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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 prosolution penile enlargment pills penile enlargement patch pennis enlargement supplement penis enhancement tool safe penis enlargment vimax extender vimax pills inch homemade penis enhancement
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The acai (ah-sigh-ee) berry has been around for thousands of years and not until the 1990's was it introduced to the western world. The acai berry was found to possess tremendous health properties. The acai berry was first used by the tribes of the Amazon jungle as a cure for various ailments. It is estimated that the indigenous tribes people routinely use up to 2,000 of the 3,000 known rainforest fruits for medicinal purposes. The Amazon borders eight different countries and has the world's largest river basin. Not only does the Amazon supply one fifth of the worlds freshwater, it has the highest diversity of birds and freshwater fish. The Amazon is the largest rainforest in the world where one third of all animal and plant species live. The acai berry is just one of these fruits that has been discovered in this vast region. The Shuar tribes are one of these Amazonian tribes that have for centuries, through tradition, kept the use of plants (acai berry) for medicinal purposes. Shuar medicine men or women are called uwishin (oo-wee- sheen') a healer that works with medicinal plants, somebody who knows all the secrets of the rainforests. Uwishin, have a great deal of knowledge of medicinal plants and their cures, they learn from others, and through experiments from the plants themselves. One plant removes snakes venom from the body. It is the work of the uwishin to research and find solutions to illness. The acai berry was discovered to have natural antioxidant properties, as well as being a natural cholesterol controller. When eaten it helps reduce the bad cholesterol in our blood and increases the good cholesterol. The tribes of the Amazon knew of these properties and found out that it helped build the immune system, fight infection, protect the heart, and control prostate enlargement (nature's viagra). It was a great energy food for the tribes-people. The acai berry, which is a palm fruit, was traditionally pulped to make wine that was rich in minerals. The acai berry was also discovered to fight schistosomosis, which is transmitted by snails. Schistosomosis affecting more than 10 million Brazilians. The aca¨ª berry is also used to produce an antibiotic that helps to fight against 'Staphylococcus aureus,' a common infection contracted mainly in hospitals. A berry so useful but only known to the traditional tribes men and woman of the Amazon, a lost secret. The aca¨ª berry comes from a palm that has a long thin trunk up to 25m high with a group of branches at the top from which hangs ribbon-like leaves. Aca¨ª berries hang from these branches in clusters that look like groups of bluebottles. Traditionally the acai berries would be picked by hand and the tribe's men would shimmy up the tree and cut the branches from the top of the palm tree rich in acai berries. Now that the acai berry has been discovered as a highly sort after crop by the population of Brazil it is mass produced, as it only has a 24 hour life span in which the properties of the juice are still active. The acai berries must be loaded into baskets and onto boats soon after picking. To get it to the markets in Belem's they would have to transport the acai berries over night. Each acai palm tree produces round about 20 kg of fruit per year and the wine produced by this fruit has become the most important product in terms of finance after wood forest products. Belem in Brazil now employs over 30,000 people on a daily basis to keep up with its enormous demand. So we know where it comes from, what about it's recent history? After being introduced into the western world it was realised by the modern beach going Brazilian surfer as a natural way to regain energy. The acai berry was pulped and frozen to keep it fresh and became a natural additive to the smoothies drunk along the beaches of Brazil. It was known to help your prostate and was seen as a natural viagra for the boys of the beach. It soon became a drink for the trendy, for the sand and surf brigade. The researches soon got hold of this magic acai berry and realised that it would be of great importance in the well-being and health of the western world, our diets are often over filled with fat and fast food, acai is naturally full with energy, it has a vibrant taste of berries with a hint of chocolate, is rich in proteins, fibre, vitamin E, minerals and essential Omega oils to reduce our bad cholesterol caused by our western diets. The acai berries fatty acid ratio resembles that of olive oil this is thought to be a contributing factor to low incidence of heart disease in Mediterranean populations. The acai berry contains similar properties as red wine in controlling fats in the blood and is a fair contributor to go up against the wine diets of the Mediterranean people. Known as the miracle fruit, acai berries also helps in preventing cancer due to it's antioxidant properties that are five times more potent than gingko biloba, a commonly used herbal therapy product. Acai berry juice has been introduced into other products like bars and health snacks to be sold at gyms and health spars. It's history is important as by studying the effects that the berry has had on the tribesmen in the Amazon we have discovered that it's traditional use as an energy booster for hunting and good libido has lead to acai berry juice to being a very commercially viable product. It's most recent history is that it has been endorsed by such talk show hosts as Oprah Winfrey and has been seen as a feature on her show, a berry with star success. 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Mums to be can often get worried about having sex while pregnant; well there is no medical evidence that having sexual intercourse whilst pregnant does any damage at all. There are a few cases where your GP may advise you about not having intercourse: - If you are Prone to miscarriages your GP may advise avoiding intercourse for the first three months or at the times when you would have been having your period when your hormones would be at their lowest. - You may be advised to avoid intercourse in the later stages of pregnancy if you have a history of premature labour - Your GP may advise you to avoid intercourse if you have a low lying placenta There is no need to worry about your baby being harmed by the penetration of the penis as it is well protected. This protection comes from the Muscular wall of the uterus, from the mucus plug that seals the neck of the uterus, and from the bag of waters. Sexual intercourse will not start labour if the body is not ready. However, if your baby is overdue, arousal of the nipple and intercourse could help in starting labour. The prostaglandins in semen soften the cervix, and hormones released by nipple stimulation encourage the uterus to contract. Sexual desires during pregnancy differ from person to person. Some women may just feel too ill or tired for sex, or a man may worry about harming the unborn child. Some women may just not feel sexually attractive whilst pregnant. In these cases it is best to talk as a couple to reassure each other of the others feelings. On the other hand many couples feel that pregnancy can do wonders for the sex life. Many men may be aroused by the fuller breasts and rounder hips of a pregnant partner. Some women feel great about not having to worry about contraceptives and periods. Well beyond all of that is the actual partaking in sexual intercourse where some people often worry. Of course as the pregnancy develops, the missionary position becomes impossible, which on a plus side forces into exploring other ways to make love. A few ideas are: - Woman on top – this not only gives the man a great view, but also lets the woman stay in control of position and penetration. - Rear entry positions – take time to find a position that is comfortable for you these rear entry positions also allow the man more penetration - Spoons – this is where both partners lye on their side and the man penetrates from behind, this gives shallower penetration which is more comfortable for some ladies during the later stages of pregnancy