First your’re just tired. Then stairs get tough. Standing (more so than walking) is tough. Your girlfriend wants to go out for dinner and movie and you have to explain that you only have the energy to do one of those thing. Then one day, it all breaks. You can’t go out at all. You can do one thing day. I have to start taking days off work because you just can’t move. If you do work, that’s all you can do. If you don’t work – you can do one thing that day outside of the house. And you feel a little ashamed on the subway because you have to sit down and sometimes it is crowded and an older lady has to stand and you want to give her your seat, but you just can’t stand for that long. And you think everyone is looking at you because here you are, a healthy looking young man making this old woman stand. You tell your girlfriend about this experience and make a joke about how even though you probably look better than you have in years (because you’re losing weight), you actually feel so awful in a way you can’t even describe. And she looks at you funny and says that everyone has commented about sick you look these, but no one has said it your face. And in someone ways, you feel better, because maybe the old lady understood that you weren’t well, but you’d also been clinging to the fantasy that you still looked ok, but apparently people have been able to tell for weeks or even months that you’ve been dying at a significantly faster rate than other people.