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Right now, it's all about deadlines, as lawmakers race to thrash out a deal on the U.S. borrowing

ISLAMABAD (Reuters) -Former Pakistan Prime Minister Imran Khan arrived at an Islamabad court on Friday under heavy security cover as

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

Feeling the urge to glug a glass of water shortly after you’ve munched a packet of crisps, bowl of popcorn or handful of peanuts, is a clear sign your snack was on salty side – and that’s not necessarily a bad thing. “Salt is a necessary requirement to eat – and not for flavour,” says Pippa Hill, nutritionist and founder of The Weight Loss Guru. Table salt, aka sodium chloride, contains around 40% sodium, an essential nutrient. “Eaten in a small quantity, sodium helps the conduction of nerve impulses, muscle contraction and relaxation, and helps maintain the balance of water and minerals,” she continues. “A lack of salt can lead to muscle cramps, nausea, fatigue and light-headedness.” However, consuming more than the 6g a day recommended by the NHS for adults – equating to around one teaspoon – can be detrimental for your health. “A high salt intake disrupts the natural sodium balance in the body,” says Olivia Burley, registered associate nutritionist who is currently working on the NHS Diabetes Prevention Programme. This can result in high blood pressure, she explains: “Hypertension is a condition where blood pressure remains elevated over time, which can increase the risk of heart and circulatory diseases.” Unless you keep a very close eye on food labels, it’s not always obvious how much salt you’re eating in a day. “Examples of foods high in salt can be canned fish or poultry, frozen foods such as breaded meats, salted nuts, canned beans, cured meats, soup and sandwiches,” says Hill. And just because you’ve drunk enough water to quench your thirst doesn’t mean you’re negating the effects of too much salt, which is why it’s important to be aware of other health indicators. “If you are experiencing any or all these symptoms, it is always best to seek medical advice,” Burley advises. 1. Headaches The dehydration caused by excess salt intake can lead to severe headaches. “These headaches tend to be more painful than a mild one, giving a throbbing sensation as the blood vessels are being expanded,” Hill says. “They tend to come on between an hour or two after you’ve eaten, as sodium levels rise through the body.” They may come on quicker if you have high blood pressure or suffer from chronic headaches in general, but can often be solved by rehydrating. “As your water levels are imbalanced, by drinking more water you’re able to minimise and get rid of the headache.” 2. Swollen feet and hands Also known as edema, swelling of the fingers, ankles or feet can be a delayed reaction to a spike of sodium. “When too much salt is consumed, the body retains the extra sodium and increases the fluid outside of the cells, Burley explains. “This causes the kidneys to have reduced function, remove less water and therefore increase blood pressure.” Swelling may occur more when sitting down for too long or on long journeys. “This isn’t an instant response after eating, but if in the next 24 hours of having eaten salty foods you notice swelling in these areas, it could be a link,” Hill says. “It’s best to seek medical advice if this is an ongoing occurrence, as it could be a sign of a more serious health concern.” 3. High blood pressure “Salt is the largest cause of high blood pressure,” Hill warns. “Within just 30 minutes, eating excess salt will have a bodily reaction to the blood vessels.” Also called hypertension, if left untreated it can increase your risk of serious problems such as heart attacks and strokes. Hills says: “If after eating a salty diet, your symptoms include blurred vision, chest pain such as a tight feeling, palpitations, shortness of breath or sudden nosebleeds, it could mean you have a raised blood pressure.” Burley adds: “Hypertension can often have no symptoms and the only way to know your blood pressure is to get it monitored using a machine.” 4. Frequent urination “Excessive thirst is a common response to eating salty foods and naturally leads to an increase in fluid consumption, causing excessive urination,” Burley says. By sending the signal that you need to guzzle lots of liquid, the body aims to remove the excess salt build-up. “Although drinking more fluids in response to an increase in salt is one of the main reasons for urine production, it could be a symptom of other conditions like polyuria, therefore medical checks are best.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Am I just tired or is it ME? Dr Alex George: Five months of sobriety has made a ‘huge difference’ Everything you need to know about Sophie, the new Duchess of Edinburgh

Thailand, the world’s second-biggest rice exporter, is asking farmers to grow only one crop this year — instead

Farrah Abraham was offended by the comparison and slammed the Kardashian-Jenner clan over their plastic surgery procedures

Thai Airways International Pcl and Bangkok Airways Pcl reported a surge in first-quarter earnings as tourists flocked back

A former Chicago commodities trader was arrested and charged with fraud for lying to clients about everything from

Cindy McCain tells the BBC's Sunday with Laura Kuenssberg programme the deal must be renewed by 18 May.

UK Members of Parliament are launching an inquiry into the influence of supermarkets and manufacturers on food prices

By James Davey LONDON British lawmakers launched an investigation on Friday into the fairness of the country's food

Louisiana Republicans have refused to add exceptions for rape and incest to one of the strictest anti-abortion laws in the country after the US Supreme Court revoked a constitutional right to abortion access. The state’s anti-abortion Democratic Governor John Bel Edwards opposed the exclusion, but he signed the state’s anti-abortion law last year despite pleas from abortion rights advocates to veto the measure. This year, state Rep Delisha Boyd introduced a bill that would amend the law to add exceptions for pregnancies from rape or incest, but lawmakers on a state House committee voted down the proposal, effectively killing it for the remainder of the legislative session. On 10 May, the committee struck down the bill after hearing testimony from rape survivors and abortion rights advocates who shared their experience and urged lawmakers to support survivors. Lawmakers voted 10-5 on party lines to keep exemptions from rape or incest out of Louisiana’s anti-abortion law. Lawmakers also heard from anti-abortion activists and John Raymond, a former Survivor contestant and pastor accused of taping students’ mouths shut and hanging another student by his ankles. Mr Raymond, who has pleaded not guilty to the allegations, told the committee that women will “clamor to put old boyfriends behind bars in order to dispense with the inconvenience of giving birth” if the state allows rape survivors to access abortion care. In this year’s legislative session, lawmakers are considering a package of bills aimed at loosening the state’s near-total ban on legal abortion care, but most of the proposals have been shelved. During the committee hearing, Ms Boyd revealed that she was born after her mother was sexually assaulted when she was 15 years old. “My mother never recovered,” she said. “No one looked after my mother. No one looked out for me.” Republican state Rep Tony Bacala said he opposed the legislation by pointing to Ms Boyd, who was born from rape, as a good person. In a statement, the governor said he was “deeply disappointed” by the vote. “The committee’s decision to prevent this important bill from being debated by the full House is both unfortunate and contrary to the position of a vast majority of Louisianans, who support these exceptions,” he added. “I simply do not understand how we as a state can tell any victim that she must be forced by law to carry her rapist’s baby to term, regardless of the impact on her own physical or mental health, the wishes of her parents, or the medical judgment of her physician,” said the anti-abortion Democratic governor, who signed the law that bans nearly all abortions, without exceptions, last year, despite pleas from abortion rights advocates to veto the bill. “As I have said before, rape and incest exceptions protect crime victims,” he added. Roughly 3 million women in the US have experienced rape-related pregnancy during their lifetime, according to the US Centers for Disease Control and Prevention. Louisiana also had one of the highest maternal mortality rates in the nation, disproportionately impacting Black women, according to the state’s Department of Health. Louisiana is among more than a dozen states, mostly in the South, that have effectively outlawed or severely restricted access to abortion care in the wake of the Supreme Court’s decision last year to reverse the half-century precedent for abortion access affirmed by Roe v Wade. The state also is central to a closely watched case that could determine the future of a widely used abortion drug used in more than half of all abortions in the US. The legal case over the federal government’s approval of mifepristone will return to the Fifth Circuit Court of Appeals in New Orleans on 17 May, the next step in one of the biggest abortion rights cases after the fall of Roe. The Supreme Court’s decision on 21 April maintains the US Food and Drug Administration’s approval of the drug after a federal judge in Texas struck it down in a ruling that would have profound and potentially dangerous consequences for millions of Americans if allowed to go into effect. A three-judge panel at the federal appeals court in Louisiana will hear arguments in the case next week. Read More Alabama Republicans would charge abortion patients with murder under proposed legislation A Texas man sued his ex-wife’s friends for allegedly helping her with an abortion. Now they’re suing him McConnell opposes Alabama Republican's blockade of military nominees over Pentagon abortion policy