Yet another weight-loss reality TV show

It seems the imagination of the folk who work for TV corporations is limited to the same basic formula. Reality shows are big business. If you want to earn the maximum revenue from selling ad space on TV, have a group of regular people running round the world doing silly things in a search for one million dollars or follow a group of families as they compete against each other to see who can lose the most weight. In these shows, the biggest losers are the winners. These are the people who, for some reason, catch the imagination of the public. They become fan favorites and find their public lives transformed with fans approaching them as they walk down Main Street. Actually, for weight loss, this can be a big plus because fans can embarrass people into keeping to a diet. Imagine how a participant in a weight loss show would feel if everyone pointed them out as they bought another donut. This would be a sure-fire way of motivating them to eat only healthy food.

Anyway, ABC has announced a new version of the same-old tired show. It's to be called the Extreme Weight Loss Show. Note the touch of originality by adding "Extreme" to the title. You can always tell producers are desperate when they start using words like "extreme". So the hook to convert the ordinary into the extreme is that each of the contestants in this competition must aim to lose an amazing amount of weight: the men must be on a program to lose not less than 200 pounds, the women not less than 150 pounds. Now the writer has a conceptual problem with these numbers. He weighs 170 pounds in total so the idea that someone could lose more than he weighs boggles his mind. Yet ABC expects the world to line up outside its doors in Nashville to volunteer their time and sweat. The lure of the fame or notoriety is just too great. Sorry, perhaps that should be the lure of the extreme cash prizes for the winner is just too great. It's amazing how many people will humiliate themselves just to earn a dollar.

The show does have a realistic timeframe in mind. It is employing a team of personal trainers who will visit each contestant's home to bully them into action. No reality show is complete without all those tears of frustration when contestants find their comfortable bubble punctured by aggressive trainers. The cameras will record these sessions and follow the contestants over a one year period. The person losing the most weight wins the prize. This is not unrealistic. It rules out all those who might try to starve themselves into a winning loss, offering a gentle and safe weight reduction approach. But only someone really motivated will keep to a high-intensity exercise program over a year. This is a fair test. Which brings us to phentermine because, when your motivation is running down and hunger is about to send you back into the kitchen for a soda and snacks, this drug steps into that gap in your stomach and sends out the message, "No" to the brain. Buy phentermine and find out why millions of people have lost weight over the last fifty years (and counting).

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Why are the overweight more at risk of erectile dysfunction?

It's very easy to overdo stories about the risks of obesity. Indeed, those who are overweight grow increasingly angry at the growing number of scientific studies telling them how to live their lives. In this, there are parallels with the campaigns to encourage people to quit smoking. For years, the tobacco industry suppressed evidence of the link between nicotine and cancer, and disputed articles that tried to warn people of the risks. Today, even with the Surgeon General's warning on the packaging, current smokers resist laws that aim to limit smoking in public places. They see this as intrusive. Nevertheless, as with nicotine, so with obesity, there is increasingly clear evidence of the link between excess body weight and disease. For the purposes of this article, the link between erectile dysfunction (ED) and obesity is also clearly made.

The evidence collected from around the US shows that about 35% of all men over the age of 50 are likely to experience ED at some point in their lives. Both obesity and the resulting lack of physical exercise significantly increase the risk. There are three reasons for this. The first is the change in the level of testosterone as the body gains weight. The second stems from the deposit of plaque on the lining of the arteries. The initial condition is called atherosclerosis - a hardening of the arteries and a restriction in the flow of blood. In turn this increases the blood pressure and can lead to heart disease. Finally, the overweight are more likely to become diabetic. As diabetes progresses, there can be nerve damage which first appears as ED.

To be straightforward, the remedy is easy. If you lose weight and increase the amount of physical exercise you do, this is likely to improve your general health and, even more importantly, relieve the ED. So here is another article telling you to modify your lifestyle. Except that, for many men, the ability to get or maintain an erection is a vital part of their self-esteem. If something is interfering with this, some action is called for. In its early stages, the standard ED medications will usually produce results. But, if left untreated by diet and an exercise routine, only levitra will maintain sexual satisfaction. This drug is the most powerful of the three ED medications and it will usually produce sufficient hardness to achieve penetration and ejaculation. But there will come a time when even levitra will not help. When you reach this stage, the choice has become stark. You need to diet, take drugs to reduce your blood pressure and cholesterol levels, and exercise. As your weight begins to fall, levitra will restore erections. If you maintain the weight loss, you can probably return to the weight and level of health where an erection will come without the need for a drug. So, if you are overweight and suffering from ED, buy levitra to restore sexual activity and start losing weight.

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Is meditation an effective treatment for pain?

In a culture caught up in the can-do mentality, the idea of treating pain through the mind is viewed with some suspicion. People have been taught to believe drugs and formal invention by a trained specialist are the routes to an effective cure. This is the American way. If the body is broken, you fix the body. There's no need for any New Age, touchy-feely talk. Indeed, people who persistently complain of pain but have no obvious injuries or disease, can find themselves attacked as malingerers trying to game the benefit system.

Family, friends and neighbors can rapidly run out of sympathy if you seem to be a freeloader. Against this background, the healthcare service does offer a limited range of counseling and support options. These services are not pushed more agressively because the high number of staff required to run these services drives up the operating costs. The hospital does not make as much profit as from other services.

There is a substantial volume of evidence from research studies around the world to prove a clear link between a patient's attitude and a patient's awareness of pain. Those who are relaxed and have a positive outlook on life have lower sensitivity to pain. Those who are anxious, stressed and shading into depression are more likely to experience more intense pain. For patients to get benefits from psychological counseling, they have to invest time and money. This is not an easy cure that might come from the simple act of swallowing a pill. It requires people to make an effort. Put all this together and you see the problem. Because many private health plans do not include the cost of counseling and family budgets are under strain with the current recession, most believe they cannot afford this approach.

The focus is on the cost now, not the cost of drugs spread over years. In the long term, people will save money but it requires investment now. If this means a little extra debt, it's well worth it. The most recent research published in The Journal of Pain shows that even one hour of meditation training produces a reduction in the level of pain felt. The full range of treatment options are meditation training, distraction and relaxation. The evidence clearly shows that people feel less pain while actually meditating. Even after meditation, the effect of pain relief continues, i.e. people perceive the pain differently. Similarly, people who train their minds to relax or focus their attention on different factors in the environment also experience pain relief. The level of pain remains unchanged. The focus in all three options is to treat the emotional response to it.

None of this denies the valuable role to be played by drugs such as tramadol. As one of the first-choice drugs used by people in pain, there are millions who will testify that it works to relieve moderate to severe pain. It does make sense to buy tramadol and get some of that relief. However, no matter how convenient it is to pop pills, in the long term, meditation is cheaper and better. It's your choice.

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Poor that are richer than the rich

In modern world depression is something as common as having a headache or a hangover after a rough night out, but only few people realize how serious this problem really is. Try to find a person who has never shown signs of depression and you will realize that it's almost impossible. Almost, but not definitely. Recent studies have shown that there is a group of people in the modern world who don't even know what depression is all about. And surprisingly, these people are generally very poor and far from what most people would consider as good wellbeing.

While this statement will seem ridiculous to most of us, this is true and can be proven even using simple logics. You won't see a poor man or woman worrying about their lost success, or craving for a new car they want to get so bad. The only thing they worry about is getting food and having a place to spend a cold night. These people are free from aspirations and stresses most middle and upper class individuals have to deal with. If put simple, poor people are in a dream-like state of full mental harmony with their physiological needs. They aren't troubled by their spiritual or emotional desires, they aren't troubled by things others might think or say about them. Of course, living below the line of poverty has its stresses and burdens but they are always stripped down to simple bodily needs. No psychological worries, no stress, no depression.

In contrast, you will find the majority of extremely rich and upper class individual taking Xanax, Prozac or Valium to calm down and get them through. Having much money or being in the spotlight has its price tag, which usually comes in the form of certain limits, responsibilities and things to worry about. People from middle and upper classes pay too much attention to they way others see them and this alone is a rich source of mental stress. And what happens when something goes slightly wrong? A homeless individual won't bother if his or her new Bentley gets stolen, because they don't have it. A rich mogul will hire dozens of professionals to protect his private house and spend hours (and tons of valium)on worrying about the latest news from stock exchange. And isn't it ironic that in such a situation the poor are actually richer than the rich, if you know from what point of view to look?

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Women and their sex drive

The power of words must never be underestimated. Pick the right word and suddenly your brand name is on everyone's lips. Pick the wrong word and no-one ever hears of you or, if they do hear the word, the reaction is amusement or rejection. So get into the time machine and let's go back to the 1990's. This is before Pfizer launched the famous little blue pill in 1998. A group of people are sitting round a table in a backroom trying to think up the best way of describing this new wonder drug. How were they going to market something of such a sensitive nature. No-one liked to talk about erections and sexual problems in public. It was just too embarrassing. The culture was way behind the technology to bring a cure. They decided the key problem was the use of the word "impotence". It had far too many negative vibes attached to it. So, after hours of fruitless labor, they finally decided to describe the medical problem as "erectile dysfunction". This also had the advantage of being easily contracted to ED which was definitely not threatening. The rest, as they say, is history. The pill was launched with a major fanfare and no-one minded talking about erectile dysfunction.

Welcome back to a modern debate on whether loss of libido in women is a medical problem to be cured. The word most often used to describe the condition is "frigidity". This has an insulting meaning. It blames women for not finding men sexually attractive. The new manufacturer has decided to use the term "hypoactive sexual desire disorder" (HSDD). When this was first announced to the world, there was a scathing reply in the British Medical Journal accusing the manufacturer of inventing a disease to convince gullible women they needed to buy medicine. Put another way, this drug is aimed at a US market estimated to be worth more than the erectile dysfunction market. There are millions of women waiting for what's already being called the "desire pill".

As it stands, the first results from clinical trials are due to be released soon and this will quickly be followed by an application to the FDA for a license - assuming, of course, the results are positive. This could be a double-edged sword. As it stands, men with ED problems can be allowed some time to put things right when partnering women with low levels of libido. Although loss of sexual activity for short periods may damage the relationship, it will not always kill it stone dead. But if the partner has already been sexually awakened by a desire pill, men had better find cialis sooner rather than later. There is something faintly alarming about women demanding sex all the time. This puts pressure on men and may well increase the number with performance anxiety. Both varieties - the weekend pill and the once-daily - will keep men going, but the idea of women with increased levels of expectation about sexual satisfaction is somewhat intimidating. The number of men experiencing ED increases with age and though the wise will always buy cialis and keep going, even the most dedicated of men may have to develop headaches from time to time to get a good night's rest.

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Weight loss and mood

In one sense, this topic is just a matter of common sense. If someone feels badly enough about their body shape and decides to lose weight, failure is going to darken the mood. The motivation to shed pounds comes from a basic feeling of dissatisfaction with the way things are. Adding yet another failure to the pile of failures is moving one step closer to depression. But if our dieting and exercise program pay off with an improvement in our looks, we feel good about ourselves. But never forget the complexity of the human mind. Emotions are connected with events and our feelings about them. So the actual number of pounds in body weight is unlikely to be the only thing worrying us. There can be a range of connected issues affecting our mood. It can be problems at work. Our sex life may be disappointing. Our wardrobe may need a transfusion of new and bigger clothes - an unwanted expense when family budgets are under pressure. Look at everything together shows just losing weight may not be enough on its own to lift our mood.

When you look at the research, the clinical studies have a consistent focus. They start by counting the number of pounds lost, sometimes on their own or to calculate Body Mass Index or a percentage of body weight lost. They monitor the pattern of loss over time. If dieters falter, how quickly do they regain the weight? What is the weight lost over 12 months and longer? The studies treat weight as a measurable factor. Similarly, they routinely take blood pressure, monitor the carbohydrate level in the blood, look for signs of diabetes and heart disease... It's easier to design scientific experiments that deal only with measurable factors. These are objective studies. They are better. Except people are people. They have feelings. So, in addition to all these scientific measurings, it would be good to ask them how they feel about their weight loss experience. Yes, this will be opinion and, for whatever reason, people may be dishonest. But it would give us a better insight into whether holistic treatment is better, i.e. treating people as individuals, making them the center of attention rather than focussing on a diagnosed medical disorder or disease.

Well, a newly published piece of research out of Australia has reached an interesting conclusion. It compared two groups of overweight people over one year. One was given a low-carb, high fat-diet, the other a high-carb, low-fat diet. The usual measurements were taken but, on four dates through the year, they were all given detailed questionnaires to assess whether they were anxious, depressed, angry, and so on. Both groups lost about the same amount of weight - an average of thirty pounds - and, at first, both showed improvement in mood. But the low-carb group's mood quickly returned to pre-diet levels, whereas the high-carb group remained happier. Ignoring the scientific explanations of why this might be - something reserved for future research - there's a further factor. None of the participants used any supportive drugs like phentermine. This might have made a difference because, if the reason for the loss of mood was the difficulty is keeping to the diet, phentermine would have help overcome the problem.

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Should testing be compulsory?

There's an interesting campaign building in Tamil Nadu. For those of you whose geography is not strong, Tamil Nadu is one of the states in India and it has a large population. It's also very socially conservative. This means that "family values" are very strong. Marriage is definitely only for heterosexual couples with divorce strongly disapproved. So far, India matches the Western model but here the similarities end because the usual form of marriage is arranged between the families without the need for the happy couple to meet before the ceremony. Marriage is seen as building links between families of comparable status and wealth. For most, marriage for love is an alien concept.

The problem with this system is that it can trap women in marriages that are, at best, loveless and, at worst, violent and dangerous. There are a number of reasons for this. Because the marriages are often made to consolidate property ownership, the welfare of the couple is irrelevant. Once the marriage has been celebrated and the title to the land transferred, the couple are left to their own devices. The reason why divorce is discouraged is because the courts might disturb the ownership of property. Indeed, wives who threaten divorce can be relentlessly bullied to keep quiet. A further problem is that homosexuality is still concealed. Thus, sons are married off without regard to their sexual preferences. This can leave wives in unconsummated marriages. The same result is achieved by the men who are impotent but dare not go to a doctor to admit the problem and get treatment. The worst possibility is that the men have been routinely engaging in unprotected sex with prostitutes before marriage and have picked up a sexually transmitted disease (STD). When the marriage is consummated, this can leave the wives with serious health problems.

A politically active group of Bollywood women is campaigning for all men to produce evidence of potency and freedom from STDs before being allowed to marry. Although the idea of a certificate of erectile function is never going to be practical - just how would the evidence be collected? - there's great merit in screening tests to ensure that both parties are free from sexually transmitted disease. Because many couples still prefer unprotected sex, the incidence of STDs has been rising quite sharply over the last ten years. Testing would therefore be a good thing not only in India but around the world. In the West, since there's no real need for gay men to marry for the sake of appearances, all men who have problems of erectile dysfunction simply rely on levitra. This drug produces the best erections in most men no matter what the physical or psychological problems. This is somewhat ironic since the leading manufacturers of the generic form of levitra are based in India but local distribution is limited by a culture that refuses to discuss sexual matters openly. Unlike the West, it's also quite difficult to buy levitra online. This unfairly leaves many Indian men struggling to cope with their impotence.

Talk-talk is better than pill-pill

For some reason, anxiety has become one of the most common medical problems of our age. It seems to have overtaken depression. One explanation is that people are less judgmental if you admit anxiety. There is considerable prejudice and some discrimination against people suffering with a depressive disorder. It's considered only one step away from madness and insanity which justifies locking up those affected in a hospital or institution - the public safety argument is that these people are a danger to themselves and others. The reaction of family, friends and employers is the unsympathetic view that depression is a sign of weakness, that with a little effort, people can snap out of their despair and turn their lives around. But we have all experienced some anxiety at some point in our lives and so are more accepting. It's strange that a change of label can make such a big difference. In many cases, there is nothing to choose between anxiety and depression, i.e. the depressed are often anxious and the anxious get depressed. But society feels less threatened by anxiety and is prepared to be more caring and supportive.

The results of a clinical trial in the north of England have just been published. It involved almost 4,000 patients with anxiety and depression. They were referred to a stepped program of psychological counseling. The majority received low level cognitive behavioral therapy (CBT) delivered over the telephone. Their progress was carefully monitored and those who did not respond well were referred to higher levels of CBT on a face-to-face basis. Over a twelve month period, the participants each received counseling lasting an average of 2 hours 45 minutes. The results show that 75% were either in remission or recovery. This is yet another piece of scientific research confirming psychological therapy to be the most effective way to treat anxiety disorders and depression. What is particularly interesting about this latest English study is that about two-thirds of those who improved only received therapy by telephone. Even a disembodied voice offering comfort and advice delivers effective treatment. As a result of this latest research, some 75,000 patients have now been enrolled in a national program of telephone therapy. The initial results are promising.

Now is the moment when we all put our prejudices aside. Yes, the British have socialized medicine and are treated by Stalinist-trained doctors, but this research is not unique to Britain. There is a rising tide a evidence to show talk-talk is better than a drug-based approach. The reason is not hard to find. People can self-medicate. They go online to buy xanax, the most advertized and so most popular of all the drugs used to treat anxiety. There is no need to produce a prescription. This cuts down the cost to a minimum. No hassles with the health insurance company in arguing whether psychological therapy is accepted, no co-payments and hospital bills. Just a few minutes online brings welcome relief a few days later. But there are just as many clinical trials showing xanax and the other drugs work best over the short term. People must either talk themselves better or get help. Therapy brings lasting cures. If the British are correct in finding telephone delivery just as effective as expensive face-to-face sessions for the majority suffering with anxiety disorders, we should be looking for this service in the US.

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Treating ED with respect to its causes

Male impotence or, as the doctors call it, erectile dysfunction (ED) is a constant or periodical inability to obtain or maintain an erection strong enough for having sexual intercourse. And as the overall satisfaction with sexual life is a very important aspect of an individual's wellbeing, seeing the rise in erectile dysfunction and female sexual problems within the aging population becomes disturbing. That's why the question of successfully treating erectile dysfunction becomes more and more relevant for a constantly growing group of people, bringing satisfaction and preventing from psychological problems from taking place in case it helps.

Erectile dysfunction is of course a male problem, but it also involves the activity of the partner, who should support the man and give him all the love and care to make the treatment really effective. Erection starts first and foremost in the brain, and making your man feel relaxed, loved and wanted is the best thing you can give him if there are any problems with erection. Don't expect the erection to occur on its own - even with strong ED medications erection won't take place if there's no sexual stimulation. So you'll have to get in touch with the most erotic part of a man's body - his brain - and make sure the signals are all good and working.

Erection involves three stages, each of them involving a different system in the body. And if there's anything wrong with just any element on any of these stages, it is likely that the erection will not be as good as might want it to be, if there will be any at all. So make sure everything is right during the following stages:

Sexual arousal. Occurring in the brain, it is usually caused by sensory experience or by plain thoughts of sexual content.

Response of the nervous system. Aroused brain sends signals to the corresponding areas of the body through the means of the nervous system.

Blood circulation increase. This way more blood enters the cavernous bodies in the penile shaft, which results in a strong and durable erection.

Having such a complex mechanism, no wonder that sometimes erection comes out not as you wish it to be. Problems at any of the above mentioned stages mean that there will be problems with erection. The most typical causes for erectile dysfunction are those that have to do with nervous response and blood circulation.

Nervous system response can be affected by a variety of psychological reasons such as anxiety, stress, depression, mental disorders, relationship problems and so on, and by eliminating these conditions you are likely to improve the quality of your erection.

Blood circulation is affected by another set of conditions such as diabetes, high or low blood pressure, heart diseases, high cholesterol levels, surgical operations, penis shape deformation and many others. In many cases blood circulation problems can be eliminated by drugs such as Levitra. Levitra and other highly popularized erectile dysfunction medications work exactly by increasing the blood flow into the penile area. So if you're sure that your impotence is caused by blood circulation problems you can easily order Levitra online and rest assured that it will help you.

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Maybe the common sense answer is the best for erectile dysfunction

Scientists have developed a number of myths about themselves. They are, in one sense, the new priesthood, expected to bring us new technologies to make our lives simpler, easier and safer. They work away in these laboratories with complicated pieces of equipment lying around. They wear these spotlessly white coats that would show even the slightest stain, were they to be splashed with chemicals from one of their bubbling retorts. They are the new elite who deliver the goods to the front office where ageing managers sign off on advertizing campaigns to sell the latest gadgets and earn their commissions and bonuses. So we grow used to seeing the latest scientific journals full of the reports from these superbeings. They are couched in strange and incomprehensible jargon, accessible only by fellow scientists and other godlike beings. So it comes as something of a shock to see something written in a blunt, no-nonsense style. How can we take this as a serious piece of research when it is so easy to understand what it means?

Well, in this instance, there have been several years of work involved. The scientists started out with a complex hypothesis. They devised different methods for testing the various possible theories. Work began. Data were collected and numbers crunched. Slowly, a pattern emerged in the results. It was a revelation. Used by countless generations, the traditional idiom was proved by the scientific method. "Use it or lose it" was the right answer! Back to the beginning. One of the more obvious facts of life is that, as men age, they become more likely to suffer from erectile dysfunction. A number of different explanations have been offered for this starting with the simple truth that they grow tired and have less energy, to more complicated explanations about the build-up of plaque on the lining of arterial walls.

Now we have this new piece of research. One of the features of ageing is that the opportunity for sexual activity can decline. Couples grow old and get out of the habit. One partner can die leaving the other alone and reluctant to re-enter the dating game. Whatever the reason, some men can go some years without sexual intercourse. It seems that the muscles lose their tone when not used, that the soft spongy tissue inside the penis breaks down and is no longer able to hold as much blood to form the erection. Combined with the tendency of the arterial walls to harden with age and so lose their ability to dilate, and you have a classic recipe for erectile dysfunction. That's before we get to all the psychological problems of performance anxiety likely to affect some men as they approach the possibility of restarting sexual activity.

The evidence from this new research is clear. Men who continue to have regular sex are significantly less likely to suffer erectile dysfunction. Their self-confidence is strong and their bodies still in training. For men who are ageing and with some history of inactivity, the best way forward is by using cialis. Taken as needed about thirty minutes before expected sexual activity, this can boost performance and restore confidence. If there is some embarrassment about the prospect of asking a doctor for a prescription, you can now buy cialis online without the need for a prescription. Your privacy is respected, your reputation safe.

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Chemicals and impotence

One of the better short stories dealing with alien invasions is The Screwfly Solution, written under a pseudonym by Alice Sheldon. It assumes aliens would find it too much trouble to use military force to wipe us off the face of the Earth. They would prefer to let us die out. Curiously, this builds on and anticipates many of our own uses of chemicals that induce impotence or infertility. Without any help from aliens, humans are doing their best to reduce their own numbers. One of the most common of the modern chemicals is Bisphenol A (BPA) which is used to harden plastic products and make epoxy resin. You will find it in hundreds of different types of container used to store or carry food. It's also used to coat the inside of drinks cans and to harden the plastics used in the manufacture of sports equipment, cars and some medical devices. In other words, it's hard to avoid eating food stored in it and touching things made with it.

There's now a small mountain of evidence out of China that workers exposed to high levels of BPA suffer loss of libido, erectile dysfunction and impotence. This adds to all the other evidence of health problems now being considered by the FDA including behavioural changes, early onset of puberty in girls, obesity and cancer. Next year, it's due to announce whether the use of BPA is to be limited in the US. The FDA already accepts that babies and children are potentially most at risk - a fact disputed by the manufacturers. Indeed, in many countries, baby bottles made with BPA have been banned. This latest evidence out of China is clear evidence of reproductive problems in adults. But, before panicking, we need to see the Chinese evidence in context. All these workers were exposed to significantly higher levels of BPA than would be encountered in the real world. No matter how many cans of soda and beer you drank, you would not consume the same amount of BPA. Nevertheless, BPA does leach into food and drink from its packaging. In November, Consumer Reports published the result of tests showing BPA in the majority of the brand-name canned foods on sale in US stores. This included juice, soups, vegetables and fish. According to industry experts, the evidence to date is no more than suggestive of a link between BPA and impotence. We will have to wait for the FDA to complete its review for the government's view.

Until then, men should seriously consider avoiding the use of anything made with BPA, and stop eating and drinking out of cans. You should consider switching to bottled beer. This is the precautionary principle. You avoid the potential danger until you have clear evidence it is safe. Once you have reduced your intake of BPA, this should reduce the risk of erectile dysfunction. If you do have problems, use cialis - now the leading brand in many countries. This comes in two different versions. One giving you thirty-six hours of sexual response, taken as needed. The other taken once-daily gives response round the clock. There is no better drug on the market for giving completely natural and hard erections whenever you are sexually stimulated. Buy cialis and find out why it has become the top brand.

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The truth is finally here

Perhaps we were all misinformed. Was there really a report that the Earth was round? Did it come out about the same time as that mad suggestion the Earth goes round the sun? It gets so confusing about what is true and what is theory. Science is supposed to be ahead of the game but. . . All of which brings me to a key fact about the effectiveness of medical treatment. Since the beginning of time, a significant part of every successful treatment has been the so-called placebo effect. This is where the patient so strongly believes the treatment will work that any treatment will be successful. Even though the patient is given a completely inactive pill, liquid to drink or cream to rub on to the affected area, the patient is still cured. It is the classic demonstration of mind over matter. People simply will themselves better. For example, acupuncture is used as an anaesthetic for major surgery in China. Patients lie with their eyes open and needles sticking into them while surgeons cut them open. They talk about the weather with the nurses. In the West, there is recent research showing acupuncture to be successful even though needles are stuck into the wrong points in the body. All it takes is a strong enough belief that the acupuncture will be effective.

This is a simple way of saying a society must trust its doctors. If physicians are to command respect and so inspire confidence in the treatments they prescribe, they must be seen to be in touch with the latest science. Their words must be full of truth. If they seem out-of-date or behind the times, why should we trust them when they tell us to favor a particular treatment? People vote with their feet. When it comes to something important, we all choose to see the people who are thought to be the best in their field of expertise. We want the best. This makes the most recent pronouncement of the American College of Physicians all the more worrying. This October, they felt sufficiently certain of the science to be able to issue a general advisory notice to all their members. From now on, ACP members are to act on the basis that erectile dysfunction should be treated with viagra.

So, all you poor patients can relax now. You no longer have to wrestle with your consciences as ACP members prescribe vacuum tubes and hormone injections for your ED. All that uncertainty whether to follow this advice has gone. Your doctor will now officially be allowed to prescribe a little blue pill to resolve your problem. Have all these leaders in scientific thought been hiding under a rock for the last ten years? What are they thinking? How can it inspire confidence in the medical profession to make a formal announcement today about something patently obvious to the rest of the world for the last ten years? This is an incredible moment in time. Ladies and gentlemen, the truth has finally come in from the cold. It's official. Buy viagra with confidence. It is better than all the old hormone treatments and other silly pieces of equipment that occasionally appeared in the bedroom. Pop a pill and your ED is gone!

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Troubleshooting your sex life

When erection problems come your way, most men usually search in panic for the most effective medication that will help them get the spark back. But not that many think of the causes behind erectile dysfunction and try to dig out the root of the problem. Too bad, because this is just the right way to avoid erection problems altogether and make them milder even if they come. Erection problems are often caused by the overall state of your health and body, and if you want to enjoy a good sexual life for a longer time, here are some things you have to think about doing:

First step: exercise is important

Numerous studies indicate that exercising is directly related to the likelihood of developing impotence at a certain point. Men, who burn more than 200 calories daily by exercising are know to be less prone to erectile dysfunction and their testosterone levels are usually higher then in men who don't exercise. However, there is a word of caution towards those who prefer to use biking as their exercise of choice - men riding bikes are twice as likely to have erection problems as other men. Doctors link this finding with the usual block and tension in the penile area, while riding bikes (both on road and in the gym), which affects blood circulation.

Second step: forget about bad habits and fatty meals

Erection strongly depends on the state of arteries in the penis, as a normal blood circulation will result in a good and stable erection. But with age, men tend to suffer from various blood vessel conditions, the most frequent of which is atherosclerosis. You may not notice it until you are will into your 50's, as it will gradually affect the vessels in your entire body, not only those next to your heart. And that means that the blood circulation in the penile area is likely to be affected by the condition. That's why preventing conditions such as atherosclerosis means you're also preventing erection problems. Here are some things you should do to make sure you are less prone to blood vessel problems:

• Eat less fatty meals


• Shed off those extra pounds


• Quit smoking

Of all things, smoking is probably the most negative factor influencing erection problems. So remember that each cigarette smoked makes your impotence closer and more evident.

Third step: analyze the drugs you are taking

Erection problems can be caused by certain drugs you are currently taking. So make sure to consult with your physician, especially if you are currently taking any of the following groups of drugs:

• Antidepressants


• Hypertension treatments


• Psychosis or anxiety pills


• Heartburn medications


• Prostate disease drugs


• Cholesterol regulators

Substances like alcohol, marijuana and steroids are also known to affect male sexual potency, so make sure you're not abusing the.

Fourth step: choose a treatment

With so many drugs designed for treating male impotence you will surely find what works for you. Drugs like Cialis or Levitra are known to help in the majority of cases, so if you need a little boost, you can easily buy Cialis or any other drug online - thanks to the numerous online pharmacies out there, it has never been easier to do that.