newmisc medicine

2009-12-30T03:20:00.000-08:00

Sexual Medicine

Description
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And there is strong and obvious help on men between 20 and 28 years old with several kinds of sexual disorder and losing sexual ability because of old age.
Main Comonents:Wild Aedes ginseng, cordyceps(being insect in winter and changing to grass in summer), spanish mackerel(large scale soft bone fish in deep sea)and vervus elaphus linnaeus.
[Characteristics]:dissolving;good absorption, no headache, no addict, not being disturbed by tea, wine or diet, with spirit, qi and power recovered fast after having sex effectively protect on sex organ.
B.Penis slowly softens after penis does not withdraw from cotus can be carried product can speed up the second time erection and activate secretion testis cell to make semen mature rapidly.
[Potency]: Impotency, no rerction, short time erection or difficult insertion. Using the drug for a long time, sexual function can be prolonged for more than 10 years, with alopecia decreased, blood circulation promoted, blood vessel softened and prostate diseases prevented.
[Notes]:A.Women and impuberism men can not take the drug.And it is prohibited on those with kidney incompetence and it can not be taken along with pressure reduction drugs at the same should not be taken by those with heart disease and hypertension.
B.Sexual stimulation is required after administration you do not have sexual partner and penis erects for a long time, attention can be dispersed, with much water drunk.
[Specification]:0.7gX10pieces packaged in bottle.
[Storge]:Protected from light in cool and dry place.

Types of Blood Pressure Medications

2009-12-30T03:10:00.000-08:00

Many medications known as antihypertensives are available by prescription to lower high blood pressure. There are a variety of classes of HBP medications, and they include a number of different drugs.

See an illustration of antihypertensives

* Some of the major types of commonly prescribed cardiovascular medications are summarized in this section. For your information and reference, we have included generic names as well as major trade names to help you identify what you may be taking; however, the AHA is not recommending or endorsing any specific products. If your prescription medication isn't on this list, remember that your healthcare provider and pharmacist are your best sources of information. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Never stop taking a medication and never change your dose or frequency without first consulting your doctor.

Diuretics
Beta-blockers
ACE inhibitors
Angiotensin II receptor blockers
Calcium channel blockers
Alpha blockers
Combined alpha and beta-blockers
Central agonists
Peripheral adrenergic inhibitors
Blood vessel dilators, or vasodilators
Sympathetic nerve inhibitors

2009-12-30T03:08:00.000-08:00

High Blood Pressure

Also called: HBP, HTN, Hypertension

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure.

Your blood pressure reading uses these two numbers, the systolic and diastolic pressures. Usually they are written one above or before the other. A reading of

120/80 or lower is normal blood pressure
140/90 or higher is high blood pressure
120 and 139 for the top number, or between 80 and 89 for the bottom number is prehypertension

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure. You can control high blood pressure through healthy lifestyle habits and taking medicines, if needed.

National Heart, Lung, and Blood Institute

Start Here
- High Blood Pressure(National Heart, Lung, and Blood Institute)
  Also available in Spanish
- High Blood Pressure: Things You Can Do to Help Lower Yours(American Academy of Family Physicians)
  Also available in Spanish
- Hypertension(Patient Education Institute)
  Also available in Spanish

High Blood Pressure Diet

2009-12-30T00:59:00.000-08:00

Hypertension is another name for high blood pressure.

It is a condition that occurs when the pressure inside of your arteries is too high. Because it is a silent disorder the only way to detect hypertension is to have your blood pressure measured.

Hypertension is a very common problem that affects about 50 million people in the United States alone.

That’s about 1 out of every 4 adults. It is more common as people grow older and is more common and more serious in African Americans.

What do the numbers mean?

Blood pressure measures the natural pressure created by blood pumping through your veins and arteries. Blood pressure is read as two numbers, one over the other. The top number, or systolic blood pressure, measures the blood pressure when the heart pumps. The bottom number, or diastolic blood pressure, measures the blood pressure between heartbeats when the heart rests.

Hypertension is blood pressure that is over 140/90

Optimal blood pressure is under 120/80

Risk factors you can control

9 out of every 10 people who have hypertension do not have a known cause for their condition. A family history of hypertension is a risk factor for developing the condition. With or without a family history, you have a chance of avoiding or controlling hypertension by:

• Keeping your weight under control
• Keeping physically fit
• Eating a healthy diet low in sodium and rich in nutrients potassium, magnesium and calcium
• Limiting alcohol intake (no more than 2 mixed drinks or two 12 oz. cans of beer or two 6 oz. glasses of wine daily)
• Never smoking or quitting immediately
• Avoiding medications that might increase your blood pressure:
o Decongestant nasal sprays and pain medications called non-steroidal anti-inflammatory drugs (NSAIDS)

Therapeutic foods

• Increase consumption of vitamin C-rich foods (citrus fruits, strawberries, red peppers, dark green leafy vegetables)
• Increase consumption of vitamin E-rich foods (almonds, hazelnuts, wheat germ, peanut butter)
• Increase consumption of magnesium-rich foods (soybeans, tomatoes, beans, nuts & seeds, squash, broccoli, dark green leafy vegetables, tofu, wheat germ, halibut, swiss chard)
• Increase consumption of potassium-rich foods (grapefruit, grapes, tomatoes, beans, apricots, asparagus, beets, broccoli, corn, cucumbers, dates, salt-water fish, lamb)
• Increase consumption of calcium-rich foods (yogurt, sardines, salmon (canned with bones), milk, cheese, dark green leafy vegetables, broccoli)
• Try cooking with less salt. Experiment with spices such as, parsley, basil, oregano, ginger, sesame, dill, cilantro, curry, pepper, and thyme to reduce the amount of salt used in cooking
• Cut back on sodium, including that in processed foods and in many drugs (check labels for soda, sodium, or salt). Avoid commercial sauces like soy or Worcestershire and commercial salad dressings (check labels for sodium content)
• When eating out, ask for your food cooked without added salt

Physical Activity

Start slowly and build up gradually. American College of Sports Medicine (ACSM) recommends 20 to 60 minutes of aerobic activity 3 to 5 days per week. Aerobic activity will strengthen your heart and reduce your risk of developing heart disease. It will also help to control your weight. Try brisk walking, jogging, biking, hiking, group exercise classes (water aerobics, kick-boxing, judo), running stairs, rowing, and team sports (football, soccer).

Hypertension can lead to other serious health problems:

Routinely monitoring your blood pressure is important. Hypertension has been called a “silent killer” because it has no specific symptoms and it can lead to death. People who have hypertension that is not treated with lifestyle modifications and medications (if necessary) are likely to experience one or several of the following conditions:
• Coronary artery disease, heart attack, heart failure, or abnormal heart beat.
• Kidney failure
• Peripheral vascular disease, hardening and narrowing of the arteries (atherosclerosis) that supply blood to the arms, legs, and other parts of the body
• Retinopathy, or damage to the tiny blood vessels that supply blood to the light-sensitive lining of the back of the eye
• Stroke

Sources:
American Heart Association. “Why Should I Care?” http://www.americanheart.org/hbp/care.jsp
National Heart, Lung and Blood Institute, Publication 03-5232, 2003.

©KitchenTableMedicine.com, LLC

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2009-12-30T00:35:00.000-08:00

High Blood Pressure: 21 Natural Remedies

What are the Best Natural Medicines for High Blood Pressure?

By Dr. Nicole Sundene

High blood pressure or “hypertension” is a tough nut to crack with natural medicines. But, since I am just your “blog doctor” and not your real doctor, I can step out on a limb and tell you why you REALLY have high blood pressure.

Of course, there are many etiologies to this common disease; however, most cases are because we have gotten fat, old, and out of shape. Yes, there are exceptions to the rule, so don’t be hitting the contact form to send me hate mail.

This is just tough love people!

Regardless, I just announced the pink elephant in the room. So as stated in my tricky little diatribe on “Chocolate Chips Better than Viagra?” we want an “elastic” cardiovascular system and not a non-compliant one. And when I say non-compliant, I am not talking about a badly behaving cardiovascular system. I am talking about elasticity of your arteries.

Alternative treatments are not as efficacious as they could be when it comes to hypertension, and diet and exercise are the key to keeping blood pressure low. The fact that you are no longer young and fit is the real problem, and we all inevitably develop hardening of the arteries known as “atherosclerosis”, which is the leading cause of high blood pressure.

While you are working to adopt a healthier lifestyle I would recommend a basic regime of aWhole Foods Diet, magnesium, coQ10, vit C, Potassium, and fish oil (do NOT take if you are on anti-coagulants), as these nutrients combine well with most medications (always remember to

check with your naturopathic doctor or family doc before implementing ANYTHING new.)

Monitor your blood pressure three times a day while making new changes to ensure you are not over-medicating with natural remedies.

The best natural medicines for high blood presssure:

1. Magnesium: 300-500mg daily (may need

to divide doses to avoid diarrhea) Magnesium is a muscle relaxant and the arteries are all surrounded with smooth muscle.
When the smooth muscle surrounding your arteries relaxes, it causes your arteries to dilate which results in a drop of blood pressure. Most people are deficient in magnesium anyway, as the richest sources are found in green veggies. I would guess about 90% of American’s are magnesium deficient.
2. CoQ10: 100 mg daily (You should be on this anyway if you have high cholesterol as statins deplete this nutrient, and the common sign is muscle weakness or pain, or in the severe form rhabdomyolyosis).
CoQ10 is depleted by statins (lipitor, lovastatin, etc) inhibition of HMGCoA reductase in the cholesterol pathway, so it is best to replete this potent antioxidant, and you may feel
more energetic on your lipitor. I am just waiting for a pharmaceutical company to smartly come out with a statin that includes CoQ10. This nutrient is expensive, but it is worth the bang for the buck if you can afford it.
If you can’t afford it, remember that exercise is free and it is one of the better treatments anyway. If you have high BP check with your doc before starting a new exercise program as they may want to do an EKG or exercise stress test. Otherwise, be sure to purchase a high quality brand of CoQ10 in an emulsion (liquid capsule not tablet) form as this nutrient is fat soluble.

3. Garlic: Liberally in the diet (cooking does reduce the allicin content, s

o raw is best but I understand if you still need to keep a few friends around…it just means you have to eat m

ore cooked or roasted garlic to attain the same therapeutic effect.)

Or just take garlic as directed if you are going with a supplement form. (Kyolic brand has been widely studied and shown to be efficacious according to the studies.)

Because various studies have shown garlic to be effective as an anti-hypertensive agent, I would start slow and monitor blood pressure. Garlic also lowers blood sugar, so if you are diabetic you should check your sugars more often while implementing this natural therapeutic for hypertenstion.

4. Potassium: at 24 mmol (ask your doc for a prescription, but chances are you are already on this as most anti-hypertensives are potassium depleting) If you want to get this from dietary sources, then just eat green leafies and fruits like bananas. Check with your doctor before using this as a therapeutic agent if you have kidney disease or if you are already on a potassium sparing diuretic medication (used for high BP.)

5. Vitamin C: 1000 mg twice daily. Emergen-C packets are the simplest way to achieve this along with vitamin C rich foods.

One of the cheapest and most well studied anti-oxidants by Linus Pauling: the theory with vitamin C and blood pressure is that high blood pressure typically results from a few causes.

Hyptertension is caused either by problems in the kidneys, or “atherosclerosis” or hardening of the arteries. We want arteries to be compliant as I noted in my tirade, “Chocolate Better than Viagra?”Vitamin C is a very cheap antioxidant that

helps prevent the LDL from “oxidizing” and forming the hardened plaques in our arteries that cause them to lose their elasticicty. Think of vitamin C as the nutrient that keeps your pipes from rusting. Just about everyone should be on vitamin C anyways.
6. Calcium: 800 mg daily. Most Americans do not achieve this in the diet. Research has shown that calcium will slightly help to lower blood pressure…and we’ll take every little bit we can. Natural medicines work well in incremental steps and synergistically.
The goal with most of these supplements is to create an additive effect. Most people are deficient in this essential nutrient anyway, as 800mg is required for the average adult. Take your calcium and magnesium 1-2 hours before bed to ensure a good night’s sleep as they are also great muscle and nervous system relaxants.
7. Fish Oil: 1 tablespoon of cod liver oil or salmon oil daily. Omega 3 fatty acids, as noted in my article “Fish vs Flax” if you have hypertension, I frankly wouldn’t waste my time with flax oil.
Trust me, I love flaxseeds, and I put everyone on them, but if you are really trying to get a therapeutic effect you need something that is further along the anti-inflammatory pathway. If you haven’t seen the biochemistry of what I’m talking about then quit arguing with me about this.
Many nutrient cofactors and coenzymes that most Americans are also deficient in are needed to convert flax to what fish oil is. Also those of Northern European descent such as Scandinavians likely are deficient in the enzyme needed to convert flax seeds, as their traditional diet is based on cold water fish rich in Omega 3’s.
8. Rauwulfia: Don’t use this herbal medication without consulting your naturopathic physician. This is “big medicine” in my opinion, and should not be used without being adequately monitored. However, a randomized study showed less depression when compared to reserpine. Ask your naturopathic physician about this medicine.
9. Stevia: The herb known for it’s sweetness has also been shown to reduce blood pressure at 500 mg three times daily. If you have high blood pressure, you have my permission to try out some of the new stevia containing foods and beverages such as Zevia soda. I prefer the “Wisdom of the Ancients” in the green packets as my fav Stevia. Keep some packets on you and try it in your coffee or tea instead of your typical sweetener. Just don’t use too much as it is REALLY sweet!
10. L-Arginine: 2 grams three times daily. The amino acid that is famous in those late night infomercials for “Extenze” L-arginine works to enhance blood flow by being the precursor to nitric oxide production. Nitric oxide dilates our blood vessels and when we go back to the hose analogy we decrease the flow when we take our thumb off the hose. That is what L-arganine and similar nutrients do for hyptertension.
11. The Dash Diet: Involves extreme sodium reduction to <2000mg>
12. Tai Chi: This gentle exercise is perfect for everyone trying to lose weight or reduce arthritis, stress, or just increase agility, balance and peace of mind. Tai Chi is totally fab! Find a few favorite Tai Chi moves from classes at your gym or favorite video and try to incorporate at least five to twenty minutes of these gentle stretches in to your day. Do you know when I do them? When someone says “Can you hold please?” I then put them on speaker phone and say “sure no prob.” Sometimes I can get a whole fifteen minutes in.

13. Weight Loss: Nag, nag, nag…lose weight. Yah, yah, yah….You’ve heard

it. If you are over-weight you know it so I would recommend following my simpleweight loss plan, and if you can’t do t

hat then please consider investing in some long term help such as Author Mary O’malley’s enlightening work, “The Gift of Our Compulsions” to address the route underlying cause of your disordered eating

issues.

Of course our metabolism gloriously slows down about 1% each year, which accounts for the 10 pound weight gain each decade.

It may be just a discipline thing. Each year we have to learn to eat 1% less, otherwise each decade we will gain at least ten pounds. How is that for a birthday present?

14. Decrease/Eliminate Caffe

ine: Caffeine is just like throwing gasoline on the hypertensive fire.

Now the reason why people get those “caffeine headaches” is because they are used to caffeine restricting all their blood vessels…but once the body metabolizes all the caffeine we get the painful rebound headache effect called “vasodilation” which means that our arteries dilate and cause a throbbing headache.

So why do we care about caffeine headaches? Because when we constrict blood vessels we increase blood pressure.

Remember again sticking your finger over the hose when you were a child and making the water shoot further? Well that is not necessarily a good thing in the body. A cup or two of coffee a day typically isn’t the problem, it is caffeine in excess.

If you have severe hypertension you may want to consider switching to decaf green tea, or herbal tea. Otherwise, you can likely enjoy certain caffeinated beverages socially, or moderately as long as your hypertension is within optimal range through the use of other natural modalities or prescription medicines.

15. Quit sugar. Sugar is the culprit for many diseases, and although not typically associated with hypertension may be the root cause. Try eliminating sugar or cutting back for a few weeks and track your daily numbers.

I have heard many anecdotal reports from Naturopaths about patients reducing salt and not seeing any results, so they tried reducing sugar (which we all need to do anyways!) and SHAZAM…the blood pressure goes down.

Refined sugar throws the body out of balance because it simply is just not natural. Everyone in industrialized countries should read Dr. Scott Olson’s brilliant book “Sugarettes,” to fully understand how refined sugar is destroying your body from the inside out.

16. Consider food allergies. A recent study has linked food allergies to hypertension. Food allergies can cause a myriad of problems and a food allergy elimination diet is a great thing for everyone to try at some point. I was ~~forced to do it~~ enthusiastic as a student to try this challenge as mandated by my teacher, and surprised at the results.

Basically it entails you have to eat completely differently for about a month and then you test the foods you most commonly eat to determine if they are causing a symptom within a three day window.

What is the first thing your doctor does if they think you are having an allergic reaction? They check your pulse and BP. Low grade allergies may go unnoticed, and high blood pressure or a rapid pulse may be the only clue.

17. Not enough good oil, too much bad oil. As discussed in my article “Olive Oil Reduces DNA Damage” we want to increase our good fats such as olive, fish, and flax, and decrease fried and fatty foods.

Think of saturated fat as little cement bricks building up in your arteries and making them hard and narrow. The good fats as recommended in “The Mediterranean Diet” are what will keep your cardiovascular system running like a race car. Most men worry about changing the oil in their cars more than they do than changing the oils in their body. But, just remember impotence is better prevented.

18. Coleus forskhohlii: Ask your naturopath about this herb. I don’t recommend self treatment with herbs for high blood pressure. But the studies show it to be efficacious, and it is certainly worth trying.

19. Manage Stress. Blah blah blah stress. I can see you all rolling your eyes as you read this, but really stress is often the root cause of hypertension. Having worked eight years as a medical assistant I have seen enough cases of “White Coat Hypertension” to know that stress causes high blood pressure.

The doctor’s office may not be that thing that gets your blood pressure raging, but if you have high blood pressure you likely need to cut back on activities, work, and practice some breathing exercises shown to reduce BP such as “Square Breathing” or “Five Minutes to Zen.” Consider taking up a relaxing hobby, musical instrument, or new craft.

20. Eat celery and parsley. Who knew that garnish on your plate is an actual diuretic? Celery has been used anecdotally with many pati

ents. If you are trying to lose weight, increase fiber, or just be healthy….celery should be a daily snack anyway.

21. Exercise *shudder* I know. I know. You probably have high blood pressure because you don’t exercise. I put this last because it is the most important and I would like to go off on a little bit of a rampage on why none of the aforementioned natural substances or pharmaceutical medications will work in the way that diet and exercise will.

Why is that? Well hyptertension is a sign that you are in poor physical condition, that is if you have the typical form of high blood pressure caused by being overweight, overage, and over the whole exercise thing. There are other forms, but the average American has high blood pressure because they are out of shape.

It is time to start eating better, exercising daily, as well as add in a few supplements to help maintain a healthy “flexible” cardiovascular system. You cardiovascular system cannot be “conditioned” without exercise for twenty minutes daily in the cardio zone which is 70-80% of your max heart rate (220-your age mine is 33) x .7= 130. Shoot for daily and then if you hit five days a week or even three days a week it will make your blog doctor happy.

So in order for me to make any progress with preventing cardiovascular disease I need to be working out as mentioned in my article on “Exercise.”

Keep in mind that herbs such as dandelion that have been shown to be efficacious against anti-hypertensive medications such as furosmeide require HIGH doses in order to be effective. In order to lower pressure using dandelion, you have to literally take tablespoons of the tincture daily…and that is LEAF not root. The root serves to detox the liver and the leaf is used for blood pressure.

Be sure you are always using the correct form of the plant. Many research studies done to show herbal medicines as ineffective have been done on the wrong form of the plant, whether intentional or not. Always read the label and make sure you are purchasing the correct form of the herb you are using.

Exercise, Whole Foods Diet, fish oil, vitamin C, CoQ 10,magnesium, and potassium are the most benign substances on this list if you are concerned about combining them with anti-hypertensive drugs. That combined with diet and exercise should help you gain better control of your numbers.

You may at some point want to discuss lowering your blood pressure medicine if not phasing off it, as the goal is to be on as few meds as possible, and many patients do not like the typical side effects of high blood pressure medicine such as fatigue, dizziness, and so forth.

Once stable on natural meds, your blood pressure should still be monitored daily to ensure there is not an additive effect and you end up with too low blood pressure aka “hypotension” and that the BP is optimally under 120/80 if not 120/70.

If you tend towards hypertension remember that anytime you are not feeling well the first thing you should grab is your home blood pressure cuff (best brand is Omron according to my pharmacist,) unless you need to call 911 because you are having chest pain or any other cardiac symptoms such as pain in the neck, arms, flu like symptoms, sweating, and so forth. As my very wise cardiology teacher Dr. Pournadeli states, “anytime their is pain above the belly button assume MI (Myocardial Infarction=Heart Attack) until ruled out.”

Stroke, heart attack, impotence, kidney failure, and eye disease are all part of the ugly sequalae to uncontrolled high blood pressure. Prevention is key with hypertension. Try one new thing at a time and give it a few days to make sure it is not causing adverse side effects.

Thanks for stopping by my kitchen table,

~Dr. Nicole Sundene

©http://KitchenTableMedicine.com

21 FREE Preventive Tips

References:
1. The beneficial effect of regular endurance exercise training on blood pressure and quality of life in patients with hypertension. Clin Exp Hypertens. 2004 Apr;26(3):255-65.
2. The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. J Altern Complement Med. 2003 Oct;9(5):747-54.
3. Results of the Diet, Exercise, and Weight Loss Intervention Trial (DEW-IT).
Hypertension. 2002 Nov;40(5):612-8.
4. Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann Intern Med. 2001 Jan 2;134(1):1-11.
5. Blood pressure response to caffeine shows incomplete tolerance after short-term regular consumption. Hypertension. 2004 Apr;43(4):760-5. Epub 2004 Feb 16.
6. Effects of coffee on ambulatory blood pressure in older men and women: A randomized controlled trial. Hypertension. 1999 Mar;33(3):869-73.
7. Food allergies and migraine. Lancet. 1979 May 5;1(8123):966-9.
8. A randomised controlled trial of stress reduction for hypertension in older African Americans. Hypertension. 1995 Nov;26(5):820-7.
9. Randomized, double-blind, placebo-controlled trial of coenzyme Q10 in isolated systolic hypertension. South Med J. 2001 Nov;94(11):1112-7.
10. The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers. Br J Nutr. 2003 Jul;90(1):53-60.
11. Effect of potassium supplementation on blood pressure in Chinese: a randomized, placebo-controlled trial. J Hypertens. 2001 Jul;19(7):1325-31.
12. Effects of magnesium supplementation in hypertensive patients: assessment by office, home, and ambulatory blood pressures. Hypertension. 1998 Aug;32(2):260-5.
13. supplementation in patients with essential hypertension: assessment by office, home and ambulatory blood pressure. J Hypertens. 1998 Nov;16(11):1693-9.
14. Effect of vitamin C on ambulatory blood pressure and plasma lipids in older persons. J Hypertens. 2000 Apr;18(4):411-5.
15. A randomized controlled trial of high dose ascorbic acid for reduction of blood pressure, cortisol, and subjective responses to psychological stress. Psychopharmacology (Berl). 2002 Jan;159(3):319-24.
16. Short report: the effect of fish oil on blood pressure and high-density lipoprotein-cholesterol levels in phase I of the Trials of Hypertension Prevention. J Hypertens. 1994 Feb;12(2):209-13.
17. Blood pressure lowering in elderly subjects: a double-blind crossover study of omega-3 and omega-6 fatty acids. Am J Clin Nutr. 1991 Feb;53(2):562-72.
18. Does fish oil lower blood pressure? A meta-analysis of controlled trials. Circulation. 1993 Aug;88(2):523-33
19. Hypotensive effect of long-acting garlic tablets allicor (a double-blind placebo-controlled trial)] Ter Arkh. 2002;74(3):76-8.
20. A randomised crossover comparison of reserpine and sustained-release nifedipine in hypertension. Cent Afr J Med. 1997 Dec;43(12):344-9.
21. Effect of oral L-arginine on oxidant stress, endothelial dysfunction, and systemic arterial pressure in young cardiac transplant recipients. Am J Cardiol. 2004 Sep 15;94(6):828-31
22. Effect of oral L-arginine on blood pressure and symptoms and endothelial function in patients with systemic hypertension, positive exercise tests, and normal coronary arteries. Am J Cardiol. 2004 Apr 1;93(7):933-5
23. Oral arginine reduces systemic blood pressure in type 2 diabetes: its potential role in nitric oxide generation. J Am Coll Nutr. 2002 Oct;21(5):422-7

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2009-12-29T00:10:00.000-08:00

Medicine for sex long duration?

In: Men's Health, Medication and Drugs [Edit categories]

My own personal male experience, for what it is worth : The "medicine" you seek is in your head. You must have a true lust for your partner,(love would be better but sometimes all you have is lust), and a healthy body as with any rigorous activity health plays a major roll. Beyond that it is all about action and re-action, paying attention to your partners needs and relax and enjoy the moments of true bliss. To me it is natures "freebee " to enjoy being a human and driving your own vehicle (so to speak). Sometimes your fun ends to soon but if you have a partner who lusts for you also, they will wait for round two, three, etc. time and encouragement always keep a good thing happening, no doubt. I hope this is helpful to folks who are not "in the know". Oh, by the way, yes, you could last from minutes to a few hours but really the whole act of sex is all about quality of enjoyment of the people involved. I love my life..............................I'm a 44 year old man with a smile on my face, as my life continues............................No problems.

2009-12-28T23:58:00.000-08:00

CHILD BIRTH

Childbirth is a momentous occasion in the Muslim home. Allah Ta’ala has ordained woman as the repository of life. She is the sacred receptacle for a sacred Amaanat (Trust) which Allah Ta’ala sends to earth via her medium. She undergoes much travail in the course of bearing and delivering this Amaanat – her child. Thus the Qur’an Majeed says:
“His mother bore him with much difficulty and delivered him with much difficulty.”
Her reward for serving as the Bearer of the Trust is tremendous. Pregnancy increases her stock of thawaab and on giving birth to the child she emerges totally purified of sin. Her domestic duties and her service to her husband secure for her the thawaab of Jihaad. From this could be gauged the tremendous thawaab a woman receives for childbirth. To acquire the thawaab of childbirth, it is imperative that the woman abstains from transgression on this occasion.
In this modern era of loose morals most women displease Allah Ta’ala by shamelessly violating Islam’s Hijab (Purdah) rules on the occasion of childbirth. The age-old, respectable and Islamic system of childbirth taking place in the privacy of the home has been largely abandoned. Most women in the western countries opt for giving birth to their children in hospitals where they are attended to by male physicians. They are required to undergo un-Islamic, shameless and haraam medical tests and check-ups. They have to shamelessly expose themselves to male doctors. In this evil process they invoke the Wrath of Allah Ta’ala.
Western indoctrination has blinded the intelligence of many Muslims. It is believed that giving birth in hospitals and supervision by male physicians are necessary. But this is a shaitaani myth peddled by the kuffaar medical establishment. Countless millions of women in ‘Third World’ countries and many deeni conscious Muslims in western countries as well as numerous non-Muslim women who still have natural modesty in them give birth at home attended by female midwives.
Giving birth in hospitals and attended by male physicians are among the most shameless and immoral misdeeds which violently militate against the Islamic code of modesty and Hijaab. Muslim women must revolt against this vile practice. Their childbirth is shorn o blessings (barkat) by their submission to the immoral and haraam practices of the kuffaar medical establishment.
Muslims should rid themselves of the plague of western kuffaar notions and theories spawned by minds smitten with kufr and haraam. A natural propensity of kufr is inclination towards haraam impurity and immodesty.
We, therefore, find that despite there being millions of lawful and pre things in Allah’s creation, the kuffaar medical establishment loves to explore and experiment with haraam and najaasat. Of course, there are no restrictions of modesty or immodesty in minds which do not accept the Divine Code.
It is not permissible for Muslim women to adopt this nude and vulgar system of childbirth, the supposed virtues of which are propagated and extolled by western medical science. While there are always exceptions under grave circumstances which must be confirmed by a pious, Deeni conscious Muslim physician, Muslim women should understand well that it is haraam to give birth in hospitals under the present immodest, immoral and haraam conditions which require total exposure of the female and attendance by male physicians.
The virtues and merits of childbirth are obtainable at home, in Islamic, respectable and modest conditions. At home, there will be greater barkat (blessings) in the childbirth, in the offspring and generally in the home. A woman, returning from hospital, returns after having submitted to a shameless, immodest and haraam system of childbirth. She does not come home with Islamic honor nor is she blessed with the aura of noor which diffuses the person of a woman who measures up to the designation – ‘al-mar’atus salihah’.
The pious woman will take courage and feel honored by the following statements of Rasulullah sallallahu alaihi wa sallam:
1. A woman who dies during childbirth obtains the rank of a Shaheed (martyr).
2. A woman who exercises Sabr when her child dies, will enter Jannat immediately.
3. Even the partly-formed child in a miscarriage will take its mother to Jannat. (Miscarriage too, is a blessing for a Muslim woman. Difficulties and calamities should not, therefore, lead to impatience, frustration and ingratitude.)
Another evil and immodest practice which has reared its ugly head even among Muslims is the western custom of the husband viewing his wife giving birth. The western medical establishment, being a forerunner in immodesty and haraam, is advocating the virtues of this un-Islamic practice. But Islam does not accept such shamelessness. It is not permissible for Muslim husbands to degrade themselves by submitting to the immoral and lewd practices of the west.
NOW LOOK AT THIS FROM THE BOOK
Subluxation at Birth: The Effect on the Fate of Humanity By: Eric J. McKillican, DC , LCP, FICPA
Current acceptable birthing positions, which have a rich history, are widely used by the majority of birthing mothers today. If even briefly investigated, the positions commonly utilized in the birthing process are suspect in terms of effectiveness and safety for mother and child. Dr. Mendelsohn states:
Considering the radical nature of the change from the birthing stool to the supine position, you would assume that it evolved from cautious scientific research. Incredibly, it didn’t. The practice of laying birthing mothers flat on their backs was initiated to satisfy a kinky erotic aberration of France’s Louis XIV.
King Louis, it seems, got his kicks by peering from behind a curtain while his mistresses, of whom there were many, gave birth. He was frustrated because his vision was obstructed when the women were seated on birthing stools. In an inspired moment he used his royal clout to persuade a male midwife to improve his view. A woman was placed on a high, flat table, with her knees up, and King Louis was immensely pleased with the results. [Mendelsohn, 1982, 152-153]

2009-12-28T23:45:00.000-08:00

Mid-Term Evaluation of the USAID/Pakistan Maternal, Newborn and Child Health Program

Author

Pinar Senlet

Susan Rae Ross

Jennifer Peters

Global Health Technical Assistance Project

Publication Date

September 1, 2008

Summary

The purpose of this evaluation is to provide the United States Agency for International Development's Mission to Pakistan (USAID/Pakistan) with an independent mid-term evaluation of its maternal, newborn, and child health (MNCH) programmes. These programmes, which are managed by the Office of Health, are implemented through two projects: PAIMAN is a maternal and newborn project led by John Snow Inc. (JSI); Save the Children (SC) implements the Improved Child Health Project (ICHP) in the Federally Administered Tribal Areas (FATA). This 74-page document evaluates both of the projects; summaries of each section of the report follow.

Conducted from June-July 2008 by a team of 3 consultants through the Global Health Technical Assistance Project, the evaluation assessed whether the project is achieving intended results, reviewed its organisational structures and technical approaches, and formulated recommendations for future directions. During field visits to selected project sites, the team interviewed a broad range of stakeholders, including health managers, service providers, trainees, and community members.

I. The goal of the Pakistan Initiative for Mothers and Newborns (PAIMAN) project is to improve maternal and neonatal health in selected districts in Pakistan. Its framework outlines 5 strategic objectives: to increase awareness of and access to maternal and newborn health services, to improve the quality of services, and to increase the capacity of health care managers and providers. Evaluators found that the strategy and approaches of PAIMAN are appropriate and sound. Implementation has been challenging due to the high number of activities, multiple consortium partners, and the geographic spread and diversity of project districts.

Key Findings:

The project has a clear and evidence-based communication strategy that reaches out to 9 groups, with multiple messages for each group. "Of the numerous interventions underway, advocacy and mass media interventions seem strong. However, most interventions have not been implemented at a frequency or scale that would reach the majority of the target populations. For example, theater shows, a potentially effective means of outreach, have reached only a small percentage of the total population. Similarly, all events, local and larger-scale, have reached only about two percent of the population. This is not sufficient to effect population-level change."
PAIMAN has successfully created support groups and trained lady health workers (LHWs) to be behaviour change agents. The creation of support groups is likely to be taken to scale in coming years. This appears to be a sustainable and high-impact intervention.
PAIMAN recently created 3 mass media interventions: a music video about male responsibility, a TV drama tackling issues of family planning and breastfeeding, and television advertisements addressing maternal and newborn issues. "If these interventions prove successful, they seem likely to have impact."
Through its non-governmental organisation (NGO) subgrantees, PAIMAN has helped establish 9 birthing centres, which have been successful in meeting community needs. In one, PAIMAN successfully assisted the community to receive civil community board (CCB) funding to sustain it.
PAIMAN has been successful in supporting the development of pre-service training for community midwives (CMWs). There were no consistent responses about how the CMWs will be established and supervised in the community. PAIMAN has had discussions about accessing microfinance schemes to support the birthing rooms, but plans are not finalised. PAIMAN is also preparing to test different supervision models once CMWs are in the field, but these plans need to be finalised and better communicated to all levels.
PAIMAN has increased the number of Ministry of Health (MOH) facilities that can provide basic maternal and newborn care (MNC). Overall, the number of births in upgraded facilities has increased, though it varies greatly by district and facility.
PAIMAN upgraded 13 rural health centres (RHCs) to provide basic emergency maternal and newborn care (BEmONC) and 18 district headquarters hospitals and tehsil headquarters hospitals (DHQ/THQs) to provide comprehensive emergency maternal and newborn care (CEmONC). While some facilities are still waiting for instruments and staff, most are now equipped and staffed. Since most have only recently become functional, it is too early to expect major changes or assess the quality of services.
PAIMAN trained many providers who had never had any refresher training, "which is a major accomplishment". The strategy of working through the provincial and district Health Development Centers has been important for developing a sustainable system.
The project trained 1,600 providers in essential maternal and newborn care (EMNC). A major weakness of the training is that it does not include a clinical practicum or use of the partograph. Initially, the curriculum included both, but PAIMAN removed these two subjects so that male providers and paediatricians who do not conduct deliveries did not have to learn them.
The team found that there is confusion about the difference between minor pregnancy and newborn ailments, such as urinary tract infections, aenemia, and vomiting, and major complications that lead to maternal and newborn deaths.
The behaviour change communication (BCC) messages and training curriculum are not specific enough to make these distinctions.
While the referral system is evolving as providers and health facilities become functional, the team did not find a clear referral system that can be communicated to women to ensure that they have access to facilities that meet their needs.
PAIMAN helped establish and reinforce district health management teams (DHMTs), provided management training to a broad range of health managers, and worked to improve the quality and utilisation of health information systems.
As of June 2008 the project had achieved 5 of the 6 indicator targets set for 2007. Between 2005 and 2008, in 10 project districts:
- Births assisted by traditional birth attendants (TBAs) increased from 36% to 38%. Women who received 3 or more antenatal visits during pregnancy increased from 27% to 35%.
- Pregnant women who received at least 2 doses of tetanus toxoid (TT) during the most recent pregnancy increased from 40% to 43%.
- Women who had a postpartum visit within 24 hours of giving birth increased from 34% to 39%.
- Facilities upgraded and meeting safe birth and newborn care quality standards increased from 0 to 26.
- On average, district health budgets increased by 52%.

"These results are impressive. However, there are vast differences in performance between districts, requiring district-level analysis for future directions. Project targets set for 2009 are significantly higher than the 2007 targets. At the current implementation rate, it is unlikely that the project will achieve its final targets for most of the indicators. It should be understood that it is too early to expect population-level impact in terms of significant behavior change and increased service utilization."

A series of conclusions, short-term recommendations for the PAIMAN project, and long-term recommendations for USAID follows. On the whole, evaluators feel that "PAIMAN has been successful in putting key building blocks in place through training, communication and outreach, and facility renovations to enhance maternal and newborn care. The foundation is in place for increased utilization of services....Due to the political climate, with additional funding the project might be urged to expand into other districts..." The evaluation team suggests phased graduation of PAIMAN-supported districts over the next 5 years.

Evaluators extend a series of recommendations to be integrated into any follow-up project; to cite only one: Behaviour change messages need to be refined before any expansion, in part by working with the national MNH and LHW programmes to simplify and consolidate the number of BCC messages and intended audiences. It should also clarify messages on major maternal and neonatal danger signs and the definition of skilled birth attendant (SBA). The evaluation team suggests that PAIMAN consider segmenting messages by theme (e.g., antenatal care) and conduct intensive campaigns for 3 months on one subject, so that the same messages are reaching intended audiences via numerous channels, such as interpersonal outreach, theatre, and television. "LHWs and CHWs reach the largest numbers of beneficiaries and their work should continue. PAIMAN should conduct a mini-evaluation of the other BCC activities (events and theater) to determine the two or three most effective strategies. These interventions should be scaled up and the rest dropped. Where possible, events should only be conducted if they provide service in inaccessible areas."

II. The strategic objective of the ICHP is to increase use of key child health services and behaviours in Federally Administered Tribal Areas (FATA), a belt of 7 semi-autonomous tribal agencies with a total population of 3.6 million people stretching north to south along the border between Pakistan and Afghanistan. ICHP aims to increase access to and availability of quality child health services and to increase knowledge and acceptance of child health services and behaviours at the community level.

Key Findings:

Effective relationships have been established with FATA officials, health care providers, and community leaders, which has greatly facilitated implementation in the 6 months prior to the evaluation.
A major obstacle to project implementation has been shortages of Ministry of Health (MOH) health staff, especially female staff, worsened by staff absenteeism due to the fluid security situation.
To support programme implementation and facilitate reinforcement of health system management, ICHP helped to form an agency health management team (AHMT) for each agency in FATA.
To increase access to child health services, ICHP has started major and minor renovations of health facilities, upgraded medical stores, and facilitated Child Health Days (CHDs). CHDs aim to ensure that health care providers, medicines, and vaccines are available on the same day to increase community access to needed services. The CHD approach seems to be successful, although inadequate supplies of essential medicines continue to be a major issue. The project has asked USAID to provide a waiver so it can purchase medicines.
To improve the knowledge and skills of health care providers, the project conducts trainings in essential newborn care (ENC) and in integrated management of newborn and childhood illnesses (IMNCI). It is too early to assess the results of these trainings.
The project formulated a community mobilisation strategy to identify areas for intervention and to help bridge the gap between service providers and communities. Key activities include: increasing community awareness through lady health workers (LHWs) and community health workers (CHW) managed through subgrants with local NGOs; community sensitisation events, such as formation of local committees; and advocacy at agency, tehsil, village, and facility levels.

"The evaluation team concludes that the project can make a substantial contribution to increasing access to and the availability of quality child health services and increasing knowledge, awareness, and healthy behaviors related to child health issues, if the security situation allows them to implement the interventions."

The evaluators argue that, since project momentum is just building, the project should be extended for two years, through 2011, so it can achieve the targets initially set. Since FATA is culturally, politically, and structurally different from the rest of Pakistan, USAID should design an integrated maternal, neonatal, and child health (MNCH) project with a water and sanitation component specifically for FATA. Depending on the funding available, the project could be expanded to cover other areas of primary health care. USAID needs to continue to advocate with FATA officials to enhance resources for MNCH. USAID and the project also need to engage traditional tribal leaders (Jirga elders) in areas where the project is working in order to obtain greater support and buy-in from community leaders. It would be useful to provide pre-service training for women from FATA to become lady health visitors (LHVs) to increase the number of female health care providers who reside and work in these areas.

Click here to access the 74-page report in PDF format.

Click here to access a 124-page document of Annexes.

Contact

The Global Health Technical Assistance Project

1250 Eye St., NW, Suite 1100

Washington DC

20005

United States

Tel: 202 521 1900

Fax: 202 521 1901

Global Health Technical Assistance Project website

Click here to access an online contact form.

ghtech@ghtechproject.com

Related Summaries

Pakistan Initiative for Mothers and Newborns (PAIMAN)

Improved Child Health Project (ICHP)

Source

USAID website.

Placed on the Communication Initiative site July 14 2009
Last Updated July 28 2009

2009-12-28T23:38:00.001-08:00

The penis has two paired cylinders called the Corpora Cavernosa that, when aroused, expand and fill with blood creating the hardness of your erection.
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2009-12-28T23:38:00.000-08:00

2009-12-28T23:37:00.000-08:00

How to Get a Bigger Penis by Using Natural Penis Exercises! By Temitayo Olatunde

How to Get a Bigger Penis by Using Natural Penis Exercises!

By Temitayo Olatunde

Penis Enlargement Medicine

Penis Enlargement Treatment

It may surprise you to know that natural penis exercises have been around for centuries now. It was used as means of natural penile enlargement by men of ancient Arabic and African tribes. These men engaged in natural penis enlargement exercises so that they could get a bigger penis and satisfy their wives in bed. But it is only recently that serious clinical trials and studies have actually shown and proven that these natural penile enlargement exercises can actually increase the thickness and length of a man's sex organ. And also these studies and trials have proven that natural penis exercises also give more benefits.

Other benefits of natural penis enlargement exercises which are also known as male enhancement exercises are:

* Harder, stronger and longer erections

* Improved ejaculatory control (allowing you to last longer in bed)

* Increased volume of semen when you ejaculate

* Improved sexual stamina and performance

* Bigger penis in both length, thickness and penis head.

Each of these benefits is amazing and can greatly improve your life. Can you imagine how confident you be if you had a male sex organ that is bigger than the average? You would walk around with that era of confidence that says I can have any woman I want and satisfy her in bed. It is possible for you to have a bigger penis; all you need to do is to engage in natural penis enlargement exercises.

Natural penis exercises work by expanding the penile chambers using manual pressure from just your hands. When you engage in these exercises you expand and stretch your penile tissues using various techniques. These exercise forces the penile tissues to elongate and expand and during your rest days they re-grow into bigger and stronger sizes. A basic natural penile enlargement exercise is the Jelq. This is done by achieving a semi-erection and gripping the base of your penis with an OK sign after which you slowly milk your penis towards the base and then you change hands. There are other exercises that are more advanced than this.

One thing you must understand is this - natural penis exercises do not work overnight. You must be patient while using natural penis enlargement exercises. Bottom line is that they work. Some men are fast gainers while some others are slow gainers. But one thing that slow gainers usually do is to combine their natural penile enlargement exercise program with an herbal penis enlargement pill. These herbal penis enlargement pills do not work alone but when used in combination with exercises they would give you a bigger penis.

Are you tired of the small or average manhood between your thighs? Why not take the bulls by the horn and begin exercising your manhood today. Natural penis enlargement exercises are not only safe, they are also affordable. Before you go using just any natural penile enlargement exercise program you should only use a quality program that has detailed information on how each exercise should be performed. This would prevent you from having any injuries that might occur if you are not doing these exercises properly.

Temitayo Olatunde is passionate about educating couples both young, middle aged and old enjoy a great sex life.

For more information on how you can get a bigger penis using natural penis exercises and herbal penis enlargement pills visit PenisEnlargementUrl.com now!

Article Source: http://EzineArticles.com/?expert=Temitayo_Olatunde

2009-12-28T23:35:00.000-08:00

Don't Sit at Home Dejected! Natural Enlargement Explained! By John Greener

Don't Sit at Home Dejected! Natural Enlargement Explained!

By John Greener

Penis Enlargement Medicine

Penis Enlargement Treatment

I used to be a social pariah. Why? Because I was so embarrassed about the size of my penis, that it gradually sapped every last ounce of confidence from me. I was so ashamed when I went to bed with a woman, that I felt my performance suffered. I tried so many different enlargement techniques, but none of them worked. I even considered resorting to surgery, I was that desperate. Suddenly, I discovered a method that I was assured would increase my penis size. I was completely disbelieving, but I felt I had to give it a go. I couldn't believe that four months' later, my penis had grown by nearly 4 inches. The difference it has made to my life is incredible. I have my life back! Does this story sound familiar to you? Do you want to know how natural enlargement can make a difference to your life?...

Why is the natural technique so successful?

Natural technique is a completely unique penis enhancement product. Rather than using external products, such as pumps or extenders, to work your penis in a similar way to working the rest of your body in a gym, the natural system focusing on the internal make up of your body. You can't expect any kind of growth to any part of your body without preparing it first. Your penis is no exception to this. The natural technique understands the science behind growth, and applies it in its method of enhancing your size.

How does the natural technique work?

When you were going through puberty, your body produced biochemicals which were pumped in the bloodstream to your penis. These biochemicals' job was to stimulate growth. After puberty ended, your body believed your penis was fully grown, so there was no more need for biochemicals, so it stopped producing them. So that your penis can once again start growing, you need to start reproduction of the biochemicals. Then growth can take place.

How can I reproduce biochemicals?

I used a natural enlargement program to increase my penis size. When I used it in conjunction with a series of exercises to help accelerate my growth, I saw my penis grow from 4.5 inches to over 8 inches. Now I have a life again, I have confidence, and I have an active sex life. I'm sure you would also like to see the same results as me.

John used the secrets found at http://www.advantagepenis.com to make his penis grow from being 4" to over 8.5" within a 4 months! You could too!

Article Source: http://EzineArticles.com/?expert=John_Greener

2009-12-28T23:33:00.000-08:00

Understanding Penis Enlargement Science- Gain 4 Inches With This Method By Blaine Wi

Understanding Penis Enlargement Science- Gain 4 Inches With This Method

By Blaine Wi

Penis Enlargement Medicine

Penis Enlargement Treatment

Penis Enlargement Science is something that you must understand if you are trying to add inches to your size and also girth to your size. If you fall into the category of one of the millions of men who are looking to increase your size fast, naturally and safely, then you have arrived at the right page. I will explain to you how this Penis Enlargement Science works. This will help you to gain 4 inches man. That is a lot.

This is how Penis Enlargement Science works. What is involved and what has been used for literally thousands of years is Penile Enlargement Exercises. What these exercises do is they gently and safely breakdown the cell walls of the penile chambers through a series of effective exercises. Simultaneously, the exercises forces more blood into your penile chambers. Now what causes growth is that when your walls begin to grow back, it is forced to grow back longer so that it can hold the increase in blood that your penis can hold. That is Penis Enlargement Science in a nutshell.

This method has helped millions of men including myself to gain inches to their length as well as gaining girth or in other words, making you wider. That is just as important as length, ask the women. So this method of penile exercises is something that can help you to gain 4 inches in weeks, not months, if done correctly. It helped me go from 7 to 9 inches and it can help you too. Trusted by millions of men around the world.

If You Are Really Serious About Gaining Inches To Your Penis, Getting A Harder Erection, Or Seeing How I Gained 2 Inches To Go From 7 inches to 9 Inches, Click Here. And Visit My Blog That I Have Made To Help Men Achieve Their Goals. Check Out http://HowToMakeYourPenisBiggerNow.blogspot.com/

Article Source: http://EzineArticles.com/?expert=Blaine_Wi

2009-12-28T23:32:00.000-08:00

Natural Enlargement Can Make Your Penis 4 Inches Or More Bigger - The Theory Behind Enlargement By Richard Beeson

Natural Enlargement Can Make Your Penis 4 Inches Or More Bigger - The Theory Behind Enlargement

By Richard Beeson

Penis Enlargement Medicine

Penis Enlargement Treatment

If you're serious about penis enlargement, you're probably willing to spend a lot of money on it, devote a lot of time to it, and even take 50/50 health risks if it means you might come out of it with the size of penis that you crave. The good news is that, in reality, you don't have to do ANY of that to get a bigger penis. You don't have to spend a lot of money or time, and you don't have to risk your health at all. If you use a natural enhancement method to enlarge your penis, it's all a LOT easier than that. And I can tell you that for a fact, because I made my own penis nearly 4 inches bigger in as many WEEKS, just using the natural technique, and no other equipment or pills.

What is the natural enhancement technique?

Natural enhancement is scientifically proven to be the most effective and fastest type of penis enlargement. It is only recently, however, that scientists have figured out the mystery of exactly why natural enhancement works. Natural enhancement operates by tapping into a supply of biochemicals you have in your body. Your body produces these biochemicals naturally, in the normal course of things. The problem is that they go to waste because your penis can't use them unless they get to the right receptor cells. Natural enhancement works by making sure the biochemicals DO get to the receptor cells. Growth follows inevitably.

The 'method' described in the title of this article is simply explained. There are two steps. The first is the biochemicals that we've discussed. That's step one. The second step is using penis exercises to accelerate that growth.

What's the next step?

Start using a natural enhancement system, and in next to no time you'll have more biochemicals running through your blood. And then, your penis will start to respond. As I say, it only took 4 weeks for me to add 3.9 inches. If you're serious about enlarging your penis, the natural way is for you.

Richard went from a 4 inch penis to an impressive 7.5 inches in under 4 months, this was done with the right knowledge which can be found at http://www.thepenisenlargementbible.com, proving that natural enhancement really does give you results.

Article Source: http://EzineArticles.com/?expert=Richard_Beeson

2009-12-28T23:30:00.000-08:00

Natural Penis Enlargement - How it Can Add 3" Or More to Your Penis Size By Sebastian Royal

Natural Penis Enlargement - How it Can Add 3" Or More to Your Penis Size

By Sebastian Royal

Penis Enlargement Medicine

Penis Enlargement Treatment

You can increase your penis size by 3" or more using natural methods that require nothing more than your own two hands and about 10 minutes of your time per day. I went from a pitiful 5.5 inches long and 5 inches around to over 8 inches long and exactly 6 inches around.

How Natural Penis Enlargement Works

Natural enlargement works through a process called cell regeneration. Your penis is made up of several large chambers that are comprised of a soft, spongy tissue. When you apply manual techniques to these penile chambers using your hands, they respond very favorably and the cells that make up that soft tissue regenerate. This causes these chambers to elongate and expand, giving you a bigger penis, both in the flaccid and the erect state. Because you are generating new cells, you will never lose any of the size you gain.

Can I gain both length and girth?

Absolutely. This is a big advantage that natural enlargement has over surgery. Surgery relies on implantation and is only truly effective for adding length, while natural methods promote natural and uniform growth that makes you both longer and thicker!

How long does it take to see results?

If you take action today and are consistent with it, you are guaranteed to see noticeably increased length and girth within two weeks. You will keep gaining steadily until you reach your target size. You can stop at that point because your gains are permanent. You and your partner can enjoy your increased size forever!

If you are ready to take action like I did and increase the size of your penis quickly and permanently, here is a link to the exact method I used to go from 5.5 inches to over 8 inches:

http://www.BiggerPenisNow.info

This step-by-step, easy-to-follow program is backed by a 100% guarantee that you will gain the size you need to satisfy her EVERY time!

Article Source: http://EzineArticles.com/?expert=Sebastian_Royal

2009-12-28T22:59:00.000-08:00

Surgical Penis Enlargement - Avoid it at All Costs, There is a Better Solution For YOU! By Jon Collon

Surgical Penis Enlargement - Avoid it at All Costs, There is a Better Solution For YOU!
By Jon Collon

Penis Enlargement Medicine

Penis Enlargement Treatment

In this article I am going to try and make you understand why surgical penis enlargement is not the best route to go down if you are seriously thinking about developing the size of your manhood. You see there are a lot of men that want to get this surgery done as it will help them gain better results when it comes to enlarging their penises. However, these men are unaware of the dangers that this procedure has associated with it. What they fail to realize or understand is that its risky and not to mention very expensive.

There was a recent study by a London University called St.Peter's center for Urology that stated that most men that actually went and proceeded to have the operation done where unhappy with the resulting gains that they were left with! You don't have to take their word for it. Just take a look at some of the mens health forums and search through some of the peoples comments about surgical penis enlargement. You'll find that a lot of men have not been too happy with the way the results have turned into.

Are there side effects associated with surgical penis enlargement?

There have been reports from men that have gone "under the knife" so to speak that have developed some side effects after the operation. For instance, these men have experienced urinary problems, scarring on their penile area and numbness. Even to say that problems have occurred during intercourse. These experiences are certainly not a pleasant situation for any male that has spent thousands of dollars to relieve themselves of any issues such as these. Many of these poor patients are left with post traumatic stress disorder after surgical penis enlargement. To be honest, I can see exactly why now and I hope you are getting the picture too..

With that being said, your alternative solution is a much safer and more stress free method. Men looking to enhance their penises do not need to spend thousands of dollars trying to enhance there male anatomy. You can do this much more inexpensively and safely with exercises that are specifically designed to help you increase the size of your manhood.

For instance, there is a simple 6 minute exercise that you can follow which will help you develop a more fulfilling penis. You don't need any equipment or anything like that. You just need to follow a step by step instruction that will guide you in the direction of penis enhancement success. Surgical penis enlargement is not the option for you!

Check out our male enhancement products today! If you want to get a bigger penis then you can with a simple 6 minute exercise. Penis surgery can cost a lot of money. My recommended exercise costs a fraction of the price of penis surgery!

Article Source: http://EzineArticles.com/?expert=Jon_Collon

2009-12-28T22:53:00.000-08:00

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Diuretics
	Beta-blockers
	ACE inhibitors
	Angiotensin II receptor blockers
	Calcium channel blockers
	Alpha blockers
	Combined alpha and beta-blockers
	Central agonists
	Peripheral adrenergic inhibitors
	Blood vessel dilators, or vasodilators
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