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.

Even as the US and countries across Europe and Asia report a rise in measles cases, Microsoft co-founder and billionaire philanthropist Bill Gates said that eradicating measles is currently impossible.

The reason? Vaccine hesitancy, particularly in wealthy countries such as the US, Gates said, according to Reuters.

“At one point, the Gates Foundation wanted to eradicate measles, but the vaccine hesitancy in rich countries has meant that’s not on our list of goals,” Gates said. “I think that’s kind of tragic.”

How Big Is The Measles Outbreak In The US?

Also read: Pennsylvania Reports 3rd Measles-Related Death; 40-Year-Old Dies As Outbreak Spreads Across 37 Counties

According to the CDC, 3,294 confirmed measles cases have been reported in the US so far in 2026.

There have also been 38 new outbreaks reported this year, with 95% of confirmed cases associated with outbreaks — 1,748 cases from outbreaks that started in 2026 and 1,375 from outbreaks that started in 2025.

For comparison, 2,289 confirmed measles cases were reported in the US during the entire year of 2025.

So far this year, three deaths — two babies and one adult — have been reported from Pennsylvania, one of the worst-hit states. The state has also reported four measles cases among people who were fully vaccinated this year.

Measles can be prevented by vaccination. However, the anti-vaccine stance promoted by the Trump-led US government and HHS Secretary RFK Jr. are resulting in spiraling cases. More recently, Trump also announced a split of the MMR vaccine, which experts warn can have consequences.

Measles was considered eliminated in the US since 2000, but the Pan American Health Organization is expected to decide in November whether the US has lost its elimination status.

How Effective Is The MMR Vaccine?

The measles, mumps and rubella (MMR) vaccine is recommended for children. The first dose is given at 12-15 months, followed by a second dose between 4-6 years.

Two doses of the measles vaccine are 97% effective at preventing measles. However, breakthrough infections can still occur.

Among people who have received one dose of the vaccine, about seven out of 100 may develop measles after exposure, according to the CDC.

The measles vaccine is safe for most people. However, people with certain medical conditions, including a weakened immune system, may need to take additional precautions.

An infected person can spread the virus to around nine out of 10 unvaccinated people who are exposed. Measles can cause serious complications, including pneumonia, brain inflammation and death.

Read More: Donald Trump Signs Order To Split MMR Vaccine: Is It Safe For Children?

Global Measles Rise

Measles is one of the world's most contagious diseases and can cause high fever, cough and a characteristic rash.

The WHO estimates that 95,000 people died from measles globally in 2024, despite vaccination having prevented an estimated 59 million deaths since 2000.

The WHO says vaccination coverage needs to remain above 95% to prevent outbreaks.

Recent years have also seen a surge in measles cases in countries where the disease had become rare, including the US and parts of Europe, as vaccination coverage has fallen.

Bangladesh Battles Major Measles Outbreak

Bangladesh was once close to eliminating measles but is now battling one of the world's largest measles outbreaks.

According to Bangladesh health ministry data, 1,022 deaths have been associated with the outbreak, including 100 laboratory-confirmed measles fatalities.

More than 166,000 suspected cases have been reported, including nearly 20,000 laboratory-confirmed infections. More than 146,000 suspected patients have also been hospitalized.

For the first time, the US Congress is set to hold a dedicated hearing on menopause, putting a long-overlooked women’s health issue under the national spotlight. Convened by Sen. Kirsten Gillibrand (D-N.Y.), the hearing will be held by the Senate Committee on Aging.

Titled “Half the Country, Zero Hearings: Meeting the Moment to End the Menopause Care Gap in America,” the hearing will focus on the gaps in menopause research and care in the US.

Gillibrand is the senior Democrat on the committee and can lead one hearing each year on a topic of her choice. She chose menopause.

“It's time to talk about menopause. Half of our country will go through it, yet it is one of the most under-researched, undertreated, and underdiagnosed fields of medicine,” the 59-year-old Democrat leader shared in a post on X.

“This week, I'm holding the first-ever congressional hearing on menopause to demand high-quality research and care for women across America,” she added.

Why Is Menopause Getting Congressional Attention?

Gillibrand has described menopause as an issue that has long been ignored, particularly amid debates over the Trump administration’s scientific research cuts and health care affordability.

Also read:‘I Was Vocal About Cancer But Silent About Menopause Out Of Shame’, Says Actress Lisa Ray

She said the hearing also aims to address the impact of menopause symptoms on women’s lives and sexual health.

“We spend billions of dollars on Viagra to make sure men can have sex — what have you done to make sure women can have sex?” she said, the New York Times reported.

Gillibrand also plans to call for bipartisan legislation to boost federal research on menopause.

Menopause Care Gap In The US

“I’ve used my one hearing on the most under-researched, underreported, underanalyzed issue for women’s health, ever,” Gillibrand said. “From 50 to 58, I had either night sweats or hot flashes. I had to really look for a doctor who could take me through the hows and the whys and the impacts.”

Read More: Is Hormone Replacement Therapy (HRT) A Boon To Women's Health During Menopause?

Gillibrand said the government has long failed to devote federal resources to menopause and contended that the Trump administration has made the situation worse.

She cited the Food and Drug Administration’s recent decision to remove so-called black box warnings from all hormone replacement products containing estrogen.

“I’m wondering why they want women to have less information,” she said.

What Is Menopause?

Menopause marks the end of a woman’s reproductive years and occurs when menstruation permanently stops.

Clinically, it is diagnosed after 12 consecutive months without a menstrual period.

Most women experience menopause between 45 and 55, although perimenopause can begin several years earlier.

During perimenopause, the ovaries gradually produce less estrogen and progesterone, the hormones that regulate the menstrual cycle. This hormonal decline can cause symptoms that vary widely among women.

While common symptoms including hot flashes and night sweats, sleep disturbances, mood changes and irritability and vaginal dryness, for some women the drop in estrogen levels can also be associated with health concerns including osteoporosis, heart disease and, in some cases, metabolic disorders.

Regular health checkups, balanced nutrition and physical activity during midlife are important. Hormone Replacement Therapy may also help manage menopause symptoms for some women, depending on their individual health profile and medical history.

Popular GLP-1 drugs Ozempic, Wegovy, Mounjaro and Zepbound have transformed the treatment of type 2 diabetes and obesity. However, a new study suggests they may be linked to a rare but serious brain disorder caused by vitamin B1 (thiamine) deficiency.

Researchers from Israel’s Sheba Medical Center identified 15 cases of Wernicke’s encephalopathy (WE) among people taking GLP-1 medications containing semaglutide or tirzepatide.

The findings suggest that nutritional deficiencies, particularly of vitamin B1, also known as thiamine, may contribute to the development of Wernicke’s encephalopathy.

What Did the Study Find?

Published in Clinical Nutrition, the study examined 195,979 cases and identified 15 reports of WE in 2023 and 2024.

Most patients experienced gastrointestinal problems, including severe vomiting, loss of appetite, malnutrition or rapid weight loss. These factors can reduce food intake and increase the risk of vitamin B1 deficiency.

Only two patients had the classic symptoms of WE: altered mental status, difficulty walking and abnormal eye movements.

Researchers described the findings as a potential safety signal and called for greater clinical awareness, particularly among patients experiencing severe gastrointestinal symptoms.

“WE is a potentially rare but severe adverse event of GLP-1 RA treatment, mainly with semaglutide or tirzepatide,” the researchers said. “As early detection may prevent neurological sequelae, increased clinical awareness is warranted, especially in individuals experiencing severe gastrointestinal symptoms.”

Also read: Exclusive: GLP-1 Drugs Are The ‘New Statins’, Says University Hospital Birmingham Professor

Can GLP-1 Drugs Cause Vitamin Deficiency?

GLP-1 drugs suppress appetite and can reduce food intake, potentially limiting consumption of vitamin B1-rich foods such as pork, fish and whole grains.

Vitamin B1 is essential for proper nerve function. Without enough of it, patients can develop confusion, problems with balance and coordination, and abnormal eye movements.

In its early stages, thiamine deficiency can cause vague, nonspecific symptoms such as headaches, fatigue, irritability and abdominal discomfort.

Researchers said the findings should help doctors educate patients about the potential risk and monitor for warning signs.

What Is Wernicke’s Encephalopathy?

Wernicke’s encephalopathy is a rare neurological disorder caused by severe vitamin B1 deficiency. Symptoms can include confusion, problems with coordination and abnormal eye movements.

The classic symptom triad is often absent, making the condition difficult to recognize. If untreated, WE can cause permanent neurological damage, progress to Korsakoff syndrome or result in death. Korsakoff syndrome is a permanent condition marked by memory loss, confusion, and changes in personality.

READ: GLP-1 Weight Loss Drugs Ozempic, Wegovy, Mounjaro Tied To Over 60 Reported Deaths In Australia

Should You Take Supplements?

Experts do not recommend routinely taking supplements with GLP-1 drugs unless a deficiency is confirmed or nutritional needs cannot be met through diet.

A balanced diet containing fruits and vegetables, whole grains, nuts and seeds, dairy or fortified alternatives, and lean or plant-based proteins can help maintain adequate nutrient intake.

Experts also caution that products marketed specifically as “GLP-1 support” supplements may have limited evidence behind their claims.