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It takes a long time for students of English-as-a-second-language to learn to read well. This is not because they have a reading problem: They can read perfectly well in their own language. The problem is just that they don’t know the meaning of enough English words. In other words, they don’t have a big enough vocabulary. It’s not easy to build a vocabulary that allows you to read as well, or almost as well, as people who grew up speaking and reading English. It's quite easy to build the basic vocabulary of 1000-2000 words that you need in order to speak English to other people and understand what they’re saying. You’ll probably pick up that many words, without really trying, during the early stages of your study of English. And if that doesn’t happen, you can always sit down with a good vocabulary list and a dictionary and start memorizing. However, to be able to read English well, you need to know a lot more than 2000 words — about ten times that many, in fact. You won’t learn all these words without trying, even if you spend a lot of time taking English courses and talking to English speakers. Learning the most basic words in English, or any other language, is easy because these words are used so often. ‘Second-level words’ — words that are not necessary for basic communication, but which are necessary for reading — can only be learned by the hard work of studying. But what sort of studying is most effective and most enjoyable? One method is to take the direct approach and learn words ‘out of context’ — by studying word lists, doing vocabulary ‘exercises,’ or even by reading through a learners’ dictionary. There are plenty of textbooks around to help you with this job and you may find English courses that concentrate on this sort of vocabulary building. It’s also possible to take a more ‘natural’ approach and try to build up your vocabulary by reading English books, newspapers, and magazines — looking up words in a dictionary as you go along and taking notes. Both the direct and the indirect approach can work, but both have serious disadvantages. Most people find studying word lists and reading dictionaries quite boring, and a boring method of studying is likely to be ineffective. In addition, even if you’re not bored, you may find it hard to remember the words you try to learn in this way. It seems that words, and other things, stay in our minds better if we see them for the first time while we’re doing something interesting — like reading an enjoyable story or article. The disadvantage of the natural approach is that for intermediate learners — ones who are trying to build their vocabulary up to the 20,000-word level — the most readily available texts tend to be far too difficult and, therefore, they are ineffiicent learning tools. Books, even if they are quite easy to understand, tend to be much too long for someone who is reading slowly while using a dictionary and taking notes. Magazine and newspaper articles, on the other hand, almost always contain a lot of language that is unnecessarily difficult because it is idiomatic or metaphorical or because it includes unusual words that are not really needed. This slows down learners and also makes the experience of reading less interesting and therefore less effective. The best method of vocabulary building is one that combines the advantages of both approaches while avoiding the disadvantages. One way to do this is to learn vocabulary in context, through reading, but with texts that have been specially written for vocabulary building. This makes for natural, efficient, and enjoyable studying. Finding this kind of reading material can be difficult, unfortunately. The reading passages in ESL texts can be a good source, but they're often few in number and very short. Moreover, the readings in books for beginners' are often quite uninteresting and the ones in books for more advanced students are often about quite difficult 'academic' ideas. To succeed with this method of vocabulary enlargement, you need long and interesting texts. The best sources are probably 'simplified' versions of famous works of English literature written specially for learners. Books of this kind are not used as often in ESL courses now as they were in the past, but, if you're taking an English course, your teacher may able to lend you some, and you should certainly be able to find some in your library. If you go to a library or bookstore to look for useful reading material, you should also look at children's and teenagers' books. They are written for readers who, unlike you, have English as their first language; but like you, they still have to learn more words before they can read 'grown-up' material easily. best penis elargement surgery buy penis enlargement pills pro solution pill review vimax penis enlargement before and after picture best pnis enlargement vig rx review permanent penile enlargement penis enlarement testimonials

manual penis enlagement

Tantra is a spiritual tradition that originated in India some 4,000 years ago. It is a way of life that celebrates and strives for the union of body, mind, heart and soul. Tantra is a form of yoga. Yoga means union. The ultimate purpose of Tantra is the union of lovers, and ultimately union with the Divine. In the Tantric tradition, sexuality and spirituality are joined. Lovers actually invite God into their bed! Many cultures have a variation of this challenging and delightful practice, the Taoists in China and the Cheyenne in North America. There are differences in these practices, but all forms of sacred sexuality share the intentional cultivation and use of sexual energy for spiritual growth, healing, creativity and enhanced pleasure. The practices of Tantra were first introduced to the west in the 1800s, but a Tantric revival in the ashrams of India during the late 1960s has led to a gradual popularization of these practices in Europe and North America. Recent testimonials by celebrity musicians and movie stars like Sting and Woody Harrelson have promoted it and Tantra is becoming the sexual learning of choice for those who want to have it all: a passionate sex life, a healthy body, and spiritual growth. Tantric lovemaking involves breathing exercises, muscle contraction exercises, sound, visualization, affirmations, creating a sacred loving space and other ceremonial practices, meditation, sensual massage, and sexual play. In order to build a high sexual energy charge and to move into ecstatic states of divine connection Tantric lovers extend lovemaking over several hours, experiencing extraordinary levels of pleasure along the way. Part of the delight of Tantra is that you can continue to learn and advance throughout years of practice; it is never-ending in its potential for growth. At the same time, it is a practice that yields immediate results. You can experience a difference in your lovemaking right now if you follow these nine simple steps. Tantric Loving Step by Step 1. Intention Regular lovemaking has a goal, orgasm. If you both come at the same instant, many believe this is as good as it gets. However, this approach often results in a great deal of frustration and performance anxiety. With Tantric sacred loving there is no goal, but there is a purpose, union. Your intention is to merge with your lover in all aspects, body, mind, heart and soul, not just body. You can help this along by looking at your lover differently, by seeing your partner as a god or goddess, as a living expression of the divine. Look for the glory, the beauty and the wonder in your playmate and in yourself and let that shine. 2. Creating a Sacred Loving Space Set the mood; transform any ordinary space, bedroom, living room, etc., into a sacred space. It takes only a few minutes and costs little or nothing. The important thing is your intention, not the specific items you use. First, clean the room; vacuum, dust, and put away any clutter lying about. In the evening dim the lights and use lots of candles. Bring in plants or fresh cut flowers. A bowl of fruit is very sensual. You may wish to have a bottle of wine to share. Bring special objects that have emotional importance for into the room. Make up a lover's bed using your finest clean linens (silk is exquisite) and have lots of pillows handy. When you have finished creating the space, take a few moments to purify it energetically. That means consciously sending away negative or fearful thoughts and feelings, and inviting in those that are joyous, passionate and safe. Create your own rituals with sweet grass, incense, and musical instruments. 3. The Lover's Purifying Bath Cleanse each other in preparation for your joyous union. Wash away the dirt and cares of the world. A hot bath with essential oils and bath salts is perfect, especially if you can both fit into the tub at the same time. A shower is the next best thing, but perfectly acceptable. The essential thing is to be squeaky clean. After all you will be eating off that skin! Make the bath a slow, luxurious affair giving complete attention to your lover. Wash and dry each other with playful abandon. Men shave or trim facial hair and apply scent. Women apply their best perfumes and lotions. Sensually prepare your bodies for the delights ahead. 4. Honor, Respect and Permission Trust, surrender and opening your heart are essential if you want to reach the heights of bliss. It is not just technique that will get you there. You must join together as loving equals on the sexual journey. Men, think of the yoni (vagina) as a potential opening, don’t ever take your lady for granted! Speak softly how much you adore, love and respect her as you gently blow on her ears and nibble on her ear lobes. Let her know that you think of her constantly and how strong your desire is to make love with (not to) her. Also, let her know that you invite her to awaken sexually and to express her sexuality fully. Let her know that you are NOT caught in that tired old cultural conditioning that still insists "good girls" do not enjoy sex, the Madonna/Whore split. Make her believe you when you tell her that you know she can be all she wants to be: a successful career woman, a respectful daughter, a faithful wife, a caring mother, a passionate lover and a sincere spiritual seeker all at the same time. Tell her how beautiful she is, how wonderful she smells, and all the things you appreciate most about her. Finally, ask permission to be her passionate Tantric lover. Ladies, let your man know that he is safe! He may act macho and tough, showing little emotion, but inside most men are afraid of emotional intimacy. The tougher a man acts the greater this fear of trusting and surrendering will be. Let him know that you admire his strength, but that it also turns you on when he allows himself to be vulnerable by showing his feelings. Tell him how handsome he is and how talented. Mention all the things you like most about him. Tell him why you love him so deeply. Tell him how much you think about him when he is away, and how you have fantasies about making love with him and touching him when he returns. Make him believe that you really want him sexually. Finally, ask permission to be his passionate Tantric lover. 5. Foreplay Two simple ways to tune into each other are harmonizing your breathing and gazing deeply into each other's eyes. By matching your breathing rhythms and making soulful eye contact you connect emotionally and energetically as well as physically. Begin to explore each other's bodies with wonder, lust and playfulness. Remember, in Tantric sacred loving there is no goal. You are not trying to get somewhere. Each touch is complete in and of itself. Once you master how to work with your sexual energy both lovers will discover they can have orgasms just by touching fingers together, or looking into each other's eyes across a crowded room! So men are not in a hurry to get at the woman's breasts or into her yoni. When touching her body, start at the extremities, fingers and toes, and work in toward the hot spots. Go slowly! Generally men enjoy having their genitals touched at any time, but women usually only enjoy having their breasts and genitals touched after they are already sexually excited from other touching, stimulating conversation, or emotional connection. Make sure the woman is well lubricated before any attempt at intercourse. If possible, help her to have a clitoral orgasm before moving on to intercourse. 6. Intercourse Five to fifteen minutes of lovemaking is usually not satisfying for women. Men can learn to delay ejaculation so that lovemaking can be extended for hours. A man can delay ejaculation for weeks or months at a time, not just during one lovemaking session. A man who masters his ejaculation response can separate orgasm from ejaculation and become a multi-orgasmic-man! Such a man can last long enough in lovemaking so that his female partner will have enough time to also have multiple orgasms. Although Tantric loving lasts several hours, this does not mean you are having active intercourse during that entire time. Intercourse is interspersed with touching, oral play, quietly holding each other, dancing, massage, etc. It is a good idea for a man to allow his erection to subside every 30-45 minutes to exchange the blood supply and recharge his oxygen and hormone levels in the lingam (penis). 7. Moving Your Energy: The Passion Pump Riding the wave of bliss happens when the lovers become totally aroused sexually, maintaining that arousal for a period of time. They build up intense hot sexual energy. For the man, if this energy has nowhere else to go, there will be such great pressure in the prostate, that it will go into involuntary spasm and ejaculation will end the lovemaking. However, with a combination of breathing, relaxation, and muscle contraction exercises both men and women can learn to circulate sexual energy through their own and their lover's body. Ultimately the ego boundaries disappear and the lovers become one in ecstatic union. The muscle contraction exercise is very simple. If you were urinating and stopped the flow of urine in mid-stream you would be contracting exactly the right muscles in exactly the right way. This squeezing and relaxing of muscles around your genitals is called the PC Pump. It's the first and most important exercise in learning to circulate your sexual energy. At the peak of sexual arousal, either during intercourse or manual/oral stimulation stop your normal lovemaking movements and focus on moving the sexual energy that's pulsing in your genitals. Move it up and through your body. Use slow, deep abdominal breathing to keep your body relaxed. Add the PC pumping action and visualize moving energy up your body in a ball of fire or a wave of light or a current of electricity. Through your eyes, your hands, your genitals pass this powerful force on to your lover. At first, this may seem difficult because we are not accustomed to paying attention to our internal energy. With practice, you will be able to recognize and direct it. 8. Afterplay Regular lovemaking usually ends (often abruptly) when the man ejaculates, but Tantric sacred loving often ends while the lovers still have desire. This assumes the man has some mastery over his ejaculation response so that ending lovemaking is a conscious choice, sometimes including ejaculation, sometimes not. With Tantric loving you wind down your lovemaking with slow caresses, words of endearment and honoring each other with food and drink. 9. Sharing Wine, Food and Other Sensual Pleasures The sharing of good food, wine and other intoxicants, sensual massage, dressing up in costumes and playing sexual games are part of the ancient Tantric tradition. While Tantra is serious, it need not be heavy. Lighten up; be playful, lusty and daring! Tantra lovers know that they are personally responsible for their own sexual fulfillment and their own spiritual progress. This may be especially important for men. Many men experience a great deal of performance anxiety. But even the greatest, most sensitive, highly skilled Tantric lover cannot make a woman have orgasms. She must be able to go to that place in herself that is orgasmic. Sexual/spiritual ecstasy has little to do with control. It requires trust, surrender and letting go. Both lovers must learn to do this. If there is some psychological work to do before you will allow yourself to open in this way, then get on with it! In the meantime, please each other with the preparation, serving and consumption of fine food and drink. Lavish each other with touching in sensual massage. Dress up (and down) for each other. Take on different personalities with different costumes; wear masks. Play and laugh together. Celebrate your spirit through your sexuality. Open your heart. Let your lover in and your love out! penis enlargement result penis enlargement excercises does penis enlagement work penis enlarement pic manual penis enlargment enlargement forum free matter penis size penile enlargement before and after photo vimax homemade penis enlargement manual penis enlagement

While sore throat is an ailment that clears on itself within a few days, strep throat often requires medical treatment with antibiotics. Physicians claim that in the absence of an appropriate medical treatment, strep throat can rapidly aggravate and lead to complications such as rheumatic fever, cardiovascular diseases or kidney affections. Before penicillin was discovered, infection with streptococcus bacteria could even cause life-threatening diseases. However, nowadays strep throat can be easily overcome with the means of specific antibiotic treatments. It is very important to understand that sore throat and strep throat are not the same thing. Sore throat is caused by infection with viral agents and its generated symptoms are mild. By contrast, strep throat is caused by infection with group A streptococcus bacteria and its generated symptoms are usually intense. Strep throat produces symptoms such as inflammation and swelling of the throat, cough, nausea, fatigue, high fever, enlargement of the tonsils and lymph nodes. While the symptoms of sore throat usually ameliorate within a few days in the absence of medical treatment, the symptoms of strep throat intensify gradually and can persist for more than a week. In many cases, untreated strep throat can lead to tonsillitis, otitis and scarlet fever. On the premises of a weak immune system, the infection can even become systemic, affecting the body on multiple levels. Strep throat is very contagious and it can be easily acquired in the flu seasons. Unlike in the case of sore throat, the symptoms of strep throat have a rapid onset and they are considerably more intense. Sometimes, clinical examinations alone can distinguish between sore throat and strep throat. By measuring patients’ body temperature and by examining the aspect of the tonsils, doctors are usually able to tell whether the infection is caused by viruses or bacteria. However, strep throat can be correctly diagnosed only with the means of laboratory tests. In order to determine the nature of the infection, doctors take a sample of mucus for analysis. If the illness is indeed caused by group A streptococcus bacteria, doctors usually recommend an appropriate medical treatment with antibiotics. Considering the fact that antibiotics can generate various side effects, physicians only prescribe these drugs when the illness is serious. If the throat inflammation doesn’t appear to be caused by infection with streptococcus bacteria, doctors usually recommend letting the illness heal naturally. If the symptoms of strep throat persist for more than a few days and appear to intensify, physicians may prescribe a treatment with penicillin or amoxicillin. These antibiotics have been successfully used to cure strep throat for decades and they are still effective in overcoming the illness in present. The treatment with antibiotics needs to be followed for more than 10 days in order to ensure a complete recovery. It is very important to respect the doctor’s indications and to correctly follow the prescribed medical treatment. If the treatment with antibiotics is prematurely interrupted, the infection is very likely to reoccur. penis enlagement pill pro solution cheap penile enlargment surgical penis enlarement penis enlarement operation penis enargement excercises penis enargement device penis enlarement stretcher pennis enlargement pills manual penis enlagement

If you’ve ever witnessed someone suffer a stroke, you understand the humbling nature of this disease. It can reduce the mightiest human being to an immobile, helpless creature. Impairment of crucial functions like speech, walking, and control of bowel and bladder can wrench control from the body in a moment. Even perpetually youthful TV personality Dick Clark was struck down by stroke at age 75, despite the outward appearance of perfect health. Clark’s stroke resulted in a six-week hospital stay and, judging from fragmented reports, significant disability. Stroke can be like a devastating fire that strikes without warning, leaving only smoldering rubble. Stroke can so ravage basic bodily functions that often all you can hope for is to regain a portion through rehabilitation. The disease process that underlies stroke requires decades—30 or 40 years—to develop. With that much lead time, why aren’t we better able to detect or stop this crippling disease? The truth is that we are able to predict many, if not most, strokes. Advances in imaging technology allow detection of atherosclerotic plaque that cause stroke years before it becomes a threat. Progress in deciphering the causes of stroke has also leapt forward. Unfortunately, your neighborhood physician still focuses on diagnosing the crisis rather than anticipating it. Physicians prefer to deal with catastrophes and are just not that interested in prevention. Most physicians ask: “Is it time to operate or not?” The medical community obsesses over procedures like carotid endarterectomy (surgical removal of plaque) or carotid stents. Even when a person is afforded the warnings of a “mini-stroke”, or transient ischemic attack (TIA), little more is done once it’s determined that surgery is not necessary—even though this person has high risk for future stroke (50% over 10 years). Let’s flip-flop this approach to stroke. Procedures represent a failure of prevention! Where do strokes come from? Stroke develops when some portion of the brain is deprived of blood. This usually results from a tiny bit of debris that dislodges from an atherosclerotic plaque along the walls of an artery (the same sort that accumulates in coronaries causing heart attack). The sources of debris have been a subject of controversy, but new imaging technologies have settled the question. Any blood vessel that leads from the heart to the brain can be a source. The two carotid arteries on both sides of your neck are a frequent source, as these arteries are prone to develop plaque. (Our discussion will be confined to what are called thromboembolic, or ischemic, strokes, i.e, strokes that occur from plaque that fragments, sending debris to the brain, and will not include the far less common hemorrhagic strokes due to rupture of small vessels in the brain, nor will we discuss atrial fibrillation and other heart causes of stroke. The thromboembolic strokes we discuss cause around 88% of all strokes.) Over the last 10 years, the aorta has been recognized as another important source of stroke. The aorta is the main artery of the body whose branches go to the head, arms, and legs. Atherosclerotic plaque is a live tissue that, through poor diet, inactivity, high cholesterol, overweight, etc., grows and becomes progressively more unstable. At some point, plaque fragments. Little bits break away, traveling to the brain. Fractured plaque also exposes its deeper structures to flowing blood, triggering blood clot formation, which in turn can also fragment and go to the brain. Atherosclerotic plaque is a prerequisite for the most common causes of stroke. If the majority of strokes originate from plaque, why not measure plaque to determine if you’re at risk for stroke? How can we easily, safely, and accurately measure plaque in the carotid arteries and aorta? And if plaque can be measured, can it be shrunk or inactivated to reduce or eliminate risk for stroke? How can plaque be measured? Just 20 years ago, the only practical method of identifying plaque in the carotids or aorta was through angiography, requiring catheters inserted into the body to inject x-ray dye. Angiography was impractical as a screening measure. CT scanning and magnetic resonance imaging (MRI) are emerging as exciting methods of imaging both carotids and aorta. Unfortunately, most centers and physicians are much more focused on the diagnostic uses of these technologies for people who have already suffered stroke or other catastrophe, and application of these devices for preventive uses is still evolving. One exception is when aortic calcification or aortic enlargement is incidentally noted on the increasingly popular CT heart scans; this is an important finding that can signal presence of aortic plaque. The one test that is widely available and can be performed in just about any center is carotid ultrasound. It’s simple, painless, and precise. Two basic observations can be made: 1. Plaque detection—Atherosclerotic plaque can be clearly visualized. If plaque blocks more than 70% of the diameter of the vessel, or if there are “soft” (unstable) elements in plaque, then stroke risk may be high enough to justify surgery or stents. However, if there are plaques that are less severe, substantial risk for stroke may still be present that can be reduced with preventive measures. 2. Carotid intimal-medial thickness—This is a measure of the thickness of the lining of the carotid artery in areas not involved by plaque, but often precedes the development of mature plaque. Carotid intimal-medial thickness also provides an index of body-wide potential for atherosclerotic plaque that can place you at risk for stroke. The aorta, for instance, cannot be well imaged by surface ultrasound but can still be a source for stroke. Increased carotid intimal-medial thickness and carotid plaque are closely associated with likelihood of aortic plaque. The Rotterdam Study of 4000 participants demonstrated that if carotid intimal-medial thickness is greater than normal (1.0 mm), then you can be at risk for stroke (and heart attack), even if no carotid plaques are detected. Carotid ultrasound is the one test you should consider that provides the most information with least effort. Ultrasound is harmless, painless, and can be obtained just about anywhere. Even if your doctor disagrees with your request for a carotid ultrasound, an increasing number of mobile services are popping up nationwide that make this test available for around $100. One important point: many scanners and interpreters will only report whether plaque is present or not. While this is important information, you should request that the carotid-intimal medial thickness be made as well. Not all centers can make this simple measure (because of software requirements), but it doesn’t hurt to try. Any amount of carotid plaque is reason to follow a preventive program, even if the plaque is insufficient to justify surgery. Can plaque be reduced? Can we shrink plaque in carotid arteries and aorta and thereby reduce, perhaps eliminate, these sources of stroke? That question is gaining momentum as effective therapies become available that pack real punch for reducing plaque. Study after study has now documented that plaque can be reduced and, with it, risk for stroke. Reduction in plaque of 10–20% is possible within a year or two. Let’s consider the most potent influences on carotid and aortic plaque growth that need to be considered in a plaque-reducing program. (I assume that you are a non-smoker—if you are a smoker, you first need to concentrate on quitting.) Hypertension Considerable experience documents the power of blood pressure-lowering for prevention of stroke. The most recently updated guidelines, the JNC–VII, recommends a blood pressure of 407 mg/dl heightens stroke risk six-fold. C-reactive protein (CRP) This measure of inflammation is proving to be a useful marker for identifying people at risk for stroke, with increased risk beginning at a level of 0.5 mg/l. High CRP also predicts more rapidly growing carotid plaque. Homocysteine Homocysteine is an important marker of increased likelihood of both carotid and aortic plaque, as well as stroke. In 1997, the European Concerted Action Project reported more than a doubling of stroke when homocysteine levels exceeded 12 mol/l. As homocysteine increases to 20 μmol/l, risk for stroke and heart attack increases an amazing 10-fold over that at a level of 9 μmol/l. Asymmetric dimethylarginine (ADMA) ADMA is recently discovered amino acid whose blood levels can skyrocket up to 10-fold in the presence of hypertension, metabolic syndrome, diabetes, high cholesterol and triglycerides, obesity, and high homocysteine levels. ADMA blocks the action of the amino acid, l-arginine. This mimicry reduces the availability of nitric oxide, a powerful dilator and protector of arteries. ADMA levels in the top 10% predict a six-fold heightened risk for future stroke, and ADMA levels in people with strokes are double that in other people. A carotid ultrasound study in 116 subjects showed that higher blood levels of ADMA are associated with more severe carotid plaque. Because of ADMA’s shared role across a variety of abnormal conditions, correction or blocking the action of ADMA has been suggested as a unique therapeutic tool to reduce stroke risk. Cholesterol Data suggest that lowering cholesterol with statin cholesterol-lowering drugs slows carotid plaque growth and reduce stroke risk approximately 22%. An interesting study from the Cardiovascular Institute at Mt. Sinai School of Medicine in New York using the precise measuring ability of MRI of the carotids and thoracic aorta showed an impressive 20% regression of plaque area with simvastatin (Zocor®) taken for two years. Although guidelines for cholesterol treatment recommend reduction of LDL cholesterol to 100 mg/dl in high-risk persons, a report from the Walter Reed Army Medical Center in Washington, DC, showed that carotid plaque was more effectively reduced when LDL cholesterol of 70 mg/dl or lower was achieved with statin cholesterol drugs. Lower LDL cholesterol may, therefore, be better. Treatment Strategies to Reduce Carotid and Aortic Plaque The essential question: How do we reduce carotid and aortic plaque? If we make this the focus of our efforts, many pieces begin to fall into place. If you’ve had any measure of carotid or aortic plaque such as a carotid ultrasound or aortic calcification on a CT heart scan, you know that you’re at increased risk for stroke. You also have a baseline for future comparison to gauge whether your program is working or not. Because most people have not one but several causes of carotid and aortic plaque, there is no one single treatment that effectively eliminates risk for stroke. Instead, most people require a comprehensive program of healthy diet, exercise, supplements, and medication when indicated. Here, we focus on the nutritional supplements that can be critical components of your plaque-reduction program. Fish oil Fish oil is a cornerstone of your stroke prevention program. Epidemiological observations suggest a strong relationship of fish intake and reduction of stroke risk. Carotid ultrasound studies demonstrate less carotid plaque with greater intakes of fish. A cleverly designed University of Southampton study made the fascinating observation that fish oil transforms the structure of carotid plaque. 150 people with severe carotid plaque scheduled for carotid endarterectomy (surgical removal of the plaque) were given fish oil, sunflower oil, or no treatment over several months while waiting for their procedure. (Delays in the British health system permitted this unique design.) Plaque was removed at surgery and examined. Participants taking fish oil had reduced inflammation in plaque and thicker tissue covering the fatty core, markers of more stable plaque. Those taking sunflower oil or no treatment had unstable plaques with greater inflammation and thinner, less sturdy covering tissue. This suggests that fish oil stabilizes carotid plaque, making it less likely to rupture and fragment. A standard capsule of fish oil (containing 300 mg of EPA + DHA) contains the same amount of omega-3s as a 3 oz serving of cod or halibut; three capsules (900 mg DHA + EPA) contain the equivalent of a serving of farm-raised salmon. The dose that seems to provide greatest protection from stroke, lowers triglycerides (that form abnormal lipoproteins; see above), and reduces fibrinogen, is four capsules per day (1200 mg EPA + DHA). Coenzyme Q10 (CoQ10) Although there are no data specifically addressing whether CoQ10 reduces plaque, it is a marvelously effective way to reduce blood pressure, one of the crucial factors causing carotid and aortic plaque growth. A pooled analysis of eight studies showed that, on average, CoQ10 in daily doses of 50–200 mg reduced systolic blood pressure by 16 mm Hg, diastolic pressure by 10 mm Hg. Data suggest that CoQ10 can reverse abnormal heart muscle thickening (hypertrophy), another manifestation of high blood pressure, strongly suggesting that CoQ10 has benefits beyond just reducing pressure. Supplements to correct the metabolic syndrome Weight loss is, without question, the most immediate and direct path to correction of this dangerous pre-diabetic condition. A drop of even 10–20 lbs yields improvements across the board: increased sensitivity to insulin, increased HDL, and reductions in triglycerides, CRP, fibrinogen, small LDL particles, and blood pressure. Diet and exercise are fundamental components of an effort to lose weight; low carbohydrate or reduced glycemic index diets (e.g., South Beach or Mediterranean) rich in fibers are clearly effective. Several supplements can amplify weight-reduction efforts and be useful adjuncts to your lifestyle program. Among them: White bean extract White bean extract blocks intestinal absorption of carbohydrates by 66%. 1500 mg twice a day with meals yields, on average, 3–7 lbs of weight loss in the first month of use. The only side-effect is excessive gas, due to unabsorbed starches. Glucomannan This unique fiber taken prior to meals absorbs many times its weight in water and thereby fills your stomach. You consequently take in less food. Most people lose around four lbs per month using 1500 mg prior to each meal. Interestingly, glucomannan also blunts the rise in blood sugar after meals, an effect that, by itself, may lead to weight loss. Be sure to take with plenty of water. DHEA This adrenal hormone is key to maintaining physical stamina, mood, muscle mass in men, and libido in women. A recent randomized, placebo-controlled study at Washington University in 56 subjects showed a 13% decline in abdominal fat (fat that drives resistance to insulin) measured by MRI with 50 mg of DHEA per day at bedtime, along with improved sugar control and lower insulin levels. Pectin, beta-glucan Pectin is the soluble fiber in citrus rinds, green vegetables, and apples, also available as a supplement. Beta-glucan is the soluble fiber of oats and is also available as a supplement. Both are wonderful fibers that provide feelings of fullness, lower cholesterol, slow release of sugars, and can yield modest weight reduction. A USC study in 573 subjects using carotid ultrasound showed that greater intake of healthy fibers like pectin and beta-glucan is associated with less carotid plaque growth. Folic acid, vitamins B6 and B12 Dr. Daniel Hackam at the Stroke Prevention and Atherosclerosis Research Centre in Ontario conducted a study using carotid ultrasound in 101 participants treated with folic acid 2.5 mg, vitamin B6 25 mg, and B12 250 mcg per day. Treatment resulted in plaque reduction, especially when homocysteine levels exceeded 14μmol/l at the start, compared to untreated participants who experienced substantial plaque growth. An attempt to clarify the role of homocysteine treatment was made through a National Institute of Health-sponsored study of stroke prevention. 3680 participants with a prior history of stroke were enrolled and given either a “low-dose” (20 mcg folic acid, 0.2 mg B6, 6 mcg B12) or a “high-dose” (2.5 mg folic acid, 25 mg B6, 400 mcg B12) regimen. Although starting homocysteine levels showed a graded association with stroke risk (higher homocysteine levels predicted greater stroke risk), the treatment groups experienced, on average, only a 2 μmol drop in homocysteine levels and no reduction in stroke risk over two years. The study investigators as well as critics have suggested that the study failed due to an insufficient treatment period and that the doses were too low. (The doses we use in our plaque reduction program are folic acid 2.5–5.0 mg, B6 50–100 mg, B12 1000–2500 mcg.) L-arginine L-arginine can be used to overpower the adverse effects of ADMA. L-arginine is emerging as an important carotid plaque-reversing tool. Early reports in animals showed that l-arginine completely halted growth of aortic plaque, and did so more effectively than lovastatin (a cholesterol-lowering drug). In humans, L-arginine reduces blood pressure, abnormal constriction of carotid and coronary arteries, blocks entry of inflammatory cells into plaque, increases sensitivity to insulin, and heightens exercise capacity. Following coronary angioplasty or stent placement, l-arginine results in up to 36% reduction in plaque growth. The average American takes in 5400 mg of l-arginine through food every day. Supplementing with doses of 3000–12,000 mg per day has proven useful to correct many of these phenomena. (We use a dose of 6000 mg of l-arginine powder, twice a day on an empty stomach, dissolved in water, for our plaque regression program.) Does this result in a reduction of stroke risk? The emerging data suggest that l-arginine is likely to exert a powerful plaque-reducing and stroke-preventing benefit, but we await more clinical trial data. Conclusion Reducing stroke risk by reversing carotid and aortic plaque is becoming an everyday reality, with better tools becoming available. To know whether you’re at risk, the best and most available imaging tool is carotid ultrasound, aiming to identify intimal-medial thickness >1.0 mm, or carotid plaque. Any degree of calcification of the aorta, such as on a CT heart scan, is another useful measure of risk. Treatment to reduce risk is multi-faceted but is based on examining all your sources of risk, including metabolic syndrome, small LDL, lipoprotein(a), and C-reactive protein. Fish oil is the one absolutely crucial ingredient in any stroke prevention program. Other supplements can be used in a targeted fashion, depending on the causes identified for your carotid or aortic plaque. Ideally, repeat scanning of your carotids should be done sometime after your program has begun to assess whether you’ve successfully achieved reversal of plaque growth. penis enlargement surgery photo bottle vimax pills herbal natural penis enlargment pennis enlargement operation guide to pennis enlargement home penile enlargment penile enlargement tip vigrx for men manual penis enlagement

Introduction According to a recent survey in USA 31% men and 43% women suffer from couple infertility problems and in 40% couples dealing with this problem cannot conceive because of the man facing impotency problems. Sexual impotency in males can be alleviated today easily with medical intervention and no longer a topic of embarrassment! Causes of male impotency Erectile dysfunction or male impotency can be caused due to many reasons which are mostly triggered due to unhealthy lifestyles or fast paced stressful life. Let’s take a look at some of the most common reasons due to which male impotency creeps in. Physical: * Men suffering from vascular disease often have hardened arteries leading to the penis which stops the blood flow to the penis resulting in erectile dysfunction. * One out of every 4 impotent men has diabetes which causes nerve deterioration. In some of these cases diet restriction and controlling blood sugar can decrease impotency. But permanent nerve damage can result in chronic problem. * Men suffering from nerve related disease like Parkinson’s disease, multiple sclerosis, spinal cord injuries can suffer from male impotency. * Surgery to remove cancer from prostate, rectum, colon or bladder area can damage the blood vessels controlling erection. * Hormonal imbalance in the body like having abnormal levels of testosterone can result in erectile dysfunction. Medication: Prescription medicines of blood pressure, spinal injury, depression, diabetes and other certain drugs can cause temporary impotence as they often tend to interfere with the blood vessels and nerve impulses leading to the penis. Alcoholism and smoking addiction Excessive intake of alcohol and smoking addiction can damage the nerve cells and cause impotency. Psychological: * Stress and depression may result in erectile dysfunction in men. * Viagra: the new age breakthrough in male impotency * Viagra is most commonly prescribed to treat male impotency or better known as erectile dysfunction (ED). It is most interesting to note that sidenafil citrate the original ingredient which is prevalent in Viagra was originally created to treat high blood pressure. In 1993 Pfizer Pharmaceuticals started working on this ingredient and piloted the medicine on 3000 men with varying degrees of impotence. The results were astonishing! 48% men with severe impotence were able to experience arousal and 70% men with milder problems had success on using the pill. Precaution is needed while using Viagra or even before using the drug * One must be examined thoroughly and a complete medical history should be checked to rule out certain disorders in health like high or low blood pressure, coronary problems, eye troubles, skin cancer or other cancer etc. This is only because the side effects of Viagra will be very severe if one pops the pill randomly without a doctor’s intervention. * Men who use medicines containing nitrates must not take the pill as it can abnormally lower the blood pressure of the body. * Viagra is definitely and should not be used by women or children. * Side effects of Viagra can be mild and temporary like headache, flushing, urinary tract infection, sensitivity to light or certain colors like blue and green, stomach troubles, diarrhea and stuffy nose. For more detailed information on the effects of the drug on the body the user must always check with the doctors or health care providers. Dealing with impotency Most men can deal with this problem if they keep an open attitude towards it. It is necessary to keep a healthy lifestyle and good food habits to avoid stress, harmful addiction and male impotency. If you suspect the creeping and persisting problem of ED you should immediately contact health physician for proper medication. Remember Viagra treats ED but does not cure impotency.