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He described feeling less sluggish, especially after meals, and more motivated to stay active

Stigma in people with type 1 or type 2 diabetes

These changes are usually reversible with adequate hydration, but they can look alarming on paper

Multidisciplinary support is crucial and may include: Dietetic input to establish regular, balanced eating patterns without rigid restriction Specialist eating disorder services for complex presentations Support groups (such as Beat, the UK eating disorder charity) Treatment of co-occurring conditions such as depression, anxiety, or substance use disorders Patients should be encouraged to access NHS talking therapies through self-referral or GP referral

Avoid picking and touching the cold sore This can spread the virus and delay healing