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I'm diabetic, and I'm restricted to cars and vans/trucks under 3.5 tonnes.
The premise behind this is that if I happen to have a hypoglaecemic attack at the wheel, I'm more likely to kill more people in a HGV than in my Chevrolet Kalos (which is probably true). Whatever your condition is, this will be the very basic reason behind it.
Same reason I can't drive a taxi, etc.
That said, I could have four passengers in my car and drive into a queue of people at a bus stop in my car, but there you go.
If you need further advice, I have the complete DVLA guidelines on my desk (how clear they are though is beyond me)
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