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Does very hot weather leave you feeling more exhausted and lethargic than usual? There might be an initial surge of joy when the sun finally comes out – but once temperatures really creep up, we can end up feeling physically drained, wondering whether we should follow the Mediterranean’s lead and start introducing daily siestas. So, why does hot weather make us so tired? We asked a doctor to explain… Bodies have to work harder in the heat“When the weather is hot, our bodies have to work harder to cool themselves down,” says Dr Zulqarnain Shah, medical director at SSP Health and GP at SSP Health practice Colne Road Surgery. “The body’s natural cooling mechanism involves increasing blood circulation near the skin’s surface and promoting sweat production. These physiological changes can lead to fatigue and a feeling of lethargy. It is essential to recognise that this fatigue is a normal response to heat and is typically temporary.” Dehydration Low energy and tiredness are also common when you’re lacking hydration. “Hot weather increases the rate of fluid loss through sweating, leading to dehydration. Dehydration can contribute to fatigue and make you feel even more lethargic,” adds Dr Shah. “To avoid this, it’s important to stay adequately hydrated by drinking plenty of fluids, especially water. Aim to drink even when you’re not feeling thirsty, as thirst is not always an accurate indicator of dehydration.” Heat exhaustion “Prolonged exposure to heat can result in heat exhaustion, a condition characterised by symptoms such as heavy sweating, weakness, dizziness, nausea, headache, and muscle cramps. If you experience these warning signs, it’s crucial to move to a cooler environment, drink fluids, and rest. If symptoms persist or worsen, seek medical attention promptly,” says Shah. It’s important to pay attention to warning signs, as if heat stroke develops, this is a medical emergency. Shah stresses: “Heat stroke is a severe and potentially life-threatening condition that requires immediate medical intervention. It occurs when the body’s temperature regulation fails, and the core temperature rises dangerously high. “Symptoms may include a high body temperature (above 39.4°C), altered mental state, confusion, rapid breathing, rapid heartbeat, and even loss of consciousness. If you suspect heat stroke, call emergency services immediately.” Sleep deprivation The extra tiredness could also be linked to poor sleep, as this can really suffer in the heat. “Hot temperatures can disrupt sleep and lead to poor sleep quality. The body needs to cool down to initiate sleep, and excessive heat can make it difficult to reach the optimal sleep temperature,” explains Shah. “To improve sleep in hot weather, consider using fans or air conditioning, wearing lightweight and breathable sleepwear, keeping your bedroom well-ventilated, and using lighter bedding.” Pre-existing conditions could get worse Many people living with chronic or long-term health conditions deal with fatigue – which may flare up during heatwaves. “Hot weather can exacerbate symptoms and increase fatigue in individuals with certain chronic health conditions. Conditions such as heart disease, kidney problems, and respiratory issues can be particularly sensitive to heat,” notes Shah. “It’s vital to be aware of your specific health condition and consult with your healthcare provider for personalised advice on managing your symptoms during hot weather. They may recommend staying in cooler environments, adjusting medications, or monitoring your fluid intake more closely.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 8 tips for surviving Glastonbury with kids David Beckham designs new car collection with Maserati The dos and don’ts of looking after your garden in a heatwave

People over 40 in England will be sent a blood test to carry out at home in a bid to reduce heart disease and obesity. Digital NHS health checks, which will also include an online health questionnaire, will be launched next spring for people aged 40 to 74. Around 15 million people will be eligible, with around one million online checks expected to be carried out over the next four years. Health and Social Care Secretary Steve Barclay said: “Thousands of heart attacks and strokes could be prevented every year through simple health checks, which could save lives and ease pressure on the NHS. “This new digital check-up will mean people can do simple tests and get tailored advice from homes while reducing pressure on GP services.” The home blood test will check cholesterol levels with patients asked to take a blood pressure test at a pharmacy, alongside the online assessment covering details such as weight, height, diet, alcohol intake and exercise levels. Results will be made available online with help available to anyone showing early signs of issues such as diabetes or heart disease, as well as referrals to weight-loss clinics or medication. The online questionnaire will be available via phone, tablet or computer and the Government believes each check will save 20 minutes of NHS time. This could play an important role in helping people live healthier for longer and saving lives in the coming years, while reducing pressure on the NHS Professor Sir Nilesh Silemani Cardiovascular disease is the second biggest killer in England, affecting around 6.4 million people. The Government says the new digital check will help to identify 200,000 people who could benefit from the use of statins, 30,000 cases of hypertension and prevent around 400 heart attacks and strokes over the first four years. Professor Sir Nilesh Samani, medical director at the British Heart Foundation, said: “This initiative will help to reach more people and encourage them to get their blood pressure and cholesterol levels checked so that, where necessary, healthcare professionals can work with them to manage their condition. “This could play an important role in helping people live healthier for longer and saving lives in the coming years, while reducing pressure on the NHS.” Existing NHS health checks for people in the same age group take place face-to-face with a GP and concerns have been expressed that elderly people are not left behind if they struggle with technology. David Baines, vice chair of the Local Government Association, told The Times: “Making more digital health checks available is a useful tool to detect certain illnesses but it should be treated as an addition to, not a replacement for, a physical health check.”

Lewis Hamilton’s Formula One future could be resolved as early as before this weekend’s Canadian Grand Prix. Hamilton has six months to run on his £40million-a-season deal with Mercedes, but team principal Toto Wolff said his superstar driver is on the brink of agreeing new terms. “It is going to happen soon, and we are talking more days than weeks,” Wolff told CNBC’s Squawk on the Street programme in New York when asked about Hamilton’s contract negotiations. “We are trying hard [to get it done before the Canadian Grand Prix]. I will see him today and maybe we will talk about it. “We have such a good relationship that we dread the moment that we need to talk about money.” Hamilton, 38, met with Wolff the day after the last round in Spain in the hope of rubber-stamping a fresh contract with the Silver Arrows. It is anticipated that the British driver’s extension will be a multi-year deal, extending his stay in F1 beyond his 40th birthday. “Lewis is the most important personality in the sport,” added Wolff. Lewis is the most important personality in the sport Toto Wolff “He is so multi-faceted, not only with the racing, but also off track, so we need to keep him in the sport for as long as possible. “From a team’s perspective, Lewis and Mercedes have gone back a long time. He has never raced for any other brand than Mercedes. “We both joined the team in 2013 together, and from a professional relationship, we now have a friendship. It has been a wonderful time.” Hamilton, who has not won a race since his contentious championship defeat to Max Verstappen at the 2021 season finale in Abu Dhabi, is already 83 points off the title pace this year. But Mercedes’ recent upturn in form has provided Hamilton, who finished runner-up to Red Bull’s Verstappen at Barcelona’s Circuit de Catalunya, with renewed hope that his dream of a record eighth world title is not over. However, Wolff warned: “The result in Spain was a well-deserved reward for everyone’s efforts at Brackley and Brixworth to bring our update package to the track. “We were pleased with how it performed, and it will provide a new baseline for us to build from. “But we must also manage our expectations. It was a circuit that suited our car, and we should expect our direct competitors to be stronger in the next races. “The gap to Red Bull is large and it will take lots of hard work to close that down. Nevertheless, we’re up for the challenge.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live On this day in 2007: Lewis Hamilton claims first Formula One victory Susie Wolff urges F1 teams to back initiatives to help develop female drivers Max Verstappen tops rain-hit final practice for Spanish Grand Prix

Max Verstappen set the fastest time in practice for the Mexican Grand Prix as teenager Oliver Bearman made history by becoming the youngest British driver to take part in a Formula One weekend. Verstappen denied Williams’ Alex Albon top spot by just 0.095 seconds at the Autodromo Hermanos Rodriguez in Mexico City as home favourite Sergio Perez finished third, three tenths back. Lando Norris was fourth for McLaren – half a second behind Verstappen – with Lewis Hamilton only 11th, one second off the pace in his Mercedes. Bearman, 18, competing for American outfit Haas, ended his F1 debut in 15th, only 1.6 sec slower than Verstappen and three tenths adrift of Nico Hulkenberg – a veteran of 200 grands prix – in the other car. Bearman also finished one place ahead of double world champion Fernando Alonso. F1 teams must run a rookie driver at least twice during the season and Chelmsford-born Bearman was handed his chance to impress, breaking the British record previously held by Norris. Norris was three months shy of his 19th birthday when he took part in practice for McLaren in Belgium in 2018 before he was promoted to a race seat the following season. Bearman turned 18 in May. The teenager, a member of the Ferrari academy, has taken four victories in F1’s feeder series Formula Two and is sixth in the standings ahead of next month’s season finale in Abu Dhabi. He is also expected to be given a second run for Haas at the Middle Eastern venue. Hamilton was disqualified from last weekend’s United States Grand Prix after running an illegal floor on his Mercedes. Hamilton finished a close second to Verstappen to provide him with hope he could challenge the all-conquering Dutchman here. But the seven-time world champion struggled for pace at the venue which sits 2,200 metres above sea level. Hamilton’s team-mate George Russell was forced to miss the first running with Danish junior driver Frederik Vesti taking over. He finished 19th. In all, five young drivers were fielded in the running with Bearman the fastest. Elsewhere, Charles Leclerc finished fifth, with Oscar Piastri sixth for McLaren. Ferrari’s Carlos Sainz, sidelined from Thursday’s media sessions with a stomach bug, ended the running in seventh. Read More F1 Mexican Grand Prix LIVE: Practice updates and lap times in Mexico City Max Verstappen urges fans to show him respect ahead of feisty Mexican Grand Prix Lewis Hamilton claims many more cars were illegal at United States Grand Prix F1 2023 official calendar: All 23 Grand Prix this year Max Verstappen beefs up security in preparation for hostile reception in Mexico What time is F1 qualifying at the Mexico City Grand Prix?

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Naturally, the first thing you want to do when you develop a new all-consuming crush is tell a friend. From whispered confessions on the phone to passing notes in class, communing over shared desire is a girlhood rite of passage. But then there’s the lust you’re not supposed to share out loud. The deep, dirty, grownup, horny kind that’s supposedly reserved for boys and bragging locker room talk, or the tattered pages of the erotic novel you stole from your auntie’s bookshelf in secret.