Health

How to go sober at Christmas, from people who know

Louise says the prolonged process has put a lot of "strain on her own mental health as well as her and her husband's relationship".

IMAGE SOURCE,KALI THOMPSONImage caption, Until going sober in June, Kali shared TikToks of her boozy nights out to thousands of followers By Riyah Collins BBC Newsbeat For lots of us, alcohol is a big part of Christmas Day, not to mention New Year’s Eve. But more and more people are …

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Can Denmark’s world-beating drugs maker stay ahead?

Wegovy injectable prescription weight loss medicineIMAGE SOURCE,GETTY IMAGES Image caption, Wegovy propelled Novo Nordisk into the big league By Jonty Bloom Business reporter Late last year, Danish pharmaceutical company Novo Nordisk became Europe's most valuable company, for a short time at least. Well-known in business circles, but hardly a household name, Novo Nordisk had not previously been seen as a big player in the drugs industry, let alone a titan of the European stock market. But it leapt to the top of the league table and was valued at $428bn (£342bn) because it has discovered the Holy Grail of all drugs. One that millions of people want and need across the Western World and beyond. Called Wegovy, its active ingredient was designed to tackle type 2 diabetes, but as a side effect was found to almost guarantee to make people lose weight. Like Viagra, which was originally supposed to treat high blood pressure, unrealised but popular side effects have made Wegovy a must-have drug. It is knocking at an open door - Goldman Sachs research predicts that the anti-obesity drugs market is worth some $6bn this year. But by 2030, it could grow by more than 16 times to $100bn. It almost sounds too good to be true, but what are the long-term prospects and consequences for a pharmaceutical company that discovers a sure-fire winner? Is it really the Midas touch or more of a poisoned chalice? Semaglutide in a pill IMAGE SOURCE,NOVO NORDISK Image caption, The market for weight loss drugs could be worth $100bn by 2030 Well for a start, having discovered a drug that suddenly dominates the market is just the start of the process. You have to make it, market it and negotiate the price with a whole host of health companies and national health services. Some like the NHS in the UK are so large they can force down the cost and therefore the profitability of even the most popular drugs. At the moment Wegovy is available on the NHS for weight management in specific circumstances. Claire Machin is executive director for international policy and UK competitiveness at the ABPI, the body that represents pharmaceutical companies in the UK. She told me that the UK not only forces down prices for drugs using a value-for-money standard set 20 years ago, but then the NHS will negotiate even lower prices, followed by a further requirement for cash rebates from companies when the NHS exceeds its medicines budget. "Because of that, the UK spends comparatively less on medicines than similar countries, spending about 9% of its total health budget on medicines, compared to around 14% in Australia, 15% in France, and 17% in Germany." Then there are operational problems, In 2022 Novo Nordisk had trouble meeting the huge demand for Wegovy. In December 2023 its shares were marked down because of worries about its ability to produce the drug in enough quantity again, and at a high enough quality, to satisfy the industry's regulators. A production line of anti-diabetes injection is pictured at a factory of Novo Nordisk (China) IMAGE SOURCE,ALAMY Image caption, Novo Nordisk is ramping up production to meet demand The company admits that in the US, during December it ran out of the 1.7mg dose of Wegovy. That happened despite running its manufacturing lines "24 hours a day, seven days a week". But, it expects to be able to restart shipments this month. Then there is the quite obvious fact that Wegovy's head start is just that, a head start. There are already other drugs from other companies that do the same thing. Those companies will be working night and day to improve their drugs, to market them better, to sell them cheaper, and to undercut Novo Nordisk at every chance. After all, there is a potential market of $100bn a year at stake. In November, Eli Lilly, an American pharmaceutical giant got approval for its weight lose drug Mounjaro in the UK. Other alternatives include drugs like Saxenda, Orlistat, and Qsymia - the battle to dominate the weight loss drug market is well under way. Of course, Novo Nordisk is protected from direct competition by its drug patents that normally run for 20 years. After that anyone can enter the market and make their own generic version of its drug. Presentational grey line More technology of business Will hotter heat pumps win over homeowners? Tech Trends 2024: AI and electric vehicle deals The quest to find healthy and cheap sweeteners Could there be a gold rush for buried hydrogen? What happens after a nuclear power station is closed? Presentational grey line Pharmaceutical patents mean companies have to make the money while the going is good. When anyone can copy them the good times are well and truly over. "I think 90% of pharmaceutical spend in the UK, and I'm pretty sure it's similar in the US, is for generics... so, you [the original inventor] may well retain market share, but the price will fall," says Graham Cookson chief executive of the Office of Health Economics, the world's oldest health economics research organisation. Then there is one final problem for the discoverer of a giant new successful drug. It makes you stand out from the crowd, and if you are a small or even medium sized company that makes you vulnerable. It really does not pay to be too popular. Pharmaceutical giants have very deep pockets and if their extensive and expensive drug development programmes have failed to find the best drugs there is a simple solution, buy the company that has. But Novo Nordisk has one final card up its sleeve, most of its shares are owned by a Danish Foundation, making it virtually immune to a takeover bid.

IMAGE SOURCE,GETTY IMAGESImage caption, Wegovy propelled Novo Nordisk into the big league By Jonty Bloom Business reporter Late last year, Danish pharmaceutical company Novo Nordisk became Europe’s most valuable company, for a short time at least. Well-known in business circles, but hardly a household name, Novo Nordisk had not previously …

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Biden grants pardons for certain marijuana offences

Sarah Gersten, executive director and general counsel for the Last Prisoner Project, called the executive order "largely symbolic".

IMAGE SOURCE,GETTY IMAGES By Kayla Epstein BBC News US President Joe Biden has announced pardons for certain federal marijuana convictions and clemency for 11 people imprisoned for non-violent drug crimes. The executive order covers those convicted under the federal law of simple possession, attempted simple possession or use of marijuana. …

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Spicy Doritos seasoning sparks Adelaide workplace safety complaint

Workers at a crisp factory in South Australia have complained that a spicy ingredient is affecting their health.

IMAGE SOURCE,GETTY IMAGESImage caption, Doritos makes a range of ‘Flamin’ Hot’ nachos which are sold around the world Workers at a crisp factory in South Australia have complained that a spicy ingredient is affecting their health. The “flamin’ hot” seasoning, used for Doritos and Cheetos products, has caused sneezing, coughing, …

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One dead following cheese recall over E. coli

Cheese Image caption, Four types of Mrs Kirkham's cheese were recalled on Christmas Eve By Michelle Roberts Digital health editor A person in Scotland has died from E. coli, following an outbreak of the bacterial infection in the UK linked to cheese. Health experts warned a few days ago that some products in the Mrs Kirkham's range might be contaminated and should be recalled as a precaution. It is not clear yet whether the death was caused by food. Mrs Kirkham's said it had withdrawn its cheese from the market and urged customers to follow official advice. Officials say investigations are continuing into any common links between cases and the recalled cheeses. The UK Health Security Agency (UKHSA) said one person from Scotland with the infection has now died but has not provided details such as their age or sex, or whether they had other underlying health conditions. It says there have been 30 confirmed cases of Shiga toxin-producing E.coli (STEC) reported across England and Scotland since late July. These were people aged between seven and 81, and some needed hospital care. Symptoms of STEC infection can vary in severity, ranging from mild diarrhoea to severe abdominal cramps, vomiting and bloody diarrhoea. In up to 15% of cases, infection can lead to the development of haemolytic uraemic syndrome (HUS) - a serious and life-threatening condition predominantly affecting the kidneys, which can result in death. The Food Standards Agency (FSA) and UKHSA warned the public not to eat the following cheeses: Mrs Kirkham's Mild & Creamy Lancashire Mrs Kirkham's Tasty Lancashire Mrs Kirkham's Mature Lancashire Mrs Kirkham's Smoked Lancashire No 1 Waitrose and Partners, Farmhouse Kirkham's Lancashire cheese STEC infection can be spread by many different routes - not just contaminated food. It can be caught from direct contact with an infected animal or close contact with an infected person. Amy Douglas, incident director for gastrointestinal infections and food safety division at UKHSA, said people should take any necessary precautions. "If you have diarrhoea and vomiting, you can take steps to avoid passing it on to family and friends over the festive period. "Washing your hands with soap and warm water and using bleach-based products to clean surfaces will help stop infections from spreading. Don't prepare food for others if you have symptoms or for 48 hours after symptoms stop. "Many of us will be travelling for Christmas, but if you are unwell you should avoid visiting people in hospitals and care homes to avoid passing on the infection in these settings," she added. "Do not return to work or school once term restarts until 48 hours after your symptoms have stopped." In a statement, Preston-based Mrs Kirkham's said it had been made aware of the STEC outbreak. A spokesperson said: "Consumer safety is our top priority and we will not take any risk when it comes to protecting the health of our customers. We are working closely with the relevant authorities, and whilst the situation is developing, we have taken the precautionary decision to recall and withdraw all of our cheese from the market. "We are assured that our local authority have not identified any issues or concerns in our manufacturing process. Furthermore, all the early tests carried out by government laboratories on our cheese have come back negative." The spokesperson said the company was awaiting the results of further tests as a foods standards investigation into the source of the outbreak continues. They urged consumers to follow official advice and said businesses supplied with Mrs Kirkham's products would be provided with further updates as soon as possible. Stuart McAdam, head of incidents at Food Standards Scotland, said:  "We are aware that this recalled product may be popular over the festive period, especially as it has also been sold as part of a Christmas gift hamper and so we are urging consumers to check whether they have this product or may have gifted it to others." He urged people, especially pregnant women and those with weakened immune systems, to follow the advice in the product recall notices.

Image caption, Four types of Mrs Kirkham’s cheese were recalled on Christmas Eve By Michelle Roberts Digital health editor A person in Scotland has died from E. coli, following an outbreak of the bacterial infection in the UK linked to cheese. Health experts warned a few days ago that some …

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