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If you’ve ever witnessed someone suffer a stroke, you understand the humbling nature of this disease. It can reduce the mightiest human being to an immobile, helpless creature. Impairment of crucial functions like speech, walking, and control of bowel and bladder can wrench control from the body in a moment. Even perpetually youthful TV personality Dick Clark was struck down by stroke at age 75, despite the outward appearance of perfect health. Clark’s stroke resulted in a six-week hospital stay and, judging from fragmented reports, significant disability. Stroke can be like a devastating fire that strikes without warning, leaving only smoldering rubble. Stroke can so ravage basic bodily functions that often all you can hope for is to regain a portion through rehabilitation. The disease process that underlies stroke requires decades—30 or 40 years—to develop. With that much lead time, why aren’t we better able to detect or stop this crippling disease? The truth is that we are able to predict many, if not most, strokes. Advances in imaging technology allow detection of atherosclerotic plaque that cause stroke years before it becomes a threat. Progress in deciphering the causes of stroke has also leapt forward. Unfortunately, your neighborhood physician still focuses on diagnosing the crisis rather than anticipating it. Physicians prefer to deal with catastrophes and are just not that interested in prevention. Most physicians ask: “Is it time to operate or not?” The medical community obsesses over procedures like carotid endarterectomy (surgical removal of plaque) or carotid stents. Even when a person is afforded the warnings of a “mini-stroke”, or transient ischemic attack (TIA), little more is done once it’s determined that surgery is not necessary—even though this person has high risk for future stroke (50% over 10 years). Let’s flip-flop this approach to stroke. Procedures represent a failure of prevention! Where do strokes come from? Stroke develops when some portion of the brain is deprived of blood. This usually results from a tiny bit of debris that dislodges from an atherosclerotic plaque along the walls of an artery (the same sort that accumulates in coronaries causing heart attack). The sources of debris have been a subject of controversy, but new imaging technologies have settled the question. Any blood vessel that leads from the heart to the brain can be a source. The two carotid arteries on both sides of your neck are a frequent source, as these arteries are prone to develop plaque. (Our discussion will be confined to what are called thromboembolic, or ischemic, strokes, i.e, strokes that occur from plaque that fragments, sending debris to the brain, and will not include the far less common hemorrhagic strokes due to rupture of small vessels in the brain, nor will we discuss atrial fibrillation and other heart causes of stroke. The thromboembolic strokes we discuss cause around 88% of all strokes.) Over the last 10 years, the aorta has been recognized as another important source of stroke. The aorta is the main artery of the body whose branches go to the head, arms, and legs. Atherosclerotic plaque is a live tissue that, through poor diet, inactivity, high cholesterol, overweight, etc., grows and becomes progressively more unstable. At some point, plaque fragments. Little bits break away, traveling to the brain. Fractured plaque also exposes its deeper structures to flowing blood, triggering blood clot formation, which in turn can also fragment and go to the brain. Atherosclerotic plaque is a prerequisite for the most common causes of stroke. If the majority of strokes originate from plaque, why not measure plaque to determine if you’re at risk for stroke? How can we easily, safely, and accurately measure plaque in the carotid arteries and aorta? And if plaque can be measured, can it be shrunk or inactivated to reduce or eliminate risk for stroke? How can plaque be measured? Just 20 years ago, the only practical method of identifying plaque in the carotids or aorta was through angiography, requiring catheters inserted into the body to inject x-ray dye. Angiography was impractical as a screening measure. CT scanning and magnetic resonance imaging (MRI) are emerging as exciting methods of imaging both carotids and aorta. Unfortunately, most centers and physicians are much more focused on the diagnostic uses of these technologies for people who have already suffered stroke or other catastrophe, and application of these devices for preventive uses is still evolving. One exception is when aortic calcification or aortic enlargement is incidentally noted on the increasingly popular CT heart scans; this is an important finding that can signal presence of aortic plaque. The one test that is widely available and can be performed in just about any center is carotid ultrasound. It’s simple, painless, and precise. Two basic observations can be made: 1. Plaque detection—Atherosclerotic plaque can be clearly visualized. If plaque blocks more than 70% of the diameter of the vessel, or if there are “soft” (unstable) elements in plaque, then stroke risk may be high enough to justify surgery or stents. However, if there are plaques that are less severe, substantial risk for stroke may still be present that can be reduced with preventive measures. 2. Carotid intimal-medial thickness—This is a measure of the thickness of the lining of the carotid artery in areas not involved by plaque, but often precedes the development of mature plaque. Carotid intimal-medial thickness also provides an index of body-wide potential for atherosclerotic plaque that can place you at risk for stroke. The aorta, for instance, cannot be well imaged by surface ultrasound but can still be a source for stroke. Increased carotid intimal-medial thickness and carotid plaque are closely associated with likelihood of aortic plaque. The Rotterdam Study of 4000 participants demonstrated that if carotid intimal-medial thickness is greater than normal (1.0 mm), then you can be at risk for stroke (and heart attack), even if no carotid plaques are detected. Carotid ultrasound is the one test you should consider that provides the most information with least effort. Ultrasound is harmless, painless, and can be obtained just about anywhere. Even if your doctor disagrees with your request for a carotid ultrasound, an increasing number of mobile services are popping up nationwide that make this test available for around $100. One important point: many scanners and interpreters will only report whether plaque is present or not. While this is important information, you should request that the carotid-intimal medial thickness be made as well. Not all centers can make this simple measure (because of software requirements), but it doesn’t hurt to try. Any amount of carotid plaque is reason to follow a preventive program, even if the plaque is insufficient to justify surgery. Can plaque be reduced? Can we shrink plaque in carotid arteries and aorta and thereby reduce, perhaps eliminate, these sources of stroke? That question is gaining momentum as effective therapies become available that pack real punch for reducing plaque. Study after study has now documented that plaque can be reduced and, with it, risk for stroke. Reduction in plaque of 10–20% is possible within a year or two. Let’s consider the most potent influences on carotid and aortic plaque growth that need to be considered in a plaque-reducing program. (I assume that you are a non-smoker—if you are a smoker, you first need to concentrate on quitting.) Hypertension Considerable experience documents the power of blood pressure-lowering for prevention of stroke. The most recently updated guidelines, the JNC–VII, recommends a blood pressure of 407 mg/dl heightens stroke risk six-fold. C-reactive protein (CRP) This measure of inflammation is proving to be a useful marker for identifying people at risk for stroke, with increased risk beginning at a level of 0.5 mg/l. High CRP also predicts more rapidly growing carotid plaque. Homocysteine Homocysteine is an important marker of increased likelihood of both carotid and aortic plaque, as well as stroke. In 1997, the European Concerted Action Project reported more than a doubling of stroke when homocysteine levels exceeded 12 mol/l. As homocysteine increases to 20 μmol/l, risk for stroke and heart attack increases an amazing 10-fold over that at a level of 9 μmol/l. Asymmetric dimethylarginine (ADMA) ADMA is recently discovered amino acid whose blood levels can skyrocket up to 10-fold in the presence of hypertension, metabolic syndrome, diabetes, high cholesterol and triglycerides, obesity, and high homocysteine levels. ADMA blocks the action of the amino acid, l-arginine. This mimicry reduces the availability of nitric oxide, a powerful dilator and protector of arteries. ADMA levels in the top 10% predict a six-fold heightened risk for future stroke, and ADMA levels in people with strokes are double that in other people. A carotid ultrasound study in 116 subjects showed that higher blood levels of ADMA are associated with more severe carotid plaque. Because of ADMA’s shared role across a variety of abnormal conditions, correction or blocking the action of ADMA has been suggested as a unique therapeutic tool to reduce stroke risk. Cholesterol Data suggest that lowering cholesterol with statin cholesterol-lowering drugs slows carotid plaque growth and reduce stroke risk approximately 22%. An interesting study from the Cardiovascular Institute at Mt. Sinai School of Medicine in New York using the precise measuring ability of MRI of the carotids and thoracic aorta showed an impressive 20% regression of plaque area with simvastatin (Zocor®) taken for two years. Although guidelines for cholesterol treatment recommend reduction of LDL cholesterol to 100 mg/dl in high-risk persons, a report from the Walter Reed Army Medical Center in Washington, DC, showed that carotid plaque was more effectively reduced when LDL cholesterol of 70 mg/dl or lower was achieved with statin cholesterol drugs. Lower LDL cholesterol may, therefore, be better. Treatment Strategies to Reduce Carotid and Aortic Plaque The essential question: How do we reduce carotid and aortic plaque? If we make this the focus of our efforts, many pieces begin to fall into place. If you’ve had any measure of carotid or aortic plaque such as a carotid ultrasound or aortic calcification on a CT heart scan, you know that you’re at increased risk for stroke. You also have a baseline for future comparison to gauge whether your program is working or not. Because most people have not one but several causes of carotid and aortic plaque, there is no one single treatment that effectively eliminates risk for stroke. Instead, most people require a comprehensive program of healthy diet, exercise, supplements, and medication when indicated. Here, we focus on the nutritional supplements that can be critical components of your plaque-reduction program. Fish oil Fish oil is a cornerstone of your stroke prevention program. Epidemiological observations suggest a strong relationship of fish intake and reduction of stroke risk. Carotid ultrasound studies demonstrate less carotid plaque with greater intakes of fish. A cleverly designed University of Southampton study made the fascinating observation that fish oil transforms the structure of carotid plaque. 150 people with severe carotid plaque scheduled for carotid endarterectomy (surgical removal of the plaque) were given fish oil, sunflower oil, or no treatment over several months while waiting for their procedure. (Delays in the British health system permitted this unique design.) Plaque was removed at surgery and examined. Participants taking fish oil had reduced inflammation in plaque and thicker tissue covering the fatty core, markers of more stable plaque. Those taking sunflower oil or no treatment had unstable plaques with greater inflammation and thinner, less sturdy covering tissue. This suggests that fish oil stabilizes carotid plaque, making it less likely to rupture and fragment. A standard capsule of fish oil (containing 300 mg of EPA + DHA) contains the same amount of omega-3s as a 3 oz serving of cod or halibut; three capsules (900 mg DHA + EPA) contain the equivalent of a serving of farm-raised salmon. The dose that seems to provide greatest protection from stroke, lowers triglycerides (that form abnormal lipoproteins; see above), and reduces fibrinogen, is four capsules per day (1200 mg EPA + DHA). Coenzyme Q10 (CoQ10) Although there are no data specifically addressing whether CoQ10 reduces plaque, it is a marvelously effective way to reduce blood pressure, one of the crucial factors causing carotid and aortic plaque growth. A pooled analysis of eight studies showed that, on average, CoQ10 in daily doses of 50–200 mg reduced systolic blood pressure by 16 mm Hg, diastolic pressure by 10 mm Hg. Data suggest that CoQ10 can reverse abnormal heart muscle thickening (hypertrophy), another manifestation of high blood pressure, strongly suggesting that CoQ10 has benefits beyond just reducing pressure. Supplements to correct the metabolic syndrome Weight loss is, without question, the most immediate and direct path to correction of this dangerous pre-diabetic condition. A drop of even 10–20 lbs yields improvements across the board: increased sensitivity to insulin, increased HDL, and reductions in triglycerides, CRP, fibrinogen, small LDL particles, and blood pressure. Diet and exercise are fundamental components of an effort to lose weight; low carbohydrate or reduced glycemic index diets (e.g., South Beach or Mediterranean) rich in fibers are clearly effective. Several supplements can amplify weight-reduction efforts and be useful adjuncts to your lifestyle program. Among them: White bean extract White bean extract blocks intestinal absorption of carbohydrates by 66%. 1500 mg twice a day with meals yields, on average, 3–7 lbs of weight loss in the first month of use. The only side-effect is excessive gas, due to unabsorbed starches. Glucomannan This unique fiber taken prior to meals absorbs many times its weight in water and thereby fills your stomach. You consequently take in less food. Most people lose around four lbs per month using 1500 mg prior to each meal. Interestingly, glucomannan also blunts the rise in blood sugar after meals, an effect that, by itself, may lead to weight loss. Be sure to take with plenty of water. DHEA This adrenal hormone is key to maintaining physical stamina, mood, muscle mass in men, and libido in women. A recent randomized, placebo-controlled study at Washington University in 56 subjects showed a 13% decline in abdominal fat (fat that drives resistance to insulin) measured by MRI with 50 mg of DHEA per day at bedtime, along with improved sugar control and lower insulin levels. Pectin, beta-glucan Pectin is the soluble fiber in citrus rinds, green vegetables, and apples, also available as a supplement. Beta-glucan is the soluble fiber of oats and is also available as a supplement. Both are wonderful fibers that provide feelings of fullness, lower cholesterol, slow release of sugars, and can yield modest weight reduction. A USC study in 573 subjects using carotid ultrasound showed that greater intake of healthy fibers like pectin and beta-glucan is associated with less carotid plaque growth. Folic acid, vitamins B6 and B12 Dr. Daniel Hackam at the Stroke Prevention and Atherosclerosis Research Centre in Ontario conducted a study using carotid ultrasound in 101 participants treated with folic acid 2.5 mg, vitamin B6 25 mg, and B12 250 mcg per day. Treatment resulted in plaque reduction, especially when homocysteine levels exceeded 14μmol/l at the start, compared to untreated participants who experienced substantial plaque growth. An attempt to clarify the role of homocysteine treatment was made through a National Institute of Health-sponsored study of stroke prevention. 3680 participants with a prior history of stroke were enrolled and given either a “low-dose” (20 mcg folic acid, 0.2 mg B6, 6 mcg B12) or a “high-dose” (2.5 mg folic acid, 25 mg B6, 400 mcg B12) regimen. Although starting homocysteine levels showed a graded association with stroke risk (higher homocysteine levels predicted greater stroke risk), the treatment groups experienced, on average, only a 2 μmol drop in homocysteine levels and no reduction in stroke risk over two years. The study investigators as well as critics have suggested that the study failed due to an insufficient treatment period and that the doses were too low. (The doses we use in our plaque reduction program are folic acid 2.5–5.0 mg, B6 50–100 mg, B12 1000–2500 mcg.) L-arginine L-arginine can be used to overpower the adverse effects of ADMA. L-arginine is emerging as an important carotid plaque-reversing tool. Early reports in animals showed that l-arginine completely halted growth of aortic plaque, and did so more effectively than lovastatin (a cholesterol-lowering drug). In humans, L-arginine reduces blood pressure, abnormal constriction of carotid and coronary arteries, blocks entry of inflammatory cells into plaque, increases sensitivity to insulin, and heightens exercise capacity. Following coronary angioplasty or stent placement, l-arginine results in up to 36% reduction in plaque growth. The average American takes in 5400 mg of l-arginine through food every day. Supplementing with doses of 3000–12,000 mg per day has proven useful to correct many of these phenomena. (We use a dose of 6000 mg of l-arginine powder, twice a day on an empty stomach, dissolved in water, for our plaque regression program.) Does this result in a reduction of stroke risk? The emerging data suggest that l-arginine is likely to exert a powerful plaque-reducing and stroke-preventing benefit, but we await more clinical trial data. Conclusion Reducing stroke risk by reversing carotid and aortic plaque is becoming an everyday reality, with better tools becoming available. To know whether you’re at risk, the best and most available imaging tool is carotid ultrasound, aiming to identify intimal-medial thickness >1.0 mm, or carotid plaque. Any degree of calcification of the aorta, such as on a CT heart scan, is another useful measure of risk. Treatment to reduce risk is multi-faceted but is based on examining all your sources of risk, including metabolic syndrome, small LDL, lipoprotein(a), and C-reactive protein. Fish oil is the one absolutely crucial ingredient in any stroke prevention program. Other supplements can be used in a targeted fashion, depending on the causes identified for your carotid or aortic plaque. Ideally, repeat scanning of your carotids should be done sometime after your program has begun to assess whether you’ve successfully achieved reversal of plaque growth. penile enlargment pic penis enlargement drug natural penis enlargement pill natural pnis enlargement and lengthening herbal natural penis enhancement free penis enlarement technique vimax pill free penile enlargement video

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The length of your performance, the quality of your sexual technique and even the strength and reliability of your erections are all, to some degree or another, controlled by the foods you eat on a daily basis. I know – that’s a bold statement. But think of the relationship between your food and your sexual performance like the fuel used by your car. Put the wrong type of gas in, and – if you’re lucky – you’ll just about splutter a few feet, for a few seconds. Eat the wrong foods and your sexual performance will be similarly impacted: you’ll conk out sooner and generally perform more poorly than if you were eating the best things, most of the time. Okay, the question’s been posed: What can you eat to boost your sexual prowess? And how can the foods you consume improve your ability to put in, time and time again, a powerful and multi-orgasmic sexual performance – for you and the woman you’re with? First on the menu: Sexual Super-foods. Sexual super-foods are the absolute best things you can eat to help you out in the bedroom, because they contain chemicals, fibres and vitamins that are all suited to boosting and improving your body in relation to love-making. There are 7 different sexual super-foods, each containing a different selection of natural ingredients and therefore each targeting different areas of sexual skill. I’m going to tell you about one of them right now. The blueberry is a sexual super-food often referred to as ‘nature’s little blue pill’ because of its remarkable similarities to the wonder drug ‘Viagra’. However, unlike ‘Viagra’, blueberries are cheap, readily available and able to be consumed in bulk! The beauty of blueberries in regards to maximising your sexual ability lies in what they contain. Firstly, they’re loaded with soluble fibre, which helps push excess cholesterol through your digestive system before it can be broken down, absorbed and deposited in your arteries. They’re also packed with compounds that help relax your blood vessels and improve circulation throughout your body. The benefit of lower cholesterol and improved blood flow is more blood to your penis during sex and firmer erections as you get older. To harness the powers of this sexual super- food – which include stronger, longer lasting erections – pop a handful of blueberries into a fruit smoothie a couple of times a week. Next on the menu: General nutrition and Health. To most people, eating the right foods at the right times is a boring, fairly unfulfilling prospect. I mean, we all know of the overall health benefits of eating right, but we don’t generally care very much about sticking to strict diets – especially considering the time and effort usually involved in doing so. But if most men knew about how much their sexual ability and performance would improve if they simply improved their diets a little and upped their exercise just slightly, they’d be amazed. It breaks down like this. Eating healthily improves your cardio-vascular fitness (your stamina) and helps maintain high levels of energy – both vital components of any impressive, lengthy sexual performance. A secondary product of eating well, which stems from your high levels of energy and endurance, is a positive mental attitude – in essence, feeling happy and stress-free. These kinds of feelings come about naturally when you eat well because your body is chemically balanced and has high stores of useable energy. You don’t need to go crazy when it comes to improving your diet to notice a big improvement in your sexual ability. A great place to start is by always, always eating breakfast. But not just any breakfast. Eating cereal that is high in thiamine and riboflavin (check the label) helps your body store energy efficiently – which will come in really handy when you get down and dirty later in the day! Also, eat breads and cereals with lots of niacin in them (again, check the nutritional fact labels). Niacin is a vitamin that’s essential for the secretion of histamine. Your body needs histamine in order to control and trigger explosive orgasms! Lastly, always get that minimum of 5 portions of fruit and vegetables in a day. You’ll really notice the difference eating them makes, in and out of the bedroom. Okay, so there you have it. A good general diet can be used as a base, which gives you the fundamental levels of energy, fibre and vitamins needed to perform well in bed. Then, the 7 sexual super-foods can be eaten to naturally boost specific chemical levels in your body and thereby further improve your body’s sexual capabilities. You’ve learnt about one of those 7 sexual super-foods already. The bottom-line? Eat better, perform better! best pennis enlargement surgery male penis enhancement pnis enlargement operation penile enlargement excersizes safe penis enlarement penis enlagement picture vimax penis enlargement stretcher home penile enlargment penis girth enlargement

Years ago, men in our culture pretty much accepted whatever they were dealt in the sexual department, and they certainly didn't talk about their problems or concerns. Today, men aren't willing to live with uncertainty, embarrassment or feelings of inadequacy when it comes to sex -- and fortunately, they've found there really is something they can do about it. With the advent of prescription drugs for impotence, men began to question their long-held beliefs that sexual problems were just something you had to learn to live with (or deny). But prescription drugs aren't for everyone, and indeed, most men have concerns that can be addressed more simply and inexpensively than with doctor's office visits and subsequent pharmaceutical prescriptions. Now men have another option: all-natural male enhancement supplements. Anyone who's been watching TV or using the Internet lately knows these products are out there, but few know how they work or which products do work. So let's take a look at how these products do the job and what makes them effective for hundreds of thousands of men. Quality male enhancement pills contain a number of botanical and natural ingredients that come from around the world, with proven anecdotal records of success in increasing libido, empowering sexual drive and function, and creating greater stamina and erection hardness. Today, even medical doctors, typically resistant to herbal and naturopathic healing, now endorse natural formulas for male sexual enhancement. The best formulas out there contain scientifically tested, potent aphrodisiac herbal concentrates from China, Europe and South America to successfully stimulate sexual activity, maintain a firm erection and increase sexual pleasure. First, they promote peripheral tissue vasodilation to improve arterial erectile function. The ingredients have a direct effect on the endothelial cells, which enhances blood flow of both penile arteries and veins without any change in the systemic blood pressure. Some formulas also have the ability to relax and tonify the nervous system, which is necessary to deal fully with psychological stressors present. When looking for a good supplement, you may come across many of the same ingredients in many of them -- however, keep in mind that it is not only the specific components, but the blends, proportions and formulation that make a difference. Here are some of the herbs commonly used, and their effects in the male body: Epimedium Leaf Extract Epimedium was discovered in 200 BC. Legend has it that an ancient Chinese goat herder noticed that his flock suddenly became sexually active after grazing in a certain patch of weed. The Chinese consider Epimedium to be the premier libido lifter for men. It is also reputed to have a testosterone effect, to stimulate the sensory nerves and restore sexual desire. After centuries of use in China, top medical doctors now report that Epimedium can be used to boost libido, improve erectile function, restore sexual power and increase sensation. Scientifically, Epimedium works by freeing up testosterone, which naturally increases sex drive and endurance. Cuscuta Seed Extract Cuscuta is frequently used in long-term tonic programs, most commonly to strengthen the uro-genital functions. It is used to treat premature ejaculation, frequent urination and leukorrhea as well as aching lower back, symptoms that often accompany deficient kidney conditions which cause sexual weakness. Cuscuta seed is also widely used to nourish the sperm and marrow and strengthen sinews of the sexual organs. It is used to increase fertility in both men and women, and is listed as an aphrodisiac in all traditional Chinese pharmacopoeias. Ginko Biloba Leaf For over 5,000 years, Ginkgo has been prescribed in Chinese herbal medicine. In the last 30 years, more that 300 studies have given clinical evidence that Ginkgo prevents and benefits many problems throughout the entire body. Ginkgo is gaining recognition as a brain tonic that enhances memory because of its positive effects on the vascular system, especially in the cerebellum. Ginkgo improves peripheral circulation, oxygenation, and increases blood flow to the genitals to improve sexual function and the power of an erection. In a recent scientific study, 78% of men with non-medically caused impotence problems reported significant improvement - significantly, with no side effects. Ginkgo has been shown to be nutritional support for mental alertness, enhanced vitality level, circulatory health and blood vessel health. Note that its high antioxidant activity is valuable for fighting age-related conditions. Ginkgo may help to counteract the effects of aging, including mental fatigue and lack of energy. Asian Red Ginseng - Panax Ginseng Ginseng is traditionally used to overcome general weakness and deliver extra energy. It also has aphrodisiacal powers. Used to combat non medically caused impotence, and premature ejaculation, Ginseng helps normalize blood pressure while rejuvenating and revitalizing the body. It also promotes the growth of nerve tissue. A key ingredient of Ginseng is ginsenoside, which alters blood flow to the brain and penis and can build blood and sperm. Russian scientists have reported and recorded that Ginseng stimulates both physical and mental activity, enhances athletic performance and has a positive effect on the sex glands. Saw Palmetto Berry - Fructus Serenoae Native Americans and early American settlers used Saw Palmetto to treat problems associated with the genitals, urinary tract and reproductive system. This herb is called the "plant catheter" due to its therapeutic effect on the neck of the bladder and the prostate in men. Saw Palmetto is widely used in Germany, Canada, the United Kingdom and the U.S. for nutritionally benefiting the prostate and urinary tract. Saw Palmetto is a tonic, and is one of the few herbal remedies that are considered to be anabolic -- strengthening and building body tissues. The Saw Palmetto berries have long held a reputation as sexual stimulants and aphrodisiacs. Their largest use today is as a supplement for reducing enlarged prostate glands, treating urinary tract problems and for improving body strength. Saw Palmetto has shown significant action in treatment of conditions associated with benign prostatic hypertrophy (BPH). Saw Palmetto extract works to prevent testosterone from converting into dihydrotestosterone, the hormone thought to cause prostrate cells to multiply which leads to an enlarged prostate. Saw Palmetto inhibits androgen and estrogen receptor activity and may be beneficial for both sexes in balancing the hormones. Because of its hormonal effects, Saw Palmetto can aid the thyroid in regulating sexual development and normalizing activity of those glands and organs. Muira Pauma Bark Extract Muria Puama is an herb from a shrub native to Brazil, otherwise known as "Potency Wood". Both verbal and written historical records show that Muria Puama helps with lack of sexual desire and the difficulty to maintain erection. Muria Puama is used to restore sexual virility and to treat genital weakness "of intent", meaning the strength associated with sexual desire and potency in men. The textbook Specific Indications for Herbs in General Use, published by the Southwest School of Botanical Medicine, lists benefits of Muria Puama to these specific body systems: Improvement in reproductive system function, adrenal stress, cardiovascular system function, central nervous system activity, renal activity, and thyroid stress. Recent clinical studies further validate the potency of Muria Puama. Catuaba Bark Extract Catuaba has a long history in herbal medicine as a male 'strengthener' and aphrodisiac. The Tupi Indians in Brazil first discovered the qualities of the Catuaba plant and over the last centuries, have composed many songs praising its wonders. Indigenous people and local people have used Catuaba for generations and it is the most famous of all Brazilian aphrodisiaca plants. In the state of Minas there is a saying which goes, "Until a father reaches 60, the son is his, after that the son is Catuaba's." According to Dr. Meira Penna, Catuaba "functions as a stimulant of the nervous system, above all when one deals with functional impotence of the male genital organs... it is an innocent aphrodisiac, used without any ill effects at all." In Brazilian herbal medicine today, Catuaba is regarded as an aphrodisiac with "proven efficacy." Herbalists and health practitioners in the United States use Catuaba regularly as a tonic for genital function, as a central nervous system stimulant, and for treatment of sexual non medically caused impotence. According to Michael van Straten, noted British author and researcher of medicinal plants, Catuaba is beneficial to both men and women as an aphrodisiac, but "it is in the area of male impotence that the most striking results have been reported" and "there is no evidence of side effects, even after long-term use." Hawthorn Berry - Fructus Crataegi This phytochemical, with exceptional preventive capacities, comes from the hawthorn tree. Hawthorn is rich in bioflavonoids, which relax and dilate the arteries. These compounds are powerful antioxidants that help increase the flow of blood and oxygen to the heart. This reduces the work required by the heart to circulate blood, and in- turn this reduces blood pressure and stress to the heart muscle. The bioflavonoid substances in Hawthorn give strength to the walls of blood vessels and improve blood flow to other areas of the body. Components in Hawthorn have also been shown to lower cholesterol, and the amount of plaque in arteries. Officially approved for pharmaceutical use in Germany, government studies show the Hawthorn plant to be completely free of any side effects. European studies have shown that the Hawthorn botanical increases blood flow to the heart and brain, protects the heart from irregular beats, enhances the strength of the heart's contractions, and mildly lowers blood pressure. Other botanicals appear in male sexual aids, as well; its advisable to research the effects. The ingredients shown above are the "gold standard" however; they can be found in the correct proportions in a very popular supplement called VigRX™. It goes to work directly within the male genitalia, with effects on hormonal levels, blood flow and the responsive cells of the penis. The VigRX™ supplement is probably one of the best out there, given its proprietary formula in which ingredients are correctly proportioned and then made into tablets in a certified pharmaceutical grade laboratory. The company that produces VigRX™ has been in business for years, right from the beginning of this breakthrough in male enhancement products. When choosing a male enhancement formula, keep in mind these criteria: quality, guaranteed potency, guarantee of satisfaction, full disclosure of ingredients and a good track record of customer results. Again, the products do work and draw on the experience of centuries of herbal and natural medicinal supplements -- but choose carefully. It's your body, and you want only the best for it! If you are having difficulties knowing which product to try, we recommend and stand behind VigRX™ for both performance and customer service.