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ME, or myalgic encephalomyelitis, is a serious, long-term chronic illness that impacts the sufferer, leaving them often suffering from extreme exhaustion. ME has for a long time been under-researched, but as awareness of the condition grows, more people are coming forward for help. As a grouping of symptoms, instead of a clearly identifiable illness, ME is very hard to diagnose and thus people can suffer for years before getting help for it. Symptoms can include exhaustion, digestive issues, muscle weakness, shortness of breath and irregular heart rate. But how do you know if you are suffering with ME, or are just really exhausted? Overlapping symptoms Covid has made ME more prevalent, but people still find it so difficult to know what may just be tiredness. “It is really difficult to tell the difference. ME and CFS (chronic fatigue syndrome) have a lot of overlap [with tiredness] and there have been a lot of issues with long covid with these long persisting post-viral malaise, where even if people sleep well, they may still feel exhausted,” says GP and men’s health specialist Dr Anand Patel. If you have had covid or another viral illness, this may increase the likelihood of having ME. Get checked out “If you have had persisting symptoms for more than a few weeks or they are really severe, speak to your GP,” says Patel. Particularly if “you are sleeping okay, your diet, caffeine and alcohol intake are okay, but your symptoms are persisting. They may check your thyroid and blood count”, he explains. “A quarter of our appointments these days are classed as ‘tired all the time’. It is very difficult to weed out what is what when ME and CFS are groups of symptoms that are bundled together. It is not necessarily something that will cause medical harm, but will cause really significant symptoms to sufferers,” says Patel. “With ME, you may be so tired you can barely stay awake in the day. We are still in the exploratory stage of what does cause it, but if you have had psychological trauma or illness it is more likely to be ME that has caused these prolonged symptoms. It can be hard to find things during tests and scans, but of course, there are conditions we don’t have tests for or are hard to identify,” he explains. Be clear of your symptoms “It is really difficult to diagnose something if you can’t find it, so a patient needs to explain symptoms and how they are feeling. Many people with it don’t feel seen, and a doctor may be struggling to find a specific answer,” Patel explains. Keeping a diary of symptoms may help to make it clear. Vitamin deficiencies Consider what the other causes may be. “Tiredness could be caused by blood count and anaemia, thyroid function and deficiencies, dietary changes and vitamin deficiencies,” says Patel. “If you have a varied diet, these are unlikely. B12 and folic acid deficiency are common, they make blood make new cells and are important in nerve function. Also, it could be vitamin D deficiency, a lot of people need to take a vitamin D tablet every day in the UK because we don’t get enough sun and slap on factor 50 as soon as it does come out,” Patel says. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Dr Alex George: Five months of sobriety has made a ‘huge difference’ Everything you need to know about Sophie, the new Duchess of Edinburgh Beyonce kicks of Renaissance tour in string of glamorous outfits

Charcuterie boards have become a major food trend over recent years, with many creators taking to social media to show off their fancy boards filled with various fruit, meats, and cheeses. One TikToker known for showing off her luxury meals is Emmy Rener, who goes by the username @sophisticatedspreads. Recently she made a series of videos detailing what her luxury boards contain - and their high price tag. On 30 September, Rener posted a video showing what a $7,000 cheese board looks like. After being viewed over five million times, many questioned how deli meats and cheeses somehow ended up costing that much. “The math is not mathing,” one person commented on Rener’s video. Some viewers even went on to mention their own charcuterie boards they either made themselves or had catered. “My $250 cheese board had just as much,” one person pointed out in the comments section. “I had my entire wedding of 110 people catered with three courses and two choices of meat for $2500........” another commenter wrote, questioning the price. Because of the huge reaction to Rener’s price point, she made a follow-up video providing an explanation. To preface the video, the cheese board entrepreneur explained that she didn’t need to “defend” her prices, but was making the video to help other business owners. “I’m making it clear to the other business owners who don’t know their worth: You can charge whatever you want! And if people are booking it and your clients are happy, then you’re doing it right,” she said. @sophisticatedspreads #grazingtable #cheeseboard #charcuterieboard ♬ original sound - vibey music ? ? ? She continued to explain what contributed to the cost of the board. The table was 25-feet long and was the only food being served at an engagement party with 150 guests. The client requested a “hand-woven garland” made by a florist as well as “artisan cheeses” which both required an extra charge. But the biggest reason for the was that the party was taking place in Napa Valley, California while Rener’s company is based in Los Angeles. The drive is over six and a half hours long, so required Rener to take a team of people with her and stay in a hotel overnight. @sophisticatedspreads Replying to @Ashley Kara #greenscreen ♬ original sound - emmy “So before you get your panties in a wad, do your research,” she ended the video. After this follow-up video many people took to the comments to explain how much the price had suddenly made sense, with a few even mentioning that Rener could have charged more for her cheese board. “This isn’t just a cheese board. This is a buffet table. Considering the hotel for a team and the handmade garlands, I think the $7K is reasonable,” one person commented. Another person agreed, writing, “Babe. My fav artisan cheese costs 15 bucks for a hunk that is the size of my palm. OF COURSE ITS $7000!!!” “Low-key including travel and hotel I would expect to pay 9-10k for this so 7k is a deal in my eyes,” a commenter wrote, saying that Rener could have charged more money. The Independent has contacted Rener for comment. Read More The symbolic foods eaten during the festival of Diwali How to get free nuggets at Wendy’s for the rest of the year Why I’m giving up sobriety when everyone else is giving up drinking The symbolic foods eaten during the festival of Diwali How to get free nuggets at Wendy’s for the rest of the year Why I’m giving up sobriety when everyone else is giving up drinking