Health
CDC warns of extreme heat dangers amid ‘record-breaking high temperatures’
Many regions across the United States experienced “record-breaking high temperatures” in 2023 due to extreme heat, according to the Centers for Disease Control and Prevention (CDC).
Emergency room visits due to heat-related illness peaked in several regions in the U.S. and remained elevated for a prolonged duration compared to visits between 2018 and 2022, the agency’s recent Morbidity and Mortality Weekly Report noted.
More males went to the emergency room for heat-related illnesses than females – especially those between 18 and 64 years old.
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Americans are experiencing “longer, hotter and more frequent episodes of extreme heat,” the report states.
Is extreme heat a public threat?
“Extreme heat could be considered an invisible killer in so much as many people become exposed and vulnerable to its dangers quickly and often without warning,” Patrick McHugh, M.D., an emergency medicine physician at Cleveland Clinic Akron General in Akron, Ohio, told Fox News Digital.
Many regions across the United States experienced “record-breaking high temperatures” in 2023 due to extreme heat, according to the Centers for Disease Control and Prevention. (iStock)
Although McHugh said Americans “shouldn’t worry,” he emphasized the need to “be aware and prepared for the dangers of heat waves.”
An EPA spokesperson told Fox News Digital, “As average temperatures rise due to climate change, the risk of extreme temperatures, heat waves and record-breaking temperatures increases.”
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Here’s what to know about extreme heat and how to stay safe.
What is extreme heat?
“Extreme heat can be defined depending on a variety of factors, including location, weather conditions (such as cloud cover, humidity and temperature), and the time of year,” said an EPA spokesperson in an email.
It typically occurs when the weather is much hotter and/or more humid than average in a particular area, the agency added.
Emergency room visits due to heat-related illness peaked in several regions in the U.S. and remained elevated for a prolonged duration compared to visits between 2018 and 2022. (iStock)
While summertime temperatures of 100 degrees Fahrenheit might be normal for Phoenix, Arizona, for example — the same temperatures are considered extreme for Boston, Massachusetts.
“Where in the U.S. people are most susceptible to heat depends on what is normal for a given location and the type of infrastructure (such as access to air conditioning),” the EPA spokesperson noted.
“Extreme heat is becoming more common in places that have not historically experienced extreme heat … and don’t have the infrastructure to keep people cool, which has major consequences for health and safety.”
“Extreme heat could be considered an invisible killer … as many people become exposed and vulnerable to its dangers quickly and often without warning.”
A heat wave is typically defined as a “prolonged period of abnormally hot weather, usually lasting more than two days in a row,” the EPA spokesperson said.
Heat waves can occur with or without humidity.
The average global temperature has risen by more than 2 degrees Fahrenheit since the mid-1800s, according to McHugh.
Elderly adults, infants, individuals taking certain medications and people with disabilities are at greater risk of heat-related illnesses. (iStock)
“This results in greater extreme heat temperatures, increased variability in temperatures and an increase in the risk of heat illness,” he told Fox News Digital.
The EPA’s Heat Waves indicator, which monitors trends in heat waves for 50 cities across the U.S. over the past 60 years, shows that heat waves are occurring more often over a longer period of time — both in average number of days and season length — and are also becoming hotter over time.
Risk factors for extreme heat effects
Elderly adults, infants, individuals taking certain medications and people with disabilities are at greater risk of heat-related illnesses, according to McHugh, who has a specialty in wilderness medicine.
These individuals may not have adequate resources to escape the heat and protect themselves, he warned.
“Extreme heat is becoming more common in places that have not historically experienced extreme heat … and don’t have the infrastructure to keep people cool, which has major consequences for health and safety,” an EPA spokesperson said. (iStock)
“Many schools in northern parts of the U.S. do not have air conditioning, so when heat waves happen in May/June or [in] September, students and teachers can be at risk,” the EPA spokesperson noted.
Certain factors can also increase someone’s risk of developing a heat-related illness, including fever, dehydration, prescription drug use, alcohol use or sunburn, according to the CDC.
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Healthy people can be at risk if they engage in strenuous physical activity when it’s very hot outside — which means it’s important to balance activities with actions that cool the body to prevent heat-related illness, the EPA advised.
Certain settings — such as inside cars, construction worksites and homes with little to no air conditioning — can also put people at greater risk, according to the CDC.
Heat island effect
Some urban areas experience higher temperatures compared to outlying areas.
“Structures such as buildings, roads and other infrastructure absorb and re-emit the sun’s heat more than natural landscapes like forests and water bodies,” the EPA spokesperson said.
These highly concentrated areas, which have limited greenery, become “islands” of higher temperatures relative to outlying areas.
It’s important to balance activities with actions that cool the body to prevent heat-related illness, the EPA advised. (iStock)
“Daytime temperatures in urban areas are about 1 to 7 [degrees Fahrenheit] higher than temperatures in outlying areas, and nighttime temperatures are about 2-5 [degrees Fahrenheit] higher,” the agency noted.
People living and working in these areas are at higher risk of heat-related illness and death.
“Prolonged exposure to high temperatures is associated with increased hospital admissions for cardiovascular, kidney and respiratory disorders.”
As people lose control of their internal temperature amid extreme heat, they may experience a range of illnesses, including heat cramps, heat exhaustion, heat stroke and hyperthermia, according to the EPA.
“Prolonged exposure to high temperatures is associated with increased hospital admissions for cardiovascular, kidney and respiratory disorders,” the spokesperson said.
A particular setting can also place people at high risk, including inside cars, construction worksites and homes with little to no air conditioning, according to the CDC. (iStock)
Some 1,220 people die of heat-related illness every year in the United States due to extreme heat, per CDC estimates.
“Heat islands also increase energy demand for cooling, which can increase greenhouse gas emissions and air pollution and can be a financial burden for many people — particularly low- or fixed-income households,” the EPA spokesperson said.
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Everyone should have a plan in case of extreme heat, McHugh advised. “Either an air-conditioned home or building where shelter from the heat is easily available should be used.”
Extreme cold is dangerous, too
Those who counter climate change claims warn of extreme temperatures at both ends of the spectrum.
Most studies have shown that extreme cold causes about 10 times more excess deaths than extreme heat, according to William Happer, PhD, professor emeritus of physics at Princeton University in New Jersey and a prominent critic of climate extremism.
Most studies have shown that extreme cold causes about 10 times more excess deaths than extreme heat, according to a physics professor. (iStock)
A 2015 international study that analyzed deaths between 1985 and 2012 in 13 countries, including the U.S., found that most of the deaths due to adverse temperatures were attributable to cold weather.
The study, which was published in The Lancet, also revealed that most deaths were caused not by extreme temperatures, but by exposure to moderately hot and cold temperatures.
A more recent study published in The Lancet Planetary Health in 2021 found that for every death associated with heat, nine were connected to cold.
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“No one knows how much of the modest recent warming, around 1 [degree Celsius] over the past century, has been due to greenhouse gases and how much is natural,” Happer told Fox News Digital.
He estimates that less than half of the warming is from increasing greenhouse gases.
“Whatever the cause, observations clearly show that there has been very little change in daily high temperatures,” Happer noted.
A more recent study published in The Lancet Planetary Health in 2021 found that for every death associated with heat, nine were connected to cold. (Credit: Fox News)
“The warming is almost all due to warmer minimum temperatures at night and in the winter.”
Compared to lives lost due to the extreme heat, the warming should have saved more lives that would have been lost because of the extreme cold, he said.
For local heat and health information, the EPA spokesperson recommended using the CDC’s Heat and Health Tracker.
Americans can also visit their local National Weather Service (NWS) Forecast Offices for real-time heat-related warnings.
Fox Weather can also be consulted on a regular basis for up-to-date weather information and news.
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For most people, heartburn is an occasional annoyance and source of temporary discomfort. But for some, chronic heartburn can lead to more dangerous conditions — potentially even pre-cancerous ones.
About 10% of people with chronic gastroesophageal reflux disease (GERD) will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer, according to medical experts.
Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer, but most will not.
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When acid reflux becomes dangerous
“Your stomach is designed to handle acid. Your esophagus is not,” Dr. Daryl Gioffre, a Florida-based gut health specialist and certified nutritionist, told Fox News Digital.
About 10% of people with chronic acid reflux will develop Barrett’s esophagus, a condition where the lining of the lower esophagus is replaced with abnormal cells that are more prone to cancer. (iStock)
“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”
In most people, the lower esophageal sphincter — which Gioffre refers to as the “acid gate” — keeps acid in the stomach, which is lined with thick mucus and specialized cells designed to protect it.
“With reflux, the danger is not the burn in the chest or throat — the real danger is the constant backflow of acid traveling the wrong way.”
“But when the gate gets weak, it relaxes or stays slightly open, and acid slips back up the wrong way,” he said. This “gate” can weaken with magnesium deficiency, high stress, alcohol, poor sleep, dehydration and late-night snacking, all of which can disrupt healthy digestion.
When acid hits the esophagus, it irritates tissue that was never designed to withstand it, according to the doctor.
“Every time acid comes back up the wrong way, it injures the lining like a slow chemical burn,” said Gioffre, who is also the author of “Get Off Your Acid” and “Get Off Your Sugar.” Over time, that irritation erodes the lining, drives inflammation and can change the cells.
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“These new cells are no longer normal esophageal cells — they begin to shift into cells that look more like stomach lining, because those cells can tolerate the acid,” the doctor said. “That change is called metaplasia, or Barrett’s esophagus.”
Once the cells start changing, the risk of further mutation goes up. If that process continues, Gioffre warned, it can progress to dysplasia, which is the stage right before esophageal cancer.
Some studies have shown that among those with Barrett’s esophagus, between 3% and 13% will go on to develop cancer. (iStock)
“So the real danger is not the heartburn you feel,” he summarized. “It is the repeated acid exposure forcing the esophagus to adapt in ways it was never designed to. Fixing reflux at the root stops this entire cascade before those cellular changes begin.”
Men at higher risk
Men generally have a higher risk because they burn through magnesium faster, tend to carry more visceral fat pushing upward on the stomach, eat heavier meals and snack late at night, Gioffre cautioned. These activities all weaken the acid gate and shut down healthy digestion.
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“Eating within three hours of lying down almost guarantees the stomach does not empty, and that is one of the biggest drivers of nighttime reflux,” he said. “On top of that, men often ignore symptoms, or mask them with PPIs and antacids instead of fixing the root cause.”
All of these factors contribute to a “perfect storm” for chronic inflammation and long-term damage, according to Gioffre.
Warning signs
There are certain red flags that indicate when acid reflux has gone beyond an occasional annoyance and has progressed to constant and chronic.
“If that burn becomes more frequent or more intense, or starts showing up even when you have not eaten, your body is waving a giant warning flag,” Gioffre said.
Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach. (iStock)
Difficulty swallowing, a feeling that food is “stuck,” chronic hoarseness, a constant cough, throat clearing or the feeling of a lump in the throat are all indicators that the acid is moving upward into areas it should never reach, according to the doctor.
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“Ulcers in your throat, or even in your mouth, are another sign that the acid is doing real damage,” he warned.
“Another major warning sign is when reflux goes from something you notice occasionally to something you feel every day or every night, or when PPIs and antacids stop helping,” Gioffre said. “That usually means the lining is irritated and eroded, and may already be changing on a cellular level.”
Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, the doctor said. (iStock)
Unexplained weight loss, vomiting blood and black stools are all serious symptoms that demand immediate attention, the doctor added.
“The bottom line: When reflux becomes consistent, chronic and starts impacting swallowing, your voice, or the tissues in your mouth or throat, it is no longer just a nuisance,” Gioffre told Fox News Digital. “That is the point where the esophagus may be moving toward a precancerous state, and men especially cannot afford to wait on it.”
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3 key ways to prevent reflux
Gioffre shared the following essential steps to preventing acid reflux and improving digestive health.
No. 1: Follow the 3-hour rule
“Stop eating three hours before bed,” the doctor recommends. “When you eat late, the stomach does not empty, pressure builds and the acid gate relaxes, guaranteeing that acid travels upward into your esophagus while you sleep.”
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Nighttime reflux is the most dangerous because the acid sits on the esophagus for hours, causing deep inflammation and long-term cellular changes, he warned. “This one rule alone can dramatically lower acid reflux and cancer risk.”
No. 2: Strengthen the acid gate
When stomach acid is low, the lower esophageal sphincter loses its tone, allowing acid to travel upward instead of staying in the stomach, Gioffre said.
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“The fastest way to tighten that gate is to build your mineral reserves, especially magnesium,” he said.
The best way to do this is to load up on magnesium-rich foods like avocado, spinach, pumpkin seeds, chia seeds, quinoa and almonds, and consider adding a clean magnesium supplement.
No. 3: Remove or neutralize daily triggers
The fastest way to protect your esophagus, according to Gioffre, is to eliminate or neutralize the foods and habits that weaken the acid gate and push acid the wrong way.
For people who can’t fully eliminate these triggers, certain habits can help neutralize their impact by reducing acid strength and pressure before it reaches the esophagus.
The doctor recommends cutting back on alcohol and caffeine, both of which relax the acid gate and increase the risk of acid reflux. (iStock)
“Drinking most of your water earlier in the day helps, because pounding water at night stretches the stomach and relaxes the acid gate, making it much easier for acid to flow the wrong way once you lie down,” he said.
He also recommends cutting back on alcohol and caffeine, both of which relax the acid gate instantly.
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Some other major triggers that fuel the reflux cycle include chocolate, spicy foods, garlic, onions, sugar, ultraprocessed foods and heavy nighttime meals, according to the doctor.
“These foods and habits weaken the lower esophageal sphincter, drive up inflammation and push pressure upward,” he said. “That’s exactly how a little heartburn turns into chronic reflux, and slowly causes the kind of damage that puts the esophagus at risk for cancer.”
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A large Swedish study suggests that some high-fat dairy foods are linked to a lower risk of dementia.
Researchers in Sweden used data from the Malmö Diet and Cancer cohort, which included 27,670 adults aged 45 to 73 in Malmö, Sweden.
The team then conducted interviews, collected food diaries, and asked the patients questionnaires to calculate how much of each dairy product people ate per day. They also separated dairy into high-fat and low-fat types. High-fat cheese was defined as more than 20% fat, and high-fat cream as more than 30% fat.
Participants joined the study between 1991 and 1996 and were followed for an average of 25 years afterward.
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People who consumed at least 20 grams per day of high-fat cream had about a 16% lower risk of all-cause dementia than non-consumers. (iStock)
The main outcome they looked at was all-cause dementia, while Alzheimer’s disease (AD) and vascular dementia (VaD) were studied separately. Over the follow-up period, 3,208 people developed dementia. Within these groups, those who consumed high-fat cheese were significantly less likely to develop dementia.
“We were a bit surprised to see a lower dementia risk among people who ate more high-fat cheese,” Emily Sonestedt, associate professor of nutritional epidemiology at Lund University in Sweden, told Fox News Digital.
At the same time, she says it isn’t entirely unexpected to see a link with vascular dementia.
Most other dairy products, including low-fat cheese, low-fat cream, milk and fermented milk, showed no consistent association with overall dementia risk. (iStock)
“Many dementia cases involve damage to small blood vessels in the brain. Our own previous work, and several international studies, including from the US, have shown neutral or slightly protective associations between cheese and cardiovascular disease.”
The study adjusted for factors such as age, sex, education, smoking, physical activity, alcohol use, body mass index, hypertension, overall diet quality and other dairy products.
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People who ate at least 50 grams per day of high-fat cheese had a lower risk of all-cause dementia compared with those eating less than 15 grams per day. They also had a lower risk of vascular dementia.
High butter intake was associated with a higher risk of Alzheimer’s disease, while high-fat cheese was linked to lower Alzheimer’s risk only among people without the APOE ε4 genetic risk variant. (iStock)
High-fat cream showed a similar pattern: people consuming at least 20 grams per day had a 16% lower risk for all-cause dementia compared with non-consumers.
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Other dairy products did not show clear links with overall dementia risk. Low-fat cheese, low-fat cream, milk, fermented milk, and butter generally showed no association with all-cause dementia.
One exception was that high butter intake (at least 40 grams a day) was associated with a higher risk of Alzheimer’s disease. The study also found that high-fat cheese was linked to lower AD risk only among people who did not carry the APOE ε4 risk variant, a genetic variant linked to Alzheimer’s.
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This was an observational study, so it cannot show cause and effect, and unmeasured factors may still play a role.
“The study was conducted in Sweden, where people mainly eat hard, fermented cheeses, so the results may not apply directly to countries with very different cheese types and eating patterns,” said Sonestedt.
Because the study was observational and diet was measured only once, the results should be interpreted cautiously and cannot be used to conclude that high-fat dairy prevents dementia. (iStock)
Diet was measured only once, so changes over time were not fully captured. Cream intake was measured with less precision than cheese.
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“Although we adjusted for many lifestyle and health factors, it is still difficult to say that the cheese itself is protective. It is more likely part of a broader eating pattern and lifestyle that may support long-term brain health,” researchers noted.
Dementia diagnoses after 2014 were not validated in detail, and baseline cognitive status was not available.
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Some dementia cases may have been missed, and the results are from a Swedish population, which may limit generalization.
The findings were published in Neurology, the medical journal of the American Academy of Neurology.
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Fatigue can stem from a variety of illnesses and life stressors, but when that exhaustion lasts for months — often following an infection — it may indicate a condition called chronic fatigue syndrome.
Approximately 3.3 million people in the United States currently have the syndrome, with about one in four people confined to their bed at some point during the illness, according to the Centers for Disease Control and Prevention.
Despite its prevalence, experts say it’s a poorly understood condition that physicians frequently miss, with past research suggesting that only about 15% of those affected are diagnosed correctly.
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What is chronic fatigue syndrome?
Formally known as myalgic encephalomyelitis (ME), chronic fatigue syndrome (CFS) is a chronic disease that causes fatigue so severe that it impairs the ability to perform daily activities.
Approximately 3.3 million people in the United States currently have the chronic fatigue syndrome, with about one in four people confined to their bed at some point during the illness. (iStock)
The National Academy of Medicine defines the syndrome as having the following three symptoms that last at least six months.
- Severe fatigue that is 1) new and 2) decreases the ability to perform activities that you did normally prior to illness
- “Malaise” that worsens after physical or mental effort that previously was well-tolerated
- Unrestful sleep
People may also experience trouble with thinking and memory (often called “brain fog”) or lightheadedness when standing up.
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There are no tests to confirm chronic fatigue, so doctors diagnose it by talking to their patients, examining them and excluding other disorders, like hypothyroidism and depression, that often share the same symptoms.
Chronic fatigue is frequently missed by physicians, with past research suggesting that only about 15% of those affected are diagnosed correctly. (iStock)
“CFS, fibromyalgia and long COVID are all related conditions with different names,” Dr. Jacob Teitelbaum, author of “From Fatigued to Fantastic” — whose research focuses on chronic fatigue syndrome — told Fox News Digital. “What these illnesses have in common is that they are immune disorders, and immune disorders predominantly affect women.”
Many genes related to immune disorders are on the X chromosome, suggesting a genetic component, the doctor added.
Causes of chronic fatigue
Chronic fatigue syndrome may be triggered by infection or other physiologic stressors, but its causes and symptoms can vary widely from person to person, according to Dr. Julia Oh, a professor in dermatology, molecular genetics and microbiology, and integrative immunobiology at the Duke University School of Medicine in North Carolina.
Teitelbaum compared the condition to a “severe energy crisis” in the body. When energy drops low enough, the “control center” in the brain — the hypothalamus, which regulates sleep, hormones, blood pressure and pulse — may not work as well.
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Although hypothalamic dysfunction can trigger dozens of other symptoms, the hallmark signs are insomnia (despite exhaustion), brain fog and widespread pain, the doctor said.
Anything that causes severe energy depletion can trigger the syndrome, including chronic life stressors, nutritional deficiencies, thyroid and stress hormone imbalances, and sleep problems.
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These triggers are usually associated with a gradual onset of CFS, but sudden onset can be caused by certain infections, with two classic ones being COVID and mononucleosis, past research has shown.
Head and neck trauma and sudden hormonal shifts after pregnancy can also trigger chronic fatigue, Teitelbaum warned.
Anything that causes severe energy depletion can trigger the syndrome, including chronic life stressors, nutritional deficiencies, thyroid and stress hormone imbalances, and sleep problems, according to one doctor. (iStock)
There aren’t currently any blood tests to uniformly diagnose the syndrome, but Dr. Oh said she is hopeful that will change in the future.
Her research team developed an experimental artificial intelligence-based tool, BioMapAI, that has been shown to identify the condition with high accuracy by analyzing stool, blood and other common lab tests, according to early research published in July in the journal Nature Medicine.
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“Instead of finding one smoking gun for the disease, our AI model uncovered a distinct biological fingerprint that was dysregulated in the patients, which spanned changes in gut bacteria, hyperactive immune cells and disrupted metabolism,” Oh told Fox News Digital.
Treatments and therapies
Given how differently chronic fatigue syndrome can affect people, there is no universally effective therapy, according to Oh.
The CDC recommends that patients with CFS work with their doctors to create a management plan based on the symptoms that most affect quality of life.
There are no tests to confirm chronic fatigue, so doctors diagnose it by evaluating symptoms and excluding other disorders.
Treatments generally include a combination of lifestyle changes, therapies and medications. Patients and their physicians should weigh the potential benefits and risks of any approach.
There are some alternative therapies that have shown to be effective for some. Teitelbaum developed a protocol called SHINE, which focuses on sleep, hormones and hypotension, infections, nutrition and exercise. Some research has shown that this approach can help to improve the quality of life for people with CFS and fibromyalgia.
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Others may find alternative treatments, like physiotherapy (physical therapy) to be helpful.
Those who experience persistent fatigue that hinders their ability to participate in regular activities or impacts their quality of life should speak with a doctor.
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