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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 truth about penile enlargment pills vimax penis enlargement pills product enlargement free penis pill sample penis enlargement pills magna rx penis enlargment excercises compare pennis enlargement pills free natural penis enhancement penis enhancement tip

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The pills niche of the penis enlargement market is huge. Year after year, new pills come to swell the ranks of the existing products trying to grab market share by either boasting new and more effective ingredients or trying to take advantage of the popularity of existing ingredients among the consumer base. Thus, the average customer and web surfer is left at the mercy of a thousand flashy websites that are doing their best to sell him whatever pill they advertise. The hapless surfer is willing to lay down the cold cash, but not on the first product he’s laid eyes on. But how to find the best penis enlargement pill? If you are troubled by this question, then you should also know you are far from being the first in this situation. The need of reliable guides to the pros and cons of various legitimate products and the need to avoid the many scams plaguing the penis enlargement market has led to the establishing of a number of independent review websites. These websites can be used as a guide to finding the pills that suits you best, in terms of both effectiveness and time. The second way to use the websites is to find out about the side effects of various penis enlargement pills. This way you’ll know what to avoid from the start. You could also look for penis enlargement-related forums. These are actually the best place to start your search, since you can read at your leisure the first hand experiences of other people with pills and even with other products. Customers are usually willing to share their stories about the effects of various pills and you can also find tips on how to maximize the potential of penis enlargement pills. It’s there that you’ll find the cautionary tales about known scams and about legitimate products that simply don’t work as well as advertised. Before you buy, take the time to look around on the Internet and make an informed decision. Don’t spend your money because a nice website tricked you into thinking that the product would be just as nice. Information is not really hard to find and comparative reviews and forums can really make the difference between results and a waste of money and time. penis enlagement pump vimax free exercise tip for penis enlargement magna rx patch penile enlargment tool plastic surgery penis elargement cheap penis enhancement pills top penis elargement pills penis enlagement surgery photo vimax penis enlargement traction device

Just about everyone is aware that a male or a female can contact genital herpes from someone who has this sexually transmitted disease. This type of herpes virus is very well known as HSV-2. Recent studies have proven that this herpes virus can also be passed on orally. Both sets of symptoms are very similar to one another. Blisters and sores can appear on different parts of the body. Although as the name suggests, those who have contacted oral herpes will have signs of the virus on the mouth. While those who have contacted genital herpes will show signs of the disease on the penis of the male, and vagina or cervix of the female. In some cases, the virus may also be inside the urinary tract of both males or females. Oral herpes will first begin as lesions. Doctors refer to the initial outbreak as the primary episode. These lesions will appear between two to tens days after the start of the infection. These are small red lesions that will mature into blisters, and then turn into full-blown sores. The infected individual’s gums will become swollen and red. There have been incidents with some patients where their tongues develop a white coating. This condition will last for two to three weeks. After that time, they will dry up, and heal without scaling. In addition to the obvious physical signs of oral herpes, other symptoms may be finding it difficult to eat, running a fever, feelings of irritability, and muscle pain. The varying symptoms make it very difficult for the doctor to conclusively tell if the patient has oral herpes. It is not until the sores or blisters begin to appear on the face that a final diagnosis of oral herpes can be made. Oral herpes, just like genital herpes, is passed on while touching, kissing, and during intercourse. Unfortunately, an infected adult can also unintentionally transmit this to a child with a simple good night kiss. The good news regarding this infection, is that oral herpes can be controlled with the proper medication. Proper hygiene goes a long way in helping to prevent the spread of oral herpes. People should wash their face regularly, especially the affected area, with soap and water. For someone infected with this disease, it is important to remember not to hold, or even touch an infant, since the immune system of a baby will be unable to fight off this disease. Oral herpes may last longer than another type of herpes virus. The reason is stress. Those who are not highly stressed individuals can recover in two weeks, while those who have to face the daily pressures of work, or home life, and find doing so to be difficult, will suffer a little while longer. Anti-viral tablets are the best-known medication to help control oral herpes. Studies have shown that these medications can also help to prevent the disease from recurring. Some patients are forced to be confined in the hospital, and to undergo IV medication until they recover. This happens only to those patients who are suffering from severe cases of oral herpes, or to infants and young children. penis enlargement operation does penis enlargment work free penile enlargment exercise permanent penile enlargement vimax patch does vig rx really work penis enlagement procedure real penis enlagement vimax penis enlargement traction device

A recent study conducted by some Chicago researchers has revealed that the layer of internal mucosa inside the penis is more susceptible to HIV infection than its external skin or cervical tissue. If this is true, then it would mean that men with uncircumcised penis run a greater risk of contacting HIV infection than the one who have had undergone circumcision already. In fact, this upward trend in the number of HIV infections amongst uncircumcised men had been noticed earlier itself - in the various studies conducted - but the exact reason for this was unknown to the experts till date. A study published in the September issue of the American Journal of Pathology by researchers at Children's Memorial Hospital, the University of Illinois at Chicago School of Public Health, and the Rush-Presbyterian-St. Luke's Medical Center, throws light over the possible biological mechanisms that could explain the science behind the protective shield that circumcision offers. The researchers studied foreskin tissue samples taken from six adults and eight children who had undergone circumcision for some reason or the other. These tissues, when compared with cervical tissue that served as controls, it was found out that the internal mucosa layer have a higher concentration of the cells that are more prone to HIV infection than the latter. In other words, the foreskin mucosa had a higher percentage of macrophages, CD4 T cells, and Langerhans' Cells (LC), which are HIV target cells, than cervical tissue. Further, it has been observed that the concentration of HIV target cells in foreskin mucosa is higher for people who already have had any sexually transmitted infection earlier. This finding in fact is consistent with some the earlier studies done by researchers, which have pointed out that HIV infection is more in people having STD infections or with a similar history than one without it. According to the associated scientists, while this study proves beyond doubt the difference in levels of infection that affects foreskin mucosa and cervical tissue, they have not yet verified the results in the case of a circumcised penis owing to the difficulty in obtaining tissue samples of the same due to various reasons. For the time being, the result is like, if this is true, the other is also ought to be true. In order to address this short coming, Mr. Robert Bailey, PhD, MPH, Division of Epidemiology, from the School of Public Health at the University of Illinois at Chicago and his team is conducting an elaborate study in East Africa by collecting tissue samples from 1,400 people – both circumcised and uncircumcised – belonging to the same city, and conducting various experiments, the results of which will be published in another four years time. Hopefully, that will provide a solid conclusion on the debate, whether circumcision reduced HIV risk or not. penile enlargment video penis girth enhancement penile enlargement pills permanent penis enlargement vimax penis enlargement patch home penile enlargment penile enlargement surgery photo penile enlargement video vimax penis enlargement traction device

Surgery may be necessary to remove larger warts, warts that don't respond to medications. Surgical treatments options include: