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By Julia Harte South Carolina's state House on Tuesday began a days-long debate over a bill to ban

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Lewis Hamilton is not “massively concerned just yet” about the impact of the Hollywood strikes on the upcoming Formula 1 movie starring Brad Pitt. Filming has begun on the Apple Studios production, with the working title ‘Apex’, and specially-modified F2 cars have been filming at races this season including in Silverstone and Budapest. Pitt, who was involved in a scene in racing overalls following the national anthem at Silverstone alongside co-star Damson Idris, is expected in Monza this weekend during the Italian Grand Prix. Seven-time F1 world champion Hamilton, who is a producer and consultant for the film, gave an update to media last week amid the Writers Guild of America strike over low pay and the rise of artificial intelligence – and the subsequent impact it could have on the movie’s production. When asked if he was concerned that the film could be written off, Hamilton replied: “No. I know that Apple is fully behind us and wants us to go ahead. Everyone in the team is fully focused on making the greatest movie we can and it’s just a matter of time. “It’s definitely not the easiest time, I think, for actors around the world, but hopefully it’s something that will be resolved in the not-too-distant future. “The positive thing for us is we’re still able to do some filming, still able to use stunt doubles we still have editing and things we can do with the stuff we’ve already caught.” Mercedes star Hamilton has been involved in the plot construction and casting of the film alongside star director Joe Kosinski, famed for his role in last year’s blockbuster, Top Gun: Maverick. Hamilton added: “I’ll be on calls with Joe next week as we continue to finish off the story and so there’s a couple of races we need to go through and talk about the wording and how it’s worded through the race with the different races. “I’m not massively concerned just yet.” Hamilton will be back in racing action for Mercedes this weekend in Monza, hoping to improve after a sixth-place finish at last weekend’s Dutch Grand Prix. Read More Brad Pitt shares first details about F1 movie after ‘warm’ lap at Silverstone: ‘I had no idea what it takes’ Brad Pitt spotted filming new F1 movie at Silverstone ahead of British GP Formula One welcomes Brad Pitt but is wary of protesters at British Grand Prix Charles Leclerc speaks out about Ferrari future How does Verstappen’s win-streak compare to fellow record-holder Vettel’s? F2 champion Felipe Drugovich to feature for Aston Martin at Italian Grand Prix

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

Ordering supermarket groceries via a delivery app such as Deliveroo, Just Eat or Uber Eats could cost twice the price of buying directly from the same store, according to Which? Meanwhile, Amazon is charging up to 45% more for Morrisons products than if they were bought from the supermarket’s own website, the consumer group found. Which? acknowledged that ordering groceries from Deliveroo, Just Eat or Uber Eats is “undeniably convenient” and could be received in as little as 30 minutes, but warned it found “shocking” price differences across a range of products in its snapshot investigation. It compared the price of a basket of 15 popular grocery items at five major supermarkets against the cost of ordering the same basket from the same supermarket to the same postcode via a delivery app, not including delivery fees. Almost all of the items were either more expensive on the delivery apps or the same price. Ordering groceries from Deliveroo, Just Eat or Uber Eats is undeniably appealing but the cost of this convenience could be double what you'd pay if you cut out the middleman Ele Clark, Which? Which? also found that customers would pay on average 8% more for Morrisons groceries via Amazon than by ordering directly from the supermarket. In one case, a 250g pack of Country Life unsalted butter cost 45% more on Amazon. The rapid delivery apps also charged a premium of as much as 106% in one instance. The Which? basket, which included branded goods such as Doritos crisps alongside own-label milk and ready meals, would have cost £36.63 from Iceland, but getting the same items delivered from the same Iceland store by Just Eat would have cost £50.50, not including delivery fees – a 38% premium. In some individual price differences, own-brand Fairtrade bananas cost 85p at Sainsbury’s and £1.75 on the three apps, Warburtons Toastie Thick Sliced White Bread cost £1 on Iceland’s website but £2 on Just Eat and Uber Eats, while Hovis Best of Both Medium Bread cost £1.19 on the Morrisons website but £2.05 from Uber Eats. Other examples included Asda own-brand Pinot Grigio costing £7 on the supermarket’s website and £9.10 on all three apps. Which? retail spokeswoman Ele Clark said: “Ordering groceries from Deliveroo, Just Eat or Uber Eats is undeniably appealing but the cost of this convenience could be double what you’d pay if you cut out the middleman. “As well as the extra cost on your groceries, you’ll probably have a delivery fee too, so it’s worth weighing this up before ordering anything to your door.” Customers who choose to order groceries via apps like ours do so because of the convenience, speed and choice on offer from rapid delivery Uber Eats A Deliveroo spokeswoman said: “The prices for grocery items available on the Deliveroo platform are set by our grocery partners. “Deliveroo always seeks to deliver great choice, availability and value for money to our customers, and we have agreed price-matching with our grocery partners including Morrisons, Co-op, Asda and more across hundreds of items.” An Uber Eats spokeswoman said: “Everyone who partners with Uber Eats sets their own prices and we always encourage them to match the prices offered in-store. “Customers who choose to order groceries via apps like ours do so because of the convenience, speed and choice on offer from rapid delivery.” A Just Eat spokeswoman said: “At Just Eat, we want all of our customers to have a positive experience when ordering from our platform. We work with more than 75,000 partners across the UK, giving our millions of customers access to choice and convenience through a variety of local takeaway options, restaurant brands and grocery stores. “As independent businesses, any restaurant or grocer using Just Eat are in control of their menus and set the prices they charge. We continue to work closely with our partners to bring value to our customers.” Amazon said that all prices of products sold through the ‘Morrisons on Amazon’ service were set by Morrisons, and added that being able to shop for Morrisons groceries on Amazon offered customers fast delivery options and value. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Therapist develops secret app to help abuse victims Artificial intelligence warning over human extinction labelled ‘publicity stunt’ ‘I feel lost’ – AI pioneer speaks out as experts warn it could wipe out humanity

For the limited-edition Coca-Cola Ultimate flavor, the soda maker partnered with Riot Games, which publishes the multi-player online battle arena game League of Legends.

Teenagers should be offered a “transformative” anti-obesity treatment to help them lose weight, experts have said. Academics said that the weight loss injection semaglutide could help adolescents with obesity to shed pounds after a new study found an average weight loss of 40 pounds (18 kilos). Teens living with obesity were offered the semaglutide drug for more than a year in a new clinical trial. The study, published at the European Congress on Obesity in Dublin and the journal Obesity, found that 45 per cent of teens using the appetite suppressant drug were no longer classed as obese 68 weeks after starting treatment. This is compared to 12 per cent in a group who were taking “dummy” drugs – also known as placebos. Some 19.5 per cent dropped down into the “overweight” category and a quarter (25.4 per cent) were able to reduce their BMI into the “normal” weight category, the conference heard. The average reduction in body weight with semaglutide – sold under the brand name Wegovy – compared to placebo was about 40 pounds (18 kilos), researchers said. Many do very well with this medication though, and it can be life-changing for them Dr Aaron Kelly, University of Minnesota The authors of the paper conclude that “semaglutide represents an efficacious treatment option for adolescents with obesity”. But presenting the study, Dr Aaron Kelly, from the University of Minnesota Medical School in Minneapolis, USA, said that it should be taken as part of a package of measures to help teens living with the condition. He said that the earlier the treatment starts “the better” to prevent further weight gain. But he said that treatment should be taken long-term, as would be expected with other chronic conditions. Dr Kelly told reporters that there were side effects – mostly of nausea and vomiting – but these were “transient” and most dissipated over time. If you engage in treatment that’s effective, you’ll see an effect but if you take that treatment away – it’s like a rubber band, it’s going to come right back to where it started Dr Aaron Kelly “There’s a whole spectrum of outcomes when you use anti-obesity medications – some do really really well, some don’t do as well,” he said. “Many do very well with this medication though, and it can be life-changing for them. “Being a research scientist nothing brings me more pleasure than hearing the stories from the adolescents who have been struggling their entire life to manage their weight and haven’t been able to – it’s not about trying hard or not, they all try hard – this gives them a tool to help take control of their weight. “And that’s transformational for many teenagers.” He added: “I believe that health care providers should offer that as part of the comprehensive treatment approach – it’s not just one thing, it’s lifestyle therapy – which was included in this trial; it’s the use of anti-obesity medications and, for some, metabolic and bariatric surgery. “A question I get asked a lot is, ‘Is this going to solve the obesity problem? Should we just give it to everybody?’ No, it’s not going to solve the obesity problem, but it’s an important piece to the puzzle at helping to solve it especially for those who already have obesity.” Dr Kelly said that coming off the drugs would lead to weight coming back, adding: “Let’s use high blood pressure as an example, medications are commonly used and prescribed to treat high blood pressure. “And when they have prescribed, the intent of the health care provider – if (the drug is) tolerated and continues to be effective – effectively that person would stay on that medication, probably for the rest of their life. Obesity is exactly the same thing. “If you engage in treatment that’s effective, you’ll see an effect but if you take that treatment away – it’s like a rubber band, it’s going to come right back to where it started.” On when treatment should commence among teens, he added: “If obesity surfaces in childhood, it probably represents one of the most aggressive forms of obesity that we know of. “If you are a child or adolescent with obesity, you are highly likely to carry that obesity and excess adiposity into adulthood. You don’t just snap out of it. “My centre comes of the approach that the earlier the better. “And, and if medically eligible, the use of medications early is probably going to (give) the best outcomes over time because if you allow the disease to progress and the pounds to to add on over time, it gets harder and harder to draw that back. “And so conceptually, I think it makes sense to intervene early and not allow that to happen, and that probably gives the child the best shot at living a long, healthy, happy life.” Meanwhile, another study presented at the conference found that people who have shed weight may be at risk of “psychological scarring”. The paper, led by academics at the University of Liverpool, found that people who have had obesity, even if they have lost weight, could be at risk. Read More Gaining weight before 30 raises cancer risk decades later Artificial sweeteners do not help you lose weight, WHO warns How to talk to kids about weight and healthy eating Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live