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As far as I know, physical illness can even precede a spiritual transformation, and plenty of people who had deep spiritual insight were very ill when they were young (*), so in my opinion there is no reason to assume that illness is a punishment.
(*) I'm sorry but no names come to mind right now, perhaps other members can fill in. I tried googling, and some pages were reflecting my assumption that there can be a relation between spiritual transformation and (unexplained) physical illness.
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