It’s no secret that women are more likely than men to be misdiagnosed by a medical professional. In fact, as many as 57 per cent of women have reported being wrongly diagnosed by a doctor. In 2016, a study found that women have a 50 per cent higher chance than men of receiving a misdiagnosis after a heart attack, while researchers found in 2014 that 33 per cent of women are more likely than men to be misdiagnosed after a stroke. When it comes to women’s health, an explicit gender bias in medicine can lead to serious and sometimes life-threatening results. That’s why Dr Erin Nance, an orthopaedic hand and wrist surgeon located in New York City, has dedicated the month of October to sharing the most commonly misdiagnosed health conditions that affect women. Her series has since gone viral on TikTok, as she discussed how symptoms of rare autoimmune disorders or infertility can present differently in women, leading to a misdiagnosis. For the first video of the series, Dr Nance revealed how postural orthostatic tachycardia syndrome - also known as POTS - affects more than one million people, but is present in mostly women aged 20 to 50. However, Dr Nance explained that POTS is so difficult to diagnose because “we can’t see it”. “This is the group of women that get written off by doctors because they look healthy. There doesn’t seem to be anything wrong with them,” she said. According to the National Institute of Neurological Disorders and Stroke, POTS is a condition in which a reduced volume of blood returns to the heart after someone stands up from a lying down position. As a result, patients with POTS may experience an increased heart rate, dizziness, or fatigue when they stand up after lying down. @littlemissdiagnosed Day 1: It’s me, POTS, I’m the the problem it’s me #littlemissdiagnosed #31for31lmd #pots ♬ original sound - Dr. Erin Nance 🇺🇸 Dr Nance explained that some other symptoms of POTS include “chronic fatigue, brain fog, total body chronic pain, GI [gastrointestinal] stomach issues, anxiety, headaches, and it can affect any part of your body”. Another difficulty about POTS is that there’s “no specific treatment” to help the condition, Dr Nance said. “We can’t do a biopsy, we can’t do any imaging, there’s no blood test for it,” she added. Instead, doctors may recommend drinking more fluid, exercising regularly, or wearing compression stockings to keep blood flow in the centre of the body. For the 14th day of her video series, Dr Nance received 1.4m views when she spoke about the commonly misdiagnosed symptoms of stroke in women. “Stroke is the third leading cause of death in women,” she began the clip. “Yet, women are over 33 per cent more likely to be misdiagnosed when having an acute stroke.” Dr Nance admitted that most women who experience a stroke are often told by doctors that they simply have anxiety or a migraine. When it comes to the “unique” symptoms of stroke that are present in women, some may experience loss of consciousness or fainting; general weakness; shortness of breath; confusion, unresponsiveness, or disorientation; sudden behavioural change; agitation; hallucination; nausea or vomiting; seizures or even just hiccups. @littlemissdiagnosed Day 14: Stroke is no joke #littlemissdiagnosed #31for31lmd #stroke ♬ original sound - Dr. Erin Nance 🇺🇸 “These unique symptoms are often the ones that are overlooked,” Dr Nance said, before detailing the individual risk factors that can put women at a greater chance of having a stroke. The first on the list of risk factors was taking birth control pills, followed by pregnancy, hormone replacement therapy, and history of suffering from migraines. “The reason why this is so important for everyone - every normal, everyday person - to know this is because the best outcomes are when women are evaluated and treated within three hours of having this symptom,” Dr Nance added. On day 16, the orthopedic surgeon explained how symptoms of a heart attack can also be wrongfully overlooked by doctors. “More women than men die of heart disease every year, yet women have a 59 per cent increased risk of being misdiagnosed with acid reflux, stress, or anxiety,” Dr Nance said. Besides chest pain, a woman may exhibit signs of a heart attack when she experiences unusual fatigue for several days; sleep disturbances; shortness of breath; lightheadedness; nausea or cold sweats; indigestion or gas-like pain; and pain in the arm, neck, jaw, or back. @littlemissdiagnosed Day 16: It’s not always Big on the Peloton #littlemissdiagnosed #31for31lmd #heartattack #womensheart ♬ original sound - Dr. Erin Nance 🇺🇸 When it comes to multiple sclerosis (MS), Dr Nance revealed on day 19 of her video series that women are 83 per cent more likely to be misdiagnosed for MS by a doctor. MS is a disease that affects the “myelin” - the protective sheath covering the brain, nerves, and the spinal cord. According to Dr Nance, some of the often-missed signs of MS include extreme fatigue, confusion, forgetfulness, and mood swings. @littlemissdiagnosed Day 19: You’re gonna be okay #littlemissdiagnosed #31for31lmd #ms #multiplesclerosis ♬ original sound - Dr. Erin Nance 🇺🇸 As for lupus - an autoimmune disease in which the immune system attacks its own tissues, causing inflammation in the body - Dr Nance shared in the 20th video of her series that women between the ages of 15 and 45 are most likely to develop the disorder. “The average time from when you first develop your symptoms to diagnosis is six years,” Dr Nance revealed. @littlemissdiagnosed Day 20: Sneaky little 👿 #littlemissdiagnosed #31for31lmd #lupus ♬ original sound - Dr. Erin Nance 🇺🇸 She claimed that 46 per cent of patients report being misdiagnosed with something other than lupus, while “54 per cent of them were told that either nothing was wrong with them or that their symptoms were psychological.” “The main problem with lupus is that the longer you go undiagnosed and untreated, then the greater risk for end organ damages,” she added. The Independent has contacted Dr Nance for comment. Read More How to optimise your 22 minutes exercise a day according to fitness experts TikTok influencers warn about ‘potent’ steroid cream risks among black women – dermatologist explains the risks Want to be a useful man? Arnold Schwarzenegger is here to tell you how How to optimise your 22 minutes exercise a day according to fitness experts TikTok influencers warn about ‘potent’ steroid cream risks among black women – dermatologist explains the risks Want to be a useful man? Arnold Schwarzenegger is here to tell you how

Jay-Z is more than just a father – he’s a style advisor too. The famed 53-year-old may not have gotten one of his daughter’s stamps of approval for his fashion sense in the past, but he has it now. In conversation with Gayle King on CBS Mornings, Jay-Z opened up about how Blue Ivy, 11, has warmed up to the idea of him being the “cool” dad. “She used to be frontin’ on me a little bit,” Jay-Z admitted. “But [now] I catch her. I catch her in the corner, you know? Now she asks me, you know, if this is cool, if her sneakers [are cool].” King, 68, inquired further about whether Blue Ivy actually goes to her father for advice on what to wear. “Yeah, yeah, yeah,” the “Empire State of Mind” vocalist proclaimed. But while Blue Ivy’s perception of Jay-Z may be on the mend, he explained how she used to be a bit overly embarrassed of him and he’d then have to explain that he really was hip. “There was a time where she was like, ‘Daaaaad’,’” he quipped. To this, he’d normally answer: “I’m cool. I don’t know what you sayin‘. I’m cool! You got cool parents! At your house, your parents [are] cool.” Like mother like daughter, Blue Ivy’s interest in style isn’t surprising considering both her mom and dad’s position in the fashion world. In the past few months, the “Lemonade” creator donned bold designer each night of her Renaissance tour, from custom Versace to Alexander McQueen. David Koma reflected on what it was like to dress the sought-after music legend for her world tour when speaking to Harper’s Bazaar. “For us, the designers, it is not just an amazing exposure but a wonderful cultural moment to be a part of,” the creative said. “A global tour like this is an incredible, culture-defining event.” “Having seen some of the videos from this tour – you just know it’s a once-in-a-lifetime magical performance that every attendee will remember forever,” he continued. “Considering the creativity that goes into putting on a show like that, it makes sense to work with designers for special couture and custom looks.” Beyoncé’s 57-concert run was special for a myriad of reasons, but being able to share the stage with her eldest daughter was the icing on the cake. Blue Ivy danced alongside her mom to songs like “My Power” and “Black Parade” for multiple concerts along the way. After the young prodigy’s first appearance in Paris, Beyoncé took to her Instagram to express how meaningful the experience was to have her daughter perform with her. “My beautiful first born. I’m so proud and thankful to be your mama. You bring us so much joy, my sweet angel,” she wrote next to a slide deck of images from the show. Blue Ivy is one of three children Jay-Z and Beyonce share. The two welcomed twins Rumi and Sir in June of 2017. The “Single Ladies” singer and “Part II” artist tied the knot 15 years ago in front of an intimate group of close friends and family. Read More What is lunch with Jay-Z worth? Less than $500k, he thinks ‘Ozempic is exposing holes in the body positivity movement’ Dolly Parton shares expert response to critics who tell her to ‘tone down’ her look ‘Ozempic is exposing holes in the body positivity movement’ Dolly Parton shares expert response to critics who tell her to ‘tone down’ her look Why Black models are boycotting Melbourne Fashion Week

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According to skin influencers on TikTok, topical steroid creams are being ‘illegally sold’ in some black Afro hair and beauty supply stores, affecting black women in particular. Angela Mavalla, a pharmacist and skincare educator, has been sharing TikTok videos garnering thousands of views, encouraging black women to stop purchasing topical steroid creams from these shops – as they are meant to be prescription-only treatments used with appropriate guidance from a doctor. When used incorrectly, the creams can make potentially make skin symptoms worse and harder to manage. “Though these creams tend to address issues like acne and eczema very quickly, because of their potent nature, the skin becomes addicted to it and will flare up badly once you stop using them,” said Mavalla. “A lot my clients – [who are black women] – that I consult privately, were coming to me with issues relating to topical steroid use, such as having terrible flare-ups because they had stopped using the cream, and needed help with tapering off them. “I began making content based on these creams, mainly to warn people of them, and found that these TikTok’s would go viral in a short space of time, with lots of people relating to it, and giving their own testimonials of how the creams damaged their skin,” Mavalla added. “I have seen instances of accidental skin bleaching, worsened eczema and hyperpigmentation, topical steroidal withdrawal and addiction, and worst of all, a crippling low self-esteem and self image. It’s awful. “The first point of call when it comes to steroidal creams should always be a pharmacy. Pharmacists are always willing to help, advise and where necessary, signpost to the most appropriate medical profession, such as a dermatologist.” Dr Unnati Desai, the national GP lead, as well as safeguarding lead for GP services and dermatology lead at Nuffield Health, acknowledged that it can take sometimes take time to correctly diagnose these conditions, and might require a biopsy. It might also take a longer period of time to get symptoms under control, as skin conditions may require trying multiple different treatment regimes to find the one that suits each individual person, as well as getting to grips with individual triggers. What are topical steroid creams and what should they be used for? Doctors prescribe topical steroid creams to treat a wide range of skin complaints – but it’s important to have proper assessments first. “They are topical medications (synthetic corticosteroids) that have an anti-inflammatory action on the skin, by suppressing the skin immune system and constricting the blood vessels of the skin where applied,” Desai told the PA news agency. “They are used for dermatological conditions that result in inflamed, itchy or irritated skin – e.g. eczema, psoriasis, lichen simplex, lichen planus, lichen sclerosus and other autoimmune dermatoses.” Why do people experience topical steroid withdrawal after using steroid creams? When used incorrectly, topical steroids may have potentially significant side-effects. And as Desai warned: “Stopping any steroid treatment suddenly can often result in a flare-up of the condition, which may be worse than the original presentation.” There are some obvious signs and symptoms to look out for to figure out if you are experiencing topical steroid withdrawal, such as red, burning skin and a lumpy, papulopustular rash. “When using a steroid cream to get a dermatitis flare-up under control, especially when a more potent steroid cream has been used for a prolonged period of time, it is necessary to slowly come off the steroid cream and wean your skin off treatment by either reducing the potency of the cream, or the frequency [of application],” said Desai. “This gives the skin time to adjust to coming off the steroid cream slowly, but also clarifies whether the skin condition is coming under control with treatment. “Sometimes, severe dermatoses require long-term use of a medication to be controlled, in which case your doctor will consider alternative treatment modalities.” What damage can it do to your skin?Desai added: “Long-term use of potent steroid creams is not recommended, as there may be some systemic absorption, which can result in suppression of your body’s natural cortisol hormone at the worst. “In most cases, it is the long-term impact on the skin itself that is the concern, as regular or long-term use of steroid creams can impact the skin integrity and thickness, resulting in thinning of the skin, stretch marks, increased hair at the site of use, enlarged skin blood vessels and bruising. “Using a steroid cream when there is an underlying infection present on the skin will make the infection worse, or using steroid creams on the face can result in other chronic skin conditions, such as perioral dermatitis or other acneiform eruptions. “Occasionally, an allergy can develop to components within the cream that can make the dermatitis worse.” How can people remain safe? Desai stressed the importance of only using topical steroid treatments under the appropriate supervision of a qualified clinician. “In addition, as most chronic inflammatory skin conditions tend to result in drier skin, self-care at home with soap substitutes and emollients is important,” she said. “This includes gently cleansing the skin one to two times daily maximum (over-washing will negatively impact the skin barrier function, as will long hot bubble baths), and using unscented emollients (medical grade skin creams designed to gently hydrate the skin), which will better protect the skin and may, depending on the skin condition, make a flare-up less frequent or less severe. “If a steroid cream is needed, a doctor will recommend the amount of cream to be used according to the size of the area affected. We use the ‘Finger Tip Unit’ (FTU) – one FTU is the amount of topical steroid that is squeezed out from a standard tube along an adult’s fingertip – as a method of advising each patient how much cream they need to use with each application.” Read More House of the Year 2023 shortlist revealed by Royal Institute of British Architects Fatima Whitbread supporting new fostering campaign, as research finds ‘misconceptions put people off’ 5 key coat trends to complete your autumn/winter wardrobe 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out

Misconceptions including being single or too old are said to be putting people off fostering at a time of dire need for more carers, as Olympian Fatima Whitbread and poet Lemn Sissay front a new recruitment campaign. Radio presenter Pandora Christie has also joined efforts to get more people to consider fostering, as the trio – who all had experience living in care as children – shared photographs of their younger selves in support of the campaign. The National Fostering Group (NFG), which describes itself as the largest network of independent fostering agencies in the UK, said its research had shown thousands of carers are needed across Great Britain. Sissay, who has previously detailed his experiences in the British care system, said fostering or adoption is “the greatest thing a human being can do for another”, while Whitbread, who grew up in children’s homes, said it is “a unique chance to make a real difference to a child’s life”. The NFG described the care system as being “at a critical point” and said information it had received from 128 local authority fostering agencies in England, Scotland and Wales suggested almost two thirds of those had seen a rise in young people going into care in the last 12 months and an estimated 10,500 foster carers are now “urgently needed across the country”. But its polling of 2,000 adults suggested less than a fifth (14%)of people would consider fostering – a figure the NFG said could be higher if certain misconceptions were not held. More than a third (34%) of people felt they were too old to foster – with most of those who said this in the 65-plus age bracket, but 18% aged between 55 and 64 and 11% aged 45 to 54, the NFG said. Other reasons included already having their own children (13%), being single (13%), working (11%) and being disabled (9%), it added. Steve Christie, chief executive of the NFG said: “Many people perceive there to be barriers to becoming a foster carer that simply aren’t true. “We will consider people regardless of age, marital status, gender, sexuality, disability or employment status. “Anyone who has room in their home and their heart could be a foster carer, and most of our foster carers say that fostering is the best thing they have ever done.” Backing the campaign, Olympic javelin champion Whitbread said: “Foster carers offer children and young people a safe, loving and nurturing home when they can’t live with their birth families. This means they have a unique chance to make a real difference to a child’s life.” Heart radio presenter Christie, who went into foster care aged nine, said: “Foster parents are fundamental in creating a safe home environment and support system for children and young people who find themselves needing care. “The amount of futures they help to change and the difference foster parents can make to a child’s life is indescribable.” Sissay, who wrote about his time in care in his autobiography, My Name Is Why, said: “A child will test you emotionally, spiritually, financially, throughout your life, so to foster or adopt a child is the greatest thing a human being can do for another.” For more information on fostering, visit www.nfa.co.uk. Read More 5 key coat trends to complete your autumn/winter wardrobe 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests

The cornerstone of one’s winter wardrobe, a coat is an essential purchase if you’re looking to update your look for the new season. On the AW23 catwalks, designers delivered exceptional outerwear, with everything from tailored cuts and muted tones to bold hues and glamorous animal prints. These are the runway trends to know about now, and where to shop them on the high street… 1. Black magic The latest iteration of the continuing ‘quiet luxury’ trend, black tailored coats were all over the runways, from Givenchy (oversized) and The Row (double-breasted), to Dolce and Gabbana (nipped in at the waist). The ultimate outerwear investment piece, a long, black coat in a classic cut made with high-quality fabric will – if you look after it carefully – last you a lifetime. Mango Double-breasted Wool Coat Black, £179.99; 100% Cashmere Turtleneck Sweater, £119.99; Leather Boots with Tall Leg, £199.99. Lucy Sparks Black Waist Tie Women’s Coat With Deep Pockets and Shawl Lapel, £53; (other items, stylist’s own), SilkFred. Joe Browns Black Fur Trim Coat, £130; Black High Neck Embellished Long Sleeve Top, £21.60 (was £24); Nobody’s Child Mila Midi Skirt, £45; Square Toe Leather Boots, £75, JD Williams 2. Lipstick brights At the other end of the style spectrum, coats in brilliantly bright lipstick shades popped up repeatedly, from fuchsia at Gucci and raspberry pink at Max Mara, to scarlet at Valentino and Bally. If you’re looking for a statement staple this winter, ruby red is an elegant option, while a hot pink coat will brighten up any outfit. Star by Julien Macdonald Pink Cape Belted Coat, £119; Eyelet PU Ponte Leggings, £42, Freemans. Monsoon Bobbie Boucle Coat Red, £150; Cutwork Floral Embroidered Top Black, £70; Lara Wide Leg Jean Blue, £80; (shoes, stylist’s own). 3. Luxe leopard Take a walk on the wild side with an animal print coat, as seen at Stella McCartney, Ganni and Dolce & Gabbana. From lightweight leopard print coats perfect for layering over chunky knits, to thick furry jackets that work with everything from jeans to party dresses, a roar-some coat is a surprisingly versatile option. Roman Tan Premium Animal Print Faux Fur Coat, £89. Issy London Lena Leopard Faux Fur Jacket, £219. 4. Trench coats The timeless trench coat is having a high-fashion moment this season, with appearances on the catwalks at Chloé, Dries Van Noten and (of course) Burberry, the brand that invented the style. A longline trench in stone or camel will serve you well from autumn through to spring when teamed with cosy accessories – add leather gloves, over-the-knee boots and a cross-body bag for an effortlessly chic look. Albaray Belted Trench Coat, £165; Blue White Stripe Organic Cotton Shirt, £79; 90’s Straight Leg Jeans, £79. Paisie Faux Fur Collar Coat, £188 5. Quiet quilting Taking over from power puffers, lightweight quilted jackets are the trendiest way to wrap up warm this winter, according to Hermès, Chloé and Max Mara. Muted tones rules when it comes to this fashion-meets-function trend – think khaki, forest green and beige. La Redoute Recycled Padded Jacket in Slim Fit, £65; (other items, stylist’s own). George Green Quilted Parka Coat, £35, Asda. Read More 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests The best ways to work-out in 22 minutes – as study finds this is magic number for offsetting ‘negative impact of sitting’

Shingles can be a very painful experience that affects around one in four adults in their lifetime. The infection, also known as herpes zoster, is caused by the varicella-zoster virus which also causes chickenpox. The virus is extremely common, with more than 90 per cent of the world’s population having it. It is usually contracted when people get chickenpox as children, but the virus does not go away, instead, it will lay dormant in the body’s nervous system for years. For about a third of people who get the virus, it will reactivate some years later and cause shingles. Here is everything you need to know about the symptoms of shingles and how to treat it: What are the symptoms? A person who gets shingles will experience a painful rash that can occur anywhere on the body. Early signs of shingles could be a tingling or painful feeling in an area of skin, a headache or feeling generally unwell. According to the NHS, the rash usually looks like “a single stripe of blisters that wraps around the left side or right side of your torso”. They appear as blotches on the skin that become itchy blisters, which can break and ooze fluid. The rash can be red, but this can be harder to see on brown or black skin. The rash can also appear on your face, eyes and genitals. If it appears around your eyes, it can affect your sight or hearing and make it hard to move one side of your face. According to the Mayo Clinic, if left untreated, the infection can lead to permanent eye damage. After a few days, the blisters will dry out and become scabs. If a rash appears on both the left and right side of the body, it is unlikely to be shingles. How is it treated? Shingles can take up to four weeks to heal, but can have more severe consequences in older people above the age of 50. If the symptoms are not serious, patients can take paracetamol to ease the pain and use a cool compress on the rash several times a day to soothe it. It is also recommended that you keep the area with the rash clean and dry to reduce the risk of infection and wear loose-fitting clothing. But there are some situations in which it is recommended you contact your GP or call 111. Due to the heightened risk in older people, you should seek help if you are aged 50 or older. People with a weakened immune system should also contact the health service, as well as those who have a rash that is widespread and painful, or has appeared near an eye. Are shingles contagious? Shingles are not contagious and you cannot spread them. However, if you come into contact with someone who has not had chickenpox and has not been vaccinated against chickenpox, they could catch chickenpox from you. The NHS recommends you avoid being around pregnant people who have not had chickenpox before, people with a weakened immune system, and babies that are less than a month old. Is there a vaccine against shingles? Yes, but it is only available on the NHS to people in their 70s. Shingles can be fatal for around one in 1,000 over-70s who develop it. The vaccine injection only needs to be given once. However, some people who cannot have the routine vaccine for health reasons will need two doses. Getting the vaccine will reduce your risk of getting shingles, and if you do get it, your symptoms may be milder and the illness shorter. If you already had shingles, you can still get the vaccine to protect yourself against developing it again. You may have to wait up to one year after you have recovered from the illness before you can get the vaccine. Read More When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change Want to be a useful man? Arnold Schwarzenegger is here to tell you how When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change Want to be a useful man? Arnold Schwarzenegger is here to tell you how

Holly Willoughby has announced that she “may not” be c-hosting ITV’s This Morning in the coming week due to contracting shingles. The 42-year-old TV presenter wrote on her Instagram Story on Sunday (16 April): “Hi, just to let you know, I may be away for the rest of the week as I have shingles.” “I’ll be back as soon as I’m better. Huge love,” she added. Shingles can be a very painful experience that affects around one in four adults in their lifetime. The infection, also known as herpes zoster, is caused by the varicella-zoster virus which also causes chickenpox. The virus is extremely common, with more than 90 per cent of the world’s population having it. It is usually contracted when people get chickenpox as children, but the virus does not go away, instead, it will lay dormant in the body’s nervous system for years. For about a third of people who get the virus, it will reactivate some years later and cause shingles. Here is everything you need to know about the symptoms of shingles and how to treat it: What are the symptoms? A person who gets shingles will experience a painful rash that can occur anywhere on the body. Early signs of shingles could be a tingling or painful feeling in an area of skin, a headache or feeling generally unwell. According to the NHS, the rash usually looks like “a single stripe of blisters that wraps around the left side or right side of your torso”. They appear as blotches on the skin that become itchy blisters, which can break and ooze fluid. The rash can be red, but this can be harder to see on brown or black skin. The rash can also appear on your face, eyes and genitals. If it appears around your eyes, it can affect your sight or hearing and make it hard to move one side of your face. According to the Mayo Clinic, if left untreated, the infection can lead to permanent eye damage. After a few days, the blisters will dry out and become scabs. If a rash appears on both the left and right side of the body, it is unlikely to be shingles. How is it treated? Shingles can take up to four weeks to heal, but can have more severe consequences in older people above the age of 50. If the symptoms are not serious, patients can take paracetamol to ease the pain and use a cool compress on the rash several times a day to soothe it. It is also recommended that you keep the area with the rash clean and dry to reduce the risk of infection and wear loose-fitting clothing. But there are some situations in which it is recommended you contact your GP or call 111. Due to the heightened risk in older people, you should seek help if you are aged 50 or older. People with a weakened immune system should also contact the health service, as well as those who have a rash that is widespread and painful, or has appeared near an eye. Are shingles contagious? Shingles are not contagious and you cannot spread them. However, if you come into contact with someone who has not had chickenpox and has not been vaccinated against chickenpox, they could catch chickenpox from you. The NHS recommends you avoid being around pregnant people who have not had chickenpox before, people with a weakened immune system, and babies that are less than a month old. Is there a vaccine against shingles? Yes, but it is only available on the NHS to people in their 70s. Shingles can be fatal for around one in 1,000 over-70s who develop it. The vaccine injection only needs to be given once. However, some people who cannot have the routine vaccine for health reasons will need two doses. Getting the vaccine will reduce your risk of getting shingles, and if you do get it, your symptoms may be milder and the illness shorter. If you already had shingles, you can still get the vaccine to protect yourself against developing it again. You may have to wait up to one year after you have recovered from the illness before you can get the vaccine. Read More Five signs of sepsis you need to know and act on immediately EuroMillions winner burned through £40m by spending £100K a week Tech entrepreneur, 45, spends $2m a year on reverse ageing to achieve body of an 18 year old: ‘Horrifying’ Shingles symptoms, what causes it and how to treat the virus When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change

With the clocks going back on October 29, longer, darker nights are imminent – and many of us may be nervous about how this could impact our wellbeing. But, there are some little acts of self-care that could help. Here’s how to switch up your self-care routine as the clocks change… 1. Spend more time outdoorsIt may be getting colder, but time outside could be the best thing for you to protect your emotional welfare as the shorter days draw in. “When the clocks change, the internal body clock, our circadian rhythm, has to reset and it can become out of sync with our standard night-and-day cycle. It can take a few days for our body to adjust to the new sleep pattern, which can affect our hormones and temperature,” explains Dr Harriet Leyland, clinical advisor at myGP. To mitigate this, “spend more time outdoors”, she suggests. “Sunlight can alleviate drowsiness as it limits the release of melatonin, a hormone that induces tiredness and gets you ready for bed.” Jodie Relf, a Pilates instructor and registered dietitian from myOva, suggests making this part of your daytime routine. “[Getting outside] can be more challenging once the clocks have changed, it’s often dark for many of us both going to and returning from work. Therefore trying to get outside during the day, at lunchtime, perhaps, can be beneficial in the winter months,” says Relf. 2. Think about your body temperatureYou may be feeling the cold outside, but we don’t want to overheat indoors – especially at bedtime. “We sleep better in a cooler environment, with the ideal bedroom temperature reported to be a cool 16-17C,” says Dr Guy Meadows, co-founder and clinical lead at Sleep School. “For best sleep, switch off the central heating and swap your lightweight summer duvet for a higher tog winter one. Alternatively, use a combination of sheets, quilts and blankets, as this allows you to more easily regulate your temperature at night for better sleep.” 3. Prepare for good sleepIf you always struggle with sleep when the clocks change, give yourself a helping hand by being prepared. “Gradually adjust your bedtime in the few days leading up to the clocks changing – go to bed 15-30 minutes earlier each night for a few nights in the lead-up,” suggests Meadows, explaining this will help with the body-clock switch. 4. Eat a colourful plate While you may just want stodgy comfort food to warm the chillier evenings, eating well is one of the best ways to support your overall wellbeing – aiding energy, immunity, mood and sleep. “Eat a balanced diet with a colourful variety of plant foods including fruits, vegetables and whole grains, as well as lean protein,” explains Dana Moinian, a psychotherapist at The Soke. “Avoid heavy or high-sugar meals close to bedtime.” 5. See friends While social plans may have wound down compared with summer, hibernating and distancing yourself too much could be damaging to your wellbeing. “Spend time with friends and loved ones,” says Moinian. “Socialising naturally boosts your mood and reduces stress levels.” So get the diary out and plan in some fun outings and get-togethers! Read More 13 possible cancer symptoms you should get checked out Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests The best ways to work-out in 22 minutes – as study finds this is magic number for offsetting ‘negative impact of sitting’ What crops will we be growing in the future, as climate change alters the landscape? As Rebecca Adlington shares heart-breaking miscarriage news: How to support others experiencing baby loss

Boo Buckets are back for 2023, and here’s how you can get your hands on the McDonald’s Halloween buckets that kids have been getting hyped up for since the 1980s.