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Most people dont even look. Universities usually offer all kinds of PE classes. Most are pass/fail rather than a grade. They are also usually 1 credit, so doesn't cost much/anything to add. I took ultimate frisbee, fencing, golf, weight lifting, etc. Diabetes can cause diabetic neuropathy, a kind of nerve damage in your feet due to blood not circulating well. In some extreme cases of diabetes, foot amputation is required if the lack of blood flow is so severe that, essentially, the foot dies. Ergo, brother in pic will lose his feet do to an unhealthy lifestyle. Or at least that is what I inferred. Edit: implied to inferred.

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