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Interactions Lemon balm should be used in lower dosages when combined with other herbs erectile dysfunction drugs sublingual cheap cialis extra dosage 60 mg without prescription, particularly such other sedative herbs as valerian erectile dysfunction and pregnancy generic 40mg cialis extra dosage amex. In addition causes of erectile dysfunction in 30s cheap cialis extra dosage amex, lemon balm should not be taken together with prescription sedatives or alcohol erectile dysfunction vacuum pump reviews buy generic cialis extra dosage 60mg online, as it can intensify their effects. Persons taking any medication containing thyroid hormones should not take lemon balm. A physician should be consulted before taking lemon balm in conjunction with any other prescribed pharmaceuticals. The Complete German Commission E Mongraphs, Therapeutic Guide to Herbal Medicines. Believed to have a wide range of therapeutic effects, the herb has been used for 1201 Lemongrass centuries in South America and India and has also become popular in the United States. Aside from folk medicine, lemongrass is a favorite ingredient in Thai cuisine and dishes that boast a tangy, Asian flavor. While there are several species of lemongrass, Cymbopogon citratus is the variety most often recommended for medicinal purposes. Native to Southeast Asia, lemongrass can also be found growing in India, South America, Africa, Australia, and the United States. Only the fresh or dried leaves of lemongrass, and the essential oil derived from them, are used as a drug. Cymbopogon citratus, which belongs to the Poaceae family of plants, is also referred to as West Indian lemongrass. Not to be confused with lemon balm, which is an entirely different herb, lemongrass is considered by herbalists to have several useful properties, including antibacterial, antifungal, and fever-reducing effects. In one test-tube investigation, published in the medical journal Microbios in 1996, researchers demonstrated that lemongrass was effective against 22 strains of bacteria and 12 types of fungi. A study conducted in rodents suggests that myrcene, a chemical found in the essential oil of Cymbopogon citratus, may act as a site-specific pain reliever. Unlike aspirin and similar analgesics, which tend to alleviate pain throughout the body, myrcene seems to work only on particular areas. A study involving people indicates that lemongrass may also affect the way the body processes cholesterol. More recently, lemongrass has been shown to have antimutagenic properties; that is, researchers have found that it is able to reverse chemically induced mutations in certain strains of bacteria. While they may not be aware of it, most Americans have already tried lemongrass in one form or another. Citral, a key chemical found in Cymbopogon citratus, is an ingredient in a variety of foods and beverages (including alcohol). It can be found in candies, puddings, baked goods, meat products, and even in certain fats and oils. Like other essential oils, lemongrass is also used as a fragrance enhancer in many perfumes, soaps, and detergents. Lemongrass is one of the most popular plant medicines in Brazil, where it is used to treat nervous disorders and stomach problems. When taken internally, lemongrass has been recommended for stomachaches, diarrhea, gas, bowel spasms, vomiting, fever, the flu, and headaches and other types of pain. To treat circulatory disorders, some authorities recommend rubbing a few drops of lemongrass oil on the skin of affected areas; it is believed to work by improving blood flow. The link between lemongrass and cholesterol was investigated by researchers from the Department of Nutritional Sciences, University of Wisconsin, who published their findings in the medical journal Lipids in 1989. They conducted a clinical trial involving 22 people with high cholesterol who took 140-mg capsules of lemongrass oil daily. While cholesterol levels were only slightly affected in some of the participants-cholesterol was lowered from 310 to 294 on average-other people in the study experienced a significant decrease in blood fats. The latter group, characterized as responders, experienced a 25-point drop in cholesterol after one month, and this positive trend continued over the course of the short study. After three months, cholesterol levels among the responders had decreased by a significant 38 points.

Description Myotherapy eliminates pain and swelling through the application of pressure at strategically located nerve locations called trigger points importance of being earnest generic 40 mg cialis extra dosage overnight delivery. This treatment is in fact the only technique to alleviate muscle spasms that is not based on topical or internal medication erectile dysfunction fertility treatment generic cialis extra dosage 50mg otc. The therapist first locates and diffuses the trigger points of pain through applying pressure to those locations erectile dysfunction definition best order cialis extra dosage. This process relieves the pain and also relaxes the muscles associated with the specific discomfort erectile dysfunction best medication order cheap cialis extra dosage on-line. Secondly, during the therapy session the patient undergoes a series of exercises to progressively stretch the muscles that have been relaxed by the pressure therapy. A typical patient needs fewer than 10 sessions before realizing the full benefits of this therapy. The age of the patient who undergoes myotherapy is significant only in determining the number of trigger points that might cause muscle pain. Because trigger points accumulate over time, older patients have usually developed more trigger points. For anatomical pathology patients, however, medical attention is necessary before seeking myotherapy treatment. The benefit of enhanced athletic performance may be a positive side effect of myotherapy treatment. There is a wide network of doctors who are familiar with the beneficial effects of myotherapy that legitimizes this form of treatment within the medical community. Training & certification Preparations As with most treatments this pain relief technique should not be undergone without a physical examination by a qualified doctor or technician. Preparatory examination is necessary to determine that there is no structural anatominal problem causing the pain, because problems of this nature require medical treatment that cannot be replaced by myotherapy. To benefit fully from myotherapy, the patient should have a positive attitude and willingness to give up any emotional investment in the pain syndrome. After the completion of the training regimen, the candidate must pass a board examination in order to receive official recognition as a Certified Bonnie Prudden Myotherapist. The training sessions total 1,300 hours prior to the board certification examination. A program of continuing education involving 45 hours of enrichment and update training on a bi-annual basis is required in order to retain myotherapist credentials. Gloria Cooksey was carried in small pouches that wealthy persons hung around the neck for fragrance. The Ebers Papyrus, believed to have been found in the necropolis outside Thebes, provides evidence of Egyptian medicinal use of myrrh. This ancient document contains as many as 800 medicinal recipes using such plants as myrrh, peppermint, aloe, castor oil, and numerous other herbs in common use today. Myrrh was mentioned in the bible as a component of the bitter solution offered to the crucified Jesus during Roman times. The herb was traditionally mixed with wine and offered to prisoners prior to execution to ease pain. Myrrh is used today in Chinese medicine to treat wounds, relieve painful swelling, and to treat menstrual pain due to blood stagnation. Myrrh was a highly valued commodity for commerce on ancient spice routes, and is woven into legend and myth. In Syrian legend the myrrh tree is named for the daughter of Thesis, a Syrian king. Myrrh is a shrubby desert tree known variously as gum, myrrh tree, guggal gum, guggal resin, didin, and didthin. The highly valued aromatic gum resin of myrrh has a bitter, pungent taste and a sweet, pleasing aroma. The light gray trunk is thick and the main branches are knotted with smaller branches protruding at a right angle and ending in sharp spines. The hairless, roughly toothed leaves are divided into one pair of small, oval leaflets with a larger, terminal leaflet. The Queen wanted to please the god Amon by surrounding his temple with living myrrh trees. According to legend Queen Hatshepsut was promised "life, stability and satisfaction. The Egyptians used myrrh in embalming compounds and burned pellets of myrrh to repel fleas.

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Potassium requirements In the past potassium was more plentiful in the diet than salt erectile dysfunction 60 purchase cialis extra dosage 50 mg mastercard, but gradually erectile dysfunction frequency age 100mg cialis extra dosage otc, the situation has been reversed best erectile dysfunction doctor purchase cialis extra dosage 50 mg without a prescription. Mary McNulty Potassium Description Potassium is one of the electrolytes essential to the smooth running of the human body; in fact just about all bodily functions depend on it to some extent erectile dysfunction quick fix buy cialis extra dosage 100mg fast delivery. It is also one of the most abundant minerals in the body, constituting 70% of the positive ions inside cells; the rest are a mixture of sodium, magnesium, calcium, arginine, and others. Potassium is distributed to the cells by a process of passive diffusion and is regulated by an enzyme called adenosinetriphosphatase together with the level of sodium concentration inside the cell. Potassium and sodium are antagonistic, which means that an imbalance of one will automatically cause an imbalance of the other; normally potassium should predominate inside the cell. General use Potassium is necessary for normal cell respiration; a deficiency can cause decreased levels of oxygen, which will reduce the efficiency of cell function. Adequate supplies of potassium are also required to regulate heartbeat, facilitate normal muscle contraction, regulate the transfer of nutrients to cells, and regulate kidney function and stomach juice secretion, among other things. Cooking and processing destroy potassium, and added salt further robs the body of vital potassium. This departure from traditional cooking of fresh homegrown fruit and vegetables is likely the cause of many health problems faced by modern society. Those who may need to take potassium supplements include women who take oral contraceptives, abusers of alcohol or drugs, smokers, athletes, workers whose job involves physical exertion, patients who have had their gastrointestinal tract surgically removed, anyone suffering from any degree of malabsorption syndrome, and vegetarians. People who have eating disorders, especially bulimia and anorexia, are particularly at risk from damage due to low potassium levels. Also, individuals who have been ill, anyone who has undergone surgery and those who are taking cortisone or digitalis preparations, and those suffering from high levels of stress will probably also have low potassium levels. However, in general, nutritionists recommend reducing salt intake and ensuring adequate supply by increasing the amount of fresh fruit and vegetables in the diet. If a person feels that he or she may be suffering from a potassium deficiency, but would like to make sure before taking supplements, there are a variety of laboratory tests that can be conducted. They include serum-potassium determinations (although these may be unreliable unless levels are very low), serum creatinine, electrocardiograms, serum-pH determinations, whole blood, sublingual cell smears, and red blood cell potassium level determinations. Cooking Boiling food in water is a sure way to lose the potassium in it, unless it is to make soup. Baking and broiling are ways in which food can be cooked while at the same time preserving the potassium content, indeed, these methods preserve all the nutrients apart from vitamin C and some of the B vitamins which are destroyed by heat. It is important to vary the intake of potassium rich foods in order to ensure adequate intake of other nutrients and to avoid the possibility of toxicity, as some vegetables contain elements that are toxic if they are eaten in large amounts (oxalic acid in rhubarb for example). Many variations are to be found under the heading "potassium broth," and most natural health practitioners recommend one version or another, but the main constituents are the following vegetables, generally any vegetable of choice can be added to this base. After about one hour, add the remaining ingredients and continue to simmer in plenty of water for about another hour. It is preferable to use the potatoes and carrots well scrubbed, but with their skins on, as this retains valuable nutrients. Potassium supplements Potassium supplements come in either tablet or liquid form, and anything over 390 mg needs a prescription in the United States. Enteric coated tablets have been known to cause ulcers, as they do not dissolve until they reach the intestines and may prove too concentrated for the undefended intestinal wall. Slowrelease enteric-coated supplements are now available, which decrease the danger of ulcers. Supplements may have side effects and large doses must be taken to approach the levels of potassium that can be obtained from food; the average tablet contains about 90 mg, for example, and a medium banana contains 500 mg. Vegetables containing the highest levels of potassium are generally those containing the lowest levels of starch. Seaweed has an amazingly high potassium content, containing roughly ten times as much as leafy vegetables, but also contains a large amount of mineral salt. Plentiful sources of potassium There is a great variety of natural foods that are an excellent source of potassium. These include avocados; ba1620 Potassium conate is the ideal supplement, as it more closely resembles the potassium found in plants. Small divided doses should be taken, as opposed to one large dose, when treating a potassium deficiency.

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However erectile dysfunction home remedies generic cialis extra dosage 60 mg online, when an individual encounters a large number of organisms at once erectile dysfunction 33 years old purchase cialis extra dosage 200mg on line, the usual defenses may be overwhelmed impotence organic buy cialis extra dosage on line amex. Infection may happen either by inhaling contaminated air droplets erectile dysfunction after prostatectomy purchase 100 mg cialis extra dosage fast delivery, or by aspiration of organisms inhabiting the upper airways. The alveoli (air sacs) of the lung become blocked with pus, which forces air out and causes the lung to become solidified. Inspired air (the air taken in when a person breathes) contains oxygen, and travels down the respiratory tree to the alveoli. The oxygen moves out of the alveoli and is sent into circulation throughout the body as part of the red blood cells. The oxygen in the inspired air is exchanged within the alveoli for the waste product of human metabolism, carbon dioxide. To restate this exchange of gases simply, you breathe in oxygen, you breathe out carbon dioxide Respiratory system defenses the healthy human lung is sterile. There are normally no resident bacteria or viruses (unlike the upper respiratory system and parts of the gastrointestinal system, where bacteria dwell even in a healthy state). In addition to exposure to sufficient quantities of causative organisms, certain conditions may make an individual more likely to become ill with pneumonia. Certainly, the lack of normal anatomical structure could result in an increased risk of pneumonia. For example, there are certain inherited defects of cilia which result in less effective protection. Cigarette smoke, inhaled directly by a smoker or second-hand by an innocent bystander, interferes significantly with ciliary function, as well as inhibiting macrophage function. Stroke, seizures, alcohol, and various drugs interfere with the function of the epiglottis. A weak epiglottis leads to a leaky seal on the trap door, with possible contamination by swallowed substances and/or regurgitated stomach contents. This inteference further decreases the chance of clearing unwanted debris from the respiratory tract. Viruses may interfere with ciliary function, allowing themselves or other microorganism invaders (such as bacteria) access to the lower respiratory tract. In recent years this virus has resulted in a huge increase in the incidence of pneumonia. This includes some previously rare parasitic types that would be unable to cause illness in an individual possessing a normal immune system. The elderly have a less effective mucociliary escalator, as well as changes in their immune system. These include asthma, cystic fibrosis, and neuromuscular diseases that may interfere with the seal of the epiglottis. Esophageal disorders may result in stomach contents passing upwards into the esophagus. This increases the risk of aspiration into the lungs of those stomach contents with their resident bacteria. Diabetes, sickle cell anemia, lymphoma, leukemia, and emphysema also predispose a person to pneumonia. Pneumonia is also one of the most frequent infectious complications of all types of surgery. Many drugs used during and after surgery may increase the risk of aspiration, impair the cough reflex, and cause a patient to underfill their lungs with air. Pain after surgery also discourages a patient from breathing deeply enough, and from coughing effectively. Radiation treatment for breast cancer increases the risk of pneumonia in some patients by weakening lung tissue. In addition, the use of mechanical ventilators to assist patients in breathing after surgery increases their risk of developing pneumonia. Symptoms Pneumonia is suspected in any patient who has fever, cough, chest pain, shortness of breath, and increased respirations (number of breaths per minute). These secretions are produced in the alveoli during an infection or other inflammatory condition.