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I got pretty bad heat stroke once while running in Texas. Was in the military, and due to a stupid miscommunication was told I was not allowed to drink water.
Lap or two later and I started having symptoms I'd never experienced before.
I can 100% believe that my look and behavior could have been mistaken for drug use.
I had stopped sweating, looked pale and disoriented, I'm sure I was not speaking clearly. My friend grabbed me and dragged me to a water fountain.
Once I had time to recover, get some A/C, and rehydrate, I was pretty much fine, though I remember having one hell of a headache like a hangover.
3 times in my life I can tell you that I had heat exhaustion. One time I thought I was going to have to go to the hospital. It is the absolute worse feeling I've ever experienced