Polycystic Ovary Syndrome (PCOS) is a medical condition that affects 10-20 percent of women who are of childbearing age. Although the cause is unknown, many doctors believe that genetics is an important factor since it seems to run in families. Since several of the symptoms can indicate other conditions, it is often overlooked until infertility becomes a problem.
The main issue seems to be a hormone imbalance where excess male hormones, or androgens, are produced. Although women need a certain level of these male hormones, those with PCOS have so much that it interferes with ovulation and causes other symptoms such as irregular menstrual periods, facial hair growth and thinning of scalp hair. There are several symptoms associated with PCOS; however, these can vary from woman to woman so it is important to speak with your doctor about both diagnosis and treatment.
Weight gain, obesity, or difficulty losing weight: Many women with PCOS also have insulin resistance, which can lead to both weight gain as well as difficulty losing weight. Hirsutism: Excessive hair growth in places typically associated with men, such as the face, chest, back, fingers, and toes. Insulin is a hormone that is produced by the pancreas and is very important in converting carbohydrates (glucose) to energy for the body to use. Studies have found that women with PCOS have too much insulin because their bodies have difficulty using what the pancreas produces. In many cases, a normal level of insulin is actually being secreted, but since the body does not respond appropriately, the pancreas is signalled to make even more. This high level of insulin tells the body to store energy as fat, which leads to weight gain. And, this perpetuates a frustrating cycle, since weight gain leads to an even greater level of insulin resistance, which may eventually result in Type 2 diabetes. There also appears to be a connection between excess insulin and the production of androgens, or male hormones, particularly testosterone. Although women need a small amount of testosterone, too much can cause an imbalance that leads to irregular periods, acne, weight gain, abnormal hair growth, and infertility.
There are also other serious health concerns associated with insulin resistance, including high blood pressure, high cholesterol levels, heart disease, and diabetes.
Following a diet for PCOS and incorporating regular exercise into your daily routine can effectively manage blood sugar levels and help reduce the risk of developing other diseases. Ovulation is difficult to predict since fluctuating hormones interfere with the ovulation process. As the egg grows, the fluid increases, and eventually the follicle will break open and release the egg.
In women with PCOS, the ovaries do not produce enough hormones to allow the egg to fully mature. Follicles may begin to mature, but the stage where ovulation occurs may be postponed to a smaller or larger degree. In a normal menstrual cycle, ovulation triggers the production of progesterone, which prepares the lining of the uterus for the fertilized egg. Besides the smaller presence (or absence) of progesterone, ovaries affected by PCOS also make male hormones, or androgens, in greater amounts than needed, which further interferes with the ovulation process. Also, many of the immature follicles may remain in the ovaries as cysts, which is why the condition is referred to as polycystic ovary syndrome.
Although it can be much more difficult, it is possible for women with PCOS to become pregnant. There are many fertility treatments available, but effectiveness may vary depending on the individual and severity of the condition. Also called a low glycemic diet or a GI diet which basically focuses around not raising the insulin level unnecessarily when eating (more about this in depth later). A Danish gynaecologist, Bjarne Stigsby, an expert on PCOS has done extensive research into the relationship between PCOS and the level of sugar food.
Many women find that weight loss will help restore hormonal balance and improve regularity of the menstruation cycle, which increases the likelihood of pregnancy. Metformin is a drug that is used quite regularly in the treatment of PCOS because it improves the body’s sensitivity to insulin. As already mentioned, studies have shown a connection between high insulin levels and the production of male hormones in women with PCOS. The theory is that by decreasing the amount of insulin secreted, the level of male hormones will also be reduced, and ovulation may resume at a more normal frequency. Although Metformin is commonly used in patients with diabetes, it is also safe for those who have not been diagnosed with Type 2 diabetes since it works by affecting insulin levels rather than directly interfering with blood sugar.
The most frequently prescribed fertility drug is Clomid, which works by increasing the production of FSH and LH.
Often, Metformin is also prescribed to help reduce insulin levels and restore regular menstruation.
If Clomid, or other similar drugs, are not successful, injections of FSH or LH may be given to help stimulate the ovulation process.
In Vitro Maturation (IVM) is a process that removes immature eggs from the ovary and allows them to mature in a lab. In this case, a woman is given medications that will cause the follicles to grow and mature, and when they reach the appropriate stage of maturity, they will be removed, fertilized in a lab, and replanted into the uterus. The main difference between IVM and IVF is the use of medications that lead to the production of mature eggs.
In by far most cases when a woman with PCOS to becomes pregnant, she carry full-term, and delivers a healthy baby. Many factors will play a role, including the severity of the condition, the woman’s general overall health, how well PCOS has been managed, how prepared the woman was for a pregnancy, and the quality of treatment and medical care received throughout the pregnancy. With proper management and medical care, many issues can be controlled or prevented, thus increasing the likelihood of a problem-free pregnancy. Some studies have shown that women with PCOS have a somewhat higher risk of miscarriage, however, this can be greatly reduced when women are aware of the risk and take the proper precautions to maintain pregnancy.
Preclampsia is a condition that involves high blood pressure and high levels of protein in the urine. Since many women with PCOS already suffer from hypertension, increased numbers during pregnancy create an even greater problem that puts both the fetus and mother at risk. If the health of the mother or the life of the baby is in great enough danger, then labor may be induced or a cesarean section may be performed.
Women with PCOS are also at a greater risk of suffering from hypertension (high blood pressure) without the complications of preclampsia, so this should be monitored regularly to ensure a healthy pregnancy. This is a form of diabetes that appears during pregnancy and disappears following delivery. Since PCOS is often associated with diabetes, women suffering from this syndrome are at an even greater risk of developing such complications during pregnancy.
If gestational diabetes occurs, women must eliminate sugar from their diet and be monitored closely for any potential problems.
In some cases, premature delivery may be induced due to other complications, but women with PCOS will often go into early labor on their own. Today’s technology makes survival of premature births much more likely, but both the baby and mother will be monitored closely. Promising studies have shown that metformin can be effective in reducing many of the problems associated with PCOS and pregnancy.
The drug appears to be safe to take during pregnancy and there is no evidence that is causes any birth defects.
There is no cure for PCOS, but there are several treatments that can help reduce or minimize many of the symptoms associated with the condition. Since symptoms will vary greatly from woman to woman, treatment will be decided on an individual basis. Many factors will be considered including symptoms, risk for specific complications such as heart disease or diabetes, and whether or not there is a desire to become pregnant.
Most women find that a combination of lifestyle changes, natural remedies, and medical treatments works the best to help combat the symptoms of PCOS. It may also take some time and experimentation to discover what works for each individual, and treatments may need to be adjusted as the body ages or goes through hormonal changes.
Weight gain or obesity is often associated with PCOS, and this can lead to other health problems such as heart disease, type 2 diabetes, or infertility.
Studies have shown that losing as little as 10% of body weight can help restore ovulation and normal menstrual cycles, improve the chances of pregnancy, and greatly reduce the risk of serious disease.
From years of study and experimentation, it seems that a low glycemic diet, the basis of a PCOS diet, has been one of the most successful approaches to weight loss for women with PCOS. The low glycemic diet, or the GI diet, was designed specifically for diabetics as a means of controlling blood sugar and reducing excess insulin production. Since the weight gain experienced with PCOS is connected to insulin metabolism, the GI diet is a good choice for managing the symptoms.
Eat low glycemic grains such as quinoa, barley, buckwheat, brown rices, dark, heavy bread and millet. Eat two servings of fruit a day, but try to make low-GI choices such as berries, oranges, or cherries. Choose healthy fats such as olive oil, avocado oil or nuts and avoid processed fats or products containing hydrogenated oils.
While the low glycemic diet has been very successful for many women suffering from PCOS, it does not work for everyone. Some people have found that a vegan diet is much more effective, and others enjoy results by counting calories or joining a diet club or support group that encourages them to stay on track and helps them to overcome discouragement. Whatever method is chosen, the key to aim for a balanced diet that consists of mainly low GI foods and is free of processed foods and added hormones. While there is no scientific proof that supplements can actually cure PCOS, some natural treatments can help restore balance to the body or improve systemic functions so that the condition also improves. Certain remedies are shown to be effective in lowering testosterone levels, increasing the likelihood of ovulation, and aiding in weight loss.
Again, keep in mind that each body will responds differently to treatments, so all the supplements listed will not work for everyone. Even though these herbs are natural, it is still important to speak with your health care provider to make sure that they are safe for your particular situation. If you are wanting to become pregnant, these supplements should only be taken until pregnancy occurs, and then discontinued until after delivery unless your doctor tells you that they pose no risk to the baby. You should also speak with your doctor about the safety of any supplements while breastfeeding. Chromium: This is a trace mineral that may help balance blood glucose levels, improve insulin sensitivity, and aid in weight loss.
Cinnamon: Cinnamon is a popular supplement used to balance blood glucose levels and control appetite.
N-acetyl-cysteine (NAC): This is an antioxidant that has been found to help reduce insulin resistance, lower testosterone levels, and increase the chances of ovulation and pregnancy in women with PCOS when combined with other fertility drugs. Chasteberry: Vitex, or chasteberry, is one of the most popular PCOS supplements due to its ability to balance reproductive hormones. Inositol: Inositol is part of the vitamin B family and is used to reduce testosterone levels, improve insulin sensitivity, reduce acne, and lower unwanted hair growth.
Vitamin D: Vitamin D deficiency has been linked to insulin resistance, weight gain, liver problems, and irregular menstruation. Stinging Nettle Root, Licorice Root, Ground Flax Seed: All three of these substances are thought to decrease testosterone levels in women with PCOS, and possibly also help increase the production of female reproductive hormones. Biotin: Biotin is a type of B vitamin that aids in glucose metabolism, nervous system health, and the growth of skin and nails. Black Cohosh: This herb is often used to lower blood pressure and manage symptoms of PMS or other menstrual cycle related issues. Dong Quai: The root of this plant has very strong medicinal properties and is useful for restoring irregular menstrual cycles and controlling the symptoms of PMS. Not only will regular exercise help women with PCOS lose or maintain weight, it has also been shown to improve insulin resistance. Plus, exercise will improve mood and help increase the chances of a healthy, full-term pregnancy.
Remember, just a 10% loss of body weight can improve the symptoms of PCOS, and exercise is a great way to achieve this goal. Many women with PCOS have found that taking birth control pills can help restore normal menstrual cycles, reduce male hormone levels, clear acne, and decrease the amount of facial hair. As previously mentioned, Metformin is a drug used to treat people with type 2 diabetes, but it is also often prescribed to women with PCOS.
Since many of the symptoms of PCOS are associated with insulin resistance, there has been a lot of support for using metformin as a form of PCOS treatment, although it is not approved for this use in many countries. Although ovarian drilling is considered to be a fertility procedure that can restore normal ovulation, it has also been shown to lower the male hormone levels that are often the cause of many other PCOS symptoms. Unfortunately, these benefits may only last a few months, so the surgery will need to be repeated. Ovarian drilling does not deal with all the other symptoms associated with PCOS, particularly weight gain or abnormal hair growth; although some improvements of these conditions may be noticed if the benefits of normal ovulation and male hormone reduction last for an extended period of time.
These are drugs that are designed to help reduce the production of male hormones, thereby reducing unwanted hair growth and other symptoms caused by an overproduction of androgens. This treatment is often given in conjunction with birth control pills; however, neither medication can be used while pregnant or breastfeeding. While the effectiveness of acupuncture for PCOS is controversial, many women have found that it helps restore regular ovulation and improves the likelihood of pregnancy. Further studies need to be done before a conclusion can be made regarding acupuncture as a treatment for reproductive disorders, but similar to natural remedies, the results are very individualized and, despite criticism, some women are experiencing very positive results.
Some women find that counselling, psychotherapy, or even support groups can help them cope with the condition and teach them how to manage PCOS effectively. Simple cosmetic procedures such as laser hair removal or electrolysis can help remove abnormal hair and improve confidence or a sense of well-being. Many studies have shown that a low glycemic diet, a PCOS diet, physical exercise and weight loss are the best ways to improve insulin resistance and reduce the symptoms of PCOS. Also certain supplements have been found to be successful; however, care should be taken when using any herbs or vitamins, particularly if you are wanting to become pregnant or if you are breastfeeding your baby. Type 1 Diabetes Mellitus (T1DM) used to be known as “Insulin Dependent Diabetes Mellitus (IDDM),” a term you will still hear used today. In T1DM, the body’s immune system attacks the cells in the pancreas that produce insulin, known as beta cells.
Type 2 Diabetes Mellitus (T2DM) used to be known as “Non-Insulin Dependent Diabetes Mellitus (NIDDM),” a term you will also still hear used today. What Causes Diabetes The Causes of Diabetes Answering the question of what causes diabetes is not as simple and straightforward as most people think.
Diabetes Introduction It is important to begin the section on diabetes by emphasizing just how dangerous the disease truly is. The Diabetes Forum - find support, ask questions and share your experiences with 209,001 people. This section looks at the different systems in the body, how the bodya€™s organs work and how they can be affected by diabetes.
The pancreas is recognised by many of us as having an effect on blood sugar levels but there are many more organs which play a role in diabetes. Choose a system by hovering over it and see the role that different organs, hormones and responses play in ensuring the body functions.
Type 1 diabetes is the result of an autoimmune response, whereby the body's immune system attacks its own insulin producing cells. The effect of diabetes on the respiratory system is less significant than it is for other organ systems.
Bones behave as an endocrine organ by releasing hormones which help improve sensitivity to insulin. Find support, ask questions and share your experiences with 209,001 members of the diabetes community. 10 week (free) low-carb education program developed with the help of 20,000 people with T2D and based on the latest research. The first comprehensive, free and open to all online step-by-step guide to improving hypo awareness.
An ever-increasing number of men are having their testosterone or “T” levels tested as they have been led to believe that falling testosterone levels can be easily corrected with Testosterone Replacement Therapy for their “Low T” problem. In actuality, the problem may be one of simple aging and should not be “fixed” by hormone replacement.
Testosterone replacement is effective and necessary for males who have a testicular or pituitary malfunction and while it is true that men lose testosterone production as they age, it has only began to be considered a medical problem in the last decade or so. Experts warn that the long-term effects of testosterone use have not been adequately studied, particularly when given for a disease that does not actually exist. Testosterone is hormone found in men, responsible for the proper development of male sexual characteristics such as, muscle bulk, bone growth, facial hair, and sexual function.
Testosterone replacement medications are approved to treat primary hypogonadism (congenital or acquired) which is caused by genetic defects, toxicity or conditions resulting in testicular failure such as chemotherapy, trauma, or injury. It is also approved to treat secondary hypogonadism (congenital or acquired) which is caused by a malfunction of the pituitary gland from due to genetic defects or due to tumors, trauma, or radiation.
Like most other medications, testosterone replacement has a number of side effects. Testosterone replacement has been linked to cardiac and vascular problems including heart attacks and stroke. Some men also see testicular atrophy (shrinking testicles), particularly with long term use, oligospermia (slow sperm) and priapism (extremely prolonged erection – can cause penile damage).
Men who have other conditions such as hypertension, diabetes or poor cholesterol profiles may also be at an increased risk of both heart attack and stroke. Previous similar investigations have led the FDA to issue warnings regarding suspect medication. In June of 2014, federal testosterone lawsuits were grouped into multidistrict litigation (MDL) in the US District Court for the Northern District of Illinois, supervised by Judge Matthew F. Attorneys for the plaintiffs claim that the manufacturing companies have failed to adequately warn of possible side effects and that testosterone is aggressively marketed to aging men, encouraging its use so much that only two percent of men using testosterone actually have a medical condition causing low testosterone. Food and Drug Administration (31 January 2014) Drug Safety Communication: FDA evaluating risk of stroke, heart attack and death with FDA-approved testosterone products. If you or a loved one experienced a heart attack, stroke or even died after receiving testosterone therapy, you may be entitled to financial compensation.
If you have suffered an injury or complication from a defective drug or medical device, you may be eligible for financial compensation. On April 18, 2014, the man, Wesley Davis, filed the complaint along with his wife with the U.S.
The AndroDerm patch is actually one of the first testosterone therapies to come onto the market, and it’s been in use for nearly two decades.
This particular patch also happens to be one of the best-selling testosterone products in the country.
In Davis’s lawsuit, he says that his doctor prescribed the medication to help him deal with, in his own words, “the woes of aging he was feeling”. Anyone who has used this product in the past, or who is currently using it, may want to seek a checkup with a medical professional. Diabetes mellitus has many symptoms, including overactive bladder, excessive thirst and hunger, weight loss, a tingling sensation in the digits, and weakened vision.
It is common for patients with diabetes to suffer from hardened muscles, or muscles that have contracted as a result of thickening soft tissue.
While atherosclerosis and diabetes are not directly related, diabetes can promote atherosclerosis, or the thickening of arterial walls.
Lastly, infarction can cause the death of motor and sensory neurons that are involved in muscle movement and blood supply.
One of the simplest ways to counteract the effect of diabetic muscle loss is to undergo testosterone replacement therapy. Testosterone replacement therapy can help patients with diabetes regain lost muscle by building new muscle with the proper workouts. Patients with diabetes who believe they may be suffering from muscle loss may consider calling Ageonics Medical for a testosterone replacement therapy consultation. A needle and syringe are used to introduce a suitable liquid preparation of a drug(s) directly into the body tissues or veins. Commonly included among the injection methods of drug administration are subcutaneous (beneath the skin), intramuscular (within the substance of the muscle), and intradermal (within the dermis).
Hyperglycemia – wikipedia, the free encyclopedia, Hyperglycemia, or high blood sugar (also spelled hyperglycaemia or hyperglyc?mia, not to be confused with the opposite disorder, hypoglycemia) is a condition in. Feedback – wikipedia, the free encyclopedia, Two types of feedback are termed positive feedback and negative feedback.
Dealing with low and high blood sugar – group health, Dealing with low and high blood sugar. Control of endocrine activity – colorado state university, Inhibition of trh secretion leads to shut-off of tsh secretion, which leads to shut-off of thyroid hormone secretion. The diabetes center: introduction to diabetes symptoms, Diabetes is a disorder characterized by hyperglycemia or elevated blood glucose (blood sugar). However, many women do not even realize that they have PCOS until they have difficulty becoming pregnant. In fact, PCOS is the leading cause of infertility in women – mainly because it often goes unnoticed.
However, since ovulation does not always occur in women with PCOS, progesterone is not secreted, and this causes irregular, or even absent menstruation. His overall conclusion is that if women change their diet to a much lower GI than the typical diet of the western world today, they may get pregnant much quicker than what would normally otherwise be the case. While there has been some success, only about 30-40% of women with PCOS will become pregnant when using fertility drugs alone.
This current destroys a tiny portion of the ovary and is sometimes successful in lowering the production of male androgens and restoring more regular ovulation.
Once maturation is reached, the eggs are fertilized and implanted into the woman’s uterus.
While IVF is the more common procedure, IVM is a great alternative for women who do not respond well to drug therapy. However, it is passed through breastmilk, so if you plan to breastfeed, you should talk to your doctor before continuing treatment. It can be very frustrating, especially since many of popular diets do not really address issues of insulin resistance, which is the main underlying cause of PCOS weight gain.
These also take longer to digest, so you will feel full longer and be less tempted to snack. Since hormone imbalances are often an issue with PCOS, if possible, try to purchase hormone free meats. Also, depending on your symptoms, not all herbal or natural remedies will be necessary, or even ideal, for your condition.
It is often used by diabetics, and has been shown to be quite effective in women with PCOS as well. In fact, some studies have shown that women can experience up to a 70% drop in male hormone levels when using inositol, which also improves the frequency of ovulation and increases the chances for pregnancy. Many women with PCOS have low levels of vitamin D, and when given supplements, they have noticed weight loss, balanced glucose levels, and the return of normal menstrual cycles. For women suffering from thinning hair, biotin may be a beneficial supplement to help improve male pattern baldness. If you have a hard time disciplining yourself to exercise regularly, join a gym or walking club so you can socialize while also getting fit. Since a electric needle is used to send a current into the ovary, there is a small risk of scar tissue developing, so this will need to be closely monitored.
Struggles about body image and infertility can impact self-esteem and put a strain on relationships. Other lifestyle changes such as quitting smoking, limiting alcohol consumption, reducing stress, and coming to terms with your body image will also help you cope with PCOS. They will be more personal in nature than this one as they will often refer to my own experience with PCOS.
Type 1 Diabetes is almost entirely genetic, whereas Type 2 Diabetes is largely due to poor diet, lack of exercise, and genetic factors. The reason for this name is that people with T1DM are completely dependent on insulin to control their blood sugars.
Once enough of these cells are destroyed, the pancreas can no longer produce enough insulin to maintain blood sugar in the normal range and you become hyperglycemic (high blood sugar). The reason for this name is that people with T2DM are not completely dependent on insulin to control their blood sugars because their bodies still have the ability to produce insulin, usually just less insulin than a regular person.
Click on a body system or body part and see the role that organs, hormones and responses play in ensuring the body functions and how diabetes can affect them. Food and Drug Administration announced its investigation of AndroGel and other testosterone replacement treatments used for men. Kennelly. The plaintiffs’ attorneys predict that thousands of testosterone lawsuits will be filed for complaints such as heart attack, stroke, cancer and other disorders and impairments. Often, the medical devices or products are somehow defective, and that’s what a New York man claims in his liability suit against Actavis and Watson. The advertisements told men that if they were feeling tired, depressed, or if they did not have the same sexual drive, they might be suffering the effects of low testosterone. Many complaints against these companies have been building over the past few months as men across the country are starting to suffer from a variety of issues, including stroke and heart issues. Those who have suffered from complications using testosterone treatment products should get in touch with an attorney who can determine whether they have a legitimate case and help them file their own lawsuit. This type of general diabetic muscle contracture can be pervasive, and makes it much harder for a patient to move or use their muscles. This contributes to restricted blood flow, which can cause cramps, pain, or general discomfort. The death of these vital neurons can further contribute to muscle disuse and atrophy, and can lead to muscle twitching and pain.
Without the proper lifestyle changes and treatments in place to support the patient’s quality of life, muscle range and movement continues to decrease, with muscle atrophy and loss being the inevitable result. Low levels of testosterone are common in patients with diabetes, and while low testosterone by itself does not directly contribute to muscle loss, it does hinder new muscle gain.
Building new muscle leads to improved movement and restored muscle functionality, which in turn improves the overall quality of life for patients with diabetes who experience muscle loss. When the patient is unconscious or injured so that he cannot be given the medication by mouth.
INSTRUMENTS USED TO ADMINISTER A PARENTERAL INJECTION Administering medicine by injection requires needles and syringes that are sterile, accurate in measuring dosages, and convenient to use.
Determine the principles associated with monitoring the patient after you have administered medication.
Difficulty losing weight and facing the increased risk of serious conditions such as heart disease or diabetes can be discouraging. Type 1 Diabetes is almost entirely genetic and cannot be controlled by exercise and diet; it must be treated with regular insulin injections. Beta cell destruction and consequent T1DM can occur at any age; however, it most commonly occurs in adolescents followed by men in their 30s to 40s. Unlike individuals with T1DM, people with T2DM also have “insulin resistance,” meaning that cells in their bodies do not react to insulin as strongly as they should.
Increased Risk of Non-Fatal Myocardial Infarction Following Testosterone Therapy Prescription in Men.
Testosterone therapy prescriptions have tripled for men trying to treat 'Low T.' Huffington Post.
Hypogonadism in the aging male diagnosis, potential benefits, and risks of testosterone replacement therapy. Association of testosterone therapy with mortality, myocardial infarction, and stroke in men with low testosterone levels.
The site is sponsored by Seeger Weiss LLP with offices in New York, New Jersey and Philadelphia. The man claims that the side effects of their testosterone patch AndroDerm, was the reason he suffered a stroke. Davis is certainly not the first person to find issues with testosterone replacement therapy. The testosterone medicine is in the form of a patch that the patient will wear on the skin. The complaints generally cite that the makers of these products did not do a good enough job when it comes to warning people about the dangers of using testosterone products. In severe cases, the lack of oxygenated blood to localized areas of muscle can cause infarction, or tissue death caused by restricted blood flow. An uncomfortable type of muscle atrophy in which the muscles of the shoulders and hips waste away, known as “limb girdle wasting”, is common in diabetics and often referred to as diabetic amyotrophy. As a result, muscle disuse combined with low levels of testosterone can and will lead to muscle loss. Olivieri has decades of experience treating low testosterone, and has helped hundreds of patients improve their quality of life by normalizing testosterone levels and restoring mobility. As their ability to produce insulin decreases (which is does progressively over time) and they cannot produce enough insulin to compensate for the insulin resistance of their cells, they become hyperglycemic.
He claims that the company that makes the drug did not do enough to warn men about the possible side effects and risks that using testosterone replacement could cause. In fact, a large number of people are starting to file lawsuits against manufacturers who make a variety of different testosterone replacement therapy products and treatment types. This means that many men might be using a potentially dangerous product right now without realizing the damage they could be doing to their bodies. This severe stroke left Davis with massive medical expenses, as well as permanent physical damage that changed his life. They did not mention the common risks, such as heart attack, stroke, blood clots, and even death.
It may take time but if you choose that is what you really want, it is possible to get your body back into balance.
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