pnis enlargement before and after photo

Breast implants are medical devices that typically consist of a silicone elastomer shell filled with saline or silicone gel. The first silicone breast implants are developed by two plastic surgeons from Texas: Frank Gerow and Thomas Cronin. The implants are textured silicone bags and can be filled with saline, which is salt water, or silicone gel and they are smooth or textured silicone bags that can be round (dome shaped) or breast shaped (anatomic). Shaped breast implants are designed to reflect the slope of the breast. The breast implants are usually quite successful at making the breasts larger and fuller. And just about 80% of breast implants are for cosmetic reasons. If your doctor tells you that breast implants are proven safe, ask for a copy of any report that studied women with implants for at least 10 years. There is strong evidence that both saline and silicone breast implants can cause local complications including swelling and gel leakage. One study says silicone breast implants do not cause systemic illness. Like silicone breast implants, saline implants consist of a rubber like silicone shell. It should also be said that studies have shown that most women who get breast implants are happy with the results. Breast implants are considered by the FDA as medical devices and if the FDA approves silicone breast implants, many young women will get them. While this is not a final approval, it does mean that the FDA may soon allow silicone gel breast implants to return to the US. Silicone breast implants were removed from the market in 1992, and recently reintroduced. Health Canada has lifted restrictions on silicone breast implants, giving two manufacturers permission to market their products in Canada. The background is that silicone breast implants have been linked to a variety of illnesses, the most controversial of which are connective-tissue diseases and symptoms. One should also notice that there has been a great deal of controversy regarding the safety of silicone breast implants but they have been marketed in the United States since 1963. The Canadian government has now reversed a partial ban placed more than 14 years ago over health concerns linked to silicone breast implants. New research suggests that silicone breast implants could be replaced by tissue grown from a person´s own stem cells within a decade. What are the risks with these implants? Well, some studies indicate that women with cosmetic breast implants have a significantly increased risk of suicide. A long-term study suggests that cosmetic breast implants do not increase the overall risk of getting cancer. Although breast enlargement is a simpler form of surgery than other cosmetic breast procedures and complications can occur. The risk is about 1% but if it occurs the implants will have to be removed. There is a very slight risk that breast implants may rupture during a mammogram and the longer you have an implant, the greater the risk it will leak or rupture. As it now is the most commonly performed cosmetic operation not performed under local anaesthesia the results are very good. As with any surgery you should have a comprehensive, informative and understandable consultation with the doctor performing the surgery. That is crucial. pro solution pill review penis enlargement cheap penis enlagement pills penile enlargement pic before and after magna rx review penis elargement surgery cost penis enargement exercise penis elargement herb

pnis enlargement before and after photo

The Siriraj Medical Museums in Siriraj Hospital, Bangkok display exhibits relating to pathology, forensic medicine, parasitology, anatomy and the history of medicine in Thailand. Siriraj Hospital is the first public hospital in Thailand established by King Rama V in 1886 and named after one of his sons who died of dysentery at the age of two. The Faculty of Medicine here, set up in 1890, is also the oldest medical school in Thailand. Six separate museums make up the Siriraj Medical Museums: Ellis Pathological Museum Songkran Niyomsane Forensic Medicine Museum Ouay Ketusingh Museum of History of Thai Medicine Parasitology Museum Congdon Anatomical Museum Sood Sangvichien Prehistoric Museum & Laboratory Let's start our tour of the Siriraj Medical Museums with the Ellis Pathological Museum named in honor of Professor A G Ellis, the first pathologist in Thailand who worked in the Pathology Department in 1921 and stayed on as Director of Siriraj until 1938. The babies preserved here are either stillborn or dead shortly after birth. There're dissected sections of babies, Siamese twins showing their joined organs and babies born with one eye. Some have external or internal deformations arising from various diseases or with organs protruding outside the body. Specimens of preserved organs used for pathological tests are displayed with organs infected by various diseases. Medical students were scribbling away in their books, though not all visitors were as enthusiastic. One visibly shaken woman visitor was seen sitting out the tour. Our next stop in the tour of Siriraj Medical Museums was the Songkran Niyomsane Forensic Medicine Museum named after Professor Dr Songkran Niyomsane, a pioneer in forensic medicine who started the museum. The latest addition to the museum records the efforts by Siriraj Hospital during the December 2004 tsunami, when pathology teams assisted in the disaster victim identification. The scenes are simply gruesome. The rest of the displays cover skulls, bones, damaged organs and photographs of murder and accident cases used in investigations, including the preserved bodies of a couple of rapists/murderers! I gather that the founder, Dr Songkran's skeleton is also on display in the museum, though I couldn't quite identify it! The Ouay Ketusingh Museum of History of Thai Medicine started by Professor Ouay Ketusingh, who headed the Departments of Physiology and Phamacology, was started in 1979. The traditional Thai medicine shop display was a pleasant relief. Also featured are the traditional practice of child delivery by village midwives and the quaint practice of getting the new mother to sleep by the fire for quick recovery. In the Parasitology Museum started in 1970 by Dr Vichit Chaiyaporn, Department of Parasitology, you'll be exposed to every conceivable form of parasite or worm infecting every movable form of edible life. Lungworms, pinworms, roundworms, tapeworms, whipworms infecting livestock, fish, crustaceans, vegetables and viruses causing food poisoning are identified here. So are the mosquitoes that cause Elephantiasis, an enlargement of the leg and the scrotum. If it's not what you eat, then pay heed to the venomous snakes, spiders, scorpions, centipedes and tarantulas. The last two Siriraj Medical Museums are in the Anatomy block. The Congdon Anatomical Museum was started in 1927 by Dr Edgar D Congdon, Professor of Anatomy and father of modern Anatomy in Thailand. Row after row of showcases display skeletons, skulls, organs, dissected sections, preserved nervous, muscular, arterial and venous systems. Being the oldest museum, the creaking floorboards added to the creepy air about the place. By the time we reached the last of the Siriraj Medical Museums, the Sood Sangvichien Prehistoric Museum & Laboratory, it was closed for lunch. This was just as well, as we've had an overdose medical museums by then. As it turned out this museum, started in 1972 by Professor Dr Sood Sangvichien, Dean of the Faculty of Medicine, dealt with evolution! For those keen on anatomy, pathology, forensic medicine, the Siriraj Medical Museums could probably be a wealth of information. These museums were in fact set up as resources centers for medical students. If you can indifferent to preserved corpses, dissected sections, organs damaged by disease or violence, you'll probably be able to cope with the tour. If you're not, we strongly suggest you skip the Siriraj Medical Museums and go straight for lunch. If you really want to go there, here's how, map to the Siriraj Medical Museums. natural penis enargement exercise permanent penile enlargment penis enlagement supplement hgh magna rx do pnis enlargement pills work where to buy vig rx home penis enlargement best penile enlargment surgery pnis enlargement before and after photo

Driving That Train: The area that is now known as Turkey played a major role in the Mystery Religions. The use of drugs to create “religious” experiences was developed to a fine art by various occult fraternal mystery religion groups in the Turkey area. The Assassins from where we get the word hashish controlled parts of Turkey and Lebanon in Medieval times. They used drugs to gain the allegiance of their recruits. Some of the most powerful figures for the Illuminati have been Turks. The Grand Orient has had some powerful figures in Turkey. For instance, at the Masonic Congress of all the Grand Orients’ (that’s European Freemasonry- although several American presidents have been members of European Freemasonry) Grand Lodges, Bou Achmed came from Turkey. The Grand Lodge of Asia was represented by Sebeyck-Kadir from Asia. Bou Achmed took a big role in the Grand Orient’s decisions. As an aside, let me explain one example of the power of the Grand Orient in America. The Grand Orient was originally strong in Louisiana but spread itself to many other US. locations. Garfield, a very powerful man in the Grand Orient, managed to become US. President because the political process got deadlocked at the convention and the Masons suggested him as a compromise candidate. Although Garfield was an extremely powerful Mason, had been perhaps the youngest general in the US. Army during the Civil War, the Illuminati ordered him shot after he had served about a year in office as President. Garfield was reported by an eye-witness to Satanic rituals to have participated in the cannibalistic rites of Satanism done to gain the spiritual power of the eaten person. The Grand Orient Freemasonry has been linked to other orders of Freemasonry that are also called Rosicrucians. Pope John XXIII joined a Rosicrucian group that had links to European Freemasonry when he was in Turkey. While the secret Grand Orient Freemasonry was very strong in Turkey in spite of its small numbers, the regular American Freemasonry granted a dispensation for a Masonic Lodge to operate in Smyrna, Turkey in May, 1863 but the charters were withdrawn on Aug. 27, 1880. However, it is interesting that of all the Turkish cities, Smyrna was definitely the best place for Freemasonry to gain recruits. Men like Achmed Pasha and many of the other Pasha family have been leaders within Freemasonry and the Illuminati. Achmed Pasha was a Satanist and had a large harem. Mehmet Talaat Pasha (1872-1921) was a Freemason and part of the Turkish revolution of 1908. He was the leader of the Young Turks, which was a joint project of the Sufis and the Frankist Satanists. (The type of Satanism led by the Frank family has had connections to Turkey for hundreds of years.) Mehmet Talaat Pasha was the Grand Master of the Grand Orient of Turkey. He was held the political position in Turkey of grand vizier of Turkey (1917-18). Another Turkish Pasha was part of the Turkish royalty running Egypt when Egypt was part of the Ottoman Empire. His name was Khedive Ismail Pasha and he was Grand Master of the Grand Lodge of Egypt. It was this Turk, Khedive Ismail Pasha, who gave the famous Obelisk to the United States. This Obelisk was called Cleopatra’s Needle and was originally erected in the city of the sun, Heliopolis, about 1500 B.C. The Obelisk is a representation of a human penis, because sun worship, worship of regeneration (sex) and worship of the sun god Satan were all tied together. Masons helped with the moving of the obelisk, and its dedication when it arrived in New York City. Large obelisks have been erected by Masons in New York, Washington D.C., Paris, the Vatican, and London. (If my memory serves me correct Berlin received one too at one time.)” (1) Notice the importance of Smyrna as a source of Freemasonry here. That is where the Onassis family has operated potion-pushing or altered consciousness drugs for millennia. Sometimes, when my tiny head is spinning with disinfotainment and other artifacts of the mediasphere, I try to think what archaeologists and social historians 2,000 years from now might make of our particular little epoch. How, for instance, would they parse the word "drug"? Is a "drug dealer" a pharmacist or a petty criminal? When we talk about "reasonably priced drugs for seniors," are we discussing marijuana or Lipitor {or Levitra}? What would they make of the fact that the last four American administrations have declared a "war on drugs" while taking money from drug companies? Why is it bad when residents of Colombia build mansions from profits on the sale of drugs, but it's good when residents of Newport, R.I., do the same thing? When one person cannot live without "lifesaving drugs," we express great sympathy, unless that person is a "drug addict," in which case we may even throw him in jail. When a mood-altering drug is sold in pill form in stores, it's called an antidepressant and hailed as a medical breakthrough. When a mood-altering drug is sold on the streets, it's called felony drug trafficking and subject to stiff criminal penalties. Because we are native speakers of Americanadianese, we can wend our way through the contradictions. We know that the bad drugs are the ones the cause euphoria and impair judgment, unless the drug is alcohol, but that's not ever called a drug, so there's no confusion there. We know that the good drugs are the ones that cure diseases or relieve symptoms, except sometimes the good drugs are ineffective or even counterproductive in achieving those goals. Street dealers do not finance experimental trials on the effectiveness of the drugs they sell. Drug companies do, but they fudge the results. Street dealers have a small feedback loop because customers can tell pretty quickly whether they're loaded or not. Drug companies have a long feedback loop because human beings can't instantly tell whether their cholesterol is being lowered or their blood thinned or their insulin production stimulated. A drug with a long feedback loop is clearly more profitable than one with a short feedback loop because the dealer can keep an ineffective drug on the shelves much longer. Interestingly, the people who sell ineffective drugs are generally said to have made "honest mistakes." If a street dealer sold you an ineffective drug, you could take five of your friends and go back and have a brisk conversation with him. If a behind-the-counter dealer sold you an ineffective drug, you'd have to hire a lawyer and file a lawsuit and maybe, maybe, 10 years later you'd get some money, although probably you'd be dead by then. Street dealers don't have patents on their drugs, which means that they'll always have plenty of competition. Drug companies do have patents, so they can set their prices without worrying about market economics. And when their patents run out, they can put out a drug with a slightly different formulation, promote it like mad and sell the new drug in a monopolistic setting {With government mandated market support in order to manage the ‘money-trees’ while building bureaucracy.}. You have to wonder when street dealers are going to come up with Cocaine XR or LSD Reditabs. Since the street dealer works in a competitive atmosphere, he has to keep his prices relatively low. In order to increase his profitability, he can "step on" his product, that is, dilute it. It would be unwise for a drug company to adulterate its product, but since it owns a monopoly, it can set prices artificially high and achieve the same profitability levels. A street dealer who knowingly poisons his clientele is called "the scum of the earth." A drug corporation that knowingly poisons its clientele is called "a tobacco company." People who sell illegal drugs often rot in jail for 20 or 30 years. People who sell legal drugs are often forced to attend tedious daylong board meetings. People who take illegal drugs are called "losers." People who take legal drugs are called "everyone in America." Glad I'm not an archaeologist in 4040; my brain would ache a whole lot. One pill makes you larger, and one pill puts you in jail, and please do not operate heavy machinery with the ones that mother gives you. {My ex-roommate was being told to apply for his old job as a forklift truck operator while being given drugs for Schizophrenia which he did not have. He was no liar and could not expose a potential employer to the insurance risks or his fellow employees to the life threat this would entail. Many drugs people use are impairing their driving prowess, and there are laws to take away their license that go unenforced.} Driving that train, high on ethyl 4-1-piperidinecarboxylate. Homeopathy: It is a wonderful thing to have the Joy of Learning and to make a career that you find is related to your studies. There are so many ways to get a Doctor label and thus claim expertise in the many fields and disciplines which we have broken knowledge into. Some of this is counter to real expertise and much of it just sets people apart from knowledge and each other. But people are also being segmented into classes within the hierarchy of government backed by and for elites in all so many ways. Medicine has been one of their more dastardly tools alongside religion. This next little factoid reminds me of how Edward Gibbon almost died because the British Medical system would not approve vaccinations through use of scabs as had been done by the likes of Paracelsus or others in antiquity and which was approved in the France of his era. “When the Cholera epidemic reached England, it provided another opportunity to compare homeopathic treatment with the conventional methods of the day. Regular allopathic medicine yielded a mortality rate of 59 percent compared to only 16 percent for the Homeopaths. (2) When these statistics were collected, the information was so startling that a medical commission was sent to the London Homeopathic Hospital to check the records. Though the data were duly verified, it was decided not to make them public, and the facts were not released until a hundred years later.” (3) The formation of the American Medical Association is a major issue against alternative healing or real care for people. In the late 19th Century as these issues were becoming apparent there were many who knew that the allopaths or medical doctors selling laudanum and the like were actually the ‘Killing-trade’. There are signs that stress management (don’t fret – sweat or exercise) and the connectiveness to the ‘all’ around us are again making a play to be considered in health maintenance. Vitamins and supplements are able to prove to even the most duped person receiving medical care that they work and yet some doctor’s groups and the governments that back them still disqualify doctors who advise their usage. Academics are subject to a ‘Knowledge Filter’ (Berkeley Law Professor – Johnson) or Literary Theory (UBC English Professor Graham Good) and the outright suppression of creative or thoughtful and meaningful potentials. (4) The concept of Bucky Fuller called 'the observer of the observed' and his more detailed 'creative realization' is part of what operates as we ‘project’ upon reality. For example the things we see are actually a mixture of fields of energy from the dross and less excited to the highly excited or vibrational energy inside the atomic structures. One way of visualizing this includes an aura, which is the field of energy not usually visible but associated with the solar body and integrative centers called chakras. Perhaps we could contemplate a time when all people had the ability to see or sense auras. In our socially normed 'projections' that include telling our children certain things do not exist, we have lost the conscious integration or incorporation of these fields of reality. Psychic surgeons in the Philippines and Brazil have had their energy measured during operations at the same vibration rate of 7.8 cycles. It started me thinking about how we can alter our state and how others might perceive us in these altered states. Clearly if anyone could see all the spaces between our electrons and the nuclei or between the different atoms and molecules we wouldn't seem solid by a long shot. Thus these surgeons who use no utensils would be able to energize the infected or diseased body part or tumor to remove it at an altered vibration level. There have been solid documentaries with such credible support as X-rays before a San Francisco businessman had such a tumor removed and X-rays a year later showing it hadn't returned. In the end you must decide who has the most to gain from the arguments and whether or not you want to actualize your own potential. Once you do a few things the debunkers say are impossible - then a smile will come to your face; and the intellectual conflict loses all import. String Theory knows about the harmonic forces that are less than solid which somehow combine to make what we perceive as a solid. The astrophysicists now have told us that 95% of the universe is 'Dark Matter' or ‘Dark Energy’ - so get with it before you are invisible and don't know it! Just kidding! We fear that which we cannot fully comprehend and our experts or priests and doctors include many enablers of our fears. We even allow fear to pre-empt love; which is ironic because at the end of our lives it’s not the fears or the differences that matter the most but whether we loved and allowed ourselves to be loved as much as possible. “Every new perception of knowledge is always based either directly or indirectly on older knowledge. InteliTapping allows us to connect with the oldest, yet most complete source of knowledge.” (5) Nature produced a show on the origins of music and the biological and archetypal impact it has had on our evolution and emotional wherewithal. Along with reed instruments from as long ago as 60,000 years that obviously show sophisticated development of technology, they had the cave operas of those who rubbed and drummed on stalactites. They posited that the tree-swinging hominid that like the Sumatran Gibbon co-ordinates community for protection through territorial chants, is not so much less aware as most of our great Lockean influenced academics seem to be. These animals also learned what plants are dangerous and what plants alter your spiritual consciousness. You can see it when your puppy goes outside for the first time and chews on some grass to settle its tummy. Our genes contain a lot of information or the ability to tap-in to much knowledge. The buzz you get from ‘weed’ is the buzz coming from your Thalami and Third Eye or Pineal gland that has a crystal radio receiver and grains or crystalline structures. Crystalline structures like quartz were known to be useful in the Lost Chord of the Druids and more ancient shamans. There are magnificent quartz caves in Central America and other places that would have been used by early hominids for a certainty. The Best Body Language – Sex: Long before Tantra or Bhakti Yoga there were many things ancients probably learned from intercourse, even more than most people do today. Today we have drugs like Viagra to enhance the longevity of the sexual encounter. The Mayans have natural drug for this. There are so many things which keep us busy or deflect us from spiritual insight as is noted in many Eastern systems which refer to the ‘busy-mind’ or samsara and the illusion of Maya. Second degree Wiccan students who have advanced through a rigorous training in esoteric knowledge begin a quest that many would regard as perverse pursuit of pleasure and self-gratification. The partners are often involved in other committed relationships. When a man and a woman who are interested in spiritual growth combine to experience the Tantric or Bhakti (Yoga) or ritualistic growth potential to free more than just their personal self or ego to reach the heights of spiritual or psychic possibilities; who can say what is real and what is imagined. This effort to commune with spirit is termed ‘working partners’ and the allies or guides is who they really seek to merge or work with. The imagination is undoubtedly a part of the dynamic. It isn't necessary for them to care for each other in the way lovers do. I have not done this ‘work’. Many people talk about 'soulmates' or 'dual flames' and the words become mere shadows of the real potential. At the same time sex is a dirty 'word', and act, in much of society. What can a writer say to convey the essence of all these things? If I absolve myself from the challenge of integrating these concepts, rituals and soulful realities I would simply say trust your soul and know that wherever you may go you will find something more than whatever you thought was real to begin with. If I talk about 'la petite mort' or empathic attunements with the soul of the partner that allows the self to disintegrate and become part of something larger than one person; and almost dissolve in the vastness of spirit - it will only seem like prose and poetry. The phrase ‘la petite mort’ or ‘the little death’ can in fact lead to a Kundalini type experience which can cause death. Of course, one can wax eloquent and carry on at length about any of their hopes and desires. The essence of a great working partner most probably has little to do with these aspirations and more to do with the way the soul interpenetrates all people. The glimpses of insight gained through empathy and love with those who shared my needs are special to me and will forever stay in the part of my soul (if there is such a part) that cherishes all we were and hungers for what we could have been. To deprecate the witch who 'draws down the moon' into their partner on the path to worship of things no one can fully know is the stuff of fearful and insecure people. That kind of bigotry without actual experience is rampant in all areas of society. It is truly just the tip of the proverbial iceberg when one contemplates all the ways mankind has developed to separate himself from what we are collectively and what god truly wishes for us to realize. No amount of constant seeking or obsession with these pursuits will ever get a man any closer to his soul than what he was while in his mother's womb. The joy and creativity of the challenge to know is as great a gift as our maker can give us - except perhaps the acquiescence to the soul within the loved one you are blessed to have the chance to know and share your life with. In the moment of creation each day as we grow and learn to be, we are forever drawn by some force that seeks greater harmony and purpose for all energy. Many (if not most) people think the 24 hour orgasm is like alien abductions but the EEG and other ways of measuring physical responses would convince them otherwise. A similar number of people find the misuse of Tantric Yoga by the likes of Crowley and Hubbard is tantamount to whatever is evil in man. I say they are right, but that is not the fault of Tantric Yoga. These techniques are very seductive and in some ways the participants would choose to have the experience even if they knew a great deal about it because it is a sad truism that Masters and Johnson or Kinsey are right. They say a full third of women never have an orgasm through intercourse. Many people seldom enjoy sex and some significant number of the rest of us are in varying stages of poor to decent ability and openness to what great learning sex can provide. It could be said that our sexual relations are a good barometer of the state of society. I favour sex education and all the opportunities and responsibilities that go with the natural and soulful functions of the act. It is easy to understand why some people are hesitant to have strangers teach their loved ones about sex. But Father Leo Booth is right when he notes that parents who repress their children or foist suppressive behavior upon them are just as guilty of abuse. 1) http://www.thewatcherfiles.com/bloodlines/index.htm 2) Rudolph Ballentine, M. D., Radical Healing, Harmony Books, New York, 1999, pgs. 75-6, we have Dorothy Shepherd, The Action of the Minimum Dose, pg. 13. 3) Ibid. 4) http://www.suppressedscience.net/physics.html 5) Bob Gottfried Ph. D., Shortcut to Spirituality: mastering the art of Inner Peace, Deeper Dimension Publishing, North York, Ontario, 2004, pgs. 53-4. surgical penis enargement penis enlargement testimonials penile enlargment excercises pennis enlargement before and after free penis enhancement tip penile enlargement excersizes medical penile enlargment pennis enlargement excercises pnis enlargement before and after photo

The causes of obesity that health experts present are quite a number of factors to consider for the concerned consumer, and more studies are ever made to make the condition even more complicated. Developing awareness of the correlated causes of obesity though may encourage people to be more attentive to their personal wellbeing. Here are some of the major causes of obesity: * eating too much fat giving excess energy stored in the body * too much sugar, starch or other carbohydrates which are also important energy sources convertible into fats * too much of preprocessed products (no-cook or easy-to-cook) that often have more fat or sugar, for preservation (sweet beverages, soda, cakes, ice-cream, fast food and tetra/foil-packed snacks) * eating too much food all together, including proteins that could also be converted to fat if over-consumed * irregular eating habits, like eating much at one time, little at another time, long span in-between some meals, consuming food with high doses of sugar at some times while no sugar at other times – producing an uncontrollable appetite physiology making you deposit more fats in your body * consuming too much high-calorie alcoholic drinks * lack of vitamins and minerals, and a generally unhealthy diet decreasing the body’ capacity to burn extra amounts of fats and sugar * inactive ‘sitting’ lifestyle wherein the body burns little fat and sugar, and * boredom in daily routine life resulting to excessive eating as a way of getting entertainment Some specialized studies on health also reveal unanticipated causes of obesity or excessive body weight: * hypothyroidism decreasing food metabolism, appetite loss and modest weight gain wherein protein deposits in the body cause fat accumulation and fluid retention * essential fatty acid or good fats (flaxseed oil) deficiency needed by the body to maintain the body’s metabolic rate and also causing cravings for fatty foods * food sensitivity occurring many hours later as bloating and swelling caused by fermentation of foods, particularly carbohydrates, in the intestines, inflammation and the release of certain hormones that increase fluid retention and weight gain * cushing’s syndrome producing excess cortisol hormone and resulting to rounded ‘moon face’ and ‘buffalo hump’ * use of certain prescription drugs like steroids, non-steroidal anti-inflammatory drugs (NSAIDs), antidepressants, diabetic medications, hormone replacement therapy and oral contraceptives containing estrogen causing fluid retention and increased appetite * prior kidney, heart or liver disease causing fluid retention and weight gain * organ enlargement, such as from an ovarian cyst, and obstruction of lymph fluid * blood sugar imbalance due to rapid fluctuations in blood sugar levels, then the need for insulin to store sugar away and lower the sugar level, finally triggering cravings for more sweets, and * emotional eating (BED/ binge-eating-disorder) to respond to stress or depression affecting eating habits and causing weight gain These are other causes of obesity that are not easy to control. It is therefore up to us to controllably manage our activities and consumption against storing more than we can burn-off. enlargement manhattan pnis surgeon penis enargement pills penile enlargement before and after picture best enhancement exercise penis penis enlagement supplement free exercise tip for penis enlargement penis enhancement photo best enlarement exercise penis pnis enlargement before and after photo

Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001.