tag:blogger.com,1999:blog-63324173358171999152024-03-06T12:00:37.492-08:00Sharing Is CaringUnknownnoreply@blogger.comBlogger203125tag:blogger.com,1999:blog-6332417335817199915.post-64662990445228588102017-04-12T23:19:00.003-07:002017-04-12T23:19:37.465-07:00Farmasi Tigas Alliance is now hiring !!!<div dir="ltr" style="text-align: left;" trbidi="on">
<img alt="Join our dynamic store team as our Store Retail Associates" height="480" src="http://tigasalliance.com/tigas/wp-content/uploads/news-now-hiring.jpg" width="640" /><br />
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Join our dynamic store team as our</div>
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<span style="-webkit-box-decoration-break: clone; box-sizing: border-box; color: #ff6600;">Store Retail Associates</span><span id="more-849" style="-webkit-box-decoration-break: clone; box-sizing: border-box;"></span></h2>
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<span style="box-sizing: border-box; font-weight: bolder;">Full Time / Part Time</span></div>
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<li style="box-sizing: border-box; margin-bottom: 0.6em;">Medical benefits</li>
<li style="box-sizing: border-box; margin-bottom: 0.6em;">Pleasant & safe working environment</li>
<li style="box-sizing: border-box; margin-bottom: 0.6em;">Great training</li>
<li style="box-sizing: border-box; margin-bottom: 0.6em;">Career advancement</li>
<li style="box-sizing: border-box; margin-bottom: 0.6em;">Staff Discounts</li>
<li style="box-sizing: border-box; margin-bottom: 0.6em;">Attractive renumeration</li>
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Please address all enquiries to: Thanuja / Mona at <a href="mailto:careers@berjayapharmacy.com" style="background-color: transparent; box-sizing: border-box; color: #004a7e; text-decoration-line: none; touch-action: manipulation;">careers@berjayapharmacy.com</a></div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6332417335817199915.post-80253196839162846702017-04-12T23:09:00.001-07:002017-04-12T23:09:53.693-07:00U for Life by Tigas Alliance<div dir="ltr" style="text-align: left;" trbidi="on">
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<strong style="background: transparent; border: 0px; font-size: 14.004px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">PETALING JAYA</strong>: U for Life Sdn Bhd has raised the bar for the insurance industry by allowing Malaysians to apply for an insurance policy at local pharmacies.</div>
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Through a strategic partnership with Berjaya Pharmacy Sdn Bhd, U for Life becomes the first digital insurance platform in the country to leverage the pharmacy network across Malaysia as a natural distribution point in ensuring all Malaysians are insured.</div>
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“Despite the economic downturn, consumer health in Malaysia has sustained steady growth. This however contradicts with the fact that 55% of the country’s population is not insured with the main reason being affordability.</div>
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“Hence, the partnership we have will combat this perception - by offering an insurance policy as low as RM9.85 per month for protection of up to RM100,000,” U for Life general manager Kenny Thing said in a press statement.</div>
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Thing revealed that the partnership will now begin at some four Tigas Alliance pharmacies - Tigas Alliance Tesco Bangi, Tigas Alliance Tesco Kepong, Tigas Tesco Lukut in Port Dickson and Tigas Alliance TTDI.</div>
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<img alt="Image result for insurance" height="426" src="http://freedominsurance4u.com/wp-content/uploads/sites/40/2015/02/famins-1.jpg" width="640" /></div>
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He hopes that by mid-year, they would have reached a total of 19 Tigas Alliance pharmacies strategically located in the Klang Valley, Negri Sembilan, Penang, Kedah and Sabah.</div>
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Stationed at participating Tigas Alliance pharmacies, digital ambassadors who are U for Life’s on-ground crew are present to attend to all U for Life’s e-policy enquiries.</div>
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“Customers who sign up for the e-policy at the participating pharmacies will receive goody bags worth up to RM250 while the first 50 existing U for Life’s e-policy holder customers are also entitled to a free glucose test, available every Friday, Saturday and Sunday.</div>
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“For every successful referral, U for Life rewards its customers with a free Starbucks card or vouchers,” Thing said.</div>
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For more information on U for Life and its participating Tigas Alliance pharmacies, please visit <a href="http://uforlife.com.my/" style="background: transparent; border: 0px; color: #d61920; font-size: 14.004px; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" title="http://uforlife.com.my">http://uforlife.com.my</a> or <a href="http://www.tigasalliance.com/" style="background: transparent; border: 0px; color: #d61920; font-size: 14.004px; margin: 0px; outline: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;" title="www.tigasalliance.com">www.tigasalliance.com</a>.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-6516793575368353772017-04-12T23:06:00.000-07:002017-04-12T23:06:27.716-07:00Tigas Pharmacy Johor Bahru<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="box-sizing: border-box; color: #f05a21;"><span style="box-sizing: border-box; font-weight: bolder;">Tigas</span></span> is a Malaysian brand, bringing together the <em style="box-sizing: border-box;">three</em> or <em style="box-sizing: border-box;">Tiga </em>– S – links to the pharmacy supply chain : Consumers – Pharmacists – Pharmaceutical/Healthcare companies.</div>
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We see the links and the <span style="box-sizing: border-box; color: #f05a21;"><span style="box-sizing: border-box; font-weight: bolder;">Alliance</span></span> forming the foundation of cost effective and personable service.</div>
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<img alt="Tigas Alliance Pharmacy open in Tesco Kepong" height="480" src="http://tigasalliance.com/tigas/wp-content/uploads/tesco-kepong-3.jpg" width="640" /></div>
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Our stores provide a range of affordable options for prescriptions, supplements and body care; extending treatments of minor ailments to promote health and well-being.</div>
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Look for us in all your community locations, operated by pharmacists you can talk to.</div>
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We are your trusted healthcare advisor, delivering personal service and community commitment familiar with a neighbourhood pharmacy.</div>
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Our pharmacists make that special effort to make themselves integral part of the communities we are conveniently located within.</div>
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<img alt="Farmasi Tigas Alliance TTDI" height="480" src="http://tigasalliance.com/tigas/wp-content/uploads/tigas-ttdi-3.jpg" width="640" /></div>
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Farmasi Tigas Alliance is operated by Berjaya Pharmacy Retail Sdn. Bhd., a subsidiary of the <a href="http://www.berjaya.com/" style="background-color: transparent; box-sizing: border-box; color: #004a7e; text-decoration-line: none; touch-action: manipulation;" target="_blank">Berjaya Corporation Berhad</a>.</div>
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Berjaya Corporation is Malaysia’s largest retail operator and conglomerates with diversified interest across various business sectors.</div>
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Unknownnoreply@blogger.com11tag:blogger.com,1999:blog-6332417335817199915.post-32215040259371549542017-01-20T19:11:00.000-08:002017-01-20T19:11:32.331-08:00Getting pregnant later in life has its risks<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Getting pregnant later in life has its risks" src="http://www.star2.com/wp-content/uploads/2017/01/sfit_fitpregnant1501_py_1-770x470.jpg" height="390" width="640" /><br />
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<a href="http://www.star2.com/people/2017/01/05/halle-berry-janet-jackson-proud-older-mothers-celebrities/" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: 0px 0px; background-repeat: initial; background-size: initial; box-sizing: border-box; color: rgb(0, 51, 153) !important; text-decoration: none; transition: color 200ms ease, background-color 200ms ease, text-shadow 200ms ease, box-shadow 200ms ease, border 200ms ease;" target="_blank">If you’re older than 35 and hoping to get pregnant</a>, you’re in good company. Many women are delaying pregnancy well into their 30s and beyond – and delivering healthy babies. Taking special care can help give your baby the best start.</div>
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The biological clock is a fact of life, but there’s nothing magical about age 35. It’s simply an age at which various risks become more discussion-worthy.</div>
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For example:</div>
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• It might take longer to get pregnant. You’re born with a limited number of eggs. As you reach your mid- to late 30s, your eggs decrease in quantity and quality.</div>
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An older woman’s eggs also aren’t fertilised as easily as a younger woman’s eggs. If you’re older than 35 and haven’t been able to conceive for six months, consider asking your health care provider for advice.</div>
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• You’re more likely to have a multiple pregnancy. The chance of having twins increases with age. The use of assisted reproductive technologies – such as in vitro fertilisation – also can play a role.</div>
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• You’re more likely to develop gestational diabetes. This type of diabetes, which occurs only during pregnancy, is more common as women get older.</div>
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Tight control of blood sugar through diet and physical activity is essential. Sometimes medication is needed, too.</div>
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Left untreated, gestational diabetes can cause a baby to grow significantly larger than average – which increases the risk of injuries during delivery.</div>
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• You’re more likely to develop high blood pressure during pregnancy. Research suggests that high blood pressure that develops during pregnancy is more common in older women.</div>
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Your health care provider will carefully monitor your blood pressure and your baby’s growth and development. You might need to take medication or deliver your baby before your due date to avoid complications.</div>
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• You’re more likely to have a low birth weight baby and a premature birth. Premature babies, especially those born earliest, often have complicated medical problems.</div>
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• You might need a C-section. Older mothers have a higher risk of pregnancy-related complications that might lead to a C-section delivery, such as placenta previa – a condition in which the placenta blocks the cervix.</div>
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• The risk of chromosome abnormalities is higher. Babies born to older mothers have a higher risk of certain chromosome problems, such as Down syndrome.</div>
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• The risk of pregnancy loss is higher. The risk of pregnancy loss – by miscarriage and stillbirth – increases as you get older, perhaps due to pre-existing medical conditions or foetal chromosomal abnormalities.</div>
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Ask your health care provider about monitoring your baby’s well-being during the last weeks of pregnancy.</div>
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While further research is needed, studies suggest that a man’s age at the time of conception – his paternal age – also might pose health risks for his children. – Mayo Clinic News Network/Tribune News Service</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-60377184427252960222017-01-14T21:17:00.002-08:002017-01-14T21:17:58.754-08:00NEURONTIN AND LYRICA ARE A DEATH SENTENCE FOR NEW BRAIN SYNAPSES<div dir="ltr" style="text-align: left;" trbidi="on">
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<strong>BY: Byron J. Richards, Board Certified Clinical Nutritionist</strong></div>
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<b>Neurontin and its newer more potent version, Lyrica, are widely used for off-label indications that are an outright flagrant danger to the public. These blockbuster drugs were approved for use even though the FDA had no idea what they actually did in the brain. A shocking new study shows that they block the formation of new brain synapses<span style="font-size: 12px; line-height: 0; position: relative; top: -0.5em; vertical-align: baseline;">1</span>, drastically reducing the potential for rejuvenating brain plasticity – meaning that these drugs will cause brain decline faster than any substance known to mankind.</b></div>
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The problem of these drugs is compounded by their flagrant illegal marketing. Neurontin was approved by the FDA for epilepsy back in 1994. The drug underwent massive illegal off-label promotion that cost Warner-Lambert 430 million dollars (the very first big fine for off-label promotion). The drug is now owned by Pfizer. Pfizer also owns Lyrica, a super-potent version of Neurontin. It has been approved by the FDA for various types of pain and fibromyalgia. Lyrica is one of four drugs which a subsidiary of Pfizer illegally marketed, resulting in a $2.3 billion settlement against Pfizer.</div>
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<span style="text-align: justify;">Even though the marketing of these drugs has been heavily fined, they continue to rack up billions in sales from the off-label uses. Doctors use them for all manner of nerve issues because they are good at suppressing symptoms. However, such uses can no longer be justified because the actual mechanism of the drugs is finally understood and they are creating a significant long-term reduction in nerve health.</span></div>
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The researchers in the above study try to downplay the serious nature of the drugs by saying “adult neurons don’t form many new synapses.” That is simply not true. The new science is showing that brain health during aging relies on the formation of new synapses. Even these researchers managed to question the common use of these medications in pregnant women. How is a fetus supposed to make new nerve cells when the mother is taking a drug that blocks them?</div>
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These are the kind of situations the FDA should be all over. As usual, the FDA is sitting around pondering a suicide warning for Lyrica while its off-label uses include bi-polar disorder and migraine headaches. The FDA is likely to twiddle its thumbs for the next decade on the brain damage issue. Consumer beware.</div>
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<img alt="abifvg" height="479" src="https://i2.wp.com/ushealthcure.com/wp-content/uploads/2016/09/abifvg.jpg?w=800" style="border: 0px; height: auto; max-width: 100%; vertical-align: middle;" width="638" /></div>
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Source: http://medcureusa.org/</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-50640533303928443292017-01-11T18:43:00.003-08:002017-01-11T18:43:41.024-08:00Here’s why you may want to avoid eating this during Chinese New Year <div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Here’s why you may want to avoid eating this during Chinese New Year" height="390" src="http://www.star2.com/wp-content/uploads/2017/01/chinese-cured-meat-waxed-duck-sausage-CNY-FP-017201319aa-770x470.jpg" width="640" /></div>
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<b><span style="color: blue;">Eating large amounts of cured meats was linked to worse symptoms among asthma sufferers, a French study found.</span></b></div>
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<b><span style="color: blue;">That was true even after taking obesity into account, the authors say.</span></b></div>
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So-called cured meats have been preserved and flavoured by the addition of various combinations of salt, nitrates, nitrites, and sugar. Examples of such processed meats include bacon, ham, prosciutto, corned beef, pastrami, and pepperoni. Waxed duck, cured pork belly and Chinese sausages are also examples of cured meats that are favoured during Chinese New Year.</div>
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“Cured meat intake, a typical food in industrialised societies, has been associated with many chronic diseases, including lung cancer and Chronic Obstructive Pulmonary Disease (COPD), but its association with asthma remained unclear,” study leader Dr Zhen Li said. Li is a researcher at Inserm and Paul Brousse Hospital in Villejuif.</div>
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As<a href="http://thorax.bmj.com/content/early/2016/11/25/thoraxjnl-2016-208375" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: 0px 0px; background-repeat: initial; background-size: initial; box-sizing: border-box; color: rgb(0, 51, 153) !important; text-decoration: none; transition: color 200ms ease, background-color 200ms ease, text-shadow 200ms ease, box-shadow 200ms ease, border 200ms ease;" target="_blank"> reported in <em style="box-sizing: border-box;">Thorax</em></a>, the research team had data on 971 adults from five French cities who answered questions about diet, weight, and asthma symptoms between 2003 and 2007.</div>
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On average, participants ate 2.5 servings of cured meats per week.</div>
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Just over 40% of the participants said they had had asthma at some point, and around half said they had never smoked. Each participant was assigned an asthma symptom score, ranging from zero to five, based on difficulty breathing, chest tightness, and shortness of breath during the previous year.</div>
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<img alt="Those who frequently ate cured meats were found to be 76% more likely to see a worsening of asthma symptoms. " class="wp-image-272244 size-full" height="427" src="http://www1.star2.com/wp-content/uploads/2017/01/docdc4starint33682602-e1483420439244.jpg" style="border: 0px; box-sizing: border-box; vertical-align: middle;" width="640" /><div class="wp-caption-text" style="box-sizing: border-box; margin-bottom: 10px;">
Those who frequently ate cured meats were found to be 76% more likely to see a worsening of asthma symptoms.</div>
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Follow-up surveys completed between 2011 and 2013 showed that about half of the participants had no changes in their asthma scores, over one-fourth said their symptoms had improved and about 20% felt their symptoms had gotten worse.</div>
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After accounting for other factors such as smoking, physical activity, age, other dietary habits, and education, researchers found that participants who ate the most cured meat (four or more servings per week) were 76% more likely to see a worsening of symptoms compared to those who ate the least (less than one full serving per week).</div>
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About 35% of the participants were overweight and about 10% were obese, based on their responses. Those conditions probably explained about 14% of the association, the authors estimated.</div>
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“Our finding, together with other previous findings, suggests that patients with asthma might have benefits by following a multiple-interventional program,” Li said. “That means, besides the medication, weight control as well as dietary intervention such as reducing cured meat intake might also help them to control their asthma symptoms.”</div>
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Dr Sunit Jariwala complimented the study but noted that its observational design means it can’t prove cause-and-effect.</div>
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“Cured meats are rich in nitrites which may lead to any kind of oxidative stress related lung damage and asthma,” said Jariwala, who is director of allergy and immunology research at the Albert Einstein College of Medicine and Montefiore Medical Center in New York City.</div>
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Jariwala, who was not involved in the study, believes obesity is an important consideration with asthma patients.</div>
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“In this study, as well as previous studies, obesity may be linked to systemic inflammation that can worsen asthma as well as other obesity related conditions such a sleep apnea,” he said.</div>
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Jariwala advises patients to follow a balanced diet that includes fresh, unprocessed foods and is low in salt, sugar, and saturated fats. – Reuters</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-35677609312083228122017-01-10T22:31:00.001-08:002017-01-10T22:31:16.209-08:00Glujoint 25g x 20 sachets @RM120 in Johor Bahru<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Image result for Glujoint 25g x 20 sachets" height="400" src="http://www.youbeli.com/images/screenshots/726535_2858460.png" width="400" /></h2>
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Product details of Glujoint 25g x 20 sachets</h2>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">New Generation Approach for Joint Health.</span></div>
<div style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; margin-bottom: 10px; padding: 0px;">
Mixed Organic Soy Milk with Collagen Hydrolysate (CH)</div>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">Supplement Facts:</span></div>
<ul style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; list-style: none; margin: 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">A blend of a proprietary ingredients, Collagen Hydrolysate, Tricalcium Phosphate and Soy Milk.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Available in 25g x 20 sachets</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Patented ingredient from Germany</li>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">Benefits</span>:</div>
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The ingredients in GluJoint may help in:</div>
<ul style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; list-style: none; margin: 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Promoting mobility of joint, tendon and ligament.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Relieving discomfort from overused joints and joint injuries.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">It contains basic amino acids essential for the joints and for those who has low protein level due to poor diet.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">It also contains collagen which helps in lubricating the joint and improve joint health.</li>
</ul>
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<span style="font-weight: 700; margin: 0px; padding: 0px;"><br /></span></div>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">Warnings</span>:</div>
<ul style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; list-style: none; margin: 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Use this product as a food supplement only.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">If you are pregnant, nursing, taking any medications or planning any medical procedure, consult your doctor before use.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Discontinue use and consult your doctor if any adverse reactions occur.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Keep out of reach of children.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Do not use if sachet is torn.</li>
</ul>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">Storage</span>:</div>
<ul style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; list-style: none; margin: 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Store in a cool, dry place.</li>
</ul>
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<span style="font-weight: 700; margin: 0px; padding: 0px;">Directions</span>:</div>
<ul style="color: #444444; font-family: 'Open Sans', sans-serif; font-size: 16px; line-height: 27.2px; list-style: none; margin: 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">One (1) sachet daily.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">Serve in a glass of room temperature water. Drink immediately.</li>
<li style="list-style: disc; margin: 0px 0px 0px 14px; padding: 0px;">For those with gastric problem or sensitive stomach, preferably take after a meal.</li>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6332417335817199915.post-77480710035106365442017-01-03T22:21:00.004-08:002017-01-03T22:37:06.550-08:00If you really want to have super memory in 2017, start doing this !!!<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="If you really want to have super memory in 2017, start doing this" src="http://www.star2.com/wp-content/uploads/2016/12/istock_00006763.d3735111540.original-1-770x470.jpg" height="390" width="640" /></div>
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<span style="background-color: white;"><i>A new study adds to the growing evidence that exercise can help to improve memory. Photo: AFP/Istock</i></span><span style="box-sizing: border-box;"><br style="box-sizing: border-box;" /><span style="color: blue;"><br /></span></span></div>
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<b><span style="color: blue;">Presented at the annual conference of the British Psychological Society’s Division of Sport and Exercise Psychology in Cardiff by Dr David Marchant from Edge Hill University, Lancashire, England, the research looked at the effect of cycling on memory in two different experiments.</span></b></div>
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Ten healthy and physically active participants were given lists of words to learn and recall either after or before 30 minutes of moderate intensity cycling, or before or after a period of rest which involved quiet, seated reading.</div>
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The results showed that participants’ performance in recalling words immediately after learning them improved if they had exercised before learning rather than resting, suggesting that an acute bout of aerobic exercise improves short-term memory.</div>
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When participants were asked to wait 30 minutes between learning and recall, exercising before or after learning also produced a better performance than resting.</div>
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However the best recall was seen in those participants who exercised after learning the words.</div>
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The findings are also in line with previous research which also suggests that physical activity improves memory and could be beneficial for those who need to learn new information.</div>
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<img alt="Working out can really help those who need to learn and remember new information. " class="wp-image-255910" src="http://www1.star2.com/wp-content/uploads/2016/10/sports-running-man-pixabay-768430_1920-e1476861004399.jpg" height="427" style="border: 0px; box-sizing: border-box; vertical-align: middle;" width="640" /><br />
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Working out can really help those who need good memory to retain new information.</div>
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A study released back in June which looked at running also suggested that exercise could help improve memory, by boosting levels of a certain protein in the blood. Carried out by a team of US and German researchers the animal study found that cathepsin B, a protein that can be secreted by muscle tissue during exercise and transported to the brain, had a positive effect on the recall ability of the mice who had run before undergoing a daily recall test compared to those who didn’t run and didn’t produce the protein.</div>
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Meanwhile a small-scale, qualitative study by Michigan State University researchers also found a link between memory and fitness. After following 75 college students over a two-day period, the team saw that those with the lowest fitness levels struggled the most to retain information, with the study’s authors suggesting that those with a low level of fitness lose more memory across time.</div>
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And when looking at the effect of exercise on memory in older adults a small-scale study from the University of Boston found that older adults who take more steps by either walking or jogging perform better on memory tasks than those who are less active.</div>
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Two studies from March this year which looked into the effect of exercise on Alzheimer’s also found that physical activity had a positive effect on memory. Not only did those who exercise benefit from a reduced risk of the condition, but in one study those who took part in physical exercise also showed larger gray matter volumes in the key areas of the brain that are associated with memory. – AFP Relaxnews</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-33575247521764973212016-12-25T20:07:00.000-08:002016-12-26T00:05:14.574-08:00Common heartburn drugs may raise stroke risk<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<header style="background-color: white; border-bottom-color: rgb(229, 229, 229); border-bottom-style: solid; border-bottom-width: 1px; color: #111111; font-family: Arial, Helvetica, sans-serif; font-size: 19px; line-height: 26px; margin: 0px 0px 10px; padding: 0px 0px 10px; text-shadow: rgb(253, 253, 253) 1px 2px 3px, rgb(0, 0, 0) 0px 0px 0px, rgb(253, 253, 253) 1px 2px 3px;"> <img alt="Image result for proton pump inhibitors" src="http://www.newsinferno.com/wp-content/uploads/2015/06/pump-inhibitor.jpg" /></header><header style="background-color: white; border-bottom-color: rgb(229, 229, 229); border-bottom-style: solid; border-bottom-width: 1px; color: #111111; font-family: Arial, Helvetica, sans-serif; font-size: 19px; line-height: 26px; margin: 0px 0px 10px; padding: 0px 0px 10px; text-shadow: rgb(253, 253, 253) 1px 2px 3px, rgb(0, 0, 0) 0px 0px 0px, rgb(253, 253, 253) 1px 2px 3px;">Proton pump inhibitors are a class of drugs commonly used to treat heartburn - pain in the chest or throat caused by the rising of stomach acid into the esophagus. But new research suggests this medication should be used with caution, after finding it could raise the risk of ischemic stroke.</header><br />
<div class="photobox_right" style="-webkit-print-color-adjust: exact; background-color: white; border: 1px solid rgb(229, 229, 229); clear: right; color: #444444; float: right; font-family: Arial, Helvetica, sans-serif; font-size: 0.9em; line-height: 18px; margin: 10px 0px 20px 20px; max-width: 350px; min-width: 100px; padding: 10px; text-align: center;">
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<span style="background-color: inherit; border-bottom-style: none; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: inherit; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px;"><img alt="Image result for women with reflux disease" height="240" src="http://www.drweil.com/wp-content/uploads/2016/12/health-wellness_body-mind-spirit_gastrointestinal_gerd-gastroesophageal-reflux-disease_2716%C3%971810_90290505.jpg" width="320" /></span><br />
<span style="background-color: inherit; border-bottom-style: none; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: inherit; font-style: inherit; font-weight: inherit; margin: 0px; padding: 0px;">A new study has linked the use of PPIs - drugs that treat heartburn - to greater risk of ischemic stroke.</span></div>
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In a study of almost 245,000 Danish adults, researchers found the risk of ischemic <a class="keywords" href="http://www.medicalnewstoday.com/articles/7624.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="Stroke: Causes, Symptoms, Diagnosis and Treatment">stroke</a> was increased by a fifth with the use of proton pump inhibitors (PPIs).</div>
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PPIs work by reducing the amount of acid produced in the stomach, thereby reducing the "backing up" of stomach acid into the esophagus - a condition known as <a class="keywords" href="http://www.medicalnewstoday.com/articles/9151.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="What Is Heartburn? What Causes Heartburn?">heartburn</a>. Someone who has heartburn more than twice a week may have gastroesophageal reflux disease (<a class="keywords" href="http://www.medicalnewstoday.com/articles/14085.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="What is GERD? What causes gastroesophageal reflux?">GERD</a>).</div>
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Lead study author Dr. Thomas Sehested, of the Danish Heart Foundation in Copenhagen, Denmark, recently presented his findings at the <a href="http://professional.heart.org/professional/EducationMeetings/MeetingsLiveCME/ScientificSessions/UCM_316900_Scientific-Sessions.jsp" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" target="_blank">American Heart Association's Scientific Sessions 2016</a>, held in New Orleans, LA.</div>
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Ischemic stroke occurs when the artery that supplies the brain with oxygen-rich blood becomes blocked, usually by a blood clot. Ischemic stroke is the most common form of stroke, accounting for around <a href="http://www.cdc.gov/stroke/types_of_stroke.htm" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" target="_blank">85 percent</a> of all strokes.</div>
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Dr. Sehested and colleagues note that previous studies have associated PPI use with vascular impairment, which led the scientists to investigate whether the drugs might raise the risk of ischemic stroke, "especially given their increasing use in the general population," notes Dr. Sehested.</div>
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Ischemic stroke risk 21 percent higher with PPI use</h2>
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To reach their findings, the team analyzed data of 244,679 adults from Denmark - of an average age of 57 years - who underwent <a class="keywords" href="http://www.medicalnewstoday.com/articles/153737.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="Endoscopy: Types, Uses, Risks">endoscopy</a> to pinpoint the causes of their stomach pain or <a class="keywords" href="http://www.medicalnewstoday.com/articles/163484.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="Dyspepsia / Indigestion: Causes, Symptoms and Treatments">indigestion</a>.</div>
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During an average of 6 years of follow-up, 9,489 patients experienced a first-time ischemic stroke.</div>
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The researchers assessed patients' use of one of four PPIs - omeprazole (Prilosec), pantoprazole (Protonix), lansoprazole (Prevacid), and esomeprazole (<a class="keywords" href="http://www.medicalnewstoday.com/articles/247873.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="Nexium (Esomeprazole): Side Effects, Drug Information">Nexium</a>) - and looked at whether this was associated with ischemic stroke risk.</div>
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<span style="-webkit-print-color-adjust: exact; border: 0px; font-weight: 600; margin: 0px; padding: 0px;">Overall, the team found that patients were at <a href="https://www.eurekalert.org/emb_releases/2016-11/aha-phm110316.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; margin: 0px; outline: 0px; padding: 0px;" target="_blank">21 percent greater risk of ischemic stroke</a> when they were using PPIs, compared with when they were not using the drugs.</span></div>
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There was little or no greater risk of stroke with low doses of PPIs, the researchers report, and another group of medications used to treat heartburn - called H2 blockers - were not linked to increased stroke risk.</div>
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Looking at stroke risk among the highest doses of each of the four PPIs, the researchers found pantoprazole fared worst, increasing the risk of ischemic stroke by 94 percent.</div>
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Study 'questions the cardiovascular safety of PPIs'</h2>
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The researchers accounted for a number of possible confounding factors, including age, gender, <a class="keywords" href="http://www.medicalnewstoday.com/articles/159283.php" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="High Blood Pressure: Causes, Symptoms and Treatments">high blood pressure</a>, <a class="keywords" href="http://www.medicalnewstoday.com/info/atrial-fibrillation/" style="-webkit-print-color-adjust: exact; border-bottom-style: none; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-top-width: 0px; color: #b000b5; font-weight: 600; margin: 0px; outline: 0px; padding: 0px;" title="What is Atrial Fibrillation?">atrial fibrillation</a>, and use of medications that have been linked to poorer cardiovascular health.</div>
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Because the study is purely observational, the researchers are unable to prove cause and effect between PPI use and increased stroke risk. Still, they believe the results suggest patients should be cautious about using the drugs, many of which are now available over the counter.</div>
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Dr. Sehested notes that doctors should also apply caution when deciding whether to prescribe PPIs to patients and for how long. "We know that from prior studies that a lot of individuals are using PPIs for a much longer time than indicated, which is especially true for elderly patients," he adds.</div>
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The team concludes that a randomized, controlled trial of the association between PPI use and the risk of cardiovascular disease is needed.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-26004509206803958102016-12-25T19:59:00.001-08:002016-12-25T19:59:59.323-08:006 Ways to Save Money on Your Prescription Medications<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Image result for save medicine cost in singapore" height="426" src="http://s1.ibtimes.com/sites/www.ibtimes.com/files/styles/lg/public/2015/05/18/drug-prices.jpg" width="640" /></div>
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<b>If you are taking a medication for a chronic condition (hypertension, high cholesterol, diabetes, etc.), there’s a chance that you might be paying more than you actually need to pay. You might be able to get the same type of drug to treat the same condition for a mere fraction of the cost. And I’m not just talking about choosing generic over brand name. There’s something that’s even better than that, something that most Singaporeans are not aware of.</b></div>
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<span style="color: blue;"><span style="background-color: transparent; font-size: 15.36px; line-height: 27.648px;">1. </span><b style="background-color: transparent; font-size: 1.2em; line-height: 1.8em;">Choosing Generic Medications</b></span></div>
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Yes, you definitely can save tons of money choosing a generic over a brand name drug. Generics have active ingredients that are chemically identical and biologically identical (this means they are made to function the same way) to their brand name counterpart. They are also manufactured and regulated under the same standards. Brand name medications are all recently patented (their “monopoly” hence gives them the ability to charge such a high price), which may imply that there is something extraordinary about their composition or formula, but many reports and studies have shown that the majority of recent brand name medications are just “me-too drugs”. These are drugs that are nearly identical to already existing drugs, but with minor changes that allow it to be classified as “novel” and hence be patentable. </div>
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For example, when AstraZeneca’s patent for their top selling medicine Prilosec (generic name: Omeprazole) was ending, it found a way to further purify the active ingredient (changing it very slightly and insignificantly) to Esomeprazole. They gave it a new name (Nexium) and a new patent. The efficacy of the two medications are nearly identical but the new one costs a LOT more. For most conditions, generic medications are not only cheaper, they are just as good as the brand name.</div>
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<span style="background-attachment: initial; background-clip: initial; background-color: transparent; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border: 0px; line-height: 1.8em; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: blue; font-weight: bold;">2.Choosing Formulary Medications</span></span></div>
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For many medical conditions, there are a variety of prescription drugs that belong to the same class. These essentially do the same thing, but are chemically different (unlike brand and generic which are chemically identical). The formulary is a list of medications which are published on the <a href="https://www.moh.gov.sg/content/moh_web/home/costs_and_financing/schemes_subsidies/drug_subsidies.html" style="background: transparent; color: #85b319; margin: 0px; padding: 0px; text-decoration: none; transition: all 0.3s ease-in-out; vertical-align: baseline;" target="_blank">MOH website</a> that are subsidized for Singaporeans and PRs. Those which are on Standard Drug List #1 are capped at $1.40 per week and $2.10 per week for Singaporeans and PRs, respectively. Those which are on Standard Drug List #2 are subsidized by 50% and by 25% of the retail price for Singaporeans and PRs, respectively. Keep in mind that each polyclinic and specialist outpatient clinic may stock different medications and implement this differently, but this formulary will at least give you a starting point. If you have a chronic medical condition, more than likely there is a medication on the formulary that you can switch to that is highly subsidized. According to MOH, the formulary covers about 90% of the total volume of medication prescriptions. For example, if you have hypertension, and you choose a generic drug, you will still have a big price difference between generic drugs of the same class. Losartan 100mg is $0.40 per pill and Candesartan 16mg is $1.10 per pill. But Losartan is on the formulary Stardard Drug List #2 while Candesartan is not. So that means if you’re Singaporean, Losartan is only $0.20 per pill. Despite both medications being generic medications, one will cost more than $400 per year and the other will only be $73. Choosing generic medications does save you money, but choosing formulary medications can save you even more!</div>
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<span style="background-attachment: initial; background-clip: initial; background-color: transparent; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border: 0px; line-height: 1.8em; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: blue;">3.<span style="font-weight: bold;">Splitting your pills</span></span></span></div>
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Many pills cost the same despite how much active ingredient there is in the pill. For example, Amlodipine 5mg is $0.20 and Amlodipine 10mg is also $0.20. If you need only 5mg, why not just buy the 10mg and split the pill in half? Many tablets can be split in half, but do not try to split capsules or any time-released or coated medications. If the pill is not scored, always check with your doctor or pharmacist to make sure it is safe to split the pill.</div>
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<span style="background-attachment: initial; background-clip: initial; background-color: transparent; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border: 0px; line-height: 1.8em; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="color: blue;">4.<span style="font-weight: bold;">Choosing Not to Combine Medications</span></span></span></div>
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Combination medications are great for convenience, but many of these tend to be brand name medications, such as Caduet, in which Pfizer just put two already available generic drugs together (Amlodipine plus Atorvastatin) to patent a “new” drug. You may want to ask your doctor whether you can take the medications separately, which may allow you to save money, especially since both generic drugs (as in this example) are on the MOH formulary list.</div>
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<img alt="Image result for save medicine cost in singapore" height="266" src="http://studyabroad.shiksha.com/mediadata/images/articles/currency2.jpg" width="400" /></div>
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<span style="background-color: transparent; line-height: 1.8em;"><span style="color: blue;">5.<span style="font-weight: bold;">Shopping Around</span></span></span></div>
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As with everything, you should shop around and call your pharmacy since prices will vary. You may be wondering why prices vary in the first place. Like other commodities, the institution or business which purchases the goods have different price arrangements with the suppliers. Larger institutions, in general, have more buying power. There may be other special discounts or costs that affect the price of the medication.</div>
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<b><span style="color: blue;">6. Visit Pharmacy in Malaysia, Johor Bahru</span></b></div>
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Usually, medicine in malaysia is selling at lower price compare to Singapore. Can refer below link for reference.</div>
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<a href="http://pharmacistsharing.blogspot.my/2016/06/crestor-lipitor-nexium-and-plavix-price.html" style="font-family: 'Times New Roman'; font-size: medium; line-height: normal;"><span style="color: purple; font-size: large;">Crestor, Lipitor, Nexium,Yasmin,Ventolin, Propecia and Plavix price in Johor Bahru (JB)</span></a></div>
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<strong style="background: transparent; border: 0px; font-size: 15.36px; line-height: 1.8em; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Why doesn’t my doctor just give me the less expensive drug?</strong></div>
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Many people think that doctors purposely prescribe the most expensive drug because they get financial incentives. For the vast majority of doctors, this is not the case. Yes, there are some that get kickbacks, but those working in the public institutions are strictly prohibited from this (this is one reason I avoid private hospitals and clinics). The prescribing habits of doctors are just that – habits. They prescribe what they are comfortable with and what they have prescribed in the past. They also place a higher priority on what works for their patients, and have less interest in knowing what cheaper alternatives are out there. It’s like when I ask people which place has the best laksa, they each have their own preference and some places will be a lot more expensive than others. No one ever tells me the cheapest place, unless they extensively research this. There also may be a good reason why your doctor wants you on a more expensive drug. The key is to ask your doctor and engage him/her in a conversation to discuss possible less expensive alternatives. The prices of drugs prescribed for common conditions can be found on the <a href="http://www.pss.org.sg/know-your-medicines/medicines-price-lists" style="background: transparent; color: #85b319; margin: 0px; padding: 0px; text-decoration: none; transition: all 0.3s ease-in-out; vertical-align: baseline;" target="_blank">Pharmaceutical Society of Singapore website</a>.</div>
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Of course, the<strong style="background: transparent; border: 0px; font-size: 15.36px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"> best way to save</strong> money on medications is to live a healthy lifestyle so you won’t need to be on the medications. Most chronic conditions can be managed or even reversed with lifestyle modifications. How we eat, move, sleep, think, and interact with others can significantly change our health, our savings, and our life.</div>
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Source: http://frugalinsingapore.com</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-23292715451473659452016-12-25T18:55:00.001-08:002016-12-25T18:55:42.560-08:00Do NOT put makeup on children, say health experts <div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="background-color: #e6e7e8; line-height: 22.8571px;"><span style="color: blue;">“Children have a 10 to 20 per cent higher absorption rate compared with adults due to their high metabolism. Unfortunately, their bodies cannot differentiate between good and bad chemicals.</span></span><br style="background-color: #e6e7e8; box-sizing: border-box; line-height: 22.8571px;" /></div>
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<b>KUALA LUMPUR: <span style="box-sizing: border-box;">AN</span> uncontrolled “backyard” cosmetics industry, where little safeguards are in place, may cause the health of the county’s future generation to be compromised.</b></div>
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<b>Health experts, in calling for the industry to be tightly regulated, said while cosmetics loaded with deadly chemicals are a major concern, their adverse affects on “involuntary” users, including children and unborn babies, must not be taken lightly.</b></div>
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A health expert, who has been studying the correlation between heavy metals and their effects on humans, said parents should refrain from applying make-up on their children at all costs because the damaging impact of harmful chemicals will be greater on them.</div>
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Universiti Kebangsaan Malaysia Medical Centre’s environmental health physician and toxicologist, Associate Professor Dr Mohd Hasni Ja’afar, said this is because children have a much higher metabolism rate and their bodies can absorb almost 100 per cent of the chemicals applied on them.</div>
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“Children have a 10 to 20 per cent higher absorption rate compared with adults due to their high metabolism. Unfortunately, their bodies cannot differentiate between good and bad chemicals.</div>
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“All they can do is to absorb whatever is being applied on their bodies... and more worryingly, the effects will become evident in the future,” he said.</div>
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Dr Hasni also has an issue with parents applying lipstick on their children, whose bodies were especially vulnerable to toxic metals found in those cosmetics.</div>
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“Your children may look adorable and beautiful with lipstick on, but the lips are considered mucous membranes and will absorb whatever chemicals put on it at an accelerated rate,” he said, adding that the relevant authorities should seriously consider a stricter monitoring mechanism for the industry.</div>
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He said mercury, now commonly found in skin-whitening products, is highly absorbent — even in topical applications — and its traces will not only accumulate in the body’s main organs, but will also be passed onto the foetus of a pregnant woman.</div>
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According to the World Health Organisation (WHO), transplacental exposure is the most dangerous stage as the developing fetal brain is sensitive to toxins and heavy metals.</div>
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Among the neurological effects are mental retardation, seizure, vision and hearing loss, delayed development, speech disorder and memory loss.</div>
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The doctor said with almost 80 per cent absorption rate, mercury will normally be deposited into the kidneys, brain and bones.</div>
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“Although mercury has about 80 per cent absorption rate, the level of absorption also depends on other factors, including age and amount of makeup applied."</div>
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Small traces of the metal in the body will be eliminated through a process known as “bio-transformation”, whereas the rest will be stored.</div>
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Dr Hasni added that high levels of mercury in the brain can also cause Minamata disease, a neurological syndrome that can disrupt cognitive abilities and motor sensors.</div>
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“What makes mercury particularly dangerous as compared with other heavy metals is that it can be passed on from mother to child... and it can continue to the next generation.</div>
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“Mercury has a significant effect on babies as their blood-brain barrier — the dynamic interface that separates the brain from the circulatory system and protects the central nervous system from harmful chemicals — is not fully developed.</div>
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“Children exposed to mercury risk developing mental problems, including intellectual disability and autism. A thorough study, however, should be done on the correlation between the exposure of heavy metals with the number of chronic illnesses in the country,” he said.</div>
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Source: http://www.nst.com.my/</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-3604323858958513122016-12-25T18:47:00.000-08:002016-12-25T19:05:27.212-08:00Why buying medicine in Malaysia is cheaper than in Singapore ?<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="box-sizing: border-box; color: #44104e;"><span style="box-sizing: border-box; font-family: "arial" , serif;"><img alt="Image result for top prescription drugs singapore" src="http://www.straitstimes.com/sites/default/files/styles/x_large/public/articles/2015/05/13/ST_20150513_LLCLINIC13A_1311937e_2x.jpg?itok=lhzqgiPn" height="425" width="640" /></span></span></div>
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<span style="box-sizing: border-box; color: #44104e;"><span style="box-sizing: border-box; font-family: "arial" , serif;"><b>You may have noticed that some commonly prescribed drugs for long-term conditions such as diabetes and high blood pressure cost more in Singapore than across the Causeway in Malaysia, or other parts of the world. There are a number of reasons why the same drugs are priced differently across countries. </b></span></span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Drugs fall into two broad categories – generic drugs and branded drugs. Generic drugs, which are copies of branded drugs whose patents have expired, are generally inexpensive throughout the world. Branded drugs are much more expensive because of the start-up investment, research, and marketing expenses that go into producing a new drug from scratch and bringing it onto the market.</span></div>
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<span style="box-sizing: border-box; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Most pharmaceutical companies set the price for a branded drug based on a country’s ability to pay for that drug. So, it can cost more in one country than in another.</span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Drug makers expect countries with a high per capita GDP to pay more for branded drugs than countries with a low per capita GDP. This can lead to a huge price differential between countries. This price differential is further amplified by the difference in foreign exchange rates. </span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;"><img alt="Image result for top prescription drugs singapore" height="398" src="https://www.healthxchange.sg/sites/hexassets/Assets/medicine-first-aid/faster-and-safer-drug-dispensing-at-SGH-with-automated-system.jpg" width="640" /></span></div>
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<span style="box-sizing: border-box; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Focused on getting a handsome return on their investments, pharmaceutical companies are keen to sell branded drugs at the highest price a market can bear. Say, for example, the best available treatment for a particular condition is surgery that costs $30,000, and there is a 5 per cent risk that the patient undergoing the surgery may die. Now, if a pharmaceutical company develops a drug that is as effective and has only a 1 per cent mortality risk, even if that drug costs 30 cents to produce, the company will price its new drug regime higher than $30,000, because the best available treatment is the benchmark, explains Dr Jeremy Lim. Dr Lim, the principal consultant at Insights Health Associates in Singapore, is the author of the book, Myth or Magic: The Singapore Healthcare System, which will be available in bookstores in mid-September. </span></div>
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<span style="box-sizing: border-box; color: #44104e; font-size: 13px; line-height: 19px;">“</span><span style="box-sizing: border-box; font-family: "arial" , serif;">The pharmaceutical company would think that, if, its drug is as effective as the current surgical treatment and has five times lower mortality risk, it deserves to charge a premium. Hence, the company would charge $30,000 plus whatever premium it deems to be appropriate,” says Dr Lim, whose previous experiences include being a senior consultant with the Ministry of Health (MOH) in Singapore, and director of research and education at SingHealth, Singapore’s largest healthcare group.</span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Another reason why branded drugs cost less in some countries, and more in others, is that, in certain countries, people can buy prescription drugs over the counter because of lax regulatory controls. Although laws in those countries may state that certain medicines are to be made available by prescription only, or by a registered pharmacist, in practice, it is often possible to get those drugs over the counter. This means, a patient does not have to bear the costs involved in having the drug prescribed to him.</span></div>
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<span style="box-sizing: border-box; color: #44104e; font-size: 13px; line-height: 19px;">“</span><span style="box-sizing: border-box; font-family: "arial" , serif;">When it is a prescription-only drug, the administrative cost goes up because you need a doctor to prescribe the medicine, a pharmacist to dispense it and the storage of the drugs needs to be audited and monitored, and you need paper trails. The control mechanisms are tighter and they cost money,” says Dr Lim.</span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">A third reason why drug prices vary from country to country is limited economies of scale resulting from smaller volume drug purchases. The more a healthcare provider, whether it is the government or a private hospital, buys of a particular drug, the cheaper the price gets.</span></div>
<div style="background-color: white; box-sizing: border-box; color: #222222; font-family: Verdana, Geneva, sans-serif; font-size: 15px; line-height: 26px; margin-bottom: 26px; text-align: justify;">
<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Government subsidies for drugs also play a role in price differences. The Singapore government does not subsidize branded drugs unless they fall within the Standard Drug List maintained by MOH, or come under one of the government’s subsidy schemes. Patients taking a non-subsidized branded drug would therefore have to pay the full price of that drug, and hence, would end up paying more than patients in a country where that drug is heavily subsidized, Dr Lim notes.</span></div>
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<span style="box-sizing: border-box; color: #44104e; font-family: "arial" , serif; font-size: 13px; line-height: 19px;">Even within a single country, the same drug can cost differently at different hospitals. One reason for this is that hospitals buying more of a particular branded drug can benefit from economies of scale. According to Dr Lim, hospitals mark up the selling price of their drugs up to about 35 per cent to defray operating costs. </span></div>
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<span style="box-sizing: border-box; color: #44104e; font-size: 13px; line-height: 19px;">“</span><span style="box-sizing: border-box; font-family: "arial" , serif;">While this percentage formula is administratively easy for hospitals and healthcare facilities, it can lead to substantial cost pressures on patients. A 30 per cent mark-up of a one-dollar drug is 30 cents, but the same mark-up for a thousand-dollar drug is $300,” he adds.</span></div>
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<span style="box-sizing: border-box; font-family: "arial" , serif;">Related link,</span></div>
<span style="box-sizing: border-box; color: #222222; font-family: arial, serif; font-size: 15px; line-height: 26px;"><a href="http://pharmacistsharing.blogspot.my/2016/06/crestor-lipitor-nexium-and-plavix-price.html">Crestor, Lipitor, Nexium Plavix & Propecia price in Johor Bahru (JB)</a></span><br />
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<span style="font-family: arial, serif;">Source: http://theindependent.sg</span></div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-69751352974048227412016-12-20T23:19:00.003-08:002016-12-20T23:19:48.772-08:00Cialis & Viagra price in Johor Bahru, which is better? <div dir="ltr" style="text-align: left;" trbidi="on">
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Part 1 of 6: Overview</div>
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<span style="color: blue;"><span style="font-family: inherit;"><span style="border-color: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-style: initial; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit;"><a href="https://www.blogger.com/null" name="overview" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></a></span></span>Three of a Kind?</span></h2>
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<b>Tadalafil </b><span style="font-weight: inherit;">(Cialis), </span><b>vardenafil</b><span style="font-weight: inherit;"> (Levitra), and </span><b>sildenafil </b><span style="font-weight: inherit;">(Viagra) are oral remedies for erectile dysfunction (ED). About half of all men over age 40 occasionally have a problem with erections, according to the </span><a href="http://www.urologyhealth.org/_media/_pdf/EDTreatMed.pdf" style="border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border: 0px; color: #007da4; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Urology Care Foundation</a><span style="font-weight: inherit;">. When ED becomes an ongoing problem, many turn to oral ED medications. Results are generally favorable.</span></div>
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Cialis, Levitra, and Viagra are all in a similar class of drugs and work in much the same way. However, there are some differences. Read about their similarities and differences, understand their side effects, and find out if one may be right for you.</div>
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Part 2 of 6: How They Work</div>
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<span style="color: blue;"><span style="font-family: inherit;"><span style="border-color: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-style: initial; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit;"><a href="https://www.blogger.com/null" name="how-they-work" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></a></span></span>How They Work</span></h2>
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Cialis, Levitra, and Viagra are all PDE-5 inhibitors. They work by blocking an enzyme called phosphodiesterase type 5 and by boosting a naturally occurring chemical called nitric oxide. This action encourages the muscles in your penis to relax. Relaxed muscles allow blood to flow freely so that when you’re aroused, you can get an erection — and maintain it long enough to have sex.</div>
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Levitra and Viagra stay in your bloodstream for about four to six hours, while Cialis remains in your bloodstream for 17 to 18 hours or longer. The length of time a medication stays in your system may be important if you are taking other medications or have prolonged side effects.</div>
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A brand called Staxyn is another version of vardenafil (Levitra). It comes in tablet form and can be dissolved on your tongue.</div>
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All three medications have good results. However, it sometimes takes a little time and patience to get it right. If one drug doesn’t work or produces unpleasant side effects, you can try another. It may take a few adjustments to arrive at the correct dose of the correct medication. Tell your doctor if you take other over-the-counter or prescription medications or supplements. Be sure to mention any other health conditions.</div>
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Part 3 of 6: Admin Differences</div>
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<span style="color: blue;"><span style="font-family: inherit;"><span style="border-color: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-style: initial; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit;"><a href="https://www.blogger.com/null" name="admin-differences" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></a></span></span>How and When Comparison</span></h2>
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Cialis, Levitra, and Viagra all require a doctor’s prescription and are available in different strengths, so you can start out with the lowest dose and adjust accordingly.</div>
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<span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Cialis</span> is available in a daily pill that can be taken with or without food. You should plan on taking it about 30 to 60 minutes before sex. It can stay active in your body for up to eight hours. Cialis is also available in a 24-hour dose; take it only once a day, with or without food. </div>
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If your doctor prescribes <span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Levitra</span>, take it once a day on an empty stomach. It works best if you take it about 30 to 60 minutes before sex, and it can stay active for as long as eight hours.</div>
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All three medications are generally very effective when taken as directed.</div>
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Part 4 of 6: Side Effects</div>
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The side effects of these oral ED medications are similar. Most men have only mild side effects, but persistent problems should be reported to your doctor.</div>
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Potential side effects of <span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Cialis</span> include:</div>
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<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">muscle aches</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">headache</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">upset stomach</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">stuffy or runny nose</li>
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Potential side effects of <span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Levitra</span> and <span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Viagra</span> include:</div>
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<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">flushing</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">headache</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">upset stomach</li>
<li style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">stuffy or runny nose</li>
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Rarely, these medications can cause dizziness or fainting. Another rare complication is an erection that won’t go away (priapism). <span style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: 700; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">An erection lasting longer than four hours requires immediate medical intervention.</span></div>
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Part 5 of 6: Interactions</div>
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<span style="color: blue;"><span style="font-family: inherit;"><span style="border-color: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-style: initial; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit;"><a href="https://www.blogger.com/null" name="interactions" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></a></span></span>Interactions</span></h2>
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Each drug comes with the possibility of negative drug interactions. As PDE-5 inhibitors that work on the body in similar ways, the drugs come with similar interactions. However, they also have some differences. Read about how other medications and chemicals may interact with each drug.</div>
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Nitrates</h3>
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Viagra, Cialis, and Levitra are all contraindicated with nitrates. Contraindication means that mixing the two could lead to potential harm. Nitrates work by widening arteries. This increases blood flow and reduces strain on the heart. All three ED drugs increase the effects of nitrates, which can lead to a problematic decrease in blood pressure (hypotension).</div>
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Alpha-Blockers</h3>
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Similar to nitrates, alpha-blockers improve blood flow. This class of drug helps to keep blood vessels relaxed and open. Alpha-blockers can be used to treat high blood pressure. Because they help relax other parts of the body, they can also be used to help urine flow in men with prostate cancer. All three ED medications can further lower blood pressure if used with alpha-blockers. The National Institutes of Health (NIH) urges caution if using PDE-5 inhibitors along with alpha-blockers.</div>
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Other Antihypertensives</h3>
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Cialis, Levitra, and Viagra all dilate blood vessels, which can cause a drop in blood pressure. They all come with the risk of lowering blood pressure. According to the NIH, <a href="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=47af30e9-a189-4721-8c8f-652256df75a1" style="border: 0px; color: #007da4; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Viagra</a> has been shown to further lower blood pressure when used with amlodipine. Furthermore, <a href="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895" style="border: 0px; color: #007da4; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Cialis</a> has been shown to further lower blood pressure when used with amlodipine, angiotensin II receptor blockers, bendrofluazine, enalapril, and metoprolol. The NIH states that, in general, <a href="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a01def95-c0ef-43b9-bd9e-5565b2385ad3" style="border: 0px; color: #007da4; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">Levitra</a> may also further lower blood pressure when used with antihypertensives.</div>
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Alcohol</h3>
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Alcohol is another chemical that dilates blood vessels. According to the NIH, neither Viagra nor Levitra strengthened the hypotensive effects of alcohol. However, when it’s mixed with substantial amounts of alcohol, Cialis could lead to potential low blood pressure symptoms when you stand up. These symptoms include dizziness and headache. The NIH also points out that Cialis and Levitra, when taken with alcohol, do not lead to a change in the levels of alcohol or the drug in the blood.</div>
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Ritonavir and CYP3A4 Inhibitors</h3>
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According to the NIH, the amounts of Viagra in the blood are increased when taken with CYP3A4 inhibitors, including ritonavir. Ritonavir is an HIV medication used to reduce levels of the virus in a person’s blood. The <a href="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=47af30e9-a189-4721-8c8f-652256df75a1" style="border: 0px; color: #007da4; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;">NIH</a>suggests that a person taking Viagra and CYP3A4 inhibitors shouldn’t exceed a dose of 25 milligrams (mg) of Viagra in a 48-hour period.</div>
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Part 6 of 6: Outlook</div>
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<span style="color: blue;"><span style="font-family: inherit;"><span style="border-color: initial; border-image-outset: initial; border-image-repeat: initial; border-image-slice: initial; border-image-source: initial; border-image-width: initial; border-style: initial; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit;"><a href="https://www.blogger.com/null" name="outlook" style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"></a></span></span>Outlook</span></h2>
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Each of these three popular ED medications has been shown to help men with ED when they’re used appropriately. Talk to your doctor about these medications. You and your doctor can make decision based on side effects, administration, drug interactions, and other factors that can help determine which drug may be best for you.</div>
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Source: http://www.healthline.com</div>
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<b><span style="color: red;">Price Enquiry ( call or whatapps):</span></b><br />
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<b>Ben- 0127334511</b></div>
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Unknownnoreply@blogger.com6tag:blogger.com,1999:blog-6332417335817199915.post-15046578991380349632016-12-20T23:02:00.000-08:002016-12-20T23:02:05.493-08:00Do you know the right way to treat nosebleeds? <div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Do you know the right way to treat nosebleeds?" height="390" src="http://www.star2.com/wp-content/uploads/2016/12/sfit_fitquick0412_py_1-770x470.jpg" width="640" /></div>
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<span style="background-color: white;"><i>Nosebleeds are caused most commonly by dry air and nose picking. Photo: TNS</i></span><span style="box-sizing: border-box;"><br style="box-sizing: border-box;" /></span></div>
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<span style="color: blue;"><b>Nosebleeds, also called epistaxes, involve bleeding from the inside of your nose.</b></span></div>
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<span style="color: blue;"><b>The lining of your nose contains many tiny blood vessels that lie close to the surface and are easily damaged.</b></span></div>
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<span style="color: blue;"><b>The two most common causes of nosebleeds are dry air – when your nasal membranes dry out, they’re more susceptible to bleeding and infections – and nose picking.</b></span></div>
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Many people have occasional nosebleeds, particularly younger children and older adults, and although nosebleeds may be scary, they’re generally only a minor annoyance and aren’t dangerous.</div>
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Most nosebleeds aren’t serious and will stop on their own or by following self-care steps.</div>
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<img alt="Image result for nosebleed" src="https://encrypted-tbn1.gstatic.com/images?q=tbn:ANd9GcTqqtmaQhLuwNBfK3JmggVSIt-fE2KVhKb39qr3OcpqCDbLvTWi" /></div>
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<b>Self-care steps for occasional nosebleeds include:</b></div>
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• Sit upright and lean forward. By remaining upright, you reduce blood pressure in the veins of your nose. This discourages further bleeding.</div>
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Sitting forward will help you avoid swallowing blood, which can irritate your stomach.</div>
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• Gently blow your nose to clear out any clotted blood. Spray a nasal decongestant in the nose.</div>
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• Pinch your nose. Use your thumb and index finger to pinch both nostrils shut, even if only one side is bleeding. Breathe through your mouth.</div>
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Continue to pinch for five to 10 minutes. This manoeuvre puts pressure on the bleeding point on the nasal septum and often stops the flow of blood.</div>
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• Repeat. If the bleeding doesn’t stop, repeat these steps for up to a total of 15 minutes.</div>
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After the bleeding has stopped, to keep it from starting again, don’t pick or blow your nose and don’t bend down for several hours. Keep your head higher than the level of your heart.</div>
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Tips to help prevent nosebleeds include:</div>
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• Keeping the lining of the nose moist. Especially during colder months when air is dry, apply a thin, light coating of petroleum jelly (Vaseline) or antibiotic ointment (bacitracin) with a cotton swab three times a day. Saline nasal spray also can help moisten dry nasal membranes.</div>
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• Trimming your child’s fingernails. Keeping fingernails short helps discourage nose picking.</div>
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• Using a humidifier. A humidifier will counteract the effects of dry air by adding moisture to the air.</div>
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Seek emergency medical care if nosebleeds:</div>
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• Follow an injury, such as a car accident</div>
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• Involve a greater than expected amount of blood</div>
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• Interfere with breathing</div>
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• Last longer than 30 minutes even with compression</div>
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• Occur in children younger than age two</div>
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Don’t drive yourself to an emergency room if you’re losing a lot of blood. Call your local emergency number or have someone drive you.</div>
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Talk to your doctor if you’re having frequent nosebleeds, even if you can stop them fairly easily. Frequent nosebleeds are those that occur more than once a week. It’s important to determine the cause. – Mayo Clinic News Network/Tribune News Service</div>
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Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-6332417335817199915.post-62888300242373383282016-12-18T01:29:00.001-08:002016-12-18T01:29:51.815-08:00Yasmin 21s @RM45 in Johor Bahru<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Image result for yasmin pill" height="395" src="http://healthkenya.co.ke/wp-content/uploads/2015/12/yasmin-image.jpg" width="640" /></h2>
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Yasmin is used for:</h2>
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Preventing pregnancy. It may also be used for other conditions as determined by your doctor.</div>
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Yasmin is a progesterone and estrogen combination birth control pill. It works by preventing ovulation, thickening the mucus in the cervix, and changing the lining of the uterus.</div>
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Do NOT use Yasmin if:</h2>
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<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you are allergic to any ingredient in Yasmin</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you are pregnant or think you may be pregnant</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you have a history of blood clotting problems, severe blood clots (eg, in the lungs, legs, eyes), certain blood vessel problems (eg, bleeding in the brain, heart attack, stroke), or breast cancer</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you have certain heart problems (eg, heart valve problems, certain types of irregular heartbeat); chest pain caused by angina; certain blood problems (eg, porphyria); certain types of headaches or migraines with aura; severe or uncontrolled high blood pressure; diabetes that affects circulation; endometrial, cervical, or vaginal cancer; estrogen-dependent growths; or undiagnosed abnormal vaginal bleeding</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you have kidney disease, adrenal disease, liver disease or liver tumors, or a history of yellowing of the eyes or skin caused by pregnancy or prior birth control use</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you have had surgery and are or will be confined to a bed or a chair for an extended period of time</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">you are older than 35 years old and you smoke 15 or more cigarettes per day</li>
</ul>
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How to use Yasmin:</h2>
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Use Yasmin as directed by your doctor. Check the label on the medicine for exact dosing instructions.</div>
<ul style="background-color: white; color: #474747; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 16px; line-height: 1.4em; margin: 0.875em 0px; padding: 0px;">
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">An extra patient leaflet is available with Yasmin. Talk to your pharmacist if you have questions about this information.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">Take Yasmin by mouth with or without food.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">Talk with your doctor about how you should start to take your first pack of Yasmin. If you begin to take Yasmin during the first 24 hours of your period, you do not need to use an extra form of birth control. If you begin to take Yasmin on the Sunday after your period starts, you will need to use an extra form of birth control for 7 days after you start taking Yasmin.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">If you are switching from another birth control pill to Yasmin, start Yasmin on the same day that would have started a new pack of your previous birth control pills. Talk with your doctor if you have any questions about how to switch from another form of hormonal birth control to Yasmin.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">Take Yasmin at the same time every day, not more than 24 hours apart. After taking the last pill in the pack, start taking the first pill from a new pack the very next day.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">For Yasmin to be effective, it must be taken every day. Do not skip doses even if you do not have sex very often. Do not skip pills if you are spotting, bleeding, or nauseated. If you have these side effects and they do not go away, check with your doctor.</li>
<li style="list-style: disc; margin: 0px 0px 0.4em 1.2em; padding: 0px;">If you miss 1 dose of Yasmin, take it as soon as you remember. Take your next dose at the regular time. This means you may take 2 doses on the same day. You do not need to use a backup form of birth control if you only miss 1 pill. If you miss more than 1 dose, read the extra patient leaflet that comes with Yasmin or contact your doctor for instructions. You must use a backup form of birth control if you miss more than 1 dose. If you are not sure how to handle missed doses, use an extra form of birth control (eg, condoms) until you talk with your doctor.</li>
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Ask your health care provider any questions you may have about how to use Yasmin.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-28215976694282454282016-12-18T00:17:00.001-08:002016-12-18T00:17:57.354-08:00Viartril S 1500mg (Glusosamine Sulphate) 30 sachet @ RM125 in Johor Bahru<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Image result for viartril s" height="640" src="http://www.mims.com/resources/drugs/Myanmar/packshot/Viartril-S6002PPS0.JPG" width="600" /></div>
<span style="color: blue;"><b><span style="font-family: Montserrat; font-size: 15px; line-height: 30px;">Viartril®-S is the Crystalline Glucosamine Sulfate. It is the original and only Glucosamine Sulfate that has been fully tested in clinical trials for safety and efficacy.Clinical studies and the world-wide clinical experience have shown that Viartril®-S relieves the symptoms (pain and function limitation) of osteoarthritis </span><em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; font-family: Montserrat; font-size: 15px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(1)</em><span style="font-family: Montserrat; font-size: 15px; line-height: 30px;">. Recent, state-of-the-art clinical trials have also demonstrated that Viartril®-S is the first compound that, when given for long-term treatment courses (i.e. at least 3 years), can decrease the progression of osteoarthritis </span><em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; font-family: Montserrat; font-size: 15px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(2,3)</em><span style="font-family: Montserrat; font-size: 15px; line-height: 30px;">.</span></b></span><div>
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<h2 class="questiontitle ospfxwf5153ab1e17b94fffd9a3d29c363175dossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; direction: ltr; font-family: Montserrat; font-size: 15px; line-height: 30px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="color: red;">How does Viartril®-S work?</span></h2>
<div class="questiontitle ospfxw58688d9fdae59b4117a901538c0c64eaossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #333333; direction: ltr; font-family: Montserrat; font-size: 15px; font-weight: 700; line-height: 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<br /></div>
<div class="Normal ospfxwdb6a7482d8399e8b5d36fcd227e0a7ceossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #333333; direction: ltr; font-family: Montserrat; font-size: 15px; line-height: 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<strong style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Anabolic-Effect –</strong> Viartril®-S stimulates the synthesis of proteoglycans, the building blocks of the Cartilage Matrix </div>
<div class="Normal ospfxw7768d4d618cdf0a4454a44004b10b395ossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #333333; direction: ltr; font-family: Montserrat; font-size: 15px; line-height: 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(4,5,6)</em> .</div>
<div class="Normal ospfxw31cef8986f03c9ae5b4ec7009b1e11a3ossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #333333; direction: ltr; font-family: Montserrat; font-size: 15px; line-height: 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<br /></div>
<div class="Normal ospfxwfcaccb4f3b75c2350121b79c8d57b7e5ossfx" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; color: #333333; direction: ltr; font-family: Montserrat; font-size: 15px; line-height: 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<strong style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Anti-Inflammatory & Anti-Catabolic –</strong> Viartril®-S depress cartilage degradation activities by inhibiting the action of catabolic enzymes <em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(6,7,8,9,10,11,12,13,14,15)</em>.</div>
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<span style="color: red;">What is Glucosamine Sulfate?</span></h2>
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Glucosamine Sulfate is the salt of the natural amino-sugar glucosamine, which is normally synthesized in the healthy body and is the preferred substances that form the cartilage matrix that are essential for cartilage health and function.</div>
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<span style="color: red;">Is the original Glucosamine Sulfate contained in Viartril®-S different from other glucosamine products? </span></h2>
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Glucosamine Sulfate, for chemical reasons is a highly unstable compound and cannot exist unless in stabilised form. Products claiming to contain glucosamine sulfate without declaring how it is stabilised, most likely do not contain sufficient of this compound. </div>
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Rotta Research Group has invented and patented several years ago a method to stabilize glucosamine sulfate, through a chemical process of co-precipitation with sodium chloride, thus obtaining Crystalline Glucosamine Sulfate<em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(16)</em>.</div>
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<span style="color: red;">How much glucosamine should one take daily?</span></h2>
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According to the GUIDE studies published, Glucosamine Sulfate at the Oral once-daily dose of 1500mg is the preferred symptomatic medication in knee OA <em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(20)</em> .</div>
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1 x Sachet (1500mg)/day</h3>
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3 x Capsules (500mg)/day</h3>
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This statement is further supported by an IC50 trial, where 1500mg of Viartril®-S is able to provide maximum Glucosamine Concentration of 8.9μM in the body. This is significantly higher than the minimal requirement of 6.2μM to be effective in treating OA <em style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; line-height: 15px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">(21)</em>.</div>
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<span style="color: red;">Viartril®-S contains sodium: Is it contraindicated in hypertension?</span></h2>
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The sodium chloride (NaCl) in Viartril®-S is to stabilize the Glucosamine Sulfate through crystallization.NaCl content is 0.128g in each 500mg capsule. Therefore, the recommended daily dosage of capsules contain 0.384g NaCl (similar to 1 sachet).This is small compared with our standard daily intake of 6-10g of NaCl. For a hypertensive patient, a mild dietary sodium restriction of up to 5g NaCl is recommended. Therefore, the small quantity of sodium in Viartril®-S will not affect it. No health authority has ever contraindicated Viartril®-S in hypertension.</div>
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<span style="color: red;">Is Viartril®-S safe for shell-fish allergy patients?</span></h2>
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Viartril®-S is obtained by a synthesis process (ensuring a high degree of purity), starting from a substance called chitin which is of sea origin.Chitin is a highly purified polysaccharide and it does not contain protein impurities responsible for allergic reactions in certain individuals. Any other potential impurity would be eliminated by the synthesis process. Viartril®-S is therefore not contraindicated for individuals allergic to shell-fish.</div>
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<span style="color: red;">Are there any interactions with other drugs when using Viartril®-S?</span></h2>
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Due to its physic-chemical and pharmacokinetic properties, Glucosamine Sulfate is a compound with no potential for pharmacokinetic or other interactions with any other drugs.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-60655046035380417182016-12-17T23:58:00.001-08:002016-12-17T23:58:38.924-08:00Propecia 1mg 28s @RM145 in Johor Bahru<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>After few years on the market, more than 400,000 men in the United States were filling <a href="https://www.drugwatch.com/propecia/" style="border: 0px; box-sizing: border-box; color: #338dcb; font-family: inherit; font-size: 1em; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; transition: all 1s; vertical-align: baseline;">prescriptions for Propecia</a> to reverse their male pattern baldness. While the drug’s active ingredient, finasteride, effectively blocks the hormone responsible for this common genetic form of hair loss, numerous studies suggest that it can also have damaging effects on users’ sexual health.</b></div>
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Before Propecia was approved for use in the United States in 1997, <a href="https://www.drugwatch.com/manufacturer/merck/" style="border: 0px; box-sizing: border-box; color: #338dcb; font-family: inherit; font-size: 1em; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; transition: all 1s; vertical-align: baseline;">manufacturer Merck & Co.</a> released<a href="https://www.drugwatch.com/manufacturer/clinical-trials-and-hidden-data/" style="border: 0px; box-sizing: border-box; color: #338dcb; font-family: inherit; font-size: 1em; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; transition: all 1s; vertical-align: baseline;">clinical trial data</a> on the drug’s safety. One study revealed that 3.8 percent of men treated with Propecia reported one or more adverse sexual side effects, compared with 2 percent of those given a placebo.</div>
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The most commonly reported sexual side effects of Propecia include:</div>
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<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Erectile dysfunction</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Ejaculation disorder</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Decreased libido</li>
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While both Merck and the Food and Drug Administration (FDA) assured patients that these complications would resolve once they stopped taking Propecia, later evidence would prove the contrary.</div>
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The preapproval trials were not especially reliable, as the information was drawn from a relatively small patient group treated for only six months to one year, and follow-up procedures were unclear. More recent investigations demonstrate that Propecia’s sexual side effects can persist even after cessation of use. In some cases, the complications are irreversible.</div>
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One case study describes a 24-year-old patient who started taking Propecia in 1999. Within one week, he experienced soreness in his testicles, a lack of sex drive and the inability to achieve an erection. He stopped taking the drug about a month later, and while some side effects disappeared, his sexual function never returned to normal. In a follow-up 11 years later, he still suffered from erectile dysfunction and loss of libido.</div>
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<img alt="Image result for propecia malaysia" src="http://toppikmalaysia.com/wp-content/uploads/2015/08/quercetin-hair-loss-treatment-2975.jpg" /></div>
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Although situations like this are rare, they can have a huge impact on quality of life for those affected. Starting in April 2012, claimants suffering persistent sexual dysfunction from Propecia use began filing lawsuits against Merck & Co. To better manage the growing caseload, the <a href="https://www.drugwatch.com/propecia/lawsuit/" style="border: 0px; box-sizing: border-box; color: #338dcb; font-family: inherit; font-size: 1em; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; transition: all 1s; vertical-align: baseline;">Propecia lawsuits</a> were consolidated into a multidistrict litigation: MDL 2331. By January 2013, the MDL had grown to 139 lawsuits. More than 250 additional claims have been filed in New Jersey state courts.</div>
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Persistent Sexual Side Effects</h2>
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One of the earliest indications that the sexual side effects of finasteride may continue even after patients stop using the drug came from a 2003 study funded by Merck. In the first year of treatment, 15 percent of men taking finasteride for an enlarged prostate (the drug’s other approved use) reported sexual side effects. Researchers stated that side effects later resolved in 50 percent of patients, but the other group with persistent sexual complications received no follow-up. The study concluded that the problems were most likely caused by factors unrelated to the drug.</div>
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This claim was challenged in 2011, when George Washington University urologist Michael S. Irwig and his colleague Swapna Kolukula published an assessment of 71 finasteride patients who reported long-term sexual side effects that persisted after discontinuation of the drug.</div>
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The selected group of patients, young men between the ages of 21 and 46, took a survey that revealed a wide range of sexual side effects that arose after Propecia use, including issues with erectile function, arousal, sexual desire, orgasm and orgasm satisfaction. These side effects appeared slowly and gradually, and persisted for an average of 40 months after the end of treatment.</div>
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Upon following up with 51 of these patients one year later, Irwig discovered that 96 percent of the men were still suffering from the sexual dysfunctions they initially reported. None of the men reported sexual, psychiatric or medical complaints before taking finasteride.</div>
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By 2012, the FDA published results from its own investigation into the adverse effects of finasteride. Using data collected from 1998 to 2011, this study identified persistent sexual dysfunction of at least three months in 14 percent of the 421 evaluated cases. While the agency stated that a clear causal link between finasteride and sexual side effects had not been established, warnings of these complications were added to the drug’s prescribing information.</div>
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Erectile Dysfunction</h2>
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Drawing on data from six Propecia clinical trials, one review of the drug’s adverse sexual side effects reported that approximately 6 to 8 percent of patients experienced erectile dysfunction. This side effect repeatedly appears in Propecia studies, including double-blind, randomized and placebo-controlled trials.</div>
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Symptoms of erectile dysfunction may be persistent, and include:</div>
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<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Difficulty getting an erection</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Difficulty maintaining an erection</li>
<li style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 14px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: 22px; list-style-image: url("/wp-content/themes/responsive/img/list-style-teal.png.pagespeed.ce.H1fCQsowrP.png"); margin: 15px 0px 15px 20px; padding: 0px 0px 0px 10px; vertical-align: baseline;">Low sexual desire</li>
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In a large observational cohort study of 14,772 men taking finasteride, erectile dysfunction was the most frequently reported of all side effects; 143 patients (roughly 1 percent of those involved) withdrew from treatment as a direct result of erectile dysfunction. According to the American Urological Association (AUA), erectile problems affected 8 percent of men on finasteride and 4 percent of those taking a placebo.</div>
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These complications can likely be attributed to Propecia’s suppression of DHT, a hormone that plays an important role in erectile physiology. Numerous animal and human studies have confirmed that Propecia and other 5-alpha-reductase inhibitor drugs can have an adverse effect on erectile response.</div>
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While lowering the body’s levels of DHT may correct hair loss, problems arise because this sex hormone is important for maintaining the structural integrity of nerves, smooth muscle, connective tissue and signaling pathways in the penis.</div>
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Loss of Libido</h2>
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Another Propecia side effect that may persist long after men stop taking the drug is a reduced interest in sex. The AUA clinical practice guideline states that 5 percent of men taking finasteride experience a loss of libido, compared with 3 percent of the men given a placebo.</div>
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In Irwig and Kolukula’s study of 71 patients who experienced Propecia sexual side effects, 94 percent of men experienced a decline in libido. The average duration of all sexual side effects, measured from the time of drug cessation, was 40 months.</div>
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While a persistent reduction in libido only occurs in a small subset of patients, it can be devastating for those affected. The problem can threaten relationships and often has a severe emotional toll on men and their partners.</div>
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Ejaculatory Disorder</h2>
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Evidence of ejaculatory dysfunction has been observed in 20 finasteride trials, as well as in trials for other 5-alpha-reductase inhibitors like dutasteride. In one study, finasteride and dutasteride led to a decrease in ejaculatory function in week 26 and week 52 of treatment, according to results of a sexual function inventory.</div>
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Propecia use has been associated with numerous ejaculatory disorders, including retrograde ejaculation, ejaculation failure and a decrease in semen volume. According to the AUA clinical practice guideline’s review of 5-alpha-reductase inhibitor trials, 4 percent of men taking finasteride experienced some ejaculatory disorder, compared with 1 percent of men taking a placebo.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-82587710333131859702016-12-17T21:13:00.002-08:002016-12-17T21:13:59.833-08:00Can healthcare learn from Uber?<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: blue;"><b>There is an increasing number of patrons of the transportation model provided by Uber, a US online network company that has grown by leaps and bounds since its foundation in 2009.</b></span></div>
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The Uber model functions on detailed information of cities – linking it with real-time data of prospective drivers, passengers and road conditions; simplifying decision-making; and presenting drivers with manageable options.</div>
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In short, it establishes, digitises and stores information that enables relationships to be established between prospective drivers and passengers.</div>
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The experience for Uber drivers and their passengers has generally been positive.</div>
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Passengers have found friendly drivers, reasonably clean vehicles, short waiting times and lower costs than the usual fares.</div>
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Drivers value the fact that they are the boss, the system’s flexibility and the low entry cost.</div>
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However, as with all things in life, there are downsides to Uber transportation.</div>
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There are potential safety risks to passengers that may be accentuated by drivers who drive irregularly.</div>
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There are also insurance and regulatory matters.</div>
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Notwithstanding these issues, Uber transportation continues to attract increasing patronage.</div>
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Healthcare also involves relationships: between patients and doctors, patients and healthcare facilities, as well as patients and payers.</div>
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image: http://www1.star2.com/wp-content/uploads/2016/12/sfit_fitmilton1812_ci_1.jpg</div>
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Uber works by compiling and analysing real-time data of prospective drivers, passengers and road conditions.</div>
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A similar model could conceivably work in a healthcare app that delivers real-time medical expertise. </div>
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Some of these relationships are long-term and strong, while others are transient.</div>
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The latter is particularly the case in the local setting where doctor-hopping is common.</div>
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So, can healthcare take a leaf from Uber’s book?</div>
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<span style="box-sizing: border-box; font-weight: 700;">Uberhealth</span></h4>
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Harvard Medical School Professor of Bioimedical Informatics Dr John Brownstein reported on a pilot project by Uberhealth, which is an outgrowth of his team’s Health-map Vaccine Finder tool and created in partnership with Uber, to deliver influenza vaccinations to people in the US cities of Boston, New York, Washington and Chicago one day in 2014.</div>
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Uber app and social media users in those cities were informed by e-mail that they could get influenza vaccines delivered to their home or office with the option of a nurse in an Uber vehicle to administer the vaccine.</div>
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Prof Brownstein stated that “substantial numbers of persons who are willing to be vaccinated against influenza, but are deterred by inconvenience will participate in a programme that provides vaccination when and where they want it”. (Source: <em style="box-sizing: border-box;">Annals of Internal Medicine</em>. Nov 17, 2015).</div>
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The pilot project was repeated in 2015, where residents in 35 US cities could request influenza vaccination through their Uber application, just like requesting for a ride.</div>
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There was an overwhelmingly positive response.</div>
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Uberhealth had reached thousands of people who would, otherwise, have not got influenza vaccinations.</div>
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image: http://www1.star2.com/wp-content/uploads/2016/12/flu-shot-1719334_640.jpg</div>
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<i>Instead of requesting for a ride on Uber, people ask, via an app, for a health professional to stop by and give </i></div>
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<i>them a flu shot.</i></div>
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Prof Brownstein said: “The concept of bringing on-demand services… bringing physicians and nurses to people has so many opportunities.”</div>
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Uberhealth is not just about influenza vaccination, but is about an innovation, i.e. networked transactions, that many consider worthy of embracing in healthcare.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Mobile healthcare apps</span></h4>
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Today, one can access with a smartphone or tablet, apps called Doctor on Demand (24-hour daily access to board-certified doctors in the US), Heal (an Uber-like app to call for a doctor in the US) and e-Nable (an app that matches people around the world who need prosthetic hands with those who build them with 3D printers).</div>
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There are also apps available on smartphones that enable patients to schedule appointments with their providers at a convenient time.</div>
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The number of such apps are increasing.</div>
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Other technology-driven changes have also impacted on healthcare.</div>
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Home blood glucose monitors have improved dramatically the management of diabetes; newer ones even provide advice and alerts.</div>
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These monitors have, more significantly, reduced the burden on healthcare providers and payers.</div>
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Wearable heart monitors continuously monitor parameters in patients discharged after a heart attack.</div>
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The information is transmitted by networks for interpretation and analysis.</div>
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Advice and alerts are then sent back to the patient, enabling potentially life-saving short-term interventions and long-term improvements in management.<br />
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Attending doctors can review data from many patients at a central location with reduced resource requirements, and more importantly, help patients to be in control of their own care.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Uberisation of healthcare?</span></h4>
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After a ride on Uber, the passenger has an opportunity to provide feedback, which, if negative, will lead to an apology and a request for details.</div>
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Uber leaps at the opportunity to rectify passenger service gaps.</div>
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Compare that with the management of dissatisfaction in healthcare provision.</div>
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Waiting is the norm in the public healthcare sector, and to a considerably lesser extent, in the private sector.</div>
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Consider the situation when illness strikes while away from home or when one’s doctor is on leave.</div>
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The attending doctor would have no or limited access to the patient’s medical records.</div>
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Could the attending doctor, if he had Uber-like tools, provide the same care, or something close to it, as one’s own doctor?</div>
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A new dawn on healthcare delivery is appearing.</div>
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The Ubers of healthcare will shift some, but not all, of healthcare from relationships to transactions.</div>
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To be successful, they will have to do what Uber does, i.e. accumulate databases of population healthcare information; develop and improve real-time tracking; apply technology that discerns patterns of illness; focus on management options; and package this information for instant comprehension by patients and providers.</div>
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Success or failure will depend on the value the Ubers of healthcare provide to patients and their providers.</div>
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Needless to say, some healthcare cannot be delivered with Uber-like tools, and doctors and other healthcare providers will continue to be indispensable with their irreplaceable relationships with patients.</div>
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image: http://www1.star2.com/wp-content/uploads/2016/12/sfit_fitmilton1812_ci_2.jpg</div>
<img alt="At the end of the day, the relationship between a doctor and a patient cannot be replaced by an app, no matter how useful, as medicine is also an art. Photo: Filepic" class="wp-image-268992" height="426" src="http://www1.star2.com/wp-content/uploads/2016/12/sfit_fitmilton1812_ci_2.jpg" style="border: 0px; box-sizing: border-box; vertical-align: middle;" width="640" /><div class="wp-caption-text" style="box-sizing: border-box; margin-bottom: 10px;">
<i>At the end of the day, the relationship between a doctor and a patient cannot be replaced by an app, </i></div>
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<i>no matter how useful, as medicine is also an art. Photo: Filepic</i></div>
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The question is, how much of healthcare can be reduced to Uber-like algorithms.</div>
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Although the guesses of experts vary, the general consensus is substantial.</div>
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There is an increasing number of apps that connect patients and their providers.</div>
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What is needed are apps that make available medical expertise to the public.</div>
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However, the information technology used in healthcare requires radical updating, and regulatory issues will get in the way.</div>
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When useful apps, with networked knowledge, administrative automation and resource allocation, are widely available, healthcare can be Uberised.</div>
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The public would then find healthcare very convenient, quick, easy and relatively inexpensive.</div>
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More importantly, the relationship between patients and providers will be substantially better.</div>
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Although the road ride could be bumpy, the Uberisation of healthcare is not far away.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-62554336627560133782016-12-17T20:23:00.001-08:002016-12-17T20:23:48.698-08:00You may die earlier even if you have just one cigarette a day<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="You may die earlier even if you have just one cigarette a day" height="390" src="http://www.star2.com/wp-content/uploads/2016/12/cigarette-1850261_1280-770x470.jpg" width="640" /></div>
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<span style="background-color: #dadada; font-size: 13px; line-height: 17px;">Smoking less may not mean that your risk of death is low, says study.</span></div>
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<b><span style="color: blue;">Smokers who go through much less than a pack of cigarettes a day still have a higher risk of an early death than non-smokers, a new study suggests.</span></b></div>
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“There is no safe level of cigarette smoking,” said lead study author Maki Inoue-Choi, a researcher at the National Cancer Institute in Rockville, Maryland.</div>
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“Even smokers who consistently smoked less than one cigarette per day were more likely to die in our study than never smokers,” Inoue-Choi said.</div>
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Tobacco smoking poses a major public health challenge and claims about five million lives each year worldwide, researchers note in <em style="box-sizing: border-box;">JAMA Internal Medicine</em>.</div>
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A growing number of smokers tend to be “light” smokers, going through less than half a pack of cigarettes a day, the authors write. This used to be how people cut back gradually on the path to quitting, but it’s increasingly a pattern that smokers follow for years at a time.</div>
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To get a better picture of the health effects of light smoking, researchers tracked more than 290,000 adults aged 59 to 82, including more than 22,000 current smokers and more than 156,000 former smokers, who completed surveys in 2004 and 2005.</div>
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By 2011, compared to people who never smoked, adults who consistently smoked at least part of one cigarette a day were 64% more likely to have died of any cause, researchers report in <em style="box-sizing: border-box;">JAMA Internal Medicine</em>.</div>
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Smoking one to 10 cigarettes a day was associated with 87% higher odds of dying from all causes during the study than not smoking at all.</div>
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<img alt="The odds of death from lung cancer were more than nine times higher with a habit of even one cigarette a day." class="wp-image-266643" height="513" src="http://www1.star2.com/wp-content/uploads/2016/12/smoking-699457_1280-e1481005140276.jpg" style="border: 0px; box-sizing: border-box; height: inherit; max-width: 100%; vertical-align: middle;" width="770" /><div class="wp-caption-text" style="box-sizing: border-box; font-size: 13px; line-height: 17px; margin-bottom: 15px; padding: 5px 0px;">
<i>The odds of death from lung cancer were more than nine times higher with a habit of even one cigarette a day.</i></div>
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Lung cancer deaths in particular were much more likely among light smokers than non-smokers. The odds of death from lung cancer were more than nine times higher with a habit of even one cigarette a day, while smoking up to 10 cigarettes a day was associated with almost 12 times the risk of death from lung cancer.</div>
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Former smokers fared better when they quit at younger ages. For example, ex-smokers of one to 10 cigarettes a day who kicked the habit after age 50 had a 42% higher risk of death from all causes during the study period, compared to those who kicked the habit at younger ages. One limitation of the study is that researchers relied on participants to accurately recall and report on how often they smoked even may years in the past, the authors note.</div>
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Even so, the findings should reinforce that even light smokers can face serious health risks from the habit, the authors note.</div>
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“The take home message is that all smokers should stop smoking, even if they smoke only occasionally, or if they smoke very few cigarettes a day,” Jean-Francois Etter, a researcher at the University of Geneva in Switzerland who wasn’t involved in the study, said in an email.</div>
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The study also showed very little benefit from cutting back from two packs a day to half a pack a day, said Judith Prochaska, a researcher at Stanford University in California who wasn’t involved in the study.</div>
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“Low intensity smokers often downplay their use of tobacco – may even identify as non-smokers – and may rationalise their behaviour as low risk,” Prochaska said by email.</div>
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“The findings ought to compel physicians to intervene with patients who report any level of current tobacco use,” Prochaska added. “As a motivating message, the sooner individuals quit smoking, the greater the health benefits in extending years of life.” – Reuters/Lisa Rapaport</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-54241756943136597172016-12-17T01:18:00.000-08:002016-12-17T01:18:48.354-08:00When men become infertile<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="When men become infertile" height="390" src="http://www.star2.com/wp-content/uploads/2016/12/sfit_fitfertile0412_py_1-770x470.jpg" width="640" /></div>
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<span style="background-color: white;"><i>Male infertility is usually caused by problems that affect either sperm production or sperm transport. Photo: Shutterstock</i></span><span style="box-sizing: border-box;"><br style="box-sizing: border-box;" /></span></div>
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<b><span style="color: blue;">The incidence of male factor infertility has risen from about 10%-15% to approximately 40%-50% in the last 10 years.</span></b></div>
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<b><span style="color: blue;">Worldwide statistics show that in male infertility, the majority of men have problems with either sperm production or sperm transport blockage, or a combination of both.</span></b></div>
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<span style="box-sizing: border-box; font-weight: 700;">Sperm production</span></div>
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Problems with sperm production can either be non-inherited or inherited. The most common non-inherited causes are lifestyle related.</div>
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Cigarette smoke contains numerous chemicals that are harmful to sperm. The chemicals reach the sperm production “factory” (testicles) via the blood stream and affect the balance of certain proteins that are required for optimal sperm production and integrity.</div>
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This process damages the DNA of sperm via oxidative stress. Thus, a smoker may have a normal sperm count, but the quality of his sperm is very much reduced.</div>
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Alcohol abuse also reduces sperm production by lowering the level of the male hormone called testosterone. Testosterone is needed for optimal sperm production.</div>
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Many health organisations recommend men to avoid habitual or binge drinking. Research has not conclusively identified the amount of alcohol that affects sperm quality, but as little as five units (one alcohol unit is measured as 10ml or 8g of pure alcohol; this equals one 25ml single measure of whisky [40% alcohol content], or a third of a pint of beer [5%-6% alcohol content] or half a standard glass of red wine [12% alcohol content]) of alcohol per week has been shown to have a negative effect on sperm.</div>
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Besides alcohol, oral testosterone intake can reduce or completely stop sperm production. Testosterone that is consumed can halt the natural production of hormones that are essential for sperm production.</div>
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The reversal back to normality can sometimes take years.</div>
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Obesity is a well known risk factor for heart disease. However, what is less well known is that obesity affects sperm production by lowering testosterone.</div>
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This can happen because fat cells can turn testosterone into a female hormone called oestrogen. High levels of oestrogen can reduce sperm production.</div>
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In addition, the insulating effect of fat increases scrotal temperature, thus reducing the optimal environment for sperm production.</div>
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Obesity also can cause erectile dysfunction.</div>
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Stress affects a man’s fertility health. Men with high levels of stress have lower sperm quality.</div>
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How stress affects sperm quality is not fully understood but it could be related to the release of steroids called glucocorticoids, which lower testosterone levels.</div>
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It has also been proposed that stress damages sperm by oxidative stress.</div>
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Sexually transmitted infections (STIs) can also reduce sperm production by directly damaging the site of sperm production in the testicles.</div>
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Any man suspected to have an STI should seek appropriate consultation and treatment to avoid long term fertility health consequences.</div>
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Varicocele (dilated veins around the testicle) has long been proposed to reduce sperm production. However, only a moderate to large varicocele may impair sperm production by increasing scrotal temperature. Mild varicoceles do not reduce sperm production.</div>
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Failure of the testicles to descend into the scrotum during childhood (cryptorchidism) can lead to permanent damage involving sperm production. Testicles which failed to descend are in a “hotter” environment compared to its natural position in the scrotum. If treated surgically in early childhood, long term complications can be avoided.</div>
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Other less common causes of male infertility are injury to the genitals and medical treatment such as chemotherapy.</div>
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Sometimes, the cause is unknown. Inherited sperm production problems are rare. Conditions such as Klinefelter’s Syndrome, Y-Chromosome micro deletion and Down’s Syndrome can lead to either low sperm production or no sperm production (azoospermia).</div>
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<span style="box-sizing: border-box; font-weight: 700;">Sperm transport blockage</span></div>
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In this condition, the sperm that is produced is unable to be ejaculated.</div>
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The ejaculate is a combination of semen and sperm. So, a man could still ejaculate out semen without any sperm (azoospermia).</div>
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The most common cause of a blocked sperm pathway is infections, especially STIs.</div>
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The inflammatory process damages the sperm transport pathway within and outside the testicle. However, most of the infections are asymptomatic and difficult to diagnose.</div>
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Prostate-related problem such as infection (prostatitis) or prostate surgery can lead to blockage. Other pelvic surgery, such as for inguinal hernia, can in some cases contribute to this problem.</div>
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In rare cases, the sperm transport channel is absent in a condition called cystic fibrosis. This condition is more prevalent in Western countries.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Sexual problems</span></div>
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Sexual problems lead to improper deposition of sperm in the vagina. Failure of ejaculation, erectile dysfunction, and retrograde ejaculation are some common examples.</div>
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Sexual problems can be due to an underlying medical condition such as uncontrolled diabetes mellitus.</div>
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Trauma to the spinal cord and pelvic or prostate surgery complicated by nerve damage can also lead to erectile dysfunction.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Hormones and sperm antibody</span></div>
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Diseases of the pituitary gland, congenital lack of hormones and Kallmann Syndrome can reduce the production of hormones needed for sperm formation. FSH (follicular stimulating hormone) and LH (luteinising hormone) are produced in the pituitary gland, and they drive sperm and testosterone production in the testicle.</div>
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Vasectomy (male sterilisation), injury or infection in the epididymis can lead to sperm antibody production. These sperm antibodies wrongly identify sperm as a foreign body and destroy the sperm.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Diagnosing male infertility</span></div>
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Diagnosis is based on a combination of clinical history, physical examination, semen analysis and additional hormone tests.</div>
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The first-line test is semen analysis (sperm test). Semen analysis looks at:</div>
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<span style="box-sizing: border-box; font-weight: 700;">Sperm concentration</span>: The lower range of normal is 15 million sperm for every millilitre of semen. Sperm concentration above this value is considered normal.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Vitality</span>: This is the percentage of life sperm in the sample. It should be at least 58% (at least 58 out of 100 sperm are alive).</div>
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<span style="box-sizing: border-box; font-weight: 700;">Motility</span>: This parameter looks at the movement of sperm. At least 40% of the sperm should be moving. The movements are further graded according to speed and direction of movement.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Morphology</span>: This parameter looks at the physical shape of a sperm. This is done under a high-powered microscope. At least 4% (you read it correctly!) of the sperm should be normal-looking to be considered “normal”.</div>
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Additional hormone tests are needed when there is no sperm (azoospermia).</div>
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A physical examination to look for any signs of testosterone deficiency, followed by blood tests for hormones (FSH, LH, testosterone), are done. The results will generally guide the fertility specialist as to the cause of azoospermia.</div>
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<span style="box-sizing: border-box; font-weight: 700;">Treatment options</span></div>
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Sperm quality can be improved by lifestyle changes. The focus should be on reducing/stopping cigarette smoking, aiming for moderate alcohol intake, weight reduction, a healthy diet and reducing daily stress levels.</div>
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image: http://www1.star2.com/wp-content/uploads/2016/12/sfit_fitfertile0412_py_2.jpg</div>
<img alt="A smoker places a cigarette stub on a tray filled with stubs beside a road in Las Pinas city, Metro Manila Philippines August 7, 2015. REUTERS/Erik De Castro/File Photo" class="wp-image-266036" height="525" src="http://www1.star2.com/wp-content/uploads/2016/12/sfit_fitfertile0412_py_2.jpg" style="border: 0px; box-sizing: border-box; vertical-align: middle;" width="770" /><div class="wp-caption-text" style="box-sizing: border-box; margin-bottom: 10px;">
Photo: Reuters</div>
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Men should also consider adding antioxidants to their daily meal plan. Antioxidants potentially lower the level of oxidative stress on sperm, thus improving sperm quality.</div>
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However, any lifestyle modification will not show an immediate effect.</div>
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It takes at least two to three months before any improvement is seen because sperm production takes 72 days to complete.</div>
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Any improvement will be reflected in the new batch of sperm.</div>
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If azoospermia is due to vasectomy or obstruction, sperm can be obtained directly from the testicles. This requires a minor surgical procedure under sedation.</div>
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The severity of azoospermia will determine the type of surgical procedure required.</div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-33988940865998807522016-12-10T21:12:00.000-08:002016-12-10T21:12:40.518-08:00Is it safe to take evening primrose oil in pregnancy?<div dir="ltr" style="text-align: left;" trbidi="on">
<img alt="Image result for evening primrose oil" height="263" src="data:image/jpeg;base64,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" 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<span style="background-color: white; font-family: Arial, Helvetica, sans-serif;"><b>It’s probably best not to take evening primrose oil in pregnancy, as we can't be sure it’s safe. </b></span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">There aren’t any proven safety issues with evening primrose oil. However, the British National Formulary, which advises healthcare professionals about medicines, says evening primrose oil should be used with caution in pregnancy. </span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">You may have heard that taking evening primrose oil during pregnancy can reduce the risk of developing </span><a href="http://www.babycentre.co.uk/a257/pre-eclampsia" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">pre-eclampsia</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">. Studies have shown that this is not case. And if you’re thinking of taking evening primrose oil later in pregnancy to </span><a href="http://www.babycentre.co.uk/x546739/are-there-any-ways-to-bring-on-labour-naturally" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">bring on labour</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">, there’s no evidence that this works either.</span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br />
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<span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">Evening primrose oil is a plant extract that has been used for centuries as a complementary medicine. It’s believed to ease a host of problems, from </span><a href="http://www.babycentre.co.uk/a8489/breast-pain" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">breast pain</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;"> to </span><a href="http://www.babycentre.co.uk/a553471/premenstrual-syndrome-pms" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">premenstrual symptoms</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;"> to </span><a href="http://www.babycentre.co.uk/x549373/how-will-pregnancy-affect-my-skin-condition" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">skin disorders</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">. However, evening primrose oil is not a licensed medicinal product, because there’s not enough evidence that it works.</span><br />
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<img alt="Image result for evening primrose oil for pregnant" height="266" src="http://cdn2.momjunction.com/wp-content/uploads/2014/07/Evening-Primrose-Oil.jpg" width="400" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">If you’ve been taking evening primrose oil for a health problem, it’s best to find an alternative treatment, just to be on the safe side. You can continue taking evening primrose oil after your baby’s born. </span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">Evening primrose oil is also popular as a dietary supplement. It’s rich in linoleic acid, an essential fatty acid. Essential fatty acids are substances that our bodies need, but cannot make, so we have to get them from food. Evening primrose oil is also rich in gamma linolenic acid. This is used in the body to make hormone-like chemicals, such as prostaglandins, which are important for many body functions. </span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">During pregnancy, try to get essential fatty acids from foods such as seeds and oily fish, rather than from an evening primrose oil supplement. You can safely eat two portions of oily fish, such as </span><a href="http://www.babycentre.co.uk/x557950/is-it-safe-to-eat-tuna-during-pregnancy" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">tuna</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">, a week. </span><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;" /><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">If you decide to take evening primrose oil, bear in mind that it can cause diarrhoea, </span><a href="http://www.babycentre.co.uk/a1018914/nausea-and-vomiting-in-pregnancy-getting-help-and-treatment" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">nausea</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;"> and </span><a href="http://www.babycentre.co.uk/a562886/wind-and-bloating-in-pregnancy" style="box-sizing: border-box; color: #5fb1c1; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px; text-decoration: none;">bloating</a><span style="background-color: white; font-family: Arial, Helvetica, sans-serif;">. When buying it as a food supplement, remember that each product will contain different doses, as well as other ingredients. </span><span style="box-sizing: border-box; font-family: Arial, Helvetica, sans-serif; margin: 0px; padding: 0px;"><br style="box-sizing: border-box; margin: 0px; padding: 0px;" /><br style="box-sizing: border-box; margin: 0px; padding: 0px;" /></span></div>
Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-6332417335817199915.post-6085339930390416632016-12-05T22:22:00.001-08:002016-12-05T22:22:01.203-08:00Sex, lice and pubic shaving: study highlights risks<div dir="ltr" style="text-align: left;" trbidi="on">
<img alt="Pubic hair grooming has become a common phenomenon worldwide, with popular media changing people's definition of attractiveness, cleanliness and "genital normalcy".- AFP" src="http://www.thestar.com.my/~/media/online/2016/12/06/04/22/pubic-hair.ashx/?w=620&h=413&crop=1&hash=DC87FF9B220D016718CB9775310DBF7B01029E1C" /><br />
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<span style="background-color: #e5e5e2; color: #555555; font-family: Roboto, Arial, Tahoma, Helvetica, sans-serif; font-size: 12px;">Pubic hair grooming has become a common phenomenon worldwide, with popular media changing people's definition of attractiveness, cleanliness and "genital normalcy".- AFP</span><br />
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Paris (AFP) - People who shave, wax, or trim their pubic hair are at higher risk of sexually-transmitted infections (STIs), but less likely to get lice, a study suggested on Tuesday.</div>
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A survey of more than 7,500 Americans aged 18 to 65, found that pubic groomers had an 80 percent higher STI risk than people who leave their nether regions hairy.</div>
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For certain infections, including herpes and chlamydia, the risk was highest among those who groomed most frequently and "intensely", the researchers found.</div>
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The study merely observed a correlation between grooming and STIs, and cannot conclude that one causes the other.</div>
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But the authors speculated that shaving or waxing may cause "microtears" in the skin, creating easy access for viruses.</div>
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Sharing tools such as razors may also be a risk, they said, citing a case of HIV transmission between brothers using the same blade.</div>
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"As a third possible explanation for our findings, individuals who groom may be more likely to engage in risky sexual behaviours than those who do not groom," said the study published in the journal Sexually Transmitted Infections.</div>
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Pubic hair grooming, it explained, "is correlated with an increased number of lifetime sexual partners and is viewed as a preparatory act to sexual engagement".</div>
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For the research, 7,580 people completed a questionnaire on their intimate hair-control, sex lives and STI history.</div>
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Seventy-four percent of respondents were pubic hair groomers -- 66 percent of men and 84 percent of women.</div>
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The trial participants were divided into "extreme groomers" who removed all pubic hair more than 11 times a year, high-frequency groomers who trimmed daily or weekly, low-frequency groomers, and non-groomers.</div>
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<strong style="border: 0px; margin: 0px; padding: 0px;"> 'Genital normalcy'?</strong></div>
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The main methods used were razors, scissors and wax. Men mostly used an electric razor and women a manual one.</div>
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One in five of both genders used scissors.</div>
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Groomers, the study found, were younger overall and reported a larger number of annual and total lifetime sexual partners -- even more so for extreme groomers.</div>
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They also had more frequent weekly and daily sex than people who prefer to go "au naturel" down there.</div>
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A greater proportion of groomers, 14 percent, reported having had an STI during their lifetime, than non-groomers at eight percent, the study found.</div>
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For extreme groomers, the percentage was 18 percent.</div>
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STIs included herpes, syphilis, human papillomavirus (HPV), chlamydia, HIV, gonorrhoea and a skin virus called Molluscum contagiosum, or MCV.</div>
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Such infections can have serious long-term consequences such as infertility, certain cancers and higher rates of HIV transmission.</div>
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On the other end of the spectrum, the team found, low-intensity groomers had a higher risk of pubic lice infestation.</div>
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This suggested "grooming might make it harder for lice to breed successfully," the team said in a statement.</div>
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Better understanding the relationship between pubic hair grooming and STIs may help single out "high-risk individuals" for safe-sex education, the team said.</div>
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They may also be advised to dehair less frequently or severely, or to delay sex after grooming to allow time for the skin to heal.</div>
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Pubic hair grooming has become a common phenomenon worldwide, with popular media changing people's definition of attractiveness, cleanliness and "genital normalcy", said the study.</div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-6332417335817199915.post-31293512313550462792016-11-18T18:59:00.000-08:002016-11-18T19:02:59.495-08:00What happens to your body if you suffer from diabetes? <div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="What happens to your body if you suffer from diabetes?" src="http://www.star2.com/wp-content/uploads/2016/11/calories-957767_1280-770x470.jpg" height="390" width="640" /></div>
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<b>If diabetes was a country, it would be the world’s third largest nation (by population) after China and India, says Monash University, Australia, professor of diabetes Dr Paul Zimmet.</b></div>
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In 2015, China had an estimated population of around 1.37 billion people and India around 1.26 billion, followed by the United States with just over 320 million people.</div>
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Meanwhile, the International Diabetes Federation (IDF) estimated that there were 415 million people living with diabetes around the world in the same year.</div>
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A further 318 million people had impaired glucose tolerance or pre-diabetes – the stage directly before full-blown type 2 diabetes mellitus.</div>
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The umbrella organisation for over 230 national diabetes associations also estimates that there will be 642 million, or one in every 10, people with diabetes by 2030.</div>
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More scary is the fact that Prof Zimmet, an IDF honorary president, believes that this number is an underestimation due to the lack of accurate data.</div>
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For example, he notes that the standard diagnostic fasting blood glucose test misses up to 25% of diabetes cases, if it is not paired with the oral glucose tolerance test. (See <em style="box-sizing: border-box;">Screening for diabetes </em>on p2)</div>
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And for countries that do not record diabetes data, extrapolations from the data of other similar countries are used instead.</div>
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For example, Prof Zimmet shares that the diabetes data for Eritrea, one of the world’s poorest nations, is extrapolated from South Africa’s and Tanzania’s diabetic numbers.</div>
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<img alt="Prof Zimmet says that diabetes is an epidemic that is still on the rise, which will result in more and more premature deaths and disabilities among those of working age. Photo: The Star/Ibrahim Mohtar" class="wp-image-261772" src="http://www1.star2.com/wp-content/uploads/2016/11/sfit_cizimmet_ci_1.jpg" height="417" style="border: 0px; box-sizing: border-box; vertical-align: middle;" width="640" /><br />
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Prof Zimmet says that diabetes is an epidemic that is still on the rise, which will result in more and more premature<br />
deaths and disabilities among those of working age. </div>
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He compliments Malaysia on the way diabetes data is recorded in the country.</div>
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“There aren’t too many countries that actually keep as good data on diabetes as Malaysia,” he says.</div>
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“So the Government has got all the information it needs to do something.”</div>
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In the July edition of the journal <em style="box-sizing: border-box;">Nature Reviews Endocrinology</em>, Prof Zimmet and his colleagues wrote that accurate and reliable data is necessary in “meeting national and local needs for planning purposes to identify current and future healthcare priorities, to estimate direct and indirect economic and societal costs of the disease, and to allocate appropriate healthcare resources and expenditures for healthcare delivery.</div>
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“These data are also very important for identifying groups or populations that might have unique or special needs related to diabetes mellitus, and to help define and set research priorities.</div>
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“Ongoing reliable data are also needed not only to project future trends, but to monitor the effects of treatment and to determine the needs, plans, design and effectiveness of prevention activities.”</div>
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<span style="box-sizing: border-box; font-weight: 700;">Lesser-known risks</span></div>
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Diabetes is a simple enough disease in itself; basically, the body is unable to process glucose properly, resulting in high levels of glucose floating around the bloodstream.</div>
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The problem is that this excess glucose has wide-ranging effects on multiple body parts.</div>
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Common complications of diabetes include retinopathy (eye damage), nephro- pathy (kidney damage), neuropathy (nerve damage) and cardiovascular disease.</div>
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Prof Zimmet notes that diabetes is the leading cause of blindness (from retinopathy), kidney disease (from nephropathy) and non-traumatic lower limb amputation (from neuropathy) in the world. It also causes a significant number of heart attacks and strokes.</div>
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However, he says that diabetes also has other lesser known complications that simi- larly have a significant effect on people’s lives, as well as economic productivity.</div>
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“Data from various countries suggests that people with type 2 diabetes are more likely to have sleep apnoea – 30%-40% will have sleep disturbances.</div>
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“And if they go to sleep on the job in a factory, they will lose their fingers. If they are driving a car, they will have car accidents. If they are truck drivers and they go to sleep on the highway, they can clean up about six or seven cars.</div>
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“That’s a big public health problem associated with diabetes, quite apart from the complications,” he explains.</div>
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Thirty to forty percent of type 2 diabetics suffer from sleep apnoea, which results in sleepiness during the day.</div>
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Sleep apnoea is a disorder where the person suffers from either one or more pauses in breathing or shallow breaths during sleep, which can last from a few seconds to mi- nutes.</div>
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Each pause or shallow breath disrupts the person’s sleep, resulting in poor quality sleep that causes the person to be tired and sleepy during the day.</div>
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Prof Zimmet says however, that the connection between diabetes and sleep apnoea is still unknown; researchers only know that the two are associated.</div>
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He adds: “The other thing that is a big problem with diabetes is that, certainly in Western countries, 30%-40% of type 2 diabe- tics have depression – that’s another public health problem.</div>
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“And people with poorly-controlled diabetes get a lot of fat in their liver.”</div>
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Fatty liver occurs when more than 5%-10% of the liver’s weight is fat. This can eventually led to cirrhosis of the liver, which may result in liver failure or liver cancer.</div>
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Says Prof Zimmet: “The commonest cause of cirrhosis at the moment is alcohol, but they are now predicting cirrhosis of the liver, in the next decade or so, is going to be from diabetes.”</div>
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He adds: “There is a very simplistic view that it’s just all about high blood sugar and complications that we know about, which are amputations, blindness, heart attacks and kidney disease.</div>
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“But people don’t link in all the factors, not only sleep apnoea, depression and cirrhosis, but people die younger – we’re now seeing people develop type 2 diabetes in childhood – and the fact that the complications of diabetes can have an economic impact on the country, because we’re seeing type 2 diabetes in the working age group now.</div>
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“And so, there’s premature deaths and disabilities from diabetes, it’s not just a simple high blood sugar.”</div>
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He concludes: “Diabetes is complicated. It doesn’t just have complications; overall, it is a complicated disease.”</div>
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Prof Zimmet was in town recently to give a talk on “Diabesity – The Greatest Epidemic in Human History? Implications for Asia” in Sunway University, Selangor, as part of the Jeffrey Cheah Distinguished Speakers Series.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-49841545656517301272016-10-02T19:33:00.001-07:002016-10-02T19:33:26.987-07:00Men with anxiety are more likely to die of cancer<div dir="ltr" style="text-align: left;" trbidi="on">
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<img alt="Men with anxiety are more likely to die of cancer" class="img-responsive" height="390" itemprop="image" src="http://www.star2.com/wp-content/uploads/2016/09/sfit_fitquick2509b_ci_1-770x470.jpg" style="border: 0px; box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="640" /><div class="lead-img-caption" style="background: rgb(218, 218, 218); box-sizing: border-box; font-size: 13px; line-height: 17px; margin-bottom: 10px; padding: 10px 12px;">
While men are less likely than women to have generalised anxiety disorder, those who do are more likely to die of cancer than women with the same disorder. — Fotolia</div>
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<b><span style="color: blue;"><br />Men over 40 who have anxiety disorders are more than twice as likely to die of cancer than are men who do not have the mental affliction, new research finds.</span></b><span style="color: #999999;"><span style="box-sizing: border-box;"></span></span></div>
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But for women who suffer from severe anxiety, the research found no increased risk of cancer death.</div>
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That finding, presented recently at the European College of Neuropsychopharmacology Congress in Vienna, Austria, emerges from the largest study ever to explore a link between anxiety and cancer.</div>
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It tracked 15,938 Britons aged over 40 for 15 years.</div>
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Even after researchers took account of factors that boost the risk of cancer, including age, alcohol consumption, smoking and chronic diseases, men with a diagnosis of generalised anxiety disorder were 2.15 times as likely to die of cancer than were those with no such diagnosis.</div>
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Generalised anxiety disorder – a condition marked by excessive, uncontrollable worry about many areas of life – affected women more commonly than it did men.</div>
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<img alt="Bosses with this mental health problem find it hard to get well" height="193" src="http://www.star2.com/wp-content/uploads/2016/09/tie-690084_1280-237x143.jpg" width="320" /></div>
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Among women in the large cohort studied, 2.4% suffered from the disorder. Among men in the cohort, 1.8% did.</div>
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The authors of the new research acknowledge that the findings do not reveal how cancer and anxiety are related, and do not show that anxiety causes cancer.</div>
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Men with anxiety may engage in behaviours that increase cancer risk.</div>
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But the two diseases may also spring from common origins, including, possibly, higher rates of systemic inflammation.</div>
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Whatever the relationship, said the study’s lead author Olivia Remes of Cambridge University’s Institute of Public Health in Britain, the new findings identify extremely anxious men as a population whose mental and physical health should be closely tracked.</div>
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“Society may need to consider anxiety as a warning signal for poor health,” she said. “With this study, we show that anxiety is more than just a personality trait”, but rather, a disorder linked to real and serious health risks.</div>
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Imperial College London psychiatrist Dr David Nutt, who was not involved in the new research, said the intense distress suffered by those with anxiety comes with insomnia and widespread physical stress.</div>
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“That is bound to have a major impact on many physiological processes, including immune supervision of cancerous cells,” said the former president of the European College of Neuropsychopharmaco-logy.</div>
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“As a psychiatrist who used to run one of the very few clinics in the UK specialised in the treatment of people with severe anxiety disorders, these results do not surprise me,” he added. – Los Angeles Times/Tribune News Service</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-6332417335817199915.post-62196861467831687292016-10-01T20:01:00.001-07:002016-10-01T20:01:36.543-07:00Why you should sleep on your left hand side?<div dir="ltr" style="text-align: left;" trbidi="on">
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There's bad news for those of us who do it on our backs , on our tummies, on our right-hand side, spooning - or even hanging upside down.</div>
<span class="storyimage fullwidth inlineimage" data-aop="image" style="background-color: white; box-sizing: border-box; clear: both; color: #333333; display: block; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin: 0px auto 2.4rem; padding: 0px;"><span class="image" data-attrib="Provided by Mirror" data-caption="" data-id="87" data-m="{"i":87,"p":84,"n":"openModal","t":"articleImages","o":3}" style="box-sizing: border-box; cursor: pointer; display: block; line-height: 0; margin: 0px; padding: 0px; position: relative;"><img alt="" class=" loaded" data-initial-set="true" data-src="{"default":{"load":"default","w":"73","h":"49","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwO6yZ.img?h=486&w=728&m=6&q=60&o=f&l=f"},"size3column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwO6yZ.img?h=416&w=624&m=6&q=60&o=f&l=f"},"size2column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwO6yZ.img?h=416&w=624&m=6&q=60&o=f&l=f"}}" src="http://img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwO6yZ.img?h=486&w=728&m=6&q=60&o=f&l=f" style="border: 0px; box-sizing: border-box; cursor: pointer; display: block; height: 49rem; line-height: 0; margin: 0px; max-width: 100%; padding: 0px; position: relative; width: 73rem;" /></span><span class="caption truncate" style="box-sizing: border-box; caption-side: bottom; color: #666666; display: inline-block; font-size: 1.3rem; line-height: 1.384; margin: 0.5rem 0px 0px; max-height: 3.7rem; overflow: hidden; padding: 0px; width: 72.8rem;"><span class="attribution" style="box-sizing: border-box; color: black; margin: 0px; padding: 0px 0.8rem 0px 0px;">© Provided by Mirror</span></span></span><br />
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
We are, of course, talking about sleeping.</div>
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The position we sleep in may not be the sort of thing worth paying much attention to, but it can have a huge impact on our health.</div>
<span class="storyimage fullwidth inlineimage" data-aop="image" style="background-color: white; box-sizing: border-box; clear: both; color: #333333; display: block; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin: 0px auto 2.4rem; padding: 0px;"><span class="image" data-attrib="Provided by Mirror" data-caption="" data-id="88" data-m="{"i":88,"p":84,"n":"openModal","t":"articleImages","o":4}" style="box-sizing: border-box; cursor: pointer; display: block; line-height: 0; margin: 0px; padding: 0px; position: relative;"><img alt="" class=" loaded" data-src="{"default":{"load":"default","w":"73","h":"49","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQV.img?h=486&w=728&m=6&q=60&o=f&l=f"},"size3column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQV.img?h=416&w=624&m=6&q=60&o=f&l=f"},"size2column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQV.img?h=416&w=624&m=6&q=60&o=f&l=f"}}" height="400" src="http://img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQV.img?h=486&w=728&m=6&q=60&o=f&l=f" style="border: 0px; box-sizing: border-box; display: block; height: 49rem; line-height: 0; margin: 0px; max-width: 100%; padding: 0px; position: relative; width: 73rem;" width="333" /></span><span class="caption truncate" style="box-sizing: border-box; caption-side: bottom; color: #666666; display: inline-block; font-size: 1.3rem; line-height: 1.384; margin: 0.5rem 0px 0px; max-height: 3.7rem; overflow: hidden; padding: 0px; width: 72.8rem;"><span class="attribution" style="box-sizing: border-box; color: black; margin: 0px; padding: 0px 0.8rem 0px 0px;">© Provided by Mirror</span></span></span><br />
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Sleep in general, and 'getting it right' is a source fascination, prompting studies and research into its effects.</div>
<span class="storyimage fullwidth inlineimage" data-aop="image" style="background-color: white; box-sizing: border-box; clear: both; color: #333333; display: block; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin: 0px auto 2.4rem; padding: 0px;"><span class="image" data-attrib="Provided by Mirror" data-caption="" data-id="89" data-m="{"i":89,"p":84,"n":"openModal","t":"articleImages","o":5}" style="box-sizing: border-box; cursor: pointer; display: block; line-height: 0; margin: 0px; padding: 0px; position: relative;"><img alt="" class=" loaded" data-src="{"default":{"load":"default","w":"73","h":"47","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwNYOL.img?h=474&w=728&m=6&q=60&o=f&l=f"},"size3column":{"load":"default","w":"62","h":"41","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwNYOL.img?h=406&w=624&m=6&q=60&o=f&l=f"},"size2column":{"load":"default","w":"62","h":"41","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwNYOL.img?h=406&w=624&m=6&q=60&o=f&l=f"}}" height="320" src="http://img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwNYOL.img?h=474&w=728&m=6&q=60&o=f&l=f" style="border: 0px; box-sizing: border-box; display: block; height: 47rem; line-height: 0; margin: 0px; max-width: 100%; padding: 0px; position: relative; width: 73rem;" width="277" /></span><span class="caption truncate" style="box-sizing: border-box; caption-side: bottom; color: #666666; display: inline-block; font-size: 1.3rem; line-height: 1.384; margin: 0.5rem 0px 0px; max-height: 3.7rem; overflow: hidden; padding: 0px; width: 72.8rem;"><span class="attribution" style="box-sizing: border-box; color: black; margin: 0px; padding: 0px 0.8rem 0px 0px;">© Provided by Mirror</span></span></span><br />
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
We want to know how best to fall asleep during a heatwave . We want to know why we wake up when we do . And of course we want to know how best to get our children to sleep .</div>
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
As the Daily Record reports, sleeping on your left side is the least harmful position for your spine.</div>
<span class="storyimage fullwidth inlineimage" data-aop="image" style="background-color: white; box-sizing: border-box; clear: both; color: #333333; display: block; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin: 0px auto 2.4rem; padding: 0px;"><span class="image" data-attrib="Provided by Mirror" data-caption="" data-id="90" data-m="{"i":90,"p":84,"n":"openModal","t":"articleImages","o":6}" style="box-sizing: border-box; cursor: pointer; display: block; line-height: 0; margin: 0px; padding: 0px; position: relative;"><img alt="" class=" loaded" data-src="{"default":{"load":"default","w":"73","h":"49","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQZ.img?h=486&w=728&m=6&q=60&o=f&l=f"},"size3column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQZ.img?h=416&w=624&m=6&q=60&o=f&l=f"},"size2column":{"load":"default","w":"62","h":"42","src":"//img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQZ.img?h=416&w=624&m=6&q=60&o=f&l=f"}}" height="400" src="http://img-s-msn-com.akamaized.net/tenant/amp/entityid/BBwObQZ.img?h=486&w=728&m=6&q=60&o=f&l=f" style="border: 0px; box-sizing: border-box; display: block; height: 49rem; line-height: 0; margin: 0px; max-width: 100%; padding: 0px; position: relative; width: 73rem;" width="333" /></span><span class="caption truncate" style="box-sizing: border-box; caption-side: bottom; color: #666666; display: inline-block; font-size: 1.3rem; line-height: 1.384; margin: 0.5rem 0px 0px; max-height: 3.7rem; overflow: hidden; padding: 0px; width: 72.8rem;"><span class="attribution" style="box-sizing: border-box; color: black; margin: 0px; padding: 0px 0.8rem 0px 0px;">© Provided by Mirror</span></span></span><br />
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
The one thing you should be wearing BEFORE bed to ensure you get a good night's sleep</div>
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If you lie on your back, there is a danger you'll end up putting too much pressure on your hips and upper back.</div>
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If you prefer to sleep on your front, then this can lead to neck and lower back strain.</div>
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Whereas sleeping on your left-hand side can do you the world of good. The body is able to take the pressure off lymph drainage from the heart and spleen, which is crucial for encouraging the natural flow of lymph fluid and preventing lymphatic congestion.</div>
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As positions go, it's also better for your breathing - especially if you find yourself congested of a nighttime.</div>
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By encouraging them to lie on their left, the volume and frequency of their snoring will be reduced.</div>
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
There is a best time of day to shave your legs - and it's to do with your body temperature</div>
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That's because lying on your side gives optimum air flow to your lungs and prevents the base of your tongue from lolling into the back of your throat, obstructing breathing.</div>
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If you suffer from heartburn, sleeping on your left can reduce the uncomfortable symptoms AND reduce acid reflux.</div>
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Women expecting a baby are advised to adopt this position when falling asleep to encourage healthy blood flow.</div>
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And on a more toilet-related topic , adopting the left-hand side will allow your body to process waste quicker, which in turn helps guard you against constipation.</div>
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: 'Segoe UI', 'Segoe WP', Arial, sans-serif; font-size: 18px; line-height: 25.992px; margin-bottom: 1.9rem; padding: 0px;" xmlns="http://iptc.org/std/nar/2006-10-01/">
Because of the route the intestines take, lying on the left means food is able to travel easier towards your colon.</div>
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So, remember. When it comes to sleep, go left.</div>
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Unknownnoreply@blogger.com0