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Savewith a NBCUniversal ProfileCreate your free profile or log in to save this articleNov. 16, 2025, 4:31 PM ESTBy Megan LebowitzWASHINGTON — The U.S. military carried out another strike on an alleged drug boat in the eastern Pacific on Saturday, killing three people, according to a Sunday post to X from the U.S. Southern Command.The latest strike is at least the 21st that the military has conducted on alleged drug boats during the second Trump administration, prompting concerns from some lawmakers.The U.S. Southern Command’s post said the strike was at the direction of Defense Secretary Pete Hegseth. The post alleged that the boat was “operated by a Designated Terrorist Organization” and was “trafficking narcotics in the Eastern Pacific,” adding that the strike took place in international waters.“Intelligence confirmed that the vessel was involved in illicit narcotics smuggling, transiting along a known narco-trafficking route, and carrying narcotics,” the post said.NBC News has not independently confirmed the military’s account of the strike. The administration has not provided evidence supporting its allegations about the vessel or the people on board.Video released by U.S. Southern Command appears to show the strike causing a large wave to spike up next to the boat, which is then engulfed in flames.The announcement came days after NBC News previously reported that the Trump administration carried out its 20th such attack, according to a Pentagon official. That strike took place in the Caribbean Sea. Previous attacks took place in both the Caribbean and the eastern Pacific, and they have killed more than 75 people, according to officials.Sunday’s announcement came the same day the USS Gerald R. Ford, a major aircraft carrier, arrived in the Caribbean.The strikes have generated controversy in Congress, as Democrats and some Republicans paint the administration’s moves as heavy-handed overreach that circumvents lawmakers.But in October, the Senate rejected a resolution requiring Trump to obtain congressional approval for military strikes in the Caribbean. Earlier this month, the Senate voted down a similar resolution that would require the president obtain congressional approval for any military action against Venezuela.Republican Sens. Lisa Murkowski of Alaska and Rand Paul of Kentucky sided with Democrats to push for a congressional authorization requirement.Paul previously said in an October interview on NBC News’ “Meet the Press” that the strikes “go against all of our tradition.” He raised concerns over people being killed without the administration providing evidence of a crime, noting the possibility that some of those killed could be innocent.Megan LebowitzMegan Lebowitz is a politics reporter for NBC News.Mosheh Gains, Courtney Kube and Frank Thorp V contributed.

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WASHINGTON — The U.S. military carried out another strike on an alleged drug boat in the eastern Pacific on Saturday, killing three people, according to a Sunday post to X from the U.S.



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Savewith a NBCUniversal ProfileCreate your free profile or log in to save this articleNov. 16, 2025, 7:56 AM ESTBy Lindsey LeakeDo you know what your hormone levels are? Should you?Your body is home to more than 50 hormones — chemical messengers that compose the endocrine system — and hormonal changes may reflect any number of medical conditions. For example, low levels of the pancreatic hormone insulin may indicate diabetes, while high levels of the stress hormone cortisol can play a role in obesity.But some hormones such as melatonin, which is important for sleep, naturally fluctuate throughout the day. Other hormonal changes are normal at different phases of life, such as a woman’s drop in the reproductive hormones estrogen and progesterone preceding menopause.Hormones are having a moment.The Food and Drug Administration announced Nov. 10 it was removing the black box warning on hormone replacement therapy for menopause. Agency leaders said the listed risks, including breast cancer, don’t outweigh the treatment’s long-term health benefits, such as reductions in bone fractures and cognitive decline.The news has sparked interest among women who may be candidates for the therapy. Dr. Mary Jane Minkin, a clinical professor of obstetrics, gynecology and reproductive sciences at the Yale School of Medicine, joked that her patients have since been “going wild.”In an age when over-the-counter hormone tests are a dime a dozen and supplements boast of alleviating hormonal imbalances, it can be tough to know whether you may need hormonal testing and treatment or are falling prey to marketing schemes.Dr. Jan Shifren, director of the Midlife Women’s Health Center at Massachusetts General Hospital, said women experiencing perimenopause, the years leading up to their final menstrual period, are a prime target for such “meno-profiteering” or “meno-washing,” the practice of selling pseudoscience for women during menopausal transition.“I actually never use the words ‘hormone imbalance’ with my patients,” Shifren said. “There are a lot of people out there marketing very expensive hormone testing — often not covered by insurance — these very large panels of multiple hormones that essentially tell us nothing.”The U.S. endocrine testing market, which encompasses hormone tests, has flourished since the pandemic, according to Grand View Research, an international consulting and market research firm. Its market size was about $4.1 billion in 2022 and is estimated to soar at a 7.7% compound annual growth rate from 2024 to 2030, mirroring global projections.While hospitals commanded the global endocrine testing market in 2023, commercial laboratories are expected to see the fastest annual growth through 2030, projections show.In the U.S., commercial labs such as Labcorp and Quest Diagnostics offer prescription-free options ranging from a single $49 test measuring the luteinizing hormone, which helps regulate the menstrual cycle, to an in-depth hormone panel exceeding $500.Numerous telehealth companies sell similar tests, which may involve blood, urine or saliva collection, with some approaching $1,000 per panel. HealthLabs.com, for example, offers a “comprehensive female hormone panel” that measures hormones including estrogens, thyroid hormones, testosterone and human growth hormone. The panel, which also includes tests for cholesterol, folic acid and vitamin B12, has a list price of $1,598 but was on sale for $799 as of Nov. 13.“I see women in my practice all the time who have spent $600 for an online consult, they’re spending $600 or $700 every few months for a very large panel of unnecessary hormone levels,” Shifren said. “Then when they come to see me, I don’t want to look at any of those levels. I want to talk to them about what’s bothering them, what their symptoms are.”Follow the symptoms, not hormone levelsPerimenopause typically begins between the ages of 45 and 55 and can last up to a decade. Menopause marks a single point in time, 12 months after a woman’s final period, followed by postmenopause for the rest of a woman’s life.More than 1 million women in the U.S. reach menopause each year, at age 52 on average, according to the National Institute on Aging.“Half of all people on this planet will go through menopause if they’re fortunate enough to live long enough,” Shifren said. “That’s an important time of life.”Tired of Feeling Tired? Why You May Need a Cortisol Reset04:28It can also be a time when quality of life diminishes for women experiencing symptoms, which may include hot flashes and night sweats, brain fog, mood swings, weight gain, painful sex, breast tenderness, incontinence, insomnia, vaginal dryness and irregular periods.When Minkin sees a patient in her 40s or 50s with such symptoms, treatment is the goal — no hormone testing needed.“In general, I try to discourage people [from testing] as much as possible,” Minkin said. “Particularly in the perimenopausal situation, hormones fluctuate all over the place.”Not to mention, Minkin said, even a premenopausal woman’s reproductive hormones vary widely throughout her cycle.Minkin also advises patients against purchasing hormone panels on their own.“My standard example is, if I have a patient who’s 53 years old … hasn’t had a period for three months and she’s up every night, sweating and not sleeping and not feeling good, and she wants her hormone levels tested,” Minkin said. “[I’d] say to her, ‘Please, go out and buy a dress with that money. I can tell you you’re perimenopausal.’”Similarly, older women don’t often benefit from sex hormone testing, Shifren said.“There’s absolutely no reason to check estradiol [a form of estrogen] or progesterone in a postmenopausal woman,” Shifren said. “We can tell them — before they spend any money — that those levels are low.”Who would benefit from hormone testing?When it comes to perimenopausal symptoms, age matters, said Dr. Shamita Misra, a clinical professor of family and community medicine at the University of Missouri School of Medicine.Menopause occurring between the ages of 40 and 45 is considered early, while reaching the milestone younger than 40 constitutes premature menopause. Roughly 5% of women hit early menopause naturally, as opposed to the condition being induced by surgical or other medical interventions, according to the federal Office on Women’s Health.Because early or premature menopause is associated with a higher risk of conditions including heart disease and osteoporosis, a patient under 40 reporting perimenopausal symptoms may benefit from hormone testing, Misra said.“Are we suspecting premature menopause, or is there any other endocrine problem?” Misra said. “We have to be open and not just focus on perimenopause. We have to also get [the patient’s] history.”On the other hand, if you’re of normal perimenopausal age and dealing with symptoms, don’t shy away from discussing any hormonal concerns you may have with your health care provider, Misra said. Shared, informed decision-making is your safest option.“Some women don’t talk candidly about their symptoms,” Misra said.If your doctor does recommend hormone testing, keep in mind that some medications, including birth control, may affect your levels.“You would have to be off birth control for 90 days — minimum three months — before your hormones get back to being at their baseline,” Misra said. “When a person is breastfeeding, for example, when a person is on oral contraception or some hormones already, it’s impossible to check for hormone levels accurately.”Risks from unnecessary hormone testingIt’s natural to be curious about hormone levels — reproductive or otherwise — whether you’re symptomatic or not, doctors say. Some of Dr. Debra Bell’s patients have told her they need data to feel comfortable about their health, even when she doesn’t need data to treat them.“My approach is, How will this test help us in our decision-making for your situation?” said Bell, director of education at the Osher Center for Integrative Health at the University of Washington School of Medicine. “It doesn’t always help.”But just because hormone testing isn’t typically beneficial for peri- and postmenopausal women doesn’t mean it’s harmless, Bell said. Cost is one such harm.“I know people who have maxed out their credit card for these kinds of things,” Bell said.Not all over-the-counter menopause diagnostics are pricey. For instance, pharmacy chains and big-box stores sell rapid menopause test sticks hovering around $30, sometimes less.The questions then become: How accurate are the results and who’s interpreting them?“If [a patient has] done the test, then I will interpret it for them,” Bell said. “A lot of times, what the test shows is what we might already presume based on the symptoms they’re having and what’s happening with their menstrual cycle.”Another danger in self-testing is self-treating one’s perceived hormone imbalance, Bell said. Unlike prescription medications, the FDA doesn’t approve herbal and dietary supplements for safety or effectiveness before they hit store shelves.Last year’s global menopause market was nearly $18 billion, Grand View Research reports, with dietary supplements carving out a 94% share.As a practitioner of integrative medicine, Bell is hardly antisupplement. But be sure to discuss any supplements you’re considering with your doctor, she said. Even supplements marketed as natural may be toxic depending on your lifestyle, medical history and other medications you’re on.Hot flash treatments in particular have a high placebo effect rate in clinical trials, about 30%-35%, Minkin estimated. For that reason, she said she has no problem with patients who claim that home remedies such as evening primrose oil provide symptom relief.“As long as it’s something that I know is pretty safe,” Minkin said. “[If] she says it’s arsenic, I’d say, ‘Probably not a good idea.’ So I have to look at the potential toxicity of what she might be using.”Minkin is thrilled that menopause, once taboo, is not only making headlines but also being celebrated — an “estrogen festival,” she called it. However, she warned that some wellness companies are crashing the party, hoping to make money off women in midlife.“For 20 years, we could attribute nothing to menopause; it was a dirty topic,” Minkin said. “But at this point, I think we’re leaning toward saying that everything is perimenopause, because perimenopause is very amorphous.”“You can’t test for it, really.”Lindsey LeakeLindsey Leake is an award-winning health journalist and contributor to NBC News. She holds an MA in Science Writing from Johns Hopkins University, an MA in Journalism and Digital Storytelling from American University and a BA from Princeton University.
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By Katherine DoylePresident Donald Trump has directed the federal agency that oversees legal immigration to the U.S. conduct a sweeping review of Green Card holders from what the administration calls countries of concern, the head of U.S. Citizenship and Immigration Services said Thursday.“At the direction of @POTUS, I have directed a full scale, rigorous reexamination of every Green Card for every alien from every country of concern,” USCIS Director Joseph Edlow said Thursday afternoon in a statement on X.Edlow said that protecting the country “remains paramount” and that “the American people will not bear the cost of the prior administration’s reckless resettlement policies.”USCIS did not immediately respond to a request for details on which countries are considered “of concern.”The U.S. Citizenship and Immigration Services Miami Field Office.Wilfredo Lee / APThe move comes a day after a shooting near the White House left two members of the National Guard in critical condition. Federal prosecutors say the suspect, an Afghan national who once assisted American forces, was resettled in the U.S. under a program called Operation Allies Welcome during the Biden administration following the U.S. withdrawal from Afghanistan in 2021.Jeanine Pirro, the U.S. Attorney for the District of Columbia, said Thursday morning that her office is reviewing the suspect’s immigration history and the vetting process that allowed his entry into the country.A source familiar with the case and a separate law enforcement source told NBC News that the suspect was granted asylum this year.D.C. National Guard shooting suspect faces charges of assault with intent to kill02:25Two West Virginia National Guard members — identified as Sarah Beckstrom, 20, and Andrew Wolfe, 24, from West Virginia — remain in critical condition following the attack. They were in Washington as part of Trump’s deployment of federal troops to several U.S. cities.In a video released by the White House, Trump called the attack an “act of terror” and said additional National Guard troops would be deployed to Washington.The administration said all immigration requests relating to Afghan nationals will be halted indefinitely.This is a developing story. Please check back for updates.Katherine DoyleKatherine Doyle is a White House reporter for NBC News.
November 1, 2025
Savewith a NBCUniversal ProfileCreate your free profile or log in to save this articleNov. 1, 2025, 4:36 PM EDTBy Ryan Chandler and Mirna AlsharifHOUSTON — Before dawn Saturday, vehicles started lining up at NRG Stadium as the Houston Food Bank prepared to open a large-scale “supersite” to distribute food to families worried about the future of federal assistance.The site, modeled after the drive-thru events deployed during the Covid-19 pandemic, was set up to serve about 5,000 families, supplying them with produce, frozen chicken and other household staples.Angelina Alonzo said she arrived at 5 a.m., hoping to be one of the first in line. She typically receives $400 a month in Supplemental Nutrition Assistance Program, or SNAP, benefits, which she uses to feed her children and grandchildren, she said — but her funds for November have not arrived, leaving her with no choice but to visit the stadium Saturday.“It means paying more money out of your pockets,” she said from the driver’s side window of her car as she waited. “If you don’t have it, you have to find somewhere to get money to supply for the children.”Also in line was Armando Hinojosa, who said that even when SNAP benefits are available, stretching them to the end of the month is a challenge.“By the end of the second week of the month, you’re counting pennies and just trying to make ends meet,” Hinojosa said.The urgent demand for food assistance comes as some 42 million Americans prepare for lapses in SNAP. Earlier this week, the Agriculture Department warned that funding could run out if the government shutdown continues. While a Rhode Island judge has ordered the administration to keep funding SNAP nationwide and President Donald Trump said he instructed lawyers to review the issue, many households are bracing for delays as November payments are set to begin.Texas has the highest food-insecure population in the U.S., with about 5.3 million struggling to afford consistent meals, according to the nonprofit Feeding Texas. Around 3.5 million of them, including 1.7 million children, rely on SNAP benefits to get by, lawmakers say.In Harris County, home to much of Houston, more than 300,000 people rely on SNAP and nearly 650,000 are eligible, according to Texas Health and Human Services.On Saturday morning in Houston, cars kept their trunks open as volunteers dropped off the much-needed food.Brian Greene, the CEO of the Houston Food Bank, said the scene unfolding Saturday echoed what his team saw at the height of the pandemic — but this time, the cause is “man-made.”“The last time you saw scenes like this was during Covid, where the food banks around the country had to step up and these supersite-style distributions were actually fairly common,” Greene said. “But that was nature hitting us. This is society making a horrible mistake.”Greene said the food bank can help fill the gap temporarily, but warned that even large-scale efforts like this one cannot meet the need if SNAP payments stop.“It’s not going to be enough but at least will help them some as they try and weather through these times,” he said.Amanda Grosdidier, executive director of the Houston Texans Foundation, said the need “is bigger than we ever could’ve imagined.” The Houston Texans Foundation partnered with the Houston Food Bank for Saturday’s food distribution.“When we heard the numbers, we were completely blown away to see how many people actually need help and families that have never had to ask for help that are having to actually ask for help right now,” Grosdidier told NBC News. “It’s pretty sad to see.”Hinojosa and his wife, Kathy, said if the SNAP benefits do not resume, they will have to adjust their budget.“We just have to just recalibrate, man, and just see what kind of help is out there that we can take advantage of,” Hinojosa said.Ryan ChandlerRyan Chandler is a correspondent for NBC News.Mirna AlsharifMirna Alsharif is a breaking news reporter for NBC News.
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