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With an ex-Presidential candidate as its pitchman, more mentions on late-night talk shows than Joan Embry and the dubious honor of being the world’s top pharmaceutical treatment for impotence, few drugs in history have been more in the public eye more than Viagra – or gotten more attention for affecting the public's eyes. Along with its impact below the belt, Viagra (Sildenafil Citrate) is well-documented to cause retinal dysfunction lasting several hours after it is taken. Most commonly, it causes increased light sensitivity, blurring, and a bluish tint or haze to vision in many men who take the medication. Since receiving FDA approval in March 1998, Viagra has been prescribed more than 22 million times in the U.S. alone and is available in 90 other countries, according to manufacturer Pfizer. Here’s what you need know about Viagra and your vision: Who is most likely to get ocular side effects? Viagra is available in three prescribed doses – 25, 50 and 100 mg pills. Side effects are usually dose-related, meaning the greater the dosage, the greater the risk. According to reports by Pfizer and subsequent studies, ocular side effects occur in: About 3 percent of men taking doses of 25-50 mg About 11 percent taking 100 mg doses About 50 percent of men taking 200 mg Nearly all men taking 600 to 800 mg. Why does Viagra cause vision changes? Viagra is effective on erectile dysfunction because it inhibits phosphodiesterase 5 (PDE-5), an enzyme that enhances the effects of nitric oxide, which is released during sexual stimulation to relax the smooth muscle of the penis and facilitate blood inflow. However, the drug also has a milder inhibiting effect on PDE-6, an enzyme actively present in retinal photoreceptors. This causes an increase in the concentration of cyclicGMP, resulting in a depolarization of the rod cell – and increased light sensitivity and the infamous "blue vision." When do side effects occur? The side effects are short-lived and generally peak within 1-2 hours after the drug is taken. What is the long-term vision damage? Hard to say, since the drug has been on the market for only a few years. So far, no long-term retinal damage has been reported, but then again, long-term electroretinograms (ERG) have not been done, says Michael F. Marmor, MD, a Stanford retinal specialist who has published studies on the ophthalmic effects of Viagra. He believes the drug could conceivably result in lasting damage to photoreceptors, so he recommends that you avoid it if you have macular degeneration, diabetic retinopathy, retinitis pigmentosa or other retinal disease. (Meanwhile, Viagra's own label issues warnings to patients with existing AMD or retinitis pigmentosa because they were not studied in past clinical trials.) sex vig rx free natural penis enargement prosolution penis enlargement pill blood erection vimax penis pills penis enlargment patch vimax buy penis enlargement pills penis enlargement pill product free natural penile enlargement

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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. penis enlargement doctor penis elargement surgery cost vimax penis enlargement review penis enhancement pic before and after prosolution penis enargement pills free natural penis enargement do penis enlarement pills work safe penis enlagement penis enlargement procedure

A typical day at the inbox Today, I received 374 emails total. A pretty light day considering some days I get more than 1,000. To clarify what they were35 were for business, 4 were personal in nature, 11 were from groups I asked to get information from like Neiman Marcus and Urban Outfitters, VH1, and a PR Newsletter. The balance of 324 was unsolicited (UCEunsolicited commercial email)in other words spam. If I extrapolate the UCE I’ve gotten in the last six hours alone, I find I must be missing something about myself on some spiritual level.. I am a balding, fat man with a small penis that doesn’t work. I am in debt. I am looking for a lower interest rate on my mortgage while at the same time making thousands of dollars with no effort on my part in the privacy of my own home—filling out surveys, stuffing envelopes and not selling something that miraculously sells itself. Even better, I can be a travel agent without wrinkles; obtain a college degree while waiting for my 1500 advance to show up in my bank account; I can restore my credit rating legally while watching my free satellite TV and munching on my drugs sent courtesy of an offshore pharmacy that has a doctor who will write me a prescription… HMMM…definitely something to consider. NOT. I’ve also discovered that I am a prime candidate to help an African Prince transfer funds into the US. He trusts me. All I have to do is give him my bank account information. The problem is that I am a woman who doesn’t suffer those ills. Someone thinks I do…There is something wrong with this picture. The future of bulk email and why it is likely to remain dead Now, you might be asking why I, who was dubbed the “Spam Queen” in the “Wall Street Journal” three years ago, am even bothering to say anything about email? Just to set the record straight, I have never advocated spam or sending spam. One reporter said to me, "Some people consider all bulk email as spam. What do you have to say about that?" to which I replied, "Then I guess you'd call me the spam queen," as a joke. In our sound byte media world, one editor turned this little quip into a buzzword and I became known almost instantly, all over the world, as representing what everyone, including myself, hates about email. The media as usual emphasized sensationalism and missed the point. I am not complaining because my marketing business skyrocketed as a result. At that time I advocated email as a very effective medium for small business, which because of its low cost lets small businesses level the playing field against big corporations. At no small personal risk, I visited the Federal Trade Commission in Washington, DC, and spoke my peace about small businesses and not throwing out the baby with the bathwater before even the very term spam could be legally agreed upon and defined to the satisfaction of marketers, ISPs and the government jointly. Small businesses are the lifeblood of the US economy, and entrepreneurs with their dreams are what have made the US the economic powerhouse it still is today. Email that is sent to people who WANT to receive it, and that is in accordance with their preferences, still gets a high response. It allows many small businesses to get ahead. I didn't want to see big corporations or the government take over email and bar entry, filter, and extort everyone else while still sending their own advertising messages freely. And then came the CanSpam act, which I and many other legitimate marketers welcomed, because it had a great promise of getting rid of the noise while keeping the signal. As it turned out, the opposite happened. Email filters from ISP's now block a large amount of legitimate messages, which they call "false positives". Marketers can't send the text they would like to send to their subscribers, so they have to resort to filter tricking tactics such as spelling the word spam as sp@@@M so that they can get past the filters that were intended for another purpose entirely. In a climate like this, legitimate companies that had been diligently following best practices, and keeping their lists clean for years, suddenly did not want to stay in business with ambiguities in the law and the potential litigation that might ensue even if all the rules WERE followed, so many companies just folded. However the people that continue to send email illegally did not fold. Often times sending from outside the US borders, they stepped up their operations even more, to the point that there is almost no truly legitimate bulk email left. In other words, the signal has become lost in the noise. The simplicity is this — bulk commercial email has gotten to the point where it isn’t effective. We just don’t do it anymore. What’s the point? It doesn’t get a response, and we found people are overloaded with advertising messages and no longer willing to receive more, especially in their inbox, unless they specifically asked for it. As a marketing professional, the only thing that should count for you at the end of the day is effectiveness. Bulk commercial email has turned into the above, a bunch of unprofessional, ineffective scams. In other words, Spam is a fourletter word. Legitimate marketers are staying away in droves and it’s easy to see why. First of all let’s look at some facts. In the United States, it is legal to send unsolicited commercial email. The CAN SPAM act allows for this. You have to provide a way to optout and not hide who you are, and a few more simple but ethical rules. Although it is legal, there isn’t an internet service provider in the United States who will allow you to send unsolicited commercial email. Larger mailers have optin information from lists they purchase which imply consent but those lists aren’t originated from the mailer, but from other submailers—you get a free thing or access to a particular site and the user checks a box that it is okay to get information from their “affiliates and partners.” The “affiliates and partners” they are referring to are those who pay for the email addresses and optin information. These guys are sending you mail legally, but the fact is, they are not getting into your email box for the most part. Blocking, filtering, and doing it the “legal” way bulk wise, is just not working. Not to mention, there is no way to prove that the recipients opted in or are willing to get the message since they opted in at someone else’s site, not yours. The response rate is pathetic and when that mail does get through, you have many disgruntled individuals who never remember opting in, so in their view, the mail is unsolicited. The only way to get email into inboxes en masse is by not following the rules, so the only messages getting through are the scams, including the pornographic, illegal, and objectionable. It is ironic that the very thing people want to rail against, they are getting more of in the aftermath of CanSpam. So where does that leave us? What can a small businessperson do to get their message out, and not break their bank? How to market effectively in the new internet wave If you are a small businessperson, there are 3 alternatives that you should consider, which are described in this next section: What is effective you might ask? (Ask away, it’s kind of the point here..) 1) First party offers that impart some value added (a tip; some information, something the consumer is interested in.) Lets say John Q. Consumer gave his email address for a newsletter, or for more information on a particular subject, or to play a game. Chances are he probably would not be angered to get an email from your company especially since he asked for you to contact him. He would recognize your domain name since he spent enough time on your site to actually ask the info. Additionally, your internet service provider would not shut you down for violations and you’d start to build a small but effective list of people who are actually interested in what you, as a business owner, have to say. This has been effective since the beginning of the internet. The only problem is, how do you reach people the first time, to get them to your site? How do you find a target market for your products that is likely to be interested in what you have to offer and sign up for your newsletter, visit your site, and hopefully buy your stuff? Is there anything less costly than television, radio, and (ugh!) banner ads? Yes there is. Drum roll please…..Search Engine Marketing. If you write good ads, and compete with the right keywords, people who are already searching for an answer to a question, doing research, comparison shopping will go to a search engine and type in their parameters. If you know how to market well, only people who are interested will go to your site. If you have a web site that is compelling and you are offering a value added, they will ask for more information or sign up for your newsletter, or get your free download. Now, getting to this point can sometimes take a little time, but if you are persistent, and know how to interpret your statistics, you can do this. If you want the result without the learning curve, hire a Search Engine Marketing Firm. So the new tools for small businesspeople to stampede traffic to their websites in 2005 and beyond are going to be: 1) Search Engine Marketing 2) Publicity, including press releases that provide meaningful news 3) Providing quality content and expert commentary for radio, TV, and internet hubs in your field You can be successful on the internet and these tools help to establish you as an expert in your field, as well as attract the very people who are looking for your product or service at the same time. These are the tools of a new form of marketing, which people are calling "In Touch" Marketing, or "intelligent marketing" and is one way to cut through and actually get you the most possible business, at the lowest possible cost, with laser precise targeting. In future articles I will teach you how to use them with deadly precision. This is the new way for small businesses and entrepreneurs to succeed in 2005 and beyond. 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There are various types of birth control available to couples wanting to avoid pregnancy. Of all of these methods only condoms offer a high degree of protection against infection by HIV and other STDs (Sexually Transmitted Diseases) at the same time as providing highly effective prevention of unwanted pregnancy. But just how effective are condoms at preventing pregnancy, and what are some of the factors that have a bearing on their effectivenesss? Effectiveness of Condoms in Preventing Unintended or Unwanted Pregnancy When determining condom effectiveness, it is important to recognize that, as with all methods of contraception, the effectivness of condoms decreases when they are not used correctly. According to one large study, "In one year, only two of every 100 couples who use condoms consistently and correctly will experience an unintended pregnancy - two pregnancies arising from an estimated 8,300 acts of sexual intercourse, for a 0.02 percent per-condom pregnancy rate." Other studies that do not measure for incorrect use, but only for "regular use", indicate that the pregnancy rate may be as high as 15% of couples. But this number is skewed because it includes improper use. The main reason that condoms sometimes fail to prevent pregnancy is incorrect or inconsistent use, not the failure of the condom itself. These studies just ask women how often they have become pregnant when their partners use condoms. But the "failure rate" derived from these statistics includes cases of incorrect usage, tearing due to mishandling of the condom or rough sexual practices, or even where the couple did not use a condom every time they had sex. So it is worth repeating. When condoms are used consistently and correctly they have a very high prevention rate -- between 97% and 99%. But they must be used "consistently and correctly" in order to be this effective. Ways to Prevent Condom "Failure" Here is what you must do to insure you are getting the best protection possible from condoms: Use a condom every time you have sex. The condom must be applied as soon as erection occurs and before any sexual contact (vaginal, anal or oral). Be sure not to tear the condom with teeth or fingernails. Do not use oil-based lubricants such as petroleum jelly (vaseline), cold cream, hand lotion or baby oil, since it can weaken the latex. Withdraw from the partner immediately after ejaculation, holding the condom firmly to keep it from slipping off. Some other Condom Considerations When you buy condoms, read the label. Tests have shown that latex condoms are more likely to give you the added side benefit of preventing the passage of STDs. High quality condoms will be in a package that says the condoms are effective in preventing disease. If the package doesn't say anything about preventing disease, the condoms may not provide the protection you want, even though they may be the most expensive ones you can buy. Novelty condoms (flavored, textured, etc.) are intended primarily for sexual stimulation, not protection. Again, read the label. If it does not say anything about either disease prevention or pregnancy prevention on the package, then it will not be as effective a barrier against pregnancy and disease. For proper protection, a condom must unroll to cover the entire penis. Condoms which do not cover the entire penis will not give you maximum protection. This is another good reason to read the label carefully. Female condoms, while reasonably effective, are not quite as good as male condoms. Although using spermicide by itself (without a condom) is not a very effective way to prevent pregnancy, using condoms that have spermicide added increases their effectiveness. Condoms available from vending machines are not always of top quality. Look for brand names, and read the label carefully. Bright sunlight and heat can weaken the latex, so store them away from sunlight and in a cool place. Where should I buy condoms? If you are buying online, make sure the online store carries a broad range of name brand condoms, contains helpful information about condoms, and is reachable by phone so you can talk to a real person. The best advice is to buy from an established source that deals only in name brand products. pennis enlargement device erection penis pill size vimax penis enargement surgery cost do penis enhancement pills work penis elargement testimonials compare penis elargement pills penis enlagement result pennis enlargement video penis enlargement procedure

I want to have the best sex in my life! What should I do? 1. You should have the best woman, the woman from your dreams. But you do not even hope she would like to have sex with you. No, no, you are not right. Imagine you had an eight inch penis. 90% of women would mention this thing under your trousers for sure. 2. You want to give pleasure and to take pleasure. Penis size is important when you want to take pleasure from sex and want to give pleasure to your partner at the same time. Do not believe women who say Size Doesn't Matter. Size does matter to women. 3. Sperm volume during sex and at the end of it affects both your and her orgasm. The more sperm you splash out the more unforgettable orgasm you will experience. 4. You are afraid to fail in bed? Of course big penis does not mean you can take advantage of it. Watch porn, ask friends about their sexual experience and follow some online sexual guides.Follow these steps and will have the best sex in your and maybe in her life. Don't be uncertain with your penis size and with your man power! Good Luck!