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Hospitals set to be ranked in national league table with failing managers facing sack in football-style NHS reforms

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Hospitals set to be ranked in national league table with failing managers facing sack in football-style NHS reforms

HOSPITALS will be ranked in a national league table — with failing managers facing the sack in football-style NHS reforms.

Health Secretary Wes Streeting will today vow to tighten the screw on badly performing bosses.

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Health Secretary Wes Streeting will vow to tighten the screw on poorly performing NHS bossesCredit: Rex

The NHS will be more like the cut-throat Premier League with losing managers facing the chop.

More than 120 NHS trusts in England will be scored on their waiting times, patient care and spending.

Mr Streeting said there will be “zero tolerance for failure” and crisis teams will be sent to turn around low-ranking hospitals.

Research shows health service productivity is down and senior staff are rarely dismissed.

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Addressing hospital chief executives at the NHS Providers Conference, Mr Streeting will say: “With the combination of investment and reform, we will turn the NHS around and cut waiting times from 18 months to 18 weeks.”

Reforms will also block pay rises for chief executives failing to improve services.

They will cut off financial freedom while giving those at the top more power to spend cash on equipment and tech.

Top managers will be paid extra to work in struggling areas.

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Amanda Pritchard, NHS England chief executive, said: “NHS leaders welcome accountability — but it is critical that responsibility comes with the support and development.”

But Patricia Marquis, of the Royal College of Nursing, said: “We should not be tolerating poor management but scapegoating trust leaders is not the solution.

Chancellor Rachel Reeves reveals new investment in the NHS ahead of Budget

“NHS staff must not be pitted against one another.”

Hospitals will be ranked in a national league table

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Hospitals will be ranked in a national league tableCredit: Getty

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10 minutes of this exercise every day will make your tummy flat 💪

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10 minutes of this exercise every day will make your tummy flat 💪



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‘Terrifying’ timelapse video reveals how cancer cells double within DAYS to become ‘killer colonies’

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'Terrifying' timelapse video reveals how cancer cells double within DAYS to become 'killer colonies'

A UNIVERSITY student has revealed the shocking speed which cancer cells can grow in a jaw-dropping demonstration.

Sophie Williams, an oncology PhD student, captured the fascinating growth of triple-negative breast cancer cells in an artificial environment in her lab in Nottingham, UK.

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Sophie Williams, an oncology PHD student, posted a video to social media to demonstrate the shocking rate at which cancer cells can growCredit: Caters
Viewers described the video, which went viral, as "terrifying"

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Viewers described the video, which went viral, as “terrifying”Credit: Caters

Her main role is researching cell culture, including breast cancer cells, an exploring how fast they grow with different treatments an environments.

The 23-year-old, from Nottingham, intended to highlight the process of growing cancer cells, educate, and raise awareness among viewers, but her video went viral.

Having amassed more than 7.4 million views on TikTok, Sophie was shocked at the interest and support the video had brought to many who had experienced cancer in their lives.

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Sophie said: “Some viewers found the video interesting to watch and enjoyed it.

“They also asked loads of questions which makes me pleased that people are thinking about it.

“Some other viewers found the video very scary to watch, understandably.

“However, sometimes it’s important to share stuff like this so that people don’t just turn a blind eye to cancer.

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“It’s very important to check yourself and get screening if you’re concerned about something.”

One viewer said: “Wow! This explains why my TNBC went from a pea-sized lump to a golf ball in a month!”

Another commented: “This is terrifying!”

Key nutrient in common foods ‘fuels spread of cancer’

Cancers that spread quickly

Triple-negative breast cancer is one of many cancers considered more aggressive and that can spread quickly.

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Pancreatic cancer is a fast-moving and dangerous cancer that’s difficult to detect early. 

It can cause painful symptoms like stomach pain and blocked bile ducts.

Merkel cell carcinoma is another fast-growing cancer that spreads quickly to other parts of the body.

It’s a type of skin cancer that develops when Merkel cells in the skin’s outer layer grow out of control.

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Treatment options depend on whether the cancer has spread beyond the skin. 

Small cell lung cancer is a fast-growing type of lung cancer that often spreads before diagnosis. 

Treatments like chemotherapy or radiation therapy can help slow the spread. 

Other aggressive types of cancer include acute lymphoblastic leukaemia and acute myeloid leukaemia (aggressive types of leukaemia), and glioblastoma, an aggressive type of brain cancer.

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In contrast, some cancers, like prostate cancer, grow so slowly that a doctor may recommend a “watchful waiting” approach.

The UK’s cancer screening programmes

There are three screening programmes in the UK – bowel cancer screening, breast cancer screening, and cervical screening.

As part of the bowel cancer screening programme, bowel cancer testing kit are sent out every two years to people who can take part.

You need to be registered with a GP to receive your screening invitations.

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The test, which is done at home, is called FIT – Faecal Immunochemical Test – and looks for tiny traces of blood.

The kit contains instructions of what to do including a prepaid envelope to send the sample to the hospital.

The NHS Breast Screening Programme invites all women from the age of 50 to 70 registered with a GP for screening every three years.

 Breast screening uses a test called mammography which involves taking x-rays of the breasts.

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The NHS cervical screening programme invites women between 25 and 64 for cervical screening.

The smear test, as it’s known, uses a soft brush to collect a small sample of cells from the cervix, which are then sent off to a lab for testing.

What to do if you think you have cancer

If you have symptoms that you think may be cancer, you should contact your GP immediately. 

It’s important to seek help early because finding cancer early makes it easier to treat.

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Accurately diagnosing cancer can take weeks or months.

As many cancers often develop slowly over several years, waiting for a few weeks will not usually impact on the effectiveness of treatment, says the NHS.

Cancer types, signs and symptoms

Everything you need to know about different types of Cancer

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Sophie posted the video to TikTok to educate and spread awareness

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Sophie posted the video to TikTok to educate and spread awarenessCredit: Caters

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LOSE BELLY FAT + SMALL WAIST + SHOULDER + ARMS + THIGH | Special Workout for 35 mins | Zumba Class

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LOSE BELLY FAT + SMALL WAIST + SHOULDER + ARMS + THIGH | Special Workout for 35 mins | Zumba Class



LOSE BELLY FAT + SMALL WAIST + SHOULDER + ARMS + THIGH | Special Workout for 35 mins | Zumba Class
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✉ zumbaclass.fitness@gmail.com
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I was devastated to find out my cancer had been diagnosed 10 months LATE due to a ‘missed email’ – I assumed I was fine

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I was devastated to find out my cancer had been diagnosed 10 months LATE due to a 'missed email' - I assumed I was fine

A MUM was diagnosed with cancer 10 months late because of a missed email, her lawyers have said.

Wioletta Smith, 41, had attended a yearly examination for breast cancer at Kingston Hospital in south west London in 2022 due to changes in her right breast.

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Wioletta Smith received her stage 3 breast cancer diagnosis 10 months lateCredit: SWNS
Her mammogram image was emailed to the breast clinic for further action, but it was later discovered the email was never received

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Her mammogram image was emailed to the breast clinic for further action, but it was later discovered the email was never receivedCredit: SWNS

A mammogram image was marked as FAR (further action required) by the radiologist, with recommendations for an ultrasound assessment and possible biopsy.

It was emailed to the breast clinic – but it later transpired it was never received, Wioletta’s lawyers Irwin Mitchell have said.

Kingston Hospital Foundation Trust said in a letter the result was not sent via the agreed process, therefore it wasn’t received by the breast clinic and the recommendations weren’t actioned.

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Having not heard anything back, Wioletta, from East Molesley in Surrey, “assumed everything was fine”.

In October 2023, she attended her GP surgery reporting a lump in her breast, and was referred under the urgent two-week suspected cancer pathway.

She underwent a biopsy and it was then she was diagnosed with stage 3 breast cancer.

Wioletta said: “I always made sure to attend all my appointments and reviews at the hospital, so when I didn’t hear back about the mammogram in question, I assumed everything was fine.

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“So to then find out less than a year later that I had cancer came as a huge shock; I was absolutely devastated.

“It would have been easy for me to crumble and think ‘why me?’ but I knew I couldn’t change the diagnosis so I was determined to fight it. I have a young son and I want to be around to see him grow up, so giving up really wasn’t an option.”

Since her diagnosis, Wioletta has undergone surgery to remove the lump, and treatment including chemotherapy and radiotherapy.

Ultra-sensitive blood tests could identify if breast cancer is likely to return years in advance

She’s also received a letter from the trust to apologise, but still feels let down.

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In their letter, the hospital trust said they have since redesigned the process for radiological alerts distribution and the pathway for patients under surveillance mammogram review to “minimise the likelihood of human error”.

Wioletta, who is a financial planner, has now instructed medical negligence lawyers at Irwin Mitchell to investigate her care and is working hard to raise awareness for the importance of testing.

She said: “The treatment process has been gruelling, both physically and emotionally, and I had to keep telling myself it’s temporary and I’ll get through the other side.

To find out less than a year later that I had cancer came as a huge shock; I was absolutely devastated.

Wioletta Smith

“I still feel hugely let down by the hospital trust, but I appreciate the apology and that they’ve introduced changes to help prevent something like this happening to someone else.

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“I hope by speaking out, I can raise awareness of the symptoms of breast cancer. Many people are affected by the disease, so we all need to know what to look out for.”

Lauren Mannion, the lawyer representing her, said: “The past year has been incredibly difficult for Wioletta coming to terms with her diagnosis and the physical and emotional impact it’s had on her.

“Through our work, we sadly see the devastating effects that breast cancer can have, and understandably Wioletta has a number of questions and concerns around the events that led up to her diagnosis.

What are the signs of breast cancer?

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BREAST cancer is the most common type of cancer in the UK.

The majority of women who get it are over 50, but younger women and, in rare cases, men can also get breast cancer.

If it’s treated early enough, breast cancer can be prevented from spreading to other parts of the body.

Breast cancer can have a number of symptoms, but the first noticeable symptom is usually a lump or area of thickened breast tissue.

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Most breast lumps aren’t cancerous, but it’s always best to have them checked by your doctor. You should also speak to your GP if you notice any of the following:

  • a change in the size or shape of one or both breasts
  • discharge from either of your nipples (which may be streaked with blood)
  • a lump or swelling in either of your armpits
  • dimpling on the skin of your breasts
  • a rash on or around your nipple
  • a change in the appearance of your nipple, such as becoming sunken into your breast

Source: NHS

“While we continue to support Wioletta so she can access the specialist support and therapies she requires, we welcome that the Trust’s pledge to improve patient safety.

“Despite what happened to Wioletta and current concerns around cancer care and waiting times, it’s important people continue to participate in screening programmes or seek medical advice as soon as possible if they’re concerned they may have cancer.

“Early detection and treatment are key to beating it.”

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The hospital trust was approached for comment.

How to check your breasts

It is important to regularly check your breasts for any changes. Breast tissue reaches all the way up to your collarbone and across to your armpit, so it’s vital to check these areas too.

If you feel or see any changes in your breast you should always consult your GP.

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Charity CoppaFeel! recommends checking your breasts monthly, so you can pick up on any changes quickly.

Breasts do change naturally as part of your monthly menstrual cycle, so you should get to know your breasts, how they feel and what changes they usually go through to know if anything is out of the ordinary.

Five-step check

There is a five-step self exam you can do at home to check for any changes.

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Step one: Begin by looking in a mirror, facing it with your arms on your hips and your shoulders straight. You should be looking for any dimpling, puckering, bulging skin, redness, soreness, a rash or changes in the nipple.

Step two: Still looking in the mirror, raise both arms above your head and check for the same changes.

Step three: With your arms still above your head, check for any fluid coming from the nipples. This can include milky, yellow or watery fluid, or blood.

Step four: While lying down use your opposite hand to check each breast. Using a few fingers, keeping them flat and together, go in a small circular motion around your breasts. Make sure you feel the entire breast by going top to bottom in these small circles. It helps to develop a system or pattern to make sure every inch is covered. Use light pressure for the skin and tissue just beneath, medium pressure for the tissue in the middle of your breasts, and firm pressure to feel the tissue at the back, feeling down to your ribcage.

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Step five: Feel your breasts while either standing or sitting, using the same small circular motions.

Wioletta has now instructed medical negligence lawyers to investigate her care

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Wioletta has now instructed medical negligence lawyers to investigate her careCredit: SWNS

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My Workout Split ⚡️

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My Workout Split ⚡️



My current workout split which I’m loving.

I’ll be honest with you it’s been a little wishy washy with my routine lately so I’m posting this to inspire myself to get back to my routine which helped me the most.

I was on week 6-7 of strong lower body from the @evolveyou app and I absolutely loved it! I was lifting heavier than before, had a set routine and then life happens. COME JOIN it’s the best program ever 🔥

Going to start with 4 days adding some core & cardio daily if I want then push up to 5 days when I have time!

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So here’s my pledge to get make into my strong lower body program I loved so much! If you’re feeling lost and confused I hope this workout split helps you ✌️

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The 5 everyday habits that increase your risk of mouth cancer – and 8 signs you must never ignore

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The 5 everyday habits that increase your risk of mouth cancer - and 8 signs you must never ignore

A WORRYING amount of Brits are developing mouth cancer, with a new report warning of record-breaking cases.

Some 10,825 people are being diagnosed with the disease each year, marking a 133 per cent rise in cases over the last 20 years.

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From drinking to diet, different habits that could increase your risk of oral cancer

Mouth cancer can affect gums, tongue, inside the cheeks, or lips, with symptoms including mouth ulcers that don’t heal, red or white patches in the mouth, and unusual lumps or swellings in the mouth, head, or neck.

The charity Oral Health Foundation says this is the first time annual cases have surpassed the 10,000 mark.

Its chief executive Dr Nigel Carter warned: “While many types of cancer are declining, mouth cancer continues to surge.

Smoking and excessive alcohol consumption remain the most significant risk factors, but we are seeing a growing number of cases linked to the human papillomavirus (HPV) and other emerging causes.”

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Read more on mouth cancer

Despite this alarming rise, many people aren’t aware of the main causes and factors that put them at risk of the disease, making them less likely to take steps to reduce their chance of getting it.

According to the charity, just 8 per cent of the Brits can name the leading causes of mouth cancer.

Dr Carter said: “Mouth cancer can affect anyone, and the impact on a person’s life can be devastating.

“We need to raise awareness of the symptoms, the risk factors, and most importantly, the importance of early detection.

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“Too many cases are diagnosed too late, often at the most advanced stage. This needs to change.”

In honour of Mouth Cancer Action Month this November, the Oral Health Foundation flagged five habits that could make you more likely to develop mouth cancer and lifestyle tweaks to lower your risk.

Urgent health alert as most sexually active will get cancer causing virus at some point in life

Dr Carter stressed: “Understanding the risks associated with mouth cancer is crucial for everyone.

“Take the time to learn about your own risk factors and make informed choices to reduce them.

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“If you know you’re at higher risk, be extra vigilant about changes in your mouth.”

1. Smoking

It’s well known that smoking can be harmful to your lung health, but the habit is also linked to around 17 per cent of mouth cancers in the UK.

This includes puffing on cigarettes, pipes and cigars.

According to the Oral Health Foundation, 38 per cent of Brits have no idea smoking could lead to mouth cancer.

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Dr Carter said: “Tobacco use is a leading cause of mouth cancer.

“Quitting smoking or use of tobacco products can significantly reduce your risk.

“There are many resources available to help you quit smoking, including NHS smoking cessation services and local support groups.

“Regular dental check-ups are also crucial if you smoke.

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“Your dental team can help you manage any oral diseases that have been caused by smoking and trained to spot anything more sinister if it arises.”

2. Snus and chewing tobacco

Smokeless ways of consuming tobacco aren’t as common in the UK, but tobacco pouches dubbed snus have seen a recent rise in popularity.

Tucked in between the lip and gum, snus can give you a nicotine buzz and has reportedly been used by football stars Jamie Vardy and Jamaal Lascelles.

But the Oral Health Foundation warned that smokeless and chewing tobacco can increase a person’s mouth cancer risk by up to four-and-a-half times.

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The charity’s research shows that 40 per cent of people don’t know the two are linked.

The 8 signs of mouth cancer to know

Symptoms of mouth cancer can include:

  1. A mouth ulcer in your mouth that lasts more than three weeks
  2. A red or white patch inside your mouth
  3. A lump inside your mouth or on your lip
  4. Pain inside your mouth
  5. Difficulty swallowing
  6. Difficulty speaking or a croaky voice
  7. A lump in your neck or throat
  8. Losing weight without trying

These symptoms are very common and can be caused by other conditions – having them doesn’t definitely mean you have mouth cancer, but it’s important to get checked by a GP or dentist.

If your symptoms are caused by cancer, finding it early may mean it’s easier to treat.

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Source: NHS

Common examples of smokeless tobacco are chewing tobacco in loose or compressed leaves, snuff – a finely ground tobacco that can be dry or moist – dissolvable tobacco in tablets or strips, and snus.

In the UK, smokeless tobacco use is most prevalent among South Asian communities, particularly those of Bangladeshi, Indian, and Pakistani origin.

Dr Carter said: “These products pose significant health risks and are often linked to cultural practices.”

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“If you use smokeless or chewing tobacco, it’s important to know that it’s not a safer alternative to smoking. This misconception can be dangerous.

“To protect your oral health, try to quit these products and seek help from healthcare professionals.

“Regular dental check-ups, maintaining good oral hygiene, and using support services can make a big difference.”

3. Drinking too much

Drinking too much can affect your health in many way – including raising your risk of mouth cancer.

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The Oral Health Foundation says excessive boozing is linked to 34 per of mouth cancers, making it one of the main causes.

But 58 per cent of Brits don’t know the risks.

Dr Carter said: “Excessive alcohol consumption is a major risk factor for mouth cancer, yet awareness remains alarmingly low.

“Many people who drink heavily might not realise the serious impact it has on their oral health.

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“By reducing your alcohol intake and attending regular dental check-ups, you can significantly lower your risk of mouth cancer and improve your overall health.”

4. Unsafe sex

According to Dr Carter, a growing number of mouth cancer cases have been linked to HPV, a common group of viruses that affects areas like the mouth, throat, and genitals.

It’s usually spread through skin-to-skin contact during sex, as well as oral sex and kissing.

Most people with HPV don’t show any symptoms and the infection often goes away on its own, but certain high risk strains can cause warts.

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For some, the changes caused by the virus can lead to cervical cancer and mouth cancer.

The number of mouth cancer cases linked to HPV is on the rise, with data showing that up to 73 per cent of cancers in areas like the back of the tongue and tonsils are HPV-positive.

But 8 per cent of people know HPV can cause mouth cancer.

Practising safe sex and getting tested for the virus can help protect you.

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The different types of mouth cancer

Mouth cancer, also known as oral cancer, is where a tumour develops on the surface of the:

Tumours can also occur in the

  • Salivary glands
  • Tonsils
  • Pharynx – the part of the throat from your mouth to your windpipe

Source: NHS Inform

But teens and young adults in the UK also have access to an HPV-combating vaccine.

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Dr Carter explained: “The HPV vaccine has been offered to girls in the UK since 2008 and to boys since 2019.

“I urge parents to ensure their children are vaccinated. It’s the most effective form of protection and it is vital this happens before a person becomes sexually active.

“For those who are older and haven’t been vaccinated, it’s important to be mindful of the threat HPV poses.

“Being vigilant to any changes in and around the mouth is crucial.

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“Remember, just because you don’t smoke or drink, it doesn’t mean you’re free from the risk of mouth cancer.”

5. Unhealthy diet

What you eat can influence your risk of the disease too, as eating a healthy diet can slash your risk.

Dr Carter noted: “A balanced diet rich in fruits, vegetables, and essential nutrients can substantially reduce the risk of developing mouth cancer.

“It’s important to incorporate these elements into your daily routine for better overall health.”

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Research has shown that consuming fruits regularly can lower your risk by 48 per cent, while taking vitamin C supplements can reduce the risk by 24 per cent, the Oral Health Foundation added.

It claimed calcium supplements could also lower the risk by 36 per cent, while drinking four cups of coffee a day could reduce your risk by 39 per cent and drinking green tea by 20 per cent.

“By making small, consistent changes to your diet, you can significantly protect yourself against mouth cancer,” Dr Carter said.

“Stay vigilant about your health and make informed dietary choices to support your oral health.”

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