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Hypertension (high blood pressure) affects about 50 million individuals in the United States. Of these, about 70% are aware of their diagnosis, but only about a half of those are receiving treatment and only 25% are under control using 140/90 as the cutoff guideline. A new category has been designated as “pre-hypertension” and that is when the blood pressure is 120-139 systolic over a diastolic of 80-89. Blood pressure readings vary greatly in individuals depending on the time of day, where the patient is at when they get it checked, how soon they have eaten, smoked, or even drank a cup of coffee. A diagnosis of hypertension should not be based on one reading unless that reading is extremely high and/or there is evidence of end organ damage such as renal (kidney) or heart involvement. The diagnosis of hypertension should be made only after two or more readings on two or more office visits. The frightening thing about hypertension is that it usually does not cause any symptoms. Unless you are getting your blood pressure regularly checked, you could be walking around for years with elevated blood pressure and not know it. That is why it is referred to as the silent killer. If you are being diagnosed with hypertension for the first time, there are certain tests that your doctor should order. Blood tests including a complete blood count, fasting lipids (cholesterol), fasting blood sugar, renal (kidney) functions, liver functions, and electrolytes (potassium, sodium levels), along with a urinalysis should be checked. You should also have a chest xray to check for enlargement of your heart which can occur over time with hypertension, and an electrocardiogram to check for any cardiac (heart) abnormalities. Treatment of hypertension is multi-faceted. Lifestyle modification should include smoking cessation, daily exercise implementation, dietary changes, alcohol moderation, and sodium restriction. One should consume a diet with plenty of vegetables, fruit, and low dietary fat. Exercise should consist of daily brisk exercise such as walking at least 30 minutes per day most days of the week. A 10% weight loss can make a significant difference in blood pressure readings. Alcohol consumption should be limited to no more than two drinks per day (24 oz. of beer, 10 ounces of wine, or 3 oz. of “hard” liquor such as gin, whiskey, or vodka). You should also reduce salt intake to no more than 2.4 grams of sodium per day. I tell my patients not to add any salt to any foods and restrict high sodium items. If your blood pressure is not extremely elevated, say in the 145/95 range, and you are determined to make substantial lifestyle changes, then perhaps you can bring your blood pressure down to normal range with these measures. I always give my patients in these situations the option to try lifestyle modifications first if they wish as long as their blood pressure is not seriously high. Most patients, however, end up having to take a medication for their hypertension. There are a wide variety of medications available that we can prescribe and the majority of patients require more than one type of medication to reach a desired blood pressure goal. Discuss with your physician the side effects of each and what would be the most suitable medication for you. Medications have come a long way for treating blood pressure in the past twenty years and the side effect profiles are much more favorable than they used to be overall. I have found that a good portion of my patients have an aversion to taking a pill everyday for the rest of their lives. But what I tell them is that they ought to look at it like a vitamin, or better yet, an insurance policy. If it prevents you from having a heart attack or stroke and from either premature death or perhaps becoming confined to a wheel chair and not being able to take care of yourself, then taking a daily pill or two should not even be an issue. Don’t be afraid to talk to your doctor about treatment and asking about the tests I have discussed. Most importantly, please get into your physician at least once a year to get your blood pressure taken, and more often if it has been on the high end of normal. Copyright 2006 Ted Crawford penis enargement information cheap penis enlargment pennis enlargement pills vimax top rated penis enlargement pills pnis enlargement system plastic surgery penis enlarement pennis enlargement exercise pnis enlargement tip

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Cooking Salts Explained Salt, also known as Sodium Chloride or (NaCl) is a vital component of the healthy and balanced human diet. Over half of the human body contains fluids that contain salt. Our blood, tears and saliva all contain salt. In addition we daily lose salt in our perspiration and urine. Muscles need salt in order to function, nerves require salt to carry messages and the digestive system cannot function without salt. So as you can see salt is very important to us humans. Table Salt Table salt is your everyday white granular salt found in most kitchens. It is most commonly mined from salt mines and then refined to remove other minerals until it is pure or close to pure sodium chloride. Often you will find table salt referred to as 'iodized', this term refers to the fact that the manufacturer has added iodine. This practice began in the earlier part of the last century in co-operation with the government to minimise the incidence of thyroid problems such as Goiter; an enlargement of the thyroid gland caused by an iodine deficiency. Taste: Slightly metallic, uninteresting and can easily become overpowering. Rock Salt Rock salt is coarse and is usually mined from ancient salt deposits that are the result of very large bodies of water evaporating and leaving behind huge deposits of rock salt. Rock salt is much less refined than everyday table salt and contains more minerals and often more impurities. Rock salt is good for cooking with and ideal to use in salt grinders. I tend to use rock salt in blanching water as adding salt to water increases its boiling temperature and thus decreases the cooking time. I also use rock salt for presentation purposes such underneath oysters to keep them from falling over and visual appeal. Taste: Rock salt can vary in taste depending on the region it is mined from and can possess interesting characteristics. Sea Salt Sea salt comes in many forms; granules, large crystals and flakes. Sea salt is cultivated from filtered high salt content sea water using a process of evaporation. As the water evaporates salt crystals begin to form, the crystals are then allowed to settle, then removed, drained, dried and ready to use. Sea salt (as well as seafood for that matter) naturally contains iodine and supplementing, as often found in ordinary table salt is not required if sufficient amounts of either constitute part of your diet. I tend not to use salt at the table as I believe if the Chef has done his job there should be no need for the addition of salt. However should a guest request salt I will serve them only pure sea salt flakes. My personal preference for sea salt is that of the English east coast, a region that has been producing beautiful flaky white soft crystals for centuries. Taste: When used in cooking it blends seamlessly with the food. When used at the table it imparts a slight saltiness without the brackishness or lip cringing effect of other salts. A few flakes on the tongue and its oceanic origins become very apparent. Is sea salt worth the extra cost? In my professional and personal opinion, definitely. enargement free penis pills sample natural pennis enlargement exercise pennis enlargement pills natural penile enlargement pills cheap penile enlargment pills best penile enlargment surgery penis enlargment penis elargement tip penis enlargement fact

My humble relationship advice for women at 40. Recently, I had the opportunity to play a round of golf with a female friend of mine and two of her female friends as well. After a great round of golf, we went back to her house where I proceeded to cook dinner for all of us. Because I was a friend, male and cooking dinner, the ladies seemed to feel very comfortable talking in front of me about their dating lives. Holy cow. What an eye opener that was. Let me first start by saying, I am not all that and a bag of chips -far from it actually. I have my hang ups and feel the normal insecurities most of us face on a daily basis. What I heard and experienced that fateful night at dinner almost made me run screaming from the house. As the night progressed and wine flowed, I began to see a side of this group of three women that had me questioning if I would ever date again. I have never heard a group of people bitch and gripe about so many people in my entire life. They looked like three Queens, sipping red wine and damning the rest of us who happen to be male to the guillotine. I felt like asking them if they saw any correlation between the fact they had such impossibly high standards for men and the fact they were all single themselves. Furthermore, it appeared this group of forty something women had never had a serious relationship, either past or present, where they seemed sincerely happy. I am not suggesting all women are like this. If however, you find you are approaching forty or on the North side of forty, single and without any prospects for any kind of date soon, you may want to consider the following advice. If you are looking for perfection from a man then you damn well better bring perfection to the table yourself. These three women were holding up impossibly high standards that no man could realistically attain. One woman in the group was obviously very good looking, had a good job, loved golf and seemed very bright. There was a litany of stories from her about failed relationships and unsuccessful dating experiences. Nice guy, cute, clean and neat, great job but drove a crappy car. Perhaps he didn’t see the value in wasting money on a sports car? Perhaps he valued saving some of his money for later in life? Great guy, great job and great everything else but had a weird haircut and ear hair. Awesome guy, sincere, respectful, bright, witty and charming but was not well enough endowed. I’m not suggesting women settle for any reason. None of us should do that. I am saying that we all need to set realistic expectations of what we are looking for in a date. What would happen if the great guy with the crappy car were given a chance to explain himself? What would happen if Mr. Awesome with the small penis had a good friend who could make livestock weep and cry? If they had given any of these guys half a chance, they may have found their potential dating circle may have expanded nicely. I have no trouble getting dates. It’s not because I am the best looking guy, with a great body, a million dollar bank account, a fantastic car and I could stand in for Ron Jeremy. I get dates because I realize I am far from perfect but I am a sincerely nice person. My expectations for myself are realistic and more importantly, I set realistic expectations for my dates. We have all heard women pine for the good guys in a relationship, wondering where they are. How come there are no good guys left they seem to constantly complain. There are nice guys out there. They do exist! Ladies, you need to give some of us a chance. Dating is a lot like poker; you have to know how to play the cards you have been dealt. You can only bluff for so long. If these women continue to play their hands the way they have been going, it is only a matter of time before someone calls their hand. natural pennis enlargement exercise prosolutionpills vimax herbal natural penis enlargement penis elargement secret penis enhancement forum sex vig rx best enhancement exercise penis truth about pnis enlargement pills penis enlargement fact

If you’d like to take your sex life to a higher plane, you might want to consider introducing some tantric techniques to your lovemaking. This is a way to control and manipulate your sexual energy – including exchanging energy with your partner and prolonging orgasm. Tantra is more than just a way to more intense orgasm, however. It’s an Eastern practice that involves the whole mind, body and soul. You may want to extend the practise out of the bedroom, as Tantra includes techniques that can affect your whole way of life. By harnessing your sexual energy and directing it towards areas of the body or mind, you can boost energy and clear blockages. Tantric practise also means treating your body and your partner’s body as sacred. Sexual ecstasy is seen as a divine feeling and love making as an art that involves special skills. Breathing Probably the most fundamental practical aspect of Tantric sex is breathing practise. This might mean controlling your breathing during sex to bring your attention back to the present, or synchronising your breath with your lover’s. Breathing in time with your partner can lead to a feeling of merging or union that is very intimate and moving. Yoga and meditation teach breathing exercises that can be incorporated into your Tantric sessions – try focussing on a slow, long out breath to control your breathing, coupled with deep breaths from your diaphragm. While you breath in this manner, bring your attention to your partner and their breathing. Positions Tantra is not about turning sex into a marathon of a hundred different positions, but the Kama Sutra does form part of the teachings of Tantra. Working your way through every position is not part of the plan, though. Sexual positions are to be explored, and for the most part you’re looking for ways to prolong your lovemaking. Multiple orgasms for both man and woman are part of the fun – for him this means learning to orgasm without ejaculation. This means he needs to learn to control the muscle at the base or ‘root’ of his penis. Women can improve their orgasmic potential by contracting their pelvic floor muscles – try clenching as though holding in a pee, then releasing. Do this for cycles of around 10 seconds at a time, every time you remember. The most important aspects of Tantra are to respect yourself and your partner. Rather than seeing sex as a ‘naughty’ or secret activity, devotees are encouraged to focus on the sacred and spiritual aspects of lovemaking. Ultimately, there is no one clear definition of Tantra as every follower has his or her own interpretation. For those who practise Tantric sex, the experience is one of constant discovery. You too will come to have your own understanding of the meaning of Tantra the more you practise the simple techniques of slowing down, paying attention and giving respect to the act of sex. For more information about lingerie please have a look at this link: Cheap Trashy Lingerie | Exotic Lingerie penis enargement pills review penile enlargment forum penile enlargment technique penis elargement surgery cost penis enlargement pill plastic surgery penile enlargment natural pennis enlargement best penis enlagement penis enlargement fact

Men may love to fantasize a strong and long-lasting erection anywhere and any moment they need, but what about a persistent erection which lasts from several hours up to a few days? Trust me it happens! But this has nothing to do with sexual pleasure or great potency performance, this type of erection is called Priapism, it is painful and occurs without sexual stimulation. The condition develops due to the trapped blood in the penis which does not draw off and can cause permanent erectile dysfunction if not treated immediately. Now let me tell you why this emergency state in a man’s life is named Priapism. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. Statues and pictures of Priapus always showed him to be rather well-endowed and, seemingly, perpetually erect male organ. Sculptures of Priapus with large genitalia were placed in paddy fields to guarantee an abundant crop and even used as a scarecrow and his erect penis was thought to frighten thieves. Priapism in medical terms is a painful and potentially harmful medical condition in which the erect penis does not return to its flaccid state despite the absence of both physical and psychological stimulation within four hours. It is indeed, a medical emergency and needs proper treatment by a qualified medical practitioner. It can occur to any age group including even the infants; nevertheless, it is more frequent between the ages of 5 to 10 years and 20 to 50 years. We can categories Priapism into low-flow and high-flow based on two different reasons. When blood is trapped in the erection chamber of an otherwise healthy person without a known reason, it is low-flow Priapism. This type of Priapism may also be the result of sickle-cell disease, leukemia (blood cancer) or malaria. High-flow Priapism is rare and less painful, generally caused by a ruptured artery from an injury to the penis or the area between scrotum and anus resulting in abnormal blood flow to the penis. Other causes of Priapism include trauma to the spinal cord or to the genital area, black widow spider bites, carbon monoxide poisoning, and illicit drug use, such as marijuana and cocaine, certain drugs like antidepressants, antihypertensives, anticoagulants and corticosteroids. The drugs which are used to treat impotency, particularly those given by injection in the penis like papaverine, prostaglandin E1 (alprostadil), phentolamine can cause this problem. One more significant class of drugs may have the potential of Priapism, that are, the phosphodiesterase type-5 (PDE5) inhibitors such as sildenafil, tadalafil and vardenafil, sold under the names of FDA approved Viagra, Cialis and Levitra consecutively. Viagra and other PED5 drugs do not cause priapism unless combined with other medications like prostaglandin injections and a recreational drug called Ecstasy. All the PDE5 drugs requires sexual stimulation to get an erection, however, these type of drugs should be used with caution for patients who have conditions that might predispose them to priapism such as sickle cell anemia, multiple myeloma, high blood pressure and cardiovascular problems etc. Viagra, Cialis and Levitra should be taken as per doctor’s prescription to avoid the possibilities of Priapism. Nevertheless, the instances are very rare where Viagra, Cialis and other PED5 drugs caused a prolonged and painful erection, but then those patients were found to have prior health conditions which were responsible for Priapism. Priapism calls for immediate medical attention to avoid fatal consequences of permanent erectile dysfunction. The erection can be easily reduced if the person gets the treatment within 6 hours of erection, and in a case where the erection has lasted less than four hours, decongestant medications may decease blood flow to the penis. Ice applied to the perineum and the penis can reduce swelling in the pre-medication state. In serious situations, intracavernous injection, aspiration and surgery may be required to cure Priapism. But we should keep in mind that the longer the medical attention is delayed, the greater are the risk of permanent erectile dysfunction.