IHTOAU
4.7K posts


@AsdaServiceTeam Regarding an Asda Gift card that wasn’t used one grocery shop, but has mysteriously appeared on the next one but minus £30?
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@AsdaServiceTeam
Question. Is it normal to be passed back and forth between two departments and speak to now 8 different people, none of whom know what their doing, and being refused to be allowed to speak to a manager?
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IHTOAU retweetledi

Updated NICE menopause guidelines published today.
While it’s welcome to see HRT as the preferred treatment for the menopause, this is a disappointing update overall. The focus remains primarily on vasomotor symptoms – hot flushes and night sweats – which are, for many women, not the main symptoms of perimenopause and menopause. Most women experience brain symptoms – brain fog, low mood, anxiety, poor concentration, sleep disturbances, memory problems and fatigue – and these are things we know are unlikely to be alleviated in the long term by CBT, as suggested.
The guidelines also do not differentiate between older, synthetic HRT and the natural (body identical) hormones now more commonly prescribed – while the word “risk” is mentioned three times as often than the word “benefit”, these newer forms offer more benefit than risks.
The true risk comes in NOT taking HRT at all, with good quality evidence showing that low hormones during menopause increases the risk of heart disease, osteoporosis, type 2 diabetes, dementia, neurodegenerative diseases, clincial depression, autoimmune diseases and an earlier death. These diseases reduce in women taking hormones and life expectancy increases.
Women deserve to be fully informed and involved at every step of their healthcare consultation to make an informed decision on the right treatment or combination of treatments for them. While we have seen a rise in recent years in access to evidence-based treatments like HRT, a postcode lottery still exists, particularly for those from lower socio-economic backgrounds. Too many women are still struggling to receive HRT, and these guidelines will be confusing for both healthcare professionals and women.
Perimenopause and menopause is sorely under-researched and under-funded, and this must change. In the meantime, women deserve to have a choice, and those who want to take HRT should be able to have it prescribed. That HRT is now the frontline treatment is refreshing, but future documents and consultations must go further to ensure women get the treatment they deserve.
nice.org.uk/guidance/ng23/…

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@Angelinalondon0 You’ve got this 💪💪💪💪
Just remember you have gone through bad times before - you WILL survive this and come out fighting xx
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@BexBookaholic A) Christmas should hurry up
B) there is nothing good about Halloween
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@__shiticantsay Yea :) I actually find gels are easier to use than normal polish - you can go so slowly and then not dry and look shit.
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@__shiticantsay Awwww thank you xx
Since about Feb I’ve been doing my own Gel’s at home :)
I do love this colour!!
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@ChrisMoleGolf I’m not really back - lol see my other post :)
I post sporadically :)
I read and like more than i tweet
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@IHTOAU1 You’re back! Are you back? Was only thinking the other day that I hadn’t seen you or Angie on my timeline for ages and then you’ve both appeared again. Also, pretty nails. Hope you’re doing ok.
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@BexBookaholic Honestly - getting an electric blanket has saved our marriage!!! He can be all toasty - and I can be ‘it’s fucking the middle of summer why on earth do you need a winter duvet on!!’
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@DrHLecter But the honest reason for the bunny. Missy died erm…. May. It would have been her 11th gotcha day on Sunday just gone - so I painted a tribute :)
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