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Again, when someone loses weight or becomes fitter, the compliments inevitably allude to the effort that led them there - of all the sweets and drinks that they consciously avoided, the hours spent exercising when they could have slept more instead, the amazing willpower they have displayed to stay disciplined (willpower and disciplines are again insane positives, and something worth absolutely showing off!), etc

Illness-related fatigue is typically more profound, includes body aches and weakness, and comes with other infection symptoms

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