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One of the biggest differences between morning sickness and hyperemesis gravidarum, according to the American Pregnancy Association, is that the symptoms do not subside after a certain stage of the pregnancy has passed (such as the first trimester.) When it comes to determining a potential date when Kate Middleton will be able to resume her public duties as Duchess, palace officials have confirmed that they are thoroughly assessing Kate’s condition on a “day by day basis.” It is important to remember, however, that Kate is still within the first trimester of this pregnancy.