However if radiation was given before surgery, it cannot be repeated to the same area again.
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Further exams and tests are needed before a diagnosis can be made:A detailed medical history will be needed and should include a review of medications that could be causing the fatigue and symptomsA thorough physical and mental status examination will also be neededA battery of laboratory screening tests will be needed to help identify or rule out other possible causes of the symptoms that could be treatedThe doctor may also order additional tests to follow up on results of the initial screening testsA CFS diagnosis requires that the patient has been fatigued for 6 months or more and has 4 of the 8 symptoms for CFS for 6 months or more.