Monkeypox Is Spreading In The UK Through Unusual Means. Should We Be Worried?

Covid concerns may have subsided and though they’re far from gone, now another virus, Monkeypox, has been making headlines.

Here’s what you need to know.

What is Monkeypox?

Monkeypox is a rare viral infection that typically does not spread easily between humans. It’s comparable to smallpox but milder, less infectious, and less deadly.

Most people recover within a week and the virus disappears on its own, prompting no long-term health effects. However, a more severe illness can occur in a few people.

The virus usually spreads through close contact with an infected person, although there’s a low risk of transmission among humans.

The symptoms include:

  • Fever

  • Headache

  • Muscle aches

  • Backache

  • Swollen lymph nodes

  • Chills

  • Exhaustion.

A rash can start too, usually on the face at first before moving to other parts of the body including the genitals. This rash then goes through different changes and can transform to look like chickenpox or syphilis before scabbing. The scabs then fall off, although it can leave a scar behind.

People without symptoms are not considered infectious.

How many cases have there been?

Three cases in London and another in north east of England have just been detected by the UK Health Security Agency (UKHSA), bringing the total up to seven confirmed cases all diagnosed between May 6 and 15.

By May 19, a further two cases had been confirmed by the UKHSA, one in London and another elsewhere in the south east of England.

Those needing urgent care were treated in specialist disease units in hospital, although they were all found to have the West African strain, which is much milder compared to the Central African.

So, why are people concerned?

These four new cases do not have known connections with the previous cases announced earlier in May, although investigations are underway to understand the links between them.

All four individuals were infected in London. They also all self-identify as gay, bisexual or other men who have sex with men.

There’s currently no link to travel abroad to places where monkeypox is currently endemic, meaning the medical community is still uncertain where the individuals picked up the virus.

Chief medical adviser for UKHSA, Dr Susan Hopkins, said that this is “rare and unusual”, and has prompted the health agency to look into monkeypox transmission in the community.

“We are particularly urging men who are gay and bisexual to be aware of any unusual rashes or lesions and to contact a sexual health service without delay.

“We are contacting any potential close contacts of the cases to provide health information and advice,” she added.

The UKHSA’s director of clinical and emerging infections Dr Colin Brown also noted: “While investigations remain ongoing to determine the source of infection, it is important to emphasise it does not spread easily between people and requires close personal contact with an infected symptomatic person.

“The overall risk to the general public remains very low.”

The World Health Organisation (WHO) is now looking into how the virus is circulating and the risk it poses to both endemic and non-endemic country.

They also predicted that case numbers and the number of countries monkeypox is in will rise.

How is it usually transmitted?

The infection is usually picked up from infected animals in rainforests. Minor outbreaks usually occur in West and Central Africa, but transmission is low because it can only happen through direct contact with lesions or respiratory sections.

Infectious disease epidemiologist Mateo Prochazka explained on Twitter just why the new findings were so surprising.

He wrote: “Close contact between two people (such as during sex) could also facilitate transmission – but this has never been described before.”

He continued: “What is even more bizarre is finding cases that appear to have acquired the infection via sexual contact. This is a novel route of transmission that will have implications for outbreak response and control.”

He also pointed out that work is ongoing, especially when it comes to protecting health workers, a sexual health service response and preventing an increase in stigma and inequalities.

Is this the first time it’s been identified in the UK?

No – three people were diagnosed in September 2018 and an additional person was named in December 2019 after flying back from Nigeria. Another three cases were reported from within the same family in May and June 2021, after the person who initially caught it travelled back from Nigeria.

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Experts Predict If And When Covid Will Become A Seasonal Illness

The vast majority of respiratory viruses that spread within our population ebb and flow with the seasons.

Influenza spikes in the winter months, as do infections caused by respiratory syncytial virus (RSV), adenoviruses and other coronaviruses. Earlier this year, Rochelle Walensky, director of the US Centers for Disease Control and Prevention, said she expects Covid to also become a seasonal illness – but whether or not that will come to be remains to be seen.

Most scientists agree that Covid isn’t going anywhere, and that we’ll be living with SARS-CoV-2 for decades, if not forever. Though we tend to see the biggest waves in the winter and early spring, Covid isn’t seasonal yet. It doesn’t retreat in the spring-to-summer off-season – it is smoldering throughout the year.

“Covid is steadily burning through the population as we speak. But it is also able to piggy back on top of our ebbs and flows of the typical cold and flu season, so it’s a double whammy,” Mark Cameron, an infectious disease researcher at Case Western Reserve, tells HuffPost.

Will Covid ever become a seasonal illness?

Andrew Noymer, an epidemiologist and demographer who studies infectious diseases at University of California, Irvine, expects Covid to become winter-dominant, like the flu, in the long run. SARS-CoV-2 is already somewhat seasonal and predictable in nature.

“In the United States, all of the largest spikes have been in the winter, so it is kind of seasonal in that respect,” Noymer says.

But, even between those peaks, the virus spreads at pretty significant levels. It hasn’t totally settled into a seasonality. Many epidemiologists thought Covid would have already fallen into much more of a seasonal pattern by now – but it hasn’t.

“A seasonal infectious disease is something that pops up predictably at the start of the cold and flu season and persists throughout that period of time,” Cameron says.

Keep in mind, this is only our third 12-month period with Covid. The illness is still relatively new. Even though over half of the US population and seven in 10 people in the UK have likely already had Covid, others have not and remain susceptible. We’re all antsy for the virus to become predictable, but the virus is still just getting started, Noymer says. He suspects that one day – maybe 10, 15 years from now – we’ll be looking at a very seasonal phenomenon.

There's a chance Covid may not become seasonal for years to come.

Marija Babic / EyeEm via Getty Images

There’s a chance Covid may not become seasonal for years to come.

Is there a chance Covid may never sync up with the flu and cold season and become a winter-dominant illness? Of course, Noymer says. “I can’t absolutely rule out that it never will – that it will be the one exception that disproves the rule.”

The fact that, one, people can get Covid multiple times, and two, that even vaccinated people can catch and spread Covid, makes the epidemiology of this respiratory infection chaotic. Population-level immunity influences when waves occur. After people recover from Covid, they are typically protected from infection for a few months. As time passes, those recently recovered people can become susceptible again. And, on a greater scale, a population can become susceptible to a wave again.

This isn’t an exact science – people get infected and recover at different times. Their immunity wanes at different speeds. “There’s a lot of wheels turning and it’s very hard to predict,” Noymer says.

Here’s what causes respiratory viruses to become seasonal

It’s not entirely clear why respiratory viruses tend to get more active in the wintertime – but they do. Flu activity surges in the winter as do the common cold coronaviruses. Even measles was winter-dominant when it circulated at higher levels in the US, according to Noymer.

“We see this with respiratory virus after respiratory virus after respiratory virus,” Noymer says.

There are a few hypotheses as to why this happens. The first theory is atmospheric conditions – viruses, including influenza, tend to spread more easily when there’s less humidity. Viruses do better in drier conditions.

Another contributing factor is our behaviour. In winter months, when it’s cold outside, we gather indoors together and create plenty of opportunities for viruses to spread from person to person.

Incidentally, this is also believed to be why the US South experiences summer spikes. Contrary to those in the northeast, people living in southern states head indoors during the summer months when the temperature soars and humidity becomes wet and sticky. Schools are thought to contribute to the seasonal spread of respiratory viruses like flu and RSV, Noymer adds.

The behaviour of the virus plays a role, too. The flu, for example, tends to shoot through the population then burn itself out by “mutating to its demise,” Cameron said. Covid, on the other hand, is evolving to become more fit and more transmissible – it’s not acting like a typical respiratory virus that infects people and goes away before bursting back into the population in a different form months later.

If we look to other circulating coronaviruses that cause the common cold, we can reasonably expect Covid to eventually become endemic and more seasonal in nature, according to Cameron. But we don’t know when those coronaviruses settled in their seasonality. How long that will take with Covid is a mystery. This is wide-open territory that has yet to be studied.

“How can we understand how long Covid will take to become just another garden-variety coronavirus that is circulating and causing sporadic disease?” Cameron said. “It certainly isn’t now.”

Experts are still learning about Covid-19. The information in this story is what was known or available at the time of publication, but guidance could change as scientists discover more about the virus. To keep up to date with health advice and cases in your area, visit gov.uk/coronavirus and nhs.uk.

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This 5-Minute Leg Day Workout Builds Muscle And Increases Strength

You’re reading Move, the nudge we need to get active, however makes us happiest and healthiest.

For many fitness lovers, leg day is often the least favourite of the week. But that’s often because of the misconception that you have to push your body to the point of struggling to walk the next day.

Instead, why not try a short but effective lower body workout?

David Wiener, training and nutrition specialist at Freeletics, has shared a five-minute circuit with HuffPost UK that can be added into your next gym session or practiced during spare moments of the day.

“Lower body exercises are beneficial and vital for making daily tasks, such as walking, easier on us. Performing these exercises not only improves your stability, but it is a chain reaction on the rest of your body for helping improve your strength and posture,” he says.

“Ultimately, improving your lower body workout routine will give you
lean muscle and achieve a stronger and more toned lower body, including the calves, thighs, hamstring and glutes.”

Try the “no glutes, no glory” workout today and you’ll never* be tempted to skip leg day again.

(*Well, until next week at least.)

1. Squat Jumps

Freeletics

This exercise is great because it’s an all over body work out, but especially good for the lower body. It can help build your muscle and enhance strength, as well as boost your cardiovascular fitness, tone your lower body, strengthen bones, boost your circulation and burn many calories.

To do one:
Start standing with your feet about shoulder-width apart. Point your toes slightly outwards. Always keep your back straight. Always keep hands off your body.

Lower down until your hips are below knees. Jump up so both feet leave ground and then return to the starting position before repeating.

2. Lunges

Freeletics

Freeletics

Freeletics

Lunges are a great exercise to increase the muscle mass in your lower body whilst building up your strength and toning. Not only this, they also help to improve your posture, balance and range of motion. Whilst a lot of exercises put strain on your spine, lunges help give your spine a chance to relax whilst working many of the larger muscles in the lower body.

To do one:
Start standing upright, with your hands on your hips. Always keep your shoulders above the hips. Step forward with one foot Keep your front foot flat on the ground. Bend your back knee so it touches the ground below your hip Alternate lunging leg for the desired number of reps.

3. Squats

Freeletics

Much like a jumping squat, a normal squat has similar benefits but not as much cardio. Whilst this exercise will of course not burn as many calories as a jumping squat, it is still a great exercise to put your quadricep group of muscles to work. There’s a misconception that squats put too much pressure and strain on your knees, but squats will actually strengthen your knees and make them less prone to injury as you get older.

To do one:
Start standing with your feet about shoulder-width apart. Point your toes slightly outward. Always keep your back straight. Always keep hands off the body. Always keep weight toward your heels. Lower down until your hips sit below your knees and rise back up to the starting position

4. Split Lunges

Freeletics

Much like the normal lunge, split lunges are a great way to work your quads, glutes, hips and hamstrings. As they are a unilateral exercise (meaning they only train one side of your body at a time), they are proven to increase your balance and posture too. Not only this, your hip flexor muscles are most commonly tight, but performing split lunges will help you improve the mobility of these muscles.

To do one:
Start standing upright. Always keep your shoulders above the hips. Step forward with one foot. Keep your front foot flat on the ground. Bend your back knee to touch the ground below hip. Jump up to switch sides. Make sure your feet leave ground at same time.

Rest.

5. Table Twists

Freeletics

To enhance the flexibility of your lower body and spine, table twists are simple to perform and will stretch out all the major muscle groups in your body, helping to boost flexibility and enhance range of motion.

To do one:
Start with your hands below your shoulders, heels below the knees, and hips on ground. Push up until your hips are in line with your shoulders and knees. Reach one hand up and behind you. Return to the starting position. Alternative sides
Always keep your arms straight.

Rest and repeat.

Move celebrates exercise in all its forms, with accessible features encouraging you to add movement into your day – because it’s not just good for the body, but the mind, too. We get it: workouts can be a bit of a slog, but there are ways you can move more without dreading it. Whether you love hikes, bike rides, YouTube workouts or hula hoop routines, exercise should be something to enjoy.

HuffPost UK / Rebecca Zisser

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‘Everyone Has A Family Abortion Story, Whether They Know It Or Not’

On January 22, 1973, the US Supreme Court affirmed in a 7-2 decision the legality of women’s right to have an abortion under the 14th Amendment.

Today, about one in four pregnancy-capable people in the US have had an abortion, and the risk of complications from an in-clinic procedure is extremely low. But before it was guaranteed as a constitutional right, seeking an abortion was a harrowing, potentially life-threatening endeavour.

While some women saved up the cash and sometimes travelled hundreds of miles to find qualified medical providers willing to risk their livelihood by operating on patients, others settled for providers lacking the qualifications and skills to perform induced abortions. And even more desperate people attempted their own abortions.

The outcome of these back-alley procedures or at-home coat-hanger abortions was often devastating, leading to maternal death or lifelong injury. (Complications from unsafe abortions include infection, incomplete abortions, haemorrhaging, uterine perforation and damage to the genital tract or internal organs, according to the World Health Organisation.)

Because these stories were so traumatic – and because the stigma surrounding abortion was even greater in those pre-Roe v. Wade years – many women remained silent about their experiences.

Now, as the US Supreme Court seems poised to overturn the Roe v. Wade decision, it’s worth revisiting their stories to understand what abortion was like in the decades before it was legalised.

HuffPost US recently spoke to eight people who shared experiences of relatives – great-grandmas, grandmas, mothers and aunts – who sought abortions in pre-Roe v. Wade America. Many were already mothers, struggling to conceptualise raising one more child in poverty or, in some cases, with an abusive spouse.

In one story that differs from the rest, a reader shares how her great-grandma, the wife of a well-to-do dentist, was able to obtain a safe abortion in a doctor’s office with little fuss; the story illustrates how white, middle-class and upper-class women have always had an easier time accessing safer abortion options. (As many have noted, women of colour will be disproportionately affected if Roe v. Wade is overturned.)

Below, read all eight stories, which have been edited lightly for clarity, style and length.

“My maternal grandparents married in 1934. By the time my mother was born, it was clear my grandpa was a monster. Violent and cruel, he beat my grandma with a metal lunchbox. When mom was just a few months old, he threw her against a wall. My grandmother fled.

She discovered she was pregnant again. To induce an abortion, she drank a bottle of Lysol. You can Google ‘Lysol abortion’ and see ads from that time that suggested a woman could use Lysol to ‘correct your mistake.’ The ads are quite chilling, their meaning vague and without instructions.

It took my grandma 29 hours to die in her parent’s home; they were helpless to end the agony. Living in a logging village in winter, there was no hospital or way to travel to the city.

My mother always felt responsible for her mother’s so-called ‘suicide,’ as children do. Doing genealogy research, I uncovered the full story when my mother was in her late 60s, but her life was already written and the truth brought no comfort. I sometimes think I should never have done the research. There are four generations impacted by this one attempted abortion. We can never really know how lives would be different if she had lived. But I do know my mother’s life was forged by that event, she was an orphan, hidden from her father, never knowing why she’d been abandoned.” – Chuck M., 62, from Washington state

“My mother was a 16-year-old in 1970 when she became pregnant as a result of sexual assault. She was living with my grandparents in Southern California, and abortion was not legal at that time. My grandparents were not in a position to get over the border into Mexico to have the procedure done, and they didn’t have access to a safe place to have the procedure done, either. Rather than risking my mother in a back-alley abortion, my grandmother assisted my mother in inducing a miscarriage. My grandmother had my mother sit in steaming hot baths for hours. My mother ingested medications that were considered dangerous to a fetus. They did everything short of physically harming my mother, though my mother did tell me that she was so desperate to end the pregnancy that she considered throwing herself off a high platform or down the stairs.

They managed to successfully induce a miscarriage, and my mother was taken to the local hospital to deal with the effects of the miscarriage and for a dilation and curettage. That worked, but her young body and mental health were not OK. Though my grandmother’s and mother’s intentions were to do something safer than a back-alley abortion, my mother was still at risk of potential harm from the various medications she took. And the foetus would also have been at risk for birth defects and other issues if the medications had not succeeded in a successful miscarriage. It was still dangerous.

My mother told me once that Roe was the single most important law that passed in her lifetime. That she was relieved that other women and people with a uterus would not have to suffer the same circumstances she did. If she were alive today, she would be absolutely shattered.” – Sara from New York

“My aunt Judith was just 17 in 1964 when she became pregnant after being raped on a study date at a so-called friend’s house. She was horrified to find out she was pregnant; she was on her way to college in the fall, and a baby wasn’t in her plans yet. Her doctor suggested a girls home out of town where she could stay until the baby was born and then give it up for adoption; it was her only choice since abortion was illegal.

Judith had tried all the old wives’ tales, jumping backward a dozen times at dusk and even drinking a tea that made her deathly ill just to lose the pregnancy naturally, but nothing worked. A friend of hers, Arbie, who was two years older, had been in Judith’s shoes and had taken care of her ‘dilemma’ herself.

In that summer of 1964, Judith chose to use a metal coat hanger, thinking it would be over quickly and no one would ever know. Her end result was far more than she had ever anticipated, with excessive bleeding and infection that led to a partial hysterectomy and the inability to ever carry a child. She spent nearly a month in the hospital. Her mother found out and never looked at her the same, although she did keep [Judith’s abortion attempt] from Judith’s father, knowing he would have kicked her out and pulled her college tuition. The family was hush-hush about everything, given the era everything took place.

Judith went on to graduate college top of her class to become the first female doctor of psychology in the family. From the outside looking in, her life was perfect: the house, her own office, nice car, all the material things one could ever hope to have, but she had developed a serious drinking problem and her life behind closed doors was, as she once said, ‘exactly what you’d think hell on earth would be.’

I was born in ’72, her only niece at the time, and she doted over me constantly every chance she had. I never suspected anything was ever wrong, although I did always wonder why Auntie Judy had such sad eyes; it wasn’t until puberty hit for me that she warned me of the dangers of having ‘that time’ and told me her story. She explained there were no real options in ’64 but said that because of Roe v. Wade in ’73, I would have more options than she had ever had.

Her desire to be able to carry a child, to be the mother she had always dreamed of, haunted her every waking hour and her dreams, and she was never able to get away from it. In 1984, just a week shy of her 37th birthday, my Auntie Judy hung herself in her attic; the pain and anguish had finally won the battle. Her note was a short novel, telling her story. I was only 12 and was told I wasn’t old enough to read it or understand it, but I didn’t listen. I sneaked and read it, and now I can remember every word, and her pain, longing and anger still haunt me to this very day.” – AJ, 50, from Louisiana

Jared Milrad/Canva

“Like most kids raised by a single mother, I’ve always thought of my mom, Jan, as courageous, resilient and strong. Growing up, she commuted nearly two hours each day ― every day ― to work a low-paying job as a secretary so that my brother and I could have a better future. Despite all that she went through, my mom never gave up and ensured that my brother and I could get the best education and have more opportunities than she did.

But it wasn’t until I was in my 20s that I realised how truly incredible my mom is. One day, my mom shared that she was around my age when she had two abortions. This was 1968-69, when abortion was still illegal in the U.S. and my mom was 26 or 27 years old.

My mom told me that she had her first abortion during this time while dating a much older man. The pregnancy was very unexpected, and because my mom was struggling to make ends meet and didn’t have much support at all, she made the wrenching decision to abort the pregnancy. Because abortion was illegal in the States, the man found a doctor for her in Puerto Rico and agreed to pay for the procedure, so my mom went with my grandma to have it done. They traveled to San Juan and then traveled a bit outside of the city. My mom expected the procedure to be done with anaesthesia, but – horrifyingly – it wasn’t.

‘The abortion was done by a butcher and my mother heard me screaming,’ my mom recalled. ‘I didn’t know that they weren’t going to give me anaesthesia. It lasted for only 20 or 30 minutes, but it seemed like a lifetime. When we got back to the hotel in San Juan, I was in such pain. Then, when I was back in New York City in A&P Grocery a few days later, I noticed that I was bleeding ― haemorrhaging.’

My grandma immediately called a gynaecologist and arranged to have my mom treated in the ER at Lenox Hill Hospital, where they didn’t tell the doctors that the bleeding was caused by an abortion out of fear because the procedure was still illegal. My mom was lucky to survive.” – Jared Milrad, 38

“Today, the majority of women who seek a legal abortion are already mothers. Let me share a pre-Roe horror story about my Italian, Catholic grandmother Mary, whom I never had the blessing to know.

Apparently, on her deathbed in 1943, Mary asked her sister-in-law Florence, who was childless, to take care of her only daughter, but the shameful secret had to be kept. My mom was forbidden to ask questions about her mother or her death. She learned the truth when she was in her 50s from me after years of research.

I was in my 20s when I first began to put together the pieces of a story that just didn’t make sense: a 34-year-old mother of three young children who is hemorrhaging but refuses to go to the hospital. Even the death certificate corroborates the secret. Cause of death: carcinoma of the cervix. But cervical cancer does not generally cause women to bleed to death.

Then, one day in the mid-’70s, we were talking about the Roe decision, and Florence, the woman I knew as my grandmother, let it slip that she had to lend $250 (an enormity in 1943) to one of her brothers because someone needed an abortion. I was stunned; I finally connected the dots. In a typically large Italian Catholic family, Florence had many sisters but only two brothers. One of them, it turns out, was my biological grandfather.

Grandma Mary already had three children she loved: two boys and the middle child, my mom Nancy. With an unemployed husband, a fourth child would plunge the family into poverty.

So the decision was not made lightly, but something went horribly wrong. Mary was just 34 years old and was more afraid of the law (and the judgment of the Catholic church) than she was of dying and leaving her children motherless.” – Lori Bores from New York

“Great-Grandma Selma Rosenthal (born 1878) was a career woman. Graduating from college in 1901, she was homely and smart, two things that did not make her particularly attractive to suitors of the era. Knowing this, she focused on having a successful career. She was by all accounts very funny, with a wonderful voice and an active circle of friends. She had no expectation that marriage or family were in the cards for her, and she had made peace with that idea.

That all changed when she met Sidney Rauh, a dentist from Cincinnati from a well-off family. It was the 1910s, and she was well into her 30s. Sidney was equally unattractive and clever, and a confirmed bachelor. He had no interest in marrying a girl for her looks but wanted to find someone he could love for her mind. When they met, it was love at first sight, and given their advanced ages, they decided to marry as soon as possible.

Selma quickly became pregnant, only to miscarry the first Christmas they spent together as a married couple. Two daughters quickly followed in 1916 and 1919, but Selma was terribly sick with her second pregnancy and she barely survived childbirth. Her doctor told her, in no uncertain terms, that if she was to get pregnant again and attempt to see it to term, she would die. She promised she would be careful.

A few years later, when she realised she was pregnant, she went to her doctor. The doctor advised her that she had to have an abortion. Sometime later, the doctor performed an abortion in his office, no fuss, no muss. But Selma was a well-off wife of a successful dentist with status in the community. It never occurred to her that what she was doing was illegal or in any way wrong. It was a decision between her, her doctor, and Sidney, and she did what was best for her family and health.

Selma died in 1948 at the age of 62 of a heart attack, having spent time not just with her daughters, but also with her granddaughters, who were five and three at the time of her death.

Great-Grandma was a suffragette and strived for women’s rights. Women’s rights and bodily autonomy were key issues in my family, but I suspect the story would not have been noteworthy had it not been for the fact that abortion became the issue it was later on. My mother and grandmother shared with me how hard things like birth control had been to get in their era, and my mother shared with me the fact that she got a (legal) abortion for family planning reasons. For us, it was just part of normal conversation.” – Kate, 50, from New York

Stephanie Voltolin/Canva

“I was born in the 1960s and grew up in a very conservative Catholic family. Nonetheless, my traditional housewife mother was ardently pro-choice. She even took one of my friends to get an abortion in the 1980s because my friend couldn’t tell her family she was pregnant.

Shortly after my paternal grandmother died, when I was a college freshman, my mother frankly told me during a conversation about choice, ‘Your grandmother had a back-alley abortion and almost bled to death.’

My grandmother found herself – in the early 1940s before birth control or abortion were legal – pregnant and divorced from her second husband, who turned out to be horribly abusive. She decided to leave before he began abusing her three children from her first marriage. Like most women of her day, she had no college education or career to support herself and her children. And, like most women who get abortions, she could barely support the children she had. She ended up having to go live with her parents, who were Italian immigrants.

Faced with being twice divorced and pregnant, my grandmother sought an abortion. Because they were illegal, she had to trust a back-alley ‘doctor,’ who punctured her uterus in the process. She left the procedure, collapsed in the street from the blood loss, and had to be taken to the hospital. An emergency hysterectomy saved her life.

She was an amazing mother and grandmother, and although she died almost 40 years ago, I still become emotional when I think about what a loss I would have suffered had she died from that botched abortion.

The rest of the family never knew. I am telling her story now in the same way that we disclosed our sexual trauma during the Me Too movement to educate others. Legal and safe abortion is critical to women’s reproductive rights as American citizens, and we cannot allow them to expire.” – Stephanie Voltolin

“My great-grandmother died from a botched, illegal abortion in the mid-1930s in Chicago, leaving my grandmother (2 years old) and her sister (4 years old) without a mother. When my great-grandfather remarried, his new wife already had kids of her own and didn’t want to take care of two more. My grandmother and her sister were thrown out of the house and bounced around to different aunts and uncles.

For much of my grandmother’s life, she was told that her mother died of a pregnancy complication due to an ectopic pregnancy. Later, when my grandma was a teenager, her aunt told her the truth: that her mother had died from a botched, illegal abortion.

My grandmother shared her story with me in 2012 when I was 25. We were having an early lunch. I remember she asked me if I wanted a glass of wine, which was odd for her in the middle of the day. We were talking about something else entirely and she said, ‘my mother died of a botched, illegal abortion,’ almost out of the blue, and her story just unfurled from there.

I honestly didn’t think too much about what my grandmother shared. I didn’t think her story was shocking or novel, maybe because abortion had been legal in all 50 states for my whole life. I assumed everyone else in our family knew, so I didn’t think to say anything.

A couple years later, I was catching up with my parents and one of them said, ‘Did you know Great-Grandma Sally died from a botched illegal abortion?’ That’s when I realised my grandma was nervous when she shared her mother’s cause of death with me. She was holding on to this family history and likely carrying with her the shame and stigma or the ‘don’t talk about it’ attitude of her family. It was an ‘aha’ moment for me – a real understanding that likely everyone has a family abortion story, whether they know it or not.

Now our family has a deep understanding that when abortion is legal, abortion is safe. And we know in the decades before Roe v. Wade was decided, people like my great-grandmother were desperate to receive the care they needed.” – Amy Handler, 35, from Oregon

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What Doctors Want You To Know About Abortion Right Now

Since 1973, Roe v. Wade has protected the right of all Americans to access safe and legal abortions. But a leaked document published by Politico on Monday shows that the federal protections conferred by Roe may be struck down by the US Supreme Court this summer.

If Roe falls, the legality of abortion will be determined by each state. And though a handful of states are passing legislation that will protect the right to get an abortion, many others — 26 to be exact — are expected to quickly ban or restrict abortions.

If this happens, millions of people in the US will no longer be able to access safe abortion care within their communities. They’ll have to wait longer and travel farther to access help. The impact on people’s mental and physical health – along with their finances, families and livelihoods – will be astronomical.

Despite the misinformation that swirls around the internet (and beyond), abortions are extremely safe procedures. They’re also incredible common – about one in four women will have an abortion by the time they are 45 – and, in many cases, they are life-saving.

“It is a common procedure, it is very safe, and I can’t emphasise that enough. This draft ruling is egregious, it is a basically a war against women,” Dr. Melissa Simon, a Northwestern Medicine OB/GYN, tells HuffPost.

Here’s what people get wrong about abortion

One of the most common misconceptions about abortions is that the procedure is dangerous or detrimental to one’s health.

A report from 2018 examined the safety of various methods of abortion – medication, aspiration, dilation and evacuation, and induction – and concluded that abortions are safe and effective and that complications from all types of abortions are rare.

It’s the barriers and restrictions that legislators sign to prevent patients from easily and swiftly accessing abortion that jeopardise their health. It’s well known that delaying abortion care increases the risk of complications.

Some US states require doctors to tell their patients that there’s a link between breast cancer and abortion – despite the fact that many high-quality studies have put this question to rest, according to Dr. Jennifer Kerns, an associate professor in the department of obstetrics, gynaecology and reproductive sciences at the University of California, San Francisco.

Others fear that abortions cause infertility, but research hasn’t found a link between abortions and the ability to conceive in the future. There’s also no evidence that abortions increase the risk of complications (ie. preterm birth or low birth weight delivery) in the event of a future pregnancy.

Another long-running mistruth is that abortions increase the risk of developing mental health issues. “There is a huge body of work demonstrating that abortion in and of itself does not cause mental health problems,” Kerns says, noting that people often feel relief after getting an abortion.

What we do know is that unwanted pregnancies can cause significant maternal depression and parenting stress. And those mental health issues don’t clear up with time; they are often long-lasting, afflicting the women who carried the unwanted pregnancies to term well into their 30s, 40s and 50s.

“Even in the setting of using contraception and safe-sex practices, having the option of an abortion is critical to the life and both physical and mental health of the woman.”

– Melissa Simon

Many people falsely believe pregnancy is easy to avoid, but it’s not that straightforward. Kerns sees many people, from all walks of life and phases of reproductive health, seeking an abortion. Contraception – though invaluable – is not foolproof. Birth control is not 100% effective; it can fail and lead to a pregnancy.

“Even in the setting of using contraception and safe-sex practices, having the option of an abortion is critical to the life and both physical and mental health of the woman,” Simon says.

Many anti-abortion bills have been labelled “heartbeat bills because they ban abortions at the first sign of foetal cardiac activity. This nomenclature is wildly misleading – while primordial electrical activity can be detected around six weeks of pregnancy, this does not mean a foetus has a functioning heart. The heart, valves and vessels do not form until 16-18 weeks of pregnancy.

“Just having cardiac activity does not mean the foetus, if born at that moment, would be able to survive,” Simon says.

Restricting abortion impacts people’s health and livelihoods

Evidence shows that being denied an abortion has a devastating impact on one’s physical health, mental health and overall well-being.

The Turnaway Study, conducted by scientists at the University of California, San Francisco, found that women who carry an unwanted pregnancy to term have a four times greater chance of being below the US federal poverty level.

They’re also more likely to experience serious health complications, such as eclampsia and death, and to develop mental health issues, including anxiety, depression and suicidal ideation. They’re more likely to stick with an abusive partner; their life goals tend to take a back seat, and their families’ livelihoods suffer. Many go on to experience chronic pain.

“The health and welfare of the citizens of this country suffer – we see increased illness, we see increased poverty and we see increased death,” Kerns says.

“The health and welfare of the citizens of this country suffer — we see increased illness, we see increased poverty and we see increased death.”

– Jennifer Kerns

Restricting the right to an abortion does not mean the need for an abortion disappears. A recent study predicted that banning abortion will lead to a 21% increase in pregnancy-related deaths; that jumps to 33% among Black women.

Maternal mortality rates are at an all-time high. The US already has the highest maternal death rate among developed nations — and that crisis would only get worse without access to safe abortion.

“There are some women who get pregnant who could die if they continue with the pregnancy, and, therefore, an abortion is a life-saving procedure in those circumstances,” says Simon, adding that those circumstances are not rare. Abortions, in many cases, can save the life of the mother.

Here’s what the fall of Roe could mean for health care

Kerns said the leaked document demonstrates that the court is no longer a neutral group. “It really lays bare how out of touch their rulings are with people’s lives,” Kerns said.

Much of the language used in abortion restrictions and bans – like “abortionists” – really deeply divides people and shames those who get an abortion or provide an abortion.

Simon says the potential fall of Roe reflects a crisis in women’s health care, specifically when it comes to maternal health. The end of Roe would mark a war against women and people who can get pregnant, who, for the record, comprise over 50% of the US population, she adds.

Simon is exceedingly concerned about what will happen to the growing maternal death rate if Roe falls and safe abortion care becomes harder and harder to access.

“That is what I am very worried about in this country – that we are going to go even more in the wrong direction than we already are with respect to caring for over half of our population: women,” Simon says.

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What Eastenders’ Male Breast Cancer Storyline Means To Real-Life Patients

If you’re watching EastEnders, you’ll see that Stuart Highway has been struggling with breast cancer.

Creators of the long-standing TV show wanted to shine a spotlight on male breast cancer and actor Ricky Champ, who plays Stuart, has been consulting with real-life victims to gain insight into the role.

Before the storyline kicked off, Champ met with Doug Harper, 61, from London, who was diagnosed with the condition in 2011.

Just before Christmas, Harper felt a lump on his left nipple which he presumed was a cyst and continued to ignore ‘as blokes do’, he says.

After showing the nipple to a GP, they sent him to hospital and ran tests on Harper, sadly confirming that it was cancer.

“As soon as I showed the nipple to the GP, their demeanour changed immediately and they booked an urgent appointment at the hospital for it to be checked out,” Harper tells HuffPost UK.

“Being told I had breast cancer was a scary and confusing time, not only for me, but also for my friends and family. But everyone was so supportive, some even made light hearted comments about the news to lift the gloom, something they knew I would appreciate.“

Just like Stuart on the soap, one of the reasons Harper felt confused was because he didn’t think it could be breast cancer as it’s not spoken about as much in men as women.

When the oncologist told him he had cancer he says he doesn’t remember anything else apart from asking if he was going to die – he was told hopefully that wouldn’t be the case.

Since having chemotherapy treatment, Harper has become passionate about raising awareness of the condition and informing people that it can happen to anyone, regardless of gender. He is also part of a male cancer support group that he attends monthly.

So when EastEnders came to him to ask about his experience, Harper was glad for the opportunity.

Doug has been consulting Eastenders actor Ricky Champ for the storyline

Doug Harper

Doug has been consulting Eastenders actor Ricky Champ for the storyline

He tells HuffPost: “Ricky was brilliant. While he’s been playing the part, he’s identified the problems that men with breast cancer can get, he just really embraced it. He came along to our group support meeting, and it was uplifting because we need more publicity for men with breast cancer.

“The storyline was really subtle, Stuart’s experience of first getting diagnosed was very similar to ours, being in denial, not thinking it was happening and the shock that comes with it.”

Harper mentions that the soap accurately showed how alienating the condition can be as Stuart is handed two leaflets of support for breast cancer patients – but in both, women are pictured.

Doug has set up a male group support for cancer patients
Doug has set up a male group support for cancer patients

Harper, who has since had chemotherapy, is in a band called Steve White & the Protest Family and has written a song about encouraging people to ‘check their moobs’.

He hopes more men will check themselves, saying: “Just know that men can get it. So, check your nipples, check under your arms. And if anything looks different, it could be a cyst or what looks like a cyst on your nipple, it could be a rash, an inverted nipple, or something else under your arms, if you see it, go straight to your doctor.”

He has also been working with Macmillan Cancer support. The charity’s strategic advisor for treatment, Dany Bell, who has more than 30 years’ experience working as a cancer nurse, added: “Nearly 400 men are diagnosed with breast cancer every year in the UK. But we know it’s still not something that is widely recognised or known by many people.

“Storylines like Stuart’s in TV shows like EastEnders play such a vital role in helping to raise awareness and to make more people aware of the signs of breast cancer in both men and women. Early diagnosis can improve – and even save lives – and we hope this important plot will get more men regularly check their own chests and reaching out for help, if needed.”

If you’re living with cancer and need to speak to people, about the big things and small things, you can contact Macmillan Cancer Support.

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How Alcohol Affects Your Body When You’re On A Flight

Ordering beer, wine or a cocktail while flying is a common move. For some, having an alcoholic beverage on the plane is a travel day essential to relax, take the edge off, celebrate a vacation or even to fall asleep on a long flight.

But is this really the best option? Alcohol can leave you groggy and dehydrated. When consumed in excess, it may lower inhibitions and lead to unruly behavior, which we saw a lot of when people reacted negatively to federal mask mandates.

We reached out to some experts in medicine and nutrition, and asked if alcoholic beverages were a good idea while flying. Here’s what we found out about how alcohol affects your body while you’re up in the air.

Is it a bad idea to order alcohol on a flight?

There’s no easy answer to this question, experts say. Ordering a beer or wine while flying is a personal decision that might work for one person and not for the person sitting next to them. “If a person is on edge due to flying in general — and doesn’t become more so with alcohol — sometimes having a beverage might relax them or make the process feel a little bit more pleasant or more ordinary,” said Wendy Bazilian, a registered dietitian nutritionist.

But while some may grab a drink as a celebratory kickoff for a long-awaited trip, others may experience side effects while drinking on a plane.

You may not sleep well.

It’s tempting to order a drink in hopes that it will help you fall asleep and get some much-needed rest on an overnight flight. But this isn’t necessarily the greatest idea, according to the experts we spoke to. “Even though you think it relaxes you, your sleep will be disrupted and you likely will not get into REM sleep, the type of sleep that is restorative,” said Amy Shapiro, a registered dietitian at Real Nutrition.

You may doze off after a glass of wine, but your sleep won't be as restful.

Jaromir Chalabala/EyeEm via Getty Images

You may doze off after a glass of wine, but your sleep won’t be as restful.

Drinking on a flight doesn’t promote restorative sleep but can help some people fall asleep, Bazilian points out. “If in moderation … if she or he believes it helps a little to ease into sleep, then that can be fine.”

You may become dehydrated.

Alcohol is a diuretic, which means your body will increase its output of urine. If you don’t drink additional water to make up for this fluid loss, you may quickly become dehydrated, Shapiro said.

You may become intoxicated without even realizing.

“There is usually very little food available on most flights — or it is not particularly appetizing — and it would be easy to drink too much on a relatively empty stomach,” said Dr. Karen Jubanyik, an associate professor of emergency medicine at Yale University School of Medicine. It would be very easy to drink the same amount you drink at home, but without adequate food intake, this amount might be too much, she said.

There’s also the fact that most people are pretty sedentary on a flight, rarely leaving their seat. When you do get up, you may find you’re feeling the effects of alcohol more than expected.

You could become disruptive.

We all know that drinking alcohol can lower inhibitions. This could cause an individual to become loud and disrespectful to the flight crew and fellow passengers. People with lowered inhibitions may have a harder time staying calm when annoyed by small inconveniences and actions of people nearby, like a fully reclined seat back. “If someone has lowered inhibitions, they may speak their mind or start a confrontation with another passenger over relatively small things, which can also land them in trouble,” Jubanyik said.

You may have trouble moving around the plane.

“Progressive intoxication can lead to slurred speech, trouble with coordination and trouble walking,” Jubanyik said. “Just walking to and using the bathroom or exiting the plane could be difficult.”

The good news? You can drink on a flight if you keep some recommendations in mind.

Sipping a cocktail while commuting home from a work trip or while en route to a vacation doesn’t carry a ton of benefits, but you can still enjoy a drink while flying if it’s a behavior that works for you.

“It can be helpful in relaxing you or easing anxiety in the beginning, and since many people are anxious flyers, this can help,” Shapiro said, while also pointing out that drinking too much can lead to increased anxiety and have a boomerang effect, so it is important to know your limit.

Sometimes you may just want to order a drink simply because you feel like having one (many of us regularly do so after work or on the weekends), and this is fine when done in moderation and with a few tips in mind.

Don’t drink on an empty stomach.

If you plan to drink alcohol on a flight, pack some snacks and make sure to eat a meal before boarding if you know there won’t be any in-flight food service.

“Eating food alongside alcohol can help maintain energy and steady blood sugar while your body processes the alcohol,” Bazilian said.

Stay hydrated.

The experts we spoke to recommend alternating each alcoholic drink with at least one or two glasses of water. “This will help you to remain hydrated and to feel the negative effects less,” Shapiro said. Electrolyte drinks can also help, and if you have the chance, fill up your water bottle in the airport before takeoff. Water and other nonalcoholic drinks aren’t always readily available throughout the flight, so sometimes it’s just easier to carry your own.

Don’t drink if you’re going to be renting a car upon arrival.

“It is particularly a bad idea to drink alcohol if you will be renting a car and will need to drive upon arriving at your destination,” Jubanyik said. “Even if not technically drunk, driving in an unfamiliar location will likely require additional attention and reaction time than one needs in their local environment.”

Pace yourself.

It’s easy to drink quickly on a flight or to grab another drink simply as a way to pass time. Along with staying hydrated and taking a breather between drinks, Bazilian recommends paying close attention to how much alcohol you’re consuming. “One of those little alcohol bottles on a plane is typically 1.5 or 1.7 ounces, not a 1-ounce pour, and the mini-bottles of wine may be more than a 3-ounce pour. Just be aware that one drink [on a flight] may be more than you count as one when you’re on the ground.”

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Exercising With Long Covid Is Tough. This Gentle 5-Minute Workout Can Ease You In

You’re reading Move, the nudge we need to get active, however makes us happiest and healthiest.

Re-establishing your fitness routine after having Covid can have major benefits for your physical and mental health, but it needs to be approached cautiously if you’re still experiencing long Covid symptoms.

The NHS advises those experiencing long Covid to ease themselves back into exercise slowly. “Exercise is very important for regaining your muscle strength and endurance but this needs to be safe and managed alongside other long Covid symptoms,” it says. You can read further information about exercising after Covid infection on the NHS website.

Jeannie Di Bon, founder of the Moovlite app, is a movement therapist specialising in working with people experiencing chronic fatigue and chronic pain. More recently, she’s been designing workouts for those experiencing long Covid.

“You may find that your energy levels have dropped post-Covid and you may experience fatigue and post-exertion malaise (PEM),” she explains. “With this in mind, I recommend taking it gently and slowly. We need to keep the nervous system calm to allow the body to repair and we need to start moving without causing a fatigue flare-up.

“Listen to your body and try not to push yourself to pre-Covid fitness too soon. The more you fight the impact of long Covid, the harder it may be to recover.”

Below, Di Bon has shared a gentle, five-minute workout created for those who feel ready to start moving again.

But remember, always speak to a healthcare professional about resuming physical activity if you’re experiencing chest pain or severe breathlessness, or if physical activity is worsening your long Covid symptoms.

Exercise 1: Belly breathing

Jeannie Di Bon

Start with some gentle belly breathing, allowing the lower ribs to expand. For many people, Covid causes a cough and cold so we want to start moving the lung tissue in the right way. Try to breathe quietly in through the nose and out through the nose. Lying on your back does not require strong inhales so take it very gently, allowing the breath to come to you.

Exercise 2: Arm rolls

Jeannie Di Bon

Staying supine (lying on your back) is a good way to start moving – especially as some people experience dizziness with long Covid. You may find you don’t want to be standing for too long or doing exercises that involve inversions or squats. Keep it simple. This arm roll exercise can help stretch into the thorax and open the chest.

Start with your arms by your side. Try to keep the back heavy as you move the arms above your head and gently stretch. Let your breath settle the spine into the floor and allow the tissues to relax. You can add arm circles to this for a beautiful stretch across the chest.

Exercise 3: Ankle roll

Jeannie Di Bon

To help with the dizziness that can happen, some simple leg exercises like calf pumps or ankle circles are recommended. You can do these lying on your back: hold on to one leg and try to circle to the ankle without the rest of the leg moving. Gently lower it back to the ground and repeat on the other leg.

Exercise 4: Resistance training

Jeannie Di Bon

To build leg strength further, you can add a band for resistance work that is also gentle. This is another great exercise for circulation and helps prevent dizziness. Take a band and place it around your foot with the knee bent. Focus on gentle rolling the back of the thigh along the mat until the leg straightens.

Try not to lock the knee or hang into the band. Keep the energy flowing down the leg into the band. The back stays heavy into the mat – if your back is arching, raise the leg higher. Once the leg is straight, press the balls of the feet into the band and start to point and flex the foot. This is a brilliant way to utilise the calf pump.

Exercise 5: Seated twist

Jeannie Di Bon

Jeannie Di Bon

Jeannie Di Bon

A seated twist is great to help circulation and digestion. Many people do experience stomach cramps and pain with Covid. Find a comfortable seated position and cross one leg over the other straight leg. Use your arms to guide yourself around to look over the opposite shoulder. Try to lift the spine up as you twist, rather than compress the spine. It’s also important to go gentle and not force into the twist. Stay in the position and breathe softly allowing tight muscles to release. You can then repeat on the other side.

Move celebrates exercise in all its forms, with accessible features encouraging you to add movement into your day – because it’s not just good for the body, but the mind, too. We get it: workouts can be a bit of a slog, but there are ways you can move more without dreading it. Whether you love hikes, bike rides, YouTube workouts or hula hoop routines, exercise should be something to enjoy.

HuffPost UK / Rebecca Zisser

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How To Deal With Body Image Issues When You’re On Holiday

Vacations can be tricky for those of us who struggle with body image.

Sometimes the clothes we think we’ll look hot in suddenly feel wrong. These thoughts can mess with our mood and get in the way of us enjoying time off — which is frustrating, yet hard to beat. The conversations we hear in real life and from the media about “bikini bodies,” as well as systemic fatphobia issues, such as hotels not giving out size-inclusive towels and airplanes making too-small seatbelts, exacerbate this predicament.

While you may not be able to avoid focusing on body concerns entirely, you can pack and prepare in a way that helps foster better body positivity on your trip. A few eating disorder and body image experts shared their best tips.

Start with your packing list

When you’re staring at your closet, trying to decide what to pack, go for comfort first. Think of the temperature at your vacation spot, what materials feel best on your skin, variety and pieces you know you love.

“People should pack whatever clothes they feel most comfortable in and are suitable for the climate of their vacation or types of activities that they’ll be doing,” said Rachel Evans, an eating disorder psychologist. “If you have space in your suitcase, then it’s probably a good idea to pack a range of clothes, some with a looser fit and some with a tighter fit … You can decide in the moment what clothes make you feel more secure about your body.”

Then, consider what feels fit for the occasion. “Look at styling and function,” said Carolina Mountford, an eating disorder expert with personal experience and a mental health advocate. “Do you need smart or casual? Is it an active holiday or relaxing by pools or on beaches? … Once you’ve narrowed it down to comfort and function, pick your favorites.”

And don’t forget about what feels stylish to you as far as colors, prints and styles. “Are you able to dress up in a way that feels less about the body and more about who you see yourself as?” said Kerrie Jones, a psychotherapist and founder of Orri, a specialist day treatment service for eating disorders. “Turn your attention towards the individual items themselves as opposed to how they are making your body look.”

Plan ahead for scenarios that may bring up body image issues

You can also prepare for vacation by brainstorming triggers and how to handle them.

“Whether it’s social media, a certain person or group of people in your friendship circle or an experience — perhaps changing rooms — if you’re aware of situations or activities that trigger negative body image, you can work to process and respond to them in a healthy way,” Jones said.

That may look like deleting your Instagram app while you’re away or changing clothes by yourself. Mentally preparing for the circumstances you know don’t make you feel good can help you navigate them or avoid them.

Packing a range of clothes and options will help you feel more comfortable on your trip.

Adene Sanchez via Getty Images

Packing a range of clothes and options will help you feel more comfortable on your trip.

If negative thoughts pop up on your trip, redirect your attention

While being mindful of the clothes you pack can help with body image, you may still struggle with negative thoughts popping up. No need to feel bad; it happens to many of us.

“My body is supporting me on this holiday,” Evans suggested. Is it digesting yummy new foods? Allowing you to swim in the ocean? Helping you play with your kids in the sand? “Research suggests that when we focus on what our body can do for us, rather than what it looks like, then we develop a better relationship with our body,” Evans said.

Treat yourself like you’d treat someone you love

“Speak as kindly to yourself as you would to a friend. Remind yourself that this is your holiday; you’ve worked hard for it and you deserve to enjoy every moment,” Mountford said. “Remind yourself that outward appearances are a desperately poor measure of contentment. Remind yourself that those around you love you as you are.”

She explained these thoughts can help you reset your focus and re-connect you to the present.

Think of other aspects outside of your body

Jones also recommended reminding yourself that you are so much more than a body ― both on vacation and at home. Think, “What makes me laugh? Who do I love, and who do I know loves me back? What fulfills me? What areas of my life do I want to nurture?” she said.

And when you’re worried other people are judging you, remember feelings aren’t facts. “You’ll likely see that almost everyone is too busy getting on with their vacation to be focusing on what your body looks like,” Evans assured.

Lastly, she shared her favorite quote from Zen Shin for when you catch yourself comparing: “A flower does not think of competing with the flower next to it. It just blooms.”

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Why Do We Need To Pee So Much When We’re Fasting?

Many of us fasting through the month of Ramadan can attest to the annoying feeling of needing to get up to pee through the night and generally throughout the day.

Muslims observing the holy month refrain from eating from just before the sun rises until it sets, which means packing in all the hydration before fasting commences. That can leave us needing to run to the loo a lot more, of course.

But many Muslims will also notice frequent urinating through the fasting day too, despite not actually drinking anything.

So why do we need to pee so much? Surely what goes in has already come out by a certain point?

Well, just because you’re not drinking doesn’t mean the bladder’s job is done.

Dr Gareth Nye, an ambassador for the Society of Endocrinology, tells HuffPost: “So the bladder is actually the ‘waiting room’ of our urinary tract where urine is stored before we go to the toilet. To look at changes in urine output or how much we do/don’t wee, we need to take a step back and look at the kidneys.

“The kidneys are involved in filtering our blood. It takes toxins and waste products and keeps the useful products the body needs to keep. One of the main filtered products is water which can be let go or kept in different amounts based on our body’s needs.”

So, on average, water makes up about 60-70% of the human body, largely depending on your age. Our bodies lose water through our urine, sweat, faeces and breath, so we have to continually replace this by drinking and eating (around a third of the water we consume comes from our food). If we don’t do this, our bodies can become dehydrated.

But we’re dehydrated, which means less pee right? Not necessarily.

Dr Nye explains that the bladder still needs to flush to out toxins, even when you’re dehydrated, thus creating more urine.

You might even notice a different colour in your pee when you fast.

Dr Nye adds: “The first stage of dehydration is thirst, which kicks in when 2% of body weight is lost. The signals that tell our brain we are thirsty also act on the kidneys to send less water to your bladder, keeping the water within the body and darkening your urine. You do need to flush out the toxins and so your body still produces urine even if you are dehydrated.”

You might notice other changes too in your urine while fasting.

“The key thing is, our bodies can go quite a long time without drinking and show no change in our urine output. Regularly when we sleep we can go eight-10 hours without taking any fluid on board and when you do drink/eat your body will replenish. You may notice changes in concentration as you go through the day as the amount of available water drops.”

So when iftar comes round, don’t forget to drink up (though you will feel the effects of it later).

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