The Health and Me had previously reported on how many people faced problems with their pancreas post taking weight loss drugs and diabetes injections. These medicines are mostly Wegovy, Ozempic and other variants of GLP-1 medicines, or the glucagon-like peptide-1 receptor agonists. This has led to an investigation by the authorities.

Not just this, but there are also reports of deaths that have been linked with GLP-1 medicines. Data from the Medicines and Healthcare products Regulatory Agency (MHRA) revealed that ever since these drugs were approved, there have been hundreds of cases of acute and chronic pancreatitis.

The data revealed that 10 people have died and among them, 5 were linked to active ingredients of these popular weight loss jabs.

What Did The Data Reveal?

• A total of 181 cases of acute and chronic pancreatitis have been reported in connection with tirzepatide, the active ingredient in Mounjaro, including five fatalities.
• Liraglutide was associated with 116 such cases, one of which was fatal.
• Semaglutide—the active ingredient in Ozempic and Wegovy—was linked to 113 cases, with one death reported.
• Exenatide was associated with 101 cases, including three deaths.
• Dulaglutide and lixisenatide were linked to 52 and 11 cases respectively, with no reported fatalities for either drug.

Based on the data, the Yellow Card Biobank project, which is launched by MHRA and Genomics England will investigate these instances and check whether these drugs could influence people's genetic make-up.

When we asked Dr Amrit Kaur Kaler, Consultant, Molecular Pathology at Kokilaben Dhirubhai Ambani Hospital, Mumbai about it, she said the "definitive answer to it is no". The doctor explained, "GLP-1 drugs are designed to mimic the body’s own incretin hormone. Once injected, they bind to GLP-1 receptors located on pancreatic β-cells and in regions of the brain that regulate appetite. This action leads to an enhanced insulin secretion, helping the body respond appropriately to rising blood glucose levels." It also leads to appetite suppression, by activating neurocircuits that signal fullness. Furthermore, it delays gastric emptying, which prolongs satiety after meals.

In a nutshell, explained the doctor, the medicines "target receptors, not genes."

Though Dr Kaler also notes, "Although GLP-1 agonists themselves do not rewrite genes, any significant change in metabolism—such as substantial weight loss or improved insulin sensitivity—can lead to epigenetic modifications. These are biochemical tweaks, like adding or removing methyl groups on DNA or changing histone configurations, that influence gene activity without altering the underlying sequence." However, it is also important to note that the drugs do not introduce new mutations or make the pancreas produce abnormal DNA. "Individuals with inherited variants in genes like PRSS1, SPINK1, or CFTR already carry a higher baseline risk for pancreatitis," she explains.

The MHRA is encouraging individuals taking GLP-1 medicines who have been hospitalised with acute pancreatitis to report their experience through the Yellow Card scheme.

Following a report submission, the MHRA will reach out to patients to ask if they are willing to take part in a related study.

Participants will be asked to share further information and provide a saliva sample to help determine whether genetic factors may contribute to the risk of developing acute pancreatitis from specific medications.

What Are GLP-1 Medicines?

GLP-1 agonists, used to lower blood sugar in type 2 diabetes and support weight loss, are currently under increased scrutiny, according to Wales Online.

With an estimated 1.5 million people in the UK using weight loss injections, health authorities recognise their role in tackling obesity but warn against viewing them as a universal solution, citing potential side effects.

Commonly reported reactions include nausea, constipation, and diarrhoea. Recent safety alerts have also highlighted concerns about Mounjaro possibly reducing the effectiveness of oral contraceptives.

Dr. Alison Cave, Chief Safety Officer at the MHRA, stated: “Evidence shows that nearly a third of medicine-related side effects could be avoided through genetic testing. Adverse drug reactions are estimated to cost the NHS over £2.2 billion annually in hospital admissions alone.”

She added that data gathered from the Yellow Card Biobank will help identify patients at increased risk of side effects, enabling more personalised and safer prescribing based on individual genetic profiles.

What Happens To Your Body When GLP-1 Medicines Are Administered?

To understand what our body goes through, we spoke to experts in endocrinology and gastroenterology. Here's what they said.

Dr Pranav Ghody, Consultant Endocrinologist & Diabetologist, Wockhardt Hospitals at Mumbai Central explains that weight loss medications, particularly injectable GLP-1 receptor agonists like semaglutide, have become popular due to their effectiveness. "However, when misused taken without medical supervision, used in high doses, or by people with underlying health issues they can lead to serious side effects. Some complications, like pancreatitis or severe gastrointestinal symptoms, may be life-threatening if not promptly addressed."

Why does it impact the pancreas? Dr Ghody explains that these medicines slow digestion and help control hunger, however, in some individuals, especially those predisposed or with a history of pancreatic issues, they can irritate the pancreas and trigger inflammation, leading to a condition called acute pancreatitis.

He also notes that in rare cases, acute pancreatitis can become severe. "It could lead to serious complications like organ failure of infections. If not diagnosed and managed early, it can be fatal. That said, such outcomes are uncommon and typically occur when early warning signs are ignored or the drug is misused."

Dr Saswata Chatterjee, Gastrologist at CMRI Hospital explained, "Cases of pancreatitis is more commonly seen in patient people who take terezaberatide. What occurs is there is a pancreatic duct through which the normal pancreatic secretions flow out of the pancreas and into the small intestine. This medicine has been shown to cause hyperplasia of cells around the pancreatic duct and therefore ductal occlusion occurs which leads to pancreatitis in some situations."

So, How Can One Ensure Safe Use Of Weight Loss Drugs?

"Always take these drugs under the guidance of a qualified endocrinologist or physician. A thorough evaluation including your medical history, current health status, and regular monitoring is crucial. Never self-medicate or take someone else’s prescription. Also, report any symptoms like persistent stomach pain, nausea, or vomiting immediately to your doctor," points out Dr Ghody.

Seconding to this. Dr Sachin Chittawar, Endocrinologist notes that drugs should be prescribed by an endocrinologist.

Known for her iconic role as Claire in the Modern Family, Julie Bowen who is a versatile American actress, recently spoke about the rare heart condition she's was diagnosed with at 29.

Speaking about it on the first episode of 'Inside of You' with host Micheal Rosenbaum, Julie revealed her condition 'shy sinus syndrome' that caused her to have a low resting heart rate. She also explained how, due to the condition, she also has had a pacemaker put in place.

Lifelong Low Heart Rate and a Surprising Diagnosis

Bowen explained that she has always had a remarkably low resting heart rate, even around 30 beats per minute at times, a significant deviation from the normal range of 60 to 100 beats per minute for women. This was due to sick sinus syndrome, a heart rhythm disorder exacerbated in her case by hypervagotonia, an overactive vagus nerve. Despite being a competitive runner, her low heart rate was a constant, though initially unexplained, characteristic.

The John Hopkins Medicine explains that sick sinus syndrome (SSS) occurs when your heart's natural pacemaker, the sinoatrial (SA) node in the upper right chamber, becomes damaged and can no longer regulate your heartbeat properly. This damage can result from underlying medical conditions or certain medications, leading to heartbeats that are too slow, too fast, or fluctuate between both extremes.

Recognizing the Symptoms

You might have SSS with no symptoms at all, or only mild ones. However, if symptoms do appear, they can include:

• Dizziness
• Fainting (syncope)
• Shortness of breath, especially with physical activity
• Heart palpitations (a fluttering or pounding sensation in your chest)
• Chest pain

How Is Sick Sinus Syndrome Diagnosed?

The turning point for Julie came thanks to her sister, Annie Luetkemeyer, who had just graduated from medical school. During a family vacation, her sister, still in the habit of carrying a stethoscope, insisted on listening to Bowen's heart. "That is not what they've been telling you, and it's not runner's heart or whatever. That means you need to go to a cardiologist," her sister declared, refusing to let the issue drop

Your healthcare provider might suspect SSS based on your symptoms, but these symptoms can be common to many other conditions. To confirm a diagnosis, your provider will likely perform an electrocardiogram (ECG), which records your heart's electrical activity, rate, and rhythm. If you're not experiencing symptoms during the ECG, the results may appear normal. Other diagnostic tests that may be used include:

Stress test: An ECG performed while you exercise on a treadmill.

Holter monitor: A portable device you wear for over 24 hours to continuously record your heart's electrical activity.

Event recorder: A device worn for several days that records your heart rate only when symptoms occur.

Electrophysiologic testing: A hospital procedure where catheters are threaded into your heart through a vein in your thigh to study its electrical system.

Echocardiogram: An ultrasound of your heart to check for structural problems.

Treatment Options For SSS

About a month after her sister's crucial warning, Bowen was filming the pilot for "Ed" when she was faced with the reality of needing a pacemaker. Initially, the news was daunting. "I was like, 'Oh my God. My life is over. This is so weird. I'm gonna die,'" she recalled. However, doctors explained that while the condition wasn't immediately fatal, it would lead to her frequently passing out.

Bowen described a sensation of lightheadedness, particularly when she was relaxed, feeling "like I'd been holding my breath for a while." The critical warning that solidified her decision was the risk of passing out while driving and potentially harming someone. "Oh, well, then give me the Goddamn pacemaker," she decided.

Her pacemaker is now set to ensure her heart rate doesn't drop below 45 beats per minute. She shared that the surgical insertion was done discreetly through her armpit, leaving no visible scar. While she's had to have the batteries replaced three times, she largely forgets about it now, a testament to how seamlessly it has integrated into her life.

While this is one way to treat her condition, here are some other ways your doctor may choose to go about your treatment,

Medication adjustment

If certain medications are contributing to your SSS, your healthcare provider may change your prescription.

Blood thinners

Because SSS can increase the risk of blood clots forming in the heart and leading to a stroke, you may be prescribed blood thinners as a preventive measure.

Alpha-gal syndrome (AGS) is a potentially life-threatening allergy to red meat and other products derived from mammals. Unlike typical food allergies that cause immediate reactions, AGS symptoms can appear several hours after consumption. These range from hives and nausea to anaphylaxis and, in rare cases, heart attacks. The syndrome is triggered by a sugar molecule called galactose-α-1,3-galactose (or alpha-gal), which is introduced into the human body through the bite of a lone star tick.

Why are lone star ticks spreading?

Lone star ticks, named for the white dot found on the backs of females, have long been native to the southeastern United States. But in recent years, their range has expanded dramatically — now reaching as far north as Maine and westwards toward the central US. Experts say this is largely due to the warming climate, which has made previously inhospitable regions more suitable for tick survival and reproduction.

This spread is also helped by other factors such as:

• Increased deer populations (which host ticks)
• Urban development that pushes human dwellings closer to wild habitats
• Lack of natural barriers, such as mountain ranges, in some regions

How common is AGS?

The true number of alpha-gal syndrome cases is difficult to determine due to inconsistent data collection and lack of awareness. The Centers for Disease Control and Prevention (CDC) has documented about 110,000 cases since 2010, but estimates suggest the actual number could be as high as 450,000. Many people may never realise their allergic reactions are linked to a tick bite.

What makes these ticks dangerous?

Lone star ticks are notoriously aggressive. They are capable of detecting humans by sensing heat and carbon dioxide and will actively pursue a host. They can even move quickly over short distances, increasing the chances of biting.

The concept of a “tick bomb” — a cluster of tiny juvenile ticks that swarm over anything they encounter — adds another terrifying element to their behavior.

Living with alpha-gal

For those diagnosed with AGS, life can change dramatically. Aside from cutting out red meat (beef, pork, lamb), many patients also have to avoid dairy, gelatin, and even some medications, toothpaste, and medical products derived from mammals. Food choices become limited and dining out risky. In severe cases, even airborne particles from cooking meat can trigger a reaction.

Support groups are growing rapidly, especially in affected regions like Virginia, where community members share coping strategies and advocate for clearer food labelling.

What’s next?

As the climate warms and tick populations expand, AGS may affect millions more. Other tick-borne illnesses like Lyme disease, Babesia, and the deadly Powassan virus are also on the rise.

Yet, despite this growing threat, researchers warn that US funding for tick-borne disease research is shrinking. Experts stress the urgent need for better surveillance, education, and treatment options to confront what could become a nationwide health crisis.

The choice of quitting oral contraceptives is a personal one, usually related to shifting life priorities—whether it's switching to another type of birth control, getting pregnant, or just needing a break from hormone synthetics. But for many women, going off the pill isn't only about changing periods. For some, it can also mean the return of unwanted acne—sometimes more stubborn and long-lasting than the breakouts of your teenage years.

If you assumed your days of fighting breakouts were over, stopping the pill can be a rude shock. Why does this occur, and how can you prevent it? As a health editor to a worldwide audience, I've spoken to dermatologists and sifted through the most recent evidence to give you an in-depth guide to managing post-pill acne.

Why Does Acne Suddenly Break Out After Stopping the Pill?

The birth-control pill is not only a pregnancy-prevention tool—it's also a hormone controller that has a major impact on skin health. Some women are put on the pill simply to manage acne due to its effect of inhibiting androgens (male hormones) and sebum (skin oil) production. When you discontinue the pill, your body needs to re-balance its hormones, which often means a short spike in androgens. This hormonal storm can put the oil glands in your skin into overdrive, producing clogged pores and breakouts.

The transition phase has been likened to "hormonal chaos." Your ovaries, which had been maintained with artificial estrogen and progesterone, suddenly take over their natural role, sometimes compensating by producing more androgens than previously. This rush of oil production sets the stage for the acne-causing bacteria to thrive.

The birth control pill, particularly combination pills containing estrogen and progestin, inhibits this androgen activity. When the pill is discontinued, the body's natural hormonal cycles return, including the production of androgens, which can overburden the skin's oil-controlling systems—especially if your body is genetically predisposed to be sensitive to these hormones.

Not necessarily. How your skin reacts after coming off the pill depends heavily on your genetics and any underlying hormonal imbalances. For instance, some women start the pill in their teens before acne ever truly develops. In these cases, the pill may be silently suppressing a genetic predisposition to acne, which becomes apparent only after discontinuation.

In some women, the recurrence of acne can indicate a pre-existing covered-up hormonal issue, such as polycystic ovary syndrome (PCOS)—a prevalent endocrine disorder that involves high levels of androgens. In these women, the pill corrects PCOS's evident signs, but when it is withdrawn, the underlying imbalance reappears.

Where and How Does Post-Pill Acne Appear?

Hormonal acne tends to appear in the lower third of the face—jowl, chin, neck—and sometimes the shoulders, chest, or back. It tends to be made up of cysts or inflamed, painful pimples that are deep, not blackheads or whiteheads you may have experienced in puberty.

This pattern is related to sites of increased androgen receptor concentration and oil gland function. But everyone's experience is different: some people have solo flare-ups, others experience more widespread outbreaks.

Women with a history of acne in their families or those with naturally higher androgen levels are at increased risk. Stress, food intake, and even gut health can also determine the intensity and longevity of post-pill breakouts.

What Does Post-Pill Acne Look Like?

Hormonal acne tends to appear on the lower third of the face—chinion and jawline, basically—but can crop up on the chest, shoulders, or back. The eruptions can be as mild as blackheads and whiteheads, or as severe and painful as cystic acne. For some, the flare-up fades in a few months; for others, it can last for a year or more, particularly if there are strong genetic components involved.

The timeline is different. Most women see their acne flaring two to six months after stopping the pill. In some, it could improve a few months later as the hormones balance out. But for others—particularly those with a strong genetic inclination toward acne—it might continue for up to a year or even longer.

In the opinion of dermatologists, your acne's severity and duration will usually reflect your body's sensitivity to hormones. If your body responds strongly to even minor hormonal changes, post-pill acne can be more serious and persist for a longer period.

Can Skincare Alone Treat It?

Here's the bad news: skincare can't change your hormones or your genetic sensitivity to androgens. Although regular skincare can help maintain healthy skin, prevent breakouts, and downsize inflammation, in most cases, it is seldom sufficient to treat post-pill acne in moderate to severe forms.

Over-the-counter remedies such as salicylic acid, benzoyl peroxide, and retinoids might provide relief. But dermatologists sometimes prescribe stronger medications, such as:

• Topical antibiotics or retinoids to decrease bacteria and inflammation
• Oral antibiotics in moderate to severe cases
• Hormonal treatments such as spironolactone, which blocks androgen receptors
• Isotretinoin (Accutane) for severe, cystic acne that is nonresponsive to other treatment

Could This Be a Sign of a Bigger Hormonal Imbalance?

Yes. In many cases, post-pill acne acts as a window into your natural hormonal landscape. If your acne is accompanied by other symptoms—like irregular periods, excess facial hair, or unexplained weight gain—it might be worth exploring conditions like PCOS or insulin resistance with your healthcare provider.

Coming off the pill can reveal long-standing imbalances that were previously being managed rather than resolved.

When to See a Dermatologist?

If your acne is bad, ongoing, or emotionally distressing, see a dermatologist. They can diagnose underlying hormonal imbalances, provide effective treatments, and offer advice specific to your needs. Women with symptoms of PCOS—irregular menstruation, excessive hair, or weight gain—may need a referral to an endocrinologist.

Post-pill acne isn't your fault, and it's not permanent. Although it can be an infuriating obstacle, particularly if you thought you could put acne behind you after adolescence, it's also a chance to learn more about your body's individual hormonal map.

If you’re thinking of coming off the pill, talk to your healthcare provider about what to expect and how to prepare. Remember, you’re not alone—and with the right support, clearer skin is within reach.