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A 47-year-old woman who has struggled with severe anorexia for decades has made the decision to die. Soon, she will be able to under Canadian law. Lisa Pauli from Toronto, Canada, recently opened up about her debilitating eating disorder in an interview with Reuters. Two years ago, Canada expanded its requirements for medically assisted death to allow incurable conditions of mental illness. The new mental health criteria for legalised assisted death goes into effect in March 2024. Speaking to Reuters, Pauli admitted that she’s had a “warped relationship” with her body since she was eight years old. She currently weighs 92 pounds, can sometimes go days without eating solid food, and is even too weak to carry groceries home without stopping to rest. The country first legalised medical assistance in dying (MAID) for people with terminal illnesses in 2016. In 2021, the law was expanded to include people with incurable conditions, such as mental illness. The legal changes will soon make Canada one of the only countries in the world to allow those who are not in the end stages of a terminal illness to opt to end their lives. The 47-year-old told Reuters that every day for her is “hell,” adding: “I’m so tired. I’m done. I’ve tried everything. I feel like I’ve lived my life.” She explained that she has tried various treatments and has been hospitalised twice for her anorexia, until her psychiatrist Justine Dembo first raised the idea of assisted death in April 2021. Dembo, who served on an expert panel on assisted death and assesses people for MAID, said she treats it as “a last resort” and tries to determine whether patients have received all available medical and social support available. However, Pauli maintained that she plans to apply for MAID once she is eligible next year. The topic of medical assistance in dying has sparked much criticism amongst disability rights and religious advocates, who say that the planned changes will bring additional risks of people opting for MAID because they are unable to access social services, according to Reuters. Just last month, a quadriplegic woman from Ontario claimed that it would be faster for her to pursue a medically assisted death than it would for her to wait for Canada to provide disability support services. The woman, Rose Finlay, said in a video shared on social media that she can access Canada’s MAID program after a 90-day eligibility assessment, but that accessing disability services could take up to eight months. Finlay applied for the Ontario Disability Support Program, but realised she would have to wait for at least half a year before she would even have her application approved. Even with ODSP support money, she said she would be living in a “forced poverty” as the most the program pays out is $1,228 a month for all living expenses. She then explored MAID, even though she does not want to die. “It’s not what I want,” Finlay told CBC. “But if I don’t receive the support that I need, the outcome is the same. If I get to a point where I am really sick and basically terminally ill anyways, I would like to have other options.” Meanwhile, proponents of assisted death argue that it is an issue of personal autonomy. In 2021, just over 10,000 people died through medically assisted death – about three per cent of deaths in Canada that year – while more than 30,000 people have died with medical assistance in Canada since 2016, per Reuters. There are other requirements to be considered eligible for MAID, such as a written application and assessments from two independent medical practitioners. It is also only available to people covered by a Canadian healthcare program. Medical assistance in dying is legal in several other countries, including New Zealand, Switzerland, Portugal, Spain, Australia, and the Netherlands. In the US, assisted death is legal in 10 states and Washington, DC for patients suffering terminal illness who have less than six months to live. Read More Disabled woman claims Canada is forcing her to die by assisted suicide: ‘It’s not what I want’ A TikTok model made viral videos of her grandmother’s choice to die. Here’s why Assisted dying law changes ‘matter for MPs but Government will not stand in way’ Coleen Nolan becomes fourth sister in her family to be diagnosed with cancer These are the phrases working mums want to stop hearing – survey Montana Brown opens up about struggle to conceive before son’s birth

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BBC One’s Strictly Come Dancing has been “fantastic” for disability representation, says Jonnie Peacock MBE – the show’s first amputee contestant. The sprinter and paralympian, who was partnered with professional dancer Oti Mabuse in 2017, helped pave the way for celebrities with disabilities, including presenters Rose Ayling-Ellis and JJ Chalmers. The new 2023 series sees cyclist and swimmer Jody Cundy – who, like Peacock, had his right leg amputated just below the knee – compete with Jowita PrzystaÅ‚, who lifted the glitterball trophy last year with Hamza Yassin. “For me, going on Strictly was important to attempt to break people’s perceptions and make them realise the reason that I would be a bad dancer would absolutely not be my leg,” says the 30-year-old. “My leg is actually one of my strong suits! “Rhythm,” he laughs, “That was more the problem.” Peacock – who became a household name after smashing the world record and claiming gold in the 100m T44 final at London 2012 Paralympic Games – said by appearing on the popular dancing show, he was “trying to get people to understand that we look at someone and we instantly judge what they’re able to do, and put them in a box”. The World Health Organisation estimates that 16% of the world’s population is disabled. “But when you look at your TV – especially 20 years ago – it [looked like] 0.1%, and the same with race and gender,” notes Peacock. “Now people are starting to realise that we want our world to be reality, and we want our [TV] world to encompass what it actually looks like. “It’s not just Strictly, pretty much all of the reality TV shows have disabled contestants in [now]. It’s so important. It’s a way to show that we are an individual, and that we have something to give.” Peacock was recently made an ASICS ambassador (“It’s really cool to be working with a brand who actually care about a lot of the things I care about – that it’s so much more than sport,” he says). And after a difficult summer on the track, he’s looking ahead to the indoor winter para season and the Paris Paralympics next summer. “I felt the worst I’ve felt in years, as soon as I got past 50 or 60 metres [during Paris Para Athletics World Championships in July],” says the sprinter, who later discovered he had hamstring tendinopathy. “I’d kind of lost the love of the event. Even though I love training, I didn’t enjoy competing too much. Even though I love doing it, it was bringing me a lot of misery.” As well as injury niggles, he’s been having issues with the alignment of his prosthetic blade. For para athletes, this technical side of the sport adds additional complication. “I used to love that, but there was a couple of years where I just felt off balance and didn’t realise why,” he says. “We had to play with so many different settings… that was the moment where I was constantly [thinking], ‘I wish I had a foot there where it should be, I wish I didn’t have to worry about setting this up and could just go for it’.” Peacock was five when he almost died from meningitis and his right leg had to be amputated – a time he has few memories of (“I have one flashback in the back of the car being rushed to hospital, with my Power Rangers duvet wrapped around me”). Growing up, he had several bone revision surgeries – “because once you’ve had an amputation, the bone will carry on growing,” explains Peacock. Now though, he’s showing no signs of slowing down, even though sprinter careers are notoriously short. For the next Paralympics, “It’s gold or nothing – Felix [Streng of Germany] has got it now [after Tokyo 2020], but my plan is to hopefully make him the shortest Paraylmpian champion ever.” After being so dominant in the 100m for so long (he’s a two-time Paralympic gold medalist, two-time world champion, and two-time European Championship gold medalist), what keeps him motivated to win? “It’s probably greed,” he laughs, “It’s just never enough, you just want more, it’s an addictive feeling. It’s like you’re just constantly chasing to try be a better athlete – a better version of you.” And with age has come a better understanding of how his own happiness and mental health is tied to his physical health. “I don’t exercise for a period of time, I can get a little bit almost, not depressed, but edging on that, just not happy, very lethargic,” he reveals. Youth comes with a blissful naivety about health, he says. Before, “I never really realised that every time I exercised, I felt better afterwards. Now [my body] is more sensitive. I don’t feel fantastic 24/7, creaks and aches start to appear, grogginess, fatigue…” These days, when he’s not feeling his best, he’ll start a day with a 15-minute indoor bike session at home, where he lives with para athlete girlfriend Sally Brown. “I hate it, I literally hate it!” he laughs. “I want to sit on the sofa and watch TV [instead]. I feel atrocious for 10 minutes afterwards, but then I bounce up so high for the rest of the day, I’m so happy. “The closest thing that affects my mental health is my [physical] health. If I eat like crap, if I sleep like crap, if I don’t exercise, I will be in a bad mental health space. If I exercise, even just a little bit, if I eat well, if I sleep well, I don’t feel like that. It’s understanding there’s a cause and effect relationship to a lot of things.” He swears by the feel-good endorphins of a freezing cold shower everyday. “My friend told me about Wim Hof [the Dutch endurance athlete known as The Iceman] six or seven years ago. I hate hot showers now, to the point where I was in a hotel once and had to get the engineer to come up because the shower didn’t go cold [enough].” Peacock says he tries to remember that “life is a game” and “a gift”. He continues: “We waste it because we take it too seriously. And we’ve been forced to take it too seriously by the outside world – we’ve been given pressures, we’ve been given expectation, and you end up allowing the stress to enclose you and take you away from that childhood mentality of just going out and having fun. “When you’re dead, you’re not going to be sitting there going, ‘Oh, I wish I’d kept my boss a bit happier’.” Jonnie Peacock is sponsored by ASICS. To find out more visit asics.com. 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Taking 100mg of aspirin every day could lower the risk of people aged 65 and over developing type 2 diabetes, researchers have suggested. Scientists – led by Professor Sophia Zoungas of Monash University’s School of Public Health and Preventive Medicine in Melbourne – said their findings warrant further exploration but do not change the current clinical guidelines on older people taking aspirin. Some 16,209 people were included in the study; 8,086 were given aspirin while 8,123 were given a placebo. All were aged 65 or over and did not suffer from cardiovascular disease, physical disabilities or dementia. Although these new findings are of interest, they do not change the clinical advice about aspirin use in older people at this time Prof Zoungas Over a median follow-up of 4.7 years, researchers found the group given aspirin had a 15% reduction in type 2 diabetes and a slower rate of increase in fasting plasma glucose (FPG) levels. The authors said: “Given the increasing prevalence of type 2 diabetes among older adults, the potential for anti-inflammatory agents like aspirin to prevent type 2 diabetes or improve glucose levels needs further study.” The findings will be presented to delegates at the annual meeting of the European Association for the Study of Diabetes (EASD) in Hamburg in October. However, the study was a follow-up of the ASPREE trial, which was published in 2018. It found taking aspirin led to a 38% increased risk of major haemorrhage in older adults without any reduction in incidence of cardiovascular disease. Prof Zoungas said her team’s research does “not change clinical advice” around older people taking aspirin. According to the NHS, a low-dose of aspirin – 75mg – each day can help to prevent heart attacks and strokes in people who are at high risk of them, but should only be taken if your doctor recommends it. Prof Zoungas added: “The earlier published trial findings from ASPREE in 2018 showed aspirin did not prolong healthy independent living, but was associated with a significantly increased risk of bleeding, primarily in the gastrointestinal tract. “Major prescribing guidelines now recommend older adults take daily aspirin only when there is a medical reason to do so, such as after a heart attack. “Although these new findings are of interest, they do not change the clinical advice about aspirin use in older people at this time.” In June, a paper published in The Lancet Diabetes and Endocrinology journal claimed 1.3 billion people could be living with diabetes by 2050 – more than double the 529 million cases in 2021. Academics described the condition as one of the “biggest public health threats of our time”. However, Dr Faye Riley, research communications manager at Diabetes UK, said the link between aspirin and diabetes prevention “remains unclear”. She added: “With more than 2.4 million people in the UK at high risk of type 2 diabetes, there’s an urgent need to find new and better ways to help people avoid the condition. “While this research found that taking a daily low-dose aspirin was linked to a small decrease in risk of type 2 diabetes in older people, whether aspirin has a role to play in type 2 prevention remains unclear, and this approach may have unwanted side effects. “We know the use of daily aspirin increases risk of potentially serious bleeding in people with diabetes and others, so we advise only taking daily low-dose aspirin if your doctor recommends it and they will discuss exactly what dose is right for you. “We do know the best ways to reduce your risk of type 2 are getting support to lose weight if you need to, eating a healthy, balanced diet and doing more physical activity. “ Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Secondhand September: The best places to buy pre-loved fashion online What are gynaecological cancers and how can you prevent them? Alzheimer’s: How and when to talk to someone about their memory loss

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