data collected since December 2023, standardized under this protocol in June 2026.
Recovery System Methodology
CFS Recovery's system is built on five areas of established neuroscience research:
Neuroplasticity
Experience-dependent neural pathway formation through structured, repeated practice.
Autonomic Nervous System Regulation
Techniques targeting sympathetic-parasympathetic balance and vagal tone restoration.
Central Sensitization Reversal
Graduated exposure and somatic techniques to recalibrate sensory processing thresholds.
Chronic Stress Response Resolution
Systematic down-regulation of HPA axis activation and allostatic load reduction.
Psychoneuroimmunological Principles
Leveraging the bidirectional nervous system-immune connection through nervous system regulation.
Recovery System Components
| Component | Description |
|---|---|
| Video Curriculum | 50+ hours of structured recovery modules (self-paced) |
| NSHA Assessment | Nervous System Health Assessment: maps cognitive and physical capabilities across 14 sub-domains, symptom load, polarization patterns, and activity levels. Over 5,300 assessments completed to date |
| Live Coaching | Up to 6 group coaching calls per week with recovered Thriver Coaches (Academy + Platinum tiers) |
| 1:1 Coaching | Private sessions with senior coaches (Platinum tier) |
| Community | Peer support via Skool and Discord platforms |
| Progress Tracking | SF-36 Health Survey (standardized, RAND-36 scored) and NSHA (proprietary). NSHA repeated over time; 825 clients tracked within-person with before-and-after data. SF-36 is one baseline plus one follow-up per client, grouped by tenure |
Important Positioning
CFS Recovery is a coaching-based recovery system, not a clinical treatment. We do not diagnose, prescribe, or provide medical treatment. Our coaches are trained in coaching methodology and nervous system retraining. They are not licensed healthcare practitioners.
We encourage all clients to maintain their relationship with their healthcare providers throughout their recovery.
Physician Endorsement
Dr. Resnick has reviewed CFS Recovery's methodology and outcome data. His endorsement reflects his clinical observation of the recovery system's impact on patients with ME/CFS, Long COVID, and fibromyalgia.
What Your Colleagues Are Saying
GPs, therapists, scientists, and healthcare professionals who've reviewed our recovery system firsthand. All reviews independently verified on Trustpilot.
"Excellent program - I'm a GP in Uk and will recommend to my patients who have ME/CFS /longcovid use this resource"
"What you will find here cannot be found in the mainstream Healthcare Community, believe me I tried for over 3 years between MD's, lab work, psychotherapists, and on and on and on. Try this, you've got nothing to lose, take this from a psychotherapist / social worker with over 30 years of experience in the healthcare field."
"As a scientist I was determined to find a medical solution to my symptoms. My NHS Dr was sympathetic, ruled everything out and told me it was a Fatigue condition and that she couldn't help. I then went to an online medical practitioner, a herbalist and an acupuncturist, all of whom were great, but I still had my symptoms, and a cupboard full of supplements. One month in and I know I will recover."
"I am a healthcare professional, and I would absolutely not endorse this if I didn't believe in it. The coaching team are amazing, I've met the best people through the community, and I have seen mind blowing transformations. I was couchbound for a year before I started this. Now, I am back at work, caring for my child, working out in the gym, travelling, and excited for my next chapter of life."
"As a therapist and coach myself for many years, I approached the coaches with an inner question of whether they could earn my trust. Yes, they did! I am full of respect and recognition for the professional attitude, empathy, and helpful reflective questions with which they manage to help participants."
"Before falling ill with COVID-19, I was an embodiment of ambition and drive. I worked as an outpatient physical therapist in a super fast-paced clinic working 10-12 hour days. The Recovery Jumpstart program offered me a roadmap to thrive again! I can confidently say that joining this program has been the best investment of my entire life."
How to Refer a Patient
Referring a patient to CFS Recovery is simple. Choose the option that works best for your practice.
What Happens After Referral
- Your patient receives an introduction from our team
- They take the NSHA assessment to map their nervous system state
- They choose their recovery system tier (starting at $47/month)
- Their coaching team supports their recovery alongside your clinical care
- You can request progress updates (with patient consent)
We do not charge practitioners for referrals. There are no referral fees or partnership costs. We simply want your patients to have access to a recovery system that complements your care.
Practitioner FAQs
Is CFS Recovery a medical treatment?
▼What training do your coaches have?
▼Can I see your outcome data methodology?
▼Will my patient need to stop any medications or treatments?
▼How do I know if my patient is a good fit?
▼Can I receive updates on my patient's progress?
▼What about severely affected or bedbound patients?
▼Is there a practitioner partnership or affiliate program?
▼Your Patients Deserve a Complementary Option.
We're Here to Provide It.
Over 5,300 assessments. 2,400+ unique clients. Published SF-36 and NSHA outcome data. Live coaching from recovered coaches. And a recovery system designed to work alongside your clinical care.
If you have patients with ME/CFS, Long COVID, fibromyalgia, or related conditions who need more than standard medical management can offer, we're ready to help.
Questions? Contact us →