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My situation is similar to Kelley’s, all my friends and family know though it took some time for the word to get around and, because I “don’t look sick” I sometimes have to remind them. For strangers I don’t tell them anything unless I need to, but I give them (and friends and family) a solution right away if there’s something I can’t do – “You folks go up the stairs ahead of me, I have a medical condition that will make me very slow on the steps. I’ll see you up there!”