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i took a break from the wild ass thunderstorm
thats been going on for the last 24 hours here on cape cod
yeah the provincetown mass that i left nyc for
you know for the long walks on the beach
only to find myself huddled up while the waves and the wind and the rain are roaring
but i digress
i waded through some pond size puddles to make it to the muscle beach gym
and plopped myself on the machine what do you call it
i was getting bored when a tattooed muscle boy put in
and then i was hooked and wound up getting a full hour of cardio
of course today was all about the deficit
the economy etc
but you know what i felt
well moved but really scared shitless
i mean what i was hearing was that
things i have always taken for granted
assuming they would be there if we needed them
like medicaire and social security
really were part of the chopping block
or large parts of them
it just makes me want to find my old shoes and throw them at
george bush junya
that little jerk!
it takes a lot more then one man to ruin an economy
and it will take a lot more then obama to save it
i would not pretend to be an expert
on all this
honey i have enough trouble balancing my own affairs
but i do think hitting up the top 1%
to pay some moolah to help
america not have to put the retirees in the garbage is a good thing
i think bill gates, warren buffet, mike bloomberg,
tom cruise, opra winfrey, madonna, hillary clinton, everyone in the gw bush family, sting, and donny and marie osmond can all afford to dig a little deeper so that hard working folks will be protected after all their years as working class citizens
one thing i do know
is that i am sick of tired of this being a republican thing
or a democrat thing
the country’s finances are in the toilet
it’s an american thing
i want to see both parties throw out their crap
and get to work
it doesn’t matter if you like obama
or hate him
help the man
for crying out loud!
i don’t want us to owe our country to china!
You may have a referral to a urologist, a doctor who specializes in treating this condition, for more tests. You may already have a trial prescription for Viagra or similar drugs. Whatever you're doing next, the most important thing to remember is that you aren't in this alone.
Diabetes mellitus also causes erectile dysfunction by damaging both sensory and autonomic nerves, a condition called diabetic neuropathy. Smoking cigarettes, obesity, poor control of blood glucose levels, and having diabetes mellitus for a long time further increases the risk of erectile dysfunction in diabetes. In addition to atherosclerosis and/or neuropathy causing ED in diabetes, many diabetic men develop a myopathy (muscle disease) as their cause of ED in which the compliance of the muscle in the corpora cavernosa is decreased and clinically this presents as an inability to maintain the erection. For additional information, please read the Diabetes article.
Treatments (with the exception of testosterone supplementation, where effective) work on a temporary basis: they enable an erection to be attained and maintained long enough for intercourse, but do not permanently improve the underlying condition.
Sometimes your hormones get out of balance and this causes erectile dysfunction. Your doctor will decide if you need blood tests to check your hormones.
Other adverse events associated with oral PDE-5 inhibitor therapy appear to be few (Table 4). In clinical trials the rates of discontinuation of the drug because of adverse events was low (< 5%) for all of 3 drugs, with few or no cases of priapism.37,53,55,56 Extra caution should be taken for patients who are expected to have reduced clearance of the drug. This group includes men who have severe hepatic or renal insufficiency, men over 65 years old and men taking drugs that inhibit the cytochrome P450 3A4 enzyme (e.g., cimetidine, erythromycin and ketoconazole).57 For these patients it is prudent to start with smaller doses of medication and build up gradually. For sildenafil, it is our experience that a starting dose of 50 mg is safe and effective for all men.
Information from references 5, 6 and 7.
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Arteriography: This test is given to people who are candidates for vascular reconstructive surgery. A dye is injected into the artery believed to be damaged and X-rays are taken.
Last year, the FDA's scientific advisory board criticized the agency for ignoring more than 100 academic and government studies that linked BPA with health effects. The Obama administration has pledged a "fresh look" at the issue, and the FDA is expected to complete that review by the end of this month.
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In September 1997, Ed Pavelka, a columnist with Bicycling magazine, made a startling revelation: He had erectile dysfunction from riding his bike. He wrote at the time: "...tests revealed that the blood flow to my penis had become so restricted that I was incapable of an erection firm enough for sexual intercourse."
McCullough adds, "If you put it in the context of a physical problem and not a sexual one, most men will be less likely to 'shut down' or shut you out." While some men would rather go the treatment route alone, others might welcome the support of their partner, so be certain to make the offer to go with him, and then let your man decide.
HealthDay, January, 2010 by Randy Dotinga
Physiology of an erection
Five of seven of the rats that received nanoparticles with nitric oxide and all 11 rats that received nanoparticles with nitric oxide and either silorphin or tadalafil showed significant improvements in erectile function.
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