29 AprTake xanax – avoid heart disease

There’s always quite a big slice of the population that’s down. For them, the world revolves through shades of grey into black and back again, and there’s nothing worse than meeting happy people to make them feel really bad. Somehow all the bitterness and resentment comes to the surface. It’s a Scrooge, “Bah, humbug!” day everyday, including Christmas, if the crowd around them is bouncing around being all joyful. Perhaps it’s a fear the happiness might somehow be infectious. They want to drive all these jolly people away unless, in a moment of weakness, they find a little joy creeps up and bites them on whichever part of the anatomy might be exposed. But, for whatever reason, unhappy people resist happiness with a real enthusiasm. Sadly, the increasing body of medical evidence is that this is shortening their lives.

Let’s start with the European Heart Journal which, this month, is carrying an article suggesting that people who find peace and joy, if not excitement, in their lives are less likely to suffer from heart disease. This is not to say everyone should walk around in a state of pure contentment all the time. Everyone is entitled to periods when they feel angry, anxious or depressed. It’s a balance between dark and light. It seems the people who feel positive about themselves for longer, live longer. While those who lapse into longer lasting anxiety and depressive states are more likely to suffer heart attacks. This builds on an increasing body of research findings that happy people have stronger immune systems, lower blood pressure and are less likely to contract diabetes. Just as important, people with a positive outlook are more likely to enjoy good sleep, only drink moderate amounts of alcohol and are better able to quit smoking. But, as with all science, there is a need for more research. The immediate article comes out of a ten-year study involving 1,740 participants. This is on the borderline of statistical significance. There should more more studies involving larger numbers of people to tease out all the complex strands that contribute to longer or shorter life expectancy.

For those of you interested in this issue, you will find it useful to look at http://www.springerlink.com/content/0474658172222350/fulltext.pdf. The most interesting studies involve groups of nuns who live 7 to 10 years longer than average. They live “stress-free” quite unlike the modern secular majority whose lives are blighted by worry and anxiety. As it stands, the medical profession prefers to deal with simple remedies. To keep health insurance costs to a minimum, physicians write out a prescription for xanax while signalling for the next patient to enter. Dealing with abstract notions of happiness is not in the program for time-crunched doctors. This is unfortunate because, although there is no evidence that happiness cures serious illness, it can always make the experience of illness more bearable. This does not deny that if you buy anti-anxiety drugs like xanax online, you will not find anxiety levels reduce. But there is a difference between an absence of anxiety and a positive attitude to life. The evidence is mounting that happiness improves longevity. So, if you want to avoid an early death, start looking for a little joy. You never know. It may just creep up on you and bite you when you are least expecting it. That bite could add years to your life.

27 AprMeridia is a good helper to a healthy diet

You’re home from work and have the house to yourself. You’ve been very disciplined during the day. Just plenty of water to drink and a few biscuits. The scales show those pounds yielding to the diet. And then you find yourself opening the kitchen door. There’s a tub of icecream in the freezer that’s got your name on it. When that’s gone, there’s that piece of cheesecake and a peanut butter sandwich or two to round things off. By the time you’ve finished, the good work of the day has been undone with an intake of calories sufficient to keep a small army going for a week. But, and here comes the sad truth, you have to support being overweight with your lifestyle. If you have a little self-discipline, there’s no reason to carry all that extra weight around. It’s the boom and bust approach to dieting that does the most harm, with binge eating one of the most common of the eating disorders. Why do we do it?

Binge eating is evidence of emotional problems. It says something fundamental about how we see ourselves, how much we really care about our bodies. In these modern times, everyone knows how dangerous it is to be overweight, let alone obese. Every article like this everywhere on the web tells the same story of the risks of diabetes, cancers and heart disease. So to take the decision not to lose weight is making a statement about our lives. Put the other way round – if we cared about the risks, we would find the motivation to diet. Defeatism means giving up. We believe we are beaten. Sometimes, it’s like there’s no point in even trying even if we are literally shortening our lives.

Of course, there are therapies and treatments for all the eating disorders but, without coverage under a health plan, this is an expensive exercise. For most people, it comes down to self-help. So you need to untangle the cause and effect. Answer this simple question: what triggers a binge? If there’s a consistent reason for suddenly wanting to empty your fridge, this gives you a starting point. You might find it useful to keep a diary. It’s easier to see a pattern when you read back through a month or so of entries. Then you have to confront those situations and devise a way of getting through them without the need to eat. Recognize this desire for food has nothing to do with physical hunger. If that was the case, using a drug like meridia would be the answer, suppressing your appetite.

You have to break the habit of eating as a response to your emotions. Be your own therapist. Apply common sense and approach the exercise with an open mind. With honesty, you should overcome the problem. Of course, a sensible diet will help. Eating a good breakfast sets you up for the day. Avoid snacking and keep to regular times for lunch and an evening meal. If hunger does become a problem, you can buy meridia and it will see you through difficult times until your stomach gets used to smaller quantities of food. The aim should be to improve the general quality of your life. You will not become happy overnight, but at least aim for a more positive outlook.

23 AprPhentermine vs. the new weight loss surgery

Well, let’s begin our talk with the gossip and then get serious. It seems Gabourey Sidibe who was recently nominated for an Oscar for her role in Precious, has been approached by a weight loss company. It wants to help her lose weight and, of course, by doing so enhance its own reputation. What makes the story so interesting is the aggressiveness of the approach. Here is a young woman who is obviously not unhappy with the way she looks and is successful as she is. Yet a weight loss company thinks she should want to lose weight. Now we could assume this company is altruistic. It knows being obese significantly increases the risk of diabetes, arthritis, some cancers, a stoke or heart disease. If anyone overweight can lose between 5 and 10% of their body weight, these risks are reduced or completely disappear. So why look for celebrity endorsement? The answer lies in the national statistics.

In 2009, the National Institutes of Health reported obese people in the US represented 34% of the population while the number who were merely overweight represented only 32.7%. For the record, this classifies 72 million people as obese, i.e. their BMI is 30 or higher. In fact, the rate of obesity has doubled over the last thirty years and, being dispassionate about it, this represents a major market for weight loss products and services. Billions of dollars are at stake. Against this background, the San Diego Medical Center has been running a clinical trial on POSE. This is a new approach to bariatric surgery. The increasingly common lap band procedure requires the surgeon to enter the body through the abdomen and this inevitably leaves a scar. POSE is surgery performed using an endoscope. This is a device pushed down the throat and into the stomach without any need for an incision. Once inside the stomach, there are tools operated remotely by the surgeon. This allows the stomach walls to be sutured, reducing available space by about one-third. Thus, the effect is the same as in conventional surgery. Patients begin to feel full minutes after starting to eat. Thus, for those who have vanity issues and want to achieve a “body beautiful”, this form of surgery promotes weight loss without scars.

For the purposes of the trial, only people who have a long history of weight problems are being considered. But, if the trial proves a long-term success, you will probably see this type of procedure heavily advertized for people of all weights. It’s not our policy to argue people should not have surgery. There may come a time when people prove themselves so lacking in will power to diet and exercise that physically preventing them from overeating is the only way of saving their lives. But what does concern us is the notion that surgery should become the normal response to weight problems. As a nation, do we really want to spend millions of dollars every year on surgery when the solution to the problem is a diet, physical exercise and phentermine? Just think for a moment. If you buy Phentermine, you get an effective appetite suppressant. Why do people using it not lose weight in the long term? Because they continue to eat massive portions of unhealthy food. People are unable to prevent themselves from overeating. What does that say about the character of Americans? We have become a nation of food junkies, so addicted to eating, we cannot stop even when we know it’s killing us.

11 AprAmbien is being overprescribed

The pharmaceutical industry prefers researchers not to look in detail at the postmarketing situation. Once a drug is on the market, we are all supposed to be interested in something else. We should just assume the drug has solved whatever the problem was. There’s no need to follow up by measuring how well the drug is actually performing. Except that’s the kind of thinking that delayed the recall of the Cox-2 Inhibitors when there should have been better safety monitoring to show this class of drugs caused heart problems. Worse, this type of resistance to research runs through most different industries as the delayed recall of Toyotas aptly demonstrates. Which brings us to 2010 Sleep in America, a poll conducted by the National Sleep Foundation. This is a regular snapshot of sleeping habits across America. It’s good this research is done, but it’s on the margin with only a thousand or so participants. There should be significantly more participants if the scaling up of the numbers across the general population is to be reliable. As it is, we should not generalize too much from the results. The first finding is that, on average, we seem to be sleeping about two hours less than we did forty years ago. For some reason not properly explained, the study assumes we should all aim for about eight-and-a-half hours of sleep every night. The current crop of respondents reports sleeping between six and seven hours a night. To keep the accuracy of this report in perspective, there’s good medical evidence that lack of sleep undermines the body’s immune system making us more prone to illness, encourages obesity, increases blood pressure, and raises the risk of heart disease. What is less clear is the point at which these adverse health consequences kick in. It could be between six and seven hours a night, but there is no evidence to support this proposition. About a quarter of the respondents admit to missing work or appointments because they felt too tired. The same percentage admitted they were too tired to have regular sex. When asked to explain why sleep was more difficult, many referred to increased financial worries during the recession. Personal stress levels were higher with relationship problems. There were also lifestyle choices like watching TV in bed which delayed or disturbed sleep. In racial terms, Asians have the longest sleep patterns and blacks sleep less than whites and Hispanics. Overall, the report makes interesting reading but, until more people are included in the poll, it is difficult to generalize to the population at large. That said, some of the conclusions are intuitively correct. If about 25% of people are finding their lives adversely affected by insomnia, it helps explain why ambien is such a popular drug. As the sleeping pill with the best reputation for safety and effectiveness, it seems to be the drug of choice to get enough sleep. But it does remain something of a mystery why people make it difficult for themselves. About three-quarters of the respondents watched TV immediately before attempting sleep and then expressed surprise they did not immediately fall asleep. The reality is that, unless you resort to ambien, it’s better to relax the mind, say, by listening to gentle music. Moving the TV out of the bedroom and avoiding exciting late-night programs is basic common sense. Going to sleep at the same time every night is a good habit. Living your life around the TV schedule is a bad habit.

25 MarDiabetes and erectile dysfunction

Let’s start this off with a simple definition. Diabetes is a metabolic disease where the human body cannot use the natural sugar in the blood as energy. The cause is the failure of the pancreas to produce enough insulin. It comes in two different forms. In Type 1, the body fails to make any insulin. In Type 2, the body makes some insulin but fails to use it properly. It’s estimated that about 57 million people in the US are in the slide into diabetes, i.e. their blood sugar levels are already too high because their bodies are resisting the effect of insulin. This can only be described as an epidemic in the making. Why should we care? After all, both forms of diabetes are treatable. Well, the answer comes in two steps. Many people do not realize their danger in time. As a result, the diabetes begins to damage the body. Untreated, it can cause heart disease, kidney failure and blindness. In extreme cases, the feet and legs can develop gangrene and they have to be amputated. The second problem lies in the nature of Type 2 diabetes. This is largely a lifestyle issue. People eat and drink excessively, their weight rises and their body’s metabolism is thrown out of balance. Effective treatment requires change. An extreme measure is gastric bypass surgery to bring down the weight fast. Without this, it depends on people sticking with a diet and exercising regularly.

Erectile dysfunction is one of the first symptoms of Type 2 diabetes in men. The arteries leading into the penis are among the smallest in the body. To achieve an erection, the smooth muscle walls must be able to dilate. Unfortunately, as the blood sugar level rises, the walls of all blood vessels begin to harden. This slows down the dilation and the ability to achieve an erection gradually disappears. This disappearance is what drives men into seeking help. In turn, this prompts the diagnosis of the underlying problem.

Then, it’s all up to the man to change. Everything that can be done to prevent the spread of the disease must be done. This means following the treatment program laid down by your doctor and removing all the factors contributing to the erectile dysfunction. So you have to remove all the major causes of stress from your life. Try to be more laid back for all the right reasons. Quit smoking and stop excessive drinking. Some alcohol is OK but not a lot. And then lose some weight. Change your diet and, most importantly, start exercising. Raising your fitness and stamina levels improves the circulation of your blood and gives better erections. This is a high priority. As your blood sugar levels come under control, the damage to your body will slow. You can use viagra as needed to maintain the hardness of your erection but, as your weight drops, you should find erections improve naturally. Congratulations! You brought diabetes under control before all the major health disasters hit you and restored your erections. If you do not take effective action, buy viagra. This will keep you going for a year or so but note the warnings given above. The point of the diagnosis is giving you the chance to prevent a disease from making you seriously ill in a few years time. The longer you delay effective action, the greater the risk of heart disease, blindness and amputations.

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