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September is Gynaecological Cancer Awareness Month, which sees charities joining together to put the spotlight on the range of cancers that start in the female reproductive system. There are five main types of gynaecological cancer – cervical, ovarian, vaginal, vulvar and uterine (or womb) – plus fallopian tube cancer, although this is very rare. Around 22,000 women are diagnosed with a gynaecological cancer each year in the UK, of which 21 die every day, according to charity The Eve Appeal. However, some of these cases are preventable, and with the right treatment, many gynaecological cancers have high survival rates. Here, experts answer some key questions about the prevention and treatment of gynaecological cancers. What are the symptoms of gynaecological cancers? “The symptoms of gynaecological cancers can vary,” says gynaecologist Oudai Ali from New Victoria Hospital. “But some common signs to watch out for include abnormal vaginal bleeding, pelvic pain or discomfort, unusual vaginal discharge, new vulval lump or ulcer and changes in urinary or bowel habits.” If you’ve noticed any of these signs, follow the ‘if in doubt, check it out’ rule, Ali says: “It’s crucial for patients to consult their GP if they experience any of these symptoms, as early detection can significantly improve treatment outcomes.” Severe ongoing bloating and feeling full very quickly, unintentional weight loss and fatigue are also indications it’s a good idea to get things checked out. Are regular screenings important for gynaecological health? Routine screening programmes are not available for all types of gynaecological cancer. However, where they are available – such as cervical smear tests – attending screenings can be life-saving. “Regular screenings, such as smear tests and HPV (human papillomavirus) tests, are vital for the early detection of cervical cancer and can prevent it at its pre-cancer stage,” says Ali. “Additionally, it’s important for individuals to discuss family history and risk factors with their healthcare provider to determine which screenings are appropriate.” Research shows that cervical cancer risks are higher for people who don’t attend screenings. “Cervical cancer risk is estimated to be 1.7% among women in the UK who don’t attend screenings,” says Mr Andrew Pooley, consultant gynaecologist at New Victoria Hospital. “Other risk factors are related to a higher exposure to HPV, the use of the contraceptive pill for over 10 years, or a weak immune system.” Ali adds: “The age to start screening can vary depending on the type of cancer and a patient’s individual risk factors. Pap smears typically start around age 25.” For cancers where there isn’t a national screening programme, your GP can refer you for blood tests and scans if you are concerned about symptoms. Can gynaecological cancers be prevented? While not all gynaecological cancers can be prevented, there are steps you can take that in some cases may help reduce your risk. “Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding tobacco, can help,” Ali says. “The HPV vaccine is a powerful tool in preventing certain gynaecological cancers. It protects against several strains of HPV that can lead to cervical, vaginal, and vulvar cancers. It’s recommended for both boys and girls, ideally before they become sexually active, to provide the greatest protection.” Some gynaecological cancers can have a hereditary component, too. “A family history of bowel, breast or ovarian cancer may increase the risk,” Ali explains, which is why it’s important to discuss family medical history at screenings. “They can assess the risk accurately and recommend appropriate screenings or genetic testing if necessary.” This said, anyone can potentially get cancer, so getting any symptoms checked as soon as possible is always key. What are the available treatment options for gynaecological cancers? Treatment options vary depending on the type and stage (from one to four) of cancer. “They may include surgery, chemotherapy, radiation therapy, hormone therapy, targeted therapy, or a combination of these treatments,” says Ali. “The choice of treatment is personalised to each patient’s specific diagnosis and medical history.” Survival rates for the main five gynaecological cancers when diagnosed at stage one range from 75%-95% according to Cancer Research, which further highlights the importance of early detection. New Victoria Hospital has launched its Community Champion Campaign, which will offer free scans and treatment to people across the UK for the sum of £125,000. To apply visit: newvictoria.co.uk/communitychampioninitiative. 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You may have noticed someone close to you changing – perhaps they are more forgetful, not quite themselves. After a quick search online or a chat with family members or friends, you may be left thinking they’re developing Alzheimer’s. But how do you approach a conversation about dementia when it’s such an emotive topic? “As we get older, we’re all prone to becoming more forgetful, taking longer to remember certain things, getting distracted more easily or struggling to perform several tasks at once,” says head of knowledge at Alzheimer’s Society, Dr Tim Beanland. “These are common signs of getting older, but there is still a very sharp distinction between normal ageing and dementia.” Symptoms that may worry you “Symptoms of dementia gradually get worse over time,” Beanland explains, “and can appear as memory loss, confusion, needing help with everyday tasks, problems with language and understanding, or changes in behaviour. Although symptoms typically occur in people aged 65 and over, they can occasionally appear as early as twenty years sooner.” You may be scared Seeing these types of changes is understandably worrying – it’s a reminder of the age and health of those around us. “Noticing what might be dementia symptoms in a loved one can be distressing and confusing, particularly for people who have never dealt with dementia before,” Beanland says. “Both parties may feel nervous or worried about how to address the topic of potential dementia symptoms, and may not know where to begin.” Be open Beanland suggests asking questions like, ‘How are you feeling lately, physically and emotionally?’ Or ‘Do you have any health worries you’d like to talk about?’ It’s important to remember when approaching someone who may be experiencing dementia symptoms to do so gently, calmly and in a reassuring and supportive manner. “People experiencing dementia symptoms may find it difficult, or take a bit longer, to find the words they wish to say,” notes Beanland. “So, allowing them extra time, or giving them gentle prompts, can help them find the words they’re looking for, without highlighting they’ve forgotten something.” Do your research Dementia or Alzheimer’s may not be the only answer. It’s important to remember there are other conditions which can cause similar symptoms to dementia, such as thyroid problems or urinary tract infections, says Beanland. “Try to focus on helping the person see their GP, to find out what is causing the problems they are having. It’s also important to understand that, whether you are experiencing dementia symptoms personally or you’re a concerned loved one, you do not have to face dementia alone. There is support out there for you. “I’d encourage anyone worried about their own or a loved one’s memory to use Alzheimer’s Society’s symptoms checklist. It will help to unlock the vital care and support you need, and give you the precious time needed with your family to plan for the future.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live As Simon Cowell shares positive therapy experience, how can it help even if you aren’t in crisis? Project launched to bust myth that cancer is a ‘white person’s disease’ 10 slick ways to kit out your student digs

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Daniel Radcliffe’s physique became social media fodder thanks to the finale of his TV show Miracle Workers - in which the Harry Potter star tore off his clothes to reveal a toned body underneath. The now-viral scene delighted fans, with many predicting he will be cast as Wolverine in the Marvel Cinematic Universe (MCU) for its forthcoming X-Men reboot. Radcliffe has been open about keeping fit in the past - revealing last year that he credits his parents for driving him to stay in such good shape. “My parents do CrossFit. They’re in their sixties and they’re insanely fit people, so I’ve just got to keep up with [them],” Radcliffe told Entertainment Tonight ahead of the premiere of Weird: The Al Yankovic Story in September 2022. “They’re just setting a crazy bar.” Radcliffe went on to say that he doesn’t actually work out alongside his parents. “We don’t do CrossFit together. CrossFit is their thing,” he said. “I’m not fit enough, probably, for CrossFit. They are phenoms.” CrossFit workouts usually include a wide variety of exercises, including biking, running, swimming, jumping, rowing, deadlifting, and squatting. Sometimes, the intensity of the workout can be tailored to individuals. The franchise was founded in 2001, and it’s marketed as a workout routine that anyone can start, no matter their fitness level. More than five million people around the world practice the workouts, according to CrossFit. Radcliffe also previously thanked his longtime girlfriend Erin Darke for helping him stay in shape. “Since I started dating her, I put on a little more muscle,” he told E! News in 2016. Read More Daniel Radcliffe body transformation leads to unanimous Wolverine prediction from Marvel fans

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A woman shared an emotional story about a stranger’s kind words at the gym which brought her to tears. In her TikTok video, a gym-goer named Steph (@callmeindythanks) said that after working out for almost “over two years” she has been “struggling” lately with her progress, especially after an incident a few weeks previously in which two men made some cruel remarks about her weight. She told viewers that one of them “coughed into his hand and said ogre,” which she admitted hurt her feelings. Ever since that interaction, Steph has been grappling with “deep-rooted insecurities” about her weight, which has been impacted by ongoing medical issues. To treat her ailments, she explained that she takes “steroids” which have caused “blood clots” among other problems. As she has tried to deal with her medical issues, Steph said that she was, in turn, “neglecting” herself. When a man with “tattoos all over” approached her as she left the gym, she told viewers that she was bracing herself for what she thought was another bully. As a self-proclaimed overthinker, Steph remarked, “There are a lot of thoughts going through your head being a bigger woman in the gym because there’s all sorts of ages there, different body types, like super fit, not fit, and it kind of messes with your head.” What he ended up saying to her was not at all what she expected. She recounted: “He goes, ‘I’ve seen you in here every week, almost every day. I see you in here every week and I’m proud of you.’” His words of encouragement hit Steph hard, motivating her to make a video about the kindness of this stranger. “You have no idea how much people that are going through something appreciate the kindness,” she said through tears. “He didn’t have to say it, he doesn’t even know what I’m going through.” She continued to say that nobody besides the management at the gym knew about her medical condition. “I’m just grateful for people like you guys that encourage us, people like me. Even if you’re not like bigger but you’re still, like, insecure about something.” “I was having a hard day today but you know what?” Steph told viewers. “That made my day.” @steph5468 #gymprogress #workputjourney #keepgoing #healingjourney ♬ original sound - X There was an outpour of support for Steph and the stranger’s act of kindness online, with one fitness coach commenting on the video: “Just having someone say they are proud of you can move mountains for so many of us.” “To be seen as we are is such a human need in each of us,” someone else remarked. Another wrote, “Little happiness snowballs. We all gotta throw them sometime.” Many have taken to writing encouraging comments on Steph’s personal account where she frequently posts about her ongoing fitness journey. Including comedian Paul Kim, who commented on a recent video of Steph’s, saying: “Crush them with your consistency and progress. You got this!!! We believe in you.” The Independent has contacted Steph for comment. Read More Influencer sparks debate after admitting she asks to see man’s bank account info on first date Fitness influencer Larissa Borges dies aged 33 after double cardiac arrest Schoolboy almost dies from swallowing magnets for TikTok challenge Woman shares honest review of New York City apartment TikTok mom slammed after making 5-year-old son run in 104 degree heat

Gwyneth Paltrow has spoken candidly about her experience as a stepmother to her husband Brad Falchuk’s two children, Isabella, 19, and Brody, 17. On 30 August, the wellness mogul took to her Instagram Story, inviting all of her 8.3m followers to ask her anything. From hair colour inquiries to questions about her late father, Paltrow’s audience didn’t hold back. In fact, one fan forced Paltrow to open up about what it’s been like marrying a spouse who already had two children. “I did find it really hard at first,” the Goop founder admitted. “You know? There’s no book on this. Nobody tells us what to do. And in fact, all of the existing media around what a stepmother is casts us in this evil, villainous light.” “It’s kind of like trying to avoid landmines,” she added. Paltrow married the TV writer in 2018 after four years of dating. She was previously married to Coldplay frontman Chris Martin for 10 years, before announcing their divorce in March 2014. Meanwhile, Falchuk shares his two children with his previous wife of 19 years, Suzanne Bukinik. When the health enthusiast tied the knot with Falchuk, she welcomed Isabella and Brody into her family - with her mini-me daughter Apple, 19, and her 17-year-old son Moses, whom she shares with Martin. The Academy Award-winner acknowledged the difficulties of being thrown into a new family. She pointed out how existing dynamics between each member are tricky to navigate all at once. For her, there was a fear of how becoming a new figure in her stepchildren’s lives would affect everyone. “You’re going into a family with dynamics, and there’s all kinds of fear around loss and what does this new person mean,” Paltrow noted. “But you know for myself, the minute I decided and fully embodied the idea that my step-kids were my kids and I loved them just as much, and I gave them the same rules and boundaries and just kind of wholeheartedly went for it, the easier the whole thing got.” Paltrow’s Instagram confessions come after the A-lister decided to take a social media hiatus earlier this month. In her 2 August post, she was seen sitting below the branches of a tree with the light of the moon peaking in. “Taking this full moon energy with me as I go into a social media break. Going to work on being present,” her caption read. On 14 August, the healthy living advocate broke her social media silence to share a poignant tribute for the renowned artist Clarence Avant. She posted a photograph of them embracing one another, expressing her sorrow over the loss. “You were beloved by so many, including our family who looked forward to every dinner, every drop of wisdom, just the warmth of your presence,” she wrote. Read More Gwyneth Paltrow was asked to film an ad for a probiotic - and the results were chaotic Holly Willoughby channels Gwyneth Paltrow with ‘orgasm anxiety’ blog post Gwyneth Paltrow announces social media hiatus Gwyneth Paltrow was asked to film an ad for a probiotic. The results were chaotic. Marijuana users have higher levels of toxic metals in blood and urine, study finds Rugby star Ugo Monye: Boarding school shaped my career and my personality

People who use marijuana were found to have higher levels of lead and cadmium in their blood and urine, in comparison to those who do not use weed, according to a new study. The team of researchers at Columbia University analysed data from blood and urine samples collected between 2005 and 2018 as part of the National Health and Nutrition Examination Survey, a program conducted by the National Center for Health Statistics. They looked at samples of 7,254 people who said they had used marijuana in the last 30 days. Participants were examined for levels of heavy metals and 358 people were found to have 27 per cent higher blood lead levels than those who said they didn’t use either marijuana or tobacco. There were also 22 per cent higher levels of cadmium in those marijuana users according to the research, which was published Wednesday in the journal Environmental Health Perspectives. Researchers also found that the urine samples showed similar results. High levels of cadmium can cause stomach irritation, abdominal cramps, nausea, vomiting and diarrhoea, according to Better Health. Researchers found that although tobacco is the main source of cadmium exposure in the general population, the study showed similar exposure levels among cannabis users. “For both cadmium and lead, these metals are likely to stay in the body for years, long after exposure ends,” Tiffany Sanchez, an author of the study and an assistant professor of environmental health sciences at Columbia’s Mailman School of Public Health said to NBC News. As cannabis plants can absorb heavy metals from soil - the new findings demonstrate that heavy metals in cannabis plants can also wind up in the human body. “Previous studies have measured metals in marijuana plants, products, or marijuana smoke,” study authors have said. Lead exposure can be particularly harmful to children and pregnant women. In adults, chronic exposure to lead increases the risk of high blood pressure, heart problems and kidney damage. “Our study wasn’t able to tease apart whether or not self-reported cannabis users were using medical or recreational cannabis, so we can’t say definitively if medical cannabis users specifically had higher metal levels,” Sanchez said as reported by CNN. “This is something that should be evaluated in future studies.” Heavy metals bind to parts of your cells that prevent your organs from doing their job, according to the Cleveland Clinic and symptoms of heavy metal poisoning can be life-threatening and can cause irreversible damage. “Immunocompromised people, such as those going through chemotherapy, may be at greater risk from metal exposure or from other common cannabis contaminants like molds. However, this is very much an understudied area,” Sanchez added. On Wednesday, the Department of Health and Human Services recommended that the Drug Enforcement Administration ease restrictions on marijuana by moving it from Schedule I drug to Schedule III. HHS Secretary Xavier Becerra said on X, the platform formerly known as Twitter, that the agency has responded to President Joe Biden’s request “to provide a scheduling recommendation for marijuana to the DEA.” “We’ve worked to ensure that a scientific evaluation be completed and shared expeditiously,” he added. Senate Majority Leader Chuck Schumer said in a statement that HHS had recommended that marijuana be moved from a Schedule I to a Schedule III controlled substance. “HHS has done the right thing,” Schumer said. “DEA should now follow through on this important step to greatly reduce the harm caused by draconian marijuana laws.” Rescheduling the drug would reduce or potentially eliminate criminal penalties for possession. Marijuana is currently classified as a Schedule I drug, alongside heroin and LSD. According to the DEA, Schedule I drugs "have no currently accepted medical use in the United States, a lack of accepted safety for use under medical supervision, and a high potential for abuse." Additional reporting from agencies Read More Biden health agency recommends classifying marijuana as lower-risk, opening potential for major policy changes Seth Rogen reveals why he smokes marijuana ‘all day, every single day’ Rugby star Ugo Monye: Boarding school shaped my career and my personality Queen Latifah calls for more ‘inclusive healthcare’ for people with obesity As Simon Cowell shares positive therapy experience, how can it help even if you aren’t in crisis?

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