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Ozempic is everywhere and that’s triggering for people in recovery from eating disorders, specialists say

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Ottawa Morning6:35Ozempic eating disorders

 

One of the things Sheryl Rasband learned as part of her recovery from anorexia was that she shouldn’t actively try to lose weight. That’s why she was a little taken aback when her psychiatrist suggested she might want to try Ozempic.

“I want to give him the benefit of the doubt because I was expressing my anxiety about my weight…. However, he knows my history,” she said.

The 40-year-old nurse and mother who lives in Utah County, Utah, has struggled with an eating disorder since she was 16, and said her weight has gone up and down since then.

When she was at her lowest point she had to be hospitalized and even temporarily lost custody of her children as a result, she said.

Now, after going through extensive treatment, Rasband said she feels much better mentally, even though she is technically obese according to her Body Mass Index. (BMI is a measurement that some doctors use to determine healthy weight, though it has been challenged as an indicator of health.)

Sheryl Rasband’s psychiatrist prescribed her a number of weight loss drugs including Ozempic which she didn’t take out of fear it would trigger her anorexia. (Shelby Winterton)

“I feel like I am more healthy, more functional, more everything at this weight versus when I’m at a lower weight and I’m in and out of treatment and I am suicidal.”

People who work in the field of eating disorder treatment in Canada say what Rasband has experienced is happening in this country, too, and they are raising the alarm that their patients are being prescribed weight loss drugs without proper screening or counselling.

Risks for people with eating disorders

Anita Federici, a clinical psychologist adjunct professor at York University, has noticed this trend.

“My grave concern is a movement that I’m seeing where physicians are prescribing drugs like Ozempic to people with eating disorders, and … providing false education, that these are front-line treatments for things like binge-eating disorder or bulimia nervosa, which they are absolutely not,” said Federici, who has a PhD in psychology and is also a fellow of the Academy for Eating Disorders.

 

Clinical psychologist Anita Federici says doctors in Canada are prescribing Ozempic to people with eating disorders. (Paul Howard)

 

While there are no data to show how many of the 3.5 million Ozempic prescriptions written in Canada last year went to people who have history of eating disorders, Federici said that a number of her patients are on Ozempic and that she’s worried, not just about their mental well-being, but also their physical health.

Of particular concern are patients who have what is sometimes called “atypical anorexia,” she said, because although they might have a BMI that puts them in the category of overweight or obese, they are in fact starving themselves a lot of the time and are at risk of becoming malnourished if they use a weight loss drug.

“You’re medically compromised. And now the danger is that the person with, quote unquote, atypical anorexia or binge-eating disorder walks into the physician’s office and is increasingly being prescribed Ozempic,” said Federici.

An Ozempic billboard, seen in London, Ont., outside a skincare clinic in the city’s northwest end. (Kate Dubinski/CBC News)

‘Doctor-supervised starvation’

This is something that concerns clinical psychologist Jennifer Mills as well.

She’s a professor who studies eating disorders in the Department of Psychology at York University.

Mills said that a drug like Ozempic could even trigger an eating disorder in someone “who is predisposed to having that kind of reaction,” and that patients need to be carefully monitored during what is “almost like doctor-supervised starvation.”

She said there have been some documented cases where people who have had weight-loss surgery or taken weight loss drugs, where it’s triggered “an anorexia nervosa-like reaction.”

“Sometimes when people lose weight drastically, they can develop a distorted sense of what their bodies look like. It’s almost as if their brain has a hard time catching up to the physical weight loss, and … perhaps an excessive fear of gaining the weight back or not being thin enough,” said Mills, who has a PhD in psychology.

Jennifer Mills, a professor who studies eating disorders in the Department of Psychology at York University, says Ozempic could induce an anorexia-like reaction in some patients. (Horst Herget Photography)

One issue, she said, is that doctors and psychologists don’t always agree on the best approach to weight loss.

For example, Mills says she believes that people can be healthy at any size and encourages her clients to adopt that perspective, too.

“I preach that to my patients and yet it is at odds with this kind of buzz and hysteria around a drug that makes it really easy to lose weight.”

A ‘valuable’ drug for some

But for doctors of patients with diabetes, weight loss can be a desired byproduct of using Ozempic.

“We have an obesity epidemic…. That’s why we have a diabetes epidemic,” said Dr. Stewart Harris.

He’s a professor in the Department of Family Medicine at Western University’s Schulich School of Medicine and Dentistry, and medical director of the primary care diabetes support program at Saint Joseph’s Health Care in London, Ont.

“From a purely clinical diabetes perspective [Ozempic] is a very valuable drug in … our toolbox.”

 

Dr. Stewart Harris says drugs like Ozempic are extremely important in the treatment of diabetes and can be prescribed safely to someone with an eating disorder if done with proper precautions. (Western University)

 

And, he said, Ozempic can even be safely prescribed to someone with an eating disorder if the proper precautions are taken.

“If I know … somebody has a binge-eating history or has mental health issues, I’m going to be much more judicious and careful as to whether I even initiate this therapeutic option, or how I’m going to do it or how I’m going to monitor them,” said Harris.

“I’m very selective and careful in all people that I put this therapy on, but especially in people that I’m concerned about where there may be more adverse outcomes associated with people’s eating disorders.”

He said he doesn’t want to point fingers but he knows not every doctor does this.

“You [can] just pop into a health promotion clinic that’s selling diets and other lifestyle and things … and they just off-the-cuff give you a prescription without knowing who you are and what your clinical history is…. Then I think that’s where people are running into trouble,” he said.

 

Sad and scared

Sheryl Rasband said she still isn’t sure whether she’s going to try Ozempic like her psychiatrist suggested.

Although she’s much happier living without an eating disorder, she’s not certain it won’t return with the pressure she feels to take weight-loss medication.

“It’s just so sad that it’s catching me after all of these things that my eating disorder has done, and it’s bringing it back.”

She’s also afraid that she is not the only one struggling with this difficult decision.

“If it has me questioning, and it has all these other people who are like me questioning what their values are and what their priorities are for this publicly pushed weight loss medication, I feel scared for the population at large.”

 

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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