Chronic fatigue syndrome has a number of different causes—viral, bacterial, hormonal, or parasitic. Important identifying factors include muscle and joint aches, stiffness, and fatigue. It can also affect hearing and eyesight.Two tablespoons of structured silver can be taken two or three times a day for relief. Gel can be applied or sprayed on sore muscles once or twice a day as needed for aches and pains. Structured silver liquid drops can be used in the eyes and ears as well.Many people suffering from Epstein barr virus or mononucleosis have taken structured silver to help restore their energy. Additional products to help with chronic fatigue are coenzyme Q10 and free-form amino acids.