> Prevention and treatment are different though. There are different, but they are not mutually exclusive. > A patient who is already severely depressed and

> Prevention and treatment are different though. There are different, but they are not mutually exclusive. > A patient who is already severely depressed and anhedonic and struggling to leave the bed is unlikely to suddenly start dieting an exercising. I had the same symptoms, I found that exercising and dieting was the only thing that gave me pleasure (other than alcohol or cannabis). During the thick of it I would do pull-ups by walking to the bar, knocking some out (if I had a RA flare-up then I would do planks), and then collapsing after my heart-rate went back down. The issue was that people kept telling me to keep eating carbohydrate, which was causing lots of inflammation (I had tons of visceral fat). I also found that direct sun exposure improved my symptoms a ton (I was talking a D3 supplement prior). Maybe if we told people "We have no idea how to cure this--the only proven method is diet & exercise, and this often lead to an early death if you don't start now" it would work? Once I realized that myself, it was a huge kick in the ass. I was figuratively paralyzed because no one seemed to give me this most basic advice, and the only way to get to a psychologist where I live is to self-harm. I know a cancer survivor who was told that, and she did it, at 65, and she was obese by a large margin with severe trauma from the chemo.