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Researches have established that a diabetes patient is more prone to succumb to erectile dysfunction than a normal person. Erectile Dysfunction besides diabetes can prove a disastrous combination that can have an impending effect on the psychological and physical well being of a man's life. Men who are having erectile dysfunction problem may became so concerned with the inadequacy that they try to avoid the sexual situation altogether. Same time it increases the stress level, frustration and can trigger a bout of depression. It is estimated that more than 50% diabetic patient are suffering from ED. Erectile Dysfunction occur at younger age. Within 10 yrs of the diagnosis of the disease trait of ED begin to surface, although not all diabetics develop ED. Why the diabetics are easy prey to Erectile Dysfunction? Men endowed with healthy blood vessel, nerves, male Harmon and “desire” to perform gets the erection on wish. Diabetes can kill blood vessels and nerves that make the erection possible. Therefore even the normal amount of male hormones and desire to have sex can not help getting a firm erection. Medical people believe that presence of a blood sugar in diabetic prove an impediment to the enzyme that start the series of events which lead to erection. Endothelial nitric acid syntheses (eNOs) enzyme considered responsible to start the chain of vascular events that produce and sustain erection.Enzyme (eNOs) cause the release of Nitric Oxide at the nerve ending in penis. The initial release of NO get a quick and short duration increase in penile blood flow it also cause short time relaxation in penile muscle to get an erection. Enhanced penile blood vessel and smooth penile muscle relaxation increase the blood flow in penis which results in erection. When blood sugar O-GLcNac present in hyper glycemic(high blood sugar) circumstances interrupt eNOs enzyme this may cause permanent penile impairment over time. A patient of diabetes should always take extra care to understand the complexities of his health psychosexual counseling is mandatory in these situations. Sexual therapy is vital for people with diabetes, since the chronic condition is fraught with situational stresses, performance anxiety, and problems in relationships. A range of different modes of medication are available for the diabetics. Penile injection or vacuum erection device therapy has been used by many patients with satisfaction. A penile prosthesis was certainly a viable option in these individuals should they fail those therapies or wish to go directly to penile prosthesis. Obviously one must bear in mind that diabetics have a higher incidence of infection and thus they should be counseled in that regard. Sildenafil is also proving a good source that diabetics can look up to. penis elargement exercise herbal penis enargement pills vimax best penis enlargement surgery vig rx pic penis enlargment technique free pnis enlargement cheap penis elargement pills compare pennis enlargement pills

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Many men suffer from erectile dysfunction i.e. the incapability to get and uphold an erection long enough to have a satisfying sex. There are man reasons why ED is most visible in men over 45. The sex drive is often decreased even further in older men who use medicines of various kinds. There is a misconception about sex that sex drive steadily lessens, as our age progresses ahead, so we accept ED as a natural problem. But the fact is that for many men ED may be more the result of treatable physical conditions rather than an actual loss of sex drive. In many cases, ED is the result of over burden on man’s body and his brain. Specialists in this field believe that impotence affects between 10 and 15 million men in America. Impotence usually has a physical cause such as some disease, any injury or drug side effects. Any problem that harms blood flow in the penis has the power to cause impotence. Incidence rises with age. About 5 percent of men at the age of 40 and between 15 and 25 percent of men at the age of 65 experience ED. Still, it is not an inevitable part of aging. But with the launch of viagra in 1998, things have changed. The force of this drug has been gigantic, not just in the region of curing ED for which FDA passed it, but also in the way we feel about sex and sexuality, and even in the area of interaction between male and female. Millions of men have tried Pfizer’s miraculous medicine sildenafil, popularly known as viagra in the united states, and there are thus millions of females who have also noticed its effects on their husbands, boyfriends, and lovers and achieved what we called is orgasm. Viagra is totally different from other ED drugs that have been in the market for over the years now. It has positive advantages and qualities that put the drug in the class of “different from others”. Its effects last long and this satisfies people suffering from ED. The working mechanism of viagra is almost same as evaluated with other ed drugs present in the market today but it has the ability to target the targeting area i.e. pde5 receptors in a enhanced mode. There are other ED drugs also in the market but people have faith in viagra because it has proven records of satisfaction. The success rate of viagra is very superior and extremely praiseworthy as compared to other drugs. It has been researched that more than 80% of people consuming viagra have expressed their fulfillment of sexual needs. Studies have shown that it works twice as fast as any other ED drug and that too with fewer side effects. Sildenafil citrate is an active ingredient of this most popular ED drug viagra. Viagra is used in a treatment for men experiencing erectile dysfunction. Viagra’s mission is to work on enzymes of the body called phosphodiesterase and to improve man's response to sexual stimulation. These enzymes work primarily inside the penis, so the action of sildenafil or viagra is limited only to the penis. Viagra works to have control over the enzyme, and by doing so it normalizes and regulates the blood flow out of the penis and thereby helping the man maintain an erection. Sildenafil citrate improves the erection of most men, doesn’t matter how long they have been suffering from the problem of ED. So the time spent with one's partner during sex can be sexually more active and arousing. Normally, the treatment is started with the dose of 25 mg, which can be increased or decreased observing the working and the side effects of this drug. Normally it can be taken anytime from 30 minutes to 4 hours before sexual intercourse. The best thing about viagra is that it the pill that can also be used by those who are not suffering from ED, and also by those who are looking for extra stamina for sex. Generally, it is advised that person above 65 years of age should be more cautious using this pill. The good thing about this pill is that it will not start working unless some foreplay is conducted. Viagra does not replace stimulation. There are certain side effects that have been reported. Nearly 5% of patients consuming viagra reported minor side effects such as headaches and heartburn. It is not recommended for people having heart disease and consuming drugs that lower blood pressure. Others can use it safely. The pde5 receptors have to be targeted effectively in order to avert the side effects associated with the ED drugs. The most common side effects of sildenafil citrate are headache, flushing of the face and upset stomach. Less common side effects that may occur are temporary changes in color vision (such as trouble telling the difference between blue and green objects or having a blue color tinge to them), eyes being more sensitive to light or blurred vision. In exceptional occasion, men have reported an erection that lasts many hours. One should call a doctor immediately if he ever has an erection that lasts more than 4 hours. If not treated right away, it might damage the penis permanently. Now that cheap viagra is accessible very easily, there is no chance that any can’t buy or get viagra. Buying viagra is not a big task because online viagra pharmacy is in countless numbers. These viagra pharmacies offer huge discounts on viagra. I don’t see any reason why a person suffering from erectile dysfunction would not prefer viagra. After all it is the drug, which has all the qualities, which are needed in a drug, used to treat ED to be a successful drug, and that is what viagra is. vimax cheap penis enlargement pills penile enlargement exercise vimax penis enlargement video do pnis enlargement pills work do pnis enlargement pills work vimax pillss inch real penis enlarement male pnis enlargement penis elargement surgery picture

As you begin to get older, many men begin to wonder about their prostate health. Prostate health is all over the news and media, and you may even know someone that has been diagnosed with prostate cancer over the past few years. If you are worried about your prostate health, or want to find out ways to help protect it, you have come to the right place. We will go over what this important gland does, and discuss the different options that you have in protecting your prostate health. First, you must understand what the prostate actually is. It is a sexual gland, about the size of a walnut that is located around the base of the bladder and urethra. It essentially, hugs the tube that carries urine out of your body. This partially muscular, partially glandular organ produces a slightly alkaline substance that is present in semen. It is important to understand that there are many problems with prostate health that aren’t life threatening. So if you feel that you may have a problem with your prostate, usually shown by a difficulty to urinate, it is important that you seek medical advice. Prostate disease is a condition that can vary from individual to individual. Some simply have an infection that can be treated with medication; others have an inflammation of the prostate tissue, while others simply have an enlargement of the prostate gland. While all of these many indicate cancer at a latter point, they don’t necessarily mean cancer right off the bat. Getting a diagnosis is the first step to improving your prostate health. Your doctor may perform one or more of the following tests to access the situation. Most of them are painless or may only be uncomfortable. Discuss your options with your doctor if you have a low threshold for pain. • DRE (digital rectal examination). The physician will fell the prostate manually to look for enlargements and problems. • PSA (prostate-specific antigen) testing. Your doctor will do a simple blood test to determine your level of PSA. Small amounts are normal, but large amounts could indicate a problem. • TRUS (transrectal ultrasound). This test uses wave echoes to create an image of the prostate. • Cystoscopy- where the doctor looks through the urethra with a thin, lighted tube. • Biopsy- a small tissue sample is collected from the area and studied. The key to preserving your prostate health is go get proper treatment early on. Many men are ashamed to seek treatment, which can ultimately lead to further complications. Prostate disease and cancer are easily treated as long as you get diagnosed early on. At the first sign of pain or discomfort contact your doctor immediately. Men over the age of 50 should get their prostate checked out at least once a year. Find a doctor that you are comfortable with, and make sure to ask questions. Many patients choose to do research online before they visit a doctor, which will help you ask the right questions during your visit. natural pnis enlargement and lengthening com enargement penis penis pump free exercise tip for penis enlarement real penis enlarement does vig rx really work cheap penis enlagement natural penis enlargment exercise herbal pnis enlargement pills penis elargement surgery picture

Viagra (Sildenafil citrate), which millions of men take for erectile dysfunction (ED), reduces the effects of hormonal stress on the heart by half, according to a study published online in the journal Circulation. Viagra causes genital blood vessels to expand, which helps in maintaining an erection. Recent research also has pointed to its potential usefulness in treating pulmonary hypertension. Prior to the latest findings by a team of Johns Hopkins researchers, it was thought to have little effect on the heart. Viagra, or sildenafil, blunts the strengthened heart beat caused by chemically induced stress, according to study senior author and cardiologist David Kass, MD, a professor at the Johns Hopkins University School of Medicine and its Heart Institute. It thereby lessens both the excess amount of blood and the force used to pump it to the body. "Sildenafil effectively puts a 'brake' on chemical stimulation of the heart," says Kass. Prevents and Reverses Effects of High BP These findings are believed to be the first confirmation in humans that Viagra has a direct effect on the heart. In earlier research, Kass and his team observed a similar effect in mice; Sildenafil blocked the short-term effects of hormonal stress in the heart. Related studies by the group show that sildenafil also prevents and reverses the long-term effects of chronic high blood pressure on the heart. Sildenafil reversed the negative effects on heart muscle weakened by heart failure and enlargement -- a condition called hypertrophy -- in mouse experiments Kass and his team carried out earlier this year. They reported their results in the journal Nature Medicine. "But we had no firm evidence as to whether or how this therapy might work in the human heart," says Kass. "Our latest research provides firm evidence this drug does indeed have an important impact on the heart." Increased Heartbeat Was Slowed Thirty-five healthy men and women, with an average age of 30 and no previous signs of coronary artery disease, participated in the six-month Johns Hopkins study. Within a three-hour timeframe, each participant received two separate injections of dobutamine (5 micrograms per kilogram for five minutes), a synthetic, adrenaline-like chemical that increases heart rate and pumping strength. Between injections, study participants were assigned randomly to a group that was treated with sildenafil (100 milligrams taken orally) or to a group given a sugar pill placebo. All participants then were given the second dobutamine injection to see what effects sildenafil or placebo had on the heart. Measurements of heart function were made before and after each injection. These included blood pressure readings, electrocardiograms and echocardiograms. Blood samples confirmed relatively equal levels of sildenafil and other enzymes. Each dobutamine injection stimulated heart function, increasing heart rate and the force of each heartbeat used to pump blood throughout the body, results showed. "This stimulation is similar to the way the nervous system normally increases heart function when triggered by emotional or exercise stress, or in diseases such as heart failure," notes Kass. After the first injection of dobutamine, the force of heart contraction increased by 150 percent in both groups. In the placebo group, this increase repeated itself after the second injection. However, in the group treated with sildenafil, the increased heartbeat was slowed by 50 percent, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation. Between injections, heart function was not altered in the sildenafil group, demonstrating the absence of adverse side effects on the resting human heart. Stops PDE5A Action "Knowing more about the effects of sildenafil on heart function will allow for safer evaluation of its use as a treatment for heart problems," says Kass. "Our results set the stage for further studies of sildenafil's immediate and long-term effects on the heart and its ability to modify other neurohormonal and stress stimuli, including adrenaline and hypertension," he adds. While the precise biological actions of sildenafil in the heart are not fully understood, the drug is known to work by stopping the action of an enzyme, called phosphodiesterase 5 (PDE5A), Kass explains. This enzyme is involved in the breakdown of a key molecule, cyclic GMP, which helps control stresses and limit overgrowth in the heart. PDE5A is also the biological pathway that sildenafil blocks in the penis to prevent the relaxation of blood vessels and thus maintain erections. Copyright 2005 Daily News Central pennis enlargement before and after penis enlargment product penis enlagement exercise medical pnis enlargement penis enlargment pills best penile enlargment surgery penis enlargment pic before and after penile enlargment pills product penis elargement surgery picture

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.