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.

There’s a new update in Novo Nordisk Vs Eli Lilly lawsuit over weight loss ads. On Monday, a US judge ruled in favour of Eli Lilly, rejecting Novo Nordisk’s request to block the Zepbound maker’s advertisements. The Danish drugmaker claimed that those advertisements were false and misleading, which affected markets with tens of billions of dollars of annual sales.

Eli Lilly Can Continue Running Ads Amid Novo Nordisk’s Lawsuit

US District Judge Zahid Quraishi in Trenton, New Jersey, said that Novo Nordisk must not receive a preliminary injunction, as they have failed to prove that Eli Lilly's ads threatened their sales, marred its goodwill, or caused irreparable damage to clinical reputation.

Talking about Novo Nordisk's claim of irreparable harm, Quraishi said they were "inadequate to warrant ⁠the extraordinary relief it seeks."

Quraishi also said that Novo Nordisk's case is "less than persuasive" based on a "very preliminary record.” Not considering these merits, the judge passed the ruling after a two-day hearing in August.

In his 25-page decision, Quraishi said that even though Novo Nordisk's witnesses were reliable, Eli Lilly's ads had a negligible market impact between April and July. The judge also said that Novo Nordisk's business remained stable.

The judge also said that monetary compensation could help Novo Nordisk if it faces any "nontrivial harm" due to absence of ⁠injunction.

Novo Nordisk had reported combined sales of about $32 billion for obesity medicines and Ozempic in 2025, according to the court papers. The drugmaker intends to regain market share in the United States for its injectable obesity drugs, a market that could exceed $100 billion by the end of the decade.

According to Reuters, Novo Nordisk said, “While we are disappointed with the court’s decision, today's ruling did not decide the question of whether Lilly's advertising is false and misleading, and this litigation is still ongoing. Everyone deserves clear, accurate and up-to-date information when making decisions about their health.”

Denying any wrongdoing, Eli Lilly said it welcomed the court’s decision.

Also read: GLP-1 Drugs Ozempic, Zepbound Use Rises 24-Fold Among American Women After Childbirth

What Is The Lawsuit About?

In July, Danish drugmaker Novo Nordisk had filed a lawsuit against Eli Lilly in the US District Court in New Jersey, alleging the company violated federal and state false advertising and unfair competition laws, including the Lanham Act, through nationwide advertising campaigns for its obesity drug Zepbound and diabetes treatment Mounjaro, according to media reports.

Alleging that Eli Lilly’s ads used outdated comparisons,Novo claims Lilly's advertisements:

• Compared the highest approved doses of Zepbound and Mounjaro with lower doses of Novo's Wegovy and Ozempic.
• Omitted data on the newer 7.2 mg dose of Wegovy, which, as per Novo, delivers greater weight loss.
• Relied on older clinical trial data that no longer reflects current approved dosing.

Eli Lilly rejected the allegations, saying its advertisements accurately reflect findings from its SURMOUNT-5 clinical trial. According to the company:

• The study, completed in 2024, compared 10 mg and 15 mg doses of Zepbound with 1.7 mg and 2.4 mg doses of Wegovy.
• Novo's 7.2 mg Wegovy received US FDA approval only in March 2026, after the trial had concluded.

More About GLP-1 Therapies

Also read: Eli Lilly's Experimental GLP-1 Pill Shows Promising Weight Loss

In December 2025, the World Health Organization (WHO) issued its first guideline on the use of GLP-1 therapies for obesity, describing the condition as a chronic, relapsing disease affecting more than 1 billion people worldwide.

It recommends GLP-1 therapies may be used for long-term obesity treatment in adults, excluding pregnant women. Treatment should be combined with structured lifestyle interventions, including a healthy diet, regular physical activity, and behavioral support to improve outcomes.

Dr. Vivek Bindal, Principal Director & Head at Max Institute of Minimal Access, Bariatric & Robotic Surgery, said, “Newer anti-obesity medicines, including GLP-1-based and related therapies, have significantly expanded the options available to patients. They can support meaningful weight loss and improve metabolic health when combined with appropriate nutrition, physical activity and behavioural support.”

An experimental cancer drug being developed by pharmaceutical giant Merck has extended survival by almost seven months in women with advanced or recurrent endometrial cancer, according to results from a late-stage clinical trial. The treatment also reduced the risk of cancer progression or death compared to standard chemotherapy.

The findings were presented at the 2026 European Society for Medical Oncology (ESMO) Congress and published in The Lancet. The drug, sacituzumab tirumotecan, also known as sac-TMT, was tested in patients whose cancer had returned or progressed after previous treatment.

The US Food and Drug Administration (FDA) has accepted the drug for priority review. Their decision is expected by June 2027, although the company hopes that the drug approval could arrive sooner than expected.

Findings From The Trial

Also read: 'Contraceptive Coil Saved My Life': UK Woman's Persistent Abdominal Pain Led Her To Ovarian Cancer Diagnosis

The Phase 3 TroFuse-005 trial enrolled 776 patients with advanced endometrial cancer that had returned. Participants were randomly assigned to receive either sac-TMT or chemotherapy, consisting doxorubicin or paclitaxel.

Patients receiving sac-TMT had a median overall survival of 19 months, compared to 12.1 months among those receiving chemotherapy. This represents a 6.9-month difference in median survival and a 32% reduction in the risk of death.

The experimental treatment also showed improvement in progression-free survival, which measures how long patients live without their cancer worsening. Median progression-free survival was 7.2 months with sac-TMT, compared to 3.9 months with chemotherapy, representing a 41% reduction in the risk of disease progression or death.

Tumours shrank in 35.1% of patients receiving sac-TMT, compared with 17.3% in the chemotherapy group.

“Sac-TMT demonstrated an improvement in overall survival of almost seven months for women with endometrial cancer who progress following treatment with platinum-based chemotherapy and anti-PD-1 therapy,” said Dean Y. Li, president of Merck Research Laboratories.

The findings are particularly relevant for patients whose disease progresses after platinum-based chemotherapy and immunotherapy, limiting their treatment options.

How Does Sac-TMT Work?

Also read: Women Are Travelling To Mexico For Endometriosis Surgery As Canada Is Doing A 'Poor' Job At Providing Care

Sac-TMT belongs to a class of medicines called antibody-drug conjugates (ADCs). These treatments combine an antibody that recognises a target on cancer cells with a drug designed to kill them.

Sac-TMT targets TROP2, a protein found on the surface of many cancer cells, including endometrial tumours. After binding to its target, the drug delivers a cancer killing payload that damage the tumour cells.

It aims to direct treatment towards cancer cells, but it does not eliminate the possibility of side effects in healthy tissues. Merck is developing sac-TMT in partnership with Chinese biotechnology company Kelun-Biotech, which discovered the drug.

Side Effects Of Sac-TMT

The survival benefit came with a higher rate of severe treatment-related side effects. Grade 3 or higher treatment-related adverse events occurred in 54.4% of patients receiving sac-TMT, compared to 41.4% of those undergoing chemotherapy.

Common serious adverse events included anaemia and neutropenia, a reduction in neutrophils, the white blood cells that help the body fight infections. About 3.1% of patients in the sac-TMT group stopped the treatment because of side effects. The findings highlight the need to weigh the survival benefit against treatment risks.

Endometrial cancer develops in the lining of the uterus and is among the most common gynaecological cancers. Advanced or recurrent disease can be difficult to treat, particularly when it progresses after chemotherapy and immunotherapy.

The researchers believe the trial results could help expand treatment options for this group of patients. “Based on discussions with the FDA, the company is hopeful for an approval before the PDUFA date to bring sac-TMT to patients as quickly as possible,” Li said.

An experimental CAR-T cell treatment has reportedly helped people with stiff person syndrome regain mobility. Some patients even reported not needing walking aids any longer. But new safety concerns have also emerged after Bristol Myers Squibb disclosed a patient's death in a separate early-stage trial of CAR-T therapy for another autoimmune condition, multiple sclerosis.

The developments highlight both the promise and the risks of using these engineered immune cells that are being used to treat autoimmune diseases, rather than cancer.

Science News reported the improvements on October 22, while Reuters reported the death on October 23

CAR-T Therapy Helps Patients With Stiff Person Syndrome Walk Again

Also read: Trump Signs Women’s Health Order: Melania’s 5 Pillars of Innovation Explained

Stiff person syndrome (SPS) is a rare, progressive neurological autoimmune disease that causes severe muscle stiffness, painful spasms and difficulty in walking. Some patients experience sudden spasms that can lead to falls and injuries.

Lynn Montgomery-Haga, who had lived with the condition for about a decade, struggled to walk even short distances and often relied on a walker or wheelchair. After receiving an experimental CAR-T therapy called mivocabtagene autoleucel, or miv-cel, in 2024, her mobility improved significantly.

“I’m just really excited about the future,” Montgomery-Haga told Science News.

Her experience reflects findings from a clinical trial led by neurologist Amanda Piquet at the University of Colorado Anschutz.

One year after treatment, patients continued to show improvements in mobility and disability. Of the 12 participants who needed walking aids during their initial 25-foot walking test, eight completed the follow-up test without one, marking a positive finding.

Piquet told Science News, “You could see that she was walking with a lot more confidence.”

The therapy uses a patient's own T cells, which are modified to recognise and target B cells involved in driving the autoimmune response. The goal is to remove the harmful cells and allow the immune system to rebuild with healthier ones, an approach often described as an “immune reset.”

“It’s revolutionary to think how far things have gone,” said Carl June, a University of Pennsylvania immunologist and oncologist known for his pioneering work on CAR-T cancer treatments.

However, researchers still need longer follow-up and more patient data to understand how reliable the benefits are and what risks may occur.

Bristol Myers Squibb Reports A Patient Death

Also read: 43% Of Women With Autoimmune Diseases Say They Were Told It Was ‘All In Their Head’: Lancet

The safety questions became more pressing after Bristol Myers Squibb disclosed that a patient in its Phase 1 trial of another CAR-T therapy, zolacabtagene autoleucel (zola-cel), died after developing septic pneumonia.

The patient had highly active relapsing multiple sclerosis and developed delayed motor symptoms after receiving the therapy. The symptoms did not respond to treatment. The patient later received high-dose chemotherapy and died from septic pneumonia the following day, 44 days after the CAR-T infusion.

A company spokesperson told Reuters that the patient had “a late onset side effect, a series of other complications and was heavily pretreated prior to CAR T, confounding our ability to determine the root cause of the issue.”

The trial enrolled 66 people with relapsing or progressive forms of multiple sclerosis. Bristol Myers Squibb said most reported side effects were brief and reversible. It also said no additional severe side effects had been reported across its autoimmune CAR-T programmes, which had treated 190 patients in early-stage studies.

The company is working with the US FDA to restart studies, with enrolment targeted to resume in early 2027.

The Findings Need To Be Interpreted Carefully

The two developments involve different CAR-T products and separate clinical trials. The death reported in the zola-cel study does not establish that miv-cel carries the same risk, but it reinforces the need for close safety monitoring.

CAR-T therapy can cause serious complications, including overactive immune system, neurological toxicity and infections. These risks need to be considered when it comes to autoimmune diseases, where patients may otherwise live with their conditions for years and have existing treatment options.

“It’s very important not to oversell it,” said Marc Scherlinger, a rheumatologist at Strasbourg University Hospital, in the Science News report.