
I lost 8st in a YEAR on Mounjaro – I had to have an organ removed but I still went back on the jabs as soon as I could
The weight loss warrior, Em, has been documenting her transformation on her TikTok,
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A woman lost 8st in a year on Mounjaro
Credit: TikTok/ @emsjourney
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She had to have major surgery but still went back on the jabs
Credit: TikTok/ @emsjourney
Despite the drama that followed, Em is still a massive fan of Mounjaro and says it's completely changed her life.
Within months of starting, the weight was dropping off, her periods came back, and her PCOS, something she'd battled for years, finally started to settle down.
But just as things were looking up, her journey took a painful turn.
Only two months in, she was hit with a searing pain under her ribs that had her doubled over and rushing to A&E.
Read more on fat jabs
Doctors ran tests and found a
Her kidneys were struggling, inflammation was through the roof, and surgery quickly became the only option.
By October, doctors told her she'd need her
And while that sounds scary enough on its own, she was also midway through a course of GLP-1 medication.
Most read in Fabulous
But her consultant gave her the green light to stay on
She said: 'Because I was still such a high weight, it made more sense to stay on it and make myself safer for surgery.'
I lost 6st with fat jabs but ended up with 'Ozempic face' – I got youthful look back with six make-up tricks
Post-op, she was back on the meds just two weeks later and didn't look back.
She's since reached a peak dose of 15mg, and now she's tapering down, currently on 10mg.
The results are impressive. Em has lost a jaw-dropping 8st in just 12 months.
Her
While the gallstone drama was a shock, she says
Experts say there's a very real link between GLP-1 weight-loss drugs like Mounjaro and gallbladder problems, especially gallstones and inflammation of the gallbladder.
In fact, so many patients report it that the UK's Medicines and Healthcare products Regulatory Agency lists gallbladder issues as a known side effect of drugs like Mounjaro.
Rapid weight loss, especially more than 1.5kg (3.3lbs) a week, increases your risk of developing gallstones.
That's because your liver pumps out
Combine that with the fact that GLP-1s slow down digestion, including how often the gallbladder empties, and you've got a recipe for trouble.
So while these meds can deliver dramatic results, they're not without risks.
Doctors often recommend regular scans or blood tests, and say anyone experiencing sharp pain in the upper right side of their tummy, nausea, or fever should get checked out urgently.
Still, Em has no regrets. She says the gallbladder scare was a small price to pay for getting her life back.
Fat jabs hitting shelves soon
The so-called 'fat jab' revolution is officially under way and it could change the way Brits tackle weight loss for good.
For the first time ever, family doctors across England are now dishing out the powerful new weight-loss injection Mounjaro, as part of a major NHS shake-up to fight obesity.
The drug, which contains the active ingredient tirzepatide, is being dubbed the strongest slimming jab yet and more than three million people could be eligible to get it on prescription.
It's a landmark move in the war on waistlines, with obesity levels in England more than doubling since the 90s.
Until now, similar injections like Ozempic and Wegovy were mainly reserved for type 2 diabetics or available through pricey private clinics.
But from now on, GPs will be encouraged to prescribe them to those at greatest risk — a move health bosses hope will slash sick days, boost the economy, and help cut rates of cancer, heart disease and dementia.
Not everyone qualifies, though. Only those with the highest health risks are likely to get the green light.
Everything you need to know about fat jabs
Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases.
Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK.
Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market.
Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year.
How do they work?
The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight.
They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists.
They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high.
Can I get them?
NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics.
Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure.
GPs generally do not prescribe the drugs for weight loss.
Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk.
Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health.
Are there any risks?
Yes – side effects are common but most are relatively mild.
Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea.
Dr Sarah Jarvis, GP and clinical consultant at patient.info, said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.'
Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia.
Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health.
Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines.
Top priority will go to patients with a body mass index (BMI) of 40 or more or 37.5 for people from certain ethnic backgrounds and who have at least four obesity-linked health conditions.
That includes things like high blood pressure, cholesterol, prediabetes, type 2 diabetes, sleep apnoea and heart disease.
Doctors are also expected to check whether patients have first tried to lose weight through diet and exercise before offering the jab.
Despite the huge hype, not all GPs will be able to hand them out and even if you qualify, you might be told to wait or referred to a specialist clinic instead.
Experts are warning that while the jabs can be a game-changer, they're not a magic fix.
Side effects can range from mild nausea to more serious complications, and not everyone will tolerate them well.
And with demand through the roof, many Brits are turning to the private route.
Of course, always remember that too-good-to-be-true prices, quick-check applications and zero aftercare are all major warning signs.
Experts say if you are thinking about going private, do your homework and don't gamble with your health for a quick fix.
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The Irish Sun
18 minutes ago
- The Irish Sun
I've lost 25% of my weight on Mounjaro – here's 4 foods I avoided on fat jabs & the popular pick that made me feel sick
A WOMAN who's shed nearly 25% of her bodyweight thanks to Mounjaro has revealed which foods she steered clear of. TikToker Tami kickstarted her weight loss journey with the popular fat jab almost a year ago and within the last 50 weeks she's managed to drop a staggering 1/4 of her starting weight. 3 Tami kickstarted her weight loss journey with the popular fat jab almost a year ago Credit: tiktok/@cartcrushuk 3 She has since managed to shed almost 25% of her body weight Credit: tiktok/@cartcrushuk 3 Mounjaro is typically used to treat type 2 diabetes Credit: Getty Like many, Tami wasn't ''too clued up'' on what to do and which foods to consume. However, having been on Mounjaro for close to 12 months now, Tami has learnt what works for her, regularly sharing tips and tricks to others on the same journey. Sun GP read more on diets But despite this, the NHS warned: 'Never take an anti-obesity medicine if it has not been prescribed to you. "These types of medicines may not be safe for you and can cause serious side effects.' About half a million Brits use weight loss drugs - and the number is expected to double in the next year. Most read in Fabulous The injections are licensed for patients with One jab is administered each week but the duration is dependent on someone's weight. I went on fat jabs but the hair loss was unbelievable so I quit - I'd rather be chubby with hair than skinny and bald Spilling the beans on the popular foods she avoided, Tami revealed she didn't consume complex carbs, such as spaghetti and toast. ''Pasta and bread made me feel quite sick, I learnt that during the way,'' she said in ''White breads and white Another item on the no-go list included red meat, as that gave her ''the sulphur burp'', which ''have a foul, rotten egg smell due to the presence of hydrogen sulfide gas'', as per As well as being caused by gastrointestinal issues, sulphur burps can be a result of consuming too much Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. ''I've now introduced it back into my diet but certainly in the beginning and when moving up doses,'' said Tami who's currently on 15mg of the medication. Another popular pick she steered clear of at the start of her weight loss journey was takeaway, especially ''fatty and As well as making her stomach ''quite sick'', Tami discovered the greasy meals caused constipation - ''Also, I would avoid anything high in sugar, sugary foods, like cakes.'' Offering a helping hand to those also on the medication, Tami advised to stay hydrated and ''eat your calories''. She went on in ''See what could made you feel sickly and probably take it out of your eating plan for that week and see if that's the trigger.'' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea : This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting : Can occur, often in conjunction with nausea. Diarrhea : Some people experience gastrointestinal upset. Constipation : Some individuals may also experience constipation. Stomach pain or discomfort : Some people may experience abdominal pain or discomfort. Reduced appetite : This is often a desired effect for people using Ozempic for weight loss. Indigestion : Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis : In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems : There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors : There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems : Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar) : Especially if used with other medications like sulfonylureas or insulin. Other Mounjaro users react Since being posted on the platform, where Tami shares content under the username @ More than 400 people flooded to comments, where many shared their experience with the fat jab. One person said: ''I am completely gone off chicken like makes me wanna vom.'' Someone else chimed in: ''Same I find highly processed carbs give me a bad belly I just stick to fresh protein and veg now lost 4 stone upto now.'' Another wrote: ''Week 8 …32lb side effects…I eat in deficient I drink 2.5 litres of water with electrolytes now gone up to 5mg loving it!'' The reality of Mounjaro Although many have boasted about A probe also found that nearly 400 people have gone to hospital after taking The common side effects include nausea, vomiting and diarrhoea, which can lead to severe dehydration. And if that wasn't bad enough, doctors say they have also seen 'life-threatening complications', including seizures, bowel obstruction and inflammation of the pancreas. Model Lottie Moss, 27, even said The makers of Mounjaro, Lilly UK stressed: 'Regulatory agencies conduct extensive independent assessments of the benefits and risks of every new medicine and Lilly is committed to continually monitoring, evaluating, and reporting safety data. 'If anyone is experiencing side effects when taking any Lilly medicine, they should talk to their doctor or other healthcare professional.'

The Journal
10 hours ago
- The Journal
There's a lot of chat right now about quitting hormonal contraception. What's going on?
'BEST DECISION EVER. I love knowing my body is just doing what it needs to do naturally.' 'I'm off the pill now about three years and I felt that cloud lift and everything is so much clearer.' 'Took my [contraceptive implant] bar out after 10 years and I've never looked back.' When social media content creator Clóda Scanlon posted on Instagram late last year about her decision to come off hormonal contraception, she received many public and private messages of support from other women who had done the same. It's almost three years since Ireland's free contraception scheme was launched. At a time when contraception is more accessible than ever, some young women are increasingly wary of artificial hormones' effects. Some are opting out. Up-to-date Irish data on uptake of prescription and hormonal contraception is not currently available. However, there are clues that a backlash against hormonal contraception – the pill, the patch, the implant and most intrauterine coils – may be under way. The full implications of that in Ireland are not yet clear. International data suggests an emerging trend in developed countries. Analysis for the UNFPA, the UN's sexual and reproductive health agency, found hormonal contraception use on the increase in only one of nine European and North American countries for which recent data was available. In six it was declining. Doctors working in women's health in Ireland told The Journal that despite the availability of free contraception, they still meet women who do not plan to go on it, or who are concerned about effects they have experienced while taking it. For Scanlon and other women in their 20s who spoke to The Journal about their decision to come off hormonal contraception, the growing conversation among women about side effects and alternatives is a logical continuation of the empowerment of women that contraception itself brought, 40 years after it was fully legalised in Ireland in 1985. 'The conversations are changing,' Scanlon said. 'Female health is really, really becoming a topic of conversation – and thank god, it's about time.' Ciara McCarthy, a Cork GP who is the clinical lead for women's health at the HSE and Irish Council of General Practitioners, said: 'It is certainly a conversation that seems to be happening now.' She suggests two factors may be at play. First, there's what women are seeing online, some of which, on TikTok in particular, she characterises, as misinformation and disinformation. Secondly, there's the reality that some women are more sensitive than others to the side effects of hormonal contraception. Other doctors who spoke to The Journal made the same inferences. The UNFPA said it can't draw definitive conclusions about the influence of online content on the apparent decline in uptake of hormonal contraception in some countries, but it said this has been raised with it anecdotally. 'Cost is not a factor' Shirley McQuaid, medical director of the Well Woman Centre in Dublin, said there is 'definitely a move away from hormonal contraception', evidenced by a surge in the popularity of the copper (non-hormonal) intrauterine coil. A decade ago, this was an unusual choice among women attending the Well Woman Centre, which specialises in family planning and sexual health but its popularity has steadily increased. This increase has happened despite the fact that the copper coil was not reimbursable on the free scheme until early 2023. The full cost of consultation, fitting and the device itself is almost €300. Copper coils as a percentage of all intrauterine contraception fitted at the Well Woman centre 2005-2022: there has been a steady increase. Well Woman Centre Well Woman Centre The copper coil is not a universally suitable or attractive alternative to hormonal contraception, however. It can cause longer and heavier periods. McQuaid said that she is seeing sexually active women 'every day' who don't want to get pregnant but aren't taking contraception. Was that always the case, say 10 or 15 years ago? 'It was, but I had always thought it was related to the fact that access to contraception wasn't freely available,' McQuaid said. 'I had always assumed that cost was a factor. But there is still an issue, even though cost is not a factor. Now, some people just say they don't want to get pregnant but they don't actively do anything to prevent it.' Side effects No-one disputes the fact that hormonal contraception can cause side effects. However, some side effects may not be officially recognised. For example, the NHS website states that there is not enough evidence to show that headaches, nausea, mood swings, weight gain, sore breasts or acne are caused by hormonal contraception. This will seem bizarre to many women, who have either experienced one or more of these side effects themselves, or whose friends have. McCarthy, of the ICGP and HSE, said contraceptive care needs to be very carefully individualised. 'We can look at the guidelines, where they'll say there's insufficient evidence that such and such causes mood changes or weight gain, and on a population level that may be true. But on an individual level, women can experience significant side effects and some women are more sensitive than others,' McCarthy said. Psychologists in UCC interviewed 11 Irish women about their experience on the pill. They found that while the women felt more in control of their fertility, they experienced both physical and mental side effects. The women did not feel this experience was taken seriously by doctors. Caitríona Henchion, medical director of the Irish Family Planning Association, agreed with McCarthy that hormonal contraception 'does not suit everyone' and some people seem to be more sensitive to negative effects. These are usually associated with progestogens – synthetic forms of progesterone. 'However, the majority, who are likely to have little or no adverse effects, are being frightened off even trying it,' Henchion warned. 'Many fears are based on totally false claims made, usually on social media.' Advertisement Dr Caitríona Henchion Andres Poveda Andres Poveda She said hormonal contraception is not only an effective way of avoiding unintended pregnancy but can also reduce period pain and cause lighter bleeding, and significantly reduce the risk of developing ovarian cancer. Doctors say that if women have a poor experience on one pill – for instance, low mood, associated with progesterone, or breast tenderness, associated with oestrogen – trying another pill or form of composition is likely to help. 'Oftentimes, women won't have an issue with the second pill they try,' said McQuaid, of the Well Women Centre. However, women The Journal interviewed about their decision to discontinue hormonal contraception spoke unhappily of being automatically told by doctors to try a different pill or form of contraception when they raised concerns. They said they didn't like the idea of taking artificial hormones, and they found it easier to understand their own mood and feelings when they were able to track their normal menstrual cycle (most hormonal contraception other than the hormonal coil prevents ovulation). There seems to be a sense in which women are further alienated from hormonal contraception when they feel the health system is not listening to their concerns about it. Trainee clinical psychologist Ailsa McGuinness, who led the UCC research on Irish women's experience of taking the pill, said that while the pill is physically safe, women feel that there is not enough research on or understanding of its mental health impact. She suggests the gap that has opened up between women's experience, which they share informally with each other, and official medical advice and messaging may be where the online 'wellness' industry has crept in with its alternative views on contraception. Frequently, in social media discussions of contraception, including among Irish women, someone will advocate using menstrual cycle-tracking apps such as Natural Cycles as a form of contraception. This particular app has been promoted as contraception by at least one Irish alternative health practitioner with a large social media following. Natural Cycles, which also encourages women to check their temperature to know where they are in their cycle, said it has a small Irish user base but is not actively marketing itself here. It claims to be 93% effective with typical use and 98% with perfect use, and claims to be 'just as effective' for women with an irregular cycle. Claims that cycle tracking can be over 90% effective in preventing pregnancy are not supported by Irish health authorities. Natural Cycles Natural Cycles In 2018, the British Advertising Standards Authority banned a Natural Cycle ad billing the product as a 'highly accurate' contraceptive tool, ruling that the claims made were misleading and the effectiveness of the app exaggerated. The Irish government's new sexual health strategy states that unplanned pregnancy rates for 'natural family planning methods' are estimated at 24-25%, and warns that there is a 'clear need' for more public information on cycle tracking as a form of contraception. Henchion, of the IFPA, said: 'I have met several women using period tracker apps for contraception. Unfortunately, the context in which I usually meet them is unintended pregnancy. 'If an unintended pregnancy would not be a crisis and if you have a very regular cycle, it is perfectly reasonable to use a tracker app instead of contraception. But the failure rate is significantly higher than with any modern contraceptive method. Even with a very regular cycle, ovulation may vary from one month to the next,' she said. Social media If there is an emerging trend of more women opting out of hormonal contraception, it seems very likely that social media is playing a role. Research analysing YouTube vlogs about hormonal contraception, for example, has found they are disproportionately about discontinuing it. One 2023 study , based on interviews with women, concluded that social media shapes their sense that there are hazards associated with the pill, shifting the perceived risk from questions around the reliability and basic safety of the drug to questions of individual physical and mental wellbeing. Young women interviewed by The Journal who have come off contraception were self-aware about this aspect of social media: they could see that it individualised discussion of hormonal contraception to particular women's experience – and they saw this as a positive. They viewed social media as playing an empowering role in enabling women to share their own experiences and decisions with others. Olwyn Hanley (29) was on various forms of hormonal contraception from age 17 to 24. She believes social media has given women both information and education. 'I feel like the generation before us were very accepting because they didn't have that access to information online. They thought, 'if the doctors say so, it must be right, and we'll just go by that'. I think we're very much a generation who asks questions,' Hanley said. Hanley said that being able to track her menstrual cycle and understand why her mood might be different at different times of the month has been beneficial. She is in a long-term relationship and uses condoms. There may be other factors at play, not least the other side of the story when it comes to pregnancy or avoiding it: men. One 26-year-old woman from Cork said her boyfriend has put no pressure on her to go back on contraception. They use condoms. 'I think the men in this generation are more educated,' she said. Clóda Scanlon, the 28-year-old whose Instagram video on her experience of coming off the contraceptive implant after 10 years received a warm response from other young women, said she has no plans to go back on. Like other women The Journal spoke to, she feels more in tune with her body now that she is tracking her normal menstrual cycle. 'My feelings have more clarity,' she said. 'There would have been times when I would have maybe struggled with my mental health, and I kind of wonder, would the [artificial] hormones have had an effect in some way, because I wasn't actually feeling my true emotions, my body wasn't taking its natural course?' she said. A clearer picture of what is happening in Ireland will soon emerge. The next Healthy Ireland Survey, to be published this year, will contain an update on contraceptive use, while the University of Galway will conduct a major survey for the HSE in 2027. McCarthy, of the ICGP and HSE, advises women who are going to a medical consultation about contraception to write out what they've been on before, how long they took it for and what issues they experienced, to help them to build as clear a picture as possible. To anyone experiencing side effects she says: 'Talk to your GP: they want to find a method that is going to be right for you.' Readers like you are keeping these stories free for everyone... A mix of advertising and supporting contributions helps keep paywalls away from valuable information like this article. Over 5,000 readers like you have already stepped up and support us with a monthly payment or a once-off donation. Learn More Support The Journal


Irish Examiner
18 hours ago
- Irish Examiner
Endometriosis education programme to be expanded across secondary schools
A new endometriosis education programme offered by a teacher and medical scientist has already been used by 14 schools with plans for more from September. An estimated 10% of girls and women worldwide have endometriosis. It is known as the missed disease as worldwide it can take up to 10 years to diagnose. There is no cure but symptoms can be eased with treatment. Cate O' Connor, a primary school teacher in Limerick, said the reaction from girls in secondary schools has been great. 'We go through the basics of the menstrual cycle, and then we go into endometriosis,' she said. 'The other big message we're trying to get across to them is about what's normal and not normal, so the difference between discomfort and distress.' They aim to present the science in an accessible way. 'The students see an awful lot of information on TikTok,' she said. 'There's a lot of information recently about contraception and taking the pill with adverse effects but then they go to the doctor (with period pains) and that's the solution that's offered so there's conflicting information.' She added: 'They're getting information from TikTok which is not medically based and then they're getting information from their doctor and they're not sure what to do.' Ms O' Connor and co-founder Kathleen King, a HSE medical scientist, have endometriosis but do not discuss this with the students. 'Some schools have said to us that with these kinds of topics sometimes having an outside person come in can help the girls open up more,' she said. 'They see us, ask us questions and it's not embarrassing because they're probably not going to see us again.' She added the pair would also like to see interested teachers trained up. It is usually SPHE teachers inviting them in and they also worked with a PE teacher worried about girls dropping out of sport. 'That is one way the Department of Education could get involved,' she said. The programme is inspired by New Zealand's 'what about me' menstrual education programme. The Irish programme is called 'MISE' which means 'me' in Irish and here stands for Menstrual Information Specialising in Endometriosis. They run it as volunteers, taking annual leave to deliver the courses. Schools pay €1 per student who attends. 'It's a lot to do, you hear a lot of stories. It makes it worth your while when they come up and ask you the questions,' she said. 'I think the hardest part for us is knowing you are sending them more empowered to their doctor to follow up and more empowered to talk about it at home, but they are going to get caught in the system (with delays).' A new national endometriosis service is rolling out, but the HSE has acknowledged recruitment challenges.