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ME, or myalgic encephalomyelitis, is a serious, long-term chronic illness that impacts the sufferer, leaving them often suffering from extreme exhaustion. ME has for a long time been under-researched, but as awareness of the condition grows, more people are coming forward for help. As a grouping of symptoms, instead of a clearly identifiable illness, ME is very hard to diagnose and thus people can suffer for years before getting help for it. Symptoms can include exhaustion, digestive issues, muscle weakness, shortness of breath and irregular heart rate. But how do you know if you are suffering with ME, or are just really exhausted? Overlapping symptoms Covid has made ME more prevalent, but people still find it so difficult to know what may just be tiredness. “It is really difficult to tell the difference. ME and CFS (chronic fatigue syndrome) have a lot of overlap [with tiredness] and there have been a lot of issues with long covid with these long persisting post-viral malaise, where even if people sleep well, they may still feel exhausted,” says GP and men’s health specialist Dr Anand Patel. If you have had covid or another viral illness, this may increase the likelihood of having ME. Get checked out “If you have had persisting symptoms for more than a few weeks or they are really severe, speak to your GP,” says Patel. Particularly if “you are sleeping okay, your diet, caffeine and alcohol intake are okay, but your symptoms are persisting. They may check your thyroid and blood count”, he explains. “A quarter of our appointments these days are classed as ‘tired all the time’. It is very difficult to weed out what is what when ME and CFS are groups of symptoms that are bundled together. It is not necessarily something that will cause medical harm, but will cause really significant symptoms to sufferers,” says Patel. “With ME, you may be so tired you can barely stay awake in the day. We are still in the exploratory stage of what does cause it, but if you have had psychological trauma or illness it is more likely to be ME that has caused these prolonged symptoms. It can be hard to find things during tests and scans, but of course, there are conditions we don’t have tests for or are hard to identify,” he explains. Be clear of your symptoms “It is really difficult to diagnose something if you can’t find it, so a patient needs to explain symptoms and how they are feeling. Many people with it don’t feel seen, and a doctor may be struggling to find a specific answer,” Patel explains. Keeping a diary of symptoms may help to make it clear. Vitamin deficiencies Consider what the other causes may be. “Tiredness could be caused by blood count and anaemia, thyroid function and deficiencies, dietary changes and vitamin deficiencies,” says Patel. “If you have a varied diet, these are unlikely. B12 and folic acid deficiency are common, they make blood make new cells and are important in nerve function. Also, it could be vitamin D deficiency, a lot of people need to take a vitamin D tablet every day in the UK because we don’t get enough sun and slap on factor 50 as soon as it does come out,” Patel says. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Dr Alex George: Five months of sobriety has made a ‘huge difference’ Everything you need to know about Sophie, the new Duchess of Edinburgh Beyonce kicks of Renaissance tour in string of glamorous outfits

Kaia Gerber has issued some guidance for her elder brother Presley Gerber about taking care of his skin in the sun. Presley, 24, and Kaia, 21, are the children of model Cindy Crawford and Rande Gerber, a businessman. Both siblings followed in their mother’s footsteps and have successful modelling careers, often sharing their work and off-duty looks on social media. On Saturday (19 August), Presley shared photos of himself on a sandy beach while topless. The images show him with a bandana draped around his shoulders. In the caption to the Instagram post, Presley wrote: “Sunscreen’s a myth”. In fact, sun protection provides an essential barrier to harmful UVA and UVB rays. According to the American Cancer Society, UVB rays are responsible for the majority of cases of skin cancer. In disagreement with her brother’s statement, Kaia left a public comment on the post to give him some alternative guidance. “Hi Presley! It’s me, your sister!” she began her message. “Remember me from childhood? We share the same parents [wacky face emoji] I actually wanted to share with you that sunscreen is not a myth!! It is real!! I actually use it myself!!” Fans and followers have jumped in on their exchange, with many leaving laughing emojis at the humorous tone of Kaia’s message. “Absolutely! Sharing is caring @presleygerber!” one fan remarked. “Sis has got your back! You've raised them well @cindycrawford!” Another simply wrote: “Love your brain Kaia!!” Earlier this year, Kaia shared her thoughts on the “nepo baby” debate, which highlights the privilege enjoyed by those in the entertainment and creative industries who have famous parents. Speaking to Elle in January, the model and actor acknowledged the ways that nepotism had helped her career. “I won’t deny the privilege that I have,” she said. “Even if it’s just the fact that I have a really great source of information and someone to give me great advice, that alone I feel very fortunate for.” She also shared a comment that Crawford made about her daughter’s busy modelling career. “My mom always joked, ‘If I could call and book a Chanel campaign, it would be for me and not you,’” Gerber added. “But I also have met amazing people through my mom whom I now get to work with.” Read More Stylist comes to bride-to-be’s rescue after hair is ‘destroyed’ just before wedding Geri Halliwell says she was ‘quite grumpy’ to Christian Horner in their early relationship Prince William criticised for including Charlotte in apology for missing Lionesses final James Blunt claims he changed his age on his Wikipedia page Shirlie Kemp says male doctor told her to ‘get over’ endometriosis Chrissy Teigen posts topless photo to remind fans to get mammograms

Finding a decent pint of Guinness in London can all too often be a disappointing quest, from sour or bitter to poorly poured pints in plastic cups with bubbly heads. Some even say London is where Guinness goes to die. For those who feel they should at least enjoy drinking the pint they’ve paid ludicrous prices for, here’s a small, non-exhaustive and open-ended list of London pubs where you’re more or less guaranteed a scrumptious pint of what my friends and I call Guinny Jones. I’d like to add a disclaimer that I’m not an expert – though I am a quarter Irish and have taken the Guinness factory tour in Dublin – I just really, really like a good pint. So, I spoke to Ian Ryan, who runs an Instagram account dedicated to the capital’s crimes against the black stuff (@shitlondonguinness) and though he isn’t exactly short on blasphemous submissions, he’s also got a lot of insight into what makes a good pint and where to find it. Plus, Ian has a book coming out in October, A Beautiful Pint: One man’s search for the perfect pint of Guinness - he cares about the cause. Before we get to the pubs, here’s what we’re looking for in a pint. Texture: it should have a texture that withstands the “tilt test”, if you tip your glass slightly to the side and the head starts dripping down the side, it’s too watery. It should rise just above the edge of the glass in an oh-so-satisfying manner. Taste: Guinness has a malty sweetness and bitter hoppines, but it shouldn’t be too bitter, nor should it be sour. It should be rich and creamy, with slight aromas of coffee. If it tastes metallic, run for the hills. Head: a good pint of Guinness needs that signature creamy head. Ideally, it’ll be domed and around three-quarters of an inch. This is essential for balance and flavour. Also, if the head is littered with bubbles, it means it hasn’t been properly aerated and will almost definitely taste bad. Pour: according to Guinness Storehouse it should, of course, be in a Guinness or milk stout glass – it’s just wrong drinking out of a Stella or Beavertown. It should then be poured at a 45-degree angle up to the harp and then left to settle for at least a minute, but up to two if possible. It’s finished by topping up with the glass held straight. Red flags: according to Ryan, any sort of bubbles in the head are a big no-no. “Also, if you walk into a pub and no one is drinking Guinness, it could be a sign of bad things to come…” The Auld Shillelagh, 105 Stoke Newington Church Street, London, N16 0UD This Irish pub is most die-hard Guinness fan’s favourite London establishment, Ryan included. It looks tiny and unassuming from the outside but its narrow interior stretches far back into a surprisingly spacious garden. They have live music, great craic and, of course, perfect pints of Guinness. The best thing about the Shillay is that it doesn’t try too hard, which means it ends up absolutely nailing the pub formula. The Irish Times even named it the “most authentic Irish pub in the world outside Ireland”. If that doesn’t convince you, I don’t know what will. The Globe, 20 Morning Lane, London, E9 6NA A pub where you can enjoy Spoons prices without Spoons guilt, The Globe is a local’s pub through and through, but they’re also incredibly welcoming to newcomers. They’ve got live sports, pool, darts, karaoke, live music and pints of Guinness that pass the test at around the £4 mark, for zone 2, that’s practically unheard of. The Coach and Horses, 42 Wellington Street, London, WC2E 7BD Not far from Covent Garden piazza, The Coach and Horses is just far enough off the beaten track to not be inundated as most pubs in central are. This one-room Irish pub was once voted as the best Guinness in Britain by The Irish Post, plus they also sell hot roast beef sandwiches. Gibney’s London, 70 City Road, London, EC1Y 2BJ Staying open until 2am on a Friday, Gibney’s is an Irish pub based in the heart of Shoreditch. Upstairs they have “inventive small plates, Irish meats cooked over the open flame, fresh seafood and more from chef Richard Corrigan”, while downstairs they have Shit London Guinness-approved pints. The Cock Tavern, 23 Phoenix Road, London, NW1 1HB An unpretentious pub that prides itself on not being trendy, The Cock Tavern is a delight for both locals and tourists due to its proximity to Euston. Described by one reviewer as an “oasis of humour, personality and character” in the big city and endorsed by SLG, this rough-and-ready establishment knows how to pour a pint and provide good times. The Sheephaven Bay, 2 Mornington Street, London, NW1 7QD An “Irish bar with a conservatory, beer garden and no less than seven plasma screens for showing sports”, The Sheephaven Bay is easily the best Guinness in Camden. Lively atmosphere and friendly staff, what’s not to like? The Kenton Pub, 38 Kenton Road, London, E9 5BA Most of the pubs listed have unsurprisingly been of the Irish variety, so to throw a curve ball into the mix is the Kenton, a Norwegian pub in Hackney. There’s loads of cosy nooks and crannies, occasional DJs on a Saturday and the fantastic staff all pride themselves on pouring a proper pint. I asked general manager Morgan Ryan about what the secret to serving great Guinness is: “There’s not really a trick to it if you’ve ever poured a pint. Don’t buy old kegs, don’t store them badly and don’t have dirty ass lines.” Read More Marina O’Loughlin is wrong – there’s joy in solo dining Budget Bites: Three recipes to keep food bills down before pay day Meal plan: Romesco chicken and other recipes to fall in love with The chef who hated food as a child Who knew a simple flan could be so well-travelled? Midweek comfort food: Singaporean curry sauce and rice

On Wednesday, May 10, just after 7:30 a.m., Gabriella Gonzalez and her ex-boyfriend Harold Thompson were arguing near a gas station in Dallas, Texas. Gonzalez had been trying to end things with Thompson after a tumultuous four-month relationship, according to her relatives. Footage from nearby surveillance cameras show the ex-couple arguing and Thompson putting Gonzalez in a chokehold. When she managed to shrug him off, Thompson pulled out a firearm and shot Gonzalez several times. Gonzalez was proclaimed dead by police at the scene of the crime. According to the victim’s family, Thompson killed Gonzalez because she had an abortion in her attempt to exit the relationship.

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One stop on Gordon Ramsay’s culinary journey around the world was Puerto Rico, where he discovered this recipe for coffee-spiced pork shoulder. It’s accompanied by yuca – the root of the native cassava plant, which was an important ingredient for the indigenous Taino community. Coffee-spiced pork shoulder with sweet potato and yuca Serves: 4 Ingredients: For the coffee-spiced pork shoulder: 2 tsp ground cumin 2 tsp sweet paprika 1 tbsp kosher salt 1 tbsp finely ground coffee 1 tbsp granulated sugar ¼ tsp chili flakes, or more to taste 2 tsp annotto seeds, finely ground (if you can’t find annatto seeds, you can substitute with 2 tsp achiote paste) ½ boneless pork shoulder (about 1.3kg) Extra-virgin olive oil For the sweet potato and yuca: 1 red onion, diced into 1.3cm pieces 1 star anise 3 garlic cloves, crushed Kosher salt 1 sweet potato, peeled and diced into 1.3cm pieces 1 yuca, peeled and diced into 1.3cm pieces 1 cup dark rum 3-4 cups chicken stock Method: 1. Prepare the pork shoulder: In a small bowl, combine the cumin, paprika, salt, coffee, sugar, chili flakes, and annatto. 2. Season the pork shoulder with the rub, rubbing it in with your hands to coat evenly. Set the pork shoulder aside to marinate at room temperature for at least 30 minutes. 3. Heat a large Dutch oven over high heat and drizzle the pork with olive oil. Place the pork shoulder in the pot and sear on all sides until caramelised and golden brown. Remove the pork from the pot and set aside. 4. Make the sweet potato and yuca: To the pot, add the onion, star anise, and garlic. Season with salt. Cook until all the ingredients begin to caramelise and the anise is aromatic, about seven to 10 minutes. Add the sweet potato and yuca and saute for five minutes longer, until they start to brown. Add the rum to deglaze the pot, scraping the bottom with a wooden spoon to release all of the brown bits. Simmer until the rum is reduced by half. 5. Finish the pork shoulder: Return the pork to the pot and pour in the chicken stock, making sure the stock comes halfway up the side of the pork, adding more liquid if needed. Bring to a boil, then cover and reduce to a simmer, cooking for about two hours or until the pork easily breaks apart with a fork. Remove the vegetables with a slotted spoon. 6. Once the pork is tender, remove it from the pot and set it on a large plate or cutting board. Pull the pork into large pieces using two forks. 7. Reduce the cooking liquid that remains in the pot by half until slightly thickened. 8. To serve, plate the pork and vegetables on a serving platter and drizzle cooking liquid over top. Recipe from ‘Gordon Ramsay’s Uncharted: A Culinary Adventure With 60 Recipes From Around The Globe’ (National Geographic, £25). Read More Three meat-free dishes to try this National Vegetarian Week How to make TikTok’s viral whole roasted cauliflower Gordon Ramsay: ‘I’m going off the beaten track to become a better cook’ What is coronation chicken? The story of the royal recipe and how to make it Healthy lemony smoked salmon pasta that takes zero effort Easy coronation chicken pie recipe chosen by Mary Berry