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What are penis enlargement pills and exercises? Do they work and which of the two works better? These questions have been bugging men for quite some time now. Throughout the centuries, men have wanted to enlarge their penis. In ancient times, the man with the larger penis was always regarded as the manliest of all the men. Those with a small sized penis were often mocked, bullied, and laughed at, not that it was their fault as it was, and is, all hereditary. Today, men with a smaller than average sized penis develop exercises, stretcher devices, and herbal medicine to fix their problem. Many men are choosing to enlarge their penis in non-surgical ways. A major concern among these guys is the question, what really works? Penis enlargement exercises can enlarge the penis in both length and girth. A common exercise technique is called jelqing, which goes back through centuries. Stories tell about men in Arabia doing these exercises before getting married, to better please their wife. A typical jelqing exercise session takes at least 30 minutes, and is usually done about 5 days per week. Today, milking, or the power jelq is a common exercise found in online exercise guides. Exercises can definitely add size on their own. The penis enlargement pills, on the other hand, provide the herbal nutrients needed to accelerate your gains. Penis pills have similar effects to those that bodybuilders take to increase their muscle gains. Scientists, doctors, and even nutritional experts have worked together to develop the best, most effective penis enlargement pills. They have used plant extracts like the ones used in eastern medicine to create an all-natural herbal pill, which is guaranteed to give you no side effects. These types of supplements contain no chemicals and are safe to take, as the nutrients in them are edible in nature. Man-made pills created in a chemical laboratory may give you bad side effects as the ingredients are not natural. Combining herbal pills and enlargement exercises can bring results much more quickly than either method used on its own. If a man takes the penis pills and also does enlargement exercises, he should be careful about not overdoing them. It is also important to not put too much pressure on the penis during an exercise session. The penis can change color if there is some damage from the exercises, and this is when a doctor should be consulted. If you follow the directions and do everything right, you will be enjoying the added girth and length you’ve wanted in a short period of time. It turns out that most men do not exercise their penis in any major way besides during sex. Exercises or pills each enhance the penis in their own way and their combination can provide many improvements that men may desire. vimax penis enlargement forum magna rx real penis enlargment erection penis pills size vimax penis enargement surgery picture vimax customer service vimax best penis enlargement penile enlargement product

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More than 50 percent of diabetic men suffer from impotence, and almost all complain bitterly that it has destroyed something that is very important to them. Impotence caused by diabetes can be prevented or reversed in almost all men whose bodies can still make insulin. Diabetes causes horrendous nerve damage including blindness, deafness, burning foot syndrome, loss of feeling, loss of muscle control, pain and tingling and impotence. The penis is the only gland in the body that has its blood supply shut off all the time. Muscles surrounding the penile artery constrict the artery to prevent blood from flowing to the penis. When a man is excited, his brain sends messages along nerves that cause the nerves to secrete a chemical called nitric oxide theat relaxes the muscles around the arteries to open blood flow to the penis and the balloons in the penis fill with blood and the man has an erection. More than 90 percent of diabetics who can still make their own insulin can be controlled so that they do not suffer nerve damage. When you eat, your blood sugar level rises. If it rises too high, sugar sticks to cells and causes permanent nerve damage. Doctors can measure how much sugar is stuck on cells with a blood test called HBA1C. To get your HBA1C to a normal range below 6.1, you have to avoid foods that cause a high rise in blood sugar such as those with added sugar, those made from flour such as bakery products and pastas, and fruit juices. Most cases of nerve damage from diabetes can be reversed by good control of diabetes, but sometimes the damage is permanent. For example once person goes blind from diabetes, he will never get his vision back. However, impotence is often reversible with good control of diabetes. Men who are impotent from diabetes must be seen every month and each month, the doctor must draw a blood test called HBA1C which measures diabetic control for the last 12 weeks, or another blood test called fructosamine, which measures diabetic control over the last 2 weeks. Every time, the HBA1C is greater than 6.1, the doctor must change the patient's drugs and the patient must change his diet. All diabetics should get a blood test called C-peptide to tell if their bodies can make insulin. If their C peptide is greater than 1, they should not be placed on insulin and should be started immediately on Glucophage and Actos or Avandia. These drugs lower high blood sugar levels, never cause low blood sugar, and also lower insulin to prevent obesity and heart attacks. Only if blood sugar levels cannot be controlled by diet and these insulin-lowering drugs should doctors prescribe drugs that raise insulin. penile enlargment review penile enlargement surgery picture penis enargement system pnis enlargement device best enlargement exercise penile vigrx penis enlargement pills penis elargement video vigrx for men penis enargement picture

Author: Michael Coleman ISBN: 1412073928: Publisher: Trafford Publishing Today, Norm Goldman, Editor of Bookpleasures.com is pleased to have as our guest, Michael Coleman, author of Keep Your God Waiting: Good day Michael and thank you for participating in our interview. Norm: How did you become interested in the exercise program you advocate in your book and how long have you been implementing it in your daily life? Michael: Hi Norm, first let me say thanks for the opportunity to share some insights on over-40’s health with your readers. Some may find the disclosures a tad provocative but all I ask is that people approach what follows with an open mind. How did I become interested in the program? Well, the program originated as a plea of behalf of the human body. If you’ll bear with me I’ll try to explain… We breathe, we run, we jump, we see, we hear, we laugh, we cry, we process information, we make decisions – in short, we can do all sorts of incredibly complex tasks that require awesome and exquisite intellectual and physical abilities on the body’s part. Yet, we take all this for granted. We have little or no recognition of the fact that the body holds all the knowledge and systems it needs to enable us to perform these tasks without any form of external intervention. This is never more in evidence than when we become ill or feel the effects of aging. Enter modern medicine with practically its whole emphasis on intervention and its prime strategy of evasion based on laboratory drugs and medical technology. Before you switch off this is not a crusade against conventional medicine – that would be completely irresponsible and fail to recognize advances that have been made. In fact, there are circumstances when I would take advantage of some of these developments. Having said that I believe modern medical practice is, by and large, an insult to the body’s innate intelligence In that sense the book and the programs it contains are a plea on behalf of the human body – a plea to recognize the awesome intelligence that we each have available to effect healing and maintain vibrant health and enjoy great sex for as long as we choose. For me the first question was – How do we know the body can heal itself? I imagine most of us have, at some time or other, allowed an illness to run its course rather than resorting to a visit to the doctor. Certainly in that course of action it may take longer for the symptoms to subside but the illness is, more often than not, conquered. So what does that tell us? It says that the body knows how to heal itself without intervention. It has called into play the immune systems defenses. It knows inherently how to organize and program very complex healing processes to perfection. In short, the body is much smarter than we are, much smarter too than any doctor. When we start interfering, for example, by taking medical drugs the body sees these as poisons and has to direct some of its healing effort to dealing with the ‘invaders’ and that delays healing and may, in fact, give rise to other illnesses. In other words ‘curing’ one illness not only confuses the immune system but also can foster the development of another illness. Compare this outcome with the body’s natural approach using its immune system to deal with the invaders. That process gives the immune system a ‘workout’, has no negative side-effects and strengthens its defense should the invader try another attack in the future. The next question was - Can we utilize the awesome healing power stored in the body? Yes, if we discover how to make sure the key survival systems in the body are functioning optimally and then basically leave it to take care of itself. And really that’s what “Keep Your God waiting” is about. How long have I been using the program? The program has taken several years of personal exploration and experimentation to put together so in that sense I’ve been using it for quite a while. The program as presented in “Keep Your God Waiting” was ‘finalized’ about 12 months ago. Norm: Why do you consider yourself to be a maverick with your unique exercise program? Michael: The term ‘maverick’ conquers up notions of something different and that’s what you get. What I’m saying in the program is basically “open your mind, get your gear off” and explore and experiment with the power, potential and exquisite pleasure stored in your body. It’s an exciting journey of self-discovery that could not only transform your health and sex-life but also change the way you think about your life. Now that’s a big call, and it might not be everyone’s experience – but I for one didn’t intend to die wondering! Norm: You use the term “sexual energy” in your book. What is your definition of sexual energy and how does it play an important role in our health? Michael: Sexual energy is a bioelectric energy and goes by many names but I prefer to see it as sperm or ovarian energy – it’s the body’s life force – the power that gives the body vitality. It has its origins at conception and can either be preserved and circulated to benefit from its powerful healing properties or squandered with a consequent depletion in vitality and general deterioration in health. Unfortunately, most of us choose the latter path albeit largely out of ignorance. Sexual energy can circulate around the body via channels or meridians – a term with which most people are familiar. Other bioelectric energy systems include the nervous system and charkas – all three systems are interrelated. Here’s my pretty crude explanation of how I picture sexual energy effecting healing. I’ll focus on the meridian pathways - these are a framework of connective tissue running throughout the body. As a layman the way I see it is that the sexual energy in the form of a bioelectric field flows through the meridian pathways and enters, for example, the organs and glands. Due to the movement of the molecules comprising an organ there is already an electromagnetic field in existence the strength of which, at any particular time, depends upon the relative health of the particular organ. If the organ is diseased the disease alters its natural frequency of vibration – and consequently its function impaired. When sexual energy enters that same organ it’s a bit like re-charging a battery and the organ’s natural frequency of vibration and hence its electromagnetic field are restored, so returning the organ to optimum functioning. Just one final point - sexual energy is very powerful and should be treated as such – special techniques need to be learnt in order to circulate and use it safely – but these can be easily acquired and are described in the book. Norm: You place a great emphasis in your book on strengthening the PC and anal muscles. What is the PC muscle and why do you believe that these muscles are important in increasing one’s life longevity and great sex? Michael: First let me say that I didn’t intend to create the impression that the PC muscle had a significant role in sex and longevity –but I’ll come to that a bit later.. The PC (Pubococcygeus muscle) can best be described as the muscle we use when we wish to interrupt the flow of urine. It gained notoriety when Dr Kegel developed his series of exercises to strengthen the vagina to aid in childbirth – having more control over the vagina also enables women to squeeze the penis during intercourse and hence heighten sexual pleasure. The bonus for men in powering up their PC muscle lies in the fact that it can increase the strength and durations of erections - again heightening pleasure during intercourse. However, there is much more to great sex than the ability to squeeze a penis and enjoy strong erections. What we are concerned with in the program is the circulation and use of sexual energy for not just for sexual pleasure but also for healing, energizing and fostering creativity at any age and regardless of whether one is single or in a relationship. The nature of your question suggests I might have created the impression that the PC muscle was of fundamental importance in ensuring health and longevity. If I did, then I should say now that in my view it plays a minor role. To put things in perspective, I’m concerned with three sets of muscles in the general pelvic region. These are the PC muscle, the Anal muscles and what I call the Lower Belly muscles. My aim is to be able to work, at will, each set independently of the others. This is because the relative contraction and release of the various sets is crucial in the circulation of healing sexual energy around the body. I consider the anal muscles to be the most important because of the critical role they can play in stimulating the flow of sexual energy. That said it is important to recognize that tension in the PC muscle can have an equally powerful negative effect on energy flow. Hence the need for complete control over these muscles as well as the lower belly group. Norm: Why did you feel compelled to write this book? Why do I think the book is important at this time? Michael: I have to say I didn’t feel particularly compelled to write the book. A couple of thoughts were predominant in my mind. Firstly, Hey, this stuff works! - I wonder if anyone else would be interested in discovering how to transform their health and sex-life. Second, and this is a bit more weighty and I don’t want to sound overly altruistic but I strongly believe everyone (providing they are prepared to make the effort) should have equal access to the knowledge they need to achieve vibrant health and enjoy sensational sex. In other words, good health and a great sex-life are not something for which you should have to pay or the preserve of a fortunate few. Why do I think the book is important at this time? I have to say that when it comes to our health we’ve been brainwashed! I’ll have more to say on that later but for now I just make the point that we accept that ill-health and age-related disease are a normal part of living. Further, we believe that the only ways to health are through ‘pill-popping’, hormone injections, sex stimulants, cosmetic surgery, diets, gym workouts, endless jogging – in fact, a whole string of actions that are unnatural as far as the body is concerned and all designed to tackles symptoms and ignore causes. I’m not saying such strategies don’t have a place, in fact they seem to suit some people. Nevertheless, the consequences of these beliefs are reflected in the burgeoning expenditure on sex pills, growth hormone injections, complex vitamin concoctions, spiraling healthcare costs and lengthy waiting lists of persons seeking expensive drug ‘treatments’ and hi-tech surgery and so on. It is paramount to recognize that existing practices have the potential to cause damage the body’s sophisticated mechanisms with, for example, one so-called ‘cure’ leading to the onset of another disease. We also need to recognize that the pursuit of expensive drug and technology ‘solutions’ cannot be sustained economically – governments simply can’t afford the costs. I believe we are at a crossroads and we need to wake up. There are alternatives available that work in harmony with the body’s needs and desires, are completely natural and don’t cost a single cent. Are they the answer to everything – no, but they at least deserve to be the option of first choice when people think about healthcare. Norm: How would you respond to potential readers who might be skeptical about the exercise program you are advocating? Michael: My initial reaction would be to quote grandma “the proof of the pudding is in the eating”. So, unless you have a medical condition that prevents you so doing, put the program to the test – learn to do the Basic 15-Minute Program. You’ll find it described in step-by-step detail in the book and I believe it to be the most powerful single exercise that one can do. If you feel the benefits of that single exercise then you may be encouraged to explore further. However Norm, I think I owe it to your readers to explore the basis of the program in a bit more detail. Let me start by saying I think I can understand where they’re coming from, after all we’ve been conditioned to believe and accept that ill-health and aging are a normal part of living when in fact, as far as the body is concerned, they are not. How do we know? Well, studies on cell division and DNA corruption associated with cell division strongly suggest the human body is designed to function for about 120 years. What does that mean for us? My interpretation is that if the research findings are valid then the body must already have in place all the knowledge and systems it needs to restore and maintain itself for a lifetime without interference. Of course, we manage to inflict (often quite knowingly, other times through ignorance) all sorts of abuse on our bodies with the result that… surprise, surprise… disease develops! I got to thinking wouldn’t it be fantastic if we could use completely natural and harmonious means to tap into the bodies innate intelligence (by the way the intelligence stored in human cells is absolutely awesome, far above anything we can possibly imagine – lets just say it makes Einstein look like a dunce!) and use it to rejuvenate and maintain our health and sex-life. And that’s what the program does. Norm: Why do you feel that masturbation is important in achieving good health? Michael: Oh dear, I don’t know about you but the word ‘masturbation’ seems so lonely – as though it hasn’t got a friend in the world. I wonder why. I might best start by musing that when many people see the word there is an immediate feeling that “I don’t want to be associated with that” – as though somehow it’s unclean and not the sort of thing that nice people do. People forget that masturbation or self-pleasuring (now doesn’t that sound better) is a perfectly natural activity and in fact one in which we all engaged to our great pleasure and delight when we were very young. Later in life we become conditioned to see it as undesirable, perhaps because as its association with male and female ejaculation and the perception that one would go “deaf and blind” as a consequence. Well, I have to admit to be a great fan of masturbation. It is true that masturbation incorrectly performed can cause deterioration in health. On the other hand (excuse the dreadful pun), masturbation can be a powerful healing, highly energizing and creative experience. Why? Because correctly done masturbation greatly boosts the flow of sexual energy around the body and, in particular, to vital organs and glands (glands are a special type of organ so I use the terms separately) the good health of which your energy, vitality and sex-life depend. In the book, I provide step-by-step details on how to take advantage of the huge healing potential masturbation offers. Norm: You state in the conclusion of your book that in order to improve our health we have to satisfy the subconscious mind. Please explain why you feel this way. Michael: For me, the remarkable things about body are firstly, the fact that under ideal conditions it knows how to restore and maintain itself for about 120 years (this limit is set by the number of times a cell can subdivide) and second, that each cell in the body is replaced (through a process of cell division) during a period of about seven years. So we have to ask the question – if the body knows exactly how to look after itself and we routinely get ‘new’ body parts, why do we experience ill-health and aging? In other words, why don’t we get ‘new’ health too? In an attempt to answer this question I want to look at two factors. The first concerns the physical aspect and the second the mental aspect. At the physical level if we abuse our body cells their performance is compromised and when the cells subdivide that compromise is transmitted to the next generation and so on. Also there is largely unavoidable corruption of the DNA at each subdivision – so you can appreciate we really need to look after our cells in order to live a long and healthy life. More important in the context of the question is what is going on at the mental level. I don’t think there’s any doubt that many of us have unwittingly turned off our good health ‘switch’. We have been conditioned (albeit unintentionally) by healthcare product marketers and health authorities to accept ill-health and aging as normal. This acceptance is further reinforced by our friends and relations becoming ill and/or departing this world and by our own attitude to health care. In effect, we have programmed our subconscious mind to believe and accept the fact that illness and aging are inevitable. – when as far as the body is concerned they are most definitely not. What does this mean? It means that whatever we try at the conscious level to improve our health the subconscious will be nagging away with the same old message “ it won’t work, it won’t work” or something like that. I believe this is why most diets fail and why simple affirmations and positive thinking struggle to make any lasting change. We need to reprogram the subconscious mind to accept the fact that we can enjoy vibrant health and great sex for as long as we choose. This can be done by consistently providing the subconscious with positive experiences based on action and reward. In others words our approach must be one of action and movement, not simply contemplation and secondly it must produce undeniable rewards. This approach is the foundation of the programs in “Keep Your God Waiting”. Norm: What challenges or obstacles did you encounter while writing your book? How did you overcome these challenges? Michael The book was several years of experimentation and personal exploration in the making but was very easy to write. Apart from spending time getting the structure of the book user-friendly it was really just a question of writing down what I do. It was just a matter of documenting stuff that I knew intimately and targeting it to a market I not only understood but also was part of. I have to admit that my main obstacle was working with the word-processing package, in particular trying to line up the paragraphs and get the numbering correct – I just don’t like being told what to do my a machine. How did I overcome this obstacle – with much cursing and swearing! I say this ‘tongue-in-cheek ‘ but one of the major challenges of writing a book on health - is not getting sick – otherwise it’s a bit like going to a dentist who has false teeth. Norm: What has your experience been like with self publishing? Michael: I guess I’d make the point that. with no more than about five manuscripts in a 1000 being picked up by conventional publishers, self-publishing using a POD (Print-On-Demand) house at least gets the book in print and, generally speaking, production costs are quite reasonable. There are other advantages like higher royalties and retaining copyright. I don’t want to say much as I’m really still in the middle part of the whole process. However, there is no doubt in my mind that writing a book and getting it in to print is the easy part, it’s the marketing that’s difficult. This is where you need to use a publisher that has an impressive information distribution network. Not that that in itself helps you directly sell your book, but at least people in the book industry know it exists – you’ve still got the marketing slog Norm: What are your hopes for this book? Michael: That it outsells the Da Vinci Code! The book is really about saying to people “Hey, folks wake up” –there is another way to lifetime good health and great sex - and it’s free! If the book does nothing more than opens peoples’ eyes to the fact that they can, if they choose, take control of their health (and their life) I feel it will have made an important contribution. If it became the program of choice for the over-40’s then perhaps the world would be awash with happy, vital and sexy people – and wouldn’t that be nice! Norm: Is there anything else you wish to add that we have not covered and what is next for Michael Coleman? Michael: Simply to say to the over-40’s that far from resigning themselves to the inevitability of sexual decline and aging they should be cranking up their sex-life. It’s not the time for sipping lattes, drinking red and white, reading newspapers and taking overseas trips – instead travel to the bedroom and discover the exquisite power, potential and pleasure of their body. It’s an unforgettable journey of self-discovery - I mean, do you really want to die wondering! Thanks once again and good luck with all of your future endeavors. top rated penis enlarement pills safe penis enlagement free penile enlargement pills real penis enlargment best penis enlarement pills penis enhancement information enlargment forum free matter penile size magna rx penis enargement picture

At a 35th birthday party for rapper P. Diddy in November of 2004, actress Tara Reid exposed more than just a left mammary; she exposed the truth about breast implant complications and the horrifying effect that breast augmentation surgery can have on a woman’s body. While she posed on the red carpet for photographers, the top of Reid’s dress fell, exposing her left breast and what looked like a completely reconstructed nipple. The actress, evidently mortified as photographers snapped pictures, fell prey to the all-too common complications associated with breast implant surgery. But, this wasn’t even the first time that Tara Reid’s breasts became water cooler fodder. Shortly after filming American Pie, the world noticed as her breasts grew from a measly A-cup to D-size overnight. It became immediately apparent to all of America that the actress underwent major breast implant surgery at the very young age of 18. At the time, no one realized the extent of the actress’ battle with her breast implants, probably due to some hard PR work on behalf of the actress. But, in 2004 as Reid and her augmented breast strolled down the red carpet on the way to Diddy’s 35th birthday bash, no amount of PR could hide the fact that the actress suffered from some horrific complications associated with her breast implants. Every year in this country, thousands upon thousands of women undergo some type of breast enhancement surgery, but thousands also have their breast implants removed due to associated complications that most commonly include breast implant rupture or shifting, to more serious complications such as chronic infection of the breast, in some cases leading to breast cancer. Luckily for the women who choose surgical methods of breast augmentation, no paparazzi follow them around, waiting patiently for a breast to slip and expose their secret breast implant complications. If America could feel the pain that everyday women experience for larger breasts on a regular basis, it would certainly result in a sharp decline in the number of breast implants performed by plastic surgeons each year, especially for women who decide to go under the knife at such a young age as actress Tara Reid. Fortunately today’s woman can choose from a veritable buffet of breast enhancement options. No longer do women need to suffer the horrific complications associated with breast implants in order to achieve the larger breasts that they desire. In today’s market, there are other safer, all-natural breast enhancement alternatives for a woman looking to increase the size of her breasts. These options boast safety for any woman, in an over-the-counter alternative, with none of the side effects or complications involved with breast implant surgery, and a fraction of the cost associated with breast enlargement surgery. As for Tara Reid, reporters now argue that the actress actually has the ugliest breasts in the world. But, it’s pretty apparent that the complications that the actress suffered due to her breast implants are more common than women want to admit. Fortunately, many women can look in the mirror happily and appreciate their natural breasts, and others who aren’t as happy with the way they look, choose safer, more natural breast enhancement methods of increasing their breast size. penile enlargment excersizes penis enhancement pump penis enhancement information free penile enlargment technique enargement manhattan penis surgeon vimax cheapest penis enlargement pills free exercise tip for penile enlargement truth about penis enlarement penis enargement picture

Penile Implants These are the most irreversible and drastic ways of achieving artificial erection. Only when all other measures have been exhausted with no longer-lasting effects are achieved is that penile implants are warranted. These are prosthetic devices made of inert silicone, which are surgically inserted into the penis. Normal erection cannot be achieved after that. There are two kinds of penile implants: Passive Implants: Two rods of silicone are inserted into the penis, which remains erect all the time. The silicone rods can be put in different angles, but this may be an embarrassment in public occasions such as swimming. Orgasm may be achieved unless there are hormonal or neural factors which impede it. Active Implants: These are inflatable silicone pouches which are also implanted into the penis. The penis remains in flaccid state until a proper manipulation of the prosthesis causes its inflation and consequent erection. One type of implant is activated by pressing the glans (the head of the penis) with one hand. Liquid is transferred from a reservoir to the main inflatable pouches. In another type, the liquid reservoir is implanted into the scrotal sac, and can be pumped by hand. Other Treatments Other surgical and non-surgical treatments for impotence are being tried in an experimental basis, and there may be a promising future for some of them. For instance, groups of physicians in Russia and Germany have been experimenting with electrical stimulation of the pelvic area using an external pad applied to the abdomen and back. There are already commercial devices using this principle, which seems to increase the blood flow in the genital area. Direct stimulation of pelvic nerves (leading to a nerve-induced erection) by using implanted electrodes and an electrical pacemaker-like device are also being considered. "Natural" or alternative methods do abound. They range from "natural" foods which have high testosterone or DHEA levels, such as green oats (marketed under the brand name of SEXATIVA) or saw palmetto; to yoga exercises to increase muscle tone and blood flow in the genital area. It is hard to say whether there are real effects or they are just the effect of suggestion or placebo phenomena. One thing has been scientifically determined, however. The blood levels of testosterone increase just after exercise, or by loosing excessive weight. Thus, a natural way of combating mild hypogonadism might be frequent exercising and keeping a normal weight. Controversial and unapproved treatments Controversial and unapproved treatments Bremelanotide The experimental drug Bremelanotide (formerly PT-141) does not act on the vascular system like the former compounds but increases sexual desire and drive in male as well as female. It is applied as a nasal spray. Bremelanotide works by activating melanocortin receptors in the brain. It is currently in Phase IIb trials. Ginseng A double-blind study appears to show evidence that ginseng is better than placebo: see the ginseng article for links and more details. Enzyte Enzyte is a product that has been advertised by saturation coverage on television channels such as Court-TV. However, the Center for Science in the Public Interest (CSPI) has filed a complaint with the Federal Trade Commission (FTC) about Enzyte for deceptive advertising. It is manufactured by Berkeley Nutritionals, which is alleged to be the subject of an investigation by the Attorney General of Ohio and the defendant in class-action lawsuits. Enzyte is a supplement that claims to increase the male libido or frequency of erections of the penis. Commercials for Enzyte are shown regularly on television. These commercials feature a man named Bob who never stops smiling, apparently because he had taken Enzyte and improved the size of his sex organs. The commercials are riddled with symbolic phallic imagery, e.g. golf clubs, remarkably tall glasses of iced tea, and a hose spraying barely a trickle of water (carried by someone who doesn't use Enzyte). The effectiveness of Enzyte is in dispute. Some medical professionals in fact advise against taking Enzyte, saying that it can lead to damage. The Center for Science in the Public Interest have urged the Federal Trade Commission to disallow further television advertising for Enzyte due to a lack of proper studies supporting claims. Enzyte maker Berkeley Premium Nutraceuticals, Inc., is currently under a class action lawsuit for false advertising. Enzyte is said to contain: Tribulus terrestris; Yohimbe Extract; Niacin; Epimedium; Avena sativa; Zinc Oxide; Maca; Muira Pauma; Ginkgo biloba; L-Arginine; Saw Palmetto. Other ingredients: gelatin, rice bran, oat fiber, magnesium stearate, silicon dioxide. Herbal and other alternative treatments These are generally ineffective when tested blind, but may be useful for their psychological (placebo) effect: if a good result is expected, any highly-praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect. Uncontroversial treatments for erectile dysfunction PDE5 Inhibitors The prescription PDE5 inhibitors sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade. cGMP causes the smooth muscle of the arteries in the penis to relax, allowing the corpus cavernosum to fill with blood. Vacuum pump An external vacuum pump will produce an engorged penis with success approaching 90%; a penis ring will maintain this state, although it should be removed after not more than 30 minutes. The erection is not as rigid or hard as a natural erection; drugs or injections, when they work, may be preferable. Various studies show the degree of satisfaction of users and their partners to be vary variable, even when drugs and injections do not work; in one study, about 20% of men who tried a (high-priced) pump decided to proceed to purchase one. Other studies show higher percentages of satisfied users. In some cases frequent use of a vacuum pump can eventually improve the degree of erection attainable without use of the pump. Claims of cheap "penis pumps" to permanently increase maximum penis size should be viewed with caution, however. Some vacuum pumps are sold at a higher price with 100% refund within 90 days to dissatisfied users, with a somewhat lower price with 50% refund guarantee (Osbon Erecaid, [7]). This pump is supported by medical insurance schemes, including the UK's NHS and US Medicare and private insurers. The better-known pumps sell for prices of around 200 GBP/400 USD (2006). There is at least one vacuum pump with rings which sells for around one-fifth of this price (Noogleberry, [8]). Specific devices are mentioned for information only; mention should not be taken as endorsement.