Inter Miami head coach Phil Neville lashes out at reporter after 3-1 defeat to rivals Orlando City

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

British electric vehicle start-up Arrival SA said on Monday it had $130 million in cash and cash equivalents

Here's why Teenagers love the misogynist influencer Andrew Tate

Novak Djokovic has defeated a cramping Carlos Alcaraz 6-3, 5-7, 6-1, 6-1 in the French Open semifinals to move one win away from a record 23rd Grand Slam title

Uefa will take no action on an astonishing request by the Royal Spanish Football Federation (RFEF) to be expelled over the Luis Rubiales crisis, as the federation president now faces an investigation from Spanish prosecutors for sexual assault. In other developments of a story that even Uefa officials were describing as “absurd” and “stranger by the moment”, Rubiales’ mother Angeles Bejar locked herself in a church to go on hunger strike, with police and doctors eventually intervening. Such details have stunned even the most experienced people in football, but it is the request to the European body that is being seen as the most significant, given it sums up how surreal the story has become. With Rubiales facing a series of official complaints and a government process that could yet see him banned from sport in Spain for two to 15 years – to go with his current 90-day suspension from Fifa – the federation sent a request to Uefa to be expelled for breaking Uefa’s own statutes on state interference. Expulsion would mean clubs including Real Madrid and Barcelona kicked out of European competitions such as the Champions League. The move has been interpreted as “bluster” and “brinkmanship” by the federation in order to support Rubiales, but it would still involve all of Spain’s club and national teams being removed from competition, denying them of income and – in the words of one – “setting Spanish football back years”. The Independent has been told that Uefa will not take action and that the government’s involvement does not meet the criteria for state interference. Victor Francos, the president of Spain’s Higher Council for Sport who has become a central figure in this situation, stated on Monday that all of the relevant bodies are “acting within the regulations as they stand”. Rubiales being punished according to regulations and rules is different to the government just ousting him, which it cannot do, and has created an almost Kafkaesque circus over what remains a serious issue. Underpinning it all has been this Spanish government’s willingness to take on issues of equality and sexual harassment. On that, the Spanish Prosecutors Office will ask Jenni Hermoso if she wishes to press charges against Rubialies, after she stated that the kiss was not consensual. It was that statement which led Rubiales’ mother to go on hunger strike in a church in his home town in Montril, demanding that Hermoso “tell the truth” about the incident. There have also been public accusations from one of Rubiales’ cousins that the Spanish midfielder changed her story – something that did not happen. All of this comes amid Fifa’s directive that Rubiales not contact Hermoso or her family, to go with the 90-day suspension. Spain's Administrative Court for Sports has meanwhile been meeting all Monday to examine four complaints against Rubiales. Should it decide to open proceedings, it could mean the official is suspended for even longer than Fifa's 90-day provisional punishment. In that event, the Spanish government has confirmed it would take action. “If the court upholds the complaint and begins to process that case, we can request the provisional suspension of the president of the RFEF until TAD finishes analysing it and takes their decision,” Sports Minister Miquel Iceta said on Friday. Also on Monday morning, Spanish player’s union Futpro – representing Jenni Hermoso – further clarified Hermoso’s stance while describing a “structural problem” in the Spanish federation. “Those who applauded Rubiales, [at the assembly] in my opinion, should not continue in their positions.” While Rubiales’ position as vice-president of Uefa has itself led to criticism of the European body for a lack of comment, Uefa president Aleksander Ceferin has been in constant contact with Fifa. The position is that since the events fall under the disciplinary jurisdiction of Fifa – because the World Cup was a Fifa event – it was agreed that Fifa’s disciplinary bodies would handle the case, something Uefa does not feel it should comment on. The global football representative body FifPro is meanwhile yet to receive an official response from Uefa to a letter sent on Friday requesting disciplinary action against Rubiales. Read More Luis Rubiales’ mother locks herself in church and goes on hunger strike Luis Rubiales news LIVE: Police investigate president for alleged sexual assault Spanish FA launch ‘sexual violence protocol’ against Rubiales ahead of urgent meeting Spanish football’s ‘MeToo moment’ is a mirror for the entire game Spain coaching team quits over Luis Rubiales row – but manager backs president Fifa suspends Luis Rubiales and coaching staff walk out over World Cup kiss row

(Reuters) -Deutsche Bank on Monday forecast the S&P 500 to end next year 12% higher as it expects corporate earnings

We are in the heart of Black Friday, valiantly snatching deals as they whip by

Following her passing in February, Daniel O’Donnell has admitted he is still reeling over the death of his sister.

The heatwave leaving tens of millions of Americans in sweltering temperatures will test the power grid's ability to keep the lights on.

Five Golden Joystick Awards were handed to FromSoftware's action RPG.

Taking to Instagram on Friday night, June 9, Kelis delighted her 1.1 million followers with some sizzling bikini snaps