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More than 50 percent of diabetic men suffer from impotence, and almost all complain bitterly that it has destroyed something that is very important to them. Impotence caused by diabetes can be prevented or reversed in almost all men whose bodies can still make insulin. Diabetes causes horrendous nerve damage including blindness, deafness, burning foot syndrome, loss of feeling, loss of muscle control, pain and tingling and impotence. The penis is the only gland in the body that has its blood supply shut off all the time. Muscles surrounding the penile artery constrict the artery to prevent blood from flowing to the penis. When a man is excited, his brain sends messages along nerves that cause the nerves to secrete a chemical called nitric oxide theat relaxes the muscles around the arteries to open blood flow to the penis and the balloons in the penis fill with blood and the man has an erection. More than 90 percent of diabetics who can still make their own insulin can be controlled so that they do not suffer nerve damage. When you eat, your blood sugar level rises. If it rises too high, sugar sticks to cells and causes permanent nerve damage. Doctors can measure how much sugar is stuck on cells with a blood test called HBA1C. To get your HBA1C to a normal range below 6.1, you have to avoid foods that cause a high rise in blood sugar such as those with added sugar, those made from flour such as bakery products and pastas, and fruit juices. Most cases of nerve damage from diabetes can be reversed by good control of diabetes, but sometimes the damage is permanent. For example once person goes blind from diabetes, he will never get his vision back. However, impotence is often reversible with good control of diabetes. Men who are impotent from diabetes must be seen every month and each month, the doctor must draw a blood test called HBA1C which measures diabetic control for the last 12 weeks, or another blood test called fructosamine, which measures diabetic control over the last 2 weeks. Every time, the HBA1C is greater than 6.1, the doctor must change the patient's drugs and the patient must change his diet. All diabetics should get a blood test called C-peptide to tell if their bodies can make insulin. If their C peptide is greater than 1, they should not be placed on insulin and should be started immediately on Glucophage and Actos or Avandia. These drugs lower high blood sugar levels, never cause low blood sugar, and also lower insulin to prevent obesity and heart attacks. Only if blood sugar levels cannot be controlled by diet and these insulin-lowering drugs should doctors prescribe drugs that raise insulin. vig rx pic vig rx side effects male penis enlagement magna rx picture testimonials guide to penis enhancement vimax permanent penis enlargement pnis enlargement stretcher penis enargement before and after picture

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Whether a therapeutic technique is the best prostate cancer treatment for a patient depends on various factors. In selecting the treatment, a patient and his doctor should take into consideration the patient's age and expected life span, the stage and grade of the cancer, possible side effects and other health problems that the patient might have. One of the best prostate cancer treatment techniques, particularly for older men and those who suffer from other serious illnesses, is the expectant management or watchful waiting method. Watchful waiting involves the close monitoring of the cancer through prostate specific antigen testing. It does not involve active treatments like surgery and radiation therapy and is recommended mostly to those who have no symptoms. It is also used when the cancer is contained within one area of the prostate gland and is expected to grow very slowly. Another option available to prostate cancer patients is surgery. This can be radical retropubic prostatectomy, radical perineal prostatectomy, laparoscopic radical prostatectomy (LRP) or transurethral resection of the prostate (TURP). In retropubic prostatectomy, the surgeon makes an incision in the lower abdomen to remove the prostate gland. Lymph nodes around the prostate might also be removed depending on whether the cancer has spread to these parts. In perineal prostatectomy, the incision is made in the perineum or the skin between anus and scrotum. This procedure is use less often because the lymph nodes cannot be removed and there is a high probability that the nerves will be affected. LRP, on the other hand, involves the use of several smaller incisions and specialized instruments. This highly complex procedure is known for its high precision and control. In the hands of experienced surgeons, it becomes an advantageous option compared with retropubic and perineal prostatectomy. TURP, meanwhile, makes use of an instrument called a resectoscope which is passed through the end of the penis into the urethra at the level of the prostate. The electricity that passes through the instrument cuts or vaporizes the issue in the prostate. TURP is done to relieve symptoms and is also used for benign prostatic hyperplasia. Radiation therapy is the method in which high-energy rays or particles are used to kill cancer cells. This, like surgical procedures, is another example of a highly developed method of dealing with cancer. Radiation therapy is classified into two main types, the external beam radiation therapy (ERBT) and brachytherapy. In treating localized prostate cancer, a procedure called crysosurgery is sometimes used. It involves the freezing of the tissues using very cold gases. Aside from cryosurgery, hormone therapy and chemotherapy are also options that prostate cancer patients can explore. Hormone therapy does not cure cancer but is primarily used to lower levels of male hormones in a patient's body. Chemotherapy, meanwhile, is a procedure more commonly used in cases when the cancer has spread beyond the prostate gland. Choosing the best prostate cancer treatment depends on a lot of factors. What is considered appropriate for one patient might not be good for another, that's why options should be discussed in detail with doctors before proceeding to the treatment stage. elargement manhattan penis surgeon penile enlargment cream vimax penis enlargement surgery photo natural penis elargement technique free penis enhancement penis enlagement cream penis elargement forum does penis enhancement work penis enlargment traction device

There are three different types of muscle tissue in the human body: cardiac muscle, which is only in the heart; smooth muscle, which is found in organs & blood vessels; and of course skeletal muscle, which is found all over the body and is responsible for movement. All three of these muscle types have distinctly different anatomical structure and function in the body. We know that muscles get bigger and stronger when put under stress, which is called adaption. Which simply means that the muscle is preparing itself in case it’s put under the same type of stress again. An analogy is calluses on your hand, if you rub your hand on a course surface causing enough friction eventually the skin adapts by building up calluses, thus protecting it self from future happenings. Muscle reacts much the same way, if you train them or put them under enough stress they will adapt to this stress by growing bigger and stronger. So the next time you train them they will be capable of handling this new level of stress. Now obviously that is a very basic explanation, but hang on to your dumbbells we’ll get more in depth! Inside a muscle there are groups of motor units separated by membranes. Each motor unit consists of a single neuron and all of the muscle fibers it stimulates. In muscles such as the hand where fine motor control is necessary the ratio of nerves to fibers will be much higher than that of a muscle such as the calf. Muscle fiber consists of myofibrils, a myofibril is a small bundle of myofilaments. Myofilaments are mainly comprised of two types of proteins called actin and myosin. The myofilament is the part of the muscle that actually shortens upon contraction where the actin and myosin filaments slide over each other, which is called the sliding filament theory. Basically by the way of chemical bonds and receptor sites located on the myofilaments the actin and myosin attract each other thereby causing a contraction. A contraction can be held until fatigue sets in, and the strength of a contraction is determined by the number of motor units that are recruited. Inevitably, the more force that is necessary for muscle contraction requires an increased number of motor units to allow the muscle to contract. Within skeletal muscle there are three types of muscle fibers: Type I, Type IIa and Type IIb. Everyone has their own unique distribution of these fibers, some people are predominately Type I, and some Type IIa, however the “average person” has an even amount of red and white fiber. Type I muscle fiber often referred to as slow-twitch or red fiber and is highly resistant to fatigue and has a high oxidative capacity, This muscle fiber is responsible for aerobic exercises and activities, such as running. Type IIa muscle fiber often referred to as fast-twitch or white fiber is an intermediate fiber and they’re larger in size and much stronger than Type I fibers. Type IIb muscle fiber, which are also fast twitch & white fiber, are capable of producing more force than Type IIa, but they’re low in oxidative capacity, and fatigue very quickly. Fast twitch fibers have thicker nerves that give them an increased contractile impulse, which is measured by the number of twitches per second, hence the name fast twitch fiber. Slow twitch fibers have smaller nerves, thereby twitch much slower, however they have a higher number of mitochondria, which increases their oxidative capacity. Mitochondria are the cells in a muscle that synthesize ATP (Adenosine Triphosphate), often referred to as the cell’s “powerhouse”. Okay, so now you have a basic understanding of muscle physiology, let’s talk about how we make them grow! The enlargement of a muscle fiber is called hypertrophy. As I mentioned earlier muscle growth or hypertrophy is a result of adaption to a new stress placed upon the muscle. So, what is the best form of stress? Well, there really is no single best principle that will work for every person. This is where the muscle fiber type distribution that you posses becomes important. If you train using appropriate methods based on your individual body type you will ultimately get faster results. First I would like to define the 7 Laws (adapted from the writings of Fredrick C. Hatfield) that should be adhered to regardless of the type of training system you employ: Law I – The Principle Of Individual Differences We must recognize and accept that we are all different based on genetics. We all have different body types, often referred to as the somatotypes: ectomorph, mesomorph & endomorph (most people are a combination of all 3 body types). The somatotypes is a very general classification that can help you determine the best type of training for you, but it’s a very basic tool and there is much more involved in one’s genetic make-up and musculature. Somatotypes are defined as follows: - Ectomorph: Thin, light bone structure, difficult to gain mass. - Mesomorph: Muscular, lean, gains muscle mass relatively easy. - Endomorph: Heavy, large bone structure, propensity to weight gain. Law II – The Overcompensation Principle The body overcompensates in defense to the stress placed upon it. A muscle grows bigger and stronger when trained with heavy weights, just as your hand will develop calluses when friction is applied. If you do not change the form of stress the muscles will have no reason to further adapt. Law III – The Overload Principle Relates to Law II, in that to gain further size & strength, endurance, etc., you must use training that is greater than what the body would normally encounter. If you train with the same amount of weight and/or repetitions every workout your muscles will not continue to adapt. Thus, you must overload in some way to cause further adaption. Law IV – The SAID Principle Specific Adaption to Imposed Demands, basically this law states that in order to meet your training objectives, e.g. increase explosiveness, you must you use specific training methods that will increase explosiveness. Or, if your goal is to increase limit strength, you must train with heavy weights. Law V – The Use/Disuse Principle Very simply put: “use it, or lose it”! If you increase a muscle via weight training you must continue to place the same or more stress upon the muscle or it will inevitably return to it’s normal size, which is called atrophy. Law VI – The Specificity Principle This law states that you must progress from foundational training to specific training to meet your final objective, whether it be a competition or improving your game of golf. An example would be to increase your maximum squat you need to use squats in your training rather than leg presses. Law VII – The GAS Principle General Adaption Syndrome, there are three stages: the alarm stage (intense training), the resistance stage (adaption) and the exhaustion stage (over training). If one is not careful in their training regimen they will over train according to this law. To avoid over training you must use periods of high intensity training, followed by periods of low intensity training and/or rest. So, no matter what method of training you utilize, the 7 Laws should be adhered to as closely as possible to facilitate maximum gains and to avoid a state of over training. The two most common questions are how much weight and how many reps? Unfortunately there is no magic number; it will vary from individual to individual. An “ectomorph” who is predominantly red fiber will respond better to higher repetition training, whereas a “mesomorph” who is predominantly white fiber will respond better to lower repetitions and heavier weights. However, no one is any single somatotype, most of us are a combination of all three, so there is no canned program that will yield the best results. For overall size gains, the goal of a bodybuilder, using a multitude of rep ranges, poundage’s and varying intensity will be most beneficial as well as staying in your 55-85 percent maximum range. If your max on bench press were 200lbs, using varying weights of 110lbs up to 170lbs would be your “training zone”. That does not mean you should never go above or below those poundage’s, it just means that the majority of training you do should be within that range. Typically, for hypertrophy to take place your reps should be in the 4-8 range. There is no need to ever use a weight that you cannot perform at least 4 reps with, unless your goal is pure strength. There are a few reasons that I say this, one is that when you train at 90 percent or higher of your maximum weight Type IIb muscle fibers are doing the majority of the work, and this will not do much for hypertrophy. In fact, even power lifters and Olympic lifters do the majority of their training at around 85% of their max. You may be thinking that 55-85 percent is quite a difference in poundage, well it is. This is where periodization comes into play. Periodization is a concept where you use cycles to break up your training. Regardless of your ultimate goal you should have a plan, and this plan needs to be broken up into your daily, weekly, and monthly workouts. So, you may have a week of heavy intense training, then a maintenance week of lighter training, the light week allows the muscles to recuperate, yet because they’re still being trained atrophy will not occur from disuse. In order to avoid a state of over training, and continue to grow, we need to recover. Remember your muscles do not grow in the gym, they grow when at rest. Many factors contribute to over training, including inadequate rest, continued heavy training, and deficiencies in diet & nutrition. By using periodization to map out your training you will avoid over training and keep your muscles in a state of continued adaption. Principles that can be used when planning your training cycles: Cycle Training: this is where you break up your training into bulk cycles, strength cycles and cutting cycles; which will help keep your muscles in a responsive state. Split Training: this is breaking up your training into separate body parts each work-out which allows for shorter and more intense sessions. Muscle Confusion: your muscles adapt to stress, and ultimately you can reach a plateau. By constantly varying the exercises, weights, sets and reps you can ensure continued adaption. Progressive Overload: continue to increase different parameters in your training, whether it be more weight, increasing sets and reps, etc. Eclectic Training: using a variety of methods in your training, combining numerous techniques such as compound and isolation exercises. Principles that can assist you in arranging each workout: Supersets: alternating two opposing muscle groups with little rest in between sets. Giant Sets: performing several exercises for a single muscle group with little rest in between sets. Muscle Priority: training a weaker body part first in your work out. Pre-Exhaustion: this is where you perform an isolation exercise preceding a compound exercise, e.g. leg extensions before squats. Pyramiding: beginning with a lighter weight, gradually increasing weight and lowering reps, then work backwards, decreasing weight and increasing reps. Stripping: going from a heavy weight, and stripping off weight each set as fatigue sets in. Principles that can be used with each exercise: Forced reps: once failure has been reached on a set, your partner assists you in performing additional reps that could not be performed alone. Continuous tension: maintaining slow continuous tension thru out the rep, which will maximize red muscle fiber recruitment. Cheating: once failure is reached the weight is swung past your sticking point to complete the movement. (useful when you do not have a spotter) Partial reps: as the name implies only part of the full movement is performed, e.g. only curling a barbell half way up, which can be effective due to the varying points of leverage. Peak contraction: at the completion of a set holding the weight fully contracted for a few seconds. Super speed: using a lighter weight, reps are performed explosively yet controlled, called “compensatory acceleration”, which can help with white fiber recruitment. Another very important component of your training and growth is nutrition. Unfortunately, the scope of this article is not diet and nutrition, but I want to emphasize its importance. Since protein is required for anabolism, it’s crucial that your protein intake be adequate. The general rule of thumb for protein requirements is 1 to 1.5 grams of protein per pound of bodyweight. This means that a 200lb bodybuilder should be consuming 200-300 grams of protein per day spread across 5-6 meals each day (33 to 50 grams per meal). You should consume protein from a variety of sources, including red meat, chicken, eggs, milk, fish, cheese and whey to name a few. Many times people will say they just cannot gain weight; well the answer is simple “eat more calories”. In order to gain weight, including muscle mass, you must be consuming more calories than you’re burning, period. So, if you feel that you’re doing everything correctly in regards to training, and you’re not gaining weight, try increasing your calories by 200-300 per day. I am not saying the answer is that simple, although often times it is, I am just making the point that you cannot gain weight without adequate calories. For more detailed information on diet and nutrition please see the section on this site where you will find several articles on the subject. penis enlargment without pills penile enlargement technique penis enlagement forum penile enlargement exercise vimax penis enlargement system vimax vimax penis enlargement result free penile enlargement technique penis enlargment traction device

And men have struggled to find a solution for this, just like in the case of any other problem. A small penis size does not have to be a problem for long because there is something men can do to change the situation. Penis enlargement is not exactly a new thing. In one form or another, it has been around for centuries wherever men felt the need to enlarge their penises. Today, thousands of men resort to penis enlargement products or services, especially since modern science has done a good job proving and disproving some of the techniques, as well as allowing for a more systematic approach. However, any man just starting out wants to know a few things. Although the theory is pretty simple, one can’t just going into the bathroom to exercise or strap a traction device on in the middle of the living room. There are a hundred questions any newbie would like to ask the veterans about how penis enlargement works, what accessories are needed and how long should enlargement sessions be. These are all details, but very important details. These are little problems almost everybody faces on day one of the penis enlargement program. The first advice any veteran will give to a new comer is to have patience. Of course, nobody likes to be patient and to be told that results won’t show for a couple of weeks. It’s hard to stay motivated when days go by and you have nothing to show for your efforts. Still, persistence pays off and those who have the strength to carry on with the program will find that results do come in time. Keep in mind that tissue needs time to grow and that many people experience growth spurts and plateaus and that you just need to be patient. Plateaus happen every now and then to almost every man who’s engaged in penis enlargement. Those who are trying to enhance their penis through exercises should simply change their routines. If an exercise doesn’t seem to bring gains anymore, replace it with another exercise. There is no set program; every user is free to come up with his own routine and to experiment with exercises until he finds what’s best for himself. Some beginners are impatient and think that having more than one penis enlargement session per day would help gains happen faster. However, more than one penis enlargement session per day will simply exhaust the tissues without rushing things up. In this case, it’s the intensity and regularity that counts because doing a routine more than once per day is not as good as doing it once, but very intense. The tissues need time to recover and grow in size, just like muscles need time after a gym session. Overtraining is never recommended. This category of questions also includes the dilemma of whether longer stretching is better than more repetitions. Frankly, this is mostly a question of whatever works for individuals and not a general rule that can be applied to everyone. Experiment with longer stretching and more reps and see what’s best for you. If more reps do the trick, then go for more reps. Another problem faced by beginners and old timers alike is the fact that pubic hair gets in the way of both exercises and the use of traction devices. There’s always the fear of inadvertently pulling hair and some men feel they can’t get a good grip on the base of the shaft because of the hair. Well, penis enlargement requires certain sacrifices from users and my advice is to clip the hair short or to shave it altogether. No sense in struggling through a session because of the hair. And it’s not only hair that gets in the way. The penis is not a precision tool that can be set to achieve partial erections on demand, which is why men sometimes find themselves fully erect and unable to perform exercises that require only a partial erection. The only way of dealing with this is to focus on something else (read a magazine that does not contain porn or a book, watch TV, think about financial problems) and to wait for the erection to subside. A big mistake that many inexperienced users make is to measure their penises too often. Frequent measuring is unlikely to show big gains and can undermine the motivation of a man engaged in penis enlargement. Since results do come in time, men should not measure their penis more than once every four or five weeks. This may seem to be a long time to wait for results, but less than four weeks is not enough time for tissues to increase in size in a visible manner. One of the controversial issues that had the penis enlargement community arguing is the issue of ejaculation after workout sessions. Some penis enlargement aficionados have argued that testosterone levels drop sharply after ejaculation, which may hurt gains, while others have said that ejaculation is the hallmark of a healthy sex life, which is, after all, the purpose of penis enlargement. At present, there is no certain way of telling whether ejaculation has a big impact on gains or not. This issue goes hand in hand with the question of having sex immediately after a workout. It is generally advisable to let at least an hour pass between the end of your workout and sex in order to allow the penis tissues to heal and rebuild before flooding them with blood again. Also, enlargement sessions exhaust the penis and it’s not a good idea to subject it to a second round of physically intensive activity in such a short period of time. One question that crops up every now and then in the minds of curious newbies is whether drinking water increases penis size or not. The answer is: no, not exactly. If drinking water alone could increase the size of limbs, then one could also gain inches in height or girth at the end of a single day. Hydration helps clean the body as toxins and other substances that cannot be used are dumped into the kidneys and sent out through urine. A body free of toxins is a healthier body and is able to heal itself faster, but that’s about as far as it goes. Simply drinking water cannot increase your penis size. PC flexes are a popular exercise among the penis enlargement crowd and a very effective one, too. Newbies often wonder if flexes should be performed fast and furious or slow and cool. However, there is no big difference between the two approaches. Going slow will help build resistance to prolonged effort, while the fast approach will help the muscle get used to intense exertion. It all depends on what you’re looking for: short term intensity or stamina. An interesting way of helping the flow of blood and the healing process in tissues is to use a device known as the Ring of Power. This ring causes a flow of electricity around the base of the penis and testicles in order to stimulate cellular activity, testosterone production and blood flow. If you’re planning to get one, keep in mind that such devices do not work in the same manner for everyone. Also keep in mind that your penis skin may not like the contact with zinc or copper. Some users have reported unpleasant rashes. Prudence is actually a good rule of the thumb for every product that does not come with the endorsement of a professional doctor. Don’t rush in to try every new idea out there because you may regret it. Let others try new products and read what they have to say about them. If the new products sound too good to be true, they may actually be that way. Always be careful when it comes to your health. 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Having nicely shaped, rounded breasts can make a woman feel sexier and confident, there is no doubt about that. However, with surgical breast enlargement procedures (such as breast augmentation and breast lifts) having a number of alarming side effects, more and more women are turning towards natural breast enhancement. Post-operative effects of surgical breast augmentation can include a hardening of the breasts; infection; and (sometimes permanent) loss of sensation in the nipples. Implants may also leak or break, causing a change in the shape and feel of the breasts and a great deal of discomfort. And while the majority of the typical breast augmentation related problems can be treated, it often involves removing the implant (after waiting for any infection to clear) and replacing it with another meaning yet more invasive surgery. There are many non surgical products and methods that claim to enlarge, enhance and lift your breasts such as creams; special bras; using weights and even, hypnosis. However, more and more women are now turning to breast enlargement pills as a way of enlarging and enhancing their breasts. Breast enlargement pills can help women to enhance their breasts and gain breast size without resorting to synthetic hormones and risky, invasive surgery. Most of these pills are herbal and made of natural products. These natural products can also have other benefits. Some claim that they can actually help with other health issues, such as protecting against breast cancer or stopping hot flushes, which is a real bonus! However, when looking for natural breast enhancement, you should still research all the options thoroughly. For example, the internet has hundreds upon hundreds of websites claiming to sell breast enhancement programmes. Many of them are a waste of money and sell products which will never work, so research the different products, look at what the pills contain and the type of development work that has gone in to the products by the manufacturer, then make a decision from there. Natural breast enhancement is a way to enhance your breasts with none of the risks involved with surgical procedures, but as with all products, needs careful research first.