Keep cats cool as temperatures soar, charity warns

Extreme temperatures and unprotected exposure to the sun can be dangerous to pets, the UK’s leading cat charity has warned as the country experiences scorching hot weather.

Cats Protection is keen to remind cat owners of the health risks of sun exposure, such as dehydration, exhaustion and sunburn. In the worst cases, sun-related cancer can be a problem for cats, especially on their ears and noses.

The charity has issued warm weather advice for cat owners:

  • Keep pet cats indoors when the sun is at its hottest, typically between 10am and 3pm.
  • Speak to a vet about suitable sunscreen for pet cats.
  • Provide opportunities for shade outdoors, such as cat hides, large cardboard boxes, or plant plots placed close together.
  • There is a risk of your cat becoming dehydrated in the heat, so always provide an outdoor water source.
  • To stop cats feeling overheated, place a plastic bottle with frozen water inside a towel and place it in an area that the cat frequently visits.

Sarah Elliott, Central Veterinary Officer for Cats Protection, said: “White and pale-coloured cats don’t have a pigment called melanin in their skin, which is what protects humans from sunlight. This can leave them vulnerable to sun damage – usually around the ears.

“Over time, the damage caused by the sun’s ultraviolet rays can increase the risk of developing skin damage and cancer. Cats with unpigmented noses or ears are also much more susceptible to sun damage and require additional sun protection.”

For advice to avoid sunburn, download Cats Protection’s guidance: https://www.cats.org.uk/media/10837/vet_7701-sunburn-information-sheet-web.pdf 

Dehydration is a particular risk during warm weather. Cats need to remain well hydrated to maintain a normal body temperature, remove waste products and maintain proper circulation, and it is important to ensure that fresh water is always available.

To check if your cat is at risk of dehydration, try some of these tips:

  • Look at their gums. If they are tacky, this may be a first sign of dehydration.
  • Check their eyes. Severely sunken, dry eyes could indicate significant dehydration.
  • Feel their paws. If the paws feel cool or cold, this could be a sign of dehydration
  • Test skin elasticity. In a well-hydrated cat, the skin should snap back into place immediately. If it doesn’t, it could well be dehydrated.

Cats Protection’s tips on keeping cats safe in warm weather can be found at www.cats.org.uk/cats-and-warm-weather

Picnics, parks and killer deals: Instagram Mum reveals how to save money during the summer holidays

The annual summer holidays can be a tiring and expensive time for parents. With the kids at home looking for constant entertainment and no school to keep them busy or provide meals, often parents end up splurging on activities, food and outings – making the ‘six weeks’ the most expensive times of the year.

To help parents save money this summer and still maximise their quality time with their children, CashLady.com has partnered with ‘Instagram Mum’, Emma Stretton, who shares her expert advice on how to have fun with the kids this summer break, without breaking the bank.

“I’m super lucky in that the summer holidays are actually pretty easy for me. My husband is a teacher so I don’t have to worry about where the kids are going to go for six long weeks. It does mean though, that all three of them are at home and need entertaining every day. These are some of the tried and tested things we do to save money over the school summer holidays.”

@emma.wears.it.all

Emma Stretton is a mum-of-two and savvy saver living in Manchester. She has a keen eye for fashion and interiors and knows how to keep her two children entertained during the summer holidays. Emma commented:

  1. Picnics

“Picnics are literally my favourite thing in the world. Pitching up at a nice park or beauty spot and just enjoying a few sandwiches easily passes a couple of hours with the kids.”

“The boys will take their bikes, scooters or a football and entertain themselves for a bit.

Our picnic blanket is a piece of gingham fabric I bought from the bargain bin at a fabric store too, which is a cheap and easy option for those looking to save a few pennies.”

  1. Snacks

 “If the cost of feeding two kids wasn’t bad enough already, my food bill has shot up in the last few months. Without free school meals each day, it goes up even more in summer. I tend to buy snacks at budget supermarkets like Aldi or Lidl and have found a few cheap ways to make fun stuff. My kids’ all-time favourite snack is peanut butter and jam in a rolled-up wrap. They would live off them and it costs peanuts!”

“We also make homemade sausage rolls using veggie sausage meat and tortilla wraps. Flatten the ‘sausage’ meat all over the wrap, roll it, cut it into pieces and bake for about 20 minutes. It’s loads cheaper than Greggs. Pesto pasta is another super cheap meal, and pitta pizzas are also a big win in our house.”

  1. Parks

“Obvious? Yes! But my kids love a park, especially a new one they haven’t been to before. The summer holidays are an excellent time to explore new parks or places they can run around in. Even a trip through the woods is an adventure for them.”

“Sometimes I’ll draw a nature or ’treasure’ map that they can follow on our walk as well. Just Google local parks and make use of them all summer long – they’re free!”

  1. Free museums

“There are quite a few free museums near us (in Manchester); like the Portland Basin or the Imperial War Museum. We also get free entry to the Football Museum in Manchester if you can prove you live in the right postcode. Again, just get on Google and look for free things to do near you. Daysoutwiththekids.co.uk is a great website with loads of fun things to do across the UK.”

  1. Shopping

“I know the food shop isn’t the height of excitement but it does kill time and is a good activity for when it rains. I normally do it online but in the summer holidays, my husband takes a list to the shops and gets the boys to read it and shout when they spot what we need.”

“Some shops have those hand-held scanners you carry around with you. The kids love scanning the items and fighting over who gets to hold the scanner next. Making an everyday expense into an activity for the kids kills two birds with one stone.”

  1. Restaurant deals

“Lots of places will do ‘kids eat free’ offers over the holidays. Usually, it’s when you buy an adult meal. Have a look for places near you that are running similar offers.”

“We also use Manchester Confidential a lot where you can buy vouchers for local restaurants at half their value. So, we recently bought £50 worth of vouchers for £25 and had a nice meal together. Banyan is a big chain that often does it” 

  1. Loyalty Schemes

“My bank account is linked to my Sainsbury’s Nectar card so I earn points every time I spend. I can then use these to get discounts or vouchers for big days out like Alton Towers. I would also always look for 2 for 1 deals on things like cereal before I ever booked a big attraction.”

“We get £5 cinema tickets from our bank account which are great for rainy days and we’re signed up to Subway rewards and Mcdonald’s rewards so we get free food every now and then. Never spend before checking whether you can get a discount or better deal first.”

  1. Buddy up

“If there are days when my husband can’t be with the kids, we try to ask friends or family rather than pay for holiday clubs. One of my friends does a summer swap every year where she has her friend’s kids one day and then her friend does it another day. So they can both go to work without forking out a fortune on childcare.”

“We also still pay £10 a month into childcare vouchers so that come the summer holidays, we’ve accrued enough to put the boys in for a couple of days. Most school holiday clubs will take them so it’s worth checking if you have any left that you didn’t use up when your kids were in pre-school.”

Commenting on the tips, CashLady.com’s Personal Finance Expert, Dan Whittaker, said: “The summer holidays are easily one of the best and brightest times of year to spend quality time with your children. However, it’s also one of the most expensive, with the costs of entertainment, meals and childcare increasing enormously.

“Emma’s tips demonstrate tried and tested ways to save money over the summer break, whilst still having fun and adventures with her kids. The advice goes to show that you don’t have to spend a fortune to have the most fun in the sun.” 

The Colonies: Future Proofing Your Home – free information event tonight

Stockbridge and Inverleith Community Council are hosting this free Home Energy Scotland event at Edinburgh Academy this evening.

Find out how you can make your home more energy efficient and save money on your fuel bills.

The event starts at 7pm.

Guidance for people hosting refugees from Ukraine

Are you hosting someone from Ukraine? Scottish Refugee Council is holding free online info sessions on the Scottish Government’s Super Sponsor scheme.

If you have questions about the process, join us on Tuesday, 31 May or Thursday, 9 June to find out more.

We’ve teamed up with the Scottish Government to run online information sessions on the Ukraine Super Sponsor Scheme.

When:

Tuesday, 31 May from 12.45 pm-2.15 pm

Thursday, 9 June from 10am-11.30am

These sessions are for anyone who is interested in hosting, or has registered to host people from Ukraine, either privately, or through the Scottish Government’s Ukraine Super Sponsor scheme.

We will:

  • Introduce the Scottish Government Ukraine Super Sponsor Scheme: Guidance for Hosts
  • Cover key aspects of hosting such as eligibility criteria to become a host, the role and expectations of hosts
  • Share information about resources and further support available for hosts
  • Respond to questions around hosting.

How to join our information session:

The sessions will be held on Zoom and will run for 90 minutes.

Register here

We’ll send you a Zoom link the day before your session. 

Speech and Language support at local Bookbug sessions

Muirhouse Library staff are delighted to welcome some of the team from Speech & Language Therapy to our Bookbug session at West Pilton Neighbourhood Centre this coming Tuesday.

They’ll be around afterwards for an informal chat, should you want to discuss anything with them – and on the last Tuesday of the month thereafter.

SEPA reveals how businesses are taking action to avoid water scarcity this Water Saving Week

The Scottish Environment Protection Agency (SEPA) is highlighting how businesses are playing their part to protect Scotland’s water environment as part of Water Saving Week 2022.  

The annual event has been created by Waterwise to raise awareness of the issues around water use and takes place between Monday 23 May and Friday 27 May. Today, the final day of the campaign, focuses on water and the natural environment.  

Scotland’s climate is changing, and communities are coming to terms with the impacts of more frequent extreme weather events like water scarcity. Climate change is likely to bring more uncertainty and cause problems in new areas. 

Many rivers and watercourses require groundwater to supplement rainfall during the summer months. However, due to a drier than average winter, we are already seeing lower groundwater storage and this could result in water scarcity. 

The latest water situation report, published this week, continues to show an east-west split in the risk of water scarcity: 

  • Conditions in the west remain at Normal level and there has been some recovery in the south. However, without above-average rainfall in the next few months, the risk of impacts from water scarcity will increase and therefore most of this area stays at Early Warning.  
  • In the east, despite some rainfall over the last week, this has not been enough for recovery and these areas also remain at Early Warning.  
  • Groundwater levels at monitoring sites in the east and south-west remain low for the time of year, while the north and north-east are within normal range.  

SEPA works with businesses all over Scotland to help manage the range of conditions they face and to avoid water scarcity issues where possible. This includes key sectors such as food and drink production, energy, farming and golf. 

Royal Troon in Ayrshire, a world-famous golf club which has hosted several Open Championship tournaments, has demonstrated its commitment to protecting water resources and the environment by investing in more efficient equipment.  

Club Secretary, Stephen Anthony, said: “A reliable clean water source is essential for care and maintenance of the course. The environment and use of water is one of our primary concerns and over watering can actually have a detrimental impact on the species of grass and the playability of the course.  

“Over the past three years, the club has made a major investment in a state-of-the-art replacement irrigation system on all courses, from abstraction from a burn that discharges into the sea after passing through the course, to storage, and to delivery via the sprinkler heads.

“Unlike our previous system that was virtually all on or all off, this one enables us to target water to where it is needed. We could have one single sprinkler working and all others off. This allows us to use water more efficiently.” 

Head of Water and Planning at SEPA, Nathan Critchlow-Watton, said: “Our aim is to work with businesses to do the right thing and help protect our water environment.

“Golf is just one industry that is fundamental to that, and it is great to see a club like Royal Troon making such an investment in their irrigation system. This not only ensures the best possible outcome for their own operations but eases pressure on nearby burns and rivers when they are at risk of drought.  

“It is vitally important that Scotland is prepared to deal with water scarcity both now and in the future. SEPA is here to help plan and can advise on a series of straight forward steps for businesses to take such as monitoring water usage and equipment and avoiding any unnecessary leakage. We encourage them to work together and stagger their abstractions to minimise any potential impacts.” 

Business can find out more information about water scarcity and how to prepare on our website. 

Which? Money-Saving Monday: Save money on tax

As the impact of the cost of living crisis hits home for millions of people, Which? shares tips to help consumers shave money off their tax bills.

There are lots of ways to reduce your tax bill legally, whether you’re an employee or self-employed, a landlord, investor or pensioner. Simple checks can boost your take-home earnings with minimal effort. There are also tax reliefs and government schemes that can help.

Check your tax code
Consumers who pay tax via Pay As You Earn (PAYE) should check if they’re on the correct tax code, to be sure they’re not paying more tax than necessary. Those on the incorrect code might be entitled to pay less tax in the coming months, or receive a rebate from HMRC for previous overpayments. Someone might find themselves on the wrong tax code, or an emergency tax code if they’ve started a new job and their new employer doesn’t have a P45, if they’ve recently had a change in salary, or if they’ve started or stopped taxable state benefits. For example, basic-rate taxpayers given an emergency tax code that excludes their personal allowance could pay an extra £2,514 in the 2022-23 tax year.

Consumers should check their tax code each year, or after changing jobs, to make sure it’s correct for their situation. Find out the most common ones in Which?’s guide to understanding your tax code.

 Check if you qualify for any benefits
Workers on a low income with less than £16,000 collectively in any savings and investments may be able to qualify for Universal Credit, which is due to replace other legacy benefits like tax credits by 2024. Payments will vary depending on people’s circumstances. Those with children, for instance, could receive up to 85 per cent of their childcare costs, up to £646 a month for one child, or £1,108 for two children.

Every year more than £15bn goes unclaimed from the Treasury from households eligible for benefits, meaning more than seven million UK households could be missing out on benefits and other help like council tax discounts. Which? suggests checking what might be available to claim by entering details about you and anyone else in your household into the entitled to calculator.

Pay into a pension scheme
Employees can contribute to their employer’s pension scheme from their gross pay, before any tax is charged. The government then tops up the pension contribution with tax relief, providing a free bonus for saving for retirement. The effect of tax relief is that a contribution of £100 that would have been taxed at 20 per cent, and therefore worth £80 net, is paid into your pension fund without any deduction – so it’s worth the full £100.

Be sure to meet the tax return deadline to avoid a £100 fine
Around 12 million people need to submit a self-assessment tax return each year. Missing the claim deadline is a costly and easily avoided mistake. Those making an online submission have until 31 January 2023 to send in their 2021-2022 return, but for paper submissions the deadline is earlier, 31 October 2022. Missing the deadline incurs an automatic penalty of £100, even for those who don’t owe any tax. Use the Which? tax calculator to tot up your return and submit it directly to HMRC.

Reclaim overpaid taxes
Non-taxpayers and those whose income has unexpectedly fallen during the year might have been taxed more than they should have done, as HMRC assumes your personal allowance is equally used each month. To reclaim, fill out form R40 from HMRC, or call them.

Claim tax-free childcare
Under the tax-free childcare scheme, parents can claim back 25 per cent of their childcare costs up to £500 every three months. There are certain eligibility criteria, including having a child under 11 and earning less than £100,000. To get started, parents need to set up an online account, which can be used to manage payments to their childcare provider. For every £8 you deposit, the government will pay in £2, up to the value of £500 every three months, or £1,000 if a child is disabled.

Maximise your personal savings allowance
In 2022-23, savers can earn £1,000 of interest on savings tax-free if they’re a basic-rate taxpayer. Higher-rate taxpayers have a tax-free allowance of £500. This means they only pay tax on savings income that exceeds this threshold. This will no longer be deducted automatically by the savings provider. If tax is due, you’ll need to pay it via self-assessment or have it deducted via PAYE. Keep in mind that you won’t have a savings allowance as an additional rate (45%) taxpayer.

Use the starter rate for savings
If your income from a job or pension is below £12,570 in 2022-23, but you earn income through interest on savings, you may also qualify for the starter savings allowance. Any interest you earn up to £5,000 is tax-free. This will be in addition to your personal savings allowance, meaning you could earn as much as £18,570 before paying tax.

Benefit from lesser-known allowances
Consumers can keep hold of a bigger chunk of their earnings by claiming all the tax allowances they might be entitled to. Marriage tax allowance and the Rent-a-Room scheme can save significant sums, yet relatively few people are aware of them. For example, those renting out a room in their home can take advantage of the Rent-a-Room scheme, which means they can earn up to £7,500 tax-free. Marriage allowance benefits couples where one partner earns less than the personal allowance, and the other is a basic-rate taxpayer. Married couples or those in a civil partnership can transfer a 10 per cent personal allowance from the lower-earning partner to the higher earner. In 2022-23, £1,260 can be transferred, potentially saving you up to £250.

Get a reduction on your council tax if you’re a low earner
Those on low incomes may be eligible for a council tax reduction of up to 100%. Each local authority has different criteria for who is eligible to claim council tax reduction and the size of the reduction depends on income, savings and whether the claimant lives alone

Those who don’t qualify for a discount themselves, but share a property with a second adult who does (and is not their spouse or civil partner), might be able to claim a second adult rebate.

Reena Sewraz, Which? Money Expert said:  “Many people are feeling financial pressure at the moment as soaring energy and food prices, as well as tax hikes, have put a huge strain on household budgets. However, there are steps you can take to save money on tax.

“It is always worth doing a quick check to make sure you’re on the right tax code – if this is incorrect you could be eligible for reduced tax or a refund from HMRC. You can also easily check if you’re eligible to claim additional allowances and benefits from the government, such as marriage tax allowance, universal credit, or a discount on your council tax.

Letters: Exam Stress

Dear Editor,

This academic year has seen the return of National exams and Highers in Scotland after a two-year hiatus due to the pandemic. For many children and their parents and carers, the exam period can be an anxious and stressful time.

A return to normality in September has seen Childline provide more support to anxious students as end-of-year tests loomed on the horizon.

In the year between April 2021 and March 2022, Childline practitioners delivered 1,734 counselling sessions to children and young people across Scotland and the rest of the UK with concerns about exam stress and revision, which is a 62% rise on the previous year.

When talking to Childline counsellors about their upcoming exams this month, children shared that their worries were affecting their mental health, anxiety levels and ability to sleep.

It is important for young people to know that they aren’t alone if they are feeling like this. Instead, that they are encouraged to share any concerns or worries with their friends or a trusted adult.

Parents and carers can help by reassuring their child that they are there to listen to what they might be feeling and to help them to take the time to think about what to do next.

There are lots of places young people can get support, including the Childline website where they can get advice on dealing with exam stress, visit our message boards or even use an art box to draw through what they want to happen and look at potential next steps.

Childline is here for every child and young person and our specially trained counsellors are also ready 24/7 to discuss exam worries and other concerns free on 0800 1111 or www.childline.org.uk

Paul Johnson,

Childline Team Manager for Aberdeen

Over a third of adults say they’re unable to afford adult education

The biggest barrier to British adults continuing their education is cost, with more than a third (35%) saying they’re unable to afford to study, while almost a fifth (19%) say they don’t have time.

A YouGov survey of 2,109 GB adults commissioned by distance learning provider Oxford Opening Learning found that, although  69% of respondents said they could be motivated to learn for any type of new qualification – from GCSEs to PHDs and industry certificates – only just over a quarter of Brits (27%) are likely to actually do so.

The five most common issues that stop adults continuing with education in the future are:

  1.    Lack of affordability (35%)
  2.    Time constraints (19%)
  3.    Not needing any further qualifications (18%)
  4.    Lack of motivation (17%)
  5.    Lack of energy (17%)

Almost half of millennials (25–34-year-olds) say they are likely to consider studying for a new qualification in the future.

The other barriers that Brits said most commonly stop them studying are that they don’t have the time to devote to it (19%) and feeling that another qualification would be unnecessary because they feel they are educated enough (18%).

As well as respondents also saying that they lack the motivation to study (17%), the same number also said they lack the energy. Many Brits also commented that they deem themselves too old.

The research also revealed that many British adults would be happy to continue learning if they felt they could. Receiving a boost to their pay packet is only the third most common incentive, agreed by three in ten (30%) of  Brits , whereas 42% would be more likely to take a course simply out of their own general interest in the subject.

Greg Smith, Head of Operations at The Oxford Open Learning Trust, said: “The fact that so many would like to study further but don’t feel they can points to a lot of misconceptions that people have about adult education.

“For those who think they’re too old, adult learning isn’t only about furthering a career – it’s also extremely beneficial in terms of mental health. There’s evidence to show that, not only does keeping the brain active combat depression and anxiety, but also helps prevent dementia in later life and boosts confidence.

“Studying for a new qualification with a distance learning course is also vastly different to a classroom and can be spread over a longer period to fit in with your current work or lifestyle.

“The initial cost is often far outweighed by the benefits of gaining a new qualification, through an increase in pay, a promotion or a career change.”

Oxford Open Learning’s Top Tips for Adult Learners:

  • Make the learning experience as relevant and useful as possible. Draw on your personal experiences and link the subject matter to real world benefits for your work and personal life
  • Make learning as engaging as possible to boost motivation. Use a variety of learning stimuli, such as images, activities, videos, lectures and podcasts to find what works for you
  • Breaking down information into bite-sized chunks can also help to make it easier to process, and don’t forget to take regular breaks to help you maintain concentration
  • Master your skills by playing an active role in your learning experience. Exploring the subject matter through self-study and active participation can help you to learn in a way that is meaningful to you
  • Let learning occur through mistakes. Trial and error can make the learning experience more effective, while the sense of overcoming a challenge can help to boost confidence

More advice on how to overcome perceived barriers to adult education can be read here:

Skin Cancer Awareness Month: NHS Lothian patients share experiences

Two patients have spoken out on Skin Cancer Awareness Month about the difference NHS Lothian’s treatment has made to their lives. 

Alan Vannan, 62 from Peebles, was diagnosed with squamous cell carcinoma (SCC), the second most common skin cancer, and has been administered with immunotherapy for two years.

Prior to this, patients like Alan with advanced SCC who’ve exhausted other treatment, such as surgery and radiotherapy, wouldn’t have had other options.

Alan said: “It started with a lump on my neck and cheek, so I went to the GP. 

“When I saw the doctor at St John’s, he took one look and diagnosed it as skin cancer and said they’d need to operate on it quickly. A Macmillian nurse, who’s been brilliant, called me on the way home.

“Processing what people are telling you after a cancer diagnosis can be the most difficult part. 

“Next was the surgery followed by radiotherapy, which wasn’t easy. Beforehand, I always thought of skin cancer as something minor and easily treated.”

Unfortunately, after his treatment, Alan received the news that the cancer hadn’t gone away.

Alan continued: “That was a difficult time. They couldn’t operate further. It came as a bit of a shock. Mentally, it was hard to process. They told me I had months left and that’s when I went to Dr Mackenzie. 

“I was given immunotherapy and it’s the best thing that’s happened to me. I’ve gone from being told I had months to it being two years later. 

“As soon as I started taking the drug the wound healed up. For me, it’s been absolutely fantastic. Every time I’ve got a scan I expected it to get worse, but it never has.

“I can’t praise the staff highly enough. The nurses, surgeons, radiologists and oncologists at the Western General and St John’s, and the Macmillian nurses, have all been amazing.”

Dr Joanna Mackenzie, Consultant Clinical Oncologist at Edinburgh Cancer Centre (above), said: “We’re always looking for ways to improve how we support our patients, and this has been a huge step forward in our management of difficult skin cancers. 

“To see it make such a difference to people like Alan who, just a few years ago, we wouldn’t have had the tools to help is really fulfilling for us as a team. 

“We’re also looking to conduct research to see if immunotherapy can be used at an earlier stage to help a wider number of patients with SCC.”

NHS Lothian last year also invested in a new superficial x-ray machine which treats basal cell carcinoma (BCC), the most common type of skin cancer. 

The machine is used for patients where surgery is not the preferred option, which can be due to other health conditions or the location of the cancer. 

BCC is rarely life-threatening but is typically seen on the face and attacks surrounding healthy tissue, sometimes leading to deformity. 

Lynda Gordon, 74, from Joppa, said: “About two years ago, I woke up with a hole at the end of my nose, so I contacted the GP.

“I was referred to the hospital at Lauriston and had an appointment to meet with a plastic surgeon, an oncologist and a dermatologist at the Joint Cutaneous Oncology Clinic. 

“It was diagnosed as a BCC and I chose to receive radiotherapy.

“An operation would have required taking skin from elsewhere and because I’ve had that before, with an SCC in 2017, I couldn’t go through that again.

“I went for the procedure at the cancer centre in February with this new machine. 

“I went every weekday for one week. Staff are lovely and make sure to explain everything. It only takes about two minutes each time. 

“The healing process was a bit unpleasant but three to four weeks later it settled, and my nose is looking absolutely fine. I’m really pleased with the results. 

“The care provided by staff is just brilliant.”

This Skin Cancer Awareness Month, NHS Lothian is also urging everyone to take simple precautions when enjoying the sun.

Dr Mackenzie continued: “It’s easy for us to think that, because we see many months of cold weather, the summer months can’t cause too much damage. 

“But whether at home or abroad, we all need to make the effort to protect our skin. 

“Simple ways to do so are avoiding the sun at peak times and wearing high-factor sunscreen as well as hats, sunglasses and clothing which covers sensitive areas more prone to sun damage.

“Please contact your GP if you’re concerned about any unusual changes to your skin.”