People may be candid about their health issues, or they may not wish to share what they consider private. The problem with masquerading as a healthy person is that most such problems create limitations. If the underlying condition is a secret, it's hard to explain why some activities are off limits.
There is no easy answer to the question of whether to be open or discrete. Sad to say, many illnesses are still stigmatized, which makes the choice all the more difficult.
If there is a lesson to be learned here, it is that you have no idea what someone else is dealing with in terms of health. It could be anything from a headache to heart disease. My advice is assume it's something, and behave compassionately.
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