The body does not ask whether neglect was intentional before responding to it.

Neglect does not have to be deliberate to have effects. Being busy, being stressed, and being overwhelmed all produce the same physical consequences as not caring would, because the body responds to what happened rather than to why. That is not a judgment on you. It is just the reason good intentions do not offset a difficult year.

If a hard period has cost you some care, do not spend energy on guilt about it. Pick up one thing again this week. The response works the same way in the other direction.