Video of the Year

Doja Cat – ‘Attention’ 

Miley Cyrus – ‘Flowers’ 

Nicki Minaj – ‘Super Freaky Girl’

Olivia Rodrigo – ‘vampire’ 

Sam Smith, Kim Petras – ‘Unholy’

SZA – ‘Kill Bill’ 

Taylor Swift – ‘Anti-Hero’ (WINNER)

 

Artist of the Year:

Beyoncé

Doja Cat

KAROL G 

Nicki Minaj

Shakira

Taylor Swift (WINNER)

 

Song of the Year:

Miley Cyrus – ‘Flowers’

Olivia Rodrigo – ‘vampire’ 

Rema + Selena Gomez – ‘Calm Down’ 

Sam Smith, Kim Petras – ‘Unholy’

Steve Lacy – ‘Bad Habit’

SZA – ‘Kill Bill’

Taylor Swift – ‘Anti-Hero’ (WINNER)

 

Best New Artist:

GloRilla

Ice Spice (WINNER)

Kaliii

Peso Pluma

PinkPantheress 

Reneé Rapp

 

Push Performance of the Year:

August 2022: Saucy Santana – ‘Booty’

September 2022: Stephen Sanchez – ‘Until I Found You’ 

October 2022: JVKE – ‘golden hour’

November 2022: Flo Milli – ‘Conceited’

December 2022: Reneé Rapp – ‘Colorado’

January 2023: Sam Ryder – ‘All The Way Over’

February 2023: Armani White – ‘GOATED’

March 2023: FLETCHER – ‘Becky’s So Hot’

April 2023: TOMORROW X TOGETHER – ‘Sugar Rush Ride’ (WINNER)

May 2023: Ice Spice – ‘Princess Diana’

June 2023: FLO – ‘Losing You’ 

July 2023: Lauren Spencer Smith – ‘That Part’

 

Best Collaboration:

David Guetta + Bebe Rexha – ‘I’m Good (Blue)’ 

Post Malone, Doja Cat – ‘I Like You (A Happier Song)’ 

Diddy ft. Bryson Tiller, Ashanti, Yung Miami – ‘Gotta Move On’ 

KAROL G, Shakira – ‘TQG’ (WINNER)

Metro Boomin with The Weeknd, 21 Savage, and Diddy – ‘Creepin’ (Remix)’

Rema + Selena Gomez – ‘Calm Down’ 

 

Best Pop:

Demi Lovato – ‘Swine’

Dua Lipa – ‘Dance The Night (From Barbie The Album)’ 

Ed Sheeran – ‘Eyes Closed’

Miley Cyrus – ‘Flowers’ 

Olivia Rodrigo – ‘vampire’ 

P!NK – ‘TRUSTFALL’ 

Taylor Swift – ‘Anti-Hero’ (WINNER)

 

Best Hip-Hop:

Diddy ft. Bryson Tiller, Ashanti, Yung Miami – ‘Gotta Move On’

DJ Khaled ft. Drake + Lil Baby – ‘STAYING ALIVE’ 

GloRilla + Cardi B – ‘Tomorrow 2’

Lil Uzi Vert – ‘Just Wanna Rock’ 

Lil Wayne ft. Swizz Beatz + DMX – ‘Kant Nobody’

Metro Boomin ft Future – ‘Superhero (Heroes and Villains)’ 

Nicki Minaj – ‘Super Freaky Girl’ (WINNER)

 

Best R+B:

Alicia Keys ft. Lucky Daye – ‘Stay’ 

Chlöe ft. Chris Brown – ‘How Does It Feel’

Metro Boomin with The Weeknd, 21 Savage, and Diddy – ‘Creepin’ (Remix)’

SZA – ‘Shirt’

Toosii – ‘Favorite Song’

Yung Bleu + Nicki Minaj – ‘Love In The Way’

 

Best Alternative:

blink-182 – ‘EDGING’ 

boygenius – ‘the film’ 

Fall Out Boy – ‘Hold Me Like A Grudge’

Lana Del Rey ft. Jon Batiste – ‘Candy Necklace’ (WINNER)

Paramore – ‘This Is Why’

Thirty Seconds To Mars – ‘Stuck’ 

 

Best Rock:

Foo Fighters – ‘The Teacher’

Linkin Park – ‘Lost (Original Version)’

Red Hot Chili Peppers – ‘Tippa My Tongue’

Måneskin – ‘THE LONELIEST’ (WINNER)

Metallica – ‘Lux Æterna’

Muse – ‘You Make Me Feel Like It’s Halloween’

 

Best Latin:

Anitta – ‘Funk Rave’ (WINNER)

Bad Bunny – ‘WHERE SHE GOES’

Eslabon Armado, Peso Pluma – ‘Ella Baila Sola’ 

KAROL G, Shakira – ‘TQG’ 

ROSALÍA – ‘DESPECHÁ’ 

Shakira – ‘Acróstico’

 

Group of the Year:

Blackpink – (WINNER)

Fifty Fifty

FLO

Jonas Brothers

Måneskin

NewJeans

Seventeen

Tomorrow x Together

 

Album of the Year:

Beyoncé – Renaissance

Drake and 21 Savage – Her Loss

Metro Boomin – Heroes & Villains

Miley Cyrus – Endless Summer Vacation

SZA – SOS

Taylor Swift – Midnights (WINNER)

 

Video Vanguard Award: Shakira (WINNER)

A drug hailed as the ‘King Kong’ of weight loss jabs is being given to diabetics on the NHS.

Around 180,000 people with type 2 diabetes are set to be given tirzepatide to help control their condition.

Taken as a once-weekly jab, it was given the green light for patients who cannot tolerate metformin – the first-line medicine for type 2 diabetes – once stocks become available.

The National Institute for Health and Care Excellence (Nice) today recommended it as a diabetic medication, to be prescribed alongside diet and exercise.

It could be available as early as October, dependent on supply by the US pharmaceutical giant Eli Lilly.

A decision on its use for weight loss is expected within months.

The once weekly jab is a class of drugs called GLP-1 agonists, which mimic a hormone that helps suppress the appetite, reducing food intake.

Trials also found it boosts the production of insulin, the hormone that regulates blood sugar, essential to control type 2 diabetes.

After just a year, a third of type 2 diabetics taking the drug lost more than 20 per cent of their body weight, significantly more than rivals.

It led US diabetes expert Dr Julio Rosenstock to declare it ‘King Kong’ compared to ‘the gorilla’ of semaglutide, the key ingredient in Wegoby and Ozempic.

Nice’s approval comes after it requested more evidence on the drug’s effectiveness in treating type 2 diabetes.

Its latest guidance said clinical trials showed using tirzepatide ‘resulted in significant reductions in blood sugar levels and body weight compared with semaglutide, insulin therapy or a placebo’.

The independent committee said almost two in three people with type 2 diabetes do not have it under control, putting them at risk of serious complications.

Helen Knight, director of medicines evaluation at Nice, said: ‘There are very few new medicines being developed to treat difficult-to-manage type 2 diabetes.

‘Our committee recognised the potential tirzepatide has to provide an effective and good value treatment option for all those living with poorly controlled type 2 diabetes.’

‘Poorly controlled type 2 diabetes, with its associated additional health risks, is a huge challenge for those living with the condition and the NHS.

‘This recommendation will offer fresh hope for many and provide value for money for the taxpayer.’

Nice is expected to publish its final draft guidance on October 11 with the drug made available within 90 days.

It comes the same week semaglutide, sold under the brand name Wegovy, was finally made available in the UK as a weight loss treatment.

About 50,000 people are expected to benefit on the NHS and more through private prescriptions amid a global shortage of the drug.

Its popularity as a weight loss aid had seen stocks of the diabetic medication Ozempic, which contains the same key ingredient, run low and the NHS issue a notice to stop it being prescribed ‘off label’.

David Webb, chief pharmaceutical officer at NHS England, said the latest announcement is ‘great news at a time when there is disruption to the supply of key drugs used for treating people with diabetes’.

He said: ‘This will provide a much-needed addition to other available treatments, and can be prescribed alongside diet and exercise, to greatly improve the lives of those living with this difficult disease and give more people the chance of a healthier future.’

• S&A Group says strawberries have risen from 13.6g in 2011 to 21.5g this year 
• Raspberries have doubled and blueberries have trebled in size in same period 
• But Peter Judge, of S&A Group, says bigger fruit don’t always deliver flavour 

By Connor Stringer

Published: 19:57 EDT, 20 August 2023 | Updated: 20:18 EDT, 20 August 2023

As a pensioner who’d had type 2 diabetes for nearly ten years, Nazir Hussain was almost resigned to always feeling exhausted and taking medication for life. 

The 67-year-old former postman from Aylesbury, Buckinghamshire, weighed 14st (he is 5ft 8in) and was taking daily doses of metformin and high blood pressure medication after being diagnosed with type 2 diabetes in 2014. 

‘I was out of puff just doing the gardening,’ he says. ‘It was miserable.’ Yet, within a year of beginning a low-carb diet in May 2022, the divorced father of five had lost 3st 10lb and trimmed his waist from 36in to 32in. 

‘I never thought I would ever feel as good as I do now,’ he says. 

By last May, Nazir’s HbA1c level (an indication of his long-term blood sugar control) had dropped from 60 mmol/mol to 40 — i.e. he had put his diabetes into remission (the threshold for diabetes is 48). Remarkably, he has been able to come off both his diabetes and his blood pressure medication completely. 

His success comes as a major new study by Harvard University, published in the journal Diabetes Care and involving 10,000 patients with type 2, found that those who followed a low-carb diet were 24 per cent less likely to die early from any cause than those who didn’t. 

‘Exciting’ to see patients succeed 

Nazir was one of the first patients to take advantage of a groundbreaking diabetes initiative, The Lifestyle Club (TLC), an online programme that supports patients in their own homes, after being referred by his GP. 

It is one of several new ‘grassroots’ low-carb schemes being used by GPs across the country to try to help type 2 diabetes patients — and hopefully start to turn the tide on a modern epidemic that affects at least 4.8million Britons; one in 14 of us. 

‘This programme has been a huge success and we’ve seen many patients lose weight and reduce their blood sugar levels,’ says Nazir’s GP, Dr Karen Johnson from the Poplar Grove surgery in Aylesbury. ‘It’s exciting to watch our patients blossoming in this way. 

‘We don’t have the resources or time in our surgery to give these patients this kind of education, or the support that’s needed for long-term success — so this is a real blessing for us as a practice.’ 

TLC was developed by the Public Health Collaboration, a charity that works to educate the public and healthcare professionals in using lifestyle changes to treat chronic disease. It is run by a dietitian and staffed by ten health coaches, offering diet advice, recipe suggestions and peer support groups. 

Patients attend eight 90-minute online weekly sessions in groups of 12 via Zoom. There is also a follow-up online support group available once the course ends. 

At the heart of the programme is a lowcarb approach, aimed at reducing blood sugar: chronically raised blood sugar levels can damage blood vessels over time, leading to serious illnesses.

A low – carb approach encourages eating meat, eggs and fish as well as abundant quantities of leafy green vegetables, plus nuts and some fruit and full-fat dairy, including cheese, milk and cream. Foods to avoid include sugary treats such as biscuits and sugary drinks — but also those that are high in carbs, including breakfast cereal, bread, pasta, potato, rice and couscous, because of how they can affect blood sugar levels. 

GPs can refer any patient with type 2 diabetes or classed as prediabetic (where blood sugar levels are higher than normal) to TLC. 

Dr Johnson began referring patients in October 2021 after learning about it from a GP at another practice. More than 700 patients across England have so far attended TLC courses used by 44 GP surgeries. This follows a 2021 pilot scheme in which 106 participants lost an average of 4.5kg (10lb) in three months, with significant reductions in their blood sugar levels. 

A research study is planned for January, when scientists from the University of Surrey will evaluate TLC’s remission rates and analyse other measures including blood fat levels, medication changes and numbers completing the course. 

Britain’s type 2 crisis is being driven by soaring obesity rates. Various solutions are being deployed to address this. Bariatric surgery (e.g. gastric bypass, which means people are physically incapable of overeating) is one. 

Although it can be highly effective, many patients are not eligible for it on the NHS — your body mass index has to be 40 or more, or between 35 and 40 if you also have type 2 diabetes or other conditions. It has been estimated that while as many as 3.5million Britons would qualify for bariatric surgery, only about 6,000 a year currently get it.

Exercise has also been shown to help with insulin resistance, a precursor to type 2, where the body doesn’t respond correctly to the insulin produced to help you process sugar. Physical activity improves sensitivity to insulin. 

Meanwhile, the NHS is also offering an 800-calorie-a-day regimen based on soups and shakes. This was devised by Roy Taylor, a professor of medicine and metabolism at Newcastle University, whose pioneering research shows that rapid weight loss on a low-calorie diet can trigger changes which strip fat from the liver and pancreas, restoring blood sugar control — and can lead to drug-free remission from type2. 

Fifty nine per cent of the first 6,000 patients who have started the NHS programme since September 2020 completed the 12-month course; the first 2,000 each lost an average of over 1st 11lb (11.3kg), according to figures published in January 2022. 

Professor Taylor says research suggests that when people with type 2 lose more than 10kg (1st 8lb) — irrespective of their starting weight — 64 per cent will go into remission. However, only people diagnosed with type 2 within the past six years are eligible for this NHS scheme, as evidence shows that remission is more likely the closer it is to the patient’s diagnosis.

Isn’t diet cola low-carb? 

Another option is low-carb, which started as a grassroots approach, adopted by patients and spread via social media — then increasingly adopted by GPs. This is despite the fact that it is at odds with standard NHS advice to base eating habits on a regimen that includes low-fat foods and abundant wholegrains. 

Critics of the low-carb approach have questioned the idea that starchy foods such as pasta, potatoes, rice and bread, which break down into glucose when digested, are a particular problem for people with diabetes. (The low-carb advocates argue that this is because their bodies don’t respond to insulin or don’t make enough of it.) 

Moreover, there were concerns that by going low-carb, patients would be eating a diet higher in protein, particularly red meat and dairy, and that this could increase the risk of heart and kidney diseases in particular. 

But ‘real world’ data involving patients at the Southport surgery of GP Dr David Unwin, an early pioneer of the low-carb approach, shows that as well as significant weight loss and type 2 diabetes remission on the diet, patients also improve in markers of heart disease and kidney function. 

So far, 132 patients at Dr Unwin’s practice have reversed their diabetes after adopting the regimen — representing 51 per cent of those adopting a low-carb lifestyle (and 20 per cent of all those with diabetes registered at his surgery). 

This is similar to the remission rate predicted for the NHS’s soups and shakes programme — as well as the new obesity jab, Wegovy (but its use on the NHS is limited to those with a BMI of 35 or more who have failed to lose weight through dieting). 

The American Diabetes Association now backs the low-carb diet as a treatment for type 2. In the UK, while the National Institute for Health and Care Excellence does not officially support low-carb, it does advise that carbs eaten should be low-GI — a measure of how starchy they are. 

But not all ‘low-carb’ is equal. The Harvard research found that patients who followed a low-carb diet with animal products or including low-quality carbs (such as refined grains) did not see the same health benefits as those on a mainly plant-based plan. 

And a study of more than 370,000 middle-aged and older people published earlier this year in the Journal of Internal Medicine found that diets low in saturated fats and high in green veg and high-quality carbs were associated with fewer premature deaths from all causes. 

By contrast, the researchers found that a general low-carb diet and unhealthy low-carb diets were associated with significantly higher total death rates, including from heart disease and cancer. A healthy low-carb diet, however, was associated with lower death rates. 

Dr Unwin says this reflects that ‘it’s not enough to eat low-carb — a pepperoni and diet cola diet would class as low-carb, but clearly this is not healthy’. 

If low-carb was patient-led at first, more than 3,200 GPs have so far completed the Royal College of GPs’ online low-carb course, designed by Dr Unwin. 

The TLC programme is one of several low-carb initiatives developed by doctors across the UK. 

Dr David Oliver and Dr Kim Andrews, from Freshwell Health Centre, near Braintree in Essex, have been offering a low-carb approach since 2019 after patients struggled to lose weight through the standard NHS approach. 

They have a type 2 drug-free remission rate of 11 per cent across the practice, with many more patients able to reduce their medication, thanks to their Freshwell Low Carb Project, an online resource that offers free lifestyle advice via a website and app. Since its launch in October 2021, it has been downloaded 50,000 times. 

Businessman James Maycock, 54, followed the programme from his home near Cheltenham after being diagnosed with type 2 in February and learning about the app from his practice nurse. 

‘I’d previously been confused by NHS advice — one nurse would recommend eating low-fat foods with carbs such as pasta or baked potato, while another told me to cut out sugar,’ says James, who is married to Clare, 50, and has a son, 20, and daughter, 18. ‘The Freshwell explanations were straightforward.’ 

James shed half a stone in three months. But, more importantly, his sky-high HbA1c reading (105) dropped to near-normal (50). He hopes to soon drop below the diabetes threshold, enabling him to come off his medication.

Follow-up and support is key  

A major reason for the success of low-carb is that ‘it involves real food rather than an artificial intervention [such as manufactured foods, medication or surgery]’, says Dr Ollie Hart, a GP in Sheffield who began offering low- carb advice to patients six years ago. 

‘We’ve had a number of patients adopt low-carb and put their type 2 diabetes into drug-free remission — and many more have improved their blood sugar levels.’ 

Dr Hart is now director of a new GP-led diabetes clinic covering seven local surgeries. NHS-funded, it offers weight-loss advice — including very low-calorie diets — ‘but low-carb seems easier for many patients to stick to’, he says. ‘It puts the patient in the driving seat — they can tweak it to suit their tastes and use it as the basis for a long-term lifestyle change.’ 

As with other diets, low-carb’s health benefits are due to weight loss (as the body turns to burning its fat supplies instead of glucose) — but this is by no means the whole story, its advocates claim. 

‘Health benefits stem not just from weight loss but also from the mechanism by which that weight is lost,’ says Dr Oliver. 

‘Insulin resistance can result from persistently elevated blood insulin levels. A low-carb diet can reduce these, which in turn reverses insulin resistance.’ 

Other studies show it may also improve blood pressure and kidney function. One, published in the journal Annals of Family Medicine in May, examined 94 obese or overweight patients with high blood pressure who were either prediabetic or had type 2. Half followed a very low-carb regimen (25-30g carbs a day for four months), the rest ate the traditionally recommended low-fat, wholegrain diet. 

The low-carb group showed ‘greater improvements’ in weight loss, blood pressure and blood sugar control, researchers said. 

Insulin causes the kidneys to retain salt — causing fluid retention and increasing the pressure on blood vessel walls, says Dr Unwin. Rebalancing insulin means the body releases this salt in urine — lowering blood pressure. 

A 2021 study by Dr Unwin and Professor Christopher Wong, a kidney specialist at Liverpool University Hospitals NHS Trust, found that low-carb diets improved kidney function in type 2 — they had been widely thought to be harmful, as the kidneys can struggle to process a large amount of protein in the diet.

‘I could improve my own health’  

Data from 143 of Dr Unwin’s type2 patients who had followed a low-carb lifestyle for seven years showed 70 per cent had significantly improved kidney function. 

‘What was surprising is that these were older people with poorly controlled type 2,’ says Dr Unwin. 

‘We expected average kidney function to deteriorate because high blood sugar levels damage both the blood supply to the kidneys and the kidneys themselves — yet in fact the opposite happened.’ 

A similar picture is emerging in heart disease: an initial concern was that eating more red meat and full-fat dairy might increase the risk. But research by Dr Unwin and Professor Taylor, published in BMJ Nutrition in January, showed major risk factors such as cholesterol levels, blood pressure and weight all improved significantly. 

But while the foods eaten are crucial, so, too, is the support from medical experts and peers. 

Professor Taylor believes the success of Dr Unwin’s low-carb programme can be attributed to its emphasis on the importance of weight loss combined with ‘sympathetic discussion and personal follow-up and support’. 

A 2016 study of 400 people in Greece who shed more than 10 per cent of their bodyweight found that the level of positive support they received was a key factor in whether they maintained their new weight, reported the Journal of Behavioural Medicine. 

‘Chronic conditions stemming from our modern lifestyles seem to be better managed by an approach involving peer support than within the limits of a standard ten-minute GP appointment,’ says Dr Oliver. 

Nazir agrees: ‘Everyone shared tips and I learned a huge amount. For the first time, I realised I could make a big difference to my own health.’

lowcarbfreshwell.com 

Jackie ‘O’ Henderson made her first red carpet debut at The Logies on Sunday after losing a whopping 18kg.

The 48-year-old was the belle of the ball, showing off her super slim figure in a stylish red Effie Kats strapless gown. 

Jackie has undergone an extraordinary body transformation after she took two months off her top-rated The Kyle and Jackie O show in November last year to recover from long Covid. 

She returned to social media on New Year’s Eve last year, posting several photos of her slimmed-down figure in a swimsuit while holidaying with her daughter Kitty in Fiji.

In the caption, the mother-of-one wished her followers a Happy New Year and promoted her partnership with Weight Watchers (WW), saying she was feeling the ‘best she had’ in ‘many years’.

The star’s drastic slim-down became apparent again in February, when she started posting photos of herself with some of the guests on her radio show, including rapper Yung Gravy and Bravo king Andy Cohen. 

Jackie beamed in a long-sleeve T-shirt and tiny shorts as she stood next to the American rapper and her co-host Kyle Sandilands. 

Just weeks later, the blonde star showed off her slender frame again when she slipped into an oversized blue t-shirt and shorts as she posed alongside US Bravo king, Andy Cohen.

Since then Jackie has lost even more weight, which has led to the blonde being dogged by rumours she is taking the controversial weight-loss drug, Ozempic – of which she has denied. 

Last month Jackie complained she was the victim of trolls who claimed she had loss the weight as a result of Ozempic and not diet and exercise. 

Speaking on The Kyle and Jackie O Show, she said: ‘When I first lost weight and started to lose weight at the beginning of the year, it was all fine. And then when I lost a little bit more, people were suspicious that it came off very quickly.’

‘And since then I’d say, like, for the last 3 to 4 months, I’ve had people just so steadfast in their belief that I have not lost this the right way and I’ve done something else.’

Jackie insisted while it doesn’t matter how someone loses weight, she did it the healthy way.

‘I can’t say it enough that I have not done anything other than just eat well, exercise and give up alcohol,’ she said.

She explained the biggest change was her mindset, as she had previously struggled to shed unwanted kilos for the past three years because she ‘wasn’t in that right head space.’

‘I just was not motivated and I wasn’t mentally feeling well and so I just wasn’t there. I couldn’t find that motivation within me,’ she explained.

Directly addressing critics who said she was taking Ozempic, Jackie said: ‘That diabetic medication people talk about taking, I don’t take that.’ 

She has instead said she has stuck to intermittent fasting, zero alcohol and a healthy diet to shed the excess kilograms. 

Jackie, who recently started playing tennis regularly, added quitting alcohol and embracing exercise ‘was a big thing [she’d] never done before’. 

She also confirmed she didn’t even drink alcohol at Kyle’s wedding in April, choosing to go sober for the lavish occasion. 

Jackie also recently spoke about her new diet on The Kyle and Jackie O Show, revealing she often skips breakfast for intermittent fasting.

She avoids carbohydrates, and satiates her hunger throughout the day by snacking on pre-cut pieces of steak.

Jackie recently ended her partnership with WW – formerly Weight Watchers – saying she wanted to move on from weight loss. 

Appearing on Sunrise in July, she said: ‘Yeah. I think that [the partnership] has come to a natural end. They were incredible to me and they have helped me so much.’ 

The radio star went on to say she was broadening her focus in regards to her health after achieving her body goals through the program.

‘The focus for me is not on weight loss. I am really thankful they have helped me a lot,’ Jackie added.

‘I feel like I have my life in a really good place now. Healthy and happy.’

Jackie joined WW for the second time after suffering from her bout of long Covid, which forced her to step down from her radio show in November last year. 

Just before she went on hiatus she was open with listeners about her struggle. 

‘I’ve been not very well ever since I’ve had Covid… I’ve been struggling with this fatigue,’ she said at the time. 

‘I’ve been to the doctor several times and he said because I’ve been pushing myself every day, after the show all I’ve been doing is sleeping and I’m not getting better.’

Jackie went somewhat silent on social media during her break, posting no images to Instagram in November as she worked on her mental and physical health.

Luisa Zissman proudly showcased her washboard abs in a pink sports bra and leggings as she posed for a mirror selfie on Instagram on Wednesday. 

The Apprentice star, 36, revealed she has lost 18lbs since March as she shared her transformation after working with a personal trainer.

Luisa detailed that she has followed a ‘moderate calorie deficit & high protein diet’ to achieve her amazing results as well as attending gym sessions. 

She gushed that she ‘feels fitted than ever’ as she shared a number of before and after snaps of her journey. 

Luisa has previously shared pictures of herself looking nothing short of sensational in a pink bikini as she shows off the results of her hard work. 

Luisa said: ‘I feel amazing! So fit, healthy and strong. I’ve never been fitter in my life! I love the definition in my arms & abs and there is no better feeling than that rush after 5am workout with Ted [her personal trainer]. 

‘I have so much energy now too. Ted is amazing and I couldn’t have gotten here without him’.

Her personal trainer Ted Boswell, detailed how the reality star continued ‘living her life’ while getting the incredible results. 

He said: ‘This is Luisa. Luisa has lost 8kg ( 18lbs ) in the last 5 months, whilst still living life how she wants! Celebrating her birthday in style, partying, socialising, entertaining, running a huge podcast… the list goes on.

How did we do it?? 1. Adhering to a moderate calorie deficit & high protein diet. 2. 2-4 Face to face PT Sessions each week. 3. A Manageable step count daily.

‘I’m so proud of your continuous hard work and effort you’re putting into this  the results speak for themselves and I can’t wait to see what’s round the corner!’

It comes after Luisa courted controversy when she revealed she’d had her beloved pet horse Madrono stuffed.

The star, who is a horse lover, has white stallion Madrono on display in her living room window after the animal died in 2019 and was stuffed in 2022. 

Luisa, who is a mother-of-one, opted to keep the animal in her life by undergoing the process with skilled taxidermist Simon Wilson over a two-month period.

The move, which was delayed as a result of the coronavirus pandemic, proved to be divisive among social media followers, with some branding her ‘creepy’ for wanting a constant reminder of its death.

Appearing on Good Morning Britain in 2021, shortly after Wilson reunited Luisa with her horse, she admitted it was impossible to say goodbye to Madrono. 

She explained: ‘I suppose everyone deals with grief in different ways.  He’s so majestic and so beautiful so I didn’t want to let go of him… 

‘When I knew Madrono had to be put to sleep I went to Simon and said I couldn’t bear to not see him again.

‘I couldn’t describe it, I just wanted him with me forever.’ 

Recalling how she felt after seeing him stuffed for the first time, she said: ‘It made me really happy!

‘Like you said he’s a work of art, he’s a sculpture. For me I just wanted him to live forever I guess and be this amazing piece of art, this sculpture, I was so privileged to own him.’ 

She added: ‘I was pretty grief stricken, I had quite a hard time after Madrono died, some people might find that strange but we’re a nation of animal lovers so I hope some people with understand.’

Since Madrono’s death, the animal lover has acquired four more horses. 

It’s the blockbuster weight loss drug adored by Hollywood, despite being armed with powerful side effects. 

But now users of slimming jab semaglutide are warning about another unwelcome consequence — ‘Ozempic butt’. 

Slimmers who’ve lost up to 141lbs (64kg) claim they’ve been left with ‘saggy’ bums.

Others have complained about their derrières flattening like a ‘pancake’, including one who once underwent a Brazillian Bum Lift (BBL). 

The effects, albeit in the bum, are similar to those who’ve battled ‘Ozempic face’ — with the rapid weight loss leaving some users looking ill, exacerbating wrinkles and causing skin to sag.

The flab-busting drug doesn’t discriminate which weight it targets.

Videos highlighting the side effect by users themselves have racked up hundreds of thousands of views on TikTok. 

In one TikTok under the #ozempicbutt, watched 26,800 times, @jocelyngarcia3514 shared a full body video of her loose skin around her bum.

‘I’m humble enough to share my results and my body,’ she said.   

‘Keep in mind I had a BBL about seven years ago and this is what my butt looks like after my 16th injection of compound semaglutide,’ she added.  

‘What does an ozempic/semaglutide butt look like?,’ she also wrote. 

‘You guessed it? Loose skin and cellulite (nothing to brag about, results vary).’ 

Sharing a second video, she documented her weight loss dropping to 128lbs (58kg) from 143lbs (64.9kg), sharing before and after comparisons of using Ozempic.  

In another, @shellyslife365 told her TikTok followers: ‘At the beginning I was 285lbs (129.3kg) and now I’m only 144lbs (65.3kg).’

She added: ‘I’m almost at my goal weight, I have Ozempic Butt.

‘So now my butt is not this little round plump butt anymore. It’s flat and droopy like my chin. 

‘So my friends there is a thing called Ozempic butt. 

‘It will resolve itself after sometime, I truly hope.’ 

A third, @lynnesjourney also revealed she ‘had no butt left’ while using Mounjaro. 

This uses a similar drug to Ozempic, tirzepatide, mimicking certain natural appetite suppressing hormones. 

‘It’s all gone, now I’m stuck. I’ve lost all the fat in my b****,’ she said. 

‘I always said that if I ended up with saggy skin in my face, I’d have a facelift. But what am I going to do about my butt.’

Others took to TikTok comments to share their own experiences. 

‘I have Ozempic butt too, well, bariatric a**. Loose skin hanging on my a** from losing so much weight,’ @ramireztea wrote. 

Another commented, they were having the same issue ‘after losing weight fast from it’, while one agreed ‘I’m dealing with this! So sad’. 

But Dr Simon Cork, a senior lecturer in physiology at Anglia Ruskin University in Cambridge, told MailOnline: ‘This is essentially a sign that the drugs are working at reducing weight.’ 

He said: ‘The buttocks are one of the areas of the body where we deposit excess fat, more so in some people than others. 

‘So as people lose weight some people will see this come off their buttocks more than other areas.

‘Skin is like an elastic band. It stretches very easily, but the longer it is stretched the less likely it is to revert to its original size. 

‘This means that as people lose weight their skin stays stretched.’

He added: ‘It’s an unfortunate side effect of losing weight and many more people are likely to see this effect on their tummies, but it is a sign that Ozempic is having a positive effect on their weight.’

Semaglutide spurs on weight loss by mimicking the actions of a hormone released in the gut after eating — GLP-1.

As well as telling the pancreas to produce more insulin (hence why the drug is given to diabetics), GLP-1 also suppresses appetite, making us feel full. 

Elon Musk and Jeremy Clarkson have credited the drug for helping them lose weight.

Meanwhile, Kim Kardashian was rumoured to have used it to rapidly lose 16lbs (7.3kg) to fit into Marilyn Monroe’s dress at the 2022 Met Gala. 

Experts say the drug’s phenomenal success has driven a TikTok-fuelled stampede — with stocks now running dry across the world.

Despite being hailed as a miracle, trials have shown semaglutide users can rapidly pile pounds back on once they stop taking it.

Some patients have told of how they have had to stop taking the drug due to side effects. Users commonly complain about nausea, constipation and diarrhoea after taking the medication.

It has also been known to make food less appealing, potentially ruining the enjoyment of eating altogether.

The ‘Ozempic butt’ issue, however, has become so common that forum users are sharing their experiences of developing ‘saggy’ and ‘pancake’ bums in online chatrooms.  

In one Reddit group with over 39,000 members, one user wrote: ‘I’m down 28lbs so far… and I seriously think I lost most of it from my butt. It is a flat, saggy pancake now. Anyone else experiencing this? What are you doing to address it?’ 

In another thread titled ‘Does anyone think their butt is disappearing on Ozempic?’ a user said: ‘Yes I always had a good butt. And now it seems to have no volume and is saggy.’

On a separate group with over 16,000 members, one wrote: ‘Never have I lost as much fat in my a** as I have on Wegovy. 

‘I’ve ALWAYS had a decent sized a** through weight ups and downs, it’s consistently been the part of my body that I like…it’s practically a pancake now, it’s wild,’ they added. 

‘I’m seriously considering cosmetic surgery it’s that bad. With that said it’s still worth it to me.’

Wegovy was approved as a weight loss drug in the US in 2021 after clinical trials showed that alongside a diet and exercise regimen it could help a person lose 15 per cent of their weight over 68 weeks.

In March this year, NHS watchdog NICE also gave the green light for the weekly jab to be given in the UK for weight loss purposes. 

Wegovy will soon be available for people who have a BMI of 35 or more – a classification which means they are morbidly obese.

But earlier this week, the Government issued a blanket ban on wholesalers exporting some weight loss drugs, adding all forms of semaglutide to its parallel export ban list.

It means wholesalers are not allowed to buy stocks to sell them abroad, where they can drastically up the price.

Any company which breaches the export ban faces a punishment, handed out by the medicines watchdog.

Similar happened during the HRT crisis, when menopause-busting drugs were in short supply, and in the early days of the pandemic.

Dulaglutide, exenatide and liraglutide – which all work in the same way as semaglutide – are also on the export ban.

Latest NHS data shows 26 per cent of adults in England are obese and a further 38 per cent are overweight but not obese. One third of Americans are overweight, while four in ten are obese. 

Obesity rates have been on the rise for decades, with experts blaming sedentary lifestyles and unhealthy diets. 

They are also soaring in children, with a quarter of children in reception classes in England now considered overweight, and one in ten obese. 

A landmark study last month also revealed UK’s bulging waistline is stripping billions of pounds from the cash-strapped NHS each year, with twice as much spent on obese patients, as on those of a healthy weight.

It’s a question millions of us have asked for decades — what are the best ways to lose weight? 

Celebs and fitness influencers have touted weight loss pills, meal replacement shakes and supplements, saying they are the secret to their toned, Hollywood-ready physiques. 

But these ‘tips’ aren’t worth the paper they’re written on, according to AI.

MailOnline can reveal strenuous workouts, meal prepping and intermittent fasting are among ChatGPT’s top five weight loss tips.

And we’ve published its guide for those who want to test it out. But, be warned —leading experts say approaches to weight-loss are not one-size-fits-all. 

HIIT

Two to three sessions of High Intensity Interval Training (HIIT) per week was the chatbot’s top tip for shredding the pounds.

This workout involves alternating short bursts of intense exercise with low-intensity recovery periods, usually for 30 seconds each, with a typical workout lasting around half an hour.

ChatGPT even provided a list of go-to exercises, which included sprints, burpees, jumping jacks and squats. 

The cardiovascular exercise involves working between 80 to 95 per cent of your maximum heart rate, which is calculated by subtracting your age from 220. 

For example, a 30-year-old would have a maximum heart rate of 190.

The nation’s favourite work-out guru Joe Wicks, nicknamed the Body Coach, is an advocate of the trendy workout.

And Australian researchers last year found it was more effective at keeping your waistline in check than traditional aerobic exercise, like running or swimming.

However, Dr Duane Mellor, one of Britain’s top dietary researchers, warned exercise can only support weight loss, rather than be the main driver of it. 

He told MailOnline: ‘Although HIIT can be the exercise preference for some and can be easier to fit in time-wise, it is not a better type of exercise. 

‘In fact, although exercise can help weight management, its contribution to helping weight loss can be limited.’

Meal prepping 

Videos of people batch cooking meals for the week ahead have clocked up billions of views on TikTok — sparking a trend of its own.

But the time-saving and cost-cutting trend is also one of the best ways to maintain a ‘healthy and consistent’ eating pattern, according to ChatGPT.

It consists of dedicating time in your week to make a big portion of breakfast, lunch and dinner and putting them in containers to be consumed throughout the week. 

The chatbot claims that having meals already prepared will help avoid ‘impulsive, unhealthy food choices and promote portion control’.

As a result, dieters can better track what they’re eating and their calorie intake, which can help with weight loss. 

Each meal should be balanced and should include lean proteins, whole grains, vegetables and healthy fats, according to the AI chatbot.

The NHS advises you to eat five portions of fruit and vegetables and to drink plenty of fluids each day.

Dr Semiya Aziz, an NHS and private GP, praised meal prepping as an excellent way to control portion size. 

She told MailOnline: ‘It often encourages people to think about the varied foods groups needed for a nutritionally balanced meal. 

‘This is essential, as when we begin to comprehend the different food types and benefits gained, we begin to eat more healthy foods in general. 

‘Preparing meals may also help to aid portion control and avoid the buying of take-aways, which can substantially contain more calories than a home prepared meal.’

Intermittent fasting 

Intermittent fasting — going for extended periods of time without eating followed by a period of eating normally — was the chatbot’s third suggestion. 

There are four main types of fasting.

The 5:2 diet involves eating normally for five days a week and cutting calories dramatically for two days per week — to 500 for women and 600 for men.

Those following the 16:8 plan only eat within a eight-hour window each day, from 10am to 6pm, for example, and fast for the remaining 16 hours.

Alternate day fasting involves only eating around a quarter of normal daily intake on one day, followed by a day of eating 25 per cent more than usual.

And a 24-hour fast involves consuming no food at all for a whole day.

In theory, the diets allow the body to have a ‘break’ from digesting food and sees dieters consume less calories than if they were eating more regularly. 

While this type of eating habit has had positive effects on blood sugar levels and short-term weight loss, some small studies saw some people over eating. 

Dr Aziz said: ‘This is an excellent way of losing weight but may not be an ideal way of eating for all. There are various fasting/eating regimes proposed.

‘Fasting is a common tradition practiced by many religions throughout the world, mostly for its health benefits and the detoxification of food products.’

Cutting sugar and carbs 

Slashing added sugar and refined carbohydrate intake is another cornerstone for weight loss, according to ChatGPT.

Sugar is a type of carbohydrate which gives the body energy but eating too much can lead to weight gain.

There are natural sugars, found in fruit, honey and milk, or free sugars, which are added to biscuits, chocolate and fizzy drinks.

Health chiefs say free sugars should not make up more than five per cent of daily calorie intake, as eating too much can lead to weight gain as well as heart disease and type 2 diabetes. 

‘Focus on whole, unprocessed foods and choose complex carbohydrates like whole grains, legumes, and vegetables over sugary snacks, sodas and processed foods’, ChatGPT recommended. 

While this approach has been proven successful for many, experts stress it is important to choose a diet based on individual preferences. 

Dr Mellor said: ‘As for some people intermittent fasting can be useful, whilst others limited sugar and refined carbohydrates can help.

‘But these need to be considered carefully based on a person’s preferences and making sure their diet remains well balanced.’

The daily recommended allowance for free sugar is 30g — those added to food and drink, rather than those that occur naturally in fruit, vegetables and milk — and carbohydrates is 230g for women and 300g for men, according to the NHS. 

Tracking progress 

Tracking your progress and staying accountable is vital for weight loss, according to ChatGPT.

Doing so can help dieters remain motivated and inspired. 

There are many savvy and simple ways to track your eating and exercise, with journals and mobile apps being the most popular. 

Tracking can help those struggling to shift the scales modify their regime when its ineffective. 

ChatGPT recommended joining a support group or finding an exercise partner to share your weight loss journey with and hold you accountable. 

It also told keen dieters to ‘listen to your body, stay patient, and make gradual lifestyle changes that you can maintain in the long run’.

Adults should do some type of physical activity every day. Exercise just once or twice a week can reduce the risk of heart disease or stroke, according to the NHS. 

Dr Mellor noted that ChatGPT cannot consider how its advice fits a person’s lifestyle and preferences. 

He said: ‘It also is not great at considering evidence or bias, it purely looks at the information on the internet and selects options. 

‘It is unable to consider how people eat. Often communally which is important for our mental well-being and sense of being connected.’

I’m A Celebrity stars discuss their extreme weight loss as ‘grubby’ Helen Flanagan admits she hasn’t washed her face for TWO WEEKS

By Rebecca Davison for MailOnline

Published: 05:19 EDT, 9 May 2023 | Updated: 05:30 EDT, 9 May 2023