HOW TO BUILD RIPPED SHREDDED MUSCLE

HOW TO BUILD RIPPED SHREDDED MUSCLE

We all have a dream to share, to solve or to accomplished, which ever way life is full of fun so lets build it up. just  Click Here!

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FACT LOSS SECRET

Fat Loss Factor Before & After Pictures 

In this short weight loss presentation I will teach you a somewhat unusual weight loss strategy that can help you get a flatter belly in under 7 days, while still enjoying the foods you love. This is the first tip that I always teach my patients here in Fishers, IN. And is the same tip that helped one of my patients whom I'm most proud of, (Lori) lose 2 inches from her belly, lose 8 lbs in only 9 days, lose 2 inches from each thigh, lose ¾ of an inch from each arm, and drop 3 dress sizes (At the age of 30, she now wears a smaller dress than she did in high school!).

Lori ultimately lost 90 pounds and I'll share with you 1 tip that helped her get there. I can't leave this video up for long, so be sure to watch it from beginning to end while it's still here. Please note: If you leave the page and come back, the video will automatically restart at the beginning. Click Here!
Thanks and enjoy!

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Top Ten Medicine Use Tips for Parents

Top Ten Medicine Use Tips for Parents

1. When in doubt, ask first. Your child’s health is too important for guesswork. So any time you have
a question about which OTC medicine is best for your child or how and when to give the medicine, ask
your doctor or pharmacist first. This is true for prescriptions medicines, too.

2. Know your child’s weight so you can give the proper dose of the medicine as recommended
on the product label. Most pediatricians and pharmacists agree that a child’s weight is the best
way to determine the correct dose. For this reason, health professionals often recommend that parents
keep an accurate scale in the house so they can check the child’s weight before giving OTC medicines.

3. Know your child’s weight so you can give the proper dose of the medicine as recommended on the
product label. Most pediatricians and pharmacists agree that a child’s weight is the best way to
determine the correct dose. For this reason, health professionals often recommend that parents keep
an accurate scale in the house so they can check the child’s weight before giving OTC medicines.

4. Follow the directions on the label and package insert carefully. Because OTCs and prescriptions
are serious medicines that can do harm if taken incorrectly, always read the instructions before
giving a child any product. By reading the OTC product label, you can be certain that you’ve selected
the right product, understand the dosing instructions, and know what precautions to take or warning
signs to watch for.

5. Use the specific dropper, dosing cup or other device that comes packaged with your
child’s medicine. Because kitchen spoons and other household utensils vary in size and are not
accurate enough to measure doses of medicines, using them may mean giving your child either too
large or too small a dose of the medicine. The same thing can happen when you use a dosing device
from another children’s medicine.

6. If using multiple OTC medicines, you have to watch for both duplicate ingredients and
usage. First, check the active ingredient(s) used in each OTC medicine and make sure you’re not
giving your child more than one product with the same active ingredient without first checking with
a healthcare professional. Because many cough and cold preparations contain the same active
ingredient as pain relievers, it is possible to give a child two different products that contain the same
active ingredient without realizing it.

Second, check for usage duplication. For example, two cold medicines may contain different active
ingredients, but both of those ingredients act as fever reducers. That’s usage duplication, and it should
also be avoided. To play it safe, read the “Drug Facts” label and compare. Don’t hesitate to ask your
pediatrician or pharmacist for advice on product selection.

7. Give babies and children only those medicines that are especially formulated for their
weight and age. Cutting adult strength tablets in half or trying to estimate a child’s dose of an
adult-strength liquid can result in an accidental overdose. Similarly, giving older children liquid
medicines that are especially formulated for babies can also lead to dosing errors.

8. Keep in mind that most OTC medicines are for temporary relief of minor symptoms. If the
condition persists or gets worse contact your pediatrician or other healthcare professional.

9. Don’t give medicines in the dark. This is often a problem because children get sick at night, and
parents can make a mistake reading the dosing device if they can’t see well.

10. Teach children that medicines are not candy and they should not touch, sniff, or taste
them on their own. Only let children take medicines from a responsible adult. Keep all medicines
and household products out of children’s reach.

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HOW TO MAKE YOUR HUSBAND HAPPY

HOW TO MAKE YOUR HUSBAND HAPPY

It doesn’t take much time or effort to see that our culture is pessimistic about marriage. A happy marriage seems more like a fairy tale that Pollyanna dreamed up fifty years ago. Many of today’s wives are complaining left and right about their husbands’ many shortcomings. So why should a wife make her husband happy when he’s not making her happy?
I like what host Bob Lepine of Family Life Today says, “Our role is not to figure out how to fix our spouse.  Our role is: How do we reflect Christ in the marriage?” The game changes when we as wives make it our aim to bring joy to the marriage for the glory of God. It’s no longer about “What have you done for me lately?” it’s about “What have I done for you lately?” Instead of being disappointed in what your husband hasn’t done, you can experience great peace knowing that you are doing him good and not evil all the days of his life (Proverbs 31:12).
And guess what? I can attest that when you respect your spouse and practice making your husband happy, he will turn around and pour that love right back onto you.
Ready to get started? Here are the top ten ways to make your husband happy:    
Make sex a priority. No big surprise here. Women understand intellectually that sexual fulfillment is a top need of a man. But do your actions demonstrate that you really get it? Maybe you’ve taken care of the kids, cooked a delicious dinner, and even endured an action flick. Compared to the other wives you know, you’re doing pretty well. Yet you may be discounting his need for fulfilling sex. Most husbands would rather have dishes in the sink and a wife waiting in the bedroom.
Make your home a haven. The world can be a tough place. When your husband walks in the door, he needs to breathe a sigh of relief. He’s home. Think of how you greet your husband. Does he see the back of your head as you type furiously on the computer or do you look him in the eyes and say, “Honey I’m so glad you’re home”? Make your home a place where your husband feels welcome.
Respect your man’s needs. What need does your husband have that perhaps you have discounted? It may be sex, quality time, the cookies you used to bake him, or going to ball games together. Don’t get defensive when your husband voices a need. Listen instead and then act positively to meet that need the best you can.
Let your man lead. The idea of submission has many women up in arms. That does not need to be the case. The New Testament speaks clearly in three passages that we wives are to submit to our husbands as unto the Lord (Ephesians 5:22, Colossians 3:18, 1 Peter 3:1). This doesn’t mean you become a door mat. What it does mean is that your respect your husband’s role as the leader of the home. After you’ve weighed in on a topic, the final decision belongs to your man.
Kiss every day for five to thirty seconds. Here’s something your husband will really like! It doesn’t cost a penny and it hardly takes any time. A healthy daily dose of passionate kissing will boost your marriage and keep the pilot light lit between you. Give out plenty of kisses, just like when you were dating.
Take care of your appearance. When you were dating, your husband found your body type attractive. He was hooked on your looks. Now that you’re married, it’s important that he still finds you attractive. When you take time and effort to watch your weight and dress nicely for your spouse, it communicates volumes. I care about you. You’re still the one for me. I want you to approach me. 


Bring back date night. Someone once wisely said to me that date nights are less expensive than marriage counseling. When you have time to regularly connect with your spouse to be fun and romantic, you prevent the arctic chill from settling between you. Date nights give you something to look forward to. Make sure they don’t become family business meetings. Guard your date nights as pure recreation and pleasure.
Smile. You’ve probably heard the saying “Happy wife, happy life.” Most, if not all, husbands would certainly agree to that! When a wife is unhappy, everyone in the household knows. Some days you may not feel like smiling around the house, but go ahead and fake it at first. Put that plastic smile on and most likely, your natural beautiful smile will emerge shortly after. Your smile communicates to your man, “I’m happy to be married to you. I am thankful for a great life with you.” 
Speak kindly. If someone were to repeat all the things you say to your husband, would it be “news that’s fit to print?” Are you heaping on praise and encouragement, or criticism and sarcasm? Treasure your husband’s efforts to please you and provide for your family. Don’t trash what he does either to his face or behind his back.  Your words matter more to him than anyone else’s.
Get on the same parenting page. Your kids know they can divide and conquer. When they succeed, your home is anything but peaceful. Recognize that you and your husband are not on opposite teams with different parenting philosophies. You’ve got to get on the same team so you can be a united front to your children.
So which of these suggestions do you think would bless your husband the most? Try implementing that tip this week and then keep adding to your repertoire. You will have one very happy husband! 

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How to Maintain a Healthy Marriage (in good times and bad)

Everybody wants to know the secrets to a healthy intimate relationship.  I was lucky enough to grow up watching how to operate in one my whole life.  My parents’ relationship has been a source of inspiration and motivation to work towards the same healthy, loving relationship in my own life.  That’s not to say that their relationship is perfect (nor that mine is) because no relationship is perfect.  My dad gave an amazing speech at my wedding that speaks to what he believes makes a marriage work.  (I will end this post with his entire speech.)
So, how can you tell if your marriage is going to be one of the ones that will make it?  As reported in Blink by Malcolm Gladwell, Dr. John Gottman conducted years of research on this very topic.  He reported that he was able to predict who would be together and who would be divorced later in life with 80% accuracy by the way the couple fought.  Here are the 4 behaviors antagonistic to a relationship:

1. Contempt – despising, lack of respect for the other, willful disobedience to
2. Stonewalling – giving the cold shoulder, giving the silent treatment, walking away from
3. Defensiveness
4. Criticism

Dr. Gottman reported that “stable couples handle conflicts in gentle, positive ways, and are supportive of each other.”
In his book, The Seven Principles of Making Marriage Work, Gottman discusses behaviors that he has observed in marriages that are successful.  He discusses 7 principles that will reinforce the positive aspects of a relationship and help marriages endure during the rough moments.

1. Enhance Your Love Maps. Gottman defines a love map as the place in your brain where you store information about your partner. This is crucial in really knowing your partner, their dreams, hopes, interests, and maintaining their interest throughout the relationship.
2. Nurture Your Fondness and Admiration. Have a positive view about your spouse, respecting and appreciating their differences.
3. Turn Toward Each Other Instead of Away. Acknowledging your partner’s small moments in life and orienting yourself towards them will maintain that necessary connection that is vital for the relationship.
4. Let Your Partner Influence You. It is important to maintain your own identity in a relationship, but it is equally important to yield to your partner and give in. If both partners allow one another this influence, then they will learn to respect one another on a deeper level.
5. Solve Your Solvable Problems. It is important to compromise on issues that can be resolved, which Gottman believes can be achieved by these five steps: soften your startup, learn to make and receive repair attempts, soothe yourself and each other, compromise, and be tolerant of each other’s faults.
6. Overcome Gridlock. Major issues that cannot be resolved because both partners’ views are so fundamentally different involves understanding of the other person and deep communication. The goal is to at least get to a position that allows the other person to empathize with the partner’s view, even if a compromise cannot be reached.
7. Create Shared Meaning. Create a shared value system that continually connects the partners through rituals/traditions and shared roles.

As Dr. Gottman says, the key to a great relationship is how a couple deals with the “bad times.”  Every couple has its ups and downs, and every relationship will go through times where one or both individuals in the relationship feel stuck in a rut.  Sometimes, one or both people need to work on what’s bothering them within themselves, whether it’s unhappiness at a job or feeling bad about the way they look.  But, there are also times where the couple needs to work on the relationship.  (You know, that thing you put on the backburner to deal with “more important” things such as moving, children, job changes, and other stressors).  Or maybe the relationship has just stagnated and needs life again.  Here are 15 tips for those people who want to get their relationship back on track:

1. Listen when your partner talks.  Really LISTEN to him (or her).  Turn off your computer, TV, phone, etc.
2. Have fun together.  Do at least one new activity together each week.
3. Enjoy your down time together.  Before going to do your own things each night, spend some time together.  For example, play a game, give each other a massage, or go for a walk.
4. Be affectionate.  Cuddle, kiss, and touch more.
5. Be appreciative of the little things your partner does every day.  Tell him “Thank you” when he does something thoughtful.
6. Don’t sweat the small stuff.  Take and deep breath, step back from the situation, and ask “Will this matter in a year from now?”
7. Focus on the present moment.  Don’t let an annoyance from the past or future worries affect right now.
8. Be positive.  Stop complaining.  Stop complaining about him and about everything!  Nothing is more of a downer than someone who complains constantly.  Try to turn each annoying situation into something positive.  For example, you could say, “What am I supposed to learn from this situation?”
9. Call him just because.  Call him to say “I love you” sometimes instead of always calling him when you need to talk to about things (e.g., something going wrong with the house, bills, etc.).
10. Say “I love you” often.  Even for no reason at all.
11. Tell him why you love and appreciate him.  Everyone loves to hear specifics.  (e.g., “I love how you are so level-headed in situations.  It really helps to calm me down when I’m upset with someone.”)
12. Give him a compliment every day.  Everyone loves compliments.
13. Bring up things that are bothering you at a calm time with a calm tone of voice.  I know this is easier said than done, but always something to strive for.  As the saying goes, “You’ll get more bees with honey.”
14. Do something nice for him.  Surprise him.  For example, if his chore is to do the dishes, do them for him before he gets home from work.
15. Don’t take out your anger on him.  You may have had a bad day or someone else made you upset, but remember that your partner is there for you.  He is on your team.  Try to separate the situation that happened from your relationship.

I’ll leave you today with my father’s words of advice to Kenny and me on our wedding day:
“Jamie and Kenny – You asked that I say a few words at your ceremony and I agreed.
For a long time I agonized over what I should say; how to make it meaningful, how to make it memorable, as this is a big event.  I mean all weddings are big events and I have performed hundreds of them – But this would be my biggest as this wedding ceremony would be for my only daughter.  So that’s a lot of pressure!
Then it hit me.  I decided to talk about something that was very important and influential to both of you in the past and something that I knew quite a bit about.  So let’s talk about baseball and softball.
Why can I give you any advice on marriage in the first place?  Well, I would like to believe, that I have been the manager of a successful marriage team for over 30 years.  Now some may say Pam has been the manager and that may be true.  What certainly is true is that both of us have brought to the game our unique skills and expertise and given it our best to make it work.
Jamie and Kenny, both of you also have unique skills and expertise.
Jamie, you were a good pitcher, hitter and fielder.  In many ways a complete player with leadership ability and drive.  That is what you bring to this marriage:  You are organized, focused and decisive.
Kenny, (or Bubba as I understand you are affectionately called by your family) you were an ironman, a steady shortstop in the field and at the plate who started every game all four years you played at Wittenberg University.  That is what you bring to this marriage:  steadiness, calmness and certainty.
And the neat thing is that the both of you complement each other.  Jamie, your strengths appear to counter Kenny’s weaknesses and Kenny, your strengths counter Jamie’s weaknesses.  In other words you two make a good team.
Now it is time for your team to take the field and play this event called marriage.
In my opinion the pattern of marriage is similar to the shape of a baseball diamond.
Home plate to 1B is the courtship phase.
1B to 2B is young marriage.
2B to 3B is mature marriage.
3B to home plate is old marriage.
The both of you are at 1B now.  Of course the goal is to make it to home plate.  Many people, however, never make it to 2B let alone home plate.  How does your team become good enough to round the bases?  In the same manner that you become good in anything that you do – practice!  Marriage is the same.
While you thought planning a wedding was tough at times, where the true hard work comes is afterwards.  I don’t mean to scare you, but marriage is work.  You will get out of it what you put into it.
Give it little effort and your team will be doomed with a loveless and burdensome marriage.  Give it the attention and the effort it needs your team will be a winner and your marriage will be a success.  Who knows, you may ultimately make the Hall Of Fame with a marriage that couples may wish to emulate.
Now as my gift to you I have some items for you to place into what I will call this duffel bag that you will need in order to practice to make your marriage a success.

GLOVE

First we have a glove.  You are going to need it to field many issues over the course of your marriage.  Some issues will be like popups and be easy to handle.  Some will be like line drives and come at you with increasing difficulty and speed.  Of course, there will be many others of varying degrees of difficulty between these extremes.  On many occasions the two of you will need to call a timeout, put your heads together and communicate to handle these issues.  On some issues you may not agree.  Hence, compromise will be in order.  You need to realize that everything will not and should not go your way.  At times you will need to sacrifice and take one for the team.

BAT

A marriage isn’t only defensing issues.  You will also need a bat to generate some offense in your marriage.  In other words you can’t just sit back and expect it to work.  You need to go outside the box – be creative – enhance it with some spark.  It will need quality time together, a caressing touch, a date night and/or other innovative ideas.  Use this prop to bat around other ideas to enhance your relationship.  But don’t necessarily be satisfied with just singles.  Sometimes go for it and swing for the fences.  Surprises are always fun and a welcome gesture in any relationship.

CLEATS

These cleats will help keep your marriage rooted.  There will be many temptations that will come your way.  You will meet people and situations will arise that will challenge your marriage.  That is not unusual.  Take time to develop your own interests and healthy relationships with other people, both individually and as a couple.  Interests and relationships, however, create risk.  Your marriage is always paramount.  To the extent that your interests or relationships turn unhealthy and jeopardize your marriage then think of these cleats and where your priorities should lie.

BALL

You can’t play baseball or softball without a ball.  Balls, however, sometimes take funny bounces.  To that extent they are unpredictable.  So will be your marriage.  Despite your best efforts to plan, things will come up that will be unanticipated.  You will need to be able to roll with the punches.  Flexibility and openness to new ideas are vital to a successful marriage.  So don’t let the uncertainty of bad bounces derail your team.  In fact, treat them as a challenge and an opportunity to strengthen your team as you handle these adversities together.

UNIFORM

Finally, all teams need a uniform.  The real trick is will you be able to fit into this uniform in the years to come?  Both of you are fit and trim now, but as you age there is a tendency to get lazy and out of shape.  If so the physical attraction of marriage is challenged.  You will need to eat right, get enough rest, exercise and manage stress.  If you do you will maintain the glowing physical attraction that you have today and still fit into this uniform in years to come.
Now my advice today is just one scouting report of many you can access concerning marriage and I hope you do consult with others.  In fact, there are many scouts in the gallery today.  Some of your contemporaries are, like the two of you, on their way from 1B to 2B.  Others are rounding 2B and on their way to 3B and yet others like Jamie and Kenny, both of your sets of parents, we’re probably rounding 3B and heading toward home plate.
In fact, I encourage all here today to share some of their secrets or advice with Jamie and Kenny.  All of you are or have been influential to Jamie and Kenny in some way.  That is why you have been invited to witness this event and celebrate this event with them.  You want this marriage to succeed just as much as they do.
So what do you do with this duffel bag?  You get it out on your anniversary date each year and examine the equipment in it and what each piece of equipment stands for.  You then should score your marriage to see where your team stands.  Finally, you should prepare a lineup card for the next year listing the areas in your marriage that you need to work on and goals you need to accomplish.
Hopefully, with the effort and commitment you put into your marriage through your hard work and practice as I have outlined, you will round the bases together and reach the ultimate goal, home plate, an older, wiser and happier couple satisfied with each other and the legacy that your team will have left behind.  Hopefully, in the end it will be a marriage that others will, indeed, wish to emulate qualifying your team for the marriage Hall of Fame.”
I wish for all of you to have happy, healthy, loving relationships!

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Importance of Love in a Marriage

Importance of Love in a Marriage

Marriage is one of the oldest institutions. When two people want to tie the knot, it is usually because they love each other and want to spend the rest of their lives together - "till death do us part." But some, however, cynics as they may be called, do not believe that love will always keep a marriage going forever and there should be other factors to consider, like money. Others see marriage as a contractual agreement between two families and love between the two people was seldom considered. Thus one has to decide whether love indeed 'makes the world go round' and is 'a many splendoured thing' that binds the marriage partners or are there other things to consider?

Marriages in the past have been known to succeed without love. During our grandparents' time, marriages were arranged and they did not see their spouses until the wedding day itself. Some learnt to love them as time passed whilst others did not. Nevertheless, the marriage endured. As long as man and wife fulfilled their basic responsibilities to their family and children, the marriage was considered to be "working."
As society is now more affluent and has changed, feelings are considered important. To many people now, love is extremely important in a marriage as it is love that will bring them through good and bad times and will bind the family as one. The warmth and care love generates can never be replaced. Many believe that. the love expressed between the two people will show their children the strength of love and illustrate how love makes the family stick together. Children will then learn the importance or love as seen in their parents' relationship and that love has carried them through thick and thin. It is the foundation of a marriage and family.
But others, on the other hand, argue that love in a marriage is purely idealistic. "'There are certainly other things to consider," they say. Financial stability is the foundation of a strong marriage, they believe, as material wealth can give what love cannot. - a shirt on the back and a full stomach. Of course, one can have love and be financially stable but the point one is trying to make is that. love should not. be given top priority. For a marriage to work, there must be financial stability, so that the couple will not. spend so much of their time worrying about bills and more bills which, in fact, might cause a strain in the marriage. The children might also be affected as they will not have, the comfort that their parents want them to have. This might cause them to consider material wealth above not. only love but everything else as they have seen their parents quarrel acrimoniously over money. Thus making money might become their primary objective in life as they become totally disillusioned about love.
I am not trying to throw a wet blanket on those hopeless romantics who believe that love can save the world. The point I am trying to make is that without a stable roof over one's head and clothes on one's back there will be little time for love. So, I maintain that love is important but, equally important, is money. So love plus money may make a successful marriage.

 

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LIVING A HEALTHY LIFE

LIVING A HEALTHY LIFE

You hear a lot about living a healthy lifestyle, but what does that mean? In general, a healthy person doesn't smoke, is at a healthy weight, eats healthy and exercises. Sounds simple, doesn't it?

The trick to healthy living is making small changes...taking more steps, adding fruit to your cereal, having an extra glass of water...these are just a few ways you can start living healthy without drastic changes.
Exercise
One of the biggest problems in America today is lack of activity. We know it's good for us but avoid it like the plague either because we're used to being sedentary or afraid that exercise has to be vigorous to be worth our time. The truth is, movement is movement and the more you do, the healthier you'll be. Even moderate activities like chores, gardening and walking can make a difference.
Just adding a little movement to your life can:

• Reduce the risk of heart disease, stroke and diabetes
• Improve joint stability
• Increase and improve range of movement
• Help maintain flexibility as you age
• Maintain bone mass
• Prevent osteoporosis and fractures
• Improve mood and reduce symptoms of anxiety and depression
• Enhance self esteem
• Improve memory in elderly people
• Reduce stress

So, even if you opt for small changes and a more modest weight loss, you can see the benefits are still pretty good. One study has found that just a 10% weight reduction helped obese patients reduce blood pressure, cholesterol and increase longevity.
Simple Ways to Move Your Body
You can start the process of weight loss now by adding a little more activity to your life. If you're not ready for a structured program, start small. Every little bit counts and it all adds up to burning more calories.

• Turn off the TV. Once a week, turn off the TV and do something a little more physical with your family. Play games, take a walk...almost anything will be more active than sitting on the couch.
• Walk more. Look for small ways to walk more. When you get the mail, take a walk around the block, take the dog for an extra outing each day or walk on your treadmill for 5 minutes before getting ready for work.
• Do some chores. Shoveling snow, working in the garden, raking leaves, sweeping the floor...these kinds of activities may not be 'vigorous' exercise, but they can keep you moving while getting your house in order.
• Pace while you talk. When you're on the phone, pace around or even do some cleaning while gabbing. This is a great way to stay moving while doing something you enjoy.
• Be aware. Make a list of all the physical activities you do on a typical day. If you find that the bulk of your time is spent sitting, make another list of all the ways you could move more--getting up each hour to stretch or walk, walk the stairs at work, etc.

Learn about more ways to fit in exercise.
Eating Well
Eating a healthy diet is another part of the healthy lifestyle. Not only can a clean diet help with weight management, it can also improve your health and quality of life as you get older. You can use the new MyPlate to determine how many calories you need and what food groups you should focus on or, if you're looking for smaller changes, you can use these tips for simple ways to change how you eat:

• Eat more fruit. Add it to your cereal, your salads or even your dinners
• Sneak in more veggies. Add them wherever you can--a tomato on your sandwich, peppers on your pizza, or extra veggies in your pasta sauce. Keep pre-cut or canned/frozen veggies ready for quick snacks.
• Switch your salad dressing. If you eat full-fat dressing, switch to something lighter and you'll automatically eat less calories.
• Eat low-fat or fat-free dairy. Switching to skim milk or fat free yogurt is another simple way to eat less calories without having to change too much in your diet.
• Make some substitutes. Look through your cabinets or fridge and pick 3 foods you eat every day. Write down the nutritional content and, the next time you're at the store, find lower-calorie substitutes for just those 3 items.

Find more ideas for healthy foods with this Healthy Foods Grocery List.
Creating a healthy lifestyle doesn't have to mean drastic changes. In fact, drastic changes almost always lead to failure. Making small changes in how you live each day can lead to big rewards, so figure out what you can to be healthy today.
_{Sources:
Fentem, P H. ABC of Sports Medicine: Benefits of exercise in health and disease. BMJ 1994;308:1291-1295 (14 May)
Goldstein DJ. Beneficial health effects of modest weight loss. Int J Obes Relat Metab Disord. 1992 Jun;16(6):397-415.
Ornish D, Brown SE, Scherwitz LW, Billings JH, Armstrong WT, Ports TA, McLanahan SM, Kirkeeide RL, Brand RJ, Gould KL. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial.. Lancet. 1990 Jul 21;336(8708):129-33.}

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HOW TO RESCUE YOUR MARRIAGE

HOW TO RESCUE YOUR MARRIAGE

The key to maintaining a happy marriage is simply this - never let a day go by that you don't let your beloved know how much you appreciate them and care for them.
Often when we are in a relationship for any length of time, we tend to take for granted our significant other and forget what it was that attracted us to them in the first place. This can be a very dangerous situation, especially when you become distracted by other temptations and illusions that are out there to woo you astray.
The phrase "the grass is always greener on the other side of the fence" may suggest a better life beyond your own, but remember, you still have to mow the lawn and weed the garden to keep it looking lovely & fresh once you get there.
So, what are some things that you can do immediately to begin strengthening the bond with your betrothed?
1. Recognize what your partner does well, and comment on those strengths.
No one wants to be put down or belittled all the time, and unfortunately many marriages turn into nagging competitions where we focus on the negative aspects of the person or relationship that frustrates us. Identify the positives and play those up instead. For every single negative point, come up with four positive points to counter balance it.
2. Do something nice and unexpected for your spouse.
Definitely do nice things for your husband or wife on special occasions (birthdays, anniversaries, holidays, etc.) but in addition, try to do something memorable on a regular, otherwise uneventful, day that will brighten their outlook and make them feel appreciated.
3. Spend time together.
Common sense, but after several years together you may find your paths taking different directions. Make a conscious effort to plan "we time", not just "me time". Even if you don't share common interests, show your support by attending an event or being actively involved in your partners hobbies by asking questions and/or going along for the ride.
4. Review photos from happy times.
Maybe your wedding day was the most memorable, or that time you went camping and forgot the tent? Whatever the situation, find the happy pictures and relive the fun & excitement! Why not put together a coffee table scrapbook that you can enjoy with your spouse whenever you like or share with your friends and house guests? It'd be a great daily reminder of precious time enjoyed together.
5. Take pride in your relationship.
When you speak to others, try to say only positive things about your husband or wife. Don't commiserate about your spouse's shortcomings, but rather, be a champion touting their outstanding qualities. Soon you'll be amazed at how fortunate you feel about your great relationship, especially when you become the envy of all your co-workers, family and friends. Strive to make your marriage the very best it can be, each and every day!

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WAYS TO SURVIVE ERECTILE DYSFUNCTION

 WAYS TO SURVIVE ERECTILE DYSFUNCTION

Few experiences are as upsetting and frustrating to a gentleman, as the awareness that he is facing E.D. It may signify to him that his sex life, which was once healthy and satisfying, is now coming to an end. In addition, from an emotional and psychological point of view, it represents a blow to his self image and manhood. Fortunately, learning how to survive erectile dysfunction is not as difficult as it may seem. There are three basic steps men can take to bolster themselves during this challenging period. These recommendations, if followed properly, will lead to a renewed sense of self and may even succeed in reversing the E.D.
How to Survive Erectile Dysfunction
1. At the first sign of E.D. a gentleman should see his family physician or a urologist for a check up.
In most cases E.D. is caused by poor circulation. This is frequently due to improper eating habits, lack of exercise and an unhealthy lifestyle. Male impotence is often an early warning sign of more serious health challenges that may lie ahead, such as heart disease and stroke. With early detection, the problem may be addressed and the E.D., not only halted, but reversed.
Needless to say, the more threatening ailments may also be avoided. So think of E.D. as a blessing in disguise. Sound advice would be to give up smoking, eliminate all animal products from the diet (as they cause the build up of cholesterol), and set aside 30-40 minutes for a daily walk. Not only will the erectile dysfunction disappear, but you will notice a drop in weight, blood pressure and cholesterol as well.
2. Discuss the issue with your wife or partner.
Chances are good she sensed it happening even before you did. Your spouse most likely shares in your frustration and empathizes with you. Fortunately, intimacy may be achieved in many ways and sex is only one approach. Use this opportunity to converse more often, go out together, and learn to appreciate your partner's inner dimensions.
Intimacy and sexual arousal can also be attained in the bedroom without intercourse. Pleasure your partner with foreplay, touch and warm cuddling. Being romantic and letting her know that you love and appreciate her can be expressed in other ways besides sex. Discuss with your partner alternative ways you may help one another enjoy physical intimacy. Be creative.
3. Be proactive. Seek out ways to overcome your sexual dysfunction.
Today there are numerous products on the market that can help men regain their sexual virility. These include medications like Viagra, Cialis or Levitra. Natural herbal alternatives are also available. One of the most successful methods of achieving an erection is the erectile dysfunction vacuum pump. Men who use it report a 90% success rate.
Consult your physician for ideas.
Remember it's easy to survive erectile dysfunction.
Make sure to get sound medical advice, discuss the situation candidly with your spouse and be open to trying alternative healing modalties to reverse the situation.

A good source for information on ways to reverse E.D. may be found at http://www.Erectile-Dysfunction-Facts-You-Need-To-Know.com
The site is user friendly and offers lots of valuable video clips.

Article Source: http://EzineArticles.com/?expert=Mordechai_Welt

Article Source: http://EzineArticles.com/4792010

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Treatments for Pregnancy Discomforts

 

Treatments for Pregnancy Discomforts

 

What Are the Treatments for Pregnancy Discomforts?

Here are some tips on what you can do for some of the common health problems you may face during your pregnancy, along with alternative therapies that may help.

Abdominal Pain
To relieve sharp pains or cramps from stretched abdominal muscles and ligaments, particularly when sitting or lying down, use a warm heating pad. Regular exercise will strengthen and tone your abdominal muscles. Take care to avoid exercises while lying on your back after the first trimester, since this may decrease blood flow to your developing baby.

Backache
Keep your weight gain under control with proper diet and exercise. Avoid taking pain relievers; instead, use a heating pad to relieve pain. Special exercises to strengthen abdominal muscles can also help reduce backache. Try a pregnancy girdle or elastic sling to support your abdomen. Wear shoes or shoe inserts designed for pregnant women, and avoid high heels.
Don't stand for long periods and don't stretch to reach high places. Sit straight without slouching, and whenever possible, sit with your legs elevated. Sleep on a firm mattress. Lying on your side with a pillow between your legs may provide some relief.
Be careful when lifting heavy loads -- especially children. Bend at the knees, keep your back as straight as possible, hold the object or child close to your body, and raise yourself slowly.
Try a chair massage: Sit on a straight chair, facing the back. Lean forward, over the back of the chair, with your head resting on your crossed arms. Have the massager use long strokes, working upward and outward from the lower back, avoiding pressure on the spine.

Breast Discomfort
Wear a bra that gives enlarged breasts proper support. If your breasts leak, use nursing pads in your bra.
 
Breathlessness
Some breathlessness is common and normal. Keep your weight gain within the recommended limits and maintain good posture, especially when you are sitting. Sleep on your side -- preferably your left side -- not on your back.

Constipation
To keep stools soft and bowel movements regular, get plenty of dietary fiber from fresh fruit, vegetables, whole-grain cereals and breads, and dried fruit. Avoid using over-the-counter laxatives. Fiber or stool softener agents may be helpful. Try psyllium (Plantago psyllium), an herbal bulk-forming agent. Drink lots of fluids and exercise regularly.

Contractions
Mild, painless uterine contractions usually start sometime after the 20th week of pregnancy. If they cause discomfort, try changing positions. If contractions start coming at regular intervals, call your doctor.

Cystitis (Bladder Infection)
If you develop bladder irritation, like persistent burning when urinating or any type of urinary tract infection, ask your doctor about appropriate treatment. Bladder infections in pregnant women are more dangerous than in non-pregnant women. Many bladder infections are triggered by sexual intercourse. Remember to empty your bladder immediately after sex and watch for symptoms. Several glasses of cranberry juice a day may prevent urinary tract infections.

Dizziness and Faintness
Slow down when you stand up or get out of bed. Dizziness when you stand up too quickly from sitting or lying down is called postural hypotension. If you're in a crowd and start feeling dizzy, step away and get some fresh air; if possible, lie down with your feet elevated or sit with your head between your knees.

Fatigue
Get a full night's sleep, and rest with your feet up for at least 15 minutes several times a day.
Headaches
Make sure you get enough rest, eat regularly, and drink six or more glasses of water daily. Avoid aspirin or other over-the-counter painkillers except for acetaminophen (Tylenol, e.g.). Instead, try stress-reduction techniques like yoga or meditation. Or try taking a hot bath with a cold pack on your forehead.

Heartburn
Avoid heavy meals and spicy, greasy, sugary, and acidic foods. Stick to a bland, high-fiber diet, drink lots of fluids, and exercise daily. Small, frequent meals may relieve some of the symptoms. Don't lie down right after a meal. Raise the head of your bed 2 to 4 inches with a stable support such as wooden blocks. Antacids can be helpful.

Hemorrhoids
Hemorrhoids may develop due to the increased blood in your body during pregnancy, along with the increased pressure to the blood vessels in your pelvis. Hemorrhoids usually disappear after delivery. Eat a high-fiber diet to keep your stool soft, drink lots of fluids, and don't strain during bowel movements. To relieve itching or pain, try a warm sitz bath, or apply an ice pack or a cloth soaked in witch hazel. Kegel exercises, designed to strengthen the pelvic muscles, can improve circulation in the area. Getting off your feet may also help.

Leg Pains and Cramps
Wear support hose during the day, and elevate your feet when resting, if possible. Use a heating pad or gentle massage on the back of your thigh to ease sciatica.
When a leg cramp hits, straighten your leg and slowly flex your ankle and toes while massaging your calf; or soak your leg in hot water. You may be able to prevent night cramps by wearing socks to bed or by pressing your foot against the bed board. If painful cramps persist, ask your doctor about calcium or magnesium supplements.

Morning Sickness
You may feel nauseated at any time of the day, typically in the first trimester. Try eating frequent, small meals rather than three full meals. Keep your diet high in protein and complex carbohydrates, and low in sweets and fatty foods. Drink plenty of fluids, and eat fresh fruits and vegetables, which are high in water content.
Talk to your doctor about trying 25 mg of vitamin B6 taken three times a day. Antacids sometimes help, especially if heartburn is part of the problem. In general, try to minimize stress in your everyday activities.

Mouth and Gum Discomfort
Pregnancy can be demanding on your teeth, so see your dentist early in your pregnancy for a checkup and cleaning. Brush your teeth and tongue at least twice a day, and floss regularly. Sugarless gum can be substituted for an after-meal cleaning if it isn't feasible to brush your teeth.
Make sure you're getting plenty of calcium in your diet -- 1,200 mg daily. You might try a folic acid rinse, but don't swallow it -- and check with your doctor first.

Nasal Congestion or Nosebleeds
Use a vaporizer to humidify your bedroom at night. Lubricate each nostril with a dab of petroleum jelly during the day to prevent nosebleeds. Avoid decongestant nasal sprays, which can constrict blood vessels.

Numbness
Avoid lying on your hands while sleeping. If your hands feel numb when you wake up, shake them over the side of the bed. Soaking the hand in warm water or using a heating pad twice daily may help ease numbness; or try wearing a wrist splint. If numbness persists, try vitamin B6 supplements.

Skin Changes and Stretch Marks
Rashes from hormone changes during pregnancy generally go away after the baby is born. To prevent freckles or darkened skin on your face, called a "pregnancy mask" or chloasma, wear a wide-brimmed hat and use sunscreen on sunny days.
Lubricate dry skin around your abdomen with a moisturizing cream. For heat rash, try to stay as cool as possible and use cornstarch powder under your breasts, on your thighs, or wherever your skin tends to chafe.

Sleep Problems and Insomnia
Women who are pregnant often experience sleepless nights and daytime fatigue in their first and third trimesters. During the first trimester, frequent trips to the bathroom and morning sickness may disrupt sleep. Later in pregnancy, vivid dreams and physical discomfort may prevent deep sleep. After delivery, the new baby's care or a mother's postpartum depression may interrupt sleep.
Fatigue during the first trimester of a pregnancy is likely due to changing levels of hormones, such as progesterone. Toward the end of pregnancy, some women find it difficult to sleep because they're uncomfortable due to the size of a growing abdomen. Some women are too excited, anxious, or worried about becoming mothers to sleep well. Sleep apnea (snoring), especially if it's severe and causes your blood oxygen level to drop during sleep, is a risk to the fetus.
Pregnant women who experience insomnia during pregnancy may find relief by taking afternoon naps, drinking warm milk, or taking a warm (not hot) bath before bedtime. Exercise during the day may help, too. Expectant mothers may find it more comfortable to sleep on one side, with pillows supporting the head, abdomen, and topside knee. Don't take sleeping pills or herbal sleeping remedies without talking with your doctor first.

Leg Swelling
Monitor your weight gain throughout your pregnancy. To control swelling in your legs and ankles, wear support hose and avoid standing for long periods. Wear shoes that fit well and give good support, or buy shoe inserts designed especially for pregnant women. Getting off your feet helps the most. Lying down is often more comfortable than sitting.
Taste Changes
You may find some foods unappealing and develop a craving for others, especially sweets. Iron supplements may leave a bad taste in your mouth; talk to your practitioner if this is a problem. Use mouthwash often. Chewing gum, mints, or hard candies can also chase away unpleasant tastes.
Urination Problems
Kegel exercises can help you control stress incontinence -- losing a small amount of urine when you sneeze, cough, or laugh. You can also use a sanitary pad. Leaning forward while urinating helps to empty your bladder completely.
Vaginal Discharge or Itching
A thin, mild-smelling discharge is normal in pregnancy. Use sanitary pads, but don't douche without your doctor's approval. Any red or brown discharge is a signal to call your doctor immediately.
Vaginal itching and soreness may indicate an infection, which requires treatment by your doctor. Vaginal yeast infections can be common in pregnancy and may disappear without treatment after the baby is born.
Varicose Veins
Pregnancy puts extra strain on the blood vessels in your legs. Support stockings or pantyhose can help relieve the discomfort. Exercise regularly, but don't stand for long periods. Raise your legs above hip level when sitting, if possible. Lie on your side in bed, or put a pillow under your feet. Ask your doctor or a nutritionist about taking vitamin C supplements to strengthen blood vessels.
Vision Changes
If your eyes swell from fluid retention and hard contact lenses become uncomfortable, switch to soft lenses or glasses.

Special Warnings: Caring for Two

Aside from relieving common pregnancy discomforts, there are cautions that are important to remember while you are pregnant. Keep in mind:

• The most dangerous time to take any medication is during the first trimester, when the fetus is developing rapidly and is more vulnerable to injury. Always check with your doctor before taking any over-the-counter or prescription drugs, including drugs that were prescribed before you became pregnant.
• Several diseases pose special hazards to pregnant women and an unborn child, such as rubella, chickenpox, "fifth disease" (erythema infectiosum), mumps, cytomegalovirus, chlamydia, gonorrhea, genital herpes, genital warts, syphilis, and AIDS/HIV. Call your doctor immediately if you think you have been exposed to any of these. If possible, get vaccinated against rubella, chickenpox, and mumps before pregnancy, unless you've had those diseases or their vaccines already. Ask your doctor about performing a blood test for chickenpox and rubella if you can't remember if you've had these conditions as a child, and try to get the vaccines at least four weeks before pregnancy (or afterward) if you need them.
• Don't smoke. Smoking during pregnancy increases the risks of vaginal bleeding, miscarriage, stillbirth, premature birth, low birth weight, and many other potential problems that you and your baby don't need. Second-hand smoke, smoke-filled rooms, car exhaust, and industrial fumes can also be hazardous to pregnant women. Avoid prolonged exposure to environmental pollutants as best you can.
• Avoid breathing in or touching chemical household cleaners, paints, and insecticides.
• Be careful walking and getting out of the shower or tub, because a growing baby can throw you off balance.
• Check with your doctor before you start exercising. Some otherwise normal activities should not be undertaken during pregnancy, and others need to be modified.
• Most couples are able to have sexual intercourse until near the time of birth. Check with your doctor about the advisability of intercourse if you have a history of miscarriage or preterm birth, any infection or bleeding, if the placenta is in an abnormal position (known as placenta previa), or during the last trimester if you're carrying multiple fetuses. Avoid sex after the amniotic sac has broken or fluids leak. If you develop pain or abdominal cramps that continue or worsen for more than an hour after having intercourse, call your doctor, because your cervix could be dilating.
• Avoid having unnecessary X-rays. If you must get an X-ray, be sure to tell the doctor or the technician that you are pregnant.
• Don't get overheated, avoid exercising in hot and humid weather, and stay out of hot tubs, saunas, and whirlpool baths. If you have a fever, cool down with a shower or cool bath and take acetaminophen (Tylenol, e.g.)

 HAPPY DELIVERY....

 

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RADIOLOGY

  RADIOLOGY

The branch of medicine that deals with the use of radioactive substances in diagnosis and treatment of disease.

Branch of medicine that uses radiation for diagnosis (diagnostic imaging) and treatment (radiation therapy) of disease. Originally, it involved X rays for diagnosis and X rays, gamma rays, and other ionizing radiation for treatment. Diagnostic methods now include isotope scanning ( nuclear medicine), use of nonionizing radiation, as in ultrasound and magnetic resonance imaging, and radioimmunoassay (in which radioactive isotopes in antibodies against hormones detect minute amounts of hormones for diagnosis of endocrine disorders). Radiotherapy now includes, in cancer treatment, radioactive hormones and chemotherapeutic drugs.

The medical science concerned with x-rays, radioactive materials, and other ionizing radiations, and the application of the principles of this science to diagnosis and treatment of disease. Nonionizing radiations of infrared and ultrasound are also used for diagnosis.
Diagnostic radiology uses radiation, usually x-rays, to study the configuration of anatomical structures or the function of body organ systems. See also Radiography.
Radioactive isotopes are used to obtain images of organ systems and functions. The accumulation of isotope in a tumor or an organ such as the thyroid is recorded by a suitable γ-ray detector attached to an electronic amplifier and recording equipment. The image of the radioactivity concentrated in an organ is viewed on a television-type screen and recorded on a photographic print. See also Radioactive tracer.
Sound waves of 1–10 MHz are transmitted from a crystal transducer, and after amplification are displayed on an oscilloscope and recorded on a photographic print. The ultrasound pulses demonstrate organ structures such as the heart, liver, and spleen. Although the resolution is less fine than that obtained with x-ray, there is an advantage in that the ultrasound is nonionizing radiation. Ultrasound is particularly useful, therefore, in determining the size and degree of development of the human fetus. See also Ultrasonics.
Infrared radiation from the human body is used to detect tumors such as breast tumors, which are near the body surface. The technique, thermography, is based on the idea that tumors are warmer than the surrounding normal tissue. This increase in temperature is detected by an infrared device, and the “hot spot” scan is displayed on a television-type screen, with permanent records kept on photographic prints.
Radiation therapy deals with the treatment of disease with ionizing radiation. The diseases most commonly treated are cancer and allied diseases. Radiation therapy has been found useful in the management of some diseases such as ringworm of the scalp and bursitis, but because of possible serious complications occurring many years later, the use of ionizing radiation is generally avoided if alternative methods of treatment are available.
In cancer therapy the objective is to destroy a tumor without causing irreparable radiation damage in normal body tissues that must of necessity be irradiated in the process of delivering a lethal dose to the tumor. This applies particularly to important normal structures in the vicinity of the tumor. The relative radiosensitivity of the tumor with respect to these normal structures is the chief factor determining the success of the treatment.

This medical specialty originally involved the use of X-rays in the diagnosis and treatment of disease. Improved technology over the years with computer analysis of images has led to many sophisticated developments. Computed tomography (CT scans), developed by Sir Godfrey Hounsfield in 1972, was probably the most spectacular advance in radiology, using X-rays to provide three-dimensional information. Along with a progressive increase in the use of X-rays in diagnosis, other methods such as those utilizing gamma rays from radioactive isotopes (isotope scans), and positron emission tomography (PET scans), became incorporated into the modern practice of radiology. More recently radiologists have become involved also in ultrasound and magnetic resonance imaging (MRI) which do not involve ionizing radiation. Further sophistication has led to Doppler ultrasound, duplex scanning, and MRI angiography. These diagnostic methods are all known as organ imaging or imaging techniques and are described more fully elsewhere. They display in superb detail various organs or blood vessels and are very much a part of a modern radiologist's activities.

When one reflects that X-rays were only discovered in 1895, the developments have been quite staggering and expensive. Who could have foreseen, a hundred years ago, that putting patients inside magnets (MRI) could produce images? We are in the Golden Age of radiology with not enough gold to do all that is possible. Present day radiologists must be aware of the potential of these imaging methods, ensuring that optimal diagnostic pathways are followed. Radiologists now tend to subspecialize: neuroradiologists work solely within the nervous system, while others develop expertise in chest, bone, or gastrointestinal investigations.

Interventional radiology — dealing not with diagnosis but with treatment — is now a special field where various procedures are carried out using radiology for a visual display. Thus, under X-ray control, a catheter or needle may be positioned for various purposes; narrowed blood vessels in the leg or heart can be dilated (angioplasty) ; stents can be placed to widen arteries, bronchial airways, or ducts in the urinary or biliary tracts; tumours can be embolized (injected with material to block their blood vessels) to reduce their size; and abscesses can be drained.

— J. K. Davidson

radiology, branch of medicine specializing in the use of X rays, gamma rays, radioactive isotopes, and other forms of radiation in the diagnosis and treatment of disease. X ray machines and fluoroscopes are essential in diagnosing bone fractures, tumors, and other abnormalities of the internal organs. The computerized axial tomography (CAT) scan uses computer technology to focus X rays on precise sections of the body. Magnetic resonance imaging (MRI) utilizes supercooled magnets to concentrate and focus radiation in very small areas of the body, rendering sharp detail. Radioactive isotopes are also employed in diagnosis, e.g. iodine-131 is used to confirm cases of suspected thyroid disorder. In radiotherapy, X rays, gamma rays, and other radiation sources are used in the treatment of cancer and related diseases.

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ANTIDEPRESSANT

Antidepressants

What You Need to Know About Depression Medication

Antidepressant medication, used under the guidance of a mental health professional, may relieve some of your depression symptoms. But antidepressants also come with significant side effects and dangers. What’s more, recent studies have raised questions about their effectiveness. At the very least, it’s clear that medication alone isn’t enough—you also need to make changes in your lifestyle. Learning the facts about antidepressants and weighing the benefits against the risks can help you make an informed and personal decision about what’s right for you. 

How effective are antidepressants?

Important

This information is not intended to be a substitute for medical advice. If you are taking an antidepressant, do not change your dosage without consulting your physician!

Most mental health experts agree that when depression is severe, medication can be helpful—even life-saving. However, research shows that antidepressants fall short for many people.
A major U.S. government study released in 2006 showed that fewer than 50 percent of people become symptom-free on antidepressants, even after trying two different medications. Furthermore, many who do respond to medication slip back into depression within a short while, despite sticking with drug treatment.
Other studies show that the benefits of depression medication have been exaggerated, with some researchers concluding that, when it comes to mild to moderate depression, antidepressants are only slightly more effective than placebos.

The bottom line

If you have severe depression that’s interfering with your ability to function, medication may be right for you. However, many people use antidepressants when therapy, exercise, or self-help strategies would work just as well or better—minus the side effects.
Therapy and self-help strategies can help you get to the bottom of your underlying issues and develop the tools to beat depression for good. So while drug treatment can be beneficial, it’s by no means the only answer. There are other effective treatment approaches that can be taken in addition to or instead of medications. It's up to you to evaluate your options and decide what's best for you.

Is depression caused by a chemical imbalance in the brain?

When it comes to depression, serotonin doesn’t tell the whole story

Experts agree that depression involves much more than just “bad” brain chemistry. Serotonin is just one of many factors that may play a role in the disorder.
New research points to other biological contributors to depression, including inflammation, elevated stress hormones, immune system suppression, abnormal activity in certain parts of the brain, nutritional deficiencies, and shrinking brain cells. And these are just the biological causes of depression.
Social and psychological factors—such as loneliness, lack of exercise, poor diet, and low self-esteem—also play an enormous role in depression.

You’ve seen it in television ads, read it in newspaper articles, maybe even heard it from your doctor: depression is caused by a chemical imbalance in the brain that medication can correct. According to the chemical imbalance theory, low levels of the brain chemical serotonin lead to depression and depression medication works by bringing serotonin levels back to normal.
However, the truth is that researchers know very little about how antidepressants work. There is no test that can measure the amount of serotonin in the living brain—no way to even know what a low or normal level of serotonin is, let alone show that depression medication fixes these levels.
While antidepressant drugs such as Prozac increase serotonin levels in the brain, this doesn’t mean that depression is caused by a serotonin shortage. After all, aspirin may cure a headache, but it doesn’t mean that headaches are caused by an aspirin deficiency. Furthermore, many studies contradict the chemical imbalance theory of depression.
Experiments have shown that lowering people’s serotonin levels doesn’t always lower mood, nor does it worsen symptoms in people who are already depressed. And while antidepressants raise serotonin levels within hours, it takes weeks before medication is able to relieve depression. If low serotonin caused depression, there wouldn’t be this antidepressant medication lag.

Side effects of antidepressant medication

There are many different types of drugs used in the treatment of depression, including selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).
Side effects are common in all antidepressants. For many people, the side effects are serious enough to make them stop taking the medication.

Side effects of SSRIs (selective serotonin reuptake inhibitors)

The most widely prescribed antidepressants come from a class of medications known as selective serotonin reuptake inhibitors (SSRIs). The SSRIs include well-known antidepressants such as Prozac, Zoloft, and Paxil. Research suggests there is little difference in the effectiveness of these newer antidepressants, but there may be differences in side effects, cost, and how long the medication takes to work.
The SSRIs act on a chemical in the brain called serotonin. Serotonin helps regulate mood, but it also plays a role in digestion, pain, sleep, mental clarity, and other bodily functions. As a result, the SSRI antidepressants cause a wide range of side effects, including:

Nausea Insomnia Anxiety Restlessness Decreased sex drive Dizziness Weight gain

Tremors Sweating Sleepiness or fatigue Dry mouth Diarrhea Constipation Headaches

While some side effects go away after the first few weeks of drug treatment, others persist and may even get worse.
In adults over the age of 65, SSRIs pose an additional concern. Studies show that SSRI medications may increase the risk for falls, fractures, and bone loss in older adults. The SSRIs can also cause serious withdrawal symptoms if you stop taking them abruptly.

Generic vs. Brand-Name Drugs

Generic drugs have the same use, dosage, side effects, risks, safety profile, and potency as the original brand-name drug. The main reason why generic drugs are cheaper than brand-name drugs is that the generic drug manufacturer does not need to recoup huge expenses for developing and marketing a drug. Once the patent for the original drug has expired, other manufacturers can produce the same drug with the same ingredients at a markedly lower cost.
Occasionally, brand-name drugs have different coatings or color dyes to change their appearance. In rare cases, these extra ingredients will make the generic form of the drug less tolerable, so if your condition worsens after switching from a brand-name to a generic drug, consult your doctor. In most cases, however, generic drugs are just as safe and effective as brand-name drugs, and a lot easier on your wallet.

Antidepressant risk factors

Anyone who takes antidepressants can experience unpleasant or dangerous side effects. But certain individuals are at a higher risk:

• People over 65. Studies show that SSRI medications may increase the risk for falls, fractures, and bone loss in older adults.
• Pregnant women. The use of SSRI's late in pregnancy may lead to short-term withdrawal symptoms in newborns after delivery. Typical symptoms include tremor, restlessness, mild respiratory problems, and weak cry.
• Teens and young adults. The U.S. Food and Drug Administration requires all depression medications to include a warning label about the increased risk of suicide in children and young adults.
• People who may have Bipolar Disorder.  The treatment for bipolar depression is different than for regular depression. In fact, antidepressants can actually make bipolar disorder worse or trigger a manic episode.

Antidepressant medication and suicide risk

There is a danger that, in some people, antidepressant treatment will cause an increase, rather than a decrease, in depression—and with it, an increased risk of suicide. While this is particularly true of children and young adults on antidepressant medication, anyone taking antidepressants should be closely watched for suicidal thoughts and behaviors. The suicide risk is particularly great during the first one to two months of antidepressant treatment.
Monitoring is especially important if this is the person’s first time on depression medication or if the dose has recently been changed. Signs that medication is making things worse include anxiety, insomnia, hostility, and extreme agitation—particularly if the symptoms appear suddenly or rapidly deteriorate. If you spot the warning signs in yourself or a loved one, contact your doctor or therapist immediately.
If you are concerned that a friend or family member is contemplating suicide, see Understanding and Helping a Suicidal Person.

Deciding if depression medication is right for you

If you’re considering antidepressants as a treatment option, make sure you carefully consider all of your treatment options. The following questions may help you make your decision.

Questions to ask yourself and a mental health professional

• Is my depression severe enough to justify drug treatment?
• Is medication the best option for treating my depression?
• Am I willing to tolerate unwanted side effects?
• What non-drug treatments might help my depression?
• Do I have the time and motivation to pursue other treatments such as therapy and exercise?
• What self-help strategies might reduce my depression?
• If I decide to take medication, should I pursue therapy as well?

Questions to ask your doctor

• How much mental health care training have you had?
• Are there any medical conditions that could be causing my depression?
• What are the side effects and risks of the antidepressant you are recommending?
• Are there any foods or other substances I will need to avoid?
• How will this drug interact with other prescriptions I’m taking?
• How long will I have to take this medication?
• Will withdrawing from the drug be difficult?
• Will my depression return when I stop taking medication?

Medication alone is not enough

Remember, antidepressants aren’t a cure. Medication may treat some symptoms of depression, but can’t change underlying contributions to depression in your life. Antidepressants won’t solve your problems if you’re depressed because of a dead-end job, a pessimistic outlook, or an unhealthy relationship. That’s where therapy and other lifestyle changes come in.

Exploring your depression treatment options

It sometimes takes time to find the depression treatment that’s right for you. Don’t be fooled into thinking that antidepressants are the best choice, just because they may be the easiest one.
Studies show that therapy works just as well as antidepressants in treating depression, and it’s better at preventing relapse once treatment ends. While depression medication only helps as long as you’re taking it, the emotional insights and coping skills acquired during therapy can have a more lasting effect on depression. However, if your depression is so severe that you don't have the energy to pursue treatment, a brief trial of antidepressants may boost your mood to a level where you can focus on therapy.
In addition to therapy, other effective treatments for depression include exercise, meditation, relaxation techniques, stress management, support groups, and self-help steps. While these treatments require more time and effort initially, their advantage over depression medication is that they boost mood without any adverse effects.

Guidelines for taking antidepressants

If you decide to take depression medication, it’s wise to learn all you can about your prescription. The more you know about your antidepressant, the better equipped you’ll be to deal with side effects, avoid dangerous drug interactions, and minimize other safety concerns.
Some suggestions:

• See a psychiatrist, not a family physician. Your family physician might help you or your loved one first realize that you may need depression treatment. But although any medical doctor can prescribe medications, psychiatrists are doctors who specialize in mental health treatment. They are more likely to be familiar with the newest research on antidepressants and any safety concerns. Your health depends on your doctor's expertise, so it's important to choose the physician who is best qualified.
• Follow instructions. Be sure to take your antidepressant according to the doctor's instructions. Don't skip or alter your dose, and don't stop taking your pills as soon as you begin to feel better. Stopping treatment prematurely is associated with high relapse rates and can cause serious withdrawal symptoms.
• Monitor side effects. Keep track of any physical and emotional changes you’re experiencing and talk to your doctor about them. Contact your doctor or therapist immediately if your depression gets worse or you experience an increase in suicidal thoughts.
• Be patient. Finding the right drug and dosage is a trial and error process. It takes approximately 4 to 6 weeks for antidepressant medications to reach their full therapeutic effect. Many people try several medications before finding one that helps.
• Go to therapy. Medication can reduce the symptoms of depression, but it doesn’t treat the underlying problem. Psychotherapy can help you get to the root of your depression, change negative thinking patterns, and learn new ways of coping.

Antidepressant withdrawal

Antidepressant withdrawal symptoms

• Anxiety, agitation
• Depression, mood swings
• Flu-like symptoms
• Irritability and aggression
• Insomnia, nightmares
• Nausea and vomiting
• Dizziness, loss of coordination
• Stomach cramping and pain
• Electric shock sensations
• Tremor, muscle spasms

Once you’ve started taking antidepressants, stopping can be tough. Many people have withdrawal symptoms that make it difficult to get off of the medication.
If you decide to stop taking antidepressants, it’s essential to consult a doctor and taper off slowly.
If you stop abruptly, you may experience a number of unpleasant withdrawal symptoms such as crying spells, extreme restlessness, dizziness, fatigue, and aches and pains. These withdrawal symptoms are known as “antidepressant discontinuation syndrome."
Antidepressant discontinuation syndrome is especially common when you stop taking Paxil or Zoloft. Prozac, which has a longer half-life in the body, is the least likely to lead to withdrawal. However, all medications for depression can cause withdrawal symptoms.

Depression and anxiety can be symptoms of antidepressant withdrawal

Depression and anxiety are common symptoms when withdrawing from antidepressants. When depression is a withdrawal symptom, it’s often worse than the original depression that led to drug treatment in the first place. Unfortunately, many people mistake this withdrawal symptom for a return of their depressive illness and resume medication, creating a vicious circle.

Tips for stopping your antidepressants safely

• Reduce your dose gradually. In order to avoid antidepressant withdrawal symptoms, never stop your medication “cold turkey.” Instead, gradually step down your dose, allowing for at least 1-2 weeks between each dosage reduction.
• Don’t rush the process. The antidepressant tapering process may take up to several months, and should only be attempted under a doctor's supervision. Be patient. If, at any time, you experience difficulties, consider spending more time at your current dose before attempting any further reductions.
• Choose a time to stop that isn’t too stressful. Withdrawing from antidepressants can be difficult, so it’s best to start when you’re not under a lot of stress. If you’re currently going through any major life changes or significantly stressful circumstances, you may want to wait until you’re in a more stable place.

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HOW TO CURE HIGH BLOOD PRESSURE

HOW TO CURE HIGH BLOOD PRESSURE

It is important to take steps to keep your blood pressure under control. The treatment goal is blood pressure below 140/90 and lower for people with other conditions, such as diabetes and kidney disease. Adopting healthy lifestyle habits is an effective first step in both preventing and controlling high blood pressure. If lifestyle changes alone are not effective in keeping your pressure controlled, it may be necessary to add blood pressure medications. In this section you will learn about blood pressure-lowering lifestyle habits and blood pressure medications.

Lifestyle

These links go to the Prevention section of this site.

	Following a Healthy Eating Pattern
	Reducing Salt and Sodium in Your Diet
	Maintaining a Healthy Weight
	Being Physically Active
	Limiting Alcohol Intake
	Quitting Smoking
	Other Factors Affecting Blood Pressure

Medications

	Types of Blood Pressure Medications
	Search for Information on a Drug (This link opens a second browser window. Simply close that window to return to this page.)
	Tips to Help You Remember to Take Your Medicine
	Questions to Ask Your Doctor If You Have High Blood Pressure
	Test Your Medication IQ

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