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    Fake Ozempic Is Putting Patients at Risk. Here’s How to Spot It.

    Fake versions of popular drugs used for weight loss are putting people at risk.Experts have grown increasingly concerned about fake versions of Ozempic and popular weight loss drugs. These copycats can look deceptively real, and may contain dangerous substances or entirely different drugs altogether.In June, the World Health Organization warned that fake batches of Ozempic were found in the United States, the United Kingdom and Brazil. Also in June, Eli Lilly issued a letter expressing concern that counterfeit versions of its own drugs, Mounjaro and Zepbound, were being sold online, through social media and at medical spas. Those who study the counterfeit drug market say these findings are alarming, but not all that surprising. The drugs are expensive, often hard to find and highly sought-after.“Such high demand and short supply and such a desperate population — that’s a recipe for disaster,” said George Karavetsos, a former director of the Food and Drug Administration’s Office of Criminal Investigations.As a result, a counterfeit market has emerged, with phony drugs sold online at low prices without a prescription or any contact with a doctor. Some websites have storefronts to sell what they claim is semaglutide, the substance in Ozempic, which customers can add straight into an online shopping cart. The National Association of Boards of Pharmacy said it had identified thousands of websites illegally selling drugs like Ozempic, including fake versions. Patients often have no way to verify what’s in these products.Shabbir Imber Safdar, the executive director of the Partnership for Safe Medicines, said he worried about both the rise of fake drugs and also the popularity of compounded semaglutide and tirzepatide, the substance in Mounjaro. These customized versions of drugs are made at compounding pharmacies and under best practices, contain ingredients that come from facilities registered with the F.D.A. But regulators have warned about adverse events linked to compounded semaglutide, and stressed that compounded medications are subject to less oversight than traditionally approved medications.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Toxic Moonshine Leaves at Least 53 Dead in India’s South

    Consumption of tainted bootleg alcohol has caused several instances of mass deaths in recent years as drinkers seek out illicit liquor to save money or evade the law.The death toll from tainted liquor in the southern Indian state of Tamil Nadu has reached 53, officials say, and is likely to rise, with many others in critical condition. The victims were sickened by drinking a bootleg alcohol with a high content of methanol.Rajat Chaturvedi, the police superintendent in the Kallakurichi District, where the past week’s deaths have occurred, said that 98 people had been hospitalized. “The dead and hospitalized people are mostly daily wage laborers,” he said.The first death, from drinking local alcohol sold in small pouches for about 50 cents, Mr. Chaturvedi said, was reported on Wednesday. The village of Karunapuram was the worst hit, with more than a dozen victims receiving last rites in a mass cremation on Thursday.Consumption of tainted alcohol has caused several mass-casualty events across India in recent years. In some states that prohibit alcohol, people turn to smuggled or unregulated liquor. Elsewhere, villagers choose the bootleg product because of its lower price.In 2019, at least 150 people died in two districts of the northeastern state of Assam from drinking bootleg alcohol. Weeks earlier, 100 people had died in the states of Uttar Pradesh and Uttarakhand.In August 2020, at least 120 people died in Punjab from drinking toxic local alcohol, with 92 of the deaths in just one district.In December 2022, at least 70 people died from drinking tainted alcohol in the eastern state of Bihar. Bihar has banned the sale and consumption of alcohol since 2016, but people consume illegal smuggled alcohol or cross the border into Nepal for cheap local alcohol.Last year, at least 22 people died from consuming similar toxic local alcohol in two other districts of Tamil Nadu. The latest mass casualty has put the state’s government under pressure from opposition leaders as well as from the state’s high court. Opposition lawmakers, who arrived at the assembly dressed in black, called for the resignation of Tamil Nadu’s chief minister, M.K. Stalin.Mr. Stalin announced an investigation headed by a retired judge and ordered the police across the state to crack down on the homemade liquor trade.The man accused of making this week’s batch of poisonous alcohol has been arrested, along with his wife and at least one other person, according to police officials. The Kallakurichi District’s top civilian official has been transferred, while several police officers have been suspended.Local residents have said that the police were complicit, taking a cut from the bootlegger’s peddlers who brought the alcohol to the villages, according to the Indian news outlet The News Minute.“We cannot say direct involvement of local police, but due to their lack of action, police people were suspended, right from constable to deputy superintendent of police,” said Mr. Chaturvedi, who took charge of the district’s police force after the tragedy. More

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    Total Solar Eclipse Safety: How to Watch Without Hurting Your Eyes

    A number of case studies published after recent total solar eclipses highlight the importance of safe viewing.A young woman visited New York Eye & Ear Infirmary of Mount Sinai Hospital shortly after the eclipse of Aug. 21, 2017. She told Dr. Avnish Deobhakta, an ophthalmologist, that she had a black area in her vision, and then drew a crescent shape for him on a piece of paper.When Dr. Deobhakta examined her eyes, he was astonished. He saw a burn on her retina that was exactly the same shape. It was “almost like a branding,” he said.She had looked at the sun during the eclipse without any protection. The burn was an image of the sun’s corona, its halo-like outer rim.With every eclipse, ophthalmologists see patients who looked at the sun and complain afterward that their vision is distorted: They see small black spots, their eyes are watery and sensitive to light. Usually, the symptoms resolve, although it may take several weeks to a year.But the woman’s retinal burns, which Dr. Deobhakta and colleagues described in a medical case write-up, would not heal. Her retina was permanently scarred and a sign of the severity of injuries that can follow looking at an eclipse without proper precautions.With the coming eclipse in April, ophthalmologists advise people to be careful and not assume that short glances at the sun are safe. Damage can occur, they say, in less than a minute.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More