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Many industrial concerns have workshops of their own. For the repair of worn shafts, the lathe machine is excellent. Keyway slots can be machined by using a milling machine, while a shaping machine can do machining of large flat areas. A drilling machine does drilling of holes. A skilled Maintenance Engineer should know how to use all these machines in order to make his own repairs in a safe manner. Very often he has to supervise machinists. The information below should be useful for that purpose. Lathe Machine The lathe machine uses a single-point-cutting tool for a variety of turning, facing, and drilling jobs. Excess metal is removed by rotating the work piece over the fixed cutting tool to form straight or tapered cylindrical shapes, grooves, shoulders and screw threads. It can also be used for facing flat surfaces on the ends of cylindrical parts. The work piece is clamped onto a horizontal rotating shaft by a 3-jaw or 4-jaw chuck. The latter chuck can be used to cut off-centered cylinders. The rotating horizontal spindle to which the chuck is attached is usually driven at speeds that can be varied. The cutting tool is fixed onto a tool rest and manipulated by hand. It can also be power driven on straight paths parallel or perpendicular to the work axis. This is useful for screw cutting. Internal turning known as boring results in the enlargement of an already existing hole. The holes are more accurate in roundness, concentricity, and parallelism than drilled holes. A hole is bored with a single-point-cutting tool that feeds along the inside of the work piece. Shaping Machine The shaping machine is used to machine flat surfaces, grooves, shoulders, T-slots, and angular surfaces with single-point tools. The cutting tool on the shaper oscillates, cutting on the forward stroke, with the work piece feeding automatically toward the tool during each return stroke. Drilling Machine The drilling machine is used to cut holes in metal with a twist drill. By changing the cutting tool, they can be used to do reaming, boring, counter boring, countersinking, and threading. Milling Machine The milling machine uses a rotating cutting tool to cut flat surfaces, grooves, and shoulders, inclined surfaces, dovetails, and T-slots. Cutters of many shapes are changed to cut different grooves. Cutting Tools Metal-cutting tools are classified as single point or multiple point. The lathe and shaping machine use single point cutting tool while the milling and drilling machines use multiple-point-cutting tools. Metal is cut either by moving the work piece like in the lathe or by moving the tool like in the shaping machine, drilling or milling machine. Clearance angles must be provided to prevent the tool surface below the cutting edge from rubbing against the work piece. Rake angles are often provided on cutting tools to cause a wedging action in the formation of chips and to reduce friction and heat. Tool Materials In order to remove chips from a work piece, a cutting tool must be harder than the work piece and must maintain a cutting edge at the temperature produced by the friction of the cutting action. Carbon Steel Carbon steel tools even though comparatively inexpensive tend to lose cutting ability at temperatures around 400 degree F (205 degree C). High-Speed Steel High-speed steel, containing 18 percent tungsten, 4 percent chromium, 1 percent vanadium, and only 0.5 to 0.8 percent carbon, permits the operation of tools twice or three times the speeds allowable with carbon steel Cast Alloys Cast-alloy cutting-tool materials containing cobalt, chromium, and tungsten are effective in cutting cast iron and retaining their cutting ability even when red hot. Cemented Tungsten Carbide The hardness of Tungsten Carbide approaches that of a diamond. Tungsten carbide tools can be operated at cutting speeds many times higher than those used with high-speed steel. Oxides Ceramic, or oxide, tool tips consist primarily of fine aluminum oxide grains, which are bonded together. These are very hard. Cutting fluids An overheated tool can become blunt and soft very fast. Therefore very often, cooling fluids cools the cutting points of the tool. This serves to lubricate and cool. Water is an excellent cooling medium, but it corrodes ferrous materials. Sulfurized mineral oil is one of the most popular coolants as it can both cool as well as lubricate. The sulfur prevents chips from the work from melting on to the tip of the tool. surgical penis enargement pnis enlargement before and after penis enhancement video male penis enhancement penis elargement product free pennis enlargement tip free penis enargement technique penis elargement result
Although many people do not have visible hair loss, hair loss is a natural daily occurrence. Approximately 50 to 150 hairs are lost each day, but most hair regenerates because the hair follicle remains intact. If the follicles shrink due to heredity, hormones, stress, infection, certain prescription medication, illness, nutritional deficiency or age, the hair is not restored. When shedding significantly surpasses hair growth, baldness occurs. This Male Pattern Baldness usually begins at the forehead or on the top of the head, and progresses to the familiar horseshoe-shaped fringe of hair. Depending on your type of hair loss, treatments are available. Since hair loss may be an early sign of a disease, it is important to find the cause so that it can be properly treated. A doctor usually inspects the hair shafts, and may perform a biopsy of the skin. A biopsy helps determine if the hair follicles are normal; if they are not, the biopsy may indicate possible causes. If the doctor's examination finds signs of irregularities or other serious illness, blood tests to identify those disorders may be required. Assuming no diseases, or pathologies there are two medications that can treat baldness effectively. Minoxidil, originally used to treat hypertension, has been shown to stimulate hair growth in adult men and women with a certain type of baldness. The exact way that this medicine works is unknown. Hair growth usually occurs after the medicine has been used for several months and lasts only as long as the medicine continues to be used. Hair loss will begin again within a few months after Minoxidil treatment is stopped. Minoxidil is applied directly to the scalp on a daily basis. Minoxidil can be used for both men and women. Proscar, a medication used for prostate enlargement, works by blocking the effects of male hormones on the hair follicles and is taken by mouth daily. Individuals with increased levels of the hormone DHT in the scalp experience a shortening growth phase or thinning of the hair. Proscar lowers the level of this hormone, and contributes to the normalization of the hair growth cycle. Proscar may be used for men only. Improvement may occur with either of these drugs when taken for several months. The most important effect of these drugs may be to prevent further hair loss. The effects last only as long as the drugs are taken. A more permanent solution is a hair transplant, in which hair follicles are removed from one part of the scalp and transplanted to the bald area. During this procedure, the surgeon removes a section of hair form the back of the head, near the base of the skull. This area of hair is genetically different because they do not have the gene for hair loss in their follicles. Only a small scar is left and unless one shaves the back of the scalp is it not noticeable. The donated follicles are then placed in saline solution, while small incisions are made in the areas of hair loss. Each individual donated follicle is placed creating an uneven ordinary hairline. After the hairline is formed, the remaining donor follicles are put where thinned or balding spots occur. In the newer hair transplant technique, only one or two hairs are transplanted at a time. Although this technique is more tedious, and time consuming, it does not require removal of large plugs of skin and allows the implants to be oriented in the same direction as the natural hair. If satisfactory treatments are not appropriate for your type of hair loss, you may consider trying different hairstyles, wigs, hair weaves, hairpieces, or artificial hair replacement, or very simply wear a hat. vimax penis enlargement technique vimax best enlargement exercise penis plastic surgery penis enlarement penis enargement without pills vigrx penis enlargement pill natural penis elargement pennis enlargement stretcher pnis enlargement doctor penile enlargment forum
Research reports that two out of four young people have unhealthy ideas about eating, dieting and weight. With the alarming increase of eating disorders, dieting, and obesity among children as young as 5 and 6, it's crucial these days for parents to proactively work to promote healthy eating and body image in their children. It has been found that in households where mom talks about feeling fat, 81% of their teenage daughters said they felt fat too. Our girls, especially, are being easily confused and influenced when it comes to body image development. In a culture where young people are bombarded with skinny, glossy, and superficial images, parents can be a mirror reflecting understanding, reassurance, wisdom, and love that their children can look into with faith and not fear. Many factors influence whether an adolescent will develop a positive or negative body image. As a parent, you can learn to be supportive the next time your child says, “Mom, I feel fat or Mom, I hate my life,” and be ready with an answer by saying, “that sounds like an important feeling, tell me more.” The Slenderizing Beauty Ideal Everyday 56% of the women in the United States are on diets. We have a 30-billion-dollar-a-year diet industry. The historical view of the ideal female body has changed over the years and influenced this dieting America. Although many factors contribute to the changing body shape of girls, including better nutrition, earlier onset of puberty and other societal influences. The fact remains that regardless of the reason, the common trend over time points to a slenderizing standard of the female ideal. With standards like this, it is no wonder that children are dissatisfied with their bodies. When it came to looks – teens are most concerned about weight. A Teen People survey of 1000 teens, showed that 39% worried about weight. Between 2000 and 2001, cosmetic surgery on girls 18 and younger had increased by 22%. Another study reported that after girls viewed pictures of models in fashion magazines: 69% reported that magazine pictures influenced their idea of the perfect body shape and 47% reported wanting to lose weight because of magazine pictures. This study found that those who were frequent readers of fashion magazines were 2-3 times more likely than infrequent readers to start dieting to lose weight because of a magazine article. What Are Eating Disorders? Is it any wonder, then, that eating disorders affect 7 million women and 1 million men in the United States? Eating disorders include anorexia, bulimia nervosa and binge-eating disorder. People with anorexia starve themselves to dangerously thin levels, at least 15% below their appropriate weight. People with bulimia binge uncontrollably on large amounts of food--sometimes thousands of calories at a time--and then purge the calories out of their bodies through vomiting, starving, excessive exercise, laxatives, or other methods. People with binge-eating disorder eat uncontrollably, but they do not purge the calories. Eating Disorders Not Otherwise Specified (or EDNOS) is a new classification of disordered eating that falls between anorexia, binge eating and bulimia. Unfortunately, since this type of 'sub-clinical' disorder is often not life-threatening, there appears to be little research available on the topic. One of the goals at FINDINGbalance.com, the first national organization dedicated to helping those who struggle with ENDOS, is to begin collecting new information through input from their website visitors and other existing sources. Visit the www.FINDINGbalance.com website to take the “Weird Eater” quiz and take a closer look at how dieting habits can lead to disordered eating. Anorexia Warning Signs for Adolescents & Adults: • Loss of menstrual period • Dieting obsessively when not overweight • Claiming to feel "fat" when overweight is not a reality • Preoccupation with food, calories, nutrition, and/or cooking • Denial of hunger • Excessive exercising, being overly active • Frequent weighing • Strange food-related behaviors • Episodes of binge-eating • 15% or more below normal body weight/rapid weight loss • Depression • Slowness of thought/memory difficulties • Hair loss * In children any combination of these symptoms should be considered serious and an immediate evaluation by an eating disorder professional or physician is recommended. Source: www.remudaranch.com Bulimia Warning Signs: • Excessive concern about weight • Strict dieting followed by eating binges • Frequent overeating, especially when distressed • Bingeing on high calorie, sweet foods • Use of laxatives, diuretics, strict dieting, vigorous exercise, and/or vomiting to control weight • Leaving for the bathroom after meals • Being secretive about binges or vomiting • Planning binges or opportunities to binge • Feeling out of control • Depressive moods Source: www.remudaranch.com EDNOS Warning Signs: • You're always on a diet, always coming off a diet, or always getting ready to go on one again (chronic dieting). • You categorize foods as 'safe' and 'off limits', but weigh within normal ranges and are not participating in bulimia. • You eliminate entire food groups from your diet. • You are obsessed with exercising but eat fairly regularly. • You binge and/or purge occasionally, but not more than a few times a month. • You skip social occasions because you feel fat, or because you are afraid of what's being served, yet your weight is normal. • You believe that everyone is as focused on your weight as you are. • You refuse to eat regular meals, choosing instead to 'nibble' throughout the day on small portions of food (which usually leads to bingeing). Source: www.findingbalance.com How Common Are Eating Disorders? Eating disorders are serious illnesses. The malnourishment of both anorexia and bulimia affects the body rapidly and can lead to hypoglycemia, pancreatitis, enlargement of the heart, heart attacks, congestive heart failure, permanent brain shrinkage with loss of memory and IQ, infertility, and osteoporosis. It is not uncommon for a teenage girl with anorexia to have the bones of an 80 year old woman. The condition is not reversible. Ultimately, approximately, 6% of people with anorexia and 1% with bulimia will die from their eating disorder. According to Remuda Ranch, an inpatient eating disorder treatment center in Arizona, estimates indicate that 1/3 of American women and 15% of men will have an eating disorder or related problem at some time in their lives. Fifty years ago, eating disorders were practically unheard of. Research suggest a strong genetic component to eating disorders. People who are prone to perfectionism and low self-esteem may be most at risk. In today’s world, the cultural pressures for young people to obtain and maintain super-thin bodies are extreme. In this environment, thinness readily becomes a way of dealing with many emotional issues. However, outcome studies have shown there is much hope for people with eating disorders. The good news is that approximately 75% of patients with eating disorders do recover. How Can Parents Prevent Disordered Eating? Parents can do much to spare their children a life-long struggle with eating and weight. One of the most important ways is to examine their own beliefs and prejudices as a parent about weight and appearance. Parents should communicate acceptance and respect for themselves and other people regardless of weight. This will reduce some of the pressure children may feel to change their bodies. Especially, discourage the idea that a particular diet or body size can reliably lead to happiness. Do not model or encourage dieting. Accept and talk about the fact that diets don’t work and the dangers of altering one’s body through dieting. Tips For Healthy Eating In our diet crazed culture, what really is healthy eating? Here are a few tips that will go a long way in feeding your family a balanced mealtime experience. For starters, teach your children to listen to their body -- eat when you’re hungry, stop when you’re full. Remember balance means that most of the time you eat because you are hungry and use food as fuel for your body. But, it also means that sometimes you eat simply when the food appeals to you or when it is appropriate in a social setting (e.g., popcorn at the movies), allowing yourself to eat for enjoyment. Try to eat different foods everyday, in other words, create an adventure for your taste buds. Aim to inspire your family to eat 3 meals and 1 to 3 snacks a day. The idea that snacking between meals is bad is a thing of the past. By teaching your kids to eat every 2 to 4 hours, they will prevent their body from getting overly hungry which could set them up to overeat later. Plus, the body uses the fuel from food very efficiently when smaller amounts of food is eaten more frequently throughout the day. The bottom line: eat normally, exercise moderately, and let your body weigh what it wants. Yes, it will take courage and perseverance, but the rewards of knowing you are teaching your family how to eat for pleasure is a true legacy to leave. Resources BOOKS DeVillera, Julia. GirlWise. Roseville, California: Prima Publishing; 2002. Gaesser, Glenn. Big Fat Lies: The Truth about Your Weight and Your Health. New York: Ballantine; 1996. Hersh. Sharon A. “Mom, I feel fat!” Colorado Springs, Colorado: WaterBrook Press; 2001. Hutchinson, Marcia. 200 Ways to Love the Body You Have. CA: Crossing Press; 1999. Jacobs-Brumberg, Joan. The Body Project: An Intimate History of American Girls. NewYork: Random House; 1997. Jantz, Gregory L. Hope, Help & Healing for Eating Disorders. Colorado Springs, Colorado: Waterbrook Press; 2002. Omichinski, Linda. Staying off the Diet Roller Coaster: Advicezone.com; 2000. Rhodes, Constance. Life Inside the Thin Cage. Colorado Springs. Colorado: Waterbrook Press; 2003. Quart, Alissa. Branded: The Buying and Selling of Teenagers. Cambridge, Massachusetts: Perseus Books Group; 2003. Tribole, Evelyn. Intuitive Eating: A Recovery Book for the Chronic Dieter. New York: St. Martin's Press; 1995. WEBSITES AND PROGRAMS HUGS HUGS for Better Health website features resources on how to build a non-diet lifestyle. www.hugs.com F.I.T Decisions F.I.T (Future Identity of Teens) is a weekend conference for teenage girls to teach teens how to live healthful, balanced lives. Nationally-known speakers, drama skits, fashion shows, kick boxing, snacks, and give-aways are part of the all day workshop. www.fitdecisions.org www.girlpower.gov The US Department of Health and Human Services has sponsored, Girl Power!, a national public education campaign sponsored designed to provide positive messages, accurate health information, and support for 9- to 13-year-old girls. The website includes statistics, research, materials and information for both adolescents and adults. A free Girl Power! Kit can be ordered via the website. www.4woman.gov This site, the National Women’s Health Information Center, is a project of the US Department of Health and Human Services, Office on Women’s Health. Navigate to “Body Image” section of the website and you will find the “Body Wise” handbook and additional information, educational material and additional resources for parents and a variety of professions. www.bodypositive.com by D. Burgard, PhD Videos and workshops that teach young people how to develop a positive body image and have a healthy relationship with food. A new video (2002) Body Talk 2: It's a New Language, is targeted at tweens (ages 8-11). www.bulimia.com Gurze Books which include tapes and resources on disordered eating and related topics on body image and obesity. www.healthyweight.net The Healthy Weight Network features a journal and Francis Berg's books, Children and Teens Afraid to Eat and other practical resources for educators and health professionals. www.dhs.vic.gov.au/phd/ebhp/06bodyimage.htm The Victorian Department of Human Services website has many resources including a summary of body image programs as well as a review of the research evaluating these programs. In addition, you will find a free Resource Planning Kit: “Shape: Body Image Program Planning Guide”. www.nationaleatingdisorder.org Provides many programs, books and materials and references (two items offered are listed below). Remuda Ranch www.remudaranch.com Remuda Ranch is an eating disorder treatment center devoted to the unique needs of women and girls and integrate specialized therapies such as art, equine, body image, and movement program components as part of the recovery treatment. penis elargement tool herbal natural penis enlagement vimax penis enlargement pills do pennis enlargement pills work vimax top penis enlargement pills manual penis enlargement penis enlargment forum penile enlargment review penile enlargment forum
What is Sore Throat? Almost everyone gets a sore throat at one time or another. Children tend to have them more often than adolescents or adults. Sore throats are most common during the winter months when upper respiratory infections (colds) are more frequent. Sore throat (pharyngitis) is a painful inflammation of the pharynx, which is the part of the throat that lies between the mouth and the larynx (voice box). Sore throat is often a symptom of various illnesses such as colds and flu, glandular fever, respiratory tract infections, tonsillitis, and chickenpox. While most sore throats heal without complications, in some cases, they develop into a serious illness. Causes of Sore Throat The major cause of sore throat is infection. Sore throat may be caused by either viral or bacterial infections. But it can also be caused by allergies and environmental conditions. Viral Sore Throat Approximately 90% of sore throats are caused by viral infections. There is no simple way to distinguish a viral sore throat from a bacterial sore throat. Viral sore throats are quite contagious. They can be spread by personal contact and by coughing or sneezing. Cold and flu viruses are the main culprits. When a stuffy-runny nose, sneezing, and generalized aches and pains accompany the sore throat, it is probably caused by virus. For a viral infection, no antibiotic is usually needed and the infection can be expected to run a four to six day course. Another group of viruses that cause sore throat are the adenoviruses. The adenoviruses usually cause infections of the lungs and ears. Adenoviruses may cause white bumps on the tonsils and throat, diarrhea, vomiting, and a rash. Sore throat caused by adenoviruse lasts about a week. One particular virus responsible for causing sore throat is the coxsackie virus. This virus causes a disease known as herpangina, which occurs most commonly among children under the age of ten and is most common during the summer. It is sometimes called summer sore throat. Summer sore throat can be quite severe. Symptoms include a high fever and the presence of tiny grayish-white blisters on the throat and mouth. The blisters erupt in a few days and are followed by a scab which may be very painful. Mononucleosis (mono) is a viral infection caused by the Epstein-Barr virus, a member of the herpesvirus group. This virus lodges in the lymph system, causing massive enlargement of the tonsils and swollen glands in the neck, armpits and groin. Mono can affect the liver, leading to jaundice (yellow skin and eyes). One of the main signs of mono is a sore throat that may last for 1 to 4 weeks. Mono is a severe illness in a teenager or young adult, but it is less severe in a child. Symptoms caused by mononucleosis can last for 4 weeks or more. Bacterial Sore Throat About 10% of all sore throats are caused by bacteria. The most common bacterial sore throat is caused by a bacterium called group A Streptococcus. This type of sore throat is called strep throat. The pain of strep throat often feels much like sore throats caused by other bacteria or by viruses. The tonsils often swell and become coated and the throat is sore. The patient may have a high temperature, sour breath and may feel quite ill. If strep throat isn't treated it can sometimes result in rheumatic fever, which can damage the valves of the heart. The most dangerous throat infection is epiglottitis, caused by bacteria that infect a portion of the larynx (voice box) and cause swelling that closes the airway. This infection is an emergency condition that requires prompt medical attention. Suspect it when swallowing is extremely painful (causing drooling), when speech is muffled and when breathing becomes difficult. Noninfectious Sore Throat Not all sore throats result from viral or bacterial infections. Sore throats can also be caused by allergies and environmental irritation. These forms of sore throat are not contagious. Allergy: The same pet dander, molds and pollens that trigger allergic reactions such as red, swollen eyes and a runny nose can also cause a sore throat. Cat and dog danders and house dust are common causes of sore throats for people with allergies to them. Irritation: Many materials in the environment can also irritate the pharynx. Such irritants include cigarette smoke, polluted air, chemical fumes, and dry air. During the cold winter months, dry heat may create a recurring, mild sore throat with a parched feeling, especially in the mornings. Symptoms of Sore Throat The symptoms for a sore throat caused by both bacterial and viral causes are the same: pain in the throat pain and difficulty in swallowing red throat swollen tonsils coated tonsils swollen neck glands pus covering the throat or white spots coughing fever If the sore throat is due to a viral infection the symptoms are usually milder. Sore Throat Treatment The treatment of sore throat will vary according to the cause. Sore throats are usually mild and can be treated at home with over-the-counter remedies available from your local pharmacy. They usually get better on their own, in 3-7 days. It is extra rare for antibiotics to be needed. This is only the case when the sore throat is the result of a serious bacterial infection. Sore throat treatment and comfort measures: Strep throat requires antibiotics. Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution. Pain relievers - nonsteroidal anti-inflammatory drugs, (such as aspirin, ibuprofen, and naproxen) are often more effective pain relievers than acetaminophen (Tylenol). These medications reduce pain and fever that accompany a sore throat. Children should not be given aspirin because of the risk of Reye's syndrome. Salt water gargle can be a good way to relieve a sore throat. It help soothe the irritated throat and reduces swelling in the tissues. This is the safest, least expensive and probably the most effective treatment of a sore throat. Use over-the-counter throat lozenges every couple of hours or hard candy. It can help relieve sore throat and cough. It does stimulate saliva production, which bathes and cleanses your throat. Drinking enough fluids is very important, warm drinks may be especially soothing. Avoid caffeine because it can cause water loss. Get plenty of rest. Getting extra sleep can promote more rapid recovery, especially if a virus is the cause. 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Given the large variations in human penis sizes, discord and dissatisfaction with one's self are unavoidable. The longest erect penis recorded during the famous Kinsey surveys was a shocking ten inches. That is nothing compared to the 12" and 14" behemoths reported in "L'Ethnologie du Sens Genitale", and in Dr. David Reuben's "Everything You Always Wanted to Know About Sex", respectively. If that makes you want to cry, wait till you hear the good news - the shortest functioning erect penis measurement according to the Kinsey survey was 1 inch. There are, however, some reports in medical literature of penises that do not extend beyond 1 cm. when fully erect. Finally, just so you can know which side of the fence you are hanging from, a study by the Lifestyles Condom Co. indicated that the average erect length of a male sex organ is 5.877 inches. Women have often been reassuring towards their mates in this regard. "Size doesn't matter", they would say. Few men really believe that. In an online poll that asked if respondents felt that penis size makes a difference in a man's ability to sexually satisfy a partner, 46% of the respondents answered "Very much: Penis size makes a big difference in a man's ability to sexually satisfy a partner". Only 13% responded "Not at all: Penis size makes no difference in a man's ability to sexually satisfy a partner". The poll did not mention how many of the respondents were women and how many were men, but the fact is - men and women believe that size still does matter! In "The Beefcaking of America," (Psychology Today November/December 1994 issue) Jill Neimark reported the findings from a questionnaire completed by some 1500 male and female readers. The Neimark report suggests that a significant subset of women who are financially independent and rate themselves as physically attractive place a high value on male appearance. A small group unabashedly declared not only an rather unsurprising strong preference for better-looking men, they also indicated that they cared more about penis size, both width and length, than about the physical appearance of the man. Niemark's survey results also suggests that men believe their appearance has a larger impact on women than the majority of women actually acknowledge. Men indicated they feel their specific physical features, from hairline to penis size, strongly influence their personal acceptability by women. "Size does matter". Judging by the number of sites Google.com returns on a search for "penis enlargement", that seems to be a pretty popular opinion. As long as there are men out there running around with 14" monsters, the rest of the mortals will continue to judge themselves and pray at the altar of everything that grants bigger penises. The results of penis enlargement are not always pretty, considering the various methods that are purportedly effective. Claims range from the scientific to the outrageous, and some of them can be downright nasty. Unlike lizards, men do not have the power to regenerate lost appendages, so it is highly advisable to do a little research before fooling around with Mother Nature's precious gifts. The following is a list of some penis enlargement methods other than penis pills, followed by some general comments about each; Enlargement creams do nothing more than increase blood flow in the penis tissue. While this may definitely assist in erection firmness (Which will cause the penis to appear and feel larger), using creams cannot enlarge your penis. There is no known medical evidence too support the claim that topical preparations can do more than increase blood flow, unlike penis pills. Penis pumps create a vacuum and force blood to the penis tissue. According to Menstuff® Sexhealth columnist Dr. Williams, pumps are mainly used by men who suffer from chronic insulin dependent diabetes or circulatory disorders. They have such poor blood circulation overall that they cannot obtain proper blood flow in their penis area. By using a pump instead of penis pills, the skin and underlying tissues are stretched, allowing them to clamp off the blood flow and consequently trap it in the penis. With the clamp firmly in place, brief sexual encounters can occur. There is little medical evidence that penis pumps cause any actual permanent increase in the size of the penis. There is, however, bad news for "pumpers" out there - after using penis pumps over a period of time, some men claimed they were unable to get erections without the aid of a pump. This method of penis enlargement has been around for thousands of years. Weights are suspended from the penis to stretch it. With regular use, it can increase penis length - but at a price: It makes the penis thinner, and because of the stretched tissue, lessens the ability to achieve and maintain an erection. This method can also cause a decrease in blood circulation which can lead to serious problems including tissue damage. Penis enlargement surgery (or phalloplasty) is the Titanic of penis enlargement methods. It is huge, expensive and can end up being the worst disaster of your life. It can lead to serious complications like infection and scar tissue formation which can cause a misshapen penis. A well known horror story is that of Ron Nance, from Monterey, Calif., who claims that following his penis enlargement surgery he contracted a severe infection at the surgery site. He returned to his doctor, who re-sutured the incision. The complications persisted, and Nance claims he flew to Los Angeles a total of nine times for repairs before turning to other surgeons for help. Nearly two years later, with $20,000 invested in the operation and repairs, Nance states that he remains not only permanently scarred, but impotent. Other enlargement surgery patients have complained of disfigurement, shortening, loss of use of his penis, pain, swelling, excessive scarring, lumpiness, shrinkage, uneven surface with what appears to be cysts, and impotence. Many penis pills are nothing more than vitamin pills in disguise, and numerous men have been conned into popping them expecting more than what vitamins can deliver. Penis pill salesmen Michael A. Consoli, Vincent J. Passafiume, and several others have signed a consent agreement forfeiting approximately $35 million dollars in seized cash and property to settle charges that they had marketed penis enlargement pills with false claims. Operating as C.P. Direct, Inc., they claimed that their enlargement pill product "Longitude" would permanently enlarge the penis by 1-3 inches. They are not alone. So what penis enlargement supplements do work? The problem in discovering this lies in the fact that there are approximately 5 new "amazing" penis enlargement pills that appear on the market each month. Most of these products are nothing but Vitamins mixed with a few herbal ingredients to produce a penis pill. Users see NO gains, and this leads to unhappiness and loss of faith in all enlargement supplements. As with most things, the way to do properly choose a product is through systematic research. This will definitely take some time and effort, however if you obtain the results you desire, in the end it will definitely be worth your while. Some things to keep in mind: Stay away from any pill which contains Yohimbe. The FDA has placed this substance on its warning list - supplements containing this herb may cause side effects. A respectable supplement site will contain a list of the ingredients that their products contain. The ingredients only tell half the story, the actual blending and quality of the ingredients also counts. This is somewhat more difficult to determine, however. In general most penis pills are quite safe because their ingredients are non-prescriptive, consisting mostly of natural herbs. However, you should always read the ingredients and consult a doctor before purchasing or taking them. Some supplements have stated that men with diabetes or genital nerve damage should avoid taking enlargement pills. Penis enlargement pills can be expensive. They usually cost anywhere between $40-$80 per month. If the product indicates that you need to take "booster pills", it is usually a bad sign. If the product manufacturer claims you can have a penis so large it will make a stallion turn green with envy, you can most likely be sure they are selling you bottled scam instead of penis pills. If the promise sounds too good to be true, then you can assume it is. Sincere supplements will tell it like it is: Results may and will vary from one individual to another. These can include stronger erections, increased sexual stamina, more intense orgasms, improvement in urinary flow, increased blood circulation to genital area, higher sex drive, increased sperm production and overall improvement in sexual function. Most penis pill programs offer a set of free exercises with their product. These should not be cast aside - they are vital key to your enlargement process. Do them religiously along with your supplement taking and you will NOT be disappointed. The penis inferiority complex has been documented for quite some time, and has no doubt existed since men started bathing and showering in full view of each other. Most men seem to feel their penis is small and are envious of someone else's member. This concern and dissatisfaction appears to stem from the cultural belief that larger penises give greater pleasure to women, and that women prefer a man with a huge penises. So can you pump up with penis pills? My answer is yes. Daily exercises and supplements together can increase the size of your penis. But to do so, you have to be smart, be aware, dedicated, and PLEASE be careful.