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Nearly every person feels at least a little bit insecure about certain aspects of himself or herself; it could be looks, height, skin color, and many other things. For many men, their penis size is one thing they wish they could change. There are theories about how this feeling of discontent probably started when they began comparing what they had with what other boys in the locker room had. Maybe some men blame an unsatisfactory sex life on what they think is an inadequate penis. Whatever the reason, many men believe that they fall short of the normal penis size and this affects how they think and feel about themselves in a lot of ways. The prevalent mindset is that bigger is better, and many women feel this way about their bodies, too. How many women have had breast implants done on them because they feel they will look more womanly and more attractive? For men, the perception is that the size of the penis is an indicator of masculinity -- if it’s bigger, he is more macho and someone who should command more respect. It doesn’t help that well-endowed men in porn movies are portrayed as having normal penis size. Also, no matter how much women deny that penis size is unimportant in lovemaking, men will still believe that they will be better lovers if they have big dicks. That’s why it is very important for men to know and understand the facts about normal penis size and to accept the fact that they are indeed normal. According to studies such as the Kinsey report, normal penis size in its flaccid state ranges from 2.5 to 4.5 inches and four to eight inches in the erect state. Interestingly, some penises grow to be much larger when erect, while others barely increase in size. Evidently, how big or small a flaccid penis is does not indicate how large it will be during erection. Another interesting factor that might influence how men see their penises is the viewing angle or perspective. Looking down at it might make it seem smaller than it actually is. That’s why when you compare the size of your dick with those of the other guys in the locker room, yours will usually seem to come up shorter. Insecurity about penis size is also prevalent among teenagers. This is understandable since a lot of adolescents feel the need to be looked up to or at least stand out. Getting laughed at for having a small dick during high school can be a humiliating experience. However, it is worth remembering that the body is still growing at that stage. Some men may reach normal penis size at an earlier age, while others are late bloomers and may attain their maximum growth at a later period. The average man usually has a normal penis size. However, wanting to look and feel better is not at all unusual. If you’re a man who wants to increase your penis size, there are several ways you can go about it. You can try various penis enlargement products that are out on the market, such as penis pumps, traction devices, penis enlargement surgery or phalloplasty, and dietary supplements. It would be wise to seek the advice of experts before you go for any major procedures. For some men, getting psychosexual advice from a psychologist or psychiatrist has helped resolve negative feelings about themselves. Wanting to look good and feel great is entirely normal, but obsessing over it is not. Accepting what nature endowed you with and knowing how to use it is key to self-acceptance -– you may be “normal,” but you are then in no way just “average.” best penis enhancement surgery penile enlargement truth about pennis enlargement easy enlarement free penis surgery way free penile enlargement tip easy enlargment free penile surgery way penile enlargement testimonials penile enlargment result

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Cardiovascular Disease (CVD) is the leading cause of death for both men and women in the US. One in four people are afflicted with some form of the disease, which amounts to roughly 61 million Americans. CVD is attributed to 42% of all deaths, taking almost 1 million lives each year. Common, yet serious, conditions that fall under the CVD umbrella are: atherosclerosis, angina, high blood pressure, high cholesterol, heart attack, heart failure, stroke and arrhythmia. If cardiovascular conditions are detected early on, the odds of combating their effects and possibly reversing them altogether can be increased significantly. Understanding Cardiovascular Disease Cardiovascular Disease encompasses all diseases related to the cardiovascular system, including dysfunctional conditions of the heart, arteries and veins that supply oxygen to vital life-sustaining areas of the body such as the brain, the heart itself and other vital organs. Atherosclerosis Atherosclerosis is the most common of the cardiovascular conditions and lies at the root of most of the major diseases affiliated with the heart. Atherosclerosis is the hardening and narrowing of the arteries caused by the slow buildup of plaque on the inside walls of the arteries. Coronary Artery Disease (CAD), occurs when atherosclerosis results in a partial or total blockage to the coronary arteries, which supply blood to the muscles of the heart. CAD is the most common underlying cause of heart attack. Angina is the medical term used to describe chest pain or discomfort that occurs when the heart muscle does not get enough blood. Usually the pain starts in the chest behind the breastbone but may also occur in the arms, shoulders, neck, jaw, throat, stomach or back. Angina can be a sign of an impending heart attack. Heart attacks occur when a clot in the coronary artery blocks the supply of blood and oxygen to an area of heart muscle. Often, the blockage leads to cardiac arrhythmia, an abnormally high or abnormally low heart rate that causes a severe decrease in the pumping function of the heart and may bring about sudden death. A Stroke is caused by an inadequate oxygen flow to the brain. Strokes that don’t result in death can be mild, known as Transient Ischemic Attacks (TIA), or they can be severely damaging to the brain, causing paralysis and cognitive malfunction. Heart Failure Heart failure usually develops slowly, often over years. Some people may not become aware of their condition until symptoms appear years after their heart began its decline. Symptoms of heart failure include shortness of breath, difficulty breathing, fatigue, swelling of the ankles and feet, and weight gain due to water retention. Cardiovascular Disease Risk Factors With so many people affected by cardiovascular disease, it is important to be familiar with the associated risk factors. High Cholesterol- Cholesterol is an important factor in brain function, and is the structural material from which the hormones progesterone, testosterone, estrogen, DHEA and cortisol are made. Proper ranges of cholesterol are important to the prevention of cardiovascular disease. Total blood cholesterol above 200, LDL cholesterol above 130, HDL cholesterol below 35 and lipoprotein levels greater than 30 are all indicators of problematic cholesterol. High Blood Pressure- High blood pressure, or Hypertension, often results from excess fat or plaque buildup because of the extra effort it takes to circulate the blood. Blood pressure levels at or below 120/80 are considered to be within the normal range. 140/90 or higher is considered to be within the high range. Blood pressure levels ranging from between 120-139/80-89 fall within the range of pre-hypertension, which means that you are more likely to develop high blood pressure unless you take action immediately to prevent it. Diet- A healthy diet is essential. You should eat five to seven fruits and vegetables a day, whole grains, a handful of nuts, and low-fat meats, chicken and fish cooked in olive oil or other excellent tasty oils. Avoid sugars and processed foods. Diabetes- Persons with diabetes lack the necessary hormone, insulin, to break down digested sugars, or are resistant to its effects. As a result, a person with diabetes is at the same level of risk for having a heart attack as a person who has had a prior heart attack. Stress- When the body is consistently under a lot of stress, it releases too much of the hormone cortisol. This puts an extra strain on the heart as the blood pressure rises and the body retains too many excess fluids. Lack of Exercise- Fall in love with exercise! The heart is like all other muscles in the body. In order to stay in good shape and function properly, it needs to be exercised. Exercise will help control other risk factors such as obesity, high blood pressure, diabetes and stress management. Diagnosing Cardiovascular Disease Until recently, the ability to detect heart related conditions was limited and the ability to detect early onset was virtually impossible without the use of expensive and potentially dangerous procedures. Due to the advancement of technology and decades of valuable research, a new diagnostic machine, the CardioSpec, has recently been made available to physicians to detect cardiovascular disease with greater accuracy and specificity in less than 2 minutes and without the need for invasive procedures. The CardioSpec is highly effective in diagnosing seven types of cardiovascular disease - coronary artery disease, heart attack, left ventricular dysfunction, left ventricular enlargement, conduction abnormalities, arrhythmia, and pulmonary heart disease - with more than a 90% accuracy rate. The diagnostic system works by evaluating the function of the heart directly, detecting subtle changes in the hearts function or injuries caused by obstruction of small coronary arteries, which cannot be detected by catheterization or angiography. Early detection of cardiovascular disease could mean the difference between life and death. If you have any of the risk factors associated with CVD, see your physician as soon as possible. After a thorough evaluation, your physician can determine if you have CVD and begin to develop a treatment plan that works for you. CVD does not have to be a life sentence and with some significant lifestyle changes, you can be on the road to recovery. But the first step is ACTION. Call your doctor today. magna rx penis girth enargement pnis enlargement operation best penis enlargement pill penis elargement patch vimax vig rx results penis enlargment excersizes penis enargement video

A Guide to Testosterone Cream Have you ever imagined that one day if you were suffering from low levels of testosterone you could just rub on some testosterone cream, which then becomes absorbed through your skin boosting your levels of this vital hormone? Testosterone therapy using cream is a mixed bag. Though very effective as a form of testosterone replacement, there are possible testosterone cream negative side effects. Other remedies exist such as patches, injections, oral androgens, and the implantation of time release pellets under the skin that might serve better. The testosterone cream negative side effects fall into three classes. Some are well known. Another class happens occasionally and a third category of t negative side effects occurs only rarely. The negative consequences that happen from testosterone cream for women are often different than those for men. The first class of side effects can occur from testosterone cream for women and for men. These negative side effects can include masculinizing effects such as increased hair growth, deepening of the voice, weight gain and acne. In men, prostrate problems can develop and difficulty in urinating can occur. Enlarged, swollen or tender breasts can result from using testosterone cream for women. Irritation of the skin is another commonly encountered side effect occurring where the testosterone cream is applied. The use of too much testosterone cream can express itself as the blood level rises to a toxic level. The second class of testosterone cream negative side effects contains those that occur less often but are also a consideration. These consequences of using testosterone cream include depression, anxiety, and possible mood disorders. High blood pressure can result from using testosterone cream as well as gastrointestinal problems and headaches. Additional testosterone cream side effects include actually reducing sex drive rather than enhancing it. Often changes in cholesterol levels from the use of testosterone cream are detected. Menstrual irregularities and enlargement of the clitoris can result from testosterone cream for women. The use of this topical gel can be continued in some of these cases under the supervision of a doctor. Men who have prostrate problems should not use the cream. A fear of initiating prostate disease, or even prostate cancer in some cases, exists as a concern among the medical community. Using testosterone cream for women in pregnant women or mothers who nurse their babies should not be performed. The testosterone can pass from the mother to the baby. Likewise, people using testosterone cream with a history of liver disease, kidney disorders, cardiac problems or known hypersensitivity to testosterone should not use it. The testosterone cream negative side effects in these cases should be obvious. The rare effects from using testosterone cream for women and men include liver complications. These cream negative side effects can manifest themselves as yellowing of the skin or eyes, nausea, abdominal pain, unusual bleeding, abnormal bruising or severe fatigue. Prolonged erections in men also occur. Breathing disturbances, including those associated with sleep, can result from using testosterone cream for women and men. Nausea or vomiting can also occur from the use of testosterone cream. Swelling of the ankles and changes in skin color are other rare possible negative side effects. Allergic reactions are testosterone cream negative side effects that might result in difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives. In any case, if these serious symptoms from using testosterone cream for women and men emerge seek emergency care immediately. Although unlikely, these offshoots of using testosterone cream are dangerous enough to warrant immediate attention. The use of testosterone cream for testosterone replacement therapy has the advantage of being convenient and effective. However, the testosterone cream negative side effects from using testosterone cream for women and men may outweigh the advantages for some. This article is not intended to scare anyone using or considering using testosterone cream. By and large, many of the cream products are very safe and many people won't experience any discernible side effects. Talk to your doctor carefully about the cream and other testosterone replacement therapies. cheapest penis enlarement pills free penis enargement technique natural penile enlargement exercise free penile enlargement technique natural penis enlargement and lengthening plastic surgery pennis enlargement vimax penis enlargement forum vig rx pill penis enargement video

There have been, perhaps, six critical conversations I’ve had that have shaped my professional consulting career. One of them was with an operations manager at a division of Federal Express. I had just completed a successful, nationwide training program for the field sales force, so my credibility and confidence were soaring. Then, I heard a simple, but challenging question. “We know how to measure sales productivity,” he said. “But is there something you can develop that will measure customer service productivity?” Reflexively, I thought, “Why bother? Even if we can do it, reps will hate it.” But I held my tongue, sensing that this was a rare opportunity to revisit some of my assumptions. My gut reaction was informed by years of doing seminars across the country in which I brought together sales and service people into the same sessions. Evaluations told me that they felt they were adversaries with mutually exclusive value systems. Sales types tend to see themselves as swashbucklers, rogues, high-wire types, who crave adventure and embrace risks. They thrive on contingent pay, on the prospect of receiving hefty commissions and bonuses when they make big sales. Service folks tend to be more risk averse. Often, they have a clerical mentality, which commends accuracy while penalizing mistakes. I sensed, to my core, that if we suggested to them that their pay should be even partly variable, based on achievement, they’d rebel. This was more than supposition on my part. I had introduced cross-selling programs for years into service departments, experience that informed my best-selling book, Selling Skills For The Non-Salesperson. I found I could design a great sales program for service people, yet many would balk, even after they had achieved success and financial rewards through it. They explained to me, in a very straightforward way, that they simply didn’t want to be salespeople, and that was that. Noting resistance from the rank and file, senior management, in those days, refused to push for implementation, despite the fact that big profits were being left on the table. What, if anything, has changed since I was asked this question? Four crucial things: (1) We know much more about measuring customer service achievement. (2) Job enlargement, downsizing, CRM, and the rise of professionalism in companies have all contributed to an expectation of broadened CSR responsibilities and heightened performance. (3) Global competition, especially from knowledge workers in countries such as India, China, and elsewhere, is beginning to exert pressure on domestic workers to find ways to increase their contributions, if only to keep jobs onshore. (4) Management is more cost and profit conscious than ever before. Customer Service Achievement If there have been three unwritten commandments in the past for being a capable CSR they have boiled down to: (1) Sound nice; (2) Defuse angry customers; and (3) Don’t make mistakes entering or retrieving data or reciting company policies. Now, associates are being discouraged from focusing primarily on themselves, on customer service, or the motions they go through as they work. They’re being required to focus on outcomes: on customer satisfaction and on customer loyalty. They’re being shown, through new training and unobtrusive, real-time performance measures, how to evaluate the impacts they’re having on transactional satisfaction and a customer’s decision to buy again from their organizations. To borrow a phrase from Peter F. Drucker, suddenly the customer handling process is being managed for results. If we can objectively monitor, measure, manage, and systematically replicate customer results, there’s no reason to deny better pay to the people that can produce them. Future articles will explore some of the other crucial changes that have occurred, as well as discuss the pragmatics of introducing a pay-for-performance plan into the customer service context. vimax forum do pnis enlargement pills work best penis enargement top rated penis enlargement pills free penis enlargement tip penis enlargement patch penile enlargment excercises penis enlagement pic before and after penis enargement video

When thinking about my patients, I've noticed a pattern to the marital conflicts that they share. Here's my list of the top ten things that put your marriage at higher risk for break-up and the things you must do to strengthen it. 1) Putting-Down Spouse's Friends/Family Don't badmouth your spouse or her/his friends, family or associates. Spouses need to know you appreciate their world outside of you. Rather, compliment her friends and family. 2) Not Using Good Listening Skills This includes indulging pre-occupation, avoiding eye contact, looking somewhere else as the conversation unfolds etc. Rather, use good eye contact, wait 'til your spouse finishes talking and concentrate so much on what s/he is saying that you paraphrase it to demonstrate you REALLY listened. 3) Lack of Sexual Interplay This is a very ominous sign in marriage. If your partner has complaints that prevent him/her from wanting to engage you sexually, get help. Seek medical and/or psychological counseling, if necessary. Men, don't get hung-up on wanting SEX-SEXUAL INTERCOURSE all the time. Be able to frequently engage your partner slowly and tenderly in a SENSUAL fashion without SEX. Don't worry, your penis won't explode because of pent-up semen. Don't leave your partner clueless as to why you aren't interested in sex. 4) Always Having the Last Word or Need to be Right This includes lecturing, criticizing and over-correcting your partner. Narcissists are HARD to love! Occasionally, admit that you made a mistake, don't know or compliment your partner as having made a "good point" (and leave it at that). Please be concise. Don't answer every question with a lecture on the topic. 5) Not Following-Thru Actions do speak louder than words. Be reliable and trustworthy. When you commit yourself to doing something, do it. This builds the trust necessary to maintain a close relationship. Trust involves everyday things, not just fidelity. 6) Inconsiderate Teasing Believe your spouse if s/he says that your teasing was hurtful or a put down. Don't give a lecture about why that wasn't correct. Just stop it. Ask yourself what s/he would find complimentary and say that instead. If you just LISTEN to your spouse you can learn alot. 7) Deceit, Lies and Falsehoods Having lies and secrets creates distance and serious suspicions in your mate. This leads to lack of trust and robs your relationship of the fuel it needs to keep going. Swallow, bite the bullet, be considerate and be honest. 8) Being Juvenile When you know you are annoying and you continue to annoy, it's immature and VERY wearing on a spouse. Find better ways to get attention and use healthy communication techniques to communicate your gripes. 9) Explosive Anger You must handle conflict constructively EVEN if your spouse doesn't. Having angry outbursts always makes you the loser, even if you ARE right. That's called being "self-defeating." Copyright, Shery, 2006