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Mental illness can cause physical illness. Anxiety can cause gastrointestinal disorders for example. So should someone having an anxiety attack not take the day off just because they weren't exhibiting any physical issues? And many gastro disorders can happen without being obvious until the situation worsens.

Waiting until the worst happens isn't sustainable and just makes things harder to recover. Perhaps burnout isn't just simply mental but a larger, systemic degradation of the body.

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