Hi Emma, I am so sorry to hear you still feel debilitated even after so much effort. I know how frustrating this is. Me too, I have spent a lot of money on naturopathic treatments, diagnostics, supplements, acupuncture, osteopathy..... and also feel only a small improvement. In fact, sometimes it can the the supplements themselves that our body reacts to, because they often contain hatmful chemicals such as titanium dioxide, etc... and because many of those with cfs/me/fms also have a multiple chemical sensitivity, they really do have sometimes very adverse reactions to many things including many supplements.
Regarding acupuncture - it was helping me befor my cfs/me got worse, as it would help me to sort of level my emotions, but lately I had to stop, as I started to have adverse reactions even to the acupuncture. Instead of helping me, it actualy made me feel even worse!!
I am now taking every day Aloe Vera gel LR (FLP company is also quite good quality aloe). ALso I take Enterosgel daily (another rather expensive thing) - enterosorbent
My friend has recovered and now is back to her full-time job, but is still cautious of not to over-exert herself.
She said her GP gave her advice to divide a day in 3 8-hours lasting parts. When you do some more difficult activity in 1 part, then you are supposed to give yourself a rest for the 2 other 8hours parts.
She says it helped her. However, she did not have a very serious condition - her symptoms we mild to moderate only.
My symptoms are moderate to very severe, so for me this advice is not very helpful, as I need to do my pacing a bit different. - I take a shower, and rest, have a breakfast and rest, often rest even during having a breakfast as often even chewing or raising my hand with the spoon towards my mouth is painfully exhausting. (not always that bad though)
What worked for me the most was to leave London UK where I have spent almost 9years of my life, and I have moved to a small quiet town.
What I find very important is to become aware of any forms of my own denial as to the seriousness of my condition which leads me to over-exertion and then terrible crash.
Also I have to learn to be more patient with myself, to adjust my own attitude, find ways in which I can still be useful to others, to be able to appreciate things I still CAN do and not to cry over the things I can't do any more.
Feeding my spirituality is the most important thing to me - it makes me strong inside and more resillient.
All the best to you, things often improve over the time. Even if not our health condition, but at least our own attitude towards it can change to more helpful.
Never lose hope!!! ;-)