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

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Because he’s worth it – make your dad feel like the champ he is with a little something to go with the Father’s Day card…. 1. Hotel Chocolat Father’s Day H-Box, £14.95, Hotel Chocolat From Champagne Truffles to Going Nuts and Mousse au Chocolat, these decadent chocs are bound to delight. 2. Gentlemen’s Hardware Beard Survival Kit, £20, John Lewis Best beard grooming begins with the essentials: a nourishing beard wash, scented beard oil infused with an earthy Oak Moss fragrance (worth a kiss), and an angled wooden beard comb to keep everything just so. 3. M&S Collection Personalised Cotton Poplin Baseball Cap, £19.50, Marks & Spencer With the option of three initials, this personalised baseball cap will definitely get his seal of approval. Cuts out glare as well as giving protection from the sun’s rays. 4. Rainbow Toast Wonderful Dad ½ Pint Mug, £16.10 (was £23), Emma Bridgewater Job done… when it’s finally his turn to kick back and relax, a rewarding cuppa will taste that much nicer when he’s reminded by ‘loving’ wording: Bad Jokes, Terrible Dancing, Wonderful Dad – on the front; Flustered Chef, Sports Addict, Kind Taxi Driver – on the back; and most importantly, Love You Dad – inside. 5. LEGO Speed Champions 007 Aston Martin DB5 (76911), £20, Moonpig Car fanatics and Bond fans will be onto a winner with this No Time To Die model kit. Special features include James Bond mini-figure, swanky silver-coloured wire alloy wheel inserts and four sets of interchangeable number plates from different Bond movies. 6. Arber Eau de Toilette, £20, (100ml), The Body Shop Give him the gift of a gorgeous fragrance with top woody notes, core of coriander and mint, and a touch of citrus to stir the senses. 7. Three Pack BBQ Socks Set, £15, FatFace One for the BBQ King, those marinades and burgers will taste that much more delicious when he dons these sizzling socks. 8. Just Spices Gin-Making Kit, £49.99, Just Spices With gin palaces in season, surely the best way to spice up his G&T is with a bunch of botanicals he’s tailored himself. Includes equipment, spices and creative recipes. 9. Molton Brown Re-Charge Black Pepper Infinite Bottle, £40, (400ml), Molton Brown Enriched with brilliant refreshing benefits, this woody-citrus body wash marries heated black pepper, woody coriander and earthy vetiver for a power shower. As an added bonus, the bottle can be topped up with a waste-reducing refill pouch when he’s reached the last drop. 10. Black Flag Selection in Father’s Day Gift Box, £43.99, Virgin Wines Featuring three bonzer wines from top regions Down Under, you can’t go wrong with these labels to love. Think a rich, round Barossa Valley shiraz cabernet, a smooth Adelaide Hills shiraz, and refreshing sémillon with delightful lemony notes to perk up his palate. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Top tips to avoid garden injuries Planning an LGBTQ+ wedding? Why inclusivity can be a driving factor for couples Amanda Holden’s most extravagant fashion from the BGT live shows

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