Members can discuss different topics which include dating, sexual health, tips and advice on managing their symptoms, and more general topics.
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This incarnation was created by Simon Cowell, and was originally due to be a 2005 British series called Paul O'Grady's Got Talent but was postponed due to O'Grady's acrimonious split with broadcaster ITV (later launching as Britain's Got Talent in 2007). The original judging panel consisted of David Hasselhoff, Brandy Norwood, and Piers Morgan.
Sharon Osbourne replaced Norwood in season two (2007), and Howie Mandel replaced Hasselhoff in season five (2010).
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The show debuted in June 2006 for the summer television season.
From season three (2008) onwards, the prize includes the one million dollars, payable in a financial annuity over 40 years, and a chance to headline a show on the Las Vegas Strip.