Up close, you can see the havoc muscle dysmorphia wreaks. “Your interpersonal relationships fall apart – but you are so caught up in the endorphin rush of affirmation from your gym buddies, you barely notice,” says Miles. “You’re kind of an *******. You don’t realise it ... you just become this all-around grouch. It consumes not only all of your time and focus, but also the human part of you.” It’s also a lonely existence. All your time is spent preparing protein-rich food, but because you are over-exercising, you are often “hungry, and cranky, and don’t sleep well”.