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.

All eyes are on new obesity treatments, and a potential pill from Novo Nordisk could be among the first to reach patients. The Danish pharmaceutical company’s 25-milligram oral version of its obesity drug Wegovy may receive approval by year-end. While awaiting regulatory clearance, Novo Nordisk presented fresh data at the ObesityWeek conference in Atlanta last week, highlighting the pill’s safety and effectiveness.

“I believe this adds to the evidence doctors and patients can use to decide what may be most suitable for each individual,” said Dr. Jason Brett, Novo Nordisk’s principal U.S. medical head, discussing the new findings.

The pill’s debut is especially significant as Novo Nordisk recently lost a competitive bid with Pfizer over the obesity biotech Metsera. With Eli Lilly gaining more ground in the weight loss medication market, Novo Nordisk is aiming to strengthen its product pipeline.

Wegovy Oral Pill Will Have Cardiovascular Benefits

Data from the OASIS 4 clinical trial showed that the pill not only improved weight loss but also offered cardiovascular benefits and better blood sugar control, as per NBC News.

Among participants with prediabetes, 71.1% who took the pill achieved normal blood glucose after 64 weeks, compared with 33.3% on a placebo. Participants were more likely to lose at least 15% of their body weight, and those who did saw notable improvements in blood pressure, inflammation markers, and triglycerides.

Comparable Results to Wegovy

An indirect comparison of the OASIS 4 trial with earlier studies of injectable Wegovy found that the oral and injectable versions delivered similar results in weight loss, cardiometabolic improvements, and safety.

“That’s not too surprising; semaglutide is semaglutide,” Brett said as per NBC News, referring to the active ingredient in both Wegovy and the diabetes medication Ozempic. “We’re just delivering it differently.”

While some patients are fine with a weekly injection, Brett emphasized the importance of having alternative options. “It will expand access and help more patients benefit from weight loss treatment, especially those hesitant about injections,” he added.

Weight Loss Across Menopause Stages

The trial also examined weight loss in women at different stages of menopause. Pre-menopausal participants lost an average of 18.2% of their body weight over 64 weeks. Peri- and post-menopausal women lost 15% and 15.7%, respectively.

Brett noted that even small differences between groups, the overall weight loss was “robust and significant,” highlighting that menopause-related hormonal changes can make shedding weight more challenging.

Improvements in Physical Function

Participants who initially reported low physical function showed improvements after taking the pill. The study measured function using the Patient Global Impression of Status questionnaire.

A “meaningful change” in physical function occurred in 77.3% of pill users compared to 42.9% of those on placebo.

GLP-1 Pricing and Accessibility

During a recent visit to Washington, discussions also focused on GLP-1 drug prices, including Novo Nordisk and Eli Lilly medications. The Trump administration highlighted negotiations that brought Medicare and Medicaid prices in line with those in Europe.

However, it’s unclear if these lower prices will extend to commercial and employer plans, leaving many Americans with private insurance still facing high costs. Pharmacy benefit managers may need additional pressure or negotiations to match government pricing for 2026 contracts.

“The companies have committed to ensure, at worst, prices are at the most-favored nation level and to continue lowering prices based on volume,” said Chris Klomp, Medicare Director.

With the focus on affordable access, major insurers may already be feeling pressure to respond, especially after public scrutiny from former President Trump regarding insurance costs.

One of the most common viruses in the world could be behind lupus, an autoimmune condition with a wide range of symptoms, according to a study released Wednesday. Lupus has long puzzled doctors: No single cause has been identified, and there is no standard treatment.

However, new research, published in Science Translational Medicine, suggests that Epstein-Barr virus, which infects 95% of people at some point in their lives, may trigger lupus by prompting the body to attack its own healthy cells.

Also Read: New Malaria Drug 2025: GanLum Outperforms Standard Treatment, Could Save Millions

Epstein-Barr Virus: What Is It?

Epstein-Barr virus (EBV) is a widespread herpesvirus that infects most people globally and is the main cause of infectious mononucleosis, also called mono. It spreads primarily through saliva, meaning kissing, sharing drinks, or close personal contact can pass the virus.

For most, EBV causes a short-lived illness with symptoms such as fatigue, fever, and sore throat. Once infected, the virus stays in the body for life, often without causing further problems, though it has been linked to certain cancers and autoimmune diseases, especially in people with weaker immune systems, according to the Centers for Disease Control and Prevention.

This adds to growing evidence connecting EBV to long-term health issues, including autoimmune conditions. Researchers say the findings strengthen the case for developing a vaccine targeting the virus.

In people with lupus, the immune system attacks the body, causing extreme fatigue, joint pain, and skin rashes. In rare cases, the disease can lead to serious complications like kidney damage or make the body less able to fight infections.

Also Read: Botulism Infant Formula Recall 2025: ByHeart Expands Nationwide Recall After 15 Babies Hospitalized

Epstein-Barr Virus and the Lupus Link

Scientists have long suspected a connection between EBV and lupus, but the exact link remained unclear. Dr. William Robinson, co-author of the study and chief of immunology and rheumatology at Stanford University, said the new findings solve a key piece of the puzzle.

“From our perspective, it’s the missing mechanistic link,” Robinson said. “We believe it could apply to all lupus cases,” he added. Hundreds of thousands in the U.S. live with the disease.

However, Hoang Nguyen, assistant vice president of research at the Lupus Research Alliance, cautioned that it’s too early to say whether this mechanism explains every case, as per NBC News.

“While the evidence is promising, more research is needed to confirm if EBV is the trigger for all lupus,” Nguyen said. The alliance, a private funder of lupus research, provided grant support for the study.

Epstein-Barr Virus Transmission

Not everyone infected with EBV shows symptoms, especially children, although the virus is the most common cause of mononucleosis. It spreads mainly through saliva, by kissing or sharing drinks, food, utensils, or toothbrushes. Once in the body, EBV usually stays dormant, though sometimes it reactivates.

This isn’t the first time EBV has been tied to autoimmune disorders. Earlier research has linked it to multiple sclerosis, though it is likely one factor among many in the disease’s development.

Robinson noted that the pathway his team identified might also contribute to other autoimmune diseases, including rheumatoid arthritis and Crohn’s disease, though more work is needed to explore that.

Most people infected with EBV never develop lupus, MS, or other autoimmune conditions. Robinson said certain strains of EBV may be more likely to trigger autoimmune reactions.

Epstein-Barr Virus: What Diseases Are Associated With Epstein Barr Virus?

To explore the link with lupus, Robinson and colleagues focused on B cells, white blood cells that fight infections. Even in healthy people, EBV lies dormant in a small portion of B cells. But in lupus patients, these infected B cells are far more common — up to 25 times higher than in healthy individuals, according to the study.

The research also highlights antinuclear antibodies, proteins that attach to cell nuclei and are a hallmark of lupus. Epstein-Barr infects B cells and reprograms them to produce these antibodies, which then attack healthy tissue.

Robinson said the findings align with other theories of lupus, including genetic and hormonal factors that may make someone more vulnerable to the disease. A 2024 *Nature* study also found lupus patients have too many of a certain T cell type associated with cell damage, and too few T cells that aid repair. The pathway Robinson describes could trigger these immune responses.

Epstein-Barr Virus: Is Treatment Possible?

The study points to new possibilities for lupus therapy. Currently, treatments mainly reduce inflammation, such as corticosteroids. Robinson said future drugs could target B cells infected with EBV specifically.

Meanwhile, vaccines in clinical trials could prevent EBV infection entirely. “Vaccination to stop EBV infection would be the ultimate way to prevent these autoimmune diseases,” Robinson said, as per NBC News.

The White House on Wednesday declined to share specific information about the medical scans President Donald Trump underwent during a physical examination last month, though it said overall results showed he remains in excellent health. Trump, 79, had earlier confirmed that he received a magnetic resonance imaging (MRI) scan at Walter Reed Medical Center on October 10. However, neither he nor the White House clarified which part of his body was scanned.

White House Refuses To Disclose Donald Trump’s Health Results

White House Press Secretary Karoline Leavitt was asked again on Wednesday about her earlier statement that she would follow up with the President regarding his MRI in October. Leavitt thanked reporters for the question but did not provide any further details. She confirmed that Trump “received advanced imaging” at Walter Reed National Military Medical Center as part of his “routine physical examination” but did not mention which body part was examined.

MRIs are typically conducted to capture detailed images of areas such as the brain, spine, joints, heart, or blood vessels. Trump’s scan came during his second physical exam of the year. When pressed for additional details about the test, Leavitt declined to elaborate.

“The full results were reviewed by attending radiologists and consultants, and all agreed that President Trump remains in exceptional physical health,” Leavitt said, according to Reuters.

Concerns About Donald Trump’s Health Grow

Between August 26 and September 2, 2025, speculation about Trump’s health began circulating online after photos showed bruising on his hand and he avoided public appearances for several days. Some users claimed the White House was concealing a medical issue, prompting Trump to respond directly to the rumors on September 2.

The Trump administration had previously shared results from a physical conducted in April 2024, though questions were raised about whether it included all relevant findings. Trump has often highlighted his performance on a cognitive test, but experts have pointed out that the test alone cannot confirm or rule out cognitive impairment.

Adding to the speculation was a visible bruise on the back of Trump’s right hand, which has occasionally appeared covered with makeup. In February, the White House said the bruise came from Trump “constantly working and shaking hands all day.” His doctor also stated in July that Trump takes aspirin daily as part of a “cardiovascular prevention regimen,” which can sometimes lead to bruising.

What Health Condition Has Trump Been Diagnosed With?

Although public discussion about Trump’s health continues to surface, the White House has consistently maintained that he remains in strong physical condition. Earlier this year, officials confirmed that he has chronic venous insufficiency (CVI)—a vascular condition that makes it harder for veins in the legs to send blood back to the heart. It can cause mild swelling or discomfort.

On October 10, Trump visited Walter Reed Medical Center again for what his spokesperson described as a “routine annual check-up,” though it marked his second visit in six months. The White House physician, Dr. Sean Barbabella, declined to specify which scans or preventive evaluations were done but said the test results were “exceptional” and that Trump’s heart health was comparable to that of someone about 14 years younger.

Later, on October 27, Trump said he had undergone an MRI during a prior visit to Walter Reed and described the findings as “some of the best reports for the age.” He added that doctors were “very impressed”, though the absence of specific details has fueled ongoing curiosity about his condition.

Trump has also mentioned taking the Montreal Cognitive Assessment (MoCA), a tool designed to detect early cognitive decline, but often refers to it as a “very tough IQ test.” It remains unclear whether he took another MoCA during his October appointment or was referencing earlier tests from April 2025 or January 2018.