Singer Jesy Nelson recently shared an emotional update regarding the complications she is experiencing in her pregnancy with twin babies. Former Little Mix singer Jesy, who is having twins with partner Zion Foster, announced that she has been diagnosed with pre-twin-to-twin transfusion syndrome (pre-TTTS). The condition, which is present in pregnancies involving twins with a shared placenta, has serious risks involved and needs intense medical supervision. As Nelson embarks on this difficult journey, her story enlightens us about a rare but dangerous condition many expectant parents may not know much about.

Twin-to-twin transfusion syndrome is a rare but dangerous condition that arises in monochorionic twin pregnancies, in which identical twins share a single placenta. The placenta supplies the developing babies with oxygen, nutrients, and blood flow, but in TTTS, there is an imbalance of blood vessels that interconnect the twins, and thus the vital resources are not evenly distributed. One twin, or the donor twin, shares excess blood with the other, referred to as the recipient twin. This leads to one baby becoming malnourished and possibly anemic, and the other in danger of heart problems due to too much blood.

Nelson described her diagnosis in a heartfelt Instagram video, explaining that she is currently in the pre-stage of TTTS and undergoing frequent monitoring. "I am being scanned twice a week, and each time, things have gotten a little worse," she shared, expressing her fears and hopes for the health of her babies.

Potential Risks of TTTS

If left untreated, TTTS can have devastating consequences. Medical research indicates that:

• 90% of the cases of untreated TTTS lead to loss of one or both twins.
• Despite treatment, only a 70% survival rate for both twins is assured.
• Severe forms can result in preterm labor, cardiac failure in the recipient twin, and organ failure in the donor twin.
• Complications in long-term survivors include neurological damage and developmental delay in surviving infants.

TTTS usually advances in stages, beginning with minimal changes in fluid levels and worsening as one twin continues to get an unequal share of blood. In extreme cases, fetal laser surgery, referred to as the Solomon technique, can be employed to divide the blood vessels and balance the twins.

Why Identical Twin Pregnancies Are More Complicated

Identical twins may develop differently, and their own unique form of placental sharing can have a dramatic effect on pregnancy risk. Jesy Nelson's twins are considered monochorionic diamniotic (mono/di), which means they share a placenta but have two amniotic sacs. This is the type of pregnancy in about 70% of identical twin pregnancies and carries an increased risk of complications like TTTS, umbilical cord entanglement, and growth restriction.

Conversely, dichorionic diamniotic (di/di) twins both have a separate placenta and amniotic sac, which greatly diminishes the threat of TTTS. Twin pregnancy type is normally identified by early ultrasound, with physicians being able to track future complications from inception.

Other Twin Pregnancy Health Risks

Twin pregnancies, even without the presence of TTTS, entail a variety of health risks to the mother as well as infants:

1. Premature Birth

Over 60% of twin pregnancies end in premature delivery, with birth usually taking place before 37 weeks. Premature infants can have immature organs and need neonatal intensive care (NICU) assistance to assist with breathing, feeding, and infection fighting.

2. Gestational Hypertension and Preeclampsia

Pregnant women with multiples are at increased risk of having high blood pressure during pregnancy. This, if left untreated, can result in preeclampsia, a serious complication of pregnancy that can result in damage to organs, preterm labor, and in some cases, maternal or fetal death.

3. Anemia

Pregnant women carrying multiples are twice as likely to experience anemia, a condition where the body does not produce enough healthy red blood cells. This can lead to fatigue, dizziness, and complications during delivery.

4. Birth Defects

According to John Hopkins Medicine, multiple birth babies are twice as likely to have congenital abnormalities compared to single births. These can include heart defects, neural tube defects, and gastrointestinal issues.

5. Amniotic Fluid Imbalances

When twins have to share a placenta, they are more likely to have polyhydramnios (excess amniotic fluid) or oligohydramnios (not enough amniotic fluid). Both result in distress to the babies during fetal development and can result in premature labor.

6. Postpartum Hemorrhage

Twins are at increased risk of excessive postpartum hemorrhage because their uterus is larger and there are greater blood supply needs.

Jesy Nelson's openness about her challenging experience is raising awareness for TTTS, a condition that few individuals—let alone expectant mothers and fathers—might be aware of. Through her tearful video, Nelson stressed the significance of knowing about twin pregnancies aside from the thrill of having multiples. "We had no idea that this type of thing occurs when you're having twins. We just desperately want to make people aware of this because there are so many people who aren't aware."

Her case reminds us of the intricacies involved in twin pregnancy and the significance of early identification and medical management. For mothers carrying twins, frequent ultrasounds and vigilance can become a life-and-death issue for early detection and better outcomes of both babies.

Through constant medical attention and care, she and her partner Zion Foster remain positive and get ready for their babies to be born. In other parents whose situations are no different, the story of Nelson highlights awareness, medical progress, and emotional encouragement in handling complicated pregnancies.

The expecting parents of twin siblings are advised to discuss TTTS screening and possible interventions with their physicians to give their babies the best chance.

Amid continued escalations in the Middle East conflict, the Indian government is considering a temporary price hike between 10 and 15 percent for essential medicines, according to a media report.

The surge in prices for select medicines could lead to higher drug prices but potentially benefit Indian pharmaceutical manufacturers facing the brunt of the Iran war.

“The immediate net consumer impact could be 3-5 percent higher prices, or roughly similar to what consumers paid before the late-September cuts in GST rates,” said the report by Economic Times, citing top industry executives aware of the government’s discussions.

The proposal was reportedly floated after several top drugmakers raised concerns about the sharp increase in prices of solvents and active pharmaceutical ingredients (APIs) due to global supply disruptions.

The price hike is expected to remain for up to four months and will be rolled back once the input cost stabilizes, the report said.

Further, it cited a senior government official saying that they have received the industry proposal for a price hike, but the decision to implement depends "on how long the geopolitical tension in West Asia lasts".

Increasing Raw Material Costs Drive Up Medical Device Prices

HealthandMe had earlier reported that the ongoing conflict has already spiked prices for medical devices—specifically plastics for syringes and catheters—due to the rising cost of raw materials. If disruptions persist, it can also warn of potential shortages.

“A shortage of liquid helium could impact the installation of new MRI scanners, each of which requires around 1,500 liters for the initial magnet fill. Supply disruptions linked to the war may delay new installations and push up costs, as helium prices are likely to rise amid tighter availability,” Dr. Harsh Mahajan, Mentor FICCI & Founder Mahajan Imaging & Labs, told HealthandMe.

The expert noted that there is no immediate concern for existing MRI machines. It is because most currently installed scanners use K4 technology with zero boil-off systems, allowing them to operate efficiently without frequent helium refills.

“Typically, a top-up is needed only once every three years, when the magnet’s cold head is replaced. As a result, the existing installed base is expected to continue functioning without disruption in the near term,” Dr. Mahajan said.

Also read: Report Claims Mojtaba Khamenei ‘Incapacitated’: What Does This Mean Medically

Long-term Hormuz Blockade Can Affect Critical Medical Supplies

However, the rapidly deteriorating situations and a longer blockade of Hormuz can lead to “substantial price increases, longer lead times, and highly elevated freight costs, which are pressuring cost structures and planning cycles”.

According to Rajiv Nath, AiMeD, the evolving global supply chain dynamics require close monitoring to prevent impacts on production timelines and industry stability.

The Medical Technology Association of India (MTaI) also warned that the ongoing US/Israel-Iran conflict and disruption in the Strait of Hormuz directly threaten India’s access to critical and life-saving medical technologies.

"Modern healthcare systems operate on just-in-time inventory models with minimal buffer stock. When large consignments - like those shipped by sea - are delayed or stranded, there is simply not enough inventory in the system to compensate, even through costlier alternatives like air freight," Pavan Choudary, Chairman, MTaI, told HealthandMe.

He also noted that shipment delays beyond March 31 can lead to "budget lapse, forcing a fresh approval cycle - thereby compounding delays that often stretch to months". It is because many public institutions in India front-load procurement toward the financial year-end.

Tech giant Amazon’s cloud unit has launched a new AI-powered application, Amazon Bio Discovery, that will help scientists design and test novel drugs more quickly, bringing new medical treatments to patients faster.

Developed by Amazon Web Services, the new agentic AI application—a smart assistant that automates complex tasks—helps scientists select the right models for their research goals, optimize the inputs, and evaluate candidates for experimentation.

"AI agents make powerful scientific capabilities accessible to all drug researchers, not just those with computational expertise," said Rajiv Chopra, vice president of AWS Healthcare AI and Life Sciences.

"These AI systems can help scientists design drug molecules, coordinate testing, learn from results, and get smarter with each experiment. This combination of cutting-edge AI and the robust, secure infrastructure AWS has built for regulated industries allows scientists to accelerate antibody discovery in ways that weren't possible before," Chopra added.

How Amazon Bio Discovery Will Help Boost Drug Discovery

With the help of Amazon Bio Discovery, scientists can run complex computational workflows ‌without writing code.

Notably, the platform also gives scientists direct access to a broad catalog of specialized AI models called biological foundation models (bioFMs) that are trained on vast biological datasets. These models generate and evaluate potential drug molecules, known as candidates, helping scientists accelerate antibody therapies during the early stages of drug discovery.

Also read: India Must Integrate Technology To Build Preventive, Holistic Healthcare: Experts

Amazon Bio Discovery also enables scientists to securely feed prior experimental data from their organization's lab results into the application. They can use their own lab data to train custom models with just a few clicks—no need to build complex training pipelines or write custom code.

Amazon Bio Discovery also provides three key capabilities:

• a benchmarked library of AI models and analysis packages,
• an AI agent that helps researchers design experiments,
• integrated lab partners that test the most promising antibody candidates and route results back to the scientists.

Amazon Bio Discovery: Early adopters

Amazon Bio Discovery provides complete data isolation and gives customers ownership over all their proprietary data and intellectual property.

According to AWS, Bayer, the Broad Institute, Fred Hutch Cancer Center, and Voyager Therapeutics are among early adopters, and 19 of the top 20 ‌global pharmaceutical ⁠companies already use its cloud services.

In a collaboration with Memorial Sloan Kettering Cancer Center, AWS said the platform used multiple models to generate nearly 300,000 novel antibody molecules and narrow them to 100,000 candidates for lab testing by partner Twist Bioscience, compressing work that can take months ⁠into weeks.

Surging AI Adoption in Drug Development

Drugmakers and technology companies have stepped up efforts to use AI to accelerate drug development.

Recently, Danish pharmaceuticals group Novo Nordisk, maker of the popular Ozempic and Wegovy anti-obesity drugs, announced a "strategic partnership" with OpenAI to accelerate the development of new medications.

Read More: Telangana, Astrazeneca India To Launch AI-powered Lung Cancer Screening In Public Hospitals

Novo Nordisk is banking heavily on AI to test new treatments and vaccines and bring them to market faster for less money.

In 2024, Boston Consulting Group ⁠and Merck announced GenAI Collaboration with Merck. The collaboration will initially focus on disease networks and pathways for chronic and degenerative diseases.

Diabetes patients rely upon metformin for controlling their blood sugar and insulin levels. Now, a new study claims that this common diabetes drug has many other health benefits to offer, and these can mimic the benefits of 'intense workouts.' The diabetes drug metformin is used by millions around the world who are struggling with this lifestyle disorder—it releases weight-regulating compounds in the body, the same ones that are released during workouts in inactive people. American scientists found that the drug can have a positive impact on a sedentary lifestyle—find out how.

Also Read: The 'Cicada' COVID Variant: A New Name, A Familiar Landscape

What is metformin?

Are workouts necessary during cancer treatment?

How does metformin mimic the benefits of workouts?

Exercising benefits the body by releasing hormones such as oxytocin and dopamine. Researchers from the Sylvester Comprehensive Cancer Center explored whether these could be triggered without exercise and whether metformin could do that. They noted that while the drug cannot fully replace workouts as part of a healthy routine, there is a need to understand how a widely used drug can be beneficial for metabolic health during prostate cancer treatment.

N-lactoyl-phenylalanine, or Lac-Phe, is a molecule that spikes after an intense workout session, and it also regulates appetite and calorie burning. Scientists found that Lac-Phe levels were higher in metformin users even when they were not working out. The Sylvester team noted that prostate cancer patients often struggle with poor blood sugar control, heart disease risk, and weight gain due to hormone therapy. They then took blood samples from 29 people and found that the patients who took metformin had similar Lac-Phe levels to people who were engaged in strenuous workouts. This was noted even when the patients were not exercising. However, metformin did not have an impact on prostate tumours.

The study was published in the EMBO Molecular Medicine journal.