In 1884, over a century before the James Webb Space Telescope was even imagined, astronomer

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

The federal government has opened civil rights investigations at seven schools and universities over allegations of antisemitism or Islamophobia since the outbreak of the Israel-Hamas war

On May 23, HBO Max dropped the "HBO" and simply became "Max." The new app

De Beers sold the least diamonds since halting sales altogether during the height of the global pandemic, as

Sugar prices are soaring in many places

On Sunday, a 35-year-old millionnaire with next to no political experience became Ecuador's youngest-ever president-elect, entrusted with leading a country engulfed in...

Jewels owned by the late billionaire Heidi Horten, whose first husband purchased Jewish businesses sold under duress during the Nazi era, fetched a combined $196 million.

The Yeelight Cube Smart Lamp is a series of cubes that shine light and color

Our bellies have always been the target of derision and ire. Long have they been poked and prodded. Sighed at and sucked in. Reprimanded and insulted. But ever since social media became the new WebMD for chronic self-diagnosers, it’s been open season on every little bodily function. Every involuntary twitch, skin bump and mood shift has been analysed to death – but none more so than the dreaded bloat. Stomach bloating can happen for all sorts of reasons. Often the main culprit is a big meal. It’s that feeling of being uncomfortably full and needing to undo the top button of your jeans, as if you’ve just had a particularly heavy Sunday roast. Unless you have real food intolerances or irritable bowel syndrome (IBS), or the symptom is caused by hormonal changes, bloating is the body’s normal reaction to eating a little too much. It usually subsides after a few hours. But this is 2023. A bit of bloating is no longer something you can just wait a few hours to get rid of – social media dictates that it needs to be gone immediately, and if it doesn’t then there must be something wrong with you. And not to stop there, either. You should also be cutting 10 different types of foods out of your life, doing five simple exercises 200 times a day and taking an assortment of supplements and pills because God forbid your stomach be round for the next two hours. According to Dr Tamara Alireza, a functional medicine specialist at Skinfluencer London, bloating should be taken seriously if it doesn’t come and go with food. If it becomes a chronic problem, or is accompanied by other symptoms such as persistent stomach and pelvic pain, changes to bowel habits, unexpected weight loss, fatigue and fever, vomiting, or bleeding, it may be something different entirely. “Excess bloating can be linked to IBS, inflammatory bowel disease (IBD), and coeliac disease, but also to more serious conditions,” she says. But we are a society obsessed with quick fixes, and anti-bloating pills have become a popular “cure” for the woes of a distended belly. Last month, fitness influencer Sam Cutler took it to new heights when she provided the pills for her wedding guests during the meal. Some viewers of her TikTok video – which sparked so much horror that it rapidly went viral – claimed that the pills were essentially “laxatives”. The glut of brands that have emerged in recent years would disagree, though. Many claim to use all-natural ingredients to “speed up digestion” and reduce gas without a laxative effect. Admittedly, curiosity got the better of me. I am lucky enough not to suffer from any particularly gut-churning conditions, but I do have eyes bigger than my stomach. It means I regularly end up regretting wearing trousers to a meal, cursing myself as my belly strains against the waistband. Could these pills really make me feel more comfortable after a big dinner, or would they just lead to some unfortunate toilet habits? I am kindly sent a couple of packs by Wild Dose, which lists extracts of ginger, liquorice, fennel seed, turmeric, peppermint leaf and dandelion root alongside a “proprietary enzyme complex” and a probiotic blend in each brown pill. They smell very herbal and are a rather unappealing greenish-brown colour – it initially makes me wonder if it’s an omen for what my guts are about to experience. After two weeks of taking them daily, I found that they did make a slight difference in my post-meal stupor and I feel comfortable quicker than before. However, the change has been marginal and, if anything, they made me more gassy, to the chagrin of my significant other. The medical community is reluctant to support the efficacy of similar supplements, as there remains little clinical research to back up their claims. Dr Alireza describes anti-bloat pills as a “Band-Aid on a fire hydrant” for people who have genuine problems with their gut. “I generally would not recommend taking any pills to counteract the bloating,” she says, “rather I would be keen to first determine the source of the issue.” She points to her practice, which aims to determine the root cause of symptoms and treat it – instead of providing temporary fixes. But I think the real reason behind social media’s obsession with bloating has nothing to do with #guthealth. Instead, it is our inherent fatphobia and fear of fatness that fuel this battle against the bloat. Are we so afraid of looking fat for even a couple of hours that we flock to pills and exercises with such abandon? Given the way people have fallen over themselves to get their hands on Ozempic, a drug intended to help diabetes patients but which has made a name for itself as a weight-loss miracle, it appears the answer is yes. It’s no mistake, either, that women are the primary targets for anti-bloating content online. Studies show that women are twice as likely to experience it as men, particularly during menstruation and menopause because of hormonal fluctuations. But the expectation for women to maintain at least the illusion of thinness at all times is also much higher. Many of us learned at an early age how to suck in our stomachs and – even as adults – keep them sucked in pretty much all day. As I write this, I realise that I’ve been subconsciously engaging my core muscles despite sitting behind a desk. No wonder the promise of no more bloating is so appealing, if it makes looking mildly smaller less of a chore. Joanna Dase, fitness expert and operations director of female-focused health clubs Curves, says that any medical conditions should be diagnosed by qualified professionals rather than social media. She acknowledges that while bloating can affect body image, no one should worry about your normal, natural responses to digestion. “If you have a professional opinion and there is no health problem related to it, then you just need to have an actual understanding of your body and its natural functions, and being OK with yourself. It’s just how your body breaks down food.” Read More Wellness gurus claim your hormones are out to get you – but is it just another scam? ‘Thanks Pfizer’: The weird world of shakes, health anxiety and illness online A One Direction fan claimed she had a brain tumour. Five years after her death, we still need answers How to protect pets from wildfire smoke amid air quality alert Gamer finds indent in head from prolonged headset use after shaving his hair From masks to AC units: All the dos and don’ts to keep safe from wildfire smoke

TL;DR: As of October 10, you can get the Seido™ Hakai cleaver for only $79.99

Police in Maine said Saturday that the man who gunned down 18 people at a bar and a bowling alley and later committed suicide, suffered serious mental health issues, but was able to buy weapons legally because...