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Tips for Talking with Your Doctor About Insomnia and Why It Matters
Tips for Talking with Your Doctor About Insomnia and Why It Matters

Health Line

time19-05-2025

  • Health
  • Health Line

Tips for Talking with Your Doctor About Insomnia and Why It Matters

Chronic insomnia can affect daily life. To prepare for a doctor's visit to discuss treatment for your insomnia, track your sleep habits and write down any questions you may have. There's a long list of health complications linked to long-term lack of sleep. Chronic insomnia can also seriously affect your quality of life, from constantly feeling tired to an increased risk of depression. The occasional bout of sleeplessness is no cause for alarm. But if you go night after night without getting a full night's sleep, that's a wake-up call to reach out to a doctor for help. When to talk with your doctor about chronic insomnia Most doctors understand that sleep disorders are a major health concern. Try to raise the subject of sleep if you're having issues with your doctor if they don't bring it up. If you have chronic insomnia, you shouldn't sweep it under the rug. You can try a few things at home first to improve your sleep before reaching out to your doctor. This includes, but isn't limited to: keeping regular sleep-wake and meal schedules, even on weekends limiting screen time before bed and reducing light in your sleep space exercising regularly, at least 5 to 6 hours before bedtime. cutting down on caffeine, alcohol, and other drug use, especially before bed avoiding smoking, if you smoke, or trying a smoking cessation program avoiding daytime napping practicing relaxation techniques before bed, such as meditation, gentle yoga, or light stretching leaving bed if you can't sleep, then return to bed when you feel tired again. If these steps don't resolve your insomnia, you should discuss your sleep concerns with your doctor. You should talk with your doctor if you consistently: have trouble falling asleep can't stay asleep wake up earlier than you want to don't feel refreshed after sleep have excessive sleepiness during the day Tips to prepare for your doctor's visit To make your doctor's visit as productive as possible: Write down your sleep-related questions. Record your sleep and sleep-related activities by hand or app and share it with your doctor. Detail any self-help techniques you've tried and what the results were. Make sure you know the name and dosage of any medications you're taking. Some questions you may want to ask are: How can I fall asleep again after waking up at night? Can exercise help with my insomnia? Can I take any supplements to help me fall asleep? What are the side effects? What over-the-counter medications can help me? What are the side effects? What prescription medications can treat my insomnia? What are the side effects? Is insomnia genetic? What can my doctor do for my chronic insomnia? Your doctor may be able to recommend behavioral therapy to help you overcome your chronic insomnia, such as cognitive b e havioral therapy. Medications can help restore typical sleep patterns. 'I recommend using cognitive behavioral therapy as the first-line treatment for insomnia since it is safer, more lasting, and at least as effective as any sleep medication,' says Pietro L. Ratti, MD, a neurologist and sleep specialist. Takeaway Chronic insomnia is a serious health condition. It can lead to or worsen other physical and mental health disorders. Talk with your doctor about any chronic sleep problems. You can prepare questions ahead of time and use an app or paper to track your sleep habits to discuss with your doctor. Self-help techniques may be effective in resolving chronic insomnia, but your doctor also can recommend treatments for chronic insomnia, including behavioral therapy and medication.

Getting skinny on fat jabs left me with a HOLE in my throat and that wasn't the worst of it – I beg you, DON'T do it!
Getting skinny on fat jabs left me with a HOLE in my throat and that wasn't the worst of it – I beg you, DON'T do it!

The Sun

time15-05-2025

  • Health
  • The Sun

Getting skinny on fat jabs left me with a HOLE in my throat and that wasn't the worst of it – I beg you, DON'T do it!

WHEN Aimee Chapman began using fat jabs just over a year ago, she never expected to end up in hospital fighting for her life, with a hole in her throat. The 34-year-old lost four stone in a matter of months, but was left suffering complications so severe that doctors were left baffled as to how to help her. Now she says she regrets ever taking the injections. 12 12 12 Aimee was rushed to hospital just a few months after starting on the jabs, where doctors discovered a hole in her oesophagus due to frequent vomiting, and a failing liver. Aimee told The Sun: "They were trying all sorts of things to get my liver levels back to normal. It was failing. "They had said it was down to the weight-loss jab, but they didn't know why or how to fix it. "There was so little out there medical-wise, doctors didn't know how to fix it. "I was terrified. It all happened so quickly and I hadn't realised how serious it was until I was transferred and it sunk in that it was worse than I thought it was.' And months after her ordeal, Aimee's waist-length hair began falling out in clumps. She's now warning others against using the popular jabs. The 34-year-old began using the GLP-1-class weight loss injections in March last year. She claims it was for her health, as she'd been diagnosed with fibromyalgia 15 years ago. The condition causes widespread pain, fatigue, headaches and mood problems, and is incurable. But GPs advise exercise, therapy and antidepressants for managing symptoms. Weight Loss Jabs - Pros vs Cons Aimee, who lives in Southampton, Hampshire, said: "I'd never even thought about it until I saw a post on social media saying you can just buy [weight-loss jabs]. "I noticed that as my weight changed, I was taken less seriously by doctors. My thinking was that if I could weigh less, I would at least get taken a bit more seriously. "It wasn't about getting thinner or looking better for me. That hadn't even crossed my mind." The family of drugs known as GLP-1 RAs were originally developed to treat diabetes - one notable example is Ozempic. 12 12 Now, the same technology has been deployed for weight loss, in the form of drugs like Mounjaro and Wegovy. They suppress a patient's appetite, mimicking hormones naturally released by the gut to signal fullness. 'In denial' Aimee bought her jabs from an online pharmacy. She paid around £200 for a month's worth of them. She lost a whopping four stone when she first began using the injectables, dropping from 14 stone to just 10 stone in four months. However, in June last year, Aimee - who is married to Christopher Chapman, 41, a security officer - began feeling unwell and was barely able to eat. She says: '[After a few months of using the jabs] I started noticing I didn't have a lot of energy, I couldn't really do much. I was only eating a couple of times a week. "I stopped being able to walk. I would take a couple of steps and have to stop.' I was throwing up all the time and started throwing up blood. I was sick between 50 and 60 times Aimee But worryingly, Aimee couldn't stop being sick. Feeling and being sick are among the most common side effects when taking GLP-1s, thought to affect around one in 10 people on them. "I was throwing up all the time and started throwing up blood,' says Aimee. 'I was sick between 50 and 60 times. "I collapsed a couple of times. My husband came home and found me passed out in the hallway one night. "I was in a bit of denial about it being linked to the jab because I was fine up until now. I just thought I was poorly and it was some sort of virus." 'Could have died' When Aimee began experiencing chest pains a month later, she went to Winchester Hospital's A&E. It was then that doctors discovered she had developed a hole in her oesophagus that was leaking air around her heart and lungs. Aimee was admitted to the intensive care unit on July 12, and her blood pressure and potassium levels began to plummet. Then, she was rushed to ICU at Southampton General Hospital when doctors noticed her liver function was deteriorating. An organ transplant was considered when Aimee's liver began showing signs of failure. But luckily, Aimee was able to return home after 11 days in hospital. 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. Her liver made a full recovery and the hole in her throat healed itself. But the 34-year-old was told she would never be able to touch GLP-1 jabs again. "After coming out of ICU, the nurse told me this has happened because of these jabs and I can never take one ever again even if I had type 2 diabetes,' Aimee says. "I don't think they know whether this was a general side-effect or whether this was a rare case. I was really surprised about how much of my body it affected. "I was told the hole in the oesophagus can kill people and I may have needed a new liver. They said I could've died." Liver issues are not a common side effect of weight loss injections, but there have been a isolated reports of people developing liver injury after taking the jabs. On the other hand, research has indicated that GLP-1s could lower the risk of liver disease, as people with obesity have a higher risk of developing a particular type called fatty liver disease. Some weight loss jab users develop gallstones or an inflamed gallbladder, which can be connected to liver function. 12 'Don't do it' In September 2024, a few months after her ordeal Aimee began to notice her hair was coming out in clumps. She believes this is related to a vitamin B12 deficiency linked to being on the weight loss jabs. Aimee said: "[The hair loss] kept happening and the handfuls kept getting bigger. I would be so sad. My hair was just above my bum when I went into hospital. 'My husband just said why don't you just cut it off? My hair was such a massive part of my identity and to cut it off just felt really traumatic. But I said to myself it was just hair, it'll grow back. "This feels like another result of the injections.' The 34-year-old was diagnosed as vitamin B deficient after blood tests in October. She now has to get quarterly vitamin B12 injections. Aimee, who doesn't work due to her disability, is now calling on others who are considering using the injectables to do their research and consult a doctor. 'I'm not going to tell people what they can and can't take but I do believe more research needs to be done into these jabs,' she says. "I regret ever taking them. I'd say to other people thinking about trying them, don't do it online, go through your doctor who can give you blood tests and check how you're doing." 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.

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