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iStock/Thinkstock(PHILADELPHIA) -- Children who have suffered a concussion are more likely to be diagnosed in their pediatrician's office than the emergency room, according to a new study that suggests current concussion statistics may be vastly underreported, since only children diagnosed in the ER are included in counts by the U.S. Centers for Disease Control and Prevention.

In the study, published Tuesday in the Journal of the American Medical Association Pediatrics, researchers from Children's Hospital of Philadelphia (CHOP) and the CDC used CHOP's regional pediatric network to figure out when and where children were diagnosed with a concussion.

They found approximately 82 percent had their first concussion visit at a primary care site like a pediatrician's office, 12 percent were diagnosed in an emergency department, 5 percent were diagnosed from a specialist, such as a sports medicine doctor or neurologist, and 1 percent were directly admitted to the hospital.

The findings may have far-reaching implications for what we know about the number of concussions in the U.S., the authors said, noting that this study suggests that the condition is extremely underreported if the vast majority of concussions are diagnosed outside the emergency department.

"We need surveillance that better captures concussions that occur in children and adolescents," Dr. Debra Houry, director of CDC's National Center for Injury Prevention and Control, said in a statement Tuesday. "Better estimates of the number, causes, and outcomes of concussion will allow us to more effectively prevent and treat them, which is a priority area for CDC's Injury Center."

Additionally, one-third of those injured were under age 12, showing that not just high school athletes are at high risk, the study found.

"We learned two really important things about pediatric concussion healthcare practices," Kristy Arbogast, lead author and Co-Scientific Director of CHOP's Center for Injury Research and Prevention, said in a statement Tuesday. "First, four in five of this diverse group of children were diagnosed at a primary care practice -- not the emergency department. Second, one-third were under age 12, and therefore represent an important part of the concussion population that is missed by existing surveillance systems that focus on high school athletes."

Though the finds are significant, it may be hard to generalize the data for a wider population since just a single hospital network was studied.

Alex Diamond, a pediatric sports medicine specialist at Vanderbilt University Medical Center and director of the injury prevention program, told ABC News that these findings are important to help health officials understand how prevalent concussions really are.

"Anytime we can get a better sense of what the true numbers are, it allows us to provide better care and focus research and attention on where it needs," said Diamond, who was not involved in the study.

Pediatricians are very effective at diagnosing and treating concussions, Diamond said, noting it is probably better for children to be seen by a doctor who knows them and can see if they are showing symptoms of a concussion.

"That’s why it’s great for a pediatrician to deal with this," Diamond said. "They know the kid at baseline and they know the family."

Concerns over concussions and the potential long-term impacts have been helpful in getting more kids treated, Diamond said, noting that parents should "trust their intuition" about whether to seek treatment for a potential concussion. Additionally, parents should seek medical help if the child lost consciousness, had a seizure or had "headache plus," he said.

"Headache plus vomiting or sick to their stomach or balance problems," Diamond said. "Those would be really good things to get evaluated for."

He also recommended unless it's an emergency, parents should try to make an appointment with their pediatrician since they are familiar with the child.

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Orange Country Global Medical Center and Maria Korcsmaros(NEWPORT BEACH, Calif.) -- A Canadian woman who suffered a vicious shark bite at a California beach on Sunday will have a long road toward recovery, doctors treating her wounds said Tuesday.

The shark, believed to be a great white, bit Maria Korcsmaros from her shoulder all the way down to her pelvis, causing "significant" open wounds to the arm, upper body and pelvis, doctors at Orange County Global Medical Center said in a press conference.

"She had extensive lacerations to her right arm, and multiple lacerations from her upper torso with open chest wounds extending down to her pelvis," said Dr. Roberto Sauri, adding she suffered an abdominal wall disruption.

"Remarkably, her nerves are all functioning," Dr. Phillip Rotter added, admitting he had never seen such a trauma before. "You can see individual marks from individual teeth. It’s a serious wound and is at risk of infection. I'm amazed that her nerves are still functioning."

Even so, doctors warn it is too early to tell if Korcsmaros will recover enough to have function of her seriously wounded arm.

The caretakers said Korcsmaros' physical fitness certainly played a role in her survival. She is a personal trainer and aerobics instructor, according to her Facebook page.

"She was able to tread the water and hold her own until help arrived," Rotter said.

Sauri said they will continue to monitor her condition, noting, "She seems like a very strong lady. She is remarkably calm," and "doing remarkably well at this point."

Corona Del Mar State Beach -- where the attack happened -- will reopen Wednesday morning after a final helicopter and boat survey of the waters, Lifeguard Battalion Chief Brent Jacobsen told ABC News Tuesday.

Jacobsen said the attack was a rare occurrence and advises beachgoers to take precaution, use good judgment and not venture too far out into the ocean.

A shark attack was also reported in Florida over the Memorial Day weekend.

As the Florida Fish and Wildlife Conservation Commission notes, Florida's diverse shark population does not "see humans as a food source. Experts believe that most shark attacks are cases of mistaken identity, which explains why nearly all shark attacks that occur in Florida waters are of a bite-and-release nature."

There were 59 shark attacks in the United States in 2015, 30 of them in Florida alone, according to a report by the International Shark Attack File. Only one attack in the U.S. was fatal.

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iStock/Thinkstock(GENEVA) — The World Health Organization has strengthened its guidelines for Zika due to fears that the virus may persist in bodily fluids for longer than previously thought.

The WHO advised couples to use barrier contraception or abstain from sexual contact for at least eight weeks after returning from an area with ongoing Zika virus transmission. This is double its previous guideline of four weeks.

For men who have symptoms of the Zika virus, the WHO advises them to abstain from sex or use barrier contraception for six months over concerns that the virus could persist in semen. For women who have symptoms of the Zika virus, that recommended period is eight weeks.

Additionally, couples who want to conceive are advised to wait six months if they had any symptoms of the Zika virus. Symptoms can include fever, pink eyes or rash.

The WHO guidelines are now in line with the recommendations from the U.S. Centers for Disease Control and Prevention, which had already advised these same time tables to stop sexual transmission of the virus. The WHO said it is still investigating sexual transmission of the virus and it's not clear if people other than symptomatic men can transmit the virus during sexual contact.

"To date, all published cases of sexual transmission have been from symptomatic male, whose sexual activities may have occurred before, during or after Zika symptom onset, to their partner," the WHO said in its updated guidelines. "It remains unknown if women or asymptomatic men can transmit the virus through sexual activity."

The common symptoms of Zika infection include fever, rash, joint pain and conjunctivitis, according to the CDC. Approximately one in five people infected with the virus shows symptoms. Severe complications from Zika infection that require hospitalization are rare, and most people are over the worst of the symptoms after a week, according to the CDC.

The virus has been shown to cause of a rare birth defect called microcephaly, characterized by an abnormally small head and brain, leading to significant developmental issues.

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iStock/Thinkstock(NEW YORK) — Josi Denise was a popular “mommy blogger,” writing about her picture perfect life on “The American Mama,” but she made waves – and earned backlash online – when she quit the blog in a scathing final post in which she panned the entire mommy blogging culture.

“I was a mommy blogger and it consumed my life,” the 27-year-old mother of three told ABC News in an interview that aired Tuesday on Good Morning America.

Denise, of Evansville, Indiana, says she started out blogging to make extra money. She said she had up to 50,000 unique viewers per month and made up to $1,500 per blog post.

Denise revealed that she would stage every moment of her life for posting on the blog, including her children’s birthday parties and family vacations. She said blogging was squeezing the joy out of parenting and her marriage.

Her life wasn’t nearly as perfect as it appeared to be in the photos she posted on her blog, she said.

“I was posting photos that were happy because I needed that post," Denise said. "If it was a sponsored post especially, I needed the happy photos! If I had deadlines to meet for sponsored posts, and we weren't actually having a great time I still needed to get those photos."

That’s what happened when she was paid to post about a tea company, she said.

“There was one instance for a Father's Day post that was sponsored that we needed to tell a story about grilling out in the backyard and we needed to have the photos of the family grilling, and everyone having a good time ... You're not really having a good time in the moment with the people that you're spending your time with. It's just a photo shoot,” she said.

Feeling as though she was living a lie, she quit the blog with a final post titled “Dear Mommy Blogger,” in which she harshly criticized the world of paid posts.

“[Ninety percent] of the fake nonsense I used to share on the internet as a mommy blogger writing about my fake life and oh-so-happy marriage, they are pure bulls**t,” Denise wrote in the lengthy post in which she also said she didn't think anyone was reading the blogs, and that the bloggers were wasting their money to keep themselves in the industry and had confused goals.

She also questioned why other mommy bloggers put "an exclamation point at the end of every sentence," writing that she didn’t think they were as happy in their everyday lives as they made themselves out to be.

“Nobody buys it," she said. "And if they do, you're just making them feel bad about themselves.”

Denise said the backlash that she has experienced since she published her final blog on May 13 has been “mostly personal in the negative sense,” adding, “they said things ranging from ‘I feel sorry for your children,’ to ‘you’re a horrible person.’”

Ericka Souter, editor of Mom.me, told ABC News that Denise’s views about the insincerity of her own posts was “a problem with all of social media."

“Most of us only put our most perfect moments in the spotlight,” Souter said. “Of course, that is far from the full picture. Real life has just as many messy moments as it does fun ones.”

Denise says she’s happier now without the burden of the blog.

“I feel better about myself," Denise said. "I don't have the constant insecurity and need to post constant cheerful, positive messages online ... It's definitely a relief to be able to be authentic."

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ABC News(NEW YORK) — General Hospital actress Kirsten Storms is taking a break from the show because of stress and her skin.

The 32-year old tweeted Sunday: "My doctors say my breakouts are due to stress, but shouldn't take too long to get under control…. However, it was becoming too difficult for GH to cover up. And we all know in this biz appearance is important."

Storms said she is taking "the next few weeks to heal." She ended her tweet by saying fans will see her again "in no time."

General Hospital has not commented on Storms' leave from the daytime medical drama.

Board certified dermatologist Dr. Whitney Bowe stopped by Good Morning America Tuesday to pinpoint the most common skin problems associated with stress.

“Stress can exacerbate psoriasis, eczema, acne [and] hair loss," Bowe said. "Basically, when the brain senses stress, it triggers production of the stress hormone called cortisol and when cortisol levels in the blood rise, that can, in turn, trigger symptoms in the skin so it can lead to red patches because you’re actually dilating the blood vessels that are feeding the skin. It can lead to itchy skin, increased oil production, which can cause acne flares. The brain and the skin are very closely connected. It can set you up for this sort-of vicious cycle."

To deal with skin issues, Bowe said, simply seeking treatment can help in addition to the following tips:

  • 7 to 8 hours of sleep every night
  • Yoga
  • Meditation
  • Massage
  • Regular Exercise
  • Proper diet

“Diet plays a huge role," Bowe said. "So, probiotics, just looking for yogurt with live-active cultures, has been shown to boost immunity, help strengthen your immune system."

Bowe suggested incorporating foods with antioxidants into your meal plan like deeply-colored fruits and vegetables such as kiwi, strawberry and kale.

Avoid refined carbohydrates and saturated fats, which trigger inflammation in the skin, she said.

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iStock/Thinkstock(NEW YORK) — Stars like to share their cheat day indulgences on social media – from The Rock’s cinnamon buns and fudge peanut butter brownies to Khloe and Kourtney Kardashian’s choice of fried chicken – but do the days off from dieting help weight loss?

The science is still not definitive, but some experts say cheat days may help with weight loss by increasing the production of the hormone leptin, which decreases one’s appetite.

A day of eating what you want each week may also help the body burn more calories by increasing metabolism, according to some experts, and may have a psychological benefit.

“You can feel motivated to stick to your diet plan because you know that you're going to have a day where you get to eat a little bit of whatever you want,” nutritionist Maya Feller told ABC News.

But taking a cheat day to an extreme and eating thousands of calories would be a “disaster” for your waistline, Feller says.

Feller said she advises her clients to take a more moderate approach.

“When I counsel my patients, I actually don't talk about using cheat days,” she said. “I talk more about moderation, have one meal that is a little bit more decadent.”

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iStock/ThinkstockBy DR. JENNIFER ASHTON, ABC News Senior Medical Contributor

With about 20 percent of adults concerned about their weight trying juice cleanses, veggie and fruit-packed beverages have turned into an estimated $200 million a year industry. So what do you need to know about the risks and benefits?

Well, in my opinion, drinking good juice made from fruits or vegetables can be a good thing. The downside is that many of these juices contain a massive amount of sugar and while natural, it's still sugar at the end of the day.

The concept of needing a cleanse is really a medical and nutritional myth. Your body does a great job of cleansing and detoxifying itself with organ systems like your skin, your lungs, your kidneys and your GI tract.

However, if you're the type of person that feels your need a jump start with a new, nutritional eating pattern, in the short term, juices can't hurt you.

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iStock/Thinkstock(NEW YORK) -- Researchers have found that the chickenpox virus may actually be a seasonal disease, with more cases reported in the spring, according to a study published Monday in the Proceedings of the National Academy of Sciences.

To identify chickenpox rates, the researchers turned to an unconventional source: Google Trends. The search engine has actually successfully been used by researchers before to estimate and examine influenza rates. For this study, researchers wanted to see if chickenpox was a seasonal disease in the same way the common cold or the flu is.

They looked at Google search data from 36 countries over an 11-year period and then validated that data with information from published clinical cases. Researchers found that the virus appears to peak in the spring globally, though in countries where vaccines are used the association was much weaker.

The results of the study were somewhat limited since the only countries that were studied were in temperate regions where there was internet access and the population had enough education and literacy to search for information about the disease online.

However, Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center who was not involved in this study, said the findings may be especially useful in countries where the chickenpox vaccine is not common and where the rate of the disease is not tracked.

"Data can instruct a ministry of health, where they don’t have any idea about chickenpox [rates]," Schaffner told ABC News. He said it was also interesting to see how chickenpox searches were different in countries where vaccines were readily available.

"In countries where we immunize routinely, the seasonality is much more muted and the inquiries themselves aren’t about disease and symptoms and treatment [but] about vaccines," he said, noting that those people doing online searches may have heard about a chickenpox infection in their community and become concerned their child was exposed.

Kevin Bakker, lead author of the study and a graduate student in Ecology and Evolutionary Biology at the University of Michigan, explained that he wanted to use the Google data after seeing how google searches appeared to match known seasonal peaks for childhood infectious diseases.

"I think digital epidemiology, which is using Google trends or Twitter trends ... is a complement to clinical data," said Bakker, explaining the drawback of getting traditional reported clinical data is that it takes a long time until it reaches the U.S. Centers for Disease Control and Prevention.

"You take your child to the doctor and the doctor sends the case report to state health officials and the CDC compiles it all," Bakker said. "If I go to Google Trends you can see the top trends in data anywhere in the world."

He emphasized Google data is being used as a supplement to traditional clinical data, which he and his co-authors used to verify the Google data.

Dr. Amy Edwards, pediatric infectious disease specialist at University Hospitals Rainbow Babies & Children's Hospital, said more research is needed to verify the findings but that Google data may become extremely helpful in the future as medical officials plan where to allocate resources during an outbreak of a particular disease.

"It has the potential to be extremely interesting particularly in unreported and under-reported diseases," Edwards said, explaining that information about the start of a flu outbreak can help medical staff start to screen people earlier for the virus and take protective measures.

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WRIC-TV(RICHMOND, Va.) -- A Virginia man celebrated Sunday after crossing the finish line to a race he started 50 days earlier.

Bill Hughes participated in the Ukrop’s Monument Avenue 10K last month, but never made it to the finish line after going into cardiac arrest about halfway through the race, according to ABC affiliate WRIC-TV.

The 60-year-old runner was immediately given CPR first from his daughter and then from bystanders.

“I feel like he grabbed my arm and then he hit the floor, hit the ground, face planted,” Hughes' daughter, Bethany Gordon, told WRIC-TV of his cardiac arrest.

In spite of the severity of his condition, Hughes survived after being rushed to the hospital. But rather than just give up on the 10K, Hughes said he didn't want to give up on completing the race.

“When I start to do something I want to finish it and I just felt bad that I hadn’t finished,” Hughes told WRIC-TV.

This weekend, Hughes decided to finish the race while drawing attention to the importance of learning CPR. He took to the same 10K course along with his daughter and others who helped him during his cardiac arrest. This time, Hughes finished to cheers and was even given a finisher medal.

Members of the Richmond Ambulance Authority joined in the run to encourage everyone to learn CPR and become a potential life-saver.

Heart attack survivor crosses finish line 50 days later @8NEWS@8NEWS #BillsStory @hp_ems @tbouthillet https://t.co/TrcQXIvouP

— Richmond Ambulance (@RAAEMS) May 30, 2016

Hughes said he was motivated not just by his own story but by the death of his brother.

“I think back to five years ago when my brother died from a heart attack,” Hughes said. “If more people had of known how to do CPR back then, could he have been rescued?”

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iStock/Thinkstock(NEW YORK) -- Debbie Savage said she struggled to lose weight for 15 years, dating back to middle school, before she went to five different doctors to finally get the diagnosis that would change her life.

Savage, of Maryland, played sports in middle school but still continued to gain weight. She said she kept active as she aged and maintained a healthy diet but still could not shed the pounds.

“I would go to the doctor once a year and every year he would tell me, ‘Your weight has gone up,’” Savage said in an interview that aired Monday on Good Morning America. “And I would tell him, ‘I am trying,’ and he’d say, ‘Oh, you’re just not trying hard enough.’”

Savage said it took visits to five doctors before she finally got a diagnosis of polycystic ovary syndrome.

“I was so frustrated that years had gone by and this went unnoticed, but at the same time I felt so refreshed that I had an answer to what it was,” Savage said.

Polycystic ovary syndrome (PCOS) is an imbalance of a woman's sex hormones, according to the National Institutes of Health. Symptoms of PCOS are diverse but may include infertility, irregular or absent periods, excess facial hair, acne and obesity.

“The exact cause may not be known,” said Dr. Neil Horlick, the obstetrician-gynecologist who definitively diagnosed Savage.

He added: "Women certainly could go undiagnosed for many years ... we think that there is some genetic component."

Savage switched to a Paleo diet after her diagnosis and was prescribed medication to help with insulin resistance, a symptom of PCOS.

Savage said that after her diagnosis, she lost 50 pounds within six months.

“Our lives are so much fuller now because I have an answer and I'm so thankful for that,” she said.

Savage said the diagnosis also resolved her struggle with infertility.

“I was able to get pregnant [and] my husband and I now have twins, that was a surprise,” she said. “We wouldn't have these two precious boys if it weren't for that.”

Savage hopes sharing her story can help others who are going through a similar struggle to recognize the symptoms, in the event that they, too, could have PCOS but may not have received a diagnosis.

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iStock/ThinkstockBy DR. JENNIFER ASHTON, ABC News Senior Medical Contributor

Ever since Kylie Jenner came on the scene with noticeably fuller lips, enviers everywhere started looking for anything to get that trademark lip plump.

But some methods proved to not be the safest.

Jenner's supposed trick for temporarily puffing your lips involved sucking the air out of a glass until the vacuum effect swells your mouth. This became an unfortunate Internet trend in 2015, and videos have shown that this method can lead to serious injuries.

According to statistics from the American Society of Plastic Surgeons, 2015 was also the biggest year ever for lip augmentation procedures and buttock lifts.

Now, while I firmly defend our right to change our appearance if we wish, remember that trends come and go. Always go to a board-certified dermatologist or plastic surgeon if you're considering any cosmetic procedure, and remember that if something sounds too good to be true, it usually is.

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iStock/Thinkstock(NEPTUNE BEACH, Fla.) -- Some swimmers saw their worst fear come true during the holiday weekend at the beach.

A boy likely between 11 and 13 years old suffered "severe" lacerations when he was bitten by a shark in Neptune Beach, Florida, Sunday, officials said.

The boy was in water about waist-high -- roughly 2.5 feet -- when he was bitten in the lower right leg by a shark that was 5 to 6 feet long, Neptune Beach Police Sgt. Liam Toal said.

"Nothing appeared to be life-threatening," Toal said, but he said the boy suffered two or three "severe" lacerations, potentially all the way to the bone.

Witness Lou DeMark said when the boy was carried out of the water "he had a huge gash in his calf."

"It was pretty shocking," he said.

The boy was stable and taken to the hospital, Toal said.

Police said lifeguards pulled all beach-goers out of the water for about 30 to 45 minutes after the incident.

There was also news of a possible shark attack on Sunday in Newport Beach, California, where officials reported a woman suffered from "possible animal bite wounds."

"We don't know what kind of animal. We have sea lions. We have sharks obviously. We don't have any inclination of what type of animal at this point and time," lifeguard Rob Williams told ABC News.

In 2015, the U.S. saw a record 98 shark attacks, which included six deaths. Experts are predicting there will be another hike in shark attacks this summer as well.

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iStock/Thinkstock(SYDNEY) -- Jazmina Daniel is more than just a pretty face.

Sure, the whimsical, elaborate, ornate lip art designs she creates are astounding, but the reason she began using her face as a canvas is even more inspirational.

“In 2006 I was diagnosed with a brain tumor, which forced me to leave school,” Daniel, 24, of Sydney, Australia, wrote to ABC News. “I spent most of my days inside and focused on art for happiness. From canvases I began working on my own face, which then led to doing a few makeup courses during the time I was unwell and working then as a makeup artist.

“After that I became unwell again and had to have surgery to remove my tumor, and it was shortly after that I started to get creative with my lips instead of just glamour makeup,” she added. “Lip art brings me happiness. I find joy in it and it definitely is an amazing stress reliever.”

Daniel’s more complex lip art designs can take hours to complete, often needing to re-do them multiple times until she’s happy with the final product.

“It can be very frustrating at times and I do feel like just throwing the idea out but I persist and keep trying until I get it,” she explained. “I think any artist is the same way. They like to keep trying and get it close to perfect or until they are happy with it.”

The designs range in rainbows of colors, to glitter ombre to even focusing on a specific movie character or scene.

“I can’t even pick a favorite design. They are all special to me as they all represent something I love and I just hope that the joy and happiness that it brings me, brings the same to anyone else that sees them,” Daniel said.

You can follow all of Daniel's beautiful lip art on her YouTube acccount.

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iStock/Thinkstock(NEW YORK) --  What happens when a pregnant woman is arrested and sent to prison?

The vast majority of inmate moms are separated from their infants once they are born. But a few of the new mothers are able to keep their babies with them in prison nurseries, some until they are 18 months old.

The oldest prison nursery program is run at New York's Bedford Correctional Facility for Women, north of New York City. Seven other women's prisons have similar programs.

 In 2014, ABC News' Nightline spent nine months following Jacqueline McDougall and her son Max at Bedford Correctional Facility.

McDougall said she believed it was a help to her. "I think seeing his little face every day and know that I have to take care of him is going to be a big incentive for me. Definitely," McDougall told Nightline.

Dr. Janet Stockheim, a pediatrician who comes every two weeks to check up on the babies in the prison, including Max, said it can benefit a baby, too, to be raised behind bars.

"The babies aren't aware. They get excellent care," Stockheim said. "They are very well bonded to the mothers."

"Bonding gives a baby trust in the world that they will be taken care of," she added. "The babies do better here than they would on the outside, with some of these mothers."

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Franco Origlia/Getty Images(LONDON) -- Do you see the resemblance?

His name is Arlo-Blue, and he's the baby that the internet is calling Gordon Ramsay's miniature doppelganger.

After Claire Dempster tweeted a picture of her baby, jokingly claiming that the celebrity chef could be the father, the internet agreed.

"@GordonRamsay this is our baba - have you been in Wales for any reason around 10 months ago," the Cardiff, Wales mother wrote, complete with two laughing emojis.

@GordonRamsay this is our baba - have you been in Wales for any reason around 10 months ago ???????? pic.twitter.com/yLesQ6qEpe

— Claire Dempster (@Claire8ball) May 26, 2016

Ramsay, 49, responded on Twitter saying, "Yes about 11 months ago."

Since then, the chef -- known for his no-nonsense style in the kitchen -- has been chiming in on claims that he and baby Arlo-Blue look alike.

"I feel sorry for the baby !!!!" he said, before later adding: "Poor kid."

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