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Is the treatment showing as already been given in the treatments section (it'd be orange or blue without the box).
Just to make sure, are you using any mods?
Just for completion, CFS was selected as the diagnosis, but recommendations wasn't showing up as a possible treatment, although I was getting the popup to say that the treatment-recommendations isn't available. That was why I was confused, as like you say, other symptoms like trouble rising could be treated with recommendations, even by the same doctor.
To anyone else who may have this issue, go into the base game files - find the symptoms_main.xml and use ctrl-f to find CFS, then change the treatment to "TRT_EXERCISE". That will fix the issue (until maybe the mod at fault updates and changes it back??)
P.S. Sleepy - You might want to check if it is one of your mods that caused it? I have both Oncology and CRP, as well as a few more, and havn't got around to checking which one is at fault yet. Oncology is the next department I'm opening in my hospital btw :) Thanks for the work for the community!
It is possibly a bug by the sounds of things unless you have mods that change the stock diagnosis code (like increased payouts or realistic collapse and disease incidence).
I get the feeling the main symptom might not be able to have the same treatment as sub symptoms. Should be easy to test though!
Luckily, Oncology and CRP don't touch any of the stock code so they definitely shouldn't be changing it.
Now I guess I should change the symptoms_main xml file back to Recommendations and see how it works.
Does look like that mod might have been the source of your issue though as it'd revert the CFS diagnosis to how it use to be. Let me know if you have any further issues or miss the double payment mod, be happy to help out further.