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Hypertension (high blood pressure) affects about 50 million individuals in the United States. Of these, about 70% are aware of their diagnosis, but only about a half of those are receiving treatment and only 25% are under control using 140/90 as the cutoff guideline. A new category has been designated as “pre-hypertension” and that is when the blood pressure is 120-139 systolic over a diastolic of 80-89. Blood pressure readings vary greatly in individuals depending on the time of day, where the patient is at when they get it checked, how soon they have eaten, smoked, or even drank a cup of coffee. A diagnosis of hypertension should not be based on one reading unless that reading is extremely high and/or there is evidence of end organ damage such as renal (kidney) or heart involvement. The diagnosis of hypertension should be made only after two or more readings on two or more office visits. The frightening thing about hypertension is that it usually does not cause any symptoms. Unless you are getting your blood pressure regularly checked, you could be walking around for years with elevated blood pressure and not know it. That is why it is referred to as the silent killer. If you are being diagnosed with hypertension for the first time, there are certain tests that your doctor should order. Blood tests including a complete blood count, fasting lipids (cholesterol), fasting blood sugar, renal (kidney) functions, liver functions, and electrolytes (potassium, sodium levels), along with a urinalysis should be checked. You should also have a chest xray to check for enlargement of your heart which can occur over time with hypertension, and an electrocardiogram to check for any cardiac (heart) abnormalities. Treatment of hypertension is multi-faceted. Lifestyle modification should include smoking cessation, daily exercise implementation, dietary changes, alcohol moderation, and sodium restriction. One should consume a diet with plenty of vegetables, fruit, and low dietary fat. Exercise should consist of daily brisk exercise such as walking at least 30 minutes per day most days of the week. A 10% weight loss can make a significant difference in blood pressure readings. Alcohol consumption should be limited to no more than two drinks per day (24 oz. of beer, 10 ounces of wine, or 3 oz. of “hard” liquor such as gin, whiskey, or vodka). You should also reduce salt intake to no more than 2.4 grams of sodium per day. I tell my patients not to add any salt to any foods and restrict high sodium items. If your blood pressure is not extremely elevated, say in the 145/95 range, and you are determined to make substantial lifestyle changes, then perhaps you can bring your blood pressure down to normal range with these measures. I always give my patients in these situations the option to try lifestyle modifications first if they wish as long as their blood pressure is not seriously high. Most patients, however, end up having to take a medication for their hypertension. There are a wide variety of medications available that we can prescribe and the majority of patients require more than one type of medication to reach a desired blood pressure goal. Discuss with your physician the side effects of each and what would be the most suitable medication for you. Medications have come a long way for treating blood pressure in the past twenty years and the side effect profiles are much more favorable than they used to be overall. I have found that a good portion of my patients have an aversion to taking a pill everyday for the rest of their lives. But what I tell them is that they ought to look at it like a vitamin, or better yet, an insurance policy. If it prevents you from having a heart attack or stroke and from either premature death or perhaps becoming confined to a wheel chair and not being able to take care of yourself, then taking a daily pill or two should not even be an issue. Don’t be afraid to talk to your doctor about treatment and asking about the tests I have discussed. Most importantly, please get into your physician at least once a year to get your blood pressure taken, and more often if it has been on the high end of normal. Copyright 2006 Ted Crawford pnis enlargement result free penis enhancement free penis enlagement tip penis enhancement exercise free pennis enlargement exercise enargement manhattan penis pennis enlargement pills penis enlargment traction device
Do you want a bigger penis? Then you need to have a step by step plan. Here is a quick guide for newbies who want to enlarge their penises: 1. Ask yourself if you really want to enlarge your penis. If yes then set up realistic goals. Do not try to find an easy and very fast solution. 2. Hire professionals who will help you to do proper penis exercises. Simply buy access (lifetime only!) to one of the penis exercises program. Exercises will help you to prepare your penis for further enlargement. 3. The next step will be taking penis enlargement pills which will help you to enlarge your penis from inside of your body. 4. After these steps stretch your penis with a easy to use traction device. This penis enlargement method seems to me very effective in combination with penis exercises and penis pills. 5. Do not overdo penis stretching and exercises. Do not overeat penis pills. The more you do doesn't mean you will have a bigger penis faster. I have already described you the fastest and safe way (!) to enlarge your penis. 2-4 additional inches is now not a problem in just weeks. Penis pills is not a magic. They just affect blood vessels in your penis ant thus it grows. Good Luck! easy enlargement free pnis surgery way home penis enlagement penile enlargement exercise vimax penis enlargement herb penis enlarement forum truth about penis enargement pills forum magna rx best enargement exercise penis pnis enlargement surgeries
A dietary supplement is any product that is intended to supplement the diet and that contains at least one of these ingredients: vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, glandulars, metabolites, or a combination of these ingredients. If you choose to take a dietary supplement, read the supplement label carefully. The label will show how much of a specific vitamin, mineral, botanical, or other is in each dietary supplement. The Food and Drug Administration (FDA) and its Center for Food Safety and Applied Nutrition developed regulations for manufacturers in order to help consumers make informed choices when choosing dietary supplements. Manufacturers are responsible for ensuring that their supplements’ facts label and ingredient list are accurate, that the dietary ingredients are safe, and that the content matches the amount declared on the label. Here is the information that must be on a dietary supplement label: A descriptive name of the product stating that it is a supplement. The name and address of the manufacturer, packer, or distributor. A list of each ingredient contained in the product, listed in the order of predominance by common name or proprietary blend. Ingredients not listed on the facts panel must appear in the other ingredient statement beneath the panel. The net contents of the product. The manufacturer’s suggested serving size. There are no rules that limit a serving size or the amount of a nutrient in any form of dietary supplements. Information on nutrients when they are present in significant levels, such as vitamins A and C, calcium, iron, and sodium, and the percentage Daily Value (% DV) where a reference has been established—this is similar to the nutrients listed in the Nutrition Facts panel on food labels. The Daily Value is essentially the same as the DRI (RDA or AI). All other dietary ingredients present in the product, including botanicals and amino acids—those for which no Daily Value has been established. Multiple and Single Nutrient Supplementation When you choose a general multivitamin and multi-mineral supplement, consider those that offer the full nutrient spectrum, the full range of B-complex vitamins, and antioxidants like beta-carotene and vitamins C and E. A good rule of thumb is to look for daily value percentage ranges from 50 to 150 percent. If a multivitamin has some but not enough of the other vitamins, you can take additional doses of those particular single supplements. Typically, a multivitamin cannot hold enough calcium. In addition to this basic multivitamin and mineral supplement, you may want to take single supplements to boost your health for specific conditions. To be sure that you will not be taking excessive amounts over what is already in the basic supplement, subtract the amount in the basic supplement from the larger amount listed for that single supplement. The difference is the amount of the single supplement you need to add. For example, if your basic supplement provides 200 milligrams (mg) of calcium, you would only take 800 mg of single supplement calcium to receive 1,000 mg of calcium daily. Botanicals Common in High-Potency Supplements Common herbal supplements are sometimes found in the formulation of high-potency or a health-benefit specific multivitamin and mineral supplement. Some herbs are used as specifics and are taken for brief periods or only when symptoms are present. Some herbs are used as tonics and are taken long term, sometimes with short breaks in between. For more information on using herbs and their health benefits, read about them from a reliable source and then discuss them with your health practitioner. Become informed! Here are a few common herbs and their unique properties that you may find in your supplements: Ginkgo Biloba (Ginkgo Biloba) is an antioxidant and improves circulation and memory. It may interact with monoamine oxidase (MAO) inhibitors and blood-thinners and may cause gastrointestinal upset and headaches. Ginseng (Panax ginseng, P. quinquefolius) helps increase energy, and is used as a tonic for fatigue and athletic performance. It may worsen the side effects of stimulants, such as caffeine. Some people experience over-stimulation or stomach upset when taking this herb. Avoid this herb if you have high blood pressure, heart palpitations, insomnia, asthma, or a high fever. Siberian Ginseng or Eleuthero (Eleuthero senticosus) helps increase energy and is used as a tonic for fatigue and stress. Its use may increase the effectiveness and side effects of some antibiotics. Saw Palmetto (Sernoa repens) is effective in the treatment of prostate enlargement or benign prostatic hyperplasia (BPH). Some people experience stomach upset when taking this herb. Echinacea (Echinacea augustifolia, E. pallida, E. Purpurea) is known for its ability to stimulate the body’s defenses against minor vial and bacterial infections such as colds and the flu. Persons allergic to the pollen of other members of the aster family, such as ragweed, may also be allergic to echinacea. Its use may counteract immune-suppressive drugs. Green Tea Extract (Camellia Sinensis plant extract) has antioxidant properties, particularly the phytochemical epigallocatechin gallate (EGCG) and is used as a tonic. Milk Thistle (Silybum marianum) is considered a liver protector and healer and is used as a liver tonic. Black Cohosh (Cimicifuga racemosa) has been shown to be effective for premenstrual and menopausal symptoms, such as hot flashes. It may cause stomach upset. Pregnant and nursing women should avoid using this herb. Copyright 2006. Mary El-Baz. All rights reserved. vimax penis enlargement traction device vigrx penis enlagement pill get vig rx cheap penis enargement pnis enlargement doctor vimax manual penis enlargement exercise penis enlargment surgery cost safe penile enlargment pnis enlargement surgeries
PART I A BEGINNERS Introduction & Pointers to the T-Tape Restoration Method - For Men Curious About NON-Surgical Foreskin Restoration INTRODUCTION Foreskin restoration can be achieved by most any circumcised man. The ability to go through a full, successful foreskin restoration, has very minor bearing on how you were circumcised (i.e. how tightly, unevenly, minor problems resulting from the circumcision, etc.) With that being said, there are some medical issues that may preclude you from being successful with restoring – or even preclude you from restoring altogether. Unfortunately many neo-natal circumcisions (the most common time to circumcise in the US, Australia, Canada, among few others) are “sloppy”, done “lazily”, by inexperienced young doctors, or are simply “botched”. Men who suffered improper and poorly done circumcisions may experience some difficulty restoring, and should therefore consult a doctor whom they trust prior to beginning a restoration regimen. Non-Surgical Foreskin Restoration – which is the only method of restoration ForeskinRestorationChat (FRC) chooses to deals with (due to often radically poor surgical results – and usually creating a completely un-natural foreskin), will require a tremendous emotional commitment on your part. If you are married or partnered, it requires a commitment of support for you from them as well. So, after you have decided you want to restore, it is critical to speak with your significant other. At FRC, we rarely hear of partners and wives who do not support their partner’s decision and process of restoration. Expect hesitation from your partner, initially anyway. This is the point that you must explain that the decision to restore is not about them, it’s about you and how you feel about yourself either (or both) physically/sexually, and emotionally. It is not recommended to show a partner newly introduced to Foreskin Restoration photos of restoration devices, photos of restored penises, or any photos relating to restoring for that matter. The goal here is to educate and appeal to your partner’s intellect so that they can become more comfortable with this intensely intimate process. Some thoughts you may bring up to tell your partner: - If you were circumcised as a baby, perhaps you feel that a choice about your sexualidentity was taken from you. You had no say, and want to heal negative feelings by restoring your foreskin. - Many men who restore report that they are doing so as a result of progressively reduced penile sensitivity and sexual pleasure –particularly as a man gets older. You can explain to you partner that most restored men report between a 2 and 3-fold increase in sexual sensitivity and pleasure (some report even much more heightened increases). As your partner begins noticing differences and more skin on your penis, I would then recommend bringing them to some websites to give them the low-down on the whole process and community that has developed among circumcised men who are restored or restoring. SPECIAL NOTE ABOUT SHOWING RESTORATION WEBSITES TO YOUR PARTNER! Be very careful about the sites that you visit with your partner. Why? Many sites out there on the internet market themselves as “foreskin restoration sites” when in fact they deal primarily with circumcision (normally these types of sites are run by radically and politically motivated anti-circumcision groups). Solution? Visit sites you decide that provide neutral information. The goal here is to restore your foreskin, not to educate and scare yourself and your partner with anti/pro-circumcision rhetoric. Many sites provide you with MINIMAL foreskin restoration information, in an attempt to inundate you with MUCH MORE of their political agendas. Use your judgement here. FRC has two or three excellent articles on the site, one “Why would a circumcised man want to restore their foreskin?” and “What is Foreskin Restoration” (the latter can be found at Ezinearticles.com as well as on the main page of FRC). These articles are good shorts to print off and show your partner, as they deal with reasons circumcised men often choose to restore their foreskin. Incidentally, it is expected that more than 100,000 men are restoring now, or have finished restoring. NORM (National Organization of Restoring Men – a non-profit organization) hit 50,000+ members several years ago. So your partner should be made aware that you are certainly not the only man on the planet who wants to do this. Showing your partner photos of restored foreskins/penises, should be broached delicately. Until your partner starts noticing changes in your penis during sex, or even just visually, it might be too much of a shock to show them galleries of restorers’ photos. Particularly if your partner has never experienced or seen an uncircumcised penis. Let them slowly get used to your slowly skin-covering penis first. NOTES ON USING THE HIGHLY POPULAR “T-TAPE AND TENSION METHOD” TO RESTORE 1) Many men take weeks to adjust to the sensations and discomfort from the surgical grade medical tape and tension on their penis used to stimulate the growth of new skin cells. 2) T-Taping takes a moderate amount of practice to get right. You will invariably cause minor sores on the shaft of your penis as you learn thru trial and error how the tape is most comfortably applied to your penile skin. With a little practice, you’ll begin being able to make and apply your t-tapes in under 2-minutes. In “PART II” of this series of articles on Foreskin Restoration, you will learn the DOs and DON’Ts of applying your T-Tapes to your penis to minimize any chance of causing irritation or sore spots on the skin. You will also learn how to make T-Tapes in less than 30-seconds. 3) T-Taping is widely held to be the fastest and most widely used method of restoring your foreskin. If applied properly, as you will learn in the second part of this article, T-Taping is also one of the few methods that can guarantee you get perfectly even tension on both your outer (shaft) skin, and inner (pink, mucosal skin – usually located above a circumcised man’s circumcision scar). This is an optimal state of tension to achieve. Many men using the T-Taping method report between 1.5” – 2.5” of new skin growth in 12-months. This type of speedy skin growth requires emotional fortitude, wearing your t-tape and tension strap as often as you can, at least 6 days a week. Your mileage in growth will of course vary. You may develop 0.5” of skin per year, or even 3” per year. It's important not to place too unrealistic of a goal on your monthly (or annual) progress. Skin can, does, and will grow. Again - consistency in applying tension is key. NOTE: The most current information indicates that cyclical tension on the penile skin (say 12hrs a day, followed by an 8hr or so 'rest' period to allow skin cell growth.) is best for faster growth progress as opposed to those who say near 24/7 tension is best. Skin cells will only grow when they have a chance to perform 'mitosis' which can only happen when tension is *removed* from the skin so it is at rest. Now that you have a basic understanding of what the T-Taping Method is, some basic skin cell growth theory, and you’d like to go ahead and start restoring using the T-Tape method, gather up the following materials so you’re ready to start when Part II of this article is released. MATERIALS: - A roll of 3M MicroPore Paper Surgical Tape (2” – 3” wide tape) - Scissors - Good quality wax paper (Avery Label backings are great as well) - Ruler (preferably the soft paper ones, or sewing kit measuring tapes) - Clean, flat, dry, disinfected surface (counter-top, kitchen table, etc.) - Pair of suspenders for pants (cut one suspender off, leaving only ONE strap remaining) - Mini sewing kit (a simple $2 kit will be much more than adequate) - Extra, Extra soft, non-bleached, ultra-absorbent tissue paper When you acquire all the above materials, you’ll be all ready to get started! If you simply can’t wait for the second Part of this article, you may visit FRC and from the main page click on the “T-Tape Picture Book”. 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Don’t let Diabetes bring your Sex Life to a Halt! In answer to the repeated question of erectile dysfunction, (the medical term for impotence), it has taken me 12 years to research, develop and trial a special herbal formula - as I made it my mission to help, believing as I do there is no reason why diabetes should bring a couple’s sex life to a halt! I’m going to tell you more about my work shortly. But before I do so, I thought it might prove useful to look at Diabetes generally.’ In the United States around 5% of the population has Diabetes. In cases of Diabetes Mellitus this results from a defect in the production of insulin by the pancreas. There are two types of diabetes which are now recognized: the juvenile (Type I), seen in children and young adults, and the maturity–onset type, (Type II), seen usually in obese individuals over forty. For the purpose of this report I am concentrating on the maturity-onset type where often due to prolonged obesity, there occurs a reduction in insulin receptors in target cells (i.e., a down-regulation of the receptors), due to high and steady insulin production. Each of us has a specific number of fat cells which is fixed in infancy. As we gain weight, these cells become enlarged and the number of glucose receptor sites decreases so that ever less glucose can be received and used by the cells. Without sufficient insulin to carry it into the cells where it can be used for energy, or without available receptor sites, glucose accumulates in the blood until some of the surplus is eliminated by the kidneys and passed off in the urine. So typically when the ingestion of an over abundance of insulin inducing foods such as refined carbohydrates and convenience ‘junk’ food) occurs the pancreas can no longer produce enough insulin to restore optimal blood glucose levels. In this condition, the available insulin is ineffective, resulting in signs similar to complete insulin deficiency, hyperglycemia, (high blood sugar levels), glycosuria, (extra glucose spills over in urine), polydipsia, (great thirst leading to increased water intake), and weight loss. How do you know you have Type II Diabetes? Easy fatigue – because the body is not getting enough fuel. Drowsiness, itching, blurred vision, excessive weight, tingling or numbness in the extremities, skin infections and slow healing of cuts and scratches especially on the feet. Because of the accumulation of sugar in the blood, the kidneys are hard-pressed to get rid of it, so you will probably be excessively thirsty and passing more urine than usual. Another prominent suspicious sign is an unexplained loss of sexual desire. Always seek advise from your medical advisor who can arrange the appropriate tests. What can I do about this condition? If you are a diabetic you are probably well aware of the effects of high glycemic foods and the need to maintain blood sugar surges. So what follows are a number of additional key recommendations: •Eat a high-complex-carbohydrate, low-fat, high fiber diet including plenty of raw fruits and vegetables as well as fresh fruit juices. This Reduces the need for insulin and also lowers the level of fats in the blood. Fiber helps to reduce blood sugar surges. For snacks, eat oat or rice bran crackers with nut butter or cheese. Legumes, root vegetables, and whole grains are also good. •Avoid saturated fats and simple sugars (except when necessary to balance an insulin reaction). •Get your protein from vegetable sources, such as grains and legumes. Fish and low-fat dairy products are also acceptable sources of protein. •Supplement your diet with spirulina. Spirulina helps to stabilize blood sugar levels. Other foods that help normalize blood sugar include berries, brewer’s yeast, dairy products (especially cheese), egg yolks, fish, garlic, kelp, sauerkraut, soybeans, and vegetables. •Do not take fish oil capsules or supplements containing large amounts of para-aminobenzoic acid (PABA), and avoid salt and white flour products. Consumption of these products results in an elevation of blood sugar. •Do not take supplements containing the amino acid cysteine. It has the ability to break down the bonds of the hormone insulin and interferes with absorption of insulin by the cells. •Avoid taking large amounts of vitamin B3 (Niacin). However, small amounts (50 to 100 milligrams daily), taken as a supplement may be beneficial. Circulatory effects of Diabetes – How does that effect me? For reasons not completely understood, Type II diabetes if untreated, can lead to vascular diseases that among other things, causes blindness, atherosclerosis, heart attacks, kidney disease, and gangrene. What we do know for certain is that in excess, insulin has the power to make arteries less elastic. It also acts as a growth hormone on smooth muscle cells in the walls of the arteries, causing them to increase in thickness, become stiffer and less supple, while at the same time decreasing the volume within the arteries. Let’s look closer at effects that cause erectile dysfunction…… The subject of impotence usually remains behind closed doors, however, some physicians speculate that as many as 70 percent of diabetic men are impotent. In obese men this is related to an over abundance of oestrogen (a female hormone), which in turn desensitises the skeletal muscles to the action of insulin. Diabetes can damage the nerves, (neuropathy), the erectile tissue and small blood vessels in the penis. Neuropathy may mean there is less sensation in the penis and less signalling to it from the brain, making it more difficult to get and maintain an erection. Damage to the blood vessels will also prevent erectile tissue from filling with blood. This is why diabetes and erectile dysfunction are closely linked. What other factors play a part in erectile dysfunction? It may be that medications taken for diabetes, high blood pressure or for other conditions can be the cause. Drinking too much and smoking can also cause the problem. Psychological and emotional factors such as anxiety depression and stress are also important. What you can do to overcome erectile dysfunction Talk to your doctor. Because erectile dysfunction is a common diabetes-related problem, your doctor won’t be surprised when you mention the topic. The doctor can check if there are significant problems with the arteries or the nervous system as occasionally these aspects might need special attention in their own right. Control your blood sugar. If blood glucose levels are kept in the normal range, it will help reduce the chance of this problem occurring. Avoid tobacco. If you smoke-STOP! Smoking can cause blood vessels to narrow, contributing to blockages that can lead to erectile dysfunction. Smoking can also decrease nitric oxide levels, (which controls the circulation of blood, and transmits messages between nerve cells. As a result deficiency includes the inability to achieve and sustain normal erections). Avoid excessive alcohol. As a rule of thumb men should restrict their intake to no more than two alcoholic drinks a day. Drinking excessive amounts of alcohol can cause erectile dysfunction by damaging blood vessels. Maintaining normal blood pressure is important. In addition to smoking, and drinking excess alcohol please note that diabetics who control their condition reduce the risk of hypertension. I have 12 more strategies: Watch your weight: In over weight people, a 10 percent reduction in total body weight will sometimes normalize blood pressure. Compute your Body Mass Index: Multiply your weight in pounds by 703; then divide by your height in inches; then again divide by your height in inches. Try to stay between 18.5 and 24.9. Regular exercise minimizes the chance of developing impotence and can restore sexual function in some men. In general, if you haven’t been exercising, try to work up to 30 minutes, 4 to 6 times a week. Please bear in mind the importance of eating more carbohydrates before exercise. Exercise produces an insulin-like effect in the body. Your doctor may make a different recommendation based on your health. If you can’t carry on a conversation while you exercise, you may be overdoing it. So in this case it is best to alternate exercise days with rest days to prevent injuries. Beware of salt: No more than 6grams per day, many processed foods are sodium rich including soy sauce and canned soups. Choose Potassium rich foods instead: Beware of Sodas, which deplete potassium. Top Potassium Foods Potassium rich foods include:- * Lentils 730mg 1 cup Banana 450mg medium * Kidney beans 700mg 1 cup Avocado 550mg half * Prune juice 700mg 8oz Carrot (raw) 232mg medium * Tomato juice 652mg 6oz Milk 381mg 8oz * Chick peas 470mg 1 cup Orange juice 474mg 8oz Check your blood for cholesterol and triglyceride levels. I recommend you obtain an excellent eBook at www.beatingcholesterol.com Eat plenty of high fiber foods which are found in many vegetables and whole grains. Reject refined foods: Natural wholefoods are the best – Not processed. Avoid fried foods, saturated/hydrogenated fats and avoid hidden fats, especially trans fats which are a greater risk than even saturated fats- check the food labels. Importance of vitamin C: Make sure you have adequate amounts of this vital vitamin as it has been shown that the less vitamin C in the blood, the higher the blood pressure in hypertensive patients. Suggested dose with bioflavonoids such as Bilberry 3,000-6,000 mg daily, in divided doses. Vitamin E: Evidence suggests that vitamin E also magnifies vitamin C’s blood pressure-lowering effects. Start with 100 IU daily and add 100 IU daily each month, until you reach 400 IU daily. As much as possible avoid stress: Always ensure some “Me Time”, a great way to achieve this is putting 5 drops each of lemon balm and lavender essential oils in warm bath water. Be sure to get sufficient sleep: High blood pressure patients deprived of sleep experience significant increases in blood pressure, especially during the evening. Consult a urologist. They can help assess your condition, determine its cause, and identify safe and effective treatments. Fortunately the treatment of erectile dysfunction in diabetes has improved considerably over the last decade. In addition to a number of devices, some men with diabetes can get relief for their sexual problems from medications such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra). However, I have collected data, that many people who were utilising Viagra, Cialis, and Levitra reported that sometimes these drugs do not work at all. I believe that when your system is low in testosterone, (the male hormone), Viagra, Cialis, and Levitra do not seem to impart their full-proof effect. I have discovered two herbs that mimic the action of Viagra together with two traditional herbal testosterone boosters. I then completed the formula with additional herbs to increase circulation and act as an aphrodisiac. Properties of Herbs Responsible for assisting ED from my research and formulation. Maca-Increases desire, promotes mental alertness and a positive frame of mind Horny Goat Weed-The extract has now been clinically tested and found not only to increase the sexual desire but also helps in the reversal of impotency symptoms Muira Puama-Dr Jacques Wayneburg: According to a clinical study with 262 patients at the institute of sexology, Paris France. 262 patients complaining of lack of sexual desire and the inability to maintain an erection were used as subjects in a clinical trial for 4 weeks. 62% of patients claimed that the treatment with Muira Puama had a dynamic effect while 51% with ED felt great benefit. TribulusTerrestris-Studies have shown that treatment with this herb has led to a better than 50% increase in testosterone levels by increasing the luteinizing hormone. Tongkat Ali-It is now clinically tested in university Sains Malaysia, in the Department of Pharmacology and it is known to boost the testosterone levels by 400 times in men of all ages. Viagra like Action. Xanthoparmelia Scabrosa-Principal activity of this herb is to inhibit PDE5 enzyme so that you can maintain erection longer. Cnidium Monnieri-It is mainly used as a natural libido booster. The seeds are also used in the treatment of impotence, it has been shown to have an action similar to the sex hormones, prolonging and reviving the copulation period. Ginkgo Biloba-At the Seoul national university medical school in Korea, promising research is being undertaken on Ginkgo Biloba's affect on smooth muscle relaxation on the human corpus cavernosum. This is the tissue area of the penis which when relaxed blocks the flow of blood away from the penis, thus maintaining an erection. Finally, please remember that you are as unique as your fingerprint, so what works for one person may not work for another. Having said that, I really believe there is hope for anyone suffering from diabetic impotence, it is just a question of exploring the many options and taking responsibility for this condition.