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Same reason why everyone leaves ( and at some point comes back ), career.

I did leave the first time ( for London ) for work, came back 3 years later but had to leave again because my wife had trouble find a job in Sardinia ( she doesn't speak Italian ), maybe we will go back to Sardinia in the future when both our careers will be fully remote

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As I suspected. I know you say you’ve worked remotely from Sardinia, but have you thought that maybe your career is also a major factor along with environmental differences (which is definitely an issue with London due to air quality / weather alone)? Working remotely is often very different health wise than doing the same job in an office based on my anecdata experience (both working from home, but near-ish to my employer, for over a year, as well as spending a year on the road working remotely from an camper/RV).

The good thing is that I don't work in London from many years, now I'm working in Lithuania, air quality is way better than in London. From when covid hit being in the office has become the exception more than the norm ( we need to compile a form to being able to go the office ) so on the working remotely not much did change

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