Is that how DNOTS can appear too?! I’m starting to think maybe I went through it myself as well then, I thought maybe I just didn’t have it yet, because I thought it was a situation where you’re like screaming and crying and in a lot of physical pain as others have made it out to be. Ive been going through on and off with being unable to sleep, unable to eat, unable to do anything that I normally do or enjoy, and feeling really exhausted and heavy over the months with breaks inbetween.
I’ve been through something similar. Sometimes when we force ourselves into what we think surrender should look like, our body rebels. Like, we cut ourselves off from everything connected to our twin, go completely silent, and suddenly we’re bedbound with zero energy. That’s resistance wearing a surrender mask. When I stopped forcing myself to ‘stay away’ from the things that helped me process (like this community, or my spiritual practices), my energy started flowing again. My body felt different - less depleted than when I was white-knuckling my way through no-contact.
Your physical sickness might be your intuition telling you something about how you’re approaching this separation. There’s a difference between healthy detachment and cutting yourself off from your own support system and healing tools.
Maybe the exhaustion is guiding you toward a gentler approach? One where you honor what your body needs during this time instead of following some rigid ‘rules’ about how separation should look?
I don’t know if this helps, but your body might be trying to tell you something.
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I would try to differentiate whether what you feel is indeed related to separation, or if it’s your twin flame being physically sick.
A couple of days ago for example, I was hit with a strange “flu”. At least the symptoms seemed to match this conclusion. Strong body ackes and pains, sore joints, runny nose, cold chills.
However, one thing that was bizzare was the “stinging” that occured in my right brachial artery not long before the symptoms started. 
Thinking back to my twin flame’s (somewhat obscure to me) medical history, it’s clear this was a case of them undergoing a medical treatment of Radioimmunotherapy (RIT) to manage their ongoing (what I strongly suspect to be because they never told me) lymphoma.
So try to pay attention to the suttle signs and sensations of what is occuring. It’s far from easy, since many of them not pleasant, but all of them offer important insights into a particular situation.
The same pattern, honestly, whenever I try to resist the connection or put up walls, everything in my life kinda starts falling apart. not just physically, but like my whole vibe shifts. Our bodies and circumstances seem to mirror what’s happening energetically with the separation.
I had something similar - couldn’t sleep for weeks and when I did, the dreams were so vivid they’d wake me up. My body just reacted to it in weird ways.
Yep. First month of separation I lost like 8 pounds because I couldn’t eat. Heart palpitations at random times. Thought I was actually dying at one point lol.