What can be considered a physical outcome of distress?

Loss of appetite is indeed a recognized physical outcome of distress. When an individual experiences distress, the body can respond with a range of physiological changes, which may include a reduction in appetite. This reaction often occurs due to the release of stress hormones, such as cortisol, which can alter metabolic processes and affect the body's hunger signals. Stress can lead to changes in the digestive system, and individuals may feel less inclined to eat or may have difficulty digesting food.

In contrast, options like improved immunity, reduced risk of chronic illnesses, and increased energy levels suggest positive bodily responses that are generally not associated with distress. Chronic stress typically leads to negative health outcomes, making these alternatives less appropriate as physical outcomes of distress.