Mario Pagan is a talented artist known for his unique and imaginative works. He was born and raised in Puerto Rico, where he developed a deep connection with nature and a fascination for the arts. Mario's artistic journey began at a young age, when he started experimenting with different mediums and techniques. Throughout his career, Mario has explored various themes and styles in his artwork. His love for nature is evident in many of his pieces, which often feature vibrant landscapes and wildlife. He has a strong ability to capture the beauty and essence of his subjects, creating stunning and visually striking compositions.

"Weight Loss Jabs" – a litigation time bomb

You are bound to have heard about the new "weight-loss jabs", such as the branded product Ozempic.

These have seen a meteoric rise in sales in recent years and are being referred to in popular media as the 'secret' behind a number of drastic celebrity weight-loss transformations. Ozempic's original purpose was to manage blood sugar levels in diabetic patients. However, it has the effect of suppressing hunger, as its operative ingredient is semaglutide - the hormone which indicates to the brain that the stomach is full. The injections enable users to lose around 10% of their body weight.

Sales for these injections and other semaglutide products have increased 300% in the last three years. Novo Nordisk, the largest manufacturer of weight-loss injections, reported a 77% increase in Ozempic global sales in 2022 alone.

The surge in sales is propelled by Medi-spas (hybrids between traditional day spas and medical clinics), and online pharmacies, which sell the injections for off-label weight loss use. Clinically, the injections are recommended only for patients with a BMI over 30; however, undercover investigations have found clinics offering the products without verifying BMI or even when customers have overtly revealed that their BMI falls below the suitability requirements.

The off-label use of the injections is raising numerous health concerns. Doctors in the US have reported Ozempic-users coming into A&E with severe complications from malnutrition as a result of their suppressed appetites. In early October 2023, the FDA required an update to Ozempic's labelling, in response to user reports that it could cause blocked intestines.

Some of these novel health concerns are sprouting into litigation. Novo Nordisk has been sued in the US, alongside its competitor, Eli Lilly. The plaintiff alleges that the injection caused gastroparesis- a condition which stops the intestine absorbing any nutrients. The lawsuit recognises that weight-loss is an off-label use for the injection, but states that this is widely popularised in the media. It claims that manufacturers are aware of the popularity of this use and mimic this trend in their advertising. The claim references Novo Nordisk's 2018 ad-campaign, which stated that "adults lost on average up to 12 pounds", with the 1970s pop-classic "Magic" playing in the background. The lawsuit therefore alleges that, in the circumstances, the manufacturers have failed to adequately warn prescribers and patients of known risks associated with the injections.

Plaintiff law firms in the US are scouting the market for a new class action. Some firms have been offering consultations to consumers of the injections who have experienced adverse side effects. The firm representing the plaintiff against Novo Nordisk and Eli Lilly has reported that 400 people have come forward with potential claims – but they anticipate the numbers will grow into the thousands.

Whilst these movements have been contained in the US, what happens across the pond tends to be mirrored in the UK – also a large consumer of these products. In the UK, semaglutide products are only available on prescription; however, prescribers operate in a variety of settings, including online pharmacies and Medi-spas' which might escape robust oversight.

Manufacturers must have clear guidelines for the intended purposes of their products, and show caution in warning about side effects from known off-label uses. Where insuring prescribers, whether at Medi-spas or pharmacies, insurers should consider the risk exposure, where prescribers may not be following the manufacturer's guidelines – such as failing to undertake proper medical checks into a user's suitability for these 'weight-loss' products.

Mass litigation around these trending weight-loss injections is bubbling under the surface and insurers should be alive to the emerging risks.

Man with explosives arrested in grocery store parking lot, sheriff says

WASHINGTON, N.C. (WITN/Gray News) - Deputies with the Beaufort County Sheriff’s Office and the North Carolina State Bureau of Investigation bomb squad said they have finished searching for explosives at a North Carolina man’s home after he was found asleep in a grocery store parking lot with explosives.

Cameron Smith was arrested after authorities said a deputy found him passed out Wednesday night in his SUV at a shopping center parking lot in Washington

During a search of the vehicle, explosives were found, and the Cherry Point Explosive Ordnance Disposal team was notified.

Cameron Smith is accused of having explosives in his SUV in front of a grocery store. Law enforcement said they found more evidence in his home. (WITN / Beaufort County SO)

Authorities searched the man’s home throughout the day on Thursday. One of the tools the bomb squad used was a remote-controlled robot to search the home.

Late Thursday afternoon, the sheriff said they have collected over 50 pieces of evidence at the home that are linked to pipe bombs and improvised explosive devices.

The sheriff said they found a military-style homemade grenade in the man’s SUV.

“The shape was round, looked like a ball, a tennis ball with a spoon — the trigger, all that was intact,” said Hammonds.

Also recovered was a World War I or World War II grenade.

Hammonds said they are still trying to find out if Smith is a hobbyist or a radical. With Thursday’s discovery, the sheriff said he is concerned that Smith is more than a hobbyist.

Hammonds said Smith could be described as a “prepper,” adding that there is no threat to the community.

“There’s people that believe that government would come in and interfere their way of life, and this is the way they act out to protect themselves,” the sheriff said. “They have these formulated theories, and they take that proactive in their mind that they are going to defend what’s theirs.”

Smith is charged with possession of weapons of mass destruction, possession of meth, possession of drug paraphernalia and possession of a concealed handgun. Smith is being held without bond.

Copyright 2024 WITN via Gray Media Group, Inc. All rights reserved.

Great Olm

? (edit) 250 250 250 375 375 375 ? (edit) 250 250 250 375 375 375 ? (edit) 250 250 250 375 375 375 ? (edit) 250 250 250 375 375 375 ? (edit) 150 175 175 225 262 262 ? (edit) 150 175 175 225 262 262 ? (edit) 250 250 250 375 375 375 ? (edit) 250 250 250 375 375 375 ? (edit) 250 175 87 375 262 130 ? (edit) 250 175 87 375 262 130 ? (edit) 1043 [1] 750 [1] 549 [1] 1043 [1] 750 [1] 549 [1] ? (edit) 1043 750 549 1043 750 549 ? (edit) 800 600 600 800 600 600 ? (edit) 800 600 600 800 600 600 +60 60 +60 60 ? (edit) +200 +50 +200 +200 +50 +200 ? (edit) 200 50 200 200 50 200 ? (edit) +200 +50 +200 +200 +50 +200 ? (edit) 200 50 200 200 50 200 ? (edit) +200 +50 +200 +200 +50 +200 ? (edit) 200 50 200 200 50 200 ? (edit) +200 +200 +50 +200 +200 +50 ? (edit) 200 200 50 200 200 50 ? (edit) +50 +200 +200 +50 +200 +200 ? (edit) 50 200 200 50 200 200 +0 0 +0 0 +0 0 +0 0 Great Olm Great Olm (Left claw) Great Olm (Right claw) Great Olm (Left claw) Great Olm (Right claw) File:Great Olm.png 5 January 2017 (Update) ? (edit) ? (edit) 5x5 5 Yes ? (edit) Ferocious. It's unnerving. The Great Olm's great manicure. It grips very tightly. Ferocious. It's unnerving. The Great Olm's great manicure. It grips very tightly. ? (edit) Yes No No Yes No No ? (edit) Yes No No Yes No No Draconic, Xerician dragon&&SPLITPOINT&&xerician ? (edit) Magic, Ranged None None Magic, Ranged None None ? (edit) Magic&&SPLITPOINT&&Ranged None None Magic&&SPLITPOINT&&Ranged None None 4 ticks (2.4 seconds) 4 ? (edit) ? (edit) ? (edit) Varies 0 0 Varies 0 0 ? (edit) Varies 0 0 Varies 0 0 ? (edit) Varies 0 0 Varies 0 0 ? (edit) ? (edit) ? (edit) None ? (edit) ? (edit) ? (edit) ? (edit) ? (edit) ? (edit) Immune Immune Immune Immune ? (edit) ? (edit) ? (edit) ? (edit) 7551 7552 7550 7554 7555 7553 ? (edit) 7551 7552 7550 7554 7555 7553 ? (edit) Head Left claw Right claw Head (Challenge Mode) Left claw (Challenge Mode) Right claw (Challenge Mode) Monster ? (edit) ? (edit) Versions: 6

SMW Subobject for Head (Challenge Mode) Magic defence bonus: 200 Examine: Ferocious. It's unnerving. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 200 Defence level: 225 Uses infobox: Monster NPC ID: 7554 Crush defence bonus: 200 Release date: 5 January 2017 Version anchor: Head (Challenge Mode) Ranged level: 375 Attack level: 375 Combat level: 1043 Poisonous: Yes Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 200 Attack style: Magic, Ranged Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 50 Attack speed: 4 Hitpoints: 800 Range attack bonus: 60 Magic level: 375 Name: Great Olm Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 375 Is members only: true Max hit: Varies

SMW Subobject for Head Magic defence bonus: 200 Examine: Ferocious. It's unnerving. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 200 Defence level: 150 Uses infobox: Monster NPC ID: 7551 Crush defence bonus: 200 Release date: 5 January 2017 Version anchor: Head Ranged level: 250 Attack level: 250 Combat level: 1043 Poisonous: Yes Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 200 Attack style: Magic, Ranged Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 50 Attack speed: 4 Hitpoints: 800 Range attack bonus: 60 Magic level: 250 Name: Great Olm Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 250 Is members only: true Max hit: Varies

SMW Subobject for Left claw (Challenge Mode) Magic defence bonus: 200 Examine: The Great Olm's great manicure. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 50 Defence level: 262 Uses infobox: Monster NPC ID: 7555 Crush defence bonus: 50 Release date: 5 January 2017 Version anchor: Left claw (Challenge Mode) Ranged level: 375 Attack level: 375 Combat level: 750 Poisonous: No Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 50 Attack style: None Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 200 Attack speed: 4 Hitpoints: 600 Range attack bonus: 60 Magic level: 262 Name: Great Olm (Left claw) Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 375 Is members only: true Max hit: 0

SMW Subobject for Right claw (Challenge Mode) Magic defence bonus: 50 Examine: It grips very tightly. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 200 Defence level: 262 Uses infobox: Monster NPC ID: 7553 Crush defence bonus: 200 Release date: 5 January 2017 Version anchor: Right claw (Challenge Mode) Ranged level: 375 Attack level: 375 Combat level: 549 Poisonous: No Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 200 Attack style: None Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 200 Attack speed: 4 Hitpoints: 600 Range attack bonus: 60 Magic level: 130 Name: Great Olm (Right claw) Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 375 Is members only: true Max hit: 0

SMW Subobject for Left claw Magic defence bonus: 200 Examine: The Great Olm's great manicure. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 50 Defence level: 175 Uses infobox: Monster NPC ID: 7552 Crush defence bonus: 50 Release date: 5 January 2017 Version anchor: Left claw Ranged level: 250 Attack level: 250 Combat level: 750 Poisonous: No Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 50 Attack style: None Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 200 Attack speed: 4 Hitpoints: 600 Range attack bonus: 60 Magic level: 175 Name: Great Olm (Left claw) Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 250 Is members only: true Max hit: 0

SMW Subobject for Right claw Magic defence bonus: 50 Examine: It grips very tightly. Immune to venom: Immune Attack bonus: 0 Magic Damage bonus: 0 Ranged Strength bonus: 0 Stab defence bonus: 200 Defence level: 175 Uses infobox: Monster NPC ID: 7550 Crush defence bonus: 200 Release date: 5 January 2017 Version anchor: Right claw Ranged level: 250 Attack level: 250 Combat level: 549 Poisonous: No Is variant of: Great Olm Image: File:Great Olm.png Slash defence bonus: 200 Attack style: None Immune to poison: Immune Size: 5 Magic attack bonus: 60 Range defence bonus: 200 Attack speed: 4 Hitpoints: 600 Range attack bonus: 60 Magic level: 87 Name: Great Olm (Right claw) Strength bonus: 0 Monster attribute: dragon, xerician Strength level: 250 Is members only: true Max hit: 0

The Great Olm (referred to as the Guardian in the Deep by Xeric's followers) is the final boss in the Chambers of Xeric raid. A large, blind, white salamander, it is one of Xeric's greatest possessions.

He has a strong ability to capture the beauty and essence of his subjects, creating stunning and visually striking compositions. In addition to his nature-inspired works, Mario is also known for his abstract and surreal pieces. He is not afraid to push boundaries and challenge conventional art norms.

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Mario's creativity and willingness to take risks has set him apart as an artist, earning him recognition and admiration in the art world. Mario's work has been exhibited in galleries and art shows both locally and internationally. His pieces have garnered praise from critics and art enthusiasts alike, who appreciate his unique perspective and artistic skill. Mario continues to evolve and experiment with his artwork, always pushing himself to new heights and exploring new avenues of creativity. In addition to his art, Mario is also passionate about teaching and sharing his knowledge with others. He has conducted workshops and classes, where he imparts his techniques and insights to aspiring artists. Mario believes in the power of art to inspire and transform lives, and he is dedicated to fostering creativity in others. Mario Pagan's artwork is a testament to his talent, passion, and dedication to his craft. His ability to capture the beauty of nature and his innovative approach to art has made him a respected and celebrated artist worldwide. Mario's work continues to captivate and inspire art enthusiasts, and his legacy as an artist is sure to endure for years to come..

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