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As you travel, pause and take a look at airport chapels

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/wendy-cadge-343734">Wendy Cadge</a>, <a href="https://theconversation.com/institutions/brandeis-university-1308">Brandeis University</a></em></p> <p>Flying home? It is very likely there is a chapel or meditation room tucked away somewhere in one of the airports you’ll pass through. <a href="http://www.pewresearch.org/fact-tank/2015/07/06/most-of-the-busiest-u-s-airports-have-dedicated-chapels/">Sixteen of the country’s 20 largest airports</a> have chapels, as do many more around the world.</p> <p>I am a <a href="http://www.wendycadge.com/">sociologist</a> of contemporary American religion and have written <a href="http://www.wendycadge.com/publications/airport-chapels-and-chaplains/">two recent articles</a> about airport chaplains and chapels. My interest in airport chapels started as simple curiosity – why do airports have chapels and who uses them? After visiting a few – including the chapel at Logan, my home airport here in Boston – I have concluded that they reflect broader changing norms around American religion.</p> <h2>How airports came to have chapels</h2> <p>The country’s first airport chapels were intended for staff rather than passengers and were established by Catholic leaders in the 1950s and 1960s to make sure their parishioners could attend mass.</p> <p>The first one in the U.S., Our Lady of the Airways, was built by Boston Archbishop Richard J. Cushing at Logan airport in 1951 and it was explicitly meant for people working at the <a href="https://doi.org/10.1093/socrel/srx025">airport</a>. A neon light pointed to the chapel and souvenir cards handed out at the dedication read, “We fly to thy patronage, O Holy Mother of God; despise not our petitions in our necessities, but deliver us away from all dangers, O glorious and blessed virgin.”</p> <p>Our Lady of the Airways inspired the building of the country’s second airport chapel, Our Lady of the Skies at what was then Idlewild – and is today John F. Kennedy airport in New York City.</p> <p>Protestant chapels came later. The first was in New York – again at JFK. It was designed in the shape of a Latin cross and was joined by a Jewish synagogue in the 1960s. These chapels were located at a distance from the terminals: Passengers wishing to visit them had to go outside. They were <a href="https://books.google.com/books/about/Exploring_Interfaith_Space.html?id=on5YNwAACAA">later razed</a> and rebuilt in different area of JFK.</p> <p>In the 1970s and 1980s, Protestant chapels opened in Atlanta, and in several terminals of the Dallas airport in Texas.</p> <h2>Becoming more inclusive</h2> <p>By the 1990s and 2000s, single faith chapels had become a <a href="http://www.tciarchive.org/4534.article">“dying breed.”</a> Most started to welcome people from all religions. And many were transformed into spaces for reflection, or meditation for weary travelers.</p> <p>The chapel at San Francisco International Airport, for example, known as the <a href="https://www.flysfo.com/content/berman-reflection-room-0">Berman Reflection Room</a> for Jewish philanthropist Henry Berman who was a former president of the San Francisco Airport Commission, looks like a quiet waiting room filled with plants and lines of connected chairs. A small enclosed space without any religious symbols or obvious connections to things religious or spiritual is available for services.</p> <p>The scene at the <a href="http://www.atlchapel.org/">Atlanta</a> airport chapel is similar, with only a few chairs and clear glass entrances, to provide space for quiet reflection.</p> <p>Some airports, such as JFK, continue with their “Our Lady” names, indicating their faith-based origins.</p> <p>Others include religious symbols and objects from a range of religious traditions. The chapel in <a href="https://cltairportchapel.org/">Charlotte</a>, North Carolina, for example, has multiple religious texts alongside prayer rugs, rosary beads and artistically rendered quotes from the world’s major religions.</p> <p>Pamphlets on topics ranging from grief to forgiveness are available for visitors to take with them at the Charlotte airport.</p> <h2>Different airports, different rules</h2> <p>As these examples show, <a href="https://doi.org/10.1093/socrel/srx025">no two airports</a> have negotiated chapel space in the same way. What is permissible in one city is often not in another. Often, it is local, historical and demographic factors, including the religious composition of the region, that influence decisions. These could even be based on who started the chapel, or how much interreligious cooperation there is in a city.</p> <p>Certain airports such as Chicago’s <a href="http://www.airportchapels.org/">O'Hare</a> have strict rules regarding impromptu religious gatherings whether inside the chapel or out. Some use their public address systems to announce religious services. Others prohibit such announcements and do not even allow airport chaplains to put out any signs that could indicate a religious space.</p> <p>If they are included in airport maps, chapels tend to be designated by the symbol of a person bent in prayer. But even then, they can be difficult to spot. About half of the existing chapels are on the pre-security side of the airport and the other half accessible only after passengers pass through security.</p> <p><a href="https://doi.org/10.1093/socrel/srx025">Only four large American airports</a> – Las Vegas, Los Angeles, Philadelphia and New York’s LaGuardia – do not have chapel spaces, although opening such a space is under consideration. In the interim, at LaGuardia, a Catholic chaplain holds mass in a conference room.</p> <h2>What’s the future?</h2> <p>The reasons for these spaces and their variations are idiosyncratic and intensely local. These chapels reveal a range of approaches to contemporary American religion and spirituality.</p> <p>So on your travels, keep an eye out for these chapels. Note their similarities and differences and recognize how important local histories are to how church-state issues are resolved – at airports and beyond.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/87578/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/wendy-cadge-343734">Wendy Cadge</a>, Professor of Sociology and Women's, Gender and Sexuality Studies, <a href="https://theconversation.com/institutions/brandeis-university-1308">Brandeis University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/as-you-travel-pause-and-take-a-look-at-airport-chapels-87578">original article</a>.</em></p> </div>

Travel Tips

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Love is in the air! Pilot proposes to flight attendant girlfriend before take off

<p>A pilot has proposed to his flight attendant girlfriend just minutes before take off in a heart-warming display of love. </p> <p>Polish pilot Konrad Hanc was captured emerging from the cockpit before embarking on a flight to Kraków to make a surprising announcement over the PA system. </p> <p>Hanc introduced himself to the passengers before explaining the real reason for his message. </p> <p>“On today’s flight there is a very special person," he began.</p> <p>“Ladies and gentlemen, about one and a half years ago in this job I met the most wonderful person that completely changed my life."</p> <p>“You are most precious to me. You are my greatest dream come true. This is why I have to ask you a favour, honey."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C6EHHyQskLc/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C6EHHyQskLc/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by LOT Polish Airlines (@flylot)</a></p> </div> </blockquote> <p>“Will you marry me?” he asked while getting down on one knee, as another flight attendant handed him a bouquet of flowers. </p> <p>His girlfriend, Paula, sprinted up the aisle of the plane before leaping into the arms of her future husband. </p> <p>Passengers watched on in anticipation for her answer with one yelling, “Did she say yes?” to which the beaming captain responded: “She said yes!”</p> <p>Hanc explained that he chose to pop the question on the flight to the Polish city as he met Paula on the same flight just 18 months ago. </p> <p>As the pair embraced in a hug and kiss, passengers erupted in applause, with many taking to the now viral Facebook post to send them well wishes. </p> <p>“I love this! Sweet couple!” one person wrote.</p> <p>”TOTALLYYYYY LOVE IN THE AIR,” another enthusiastic person commented, to which the airline responded: “YES, love IS in the air!”</p> <p><em>Image credits: LOT Polish Airlines</em></p>

Relationships

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Insider spills on Robert Irwin's plans for I'm a Celeb

<p>Robert Irwin received rave reviews for his co-hosting skills alongside Julia Morris on this year's<em> I'm a Celebrity...Get Me Out of Here</em>, but an insider has claimed that he won't be returning for another season.  </p> <p>"His easygoing and faultless live TV skills have won over the nation. But his career at Ten will only be short-lived, and he is heading back to Seven," a source told <em>Woman's Day</em>. </p> <p>The negotiation is believed to have been orchestrated by the ultimate "mumager" Terri Irwin. </p> <p>"The Irwins are very smart when it comes to negotiations," the insider added. </p> <p>The source also claimed that Robert's decision to join<em> I'm a Celebrity</em> was seen as a one-off opportunity to elevate his television profile - which he has achieved after bringing fresh energy into the show. </p> <p>Channel Seven is reportedly keen to welcome Robert back with a massive deal, according to the source. </p> <p>"Seven want Robert back and have thrown a king's ransom at him," they said.</p> <p>If the deal goes through, Julia Morris will have to find a new partner to head to the jungle with. </p> <p>Many fans have praised Robert for bringing some fun into the jungle. </p> <p>"I have not ever been keen on watching this show but Robert you have brought some class and good honest fun to the jungle. Thank you," one fan wrote under a clip of the show's grand finale that Robert posted on his Instagram. </p> <p>"How awesome was Robert? This gig was like it was made for him. What a natural," another added. </p> <p>"Best year of I'm a Celebrity, and it was because you added something to the show as Co-Host. Brilliant job for somebody with no experience but with a lot to give," commented a third. </p> <p><em>Images: Instagram</em></p>

TV

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"I'm shocked": Queen of the jungle crowned in I'm a Celeb finale

<p>The 2024 season of <em>I’m A Celebrity … Get Me Out Of Here!</em> has concluded with the coronation of a new monarch. No, it’s not some royal lineage we’re talking about; it’s the queen of reality TV herself, Skye Wheatley.</p> <p>After weeks of enduring the culinary horrors of the jungle and the occasional emotional breakdown, Australia has spoken and Skye is officially their jungle royalty. Her reign over the camp was nothing short of spectacular, featuring riveting moments such as her triumph over creepy crawlies, her dramatic monologues about missing Wi-Fi, and of course, her unforgettable friendship with that one tree that seemed oddly supportive.</p> <p>In an “incredibly close” result that had us all on the edge of our seats (or couches, let’s be real), Skye managed to outshine her fellow campmates and secure the coveted title of Jungle Queen. But it wasn’t just about the glory; it was about the charity, too. Skye walked away with $100,000 for Bully Zero, proving once and for all that you can battle both bullies and bugs and emerge victorious.</p> <p>In her post-victory interview, Skye expressed her shock at the win, saying, “I’m shocked.” Truly, her eloquence knows no bounds. “I feel absolutely blessed to have had this opportunity, and to go through the things I went through with these boys.”</p> <p>But behind those eloquent words lies the heart of a true champion, one who faced her fears head-on and emerged triumphant, all while looking fabulous in a khaki jumpsuit.</p> <p>Before her jungle adventure, Skye confessed that she thought the public expected her to “fall flat on my face”. Well, Skye, the joke’s on them because you soared like a majestic eagle, or at least like a slightly disoriented possum.</p> <p>And let’s not forget the emotional rollercoaster that was the finale. Tears flowed like the Brisbane River as the top three reunited with their loved ones. It was a moment of pure emotion, a stark contrast to the usual scenes of celebrities eating bugs for our entertainment.</p> <p>As we bid farewell to another season of jungle shenanigans, we can’t help but reflect on the memories created, the friendships forged, and the questionable food choices made. Here’s to Skye Wheatley, the queen of our hearts and the jungle alike. Long may she reign, or at least until the next season starts.</p> <p>And to all the celebrities who braved the jungle, whether voluntarily or not, we salute you. May your next adventure be slightly less bug-infested and involve significantly more room service.</p> <p>New host Robert Irwin had the last word to longtime host Julia Morris: “From the bottom of my heart, I have loved this so much," he said. "It’s been so much fun.” </p> <p><em>Images: Network Ten</em></p>

TV

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What happens when I stop taking a drug like Ozempic or Mounjaro?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/natasha-yates-1213624">Natasha Yates</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>Drugs like Ozempic are very <a href="https://dom-pubs.pericles-prod.literatumonline.com/doi/10.1111/dom.12932">effective</a> at helping most people who take them lose weight. Semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro) are the most well known in the class of drugs that mimic hormones to reduce feelings of hunger.</p> <p>But does weight come back when you stop using it?</p> <p>The short answer is yes. Stopping <a href="https://jamanetwork.com/journals/jama/fullarticle/2812936">tirzepatide</a> and <a href="https://doi.org/10.1111/dom.14725">semaglutide</a> will result in weight regain in most people.</p> <p>So are these medications simply another (expensive) form of yo-yo dieting? Let’s look at what the evidence shows so far.</p> <h2>It’s a long-term treatment, not a short course</h2> <p>If you have a bacterial infection, antibiotics will help your body fight off the germs causing your illness. You take the full course of medication, and the infection is gone.</p> <p>For obesity, taking tirzepatide or semaglutide can help your body get rid of fat. However it doesn’t fix the reasons you gained weight in the first place because obesity is a chronic, complex condition. When you stop the medications, the weight returns.</p> <p>Perhaps a more useful comparison is with high blood pressure, also known as hypertension. Treatment for hypertension is lifelong. It’s the same with obesity. Medications work, but only while you are taking them. (Though obesity is more complicated than hypertension, as many different factors both cause and perpetuate it.)</p> <p>Therefore, several concurrent approaches are needed; taking medication can be an important part of effective management but on its own, it’s often insufficient. And in an unwanted knock-on effect, stopping medication can undermine other strategies to lose weight, like eating less.</p> <h2>Why do people stop?</h2> <p>Research trials show anywhere from <a href="https://asean-endocrinejournal.org/index.php/JAFES/article/view/1771">6%</a> to <a href="https://pubmed.ncbi.nlm.nih.gov/35015037/">13.5%</a> of participants stop taking these drugs, primarily because of <a href="https://www.health.harvard.edu/staying-healthy/glp-1-diabetes-and-weight-loss-drug-side-effects-ozempic-face-and-more">side effects</a>.</p> <p>But these studies don’t account for those forced to stop because of cost or <a href="https://www.tga.gov.au/safety/shortages/information-about-major-medicine-shortages/about-ozempic-semaglutide-shortage-2022-and-2023">widespread supply issues</a>. We don’t know how many people have needed to stop this medication over the past few years for these reasons.</p> <p>Understanding what stopping does to the body is therefore important.</p> <h2>So what happens when you stop?</h2> <p>When you stop using tirzepatide or semaglutide, it takes several days (or even a couple of weeks) to <a href="https://pubmed.ncbi.nlm.nih.gov/30565096/">move out of your system</a>. As it does, a number of things happen:</p> <ul> <li>you start feeling hungry again, because both <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119845/">your brain and your gut</a> no longer have the medication working to make you feel full</li> </ul> <ul> <li> <p>blood sugars increase, because the medication is no longer acting on the pancreas to help control this. If you have diabetes as well as obesity you may need to take other medications to keep these in an acceptable range. Whether you have diabetes or not, you may need to eat foods with a <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/carbohydrates-and-the-glycaemic-index">low glycemic index</a> to stabilise your blood sugars</p> </li> <li> <p>over the longer term, most people experience a return to their <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092593/">previous blood pressure and cholesterol levels</a>, as the weight comes back</p> </li> <li> <p>weight regain will mostly be in the form of fat, because it will be gained faster than skeletal muscle.</p> </li> </ul> <p>While you were on the medication, you will have lost <a href="https://academic.oup.com/jes/article/5/Supplement_1/A16/6240360">proportionally less skeletal muscle than fat</a>, muscle loss is inevitable when you lose weight, no matter whether you use medications or not. The problem is, when you stop the medication, your body preferentially puts on fat.</p> <h2>Is stopping and starting the medications a problem?</h2> <p>People whose weight fluctuates with tirzepatide or semaglutide may experience some of the downsides of <a href="https://pubmed.ncbi.nlm.nih.gov/21829159/">yo-yo dieting</a>.</p> <p>When you keep going on and off diets, it’s like a rollercoaster ride for your body. Each time you regain weight, your body has to <a href="https://www.jomes.org/journal/view.html?doi=10.7570/jomes.2017.26.4.237">deal with</a> spikes in blood pressure, heart rate, and how your body handles sugars and fats. This can <a href="https://cardiab.biomedcentral.com/articles/10.1186/s12933-022-01735-x">stress</a> your heart and overall cardiovascular system, as it has to respond to greater fluctuations than usual.</p> <p>Interestingly, the risk to the body from weight fluctuations is greater for people who are <a href="https://jech.bmj.com/content/74/8/662">not obese</a>. This should be a caution to those who are not obese but still using tirzepatide or semaglutide to try to lose unwanted weight.</p> <h2>How can you avoid gaining weight when you stop?</h2> <p>Fear of regaining weight when stopping these medications is valid, and needs to be addressed directly. As obesity has many causes and perpetuating factors, many evidence-based approaches are needed to reduce weight regain. This might include:</p> <ul> <li> <p>getting quality <a href="https://www.hindawi.com/journals/ije/2010/270832/">sleep</a></p> </li> <li> <p>exercising in a way that builds and maintains muscle. While on the medication, you will <a href="https://pubmed.ncbi.nlm.nih.gov/32628589/">likely have lost muscle</a> as well as fat, although this is not inevitable, especially if you <a href="https://www.europeanreview.org/article/34169">exercise regularly</a> while taking it</p> </li> </ul> <ul> <li> <p>addressing emotional and cultural aspects of life that contribute to over-eating and/or eating unhealthy foods, and how you view your body. Stigma and shame around body shape and size is not cured by taking this medication. Even if you have a healthy relationship with food, we live in a culture that is <a href="https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2009.159491">fat-phobic and discriminates</a> against people in larger bodies</p> </li> <li> <p>eating in a healthy way, hopefully continuing with habits that were formed while on the medication. Eating meals that have high nutrition and fibre, for example, and lower overall portion sizes.</p> </li> </ul> <p>Many people will stop taking tirzepatide or semaglutide at some point, given it is expensive and in short supply. When you do, it is important to understand what will happen and what you can do to help avoid the consequences. Regular reviews with your GP are also important.</p> <hr /> <p><em>Read the other articles in The Conversation’s <a href="https://theconversation.com/au/topics/ozempic-series-154673">Ozempic series</a> here.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/224972/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/natasha-yates-1213624">Natasha Yates</a>, General Practitioner, PhD Candidate, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-when-i-stop-taking-a-drug-like-ozempic-or-mounjaro-224972">original article</a>.</em></p> </div>

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"What has to happen?" Kyle Sandilands' controversial take after knife attacks

<p>Kyle Sandilands has shared his controversial opinion on arming security guards in the wake of two violent stabbing attacks in Sydney. </p> <p>On Saturday, six people were killed at the hands of Joel Cauchi who went on a stabbing rampage through Bondi Junction Westfield, while on Monday night, a teenage boy stabbed a bishop and a priest during a church service in western Sydney. </p> <p>One of Joel Cauchi's victims was Faraz Tahir, a security guard at the shopping centre, while another guard was injured during the rampage. </p> <p>In the days after the eastern suburbs tragedy, Kyle, who has a <a href="https://oversixty.com.au/health/caring/kyle-sandilands-family-member-among-first-victims-stabbed-in-bondi" target="_blank" rel="noopener">connection</a> to one of the people injured during Cauchi's attack, launched into a tirade live on-air, calling for security guards to be given firearms. </p> <p>"I saw the [NSW] premier [Chris Minns] last night on TV saying firearms for security guards are not on the agenda. And I was like, 'Well, what has to happen before a security guard can actually secure the place for us?'" Sandilands raged. </p> <p>"Every shopping centre and every school should have armed security guards, trained specialists, not just some guy getting a little firearms licence. I mean, proper trained."</p> <p>Most retail security staff in NSW are unarmed, with batons classified as prohibited weapons that require special licensing and training. </p> <p>"There's people that work at Westfield, for example, women that work in shops that have told their husbands, 'I ain't never going back to Westfield. I'm never going back to work again'," Sandilands continued, adding that those retail workers are "traumatised forever" following Saturday's stabbings. </p> <p>Sandilands' opinions have been echoed by fellow controversial broadcaster Ray Hadley, who on Monday demanded on his 2GB Sydney radio show that security guards be armed across the state.</p> <p>"For years I've been arguing that all security guards in the state in hospitals and shopping centres should be better equipped," he said. </p> <p>"And these poor security guards, unarmed, unable to do what they should do - protecting the people that they are there to protect."</p> <p><em>Image credits: KIISFM</em></p>

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No, taking drugs like Ozempic isn’t ‘cheating’ at weight loss or the ‘easy way out’

<p><em><a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Obesity medication that is effective has been a long time coming. Enter semaglutide (sold as Ozempic and Wegovy), which is helping people improve weight-related health, including <a href="https://pubmed.ncbi.nlm.nih.gov/37952131/">lowering the risk</a> of a having a heart attack or stroke, while also silencing “<a href="https://theconversation.com/some-ozempic-users-say-it-silences-food-noise-but-there-are-drug-free-ways-to-stop-thinking-about-food-so-much-208467">food noise</a>”.</p> <p>As demand for semaglutide increases, so are <a href="https://www.smh.com.au/lifestyle/health-and-wellness/in-a-fat-phobic-world-ozempic-is-hardly-the-easy-way-out-20240401-p5fgjd.html">claims</a> that taking it is “cheating” at weight loss or the “easy way out”.</p> <p>We don’t tell people who need statin medication to treat high cholesterol or drugs to manage high blood pressure they’re cheating or taking the easy way out.</p> <p>Nor should we shame people taking semaglutide. It’s a drug used to treat diabetes and obesity which needs to be taken long term and comes with risks and side effects, as well as benefits. When prescribed for obesity, it’s given alongside advice about diet and exercise.</p> <h2>How does it work?</h2> <p>Semaglutide is a <a href="https://en.wikipedia.org/wiki/GLP-1_receptor_agonist">glucagon-like peptide-1</a> receptor agonist (GLP-1RA). This means it makes your body’s own glucagon-like peptide-1 hormone, called <a href="https://en.wikipedia.org/wiki/Glucagon-like_peptide-1">GLP-1</a> for short, work better.</p> <p>GLP-1 gets secreted by cells in your gut when it <a href="https://pubmed.ncbi.nlm.nih.gov/38218319/">detects increased nutrient levels</a> after eating. This stimulates insulin production, which lowers blood sugars.</p> <p>GLP-1 also slows gastric emptying, which makes you feel full, and reduces hunger and feelings of reward after eating.</p> <p><iframe id="tc-infographic-1031" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/1031/c11b606581d4bc58a71f066492d7f740b52c04e1/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <p>GLP-1 receptor agonist (GLP-1RA) medications like Ozempic help the body’s own GLP-1 work better by mimicking and extending its action.</p> <p>Some studies have found less GLP-1 gets released after meals in <a href="https://pubmed.ncbi.nlm.nih.gov/38218319/">adults with obesity or type 2 diabetes mellitus</a> compared to adults with normal glucose tolerance. So having less GLP-1 circulating in your blood means you don’t feel as full after eating and get hungry again sooner compared to people who produce more.</p> <p>GLP-1 has a very short half-life of about <a href="https://pubmed.ncbi.nlm.nih.gov/28443255/">two minutes</a>. So GLP-1RA medications were designed to have a very long half-life of about <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">seven days</a>. That’s why semaglutide is given as a weekly injection.</p> <h2>What can users expect? What does the research say?</h2> <p>Higher doses of semaglutide are prescribed to treat obesity compared to type 2 diabetes management (up to 2.4mg versus 2.0mg weekly).</p> <p>A large group of <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">randomised controlled trials</a>, called STEP trials, all tested weekly 2.4mg semaglutide injections versus different interventions or placebo drugs.</p> <p>Trials lasting 1.3–2 years consistently found weekly 2.4 mg semaglutide injections <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">led to 6–12% greater weight loss</a> compared to placebo or alternative interventions. The average weight change depended on how long medication treatment lasted and length of follow-up.</p> <p>Weight reduction due to semaglutide also leads to a <a href="https://pubmed.ncbi.nlm.nih.gov/36769420/">reduction in systolic and diastolic blood pressure</a> of about 4.8 mmHg and 2.5 mmHg respectively, a reduction in <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/triglycerides">triglyceride levels</a> (a type of blood fat) and <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">improved physical function</a>.</p> <p>Another recent trial in adults with pre-existing heart disease and obesity, but without type 2 diabetes, found adults receiving weekly 2.4mg semaglutide injections had a <a href="https://pubmed.ncbi.nlm.nih.gov/37952131/">20% lower risk</a> of specific cardiovascular events, including having a non-fatal heart attack, a stroke or dying from cardiovascular disease, after three years follow-up.</p> <h2>Who is eligible for semaglutide?</h2> <p>Australia’s regulator, the Therapeutic Goods Administration (TGA), has <a href="https://www.tga.gov.au/safety/shortages/information-about-major-medicine-shortages/about-ozempic-semaglutide-shortage-2022-and-2023">approved</a> semaglutide, sold as Ozempic, for treating type 2 diabetes.</p> <p>However, due to shortages, the TGA had advised doctors not to start new Ozempic prescriptions for “off-label use” such as obesity treatment and the Pharmaceutical Benefits Scheme doesn’t currently subsidise off-label use.</p> <p>The TGA has <a href="https://www.tga.gov.au/resources/prescription-medicines-registrations/wegovy-novo-nordisk-pharmaceuticals-pty-ltd">approved Wegovy to treat obesity</a> but it’s not currently available in Australia.</p> <p>When it’s available, doctors will be able to prescribe <a href="https://pubmed.ncbi.nlm.nih.gov/36934408/">semaglutide to treat obesity</a> in conjunction with lifestyle interventions (including diet, physical activity and psychological support) in adults with obesity (a BMI of 30 or above) or those with a BMI of 27 or above who also have weight-related medical complications.</p> <h2>What else do you need to do during Ozempic treatment?</h2> <p>Checking details of the <a href="https://pubmed.ncbi.nlm.nih.gov/36691309/">STEP trial intervention components</a>, it’s clear participants invested a lot of time and effort. In addition to taking medication, people had brief lifestyle counselling sessions with dietitians or other health professionals every four weeks as a minimum in most trials.</p> <p>Support sessions were designed to help people stick with consuming 2,000 kilojoules (500 calories) less daily compared to their energy needs, and performing 150 minutes of <a href="https://www.healthdirect.gov.au/tips-for-getting-active">moderate-to-vigorous physical activity</a>, like brisk walking, dancing and gardening each week.</p> <p>STEP trials varied in other components, with follow-up time periods varying from 68 to 104 weeks. The aim of these trials was to show the effect of adding the medication on top of other lifestyle counselling.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">review of obesity medication trials</a> found people reported they needed less <a href="https://pubmed.ncbi.nlm.nih.gov/28652832/">cognitive behaviour training</a> to help them stick with the reduced energy intake. This is one aspect where drug treatment may make adherence a little easier. Not feeling as hungry and having environmental food cues “switched off” may mean less support is required for goal-setting, self-monitoring food intake and <a href="https://theconversation.com/9-ways-wont-power-is-better-than-willpower-for-resisting-temptation-and-helping-you-eat-better-71267">avoiding things that trigger eating</a>.</p> <h2>But what are the side effects?</h2> <p>Semaglutide’s side-effects <a href="https://pubmed.ncbi.nlm.nih.gov/38041774/">include</a> nausea, diarrhoea, vomiting, constipation, indigestion and abdominal pain.</p> <p>In one study these <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">led to</a> discontinuation of medication in 6% of people, but interestingly also in 3% of people taking placebos.</p> <p>More severe side-effects included gallbladder disease, acute pancreatitis, hypoglycaemia, acute kidney disease and injection site reactions.</p> <p>To reduce risk or severity of side-effects, <a href="https://pubmed.ncbi.nlm.nih.gov/36934408/">medication doses are increased very slowly</a> over months. Once the full dose and response are achieved, research indicates you need to take it long term.</p> <p>Given this long-term commitment, and associated <a href="https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/out-of-pocket-costs#:%7E:text=An%20out%20of%20pocket%20cost,called%20gap%20or%20patient%20payments">high out-of-pocket cost of medication</a>, when it comes to taking semaglutide to treat obesity, there is no way it can be considered “cheating”.</p> <hr /> <p><em>Read the other articles in The Conversation’s <a href="https://theconversation.com/au/topics/ozempic-series-154673">Ozempic series</a> here.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219116/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/clare-collins-7316"><em>Clare Collins</em></a><em>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image credits: </em><em>Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/no-taking-drugs-like-ozempic-isnt-cheating-at-weight-loss-or-the-easy-way-out-219116">original article</a>.</em></p>

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94-year-old grandma takes on huge travel challenge

<p>"Grandma Joy" Ryan was 91 when she first got her passport, and she hasn't stopped travelling since. </p> <p>Now aged 94, she is embarking on a new global challenge with her grandson Brad Ryan, 42, with the intergenerational duo planning to travel to all seven continents in the world together. </p> <p>"I don't have many years left, [so] you hop to it," Grandma Joy told <em>CNN Travel</em>. </p> <p> "If you slow down, you don't get anything done."</p> <p>The pair, who are from the US, have already travelled to three continents, visiting Banff National Park in Canada last year to "represent North America well beyond just our own country", and Africa in 2023, visiting both Amboseli National Park and Maasai Mara National Reserve in Kenya. </p> <p>Their most recent trip was to South America, where they travelled to Ecuador, and spent time in  the Galapagos Islands, as well as Chile. </p> <p>"It was amazing to see those huge tortoises," Grandma Joy recalled. "They could raise their shells up just like a convertible or something."</p> <p>Prior to travelling the world together, the grandma-grandson duo were actually estranged for around a decade due to a family rift that occurred after Ryan's parents divorced. </p> <p>After reconnecting in 2010, Ryan was telling his grandma about his previous hiking adventures on the Appalachian Trail and Mount Kilimanjaro, when he learnt that his grandmother "had never set eyes on a mountain."</p> <p>"That was one of her lifelong regrets," he said. </p> <p>"Her travel had been limited to just a few road trips to Florida with my grandfather when he was alive.</p> <p>"Her view of the world was always what she saw on the Travel Channel or just on the news."</p> <p>That conversation stuck with him and the pair embarked on their first journey together in 2015, when Ryan decided to take a weekend road trip to the Great Smoky Mountains National Park. </p> <p>"At 85, she saw her first mountain, climbed her first mountain and went camping for the first time and fell off the air mattress a couple of times and didn't complain," he said. </p> <p>He added, that having to move more slowly as he was travelling with his grandma, meant that he was able to appreciate everything in a more meaningful way. </p> <p>"I wasn't rushing through the places that I was visiting. I was really taking the time to appreciate smaller details.</p> <p>"The lens through which she is seeing the world is very different to most people my age. She doesn't visit a place thinking, 'Well, I'll be back again,' so there's more presence."</p> <p>They kept the adventure going and decided to travel to the 62 other US National Parks, and while it took them almost eight years with two-month long breaks between each trip, Grandma Joy made history last year. </p> <p>She became the oldest person to visit all 63 National Parks in the US. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CsU_w4-rqyP/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CsU_w4-rqyP/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Grandma Joy’s Road Trip — Brad and Joy Ryan (@grandmajoysroadtrip)</a></p> </div> </blockquote> <p>"Being an old person sitting on the porch, this makes you feel like, 'Well maybe I did accomplish something.' So I enjoyed every bit of it," she said. </p> <p>Ryan himself is very proud of his grandmother's achievement, and after going viral with their national parks quest in 2023, he said that travelling with her has been a life-changing experience. </p> <p>"She shattered my preconceived notions about what it means to be an older person,"  he said. </p> <p>"Because she wasn't just sitting in the passenger seat looking out the window, although we did that too."</p> <p>He then described how Grandma Joy went ziplining at New River Gorge National Park and Preserve in West Virginia and whitewater rafting at Wrangell St. Elias National Park in Alaska at the age of 91, and how she reminded him of all the possibilities that come with getting older. </p> <p>"I think we all have this sort of innate dread about getting older," he said. </p> <p>"And we think about the limitations instead of the possibilities. She [Grandma Joy] reminds us of the possibilities that still exist."</p> <p>While the pair are currently "still recovering" from their latest trip to South America, they shared their plan to visit Australia later this year, and hope to  "hop over to Asia" after. </p> <p>Once they've ticked off Australia and Asia off their list, they plan to visit Europe and hope to end their trip in Antarctica. </p> <p>"Antarctica is the one that's like the wildcard," Ryan said. "We would love that, but getting there is challenging.</p> <p>"I'd like to end big, and I think Antarctica would be the cherry on top of this adventure."</p> <p>The duo document all their adventures on their Instagram account, <a href="https://www.instagram.com/grandmajoysroadtrip/" target="_blank" rel="noopener">grandmajoysroadtrip</a> and despite people wondering when they would wrap it up, Grandma Joy's "willing spirit" keeps her going. </p> <p>"I just take one step at a time, one day at a time, and thank the Lord every morning for giving me one more day," she said. </p> <p>"I try to be an optimist. The glass is half full, not half empty. And the people that you meet along the way lift your spirits.</p> <p>"You see people in worse shape than you, and I just think 'I've got a lot to be thankful for.'</p> <p>"Not everybody's lucky enough to have a grandson that's willing to drag them around."</p> <p><em>Images: Instagram</em></p> <p> </p>

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Considering taking a weight-loss drug like Ozempic? Here are some potential risks and benefits

<p><a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <em><a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, <em><a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a></em></p> <p>After weight-loss drugs like Ozempic exploded onto the market, celebrities and social media influencers were quick to spruik their benefits, leading to their rapid rise in use. In the last three months of 2022, clinicians in the United States alone wrote <a href="https://www.washingtonpost.com/business/2023/09/27/ozempic-prescriptions-data-analysis/">more than nine million prescriptions</a> for these drugs.</p> <p>As they’ve grown in popularity, we’ve also heard more about the potential side effects – from common gastrointestinal discomforts, to more serious mental health concerns.</p> <p>But what does the science say about how well Ozempic and Wegovy (which are both brand names of the drug semaglutide) work for weight loss? And what are the potential side effects? Here’s what to consider if you or a loved one are thinking of taking the drug.</p> <h2>Potential benefits</h2> <p><strong>1) It’s likely to help you lose weight</strong></p> <p>The largest, well-conducted <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">research study</a> of semaglutide was from United Kingdom in 2021. Some 1,961 people who were classified as “overweight” or “obese” were randomly assigned to have either semaglutide or a placebo and followed for 68 weeks (about 1.3 years). All participants also had free access to advice about healthy eating and physical activity.</p> <p>The study found those taking semaglutide lost weight – significantly more than people who had the placebo (-14.9% of their body weight compared with -2.4% of body weight).</p> <p>In another <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/">study</a> in the United States, one health-care clinic gave 408 people weekly injections of semaglutide. Over the first three months, those included in the final analysis (175 people) lost an average of 6.7kg. Over the first six months, they lost an average of 12.3kg.</p> <p>Large weight losses have been found in a more <a href="https://www.nature.com/articles/s41591-022-02026-4">recent trial</a> of semaglutide, suggesting weight loss is a very likely outcome of ongoing use of the medication.</p> <p><strong>2) It may reduce your chronic disease risk factors</strong></p> <p>When people in the overweight or obese weight categories lose <a href="https://www.sciencedirect.com/science/article/pii/S1550413116300535">at least 5%</a> of their body weight, physiological changes often occur beyond a change in weight or shape. This <a href="https://www.nih.gov/news-events/nih-research-matters/research-context-obesity-metabolic-health">might include</a> lowered cholesterol levels, lowered blood pressure and lowered blood glucose levels, which all reduce the risk of chronic diseases.</p> <p>In one of the semaglutide <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/">trials</a>, most people (87.3%) lost at least 5% of their body weight. Although most of the large studies of semaglutide excluded people with metabolic health conditions such as type 2 diabetes, metabolic health gains were <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">observed</a>, including lowered blood pressure, blood glucose levels and fasting blood lipid (fat) levels.</p> <p>In the UK <a href="https://pubmed.ncbi.nlm.nih.gov/33567185/">study</a> from 2021, people taking semaglutide had greater improvements in physical capabilities and risk factors for heart disease and diabetes, including reductions in waist circumference, markers of inflammation, blood pressure and blood glucose levels.</p> <p><strong>3) It might improve your quality of life, emotional wellbeing or sense of achievement</strong></p> <p>The original trial of semaglutide did not focus on this bundle of benefits, but further follow-ups show additional benefits associated with the medication. Compared to the placebo, people taking semaglutide saw significant <a href="https://www.tandfonline.com/doi/full/10.1080/00325481.2022.2150006">improvements</a> in their physical functioning and perceptions of their general health, social functioning and mental health.</p> <p>Anecdotally (not based on scientific research), people using semaglutide, such as <a href="https://people.com/oprah-winfrey-reveals-weight-loss-medication-exclusive-8414552">Oprah Winfrey</a>, report a reclaiming or turning point of their life, social situation and body image.</p> <h2>What about the risks?</h2> <p><strong>1) You may experience gastrointestinal symptoms</strong></p> <p>In the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/">US clinical trial</a>, nearly half (48.6%) of people taking semaglutide reported experiencing adverse effects. Nausea and vomiting were the most frequently experienced (36.6%) followed by diarrhea (8.6%), fatigue (6.3%) and constipation (5.7%).</p> <p>In the UK study, nausea and diarrhoea were also commonly reported.</p> <p>In <a href="https://www.nejm.org/doi/10.1056/NEJMoa2032183?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">another trial</a>, many participants (74.2%) using semaglutide reported gastrointestinal symptoms. However, nearly half (47.9%) using the placebo also reported gastrointestinal symptoms, indicating that symptoms may be similar to those experienced during normal daily living.</p> <p>Most gastrointestinal symptoms were mild to moderate in severity, and resolved for most people without the need to stop participating in the study.</p> <p><strong>2) You might feel fatigued</strong></p> <p>Fatigue was the second most common side effect for participants in the US <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/">clinical trial</a>, affecting 6.3% of participants.</p> <p><strong>3) You might be among the minority who don’t tolerate the drug</strong></p> <p>Australia’s Therapeutic Goods Administration (TGA) has <a href="https://www.tga.gov.au/news/safety-alerts/compounding-safety-information-semaglutide-products">approved</a> Ozempic as safe to use, for the treatment of type 2 diabetes but it has not yet been approved for weight loss. The TGA has also <a href="https://www.tga.gov.au/resources/prescription-medicines-registrations/wegovy-novo-nordisk-pharmaceuticals-pty-ltd">approved Wegovy</a> (a higher dose of semagtlutide) for weight loss, however it’s not yet available in Australia.</p> <p>In the US <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/">clinical trial</a>, no unexpected safety issues were reported. However, five patients (2.9%) had to stop taking the medication because they could not tolerate the adverse effects. Fifteen (8.6%) had to either reduce the dose or remain on the same dose to avoid the adverse effects.</p> <p>In <a href="https://www.nejm.org/doi/10.1056/NEJMoa2032183?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">other studies</a>, some patients stopped the trial due to gastrointestinal symptoms being so severe they could not tolerate continuing.</p> <p>More severe safety concerns reported in <a href="https://www.nejm.org/doi/10.1056/NEJMoa2032183?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">studies</a> include gallbladder-related disorders (mostly cholelithiasis, also known as gallstones) in 34 patients (2.6%) and mild acute pancreatitis in three patients (0.2%). All people recovered during the trial period.</p> <p>A 2024 European <a href="https://link.springer.com/article/10.1007/s11096-023-01694-7">study</a> analysed psychiatric adverse events associated with semaglutide, liraglutide and tirzepatide (which work in a similar way to semaglutide). Between January 2021 and May 2023, the drug database recorded 481 psychiatric events (about 1.2% of the total reported) associated with these drugs. About half of these events were reported as depression, followed by anxiety (39%) and suicidal ideation (19.6%). Nine deaths and 11 life-threatening outcomes were reported during the study period.</p> <p>Due to the severity and fatal outcomes of some of these reports, <a href="https://www.fda.gov/drugs/drug-safety-and-availability/update-fdas-ongoing-evaluation-reports-suicidal-thoughts-or-actions-patients-taking-certain-type">the US Food and Drug Administration</a> investigated further but did not find evidence that use of these medicines caused suicidal thoughts or actions.</p> <p><strong>4) It might be difficult to access</strong></p> <p>Despite being considered safe, the TGA has <a href="https://www.tga.gov.au/safety/shortages/medicine-shortage-alerts/update-prescribers-advised-not-start-new-patients-ozempic#:%7E:text=Ozempic%27s%20TGA%2Dapproved%20indication%20is,consult%20the%20appropriate%20prescribing%20guidelines.">warned</a> significant Ozempic access barriers are likely to continue throughout 2024.</p> <p>To manage the shortage, pharmacists are instructed to give preference to people with type 2 diabetes who are seeking the medication.</p> <p><strong>5) You might not always get clear information from vested interests</strong></p> <p>Given the popularity of Ozempic and Wegovy, health organisations such as the World Obesity Federation have expressed <a href="https://www.theguardian.com/society/2023/mar/12/orchestrated-pr-campaign-how-skinny-jab-drug-firm-sought-to-shape-obesity-debate">concern</a> about the medication’s marketing, PR and strong <a href="https://www.theguardian.com/australia-news/2023/jan/06/tga-investigates-influencers-after-diabetes-drug-ozempic-promoted-as-weight-loss-treatment">social media presence</a>.</p> <p>Some journalists have <a href="https://www.theguardian.com/society/2023/mar/12/orchestrated-pr-campaign-how-skinny-jab-drug-firm-sought-to-shape-obesity-debate">raised conflict of interest concerns</a> about the relationship between some obesity researchers and Novo Nordrisk, Ozempic and Wegovy’s manufacturer. The worry is that researchers might be influenced by their relationship with Novo Nordrisk to produce study results that are more favourable to the medications.</p> <h2>Bottom line</h2> <p>Ozempic is a medication that should be used in conjunction with your health care provider. But remember, weight is only one aspect of your health and wellbeing. It’s important to take a holistic view of your health and prioritise eating well, moving more and getting enough sleep.</p> <hr /> <p><em>Read the other articles in The Conversation’s <a href="https://theconversation.com/au/topics/ozempic-132745">Ozempic series</a> here.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219312/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, Lecturer, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/considering-taking-a-weight-loss-drug-like-ozempic-here-are-some-potential-risks-and-benefits-219312">original article</a>.</em></p>

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The extraordinary amount the I'm A Celebrity contestants are paid

<p>Each year, an array of reality stars, sporting legends and international names head into the South African jungle, fighting for the chance to emerge victorious. </p> <p>At the end of each season of <em>I'm A Celebrity... Get Me Out of Here</em> when the winner is crowned, their prize is revealed as a huge cash donation to a charity of their choice.</p> <p>Despite the celebs not taking anything home for winning, that doesn't mean they walk away from the jungle empty handed, as each of the celebrities are paid a hefty salary for their appearance on the show. </p> <p>As season 10 of the show premiered on Monday, season two winner Brendan ‘Fev’ Fevola spoke candidly about the salaries and explained that you get more money the longer you stay in the jungle.</p> <p>“In 2015 I got paid $250,000 upfront, and then $5,000 every show after the [first] two weeks,” he said on <em>The Fox’s Fifi, Fev & Nick</em> on Monday.</p> <p>“So you’d lay there on a Sunday and you’d think, ‘There’s another 7 days, there’s $35,000, boom. Hopefully, they don’t have an eviction during the week’.”</p> <p>According to <em><a href="https://www.pedestrian.tv/entertainment/how-much-im-a-celebrity-pay-australia/" target="_blank" rel="nofollow noopener" data-i13n="cpos:6;pos:1" data-ylk="slk:Pedestrian;cpos:6;pos:1;elm:context_link;itc:0;sec:content-canvas" data-rapid_p="13" data-v9y="1">Pedestrian</a></em>, one of this year’s male celebrities is being paid $90,000 for a minimum of two weeks in the jungle and will receive an extra $5,500 every day following that they don't get evicted.</p> <p>The publication also asked a handful of 2024 contestants directly about their pay cheques, with reality star Callum Hole revealing that he was paid “good money” and “a lot more than <em>Love Island</em>”.</p> <p>Despite Hole's claims, influencer and former <em>Big Brother</em> star Skye Wheatley said money wasn’t her motivation for going on the show and she would actually be earning more if she stayed home.</p> <p>“I’d do it for free,” she said. “It’s for charity, babes, who gives a f**k about the money. I love that it can be for charity and I love the opportunity. So I’m very grateful.”</p> <p>Former <em>MasterChef</em> contestant Khanh Ong revealed that he had been asked to head into the jungle several times, and this year he was offered “a considerable amount more” than the first time he was asked.</p> <p><em>Image credits: Network 10</em></p>

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Undernourished, stressed and overworked: cost-of-living pressures are taking a toll on Australians’ health

<p><em><a href="https://theconversation.com/profiles/nicole-black-103425">Nicole Black</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/anthony-harris-7148">Anthony Harris</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/danusha-jayawardana-1406565">Danusha Jayawardana</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/david-johnston-1126643">David Johnston</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>For the past few years, it has been impossible to escape the impact of inflation. Meeting our most basic needs – such as food, housing and health care – now costs significantly more, and wage increases <a href="https://futurework.org.au/post/for-most-workers-wages-are-still-failing-to-keep-up-with-inflation/">haven’t kept up</a>.</p> <p>There are signs relief could be on the horizon. Inflation has fallen to its <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/latest-release">lowest levels</a> since January 2022.</p> <p>But Australia now also finds itself in the midst of an <a href="https://theconversation.com/prepare-to-hear-about-an-official-recession-unofficially-weve-been-in-one-for-some-time-224963">economic downturn</a>, putting further pressure on households.</p> <p>Rising prices have an obvious negative impact on our financial health. But they can also have a profound effect on our physical and mental wellbeing, which is often overlooked.</p> <p>Australians may continue to feel the health effects of high inflation for quite some time.</p> <h2>It’s costing more to live well</h2> <p>Between March 2021 and March 2023, the price of goods and services <a href="https://www.abs.gov.au/statistics/economy/price-indexes-and-inflation/consumer-price-index-australia/jun-quarter-2023">rose substantially</a>, marking a period of high <a href="https://www.rba.gov.au/education/resources/explainers/inflation-and-its-measurement.html">inflation</a>.</p> <p><iframe id="5vFeh" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/5vFeh/" width="100%" height="400px" frameborder="0"></iframe></p> <p>Worryingly, the prices of basic needs that are important for staying healthy – nutritious food, health care, housing and utilities – rose between 11% and 36%.</p> <h2>Who is affected the most?</h2> <p>Higher prices on essentials are virtually impossible to dodge, but they impact certain groups of people more than others.</p> <p>Wealthier households have managed their higher expenses by <a href="https://www.rba.gov.au/publications/fsr/2023/oct/pdf/financial-stability-review-2023-10.pdf">cutting back on discretionary spending and dipping into savings</a>.</p> <p>However, lower income households spend <a href="https://www.rba.gov.au/publications/fsr/2023/oct/household-business-finances-in-australia.html#:%7E:text=Lower%20income%20households%2C%20including%20many,than%20households%20on%20higher%20incomes.">a much larger portion of their income</a> on housing and other essentials.</p> <p>Without a savings buffer, these households experience severe financial strain and poor health outcomes.</p> <h2>Financial stress affects our health</h2> <p>Our research shows that high inflation has <a href="https://www.vichealth.vic.gov.au/resources/resource-download/high-inflation-and-implications-for-health">a range of effects</a> on people’s health.</p> <p>These effects fall into three main groups: material hardship, psychosocial, and behavioural.</p> <p><strong>1. Material hardship</strong></p> <p>People facing material hardship can’t meet their basic needs because they can’t afford to pay for them.</p> <p>Material hardship can present itself in a variety of ways:</p> <ul> <li><a href="https://theconversation.com/how-many-australians-are-going-hungry-we-dont-know-for-sure-and-thats-a-big-part-of-the-problem-195360">food insecurity</a> – not getting adequate nutrition</li> <li><a href="https://theconversation.com/1-in-4-households-struggle-to-pay-power-bills-here-are-5-ways-to-tackle-hidden-energy-poverty-204672">energy poverty</a> – struggling to pay for electricity and gas</li> <li>deferred health care – putting off medical treatment</li> <li>housing insecurity – struggling to find a stable place to live.</li> </ul> <p>Between August 2022 and February 2023, when inflation hit its highest levels in 33 years, over half (53%) of surveyed Australians reported <a href="https://melbourneinstitute.unimelb.edu.au/data/taking-the-pulse-of-the-nation-2022/2023/australians-face-challenging-budgetary-constraints">struggling to afford</a> their basic needs.</p> <p>Finding ourselves in this situation can have far-reaching implications for our health.</p> <p>For example, food insecurity is linked to <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">an increased risk of poor nutrition, obesity and chronic illness</a>, as households facing cost-of-living pressures shift towards cheaper, lower-quality food options.</p> <p>Energy poverty is linked to <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">physical and mental health problems</a> as people struggle to keep warm in wintertime, and cool in the summer.</p> <p>Delaying health care <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">increases</a> the risk of facing severe health problems, staying in hospital for longer, and being admitted to the emergency department. This isn’t just worse for individuals, it’s also far more costly for our health care system.</p> <p><strong>2. Psychosocial effects</strong></p> <p>Psychosocial effects are the ways in which cost-of-living pressures impact our mind and social relationships.</p> <p>Difficulties in meeting our basic needs are strongly associated with <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">increased levels of psychological distress</a>, including symptoms of anxiety and depression.</p> <p>This impact can worsen over time if individuals experience sustained financial stress.</p> <p>By undermining our ability to work well, the psychosocial effects of prolonged financial stress can initiate a “vicious cycle”, leading to reduced productivity and lower earnings.</p> <p>Financial stress can also have a detrimental impact on spousal relationships, which can affect the mental health of other household members such as children.</p> <p><strong>3. Behavioural effects</strong></p> <p>Cost-of-living pressures can also cause a number of changes in the way we behave.</p> <p>For many, these pressures have become a reason to work longer hours and gain additional income.</p> <p>Last year, Australians collectively worked 4.6% longer, an <a href="https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia/aug-2023">extra 86 million hours</a>.</p> <p>But working longer hours <a href="https://www.vichealth.vic.gov.au/sites/default/files/VH_High-Inflation-Paper_FINAL_1.pdf">reduces people’s overall health</a>, especially among parents of young children facing greater time constraints.</p> <p>It also leaves less time for activities that help to keep people healthy, such as getting regular exercise and cooking healthy meals.</p> <h2>How can policymakers respond?</h2> <p>In theory, the Reserve Bank of Australia’s primary tool for combating inflation – raising interest rates – should help. By reducing aggregate spending in the economy, it is designed to put downward pressure on prices.</p> <p>But by bluntly increasing the cost of borrowing, it also puts significant short-term financial pressure on both lower-income mortgage holders and renters.</p> <p>Better acknowledgement of this fact, and of inflation’s broader impact on people’s physical and mental health, would be a great start.</p> <p>When formulating policy responses to high inflation, governments could factor health and wellbeing impacts into their assessment of the trade-offs between alternative policy responses.</p> <p>This could help minimise any policy’s long-term negative health consequences and its impact on the health care system.</p> <p>Policymakers could also focus on making sure affordable and timely access to health care, especially mental health support, is made available to those most vulnerable to cost-of-living pressures.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223625/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/nicole-black-103425">Nicole Black</a>, Associate Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/anthony-harris-7148">Anthony Harris</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>; <a href="https://theconversation.com/profiles/danusha-jayawardana-1406565">Danusha Jayawardana</a>, Research Fellow in Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a>, and <a href="https://theconversation.com/profiles/david-johnston-1126643">David Johnston</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/undernourished-stressed-and-overworked-cost-of-living-pressures-are-taking-a-toll-on-australians-health-223625">original article</a>.</em></p>

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Full cast for I'm A Celeb revealed

<p>The much-anticipated premiere of <em>I'm A Celebrity... Get Me Out Of Here!</em> hit screens with a bang, revealing a star-studded lineup of personalities ready to face the challenges of the South African jungle. Channel 10 unveiled the roster on Sunday's premiere episode, promising viewers an exciting season ahead.</p> <p>Leading the charge was none other than Hollywood child star Frankie Muniz, known for his iconic role in <em>Malcolm in the Middle</em>. Muniz, who surprised both fans and fellow contestants with his presence, was joined by an array of intriguing personalities, each bringing their own flair to the jungle.</p> <p>Retired Australian iron-woman Candice Warner, wife of cricketer David Warner, made a notable entrance, expressing her surprise at Muniz's participation. Alongside Warner, the lineup boasted a diverse mix of talents, including retired Paralympian Ellie Cole, British comedian Stephen K. Amos, influencer Skye Wheatley, and former Studio 10 host Tristan MacManus.</p> <p>The premiere episode kicked off with Muniz leading the pack, setting the stage for a series of nerve-wracking challenges. Hosted by the dynamic duo of Julia Morris and Robert Irwin, the celebrities faced their first trial: Warner locked in a glass room teeming with cockroaches, while her campmates braved a mystery box challenge to secure her release.</p> <p>However, the drama didn't stop there. Wheatley's fear of snakes led to a tearful breakdown during her challenge, highlighting the intense nature of the jungle environment. Yet, despite the obstacles, the contestants displayed resilience and determination, setting the tone for an adrenaline-fuelled season.</p> <p>As the episode unfolded, additional celebrities were unveiled, including AFL legend Peter Daicos, radio host Brittany Hockley, fitness guru Michelle Bridges, <em>Love Island </em>star Callum Hole, and <em>MasterChef</em> contestant Khanh Ong.</p> <p>Among the standout contestants is Michelle Bridges, renowned for her role on <em>The Biggest Loser</em> and her thriving fitness empire. Similarly, Khanh Ong, known for his culinary prowess on <em>MasterChef Australia</em>, brings a unique skill set to the jungle environment. With such a diverse cast, the dynamics within the camp are sure to be electric.</p> <p>The premiere also offered glimpses into the personal lives of the contestants, from Cole's inspiring journey as a Paralympic swimmer to Warner's resilience showcased on <em>SAS Australia</em>. </p> <p>As the season progresses, viewers can expect more surprises, twists, and edge-of-your-seat moments. With an intruder poised to shake things up and a cast described as a "national treasure", the stage is set for an unforgettable season. </p> <p><em>Images: Network Ten</em></p>

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“I’ve got to change this”: The one big fix Robert Irwin is bringing to the jungle

<p>Robert Irwin has shared the one big change he insisted on after he joined the cast of <em>I'm a Celebrity... Get Me Out of Here!</em></p> <p>The wildlife warrior spoke to Kyle and Jackie O about how he demanded for the show to ditch the eating of native animals for challenges. </p> <p>In past seasons, the show has used body parts of native African animals in challenges for contestants to eat in exchange for prizes and advantages. </p> <p>After agreeing to host the show alongside Julia Morris, the 20-year-old insisted the rule was changed. </p> <p>“The one thing that I was like, ‘Mmm, I’ve got to change this’, was eating the African wildlife…I’m a conservationist at heart,” he said on Tuesday morning when dropping by <em>The Kyle &amp; Jackie O Show</em>.</p> <p>“They have changed it so we’re just doing the cow, and the chicken, and the fish, and the cockroach,” he revealed of the change of challenge menu.</p> <p>Morris said she supported her new co-host’s efforts to stop any consumption of African wildlife on the show.</p> <p>“I think what Robert’s been doing is making people think, ‘Do you need it or not?’ Like if you need it, tell me why you need the wildlife in a place like that?” Morris explained.</p> <p>“And if it doesn’t matter and it was just something that was nice in Africa from Series 1, then we don’t need it – just get a cow!”</p> <p>Irwin added, “Africa’s got such amazing wildlife, and it’s about celebrating it”.</p> <p>Elsewhere in the interview, the young conservationist reflected on the time he first visited the South African set of <em>I’m A Celeb</em> when he was just 10 years old alongside his mum Terri and sister Bindi. </p> <p>“I just kind of got dropped in there with my family and spent the day in there and it was awesome. Since then, it’s been on my radar, I’ve been a fan of the show and I just thought it’s such an amazing thing I was awe-struck, I just loved it. Coming back as a host, is the craziest thing,” he said.</p> <p><em>Image credits: KIISFM</em></p>

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Line-up clues revealed for 2024 I'm A Celeb cast

<p>With just a few weeks to go before a group of celebrities are dropped in the jungle, Network Ten have dropped a series of clues alluding to this year's <em>I'm A Celebrity... Get Me Out of Here!</em> lineup. </p> <p>Premiering in late March and hosted by veteran Julia Morris and newcomer Robert Irwin, the 10th season of the show will see celebrities thrown into the South African jungle and go head-to-head in daring challenges.</p> <p>At the end of the weeks long challenge, the winner will take home $100,000 in prize money for the charity of their choice.</p> <p>With the full line-up of celebs still unknown, Network Ten have dropped a few hints about some of this year's contestants, with online sleuths dedicated to deciphering the clues. </p> <p>So far, it's been revealed that a "controversial TV star" will be heading into the jungle, alongside a Gold medallist who is “diverting from Paris” to take part in the competition. </p> <p>Another celeb joining is an "international comedian loved by the royals", with many online believing this clue is alluding to UK comic Michael McIntyre.</p> <p>Fans believe a former contestant of <em>The Bachelor</em> or <em>MAFS</em> could be joining the line-up, with one celeb teased as a “bad boy” who “breaks hearts”.</p> <p>Also joining the 2024 line-up is an AFL legend with a premiership win under their belt, and a stage performer who is “ditching his famous family” to head into the jungle.</p> <p>Lastly, a celebrity cook is joining the cast, with diehard fans already ruling out Miguel Maestre, Colin Fassnidge and Poh Ling Yeow who have competed on the show in previous years. </p> <p>The 2024 season of <em>I'm A Celebrity... Get Me Out of Here!</em> will premiere on Ten on March 27th.</p> <p><em>Image credits: Ten </em></p>

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Experience the magic of Ireland down under: A Taste of Ireland 2024 Australian Tour

<p>Get ready to immerse yourself in the rich culture, captivating music and mesmerising dance of Ireland as <a href="https://www.atasteofirelandshow.com/" target="_blank" rel="noopener"><em>A Taste of Ireland</em></a> returns to enchant audiences across Australia in 2024. </p> <p>Featuring World Champion dancers from <em>Lord of the Dance</em> and <em>Riverdance</em>, prepare to be transported to the rolling green hills and vibrant streets of the Emerald Isle, right in your hometown!  </p> <p><strong>What is <em>A Taste of Ireland</em>?</strong></p> <p><em>A Taste of Ireland</em> is not just a performance; it's an unforgettable journey through the heart and soul of Ireland. Combining traditional and contemporary Irish music and dance, this spectacular show showcases the incredible talent and passion of some of Ireland's finest performers.</p> <p><strong>What to expect</strong></p> <p>From the moment the first note is struck, and the first step is danced, you'll be captivated by the energy and artistry on stage. Feel the rhythm of the bodhrán drum reverberate through your bones, and let the fiddles whisk you away to a land of ancient myths and legends.</p> <p>Prepare to be dazzled by the lightning-fast footwork and intricate choreography of the dancers as they weave tales of love, loss and triumph through their movements. Each step tells a story, each leap a celebration of life itself.</p> <p><strong>Why attend?</strong></p> <p>Whether you're a die-hard fan of Irish culture or simply looking for a night of entertainment unlike any other, <em>A Taste of Ireland</em> offers something for everyone. It's an opportunity to witness the magic of Ireland's rich heritage brought to life before your very eyes.</p> <p>Forget your troubles for an evening and let the music and dance sweep you away on a journey you won't soon forget. Whether you're tapping your feet to the lively jigs and reels or wiping away tears during a poignant ballad, <em>A Taste of Ireland</em> is an experience that will touch your heart and soul.</p> <p><strong>Tour dates and locations</strong></p> <p>The 2024 Australian Tour of <em>A Taste of Ireland</em> will be making stops across Australia for 80 shows from March to July, bringing the magic of Ireland to a venue near you. <a href="https://www.atasteofirelandshow.com/" target="_blank" rel="noopener">Check the tour schedule</a> to find out when this unforgettable experience will be coming to your area.</p> <p><strong>Get your tickets now!</strong></p> <p>Don't miss your chance to experience the beauty and excitement of <em>A Taste of Ireland</em>. Tickets are selling fast, so book yours today and get ready for a night of music, dance, and memories that will last a lifetime. </p> <p>Witness the show that has received rave reviews across the globe. Don't rely on the luck of the Irish – <a href="https://www.atasteofirelandshow.com/" target="_blank" rel="noopener">book now</a>, because tickets are selling out fast!</p> <p><em>Images: Supplied.</em></p> <p><em>This is a sponsored article produced in partnership with Pace Live.</em></p>

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Taking expensive medicines or ones unavailable in Australia? Importing may be the answer

<p><em><a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348">Jacinta L. Johnson</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>The cost-of-living crisis may be driving some Australians to look for cheaper medicines, especially if those medicines are not subsidised or people don’t have a Medicare card. Options can include buying their medicines from overseas, in a process called “<a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/personal-importation-scheme">personal importation</a>”.</p> <p>Others also use this option to import medicine that is not available in Australia.</p> <p>Here’s what’s involved and what you need to know about the health and legal risks.</p> <h2>Cost-of-living crisis bites</h2> <p>Many Australians, particularly those with long-term illnesses, are finding it increasingly hard to afford health care.</p> <p>The <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/latest-release#barriers-to-health-service-use">Australian Bureau of Statistics</a> reports the proportion of people who delayed or did not see a GP due to cost doubled in 2022-23 (7%) compared with 2021-22 (3.5%).</p> <p>A <a href="https://australianhealthcareindex.com.au/wp-content/uploads/2022/11/Australian-Healthcare-Index-Report-Nov-22.pdf">survey</a> published in 2022 of over 11,000 people found more than one in five went without a prescription medicine due to the cost.</p> <p>For those with a Medicare card it’s usually best (and cheapest) to get medicines locally, especially if you also have a concession card. However, for some high-cost medicines, personal importation may be cheaper. That’s when an individual arranges for medicine to be sent to them directly from an overseas supplier.</p> <p>A 2023 study found <a href="https://www.publish.csiro.au/AH/AH23143?jid=AHv47n6&amp;xhtml=5AA1F839-38C8-45E8-A458-79DCDB7597FB">1.8%</a> of Australians aged 45 or older had imported prescription medicines in the past 12 months. That indicates potentially hundreds of thousands of Australians are importing prescription medicines each year.</p> <p>Almost half of the survey respondents indicated they would consider importing medicines to save money.</p> <h2>What’s involved?</h2> <p>Australia’s drug regulator, the Therapeutic Goods Administration (TGA), allows individuals to import up to three months’ supply of medicines for their own personal use (or use by a close family member) under the <a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/personal-importation-scheme">personal importation scheme</a>.</p> <p>This often involves ordering a medicine through an overseas website.</p> <p>If the medicine would require a prescription in Australia, you must also have a legally valid prescription to import it.</p> <p>Selling or supplying these medicines to others outside your immediate family is strictly prohibited.</p> <h2>How could this help?</h2> <p>For some high-cost medicines, personal importation may be cheaper than having the medicine dispensed in Australia. This is most likely for medicines not subsidised by the <a href="https://www.pbs.gov.au/info/about-the-pbs">Pharmaceutical Benefits Scheme</a> (the PBS). People who do not hold a Medicare card may also find it cheaper to import certain medicines as they do not have access to PBS-subsidised medicines.</p> <p>For example, for people with a specific type of leukaemia, treatment with sorafenib is not covered by the PBS. For these patients it could be up to about ten times more expensive to have their treatment dispensed in Australia as it is to import. That’s because there is a cheaper generic version available overseas.</p> <p>Personal importation may also allow you to access medicines that are available overseas but are not marketed in Australia.</p> <h2>What are the risks?</h2> <p>All medicines carry risks, and medicine sold online can pose additional dangers. The TGA does not regulate medicines sold overseas, so the safety and quality of such medicines can be uncertain; they may not be produced to <a href="https://www.tga.gov.au/what-tga-regulates">Australian standards</a>.</p> <p>While similar regulatory agencies exist in other countries, when ordering medicines from overseas websites it can be difficult to determine if the product you are buying has been assessed to ensure it is safe and will do what it says it will do.</p> <p>The medicines purchased could be counterfeit or “fake”. Products bought through unverified or overseas websites may have undisclosed ingredients, contain a dose that differs from that on the label, or lack the active ingredient entirely.</p> <p><a href="https://www.tga.gov.au/importing-therapeutic-goods">Not all medicines</a> can be legally imported through the personal importation scheme. Certain medicines are never allowed to be imported into Australia, and others can only be imported by a medical professional on behalf of a patient.</p> <p>So if you attempt to import a restricted medicine, the Australian Border Force <a href="https://www.abf.gov.au/entering-and-leaving-australia/can-you-bring-it-in/categories/medicines-and-substances">may seize it</a>. Not only would you lose your medicine, but you could also receive a fine or face <a href="https://www.tga.gov.au/news/blog/can-i-import-medicine-personal-use#:%7E:text=If%20you%20try%20to%20import,a%20fine%20or%20jail%20time.">jail time</a>.</p> <p>As with any purchase from an overseas business, there is also a risk you may lose your money and you might not be protected by Australian consumer laws.</p> <p>If you do choose to import medicines by buying them from an overseas website, you should also consider what could happen if delivery is delayed and you don’t get your medicine in time.</p> <h2>Where can I get more advice?</h2> <p>If you are thinking about importing medicines you should first discuss this with a health professional, such as your GP or pharmacist.</p> <p>They can help you determine if personal importation is permitted for the medicine you need. You can also discuss if this is the best option for you.</p> <p>If you are having difficulty covering the cost of your medicines your doctor or pharmacist can also explore other potential alternatives to ensure you are receiving the most cost-effective treatment available in Australia.</p> <h2>Where do I go online?</h2> <p>If you then decide to import, here are some reputable sites to help navigate the global online medicines market:</p> <ul> <li> <p><a href="https://everyone.org/">everyone.org</a> helps people everywhere in the world access the latest medicines not available in their own countries</p> </li> <li> <p><a href="https://buysaferx.pharmacy/">Alliance for Safe Online Pharmacies</a> is a not-for-profit organisation that collates information on how to find safe online pharmacies based in different regions of the world</p> </li> <li> <p><a href="https://www.pharmacychecker.com/accredited-online-pharmacies/">PharmacyChecker</a> has also collated a list of trusted online pharmacies that ship medicines internationally.</p> </li> </ul> <p>Australian government websites about importing medicines include those from <a href="https://www.tga.gov.au/news/blog/can-i-import-medicine-personal-use">the TGA</a> and on what to consider when buying medicines online from <a href="https://www.healthdirect.gov.au/buying-medicines-online#overseas">overseas</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219394/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348"><em>Jacinta L. Johnson</em></a><em>, Senior Lecturer in Pharmacy Practice, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, Senior Lecturer in Pharmacy, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-expensive-medicines-or-ones-unavailable-in-australia-importing-may-be-the-answer-219394">original article</a>.</em></p>

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Grandma faces deportation after 40 years in Australia

<p>Mary Ellis, 74, has lived in Australia for over 40 years, but now she faces deportation. </p> <p>The grandmother is known as a local hero in northern New South Wales, for her charitable acts including helping feed the homeless in Tweed Heads, raising money for the Salvation Army. </p> <p>She was even nominated for the NSW Volunteer of the Year award last year. </p> <p>Despite her tireless efforts to help out other Australians, the senior might soon have to leave the country she has called home since she was 31-years-old. </p> <p>"(I have a) Driver's License, ID card, Medicare Card, Pension card. Everything Australians have," Ellis told <em>A Current Affair</em>. </p> <p>"I thought well, I'm a permanent resident.</p> <p>"You know, I carry on doing my daily - what I do every day. Nobody said anything."</p> <p>Ellis, who was born in London and moved here with her partner in 1981, was told that her partner had already arranged permanent visas for them.</p> <p>But one day, the Department of Home Affairs suddenly decided she's got to go. </p> <p>"This is my home and I love Australia ... I want to stay here," the grandma tearfully said. </p> <p>"Just let me get Australian citizenship, please let me.. that's what I want."</p> <p>Ellis has a son and two granddaughters in Australia, who are all Australian Citizens. </p> <p>Migration agent Stanley Schneider has been helping Ellis pro-bono since she was asked to leave, said that she was an absorbed person under the Migration Act and should be allowed to stay. </p> <p>"She's always paid her taxes.. she's never even had a speeding ticket," Schneider said.</p> <p>"She's never infringed anything. She's never offended anyone."</p> <p>The Migration Act requires someone to have been in Australia since April 2, 1984 and not have left, but the Department of Home Affairs claims Mary left the country three times under different aliases.</p> <p>Ellis denies the allegations.</p> <p>"I love Australia. (I) didn't want to go anywhere else," she said.</p> <p>She also said that she has documents that prove she was in Australia during the timeframe in question, which includes a job reference from a Tasmanian restaurant that she worked at from 1983 to 1986, and a Medicare enrolment letter signed by then federal Health Minister Neal Blewett.</p> <p>Ellis' migration agent said that the documents would not have been sent to her had she not been in the country. </p> <p>"Mary Ellis is a decent person. A person we should be absolutely thrilled to have in Australia," Schneider said. </p> <p>"And she's an Australian, Let's face it."</p> <p>In a statement shared to <em>A Current Affair</em>, the Department of Home Affairs said that they do not comment on individual cases. </p> <p>"People who do not have the right to remain in Australia are expected to depart," a government spokesperson said.</p> <p>"Individuals who provide incorrect information may be liable to have their visa cancelled under the provisions of the Migration Act."</p> <p><em>Image: Nine/ A Current Affair</em></p>

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Why are so many Australians taking antidepressants?

<p><em><a href="https://theconversation.com/profiles/jon-jureidini-1609">Jon Jureidini</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Around <a href="https://australia.cochrane.org/news/new-cochrane-review-explores-latest-evidence-approaches-stopping-long-term-antidepressants">one in seven Australians</a> take antidepressants; more than <a href="https://www.aihw.gov.au/mental-health/topic-areas/mental-health-prescriptions">3.5 million</a> of us had them dispensed in 2021–22. This is <a href="https://www.mja.com.au/journal/2016/204/9/unfulfilled-promise-antidepressant-medications#:%7E:text=Summary,is%20lower%20than%20previously%20thought.">one of the highest</a> antidepressant prescribing rates in the world.</p> <p>Guidelines mostly recommend antidepressants for <a href="https://www.nice.org.uk/guidance/ng222">more severe depression</a> and <a href="https://www.nice.org.uk/guidance/cg113/resources/generalised-anxiety-disorder-and-panic-disorder-in-adults-management-pdf-35109387756997">anxiety</a> but not as first-line treatment for less severe depression. Less commonly, antidepressants may be <a href="https://www.ncbi.nlm.nih.gov/books/NBK538182/">prescribed for</a> conditions such as chronic pain and migraine.</p> <p>Yet prescription rates continue to increase. Between 2013 and 2021, the antidepressant prescription rate in Australia <a href="https://www.publish.csiro.au/PY/pdf/PY23168">steadily increased</a> by 4.5% per year. So why are so many Australians taking antidepressants and why are prescriptions rising?</p> <p>The evidence suggests they’re over-prescribed. So how did we get here?</p> <h2>Enter the antidepressant ‘blockbusters’</h2> <p>In the 1990s, pharmaceutical companies <a href="https://www.nature.com/articles/d41573-022-00213-z">heavily promoted</a> new selective serotonin reuptake inhibitor (SSRI) antidepressants, including Prozac (fluoxetine), Zoloft (sertraline) and Lexapro (escitalopram).</p> <p>These drugs were thought to be less dangerous in overdoses and seemed to have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181155/">fewer side effects</a> than the tricyclic antidepressants they replaced.</p> <p>Pharmaceutical companies marketed SSRIs energetically and often exaggerated their benefits, including by paying “key opinion leaders” – <a href="https://www.bmj.com/content/336/7658/1402">high-status clinicians</a> to promote them. This prompted <a href="https://www.mja.com.au/journal/2004/181/7/making-new-choices-about-antidepressants-australia-long-view-1975-2002">substantial growth</a> in the market.</p> <p>SSRIs earned billions of dollars for their manufacturers when on patent. While now relatively cheap, they still prove <a href="https://www.prnewswire.com/news-releases/antidepressant-drugs-market-to-reach-15-98-bn-by-2023-globally-at-2-1-cagr-says-allied-market-research-873540700.html">lucrative</a> because of high prescribing levels.</p> <h2>Why are antidepressants prescribed?</h2> <p>The majority (85%) of antidepressants are prescribed in <a href="https://www.aihw.gov.au/mental-health/topic-areas/mental-health-prescriptions">general practice</a>. Some are prescribed for more severe depression and anxiety. But contrary to clinical guidelines, GPs also <a href="https://www1.racgp.org.au/ajgp/2021/december/antidepressant-prescribing-in-general-practice">prescribe</a> them as a first-line treatment for less severe depression.</p> <p>GPs also prescribe antidepressants to patients experiencing distress but who don’t have a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504011/#:%7E:text=Among%20antidepressant%20users%2C%2069%25%20never,current%20physical%20problems%20(e.g.%2C%20loss">psychiatric diagnosis</a>. A friend dealing with her husband’s terminal illness, for example, was encouraged to take antidepressants by her long-term GP, even though her caring capacity wasn’t impaired. Another, who cried when informed she had breast cancer, was immediately offered a prescription for antidepressants.</p> <p>There are several reasons why someone may take antidepressants when they’re not needed. A busy GP might be looking for a convenient solution to a complex and sometimes intractable problem. Other times, patients request a prescription. They may be encouraged by an <a href="https://www.theaustralian.com.au/inquirer/seratonin-theory-of-depression-under-attack-amid-to-push-to-deprescribe-antidepressants/news-story/f74ca1a6018110e3d680b8d5ce01bc2c">acquaintance’s good experience</a> or looking for other ways to <a href="https://www.penguinrandomhouse.com/books/321259/listening-to-prozac-by-peter-d-kramer/">improve their mental health</a>.</p> <p>Most patients believe antidepressants restore a chemical imbalance that underpins depression. This is <a href="https://www.nature.com/articles/s41380-022-01661-0">not true</a>. Antidepressants are emotional (and sexual) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC181155/">numbing agents</a> – sometimes sedating, sometimes energising. Those effects suit some people, for example, if their emotions are too raw or they lack energy.</p> <p>For others, they come with <a href="https://www.healthdirect.gov.au/antidepressants">troubling side effects</a> such as insomnia, restlessness, nausea, weight gain. Around half of users have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007725/">impaired sexual function</a> and for some, this <a href="https://annals-general-psychiatry.biomedcentral.com/articles/10.1186/s12991-023-00447-0">sexual dysfunction persists</a> after stopping antidepressants.</p> <h2>How long do people take antidepressants?</h2> <p>Most experts and <a href="https://www.nice.org.uk/guidance/ng222">guidelines</a> recommend specific prescribing regimes of antidepressants, varying from months to two years.</p> <p>However, most antidepressants are consumed by two categories of people. Around half of patients who start antidepressants don’t like them and <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-9-38#:%7E:text=Medication%20possession%20rates&amp;text=Although%20the%20mean%20MPR%20of,group%20difference%20(Table%203).">stop within weeks</a>. Of those who do take them for months, many continue to use them indefinitely, often for many years. <a href="https://www1.racgp.org.au/ajgp/2021/december/antidepressant-prescribing-in-general-practice">Long-term use</a> (beyond 12 months) is driving much of the increase in antidepressant prescribing.</p> <p>Some people try to stop taking antidepressants but are prevented from doing so by <a href="https://www.sciencedirect.com/science/article/abs/pii/S221503661930032X">withdrawal symptoms</a>. Withdrawal symptoms – including “<a href="https://pubmed.ncbi.nlm.nih.gov/35144325/">brain zaps</a>”, dizziness, restlessness, vertigo and vomiting – can cause significant distress, impaired work function and relationship breakdown.</p> <p>Across 14 studies that examined antidepressant withdrawal, around 50% of users <a href="https://www.sciencedirect.com/science/article/abs/pii/S221503661930032X">experienced withdrawal symptoms</a> when coming off antidepressants, which can be mistaken for recurrence of the initial problem. We are conducting a <a href="https://adelaideuniwide.qualtrics.com/jfe/form/SV_3QqWrY5TBNUP1YO">survey</a> to better understand the experience in Australia of withdrawing from antidepressants.</p> <p>Antidepressants should not be stopped abruptly but gradually tapered off, with smaller and smaller doses. The recent release in Australia of the <a href="https://www.wiley.com/en-ca/The+Maudsley+Deprescribing+Guidelines%3A+Antidepressants%2C+Benzodiazepines%2C+Gabapentinoids+and+Z+drugs-p-9781119823025">Maudsley Deprescribing Guidelines</a> provides guidance for the complex regimes required for the tapering of antidepressants.</p> <h2>We need to adjust how we view mental distress</h2> <p>Overprescribing antidepressants is a symptom of our lack of attention to the <a href="https://onlinelibrary.wiley.com/doi/10.1002/wps.21160">social determinants of mental health</a>. It’s depressing to be poor (especially when your neighbours seem rich), unemployed or in an awful workplace, inadequately housed or fearful of family violence. It’s wrong to locate the problem in the individual when it belongs to society.</p> <p>Overprescribing is also symptomatic of medicalisation of distress. Most diagnoses of depression and anxiety are <a href="https://karger.com/psp/article-pdf/37/6/259/3489408/000081981.pdf">descriptions masquerading as explanations</a>. For each distressed person who fits the pattern of anxiety or depression, the meaning of their presentation is different. There may be a medical explanation, but most often meaning may be found in the person’s struggle with difficult feelings, their relationships and other life circumstances such as terrible disappointments or grief.</p> <p>GPs’ overprescribing reflects the pressures they experience from workload, unrealistic expectations of their capacity and misinformation from pharmaceutical companies and key opinion leaders. They need better support, resources and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822978/">evidence</a> about the limited <a href="https://www.thelancet.com/article/S0140-6736(17)32802-7/fulltext">benefits</a> of antidepressants.</p> <p>GPs also need to ensure they discuss with their patients the potential adverse effects of antidepressants, and when and how to safely stop them.</p> <p>But the fundamental problem is social and can only be properly addressed by meaningfully addressing inequality and changing community attitudes to distress.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/221857/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/jon-jureidini-1609"><em>Jon Jureidini</em></a><em>, Research Leader, Critical and Ethical Mental Health research group, Robinson Research Institute, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-are-so-many-australians-taking-antidepressants-221857">original article</a>.</em></p>

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