Many face a lack of understanding from family and friends.  “You don’t look sick” is something they are getting used to hearing. Or people tell them, “I feel tired at the end of the day, too.” For Sarah, it’s a lot worse than feeling tired – more like being hit by a freight train – but it’s too exhausting to keep educating people about her condition. It’s disheartening to have to keep fighting to be seen, believed, and understood. Like many others living with chronic illness, Sarah ends up feeling like she has to stay silent to make people feel comfortable.