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Wyoming becomes first state to ban abortion pills



Medical abortion is already banned in states that have total bans because those bans already ban all forms of abortion.

government Mark Gordon Of Wyoming Republican, signed a ban on abortion pills in that state on the same day that he said he would allow another more radical anti-abortion measure to become law without his signature. The law, which takes effect Sunday, bans abortion under virtually all circumstances, making abortion a criminal offence.

“I have acted impartially and after much prayer that these bills become law,” Mr. Gordon wrote in a letter to the Wyoming Secretary of State released Friday evening.

Mr. Gordon said in the letter that he withheld his signature on a broader abortion ban because he feared it would complicate matters in an ongoing legal battle over an earlier abortion ban passed by Wyoming lawmakers.

The broader ban also bans medical abortion, and the measure banning abortion pills will mostly result in additional fines for medical abortion providers.

Both laws are likely to be quickly challenged in court by abortion providers, who will seek to prevent the bans from going into effect while the lawsuit continues. The earlier ban on abortion has so far been blocked by the courts after medical professionals and others filed a lawsuit alleging that the law violates Wyoming’s constitutional guarantee of free healthcare decision making. The recent ban on abortion is an attempt to circumvent this constitutional provision by declaring that abortion is not medical treatment.

The Wyoming Abortion Pill Act goes into effect on July 1. it is illegal to “prescribe, dispense, distribute, sell, or use any drug for the purpose of obtaining or performing an abortion.” Physicians or others found guilty of violating this law will be prosecuted for an offense punishable by up to six months in prison and a $9,000 fine. The law explicitly states that pregnant patients will be exempt from fees and fines.

There is only one clinic in Wyoming that performs abortions, the Women’s Health and Family Care Clinic in Jackson. It only provides for medical abortion, not a surgical procedure.

Earlier versions of the bill named specific drugs: mifepristone and two branded versions of it, and misoprostol, the second drug used in the medical abortion scheme.

But doctors objected, pointing out that misoprostol in particular had many other medical uses, including helping pregnant patients deliver successfully. Doctors have expressed concern that pharmacists will be afraid to stock any drugs, and some Republicans have said abortion drug names could simply be changed to circumvent the law. As a result the final language has been expanded outlaw the use of any abortion drugs without mentioning specific drugs.

In 2023, at least three other bills were introduced to ban medical abortion. In Iowa, the bill was not put to a vote before the end of the legislative session, and in Hawaii, a Democratic state, the bill seemed unlikely to pass.

The bill, introduced in Texas, a state that already bans abortion, includes a host of provisions aimed at cutting off any access to the pill, including making it harder for Texas patients to get information about abortion services or their use outside of the state. The bill would make it illegal to manufacture, distribute, or “provide an abortion drug by any means to any person or place in this state.”

It would also make it illegal “to create, edit, upload, publish, host, maintain, or register a domain name for an Internet site, platform, or other interactive computer service that assists or facilitates a person’s efforts in obtaining an abortion.” drugs.”

Many patients learn about abortion options from websites such as Plan C, a clearinghouse for information about medical abortion. And a growing number of patients in states where abortion is illegal are arranging to get pills through telemedicine websites such as Aid Access, a European service that delivers pills to any state from India, and Hey Jane, one of several US services that will provide pills to patients who travel to a state where abortion is legal and where they can get medicines by mail in those states.

In addition to Wyoming and states with total bans on abortion, 15 states have introduced restrictions on access to medical abortion, according to the Guttmacher Institute, a research group that supports abortion rights. These restrictions range from requiring medication to be provided by a doctor to requiring the patient to visit the doctor in person. Several states, including Texas and Arizona, are banning mail-order abortion pills, and mail-in pill bills have been introduced this year in at least three other states.

“We are seeing efforts to further limit access to medical abortion because anti-abortion advocates recognize that even with abortion bans in place in 12 states and no access in two more, patients can still get abortion pills,” said Elizabeth Nash. , state representative. political analyst at the Guttmacher Institute. “Now anti-abortion advocates have taken to the courts, attorneys general and state legislatures to further restrict access to the pill.”

Since January, when newly elected legislatures began to convene for the first time since Dobbs v. USA. The Jackson Women’s Health Organization’s decision ended the national right to abortion, with more than 500 abortion-related bills proposed in states across the country.

Some states, where Democratic legislatures have strong – or even unexpected – majorities, are taking steps to increase protection against abortion. in Minnesota, first account legislature in 2023, making it harder for future legislatures and governors to relax these protections, which signed in January by the governor. Tim Walz, Democrat. In Michigan, the legislature has reiterated the abortion ban, and the governor is expected to be signed by Democrat Gretchen Whitmer.

But most of the new bills are aimed at limiting access to abortion. And now, as several states close their legislative sessions, bills are starting to hit the governors’ tables.

According to another new Wyoming law, “Life is the law of human rights”, performing an abortion or administering abortion drugs would be a criminal offense punishable by up to five years in prison, and doctors would have their license revoked. The law prohibits abortion, with narrow exceptions in cases of rape, incest, and serious risks to the life or health of the pregnant patient.

“While other states are promoting extreme abortion programs comparable to the brutal laws of North Korea and China, Wyoming is pro-life, arguing that life is a human right and providing real support for women,” State Representative Rachel Rodriguez said. Williams, sponsor of the bill.

The law is intended to replace the existing ban, which now suspended due to legal action over its constitutionality. However, it remains to be seen how this will affect the actions of the Wyoming Supreme Court.

It’s about defining health care: Wyoming’s state constitution has the right to make their own decisions about health care. Thus, the new law provides that abortion is not medical care.

“Abortion is not medical care, but the deliberate termination of the life of an unborn child,” the new law says. “It is within the power of the State of Wyoming to determine reasonable and necessary restrictions on abortion, including its prohibition.”

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Ozempic shortage: Diabetes patients at risk as TikTok and telemedicine prescriptions fuel drug demand




Telemedicine and social media are playing a significant role in boosting demand for Ozempic, a prescription drug for type 2 diabetes, experts told CNN. The current shortage of drugs is limiting access for diabetic patients who rely on them to control their blood sugar levels.

Digital health companies are making it easy to get medicines like Ozempic by providing online prescriptions. Many advertise quick and easy access—sometimes same day—access.

“Oddly enough, getting a cure is almost easier [via digital health companies]said Dr. Disha Narang, endocrinologist and director of obesity treatment at Northwestern Medicine, Lake Forest Hospital. “But not always the safest.” People who reported average weight on online admission forms were still offered an anti-diabetic drug, Narang told CNN.

Partly because of the popularity of Ozempic, the market for prescription weight loss drugs has grown significantly, according to MarketData Enterprises, an independent research and consulting firm. The market has outperformed forecasters’ expectations for 2022 and is expected to be a nearly $2 billion industry by 2023.

WeightWatchers is also tapping into the field of prescription telemedicine. Last week, the company bought a subscription to a telemedicine service that helps patients connect with doctors who can prescribe weight loss and diabetes medications.

“At the beginning of 2022, these companies were not marketing this material,” Narang said, noting that Ozempic advertising began in 2022. “I think we really need to start questioning our ethics in this regard.”

When it comes to the application processes for digital healthcare companies, there are a few general requirements, says Dr. Bree Holtz, an assistant professor of telemedicine at Michigan State University, told CNN. Once the patient completes the required online forms, the information is passed to the in-state provider, who can write the prescription. Some companies require the patient to switch to a video or phone call with a provider – others require neither.

“It’s a little scary that you can just wake up and make an appointment – or these medications – and you won’t be taken care of,” Holtz said.

Telehealth has been a game changer in providing access to healthcare, especially during a pandemic. And especially for people living in places where high-quality primary care isn’t available, direct consumer telehealth services can help fill the gap, the doctor said. Lori Buis is an assistant professor of family medicine at the University of Michigan whose research focuses on digital health.

However, when patients start seeking selective treatment from select providers, Buijs says it opens the door for issues such as fragmented care or abuse. Telehealth providers may not have access to a patient’s complete medical history and may be less able to provide comprehensive care than a primary care physician would otherwise be able to.

“I have no doubt that some of these services are doing their job well,” Buijs said. “There are also services that don’t take it that seriously. And that worries.”

The U.S. Food and Drug Administration first announced a shortage of Ozempic last August. Supplies are likely to be overloaded until mid-March, according to the FDA drug shortage database.

According to a JP Morgan analysis, Ozempic prescriptions in the US reached an all-time high in the last week of February, with more than 373,000 prescriptions filled. IQVIA Data shared with CNN. This is 111% more than the same week in 2022.

According to a CNN review of JP Morgan’s analysis, more than half of these were new prescriptions.

With so many patients relying on Ozempic for their diabetes, providers like Narang struggle to figure out which alternatives to prescribe to their patients.

“We receive daily reports that patients cannot get their own medicines,” Narang said. “It’s been tough for both patients and providers.”

According to a JP Morgan analysis, Ozempic currently holds over 40% market share in the US for glucagon-like peptide 1 (GLP-1) agonists, a class of drugs that mimic the appetite-regulating hormone. These drugs work by stimulating the release of insulin, which helps lower blood sugar levels. They also slow down the passage of food through the intestines.

Ozempic has grown rapidly in popularity since it was first introduced to the market in 2018. The drug has been used safely and successfully to help diabetics lower their blood sugar levels and achieve diabetes remission, Narang told CNN. According to her, Ozempic is the most powerful of all GLP-1 drugs.

Behind the Ozempic brand is the drug semaglutide. While Ozempic is used primarily to treat type 2 diabetes, another drug called Wegovy – also semaglutide – is approved specifically for chronic weight management.

Although FDA approved in 2021For most of last year, Wegovy was unavailable, Narang said, so people turned to Ozempic. According to the FDA drug shortage databaseWegovy has been in short supply since the end of March last year, but was back in stock earlier this year.

The social media hype around these two drugs picked up in early 2023. Celebrities shared their testimonies of how semaglutide helped them shed those extra pounds. Elon Muskfor example, publicly credited Ozempic and Wegovy in part for his weight loss.

#Ozempic and #Wegovy have been “extremely popular” on TikTok over the past few months. according to company analytics.

The use of Ozempic and Wegovy for short-term weight loss has had real implications for patients who need drugs for diabetes and chronic weight management, Narang says. For example, some insurance companies have reportedly refused to cover Wegovy in the past, some call it the “vanity drug”.

Both drugs are intended for long-term use, not for short-term weight loss. Their appetite-regulating effects disappear quickly after you stop taking them.

“It’s not a cure to shed the last 5 or 10 pounds to get ready for an event or something like that. It’s not for use within three or four weeks, Narang said. “When we think about weight management, we think about the next 25 years of someone’s life.”

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It’s Time to Dedicate Yourself to Raising Children – Chicago Tribune



Dear Amy! I have a very difficult and tense relationship with my mother, and I don’t know what to do about it.

Now I am 19 years old.

My mother is a drug addict and alcoholic, and because of this, she missed most of my early childhood.

When I was about eight, she finally sobered up, but she still had a lot of psychological problems, most likely from years of substance abuse, and she never matured.

She thought only of herself. She hurt me over and over again. She put her motherhood on hold and wasn’t there for me.

I finally had enough when she missed my high school graduation last year. She then lied to me about why she missed it (turns out she was at home the whole time).

I tried to tell her how much it hurt me. In response, she cried, did theatrics, felt sorry for herself, and, in fact, told me that she was giving up on our relationship because she was “failing all the time.”

I begged her to try to change for me, but it seems she would rather wallow in her own grief and cry about how much I hate her.

I don’t hate her; I would like her to try her best so that we can spend the rest of our lives together.

I didn’t see her for almost a year and didn’t speak to her for several months. I’m completely lost and I have no idea how to deal with this.

– Lost, confused and sad daughter

Dear daughter, you are the child of an addict, and you have taken on the heavy burden that your mother’s addiction placed on you.

And, like many children of drug-addicted and narcissistic parents, you would love to force your parent to change so that you can have the healthy parent-child relationship you so desire.

Unfortunately, your mother is unwilling or unable to change for you.

You can, however, change, and that change must be in the direction of securing your own future health and happiness, as well as accepting the lousy card you have played and its limitations.

Your mother’s erratic and frustrating behavior has taught you to take responsibility for the outcome, but you need to find ways to fold that heavy backpack you’ve been carrying.

Every human being craves love and permanence, and you will find it, but most likely not in your mother.

Now is the time for you to make a commitment to educate yourself (and I feel you will be very good at it).

Trusting and emotionally healthy relationships with others will also help you heal.

I suggest you join a “friends and family” support group such as Al-anon or Adult Children of Alcoholics (adult, and read “Adult Children of Emotionally Immature Parents: How to Heal from Distant, Rejecting, or Selfish Parents” by clinical psychologist Lindsey Gibson (2015), New Harbinger.

Dear Amy! My daughter is engaged to her college boyfriend. Now they live together.

Even though my daughter’s income is well below his, he insists that she pay 50 percent of her expenses. She starts falling behind and goes into debt to keep up.

I would like to know your thoughts.

– Concerned parent

Dear Worried! I’m wondering why your daughter’s fiancé has the right to decide and dictate his family finances?

If they are counting on a marriage in which they will be true partners, then these important issues should be discussed and decided mutually, and not dictated by one partner.

If she manages her money responsibly, but cannot afford to live on these terms, then something needs to change. Ultimately, being in debt is very expensive.

My big point is that this is a red flag. The pressure of duty will add to the pressure of a partner who (at least from this point of view) sounds bossy.

Dear Amy! Like other readers, I was appalled by your response to “Anonymous,” a reader who complained about “free-range” children at family events.

These parents are not only lazy, they are careless. I can’t believe you stood up for them!

– Disorder

Dear Upset! After warning about the dangers and dangers of children running “free range” in other people’s homes, I stood up for these parents.

Anonymous did not mention that these kids were rude or disturbing others – only that they were allowed to run on their own.

(You can write to Amy Dickinson at or send an email to Ask Amy, PO Box 194, Freeville, NY 13068. You can also follow her on Twitter. @askingamy or facebook.)

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Weight loss: are injections the answer to the fight against obesity?



The attraction is clear – but should we turn to appetite suppressant injections?

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