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Are you the proud owner of this beer belly?While you must have earned a lot of 'brownie pints', a beer gut is not quite something one can be awfully proud of, as it is positively dangerous for your health. Well for one this condition seems to be a common affliction amongst men more than women (though it isn't entirely unknown for women to guzzle beer). A beer gut is normally found in middle aged men as a token for services rendered to a sedentary lifestyle and hours spent accumulating empty calories. How is a beer belly formed? A protruding mid-section in men is generally formed when they consume more than they burn off. So given a busy lifestyle with very little exercise and discretion one generally can end up consuming lot many calories than one is willing to toss out. According to Dr Michael Jensen MD, endocrine and obesity expert at the Mayo clinic, the liver burns calories earned from alcohol instead of the existing fat. So say, if an average beer is around 150 calories plus all the tiny appetizers one has along with the beer (Pizzas, cuts, chips etc.) one can easily understand how these go about accumulating around the belly area in to a paunch. And because the liver was all too busy burning the calories guzzled from the beer, the rest finds a cozy place to settle around the tummy. This is exactly what gives majority of men and some women the infamous paunch or beer gut! GIVE YOUR PAUNCH A PUNCH IN THE FACE Well for starters be a giver and not a taker. Which means give more time to exercise like running, cycling, swimming, skipping, dancing or aerobics which should take care of visceral fat (which is easiest to shake off, by the way). As one ages their calorie needs go down, but then so do their physical activity levels and this is where the fat creeps in. Stick to light beer if you must but do not miss your exercise regimen for anything in the world.  
Career advice for menGetting a job these days is extremely difficult. What is even more difficult is sticking around long enough at the job. No one is indispensable, and if you don't perform well, there are hundreds more waiting to get the job! Being the bread winner, men have to face this pressure more. Here are some tips that would do you good, if followed: Cracking The Interview: The golden rule here is to be honest. The interviewers do not want to hear what will please them; So, do not try to butter them up. They are also put off by boasting . Therefore, be honest about your views and opinions. Age:wise Attitude- When you are young, and have just entered the company, it is highly advisable to observe and learn as much as you can. Find yourself a professional mentor who can guide you. Try and build on your professional presence. Be active, spend more time with your boss, be helpful to your juniors. The golden advice for all, irrespective of seniority, is to stay clear of office gossip and politics. Keep a check on the attitude: There is no need to be arrogant, and a know-it-all. Be friendly, confident, and genuine. Learn to say no: You need to have a pleasing personality. But, avoid trying to please all. Try and learn the art of saying no firmly. Too much of 'yes' will make people take you for granted, and you will find yourself overloaded with a lot of work. Do not under price yourself: If you feel that you deserve a raise, go ahead and ask for it. Do not be afraid to ask for your worth. Often at interviews, employers cancel out candidates who under price themselves, as it shows that they will probably not perform to the expected levels. Blow your trumpet: With all humility make sure you take what is rightfully yours. If you don't take credit for the work, no one will give it to you. Worse, someone else may take it! Create boundaries: Keep your work at office. Do not bring work home. Often at the outset, to please bosses, one ends up working overtime or worse, working at home. It is important to keep both the parts of your lives separate. Keep fit too: Don't let your job take a toll on your health. Working late, sitting at the same place for hours, can be harmful for the heart. Learn to unwind periodically. Setting goals is easy. What is needed is the determination to follow the rules you have set for yourself. The way to success at work is taking the ladder, one step at a time. There is no elevator here.
Mammary duct ectasiaSigns and Symptoms In most of the cases, female patients do not have any symptom. In few cases, women may present with nipple discharge, tenderness or inflammation of the surrounding region. In some cases, there may be a lump over the breast or the nipple may get inverted. Causes Exact cause of mammary duct ectasia is unknown. But few possible cause or risk factors have been proposed by the doctors : Increasing age - Probability of developing mammary duct ectasia increases with age. With ageing, the breast changes its nature. Glandular tissue is replaced by fatty tissue. This change may lead to duct ectasia. Smoking- Milk ducts are widened due to smoking. This increases risk of inflammation which may lead to duct Ectasia. Inverted nipple - Inverted nipple obstructs the milk duct. It may lead to inflammation followed by duct ectasia. Complications Complications of duct ectasia may be may be of varying severity. They are usually minor, but sometimes become serious. Localized discomfort- Discomfort occurs due to pain and swelling around the nipple. Nipple discharge - Ectasia is frequently associated with discharge of thick and sticky fluid from nipple. Infection- Bacterial infection may develop due to stagnation of fluid in the milk duct. If it is neglected, it may lead to localized collection of pus known as abscess. Abscess requires surgical treatment. Abscess is drained surgically. Diagnosis The doctor usually diagnoses duct ectasia by clinical examination. However, few investigations may be required. Mammography- X-ray of the breast tissue is known as mammography. It helps the doctor to evaluate the breast tissue. Ultrasound- Ultrasound enables the doctor to evaluate milk ducts beneath the nipple. Treatment Duct ectasia is usually relieved by treatment. Following are the treatment options : Medications: The doctor prescribes antibiotic therapy for 10 to 14 days. It may be accompanied by mild painkillers like ibuprofen, etc. for initial few days till the remission of the disease sets in. Most of the cases are usually relieved by medications. Surgery: If duct ectasia is not controlled with medications then the doctor chooses to remove the duct ectasia surgically. Surgery is required very rarely.  Self care measures Following self-care measures often provides relief to the patients. These remedies can be adopted at home. The patient may wear a breast pad or support bra. The patient may apply warm compression to the affected region. The patient must stop smoking. The patient may be advised to sleep on the opposite side of the affected breast. Female patients should be educated regarding mammary duct ectasia so that they can detect possible symptoms of duct ectasia themselves. This will help to prevent possible complications of mammary duct ectasia and early diagnosis will provide early cure.
Pregnancy and HIVMothers with higher level of viral load have been found to deliver infected babies. However, no amount of viral load can be safe as infections can occur any time during pregnancy. A high level of precaution is necessary during this phase. Mostly infection occurs during delivery but that's not the only way through which it can spread. HIV-infected mothers should not breast-feed, as virus can transmit through breast milk too. Antiretroviral medications are used to reduce chances of transmission of HIV. Keeping delivery time shorter can reduce the risk of transmission. Most of the times babies born to positive mothers are positive for HIV. Babies infected with HIV will have antibodies made in their system and will continue to test positive. But if babies aren't infected, the mother's antibodies in baby's blood will eventually disappear and babies will test negative after about one to one and half year. HIV positive women should consider possible problems with antiretroviral medications for HIV before getting pregnant. Talk to the doctor about choice, indications, and contraindications of these drugs. There's a risk of missing doses due to nausea and vomiting during early pregnancy, hence giving HIV a chance to develop resistance. Some doctors prefer the practice of stopping or modifying medications during pregnancy to lower the risk of birth defects. Short course of treatments can help eliminate or reduce risk of transmitting HIV to a newborn; but, short treatments increase the risk of resistance to the drugs used too. There is a risk of birth defects due to antiretroviral drugs during the first 3 months of pregnancy. Pregnancy does not worsen mother's HIV disease, but any HIV positive woman planning to get pregnant should discuss treatment options thoroughly and all the pros and cons with her doctor.   
Academic pressure in children and young peopleUnderstandably, parents, educators and politicians consider this topic a high priority. Exam preparatory businesses are found in every street and parents are willing to invest huge amounts of money to further their child's education. Another result, though, is childhood and teenage stress and anxiety. Signs of anxiety from too much pressure to succeed at school may show itself in sleep disturbances, erratic/poor eating, low mood, excessive worrying, low confidence levels and fear of failure - all eventually heading towards premature burnout. Younger children may experience nightmares, show bad behaviors or refuse to go to school. Teens may engage in destructive behaviors like drinking or drugs. They may struggle to concentrate or lose interest in their day-to-day activities and hobbies. They may gradually withdraw and isolate themselves. Anxiety and stress maybe linked to queasy tummies, headaches, and flaring up of skin conditions like rashes and eczema. The school and college admissions process has become more difficult than ever before. Competition is fierce. Many apply to a handful of good institutions hoping to get a much-wanted place. The stress does not stop after the exams - the wait for a decision is excruciating. Only a small proportion of eligible candidates succeed. Rejection can feel devastating. Highly capable and hardworking young people who spend many hours studying and preparing for assignments and exams, find the whole experience undermining and frustrating. Increasing external pressure from competitive peers, higher thresholds of parental expectations in a fast-paced world and the increasingly selective, goal-based focus of educational institutions will not feel supportive to a fragile child. Education should lead us from darkness to light. However, high and unrealistic expectations from parents and schools can affect a child's overall development. Whilst there is evidence that the parent's role supports or facilitates the child's achievements, there have also been concerns that a parent with unrealistic expectations can create unnecessary pressure - this worsens stress and fosters performance anxiety in children. Schools may put pressure on parents and the child to ensure that the child is meeting school targets and is not deficient in any area, rather than understanding that every child has a different potential and ability to manage stress. Children may perform better at school and feel more confident about themselves if they are told that failure is a normal part of learning, rather than being pressured to succeed at all costs, according to new research published by the American Psychological Association (2012). Recognizing this key concept and intervening early is vital. Parents and teachers need to communicate better with each other and the child. Understanding the child's strengths and interests but accepting the child's limitations at the same time is important. Supporting the child's efforts and self-esteem is the surest way to motivate them in a healthy manner. A simple conversation at the end of the day about how things are going on and giving positive feedback on the child's efforts go a long way. Where degrees and educational attainments are seen as the passport to financial success, are we losing sight of educating minds and supporting children's emotional, psychological, social and spiritual growth potential?
Is circumcision a healthy ritual?Religious rituals and practices have been carried out since ancient times. Circumcision is a religious ritual that involves surgical removal of the prepuce of the human penis. Prepuce is the foreskin of the penis and during the procedure; the person performing the ritual opens, inspects and separates it from the glans. The process is painful and hence local or topical anesthesia is used to reduce physiological stress and pain. Circumcision is performed for religious as well as personal reasons and many times recommended medically for prophylactic or therapeutic reasons as well. Today's medical science makes use of this treatment for treating chronic urinary tract infections, refractory balanoposthitis and pathological phimosis. Circumcision is performed as ritual in many parts of the world. However, it is also recommended medically as protection against HIV infection. Circumcision-Is it Legal and Ethical? In the world over, the ritual or practice of circumcision is carried out on all types of people from neonatal stage to adulthood. While no significant risks have been noticed due to the practice of this ritual, rather some modest health benefits have come to the fore. The World Health Organization has recommended circumcision for male infants in parts of Africa where the children are more vulnerable to urinary tract infections. However, no other medical organization in the world has supported or banned the procedure. Over past few years, legal and ethical questions have been making rounds and many believe that consent should be taken before carrying out neonatal circumcision. HIV and Circumcision Benefits A Cochrane meta-analysis conducted in 2009 on sexually active African men have revealed that the ritual of circumcision reduces the risk rate of HIV infection by 38 to 66 percent among heterosexual men in a period of 24 months. That is why WHO has recommended circumcision in sub-Saharan African areas having high rates of HIV infection as a part of the comprehensive HIV program. Moreover, this process is more cost-effective as compared to other treatments and preventive measures recommended for HIV. Circumcision reduces the risk rate of HSV-2 infections and oncogenic HPV prevalence along with the risk of penile cancer and UTIs. Until now, there have been no concluding reports on the protective effects circumcision offers against other types of sexually transmitted infections. Circumcision is also recommended medically to children suffering from pathological phimosis and refractory balanoposthitis. Contraindications The literature worldwide review conducted in 2010 reveals that around 1.5 percent of the newborns face median complication when the process of circumcision is performed by trained medical providers. Only 6 percent children face severe complications with the common complications being infection, bleeding or removal of too little or too much of foreskin. However, the process does not cause any negative impact on the sexual functioning of an individual. Contraindications due to circumcision are also cited in infants having genital structure abnormalities right from the birth such as misplaced urethral opening, ambiguous genitalia or chordae. In such cases, the foreskin may require reconstruction through surgery.  It is contraindicated in premature babies and clinically unstable infants and it should also be avoided in children with family history of hemophilia (bleeding disorders). In such patients, it is important that the blood should be checked for its coagulation properties before attempting the procedure.
Crave for non-food substances to put in your mouth? Go ahead take your pica!We all have strong cravings in some form or the other, especially for food. Just thinking of a chocolate cake or ice cream can set the mouth watering and the hand creeping to open the refrigerator. However, some people have an unusual craving and it is to consume non-food items. Everyone knows that children are known to eat chalk, dirt or lick walls but at times, even adults have this unusual craving for non-food items. This condition is termed as 'Pica'. One can understand a child popping something into its mouth as it's discriminatory skills are not developed, but what about fully grown adults who have this habit? Is it a mental ailment? One can't really call it a full blown mental condition as it occurs commonly in pregnant women. The cravings are as strong as any other food craving and sometimes these people go out of the way to satiate their cravings. So, right from paint thinner, to chalk to ink, ice, plaster, paint, linoleum to plastic bits can form the obsession or craving. Pica is a combination of psychological and biochemical processes and is generally a deficiency which sets about these intense cravings.  When pica strikes pregnant women, then it could be a cause for much concern and the doctor should be kept informed. While it is easier to indulge a pregnant woman's ice cream cravings if she also develops a thing for iron fillings on top of her ice cream, then obviously it can be a rather dangerous thing to do. Ice and chalk are comparatively harmless and other than affecting the teeth and the taste, do nothing much else, but what about turpentine and toxic materials? They can definitely interfere with the body's digestive processes and can even spread harmful toxins in the body to cause blood poisoning, intestinal infections, bowel blockages and lead poisoning or arsenic poisoning.  If you have such strong non-food cravings then before you give in to them talk about it to a medical practitioner. It could well be an iron deficiency or perhaps even anemia which is attracting you to chew pencils up or making you pop dirt in your mouth. If you are pregnant then certainly the doctor will need to address the underlying issue and ensure that the pica goes away before you deliver. Wouldn't want you chewing up the baby's soother now would we?
Accepting your flawsThere are basically two kinds of 'flaws,' one that is physical and the other that is in your personality. A physical 'flaw' like being too short, fat, or darkis never a person's fault. Thus accepting what you are can only boost your self-esteem and confidence. Despite these 'shortcomings,' it is your character and your achievements that stand out in the long run and not the way you look. The first step in creating a better life is accepting if you are wrong! Personality traits and habits are mostly visible to others but not to you. These are those faults that can cause bitterness in relationships or cause problems at work or in our social interactions. Some people lose their temper easily, some are lazy, and some are rude, while some are either introverts or extroverts. If you have flaws that can cause problems for others then the best thing you can do is to change those negative traits in yourself. Character flaws might be natural, but they can affect others negatively. The first thing in making improvements is to analyze yourself. What are you so angry about ? Is it really some other person's fault or that you have had a bad day at the office? Give it a thought and once you find the answers, you will feel relieved. Accept your physical flaws and love yourself for what you are, as this is the key to lasting happiness. Major flaws like alcoholism, splurging money, borrowing money, or addictions are what one should be willing to overcome. If you accept you have any of these major flaws and need help to overcome them, then you need to seek help. There are professionals who can help out, provided you are a willing party to the process. Improvement will come only if you are willing to change. Remember that flaws are easy to acknowledge and to change;the only thing required is the desire within you to do so.
Arthritis friendly workoutsRheumatoid arthritis is more common in women over 60, and is the inflammatory type of arthritis where the synovial fluid functioning is disrupted. The synovial fluid maintains the health of joints, bones, and cartilages. Osteoarthritis is the most commonly occurring type in both men and women, and in this type there is gradual wearing away of the bone cartilages, which, in turn, causes stiffness, and pain in the muscles, joints and tendons. There is a classic catch 22 situation in arthritic patients and that is they avoid exercise or are advised extreme caution while exercising. The pain and soreness which comes from exercising can be extremely discouraging, so some shun exercise altogether. Now, the lack of exercise is going to precipitate the condition further, and could even increase the soreness, and lead to deformity. This is what challenges most arthritic patients. Should someone with arthritis be allowed to exercise? And if yes, then what type of exercise will prove to be most beneficial? Main question is: Are there any arthritis friendly workouts? Doctors now recommend that exercising could actually work wonders for arthritis patients. The right method and type of exercise can help ease the inflammation and soreness of the joints, and build overall health, strength and flexibility of the bones, and joints as well. What would be a good exercise routine? The arthritis foundation recommends routines which exercise the flexibility of the joints, and build muscle mass, for better shock absorption, coupled with physical endurance should be specially designed for arthritics. Regular walking: Walking is a great exercise for arthritics. Walking at a steady pace for about 30 minutes, thrice a week, can help keep the limbs active, and could reduce the swelling at the knees, and hip joints. Warm up is absolutely essential in any work out, and here it is of paramount importance that you go through a warm up routine before you begin your walk. Simple leg raises, hand to toe stretches, and light back bends can be done to warm up the muscles and joints for your walking activity. That will also reduce the possibilities of strain or sprains of the ankles along the way. Choose your exercise route to ensure that you don't walk up a gradient, and put unnecessary pressure on your knees and ligaments. Aquatic Exercises: Exercising in water is perhaps the best possible alternative, as water is absolutely low impact. This is great for arthritic patients to reap the benefits of a swimming pool workout. The easiest for chronic arthritis patients would be to simply walk, or wade in water for about 20-30 minutes. This can help greatly with building strength, and endurance in the extremities. For enhancing co-ordination you can even try walking backwards in water, or simply float and relax the body. Avoid water which is too cold, as that might adversely affect your condition. Stretching and Yoga: All easy stretches for the limbs and joints will be helpful to facilitate ease in movements, and dealing with joint pain. Standing leg raises, shoulder raises, wrist rolls are exercises which can be done quite easily, and can help keep the body supple. Though yoga also enhances flexibility, it goes way beyond just that, and actually aims at harmonizing the life force in the internal and external organs as well. No matter what type of exercise suits you, always remember: Proper warm up exercises are a must for the arthritic patient, as that can help reduce, and eliminate the possibility of injuries while working out. Do not force your body into an exercise regimen, if you are experiencing pain. It is quite ok to take a day off if the joints are sore. Get into an exercise routine slowly as your body might take a little longer to recover from it. Always seek the advice of an expert or a doctor before making any alterations to your regimen.
Exercise, a healthy way to deal with hypertensionYou have not exercised for a long time. You took it easy when it came to physical activity. Now that you are diagnosed with high blood pressure, you will do anything to control it. Even exercise! Exercise, weight management, and a healthy diet are important ways to help prevent high blood pressure and lower the blood pressure that is already high. Benefits of exercise for people with hypertension include: Improve blood and oxygen circulation in the body Promotes sound sleep Improves stamina and endurance Keeps heart healthy Reduces stress and promotes mental health Exercise enhances the effectiveness of medication So how much should one exercise? An exercise session of atleast 30 minutes per day is important. Get started Start slowly and increase gradually. Start with 10 to 15 minutes of exercise and increase it, as youget comfortable. Choose exercises you enjoy and will do consistently. Avoid sudden vigorous activities; they can cause injuries and hamper the routine. Warm up Warming up helps the body adjust slowly from rest to exercise. A warm-up will reduce stress on the body muscles, increase heart rate and respiratory rate, and body temperature slowly. It will also decrease soreness of muscles. Best exercises for lowering blood pressure Stretching: It is the best. It relaxes and helps prepare the body and muscles for activity and prevents injury and muscle strain. Stretching regularly will make you flexible and improve motility. Aerobic exercise: This helps to improve circulation to the entire body. It improves heart function. It gives maximum benefits to the heart. They also help to reduce heart rate and blood pressure by improving breathing pattern thus lowering blood pressure. Walking, swimming, jogging, and skipping are all aerobic activities. Do aerobics for at least 30 minutes three times a week. Strengthening exercises: These include exercises that have repeated muscle contractions till the muscles are tired. These include side balance crunch, climbing a rope, and push-ups. Join a gym. Here are some  exercise guidelines for a better exercising routine in the gym:  Schedule a fixed time for exercise. Find a buddy to exercise with you. Select an exercise that you like. Make variations to avoid getting bored. Boredom can make you stop exercising. Start slowly and increase gradually, especially if you do not exercise regularly. You should wait for an hour after eating before you exercise. Ten minutes of warm up and ten minutes of cool down sessions are must Keep a record of daily exercise.
10 simple ways to get rid of hiccupsHiccups are simply a sudden involuntary contraction of the diaphragm. Diaphragm is the muscle on which the lungs rest and it is above the stomach. The contractions happen several times within a minute and goes on for several minutes. Every contraction is followed by the sound 'hic'. And hence the name - hiccups. Sometimes hiccups can occur in the most awkward situations - just before an important interview, just as you lie down on the bed to sleep, or even during a meeting. Hiccups in difficult situation can be a big problem. Some simple tricks could help you get rid of them. It helps to know different techniques you can use to stop hiccups, for only one may not always work. Hold your breath: Inhale deep and long, and then hold on to the breath. This may help the diaphragm to relax and hiccups will stop. Drink warm water: Take about ten or more big gulps of water, with quick swallowing. This will help the irritation of diaphragm to go away. Close your ears: Use a thick small roll of cotton or use your fingers to plug your ears and close it. Do this for about 30 seconds. Alternatively, you can also firmly press upon the soft tissue of the ears from behind, next to the ear lobes. This helps to relax a nerve which then relaxes the diaphragm. Take your tongue out: Pull out your tongue, as out as you can and keep it that way for a few seconds. This helps in better breathing, relaxing any spasms that may be causing the hiccups. Breathe with mouth covered: Press both your palms over your mouth to close it and continue breathing only through the nose. This intends to create a discomfort that will cause some distraction for the nerves and the hiccups will stop. Breathe in a paper bag: Breathe deeply into a paper bag. Do not cover your whole face with the paper bag, just the nose and mouth. Hug yourself: Pull your knees up, close to the chest and wrap your arms around. Hug yourself tight for a couple of minutes. The pressure also helps to relax the diaphragm. Have some sugar: Have a spoonful of plain grainy sugar and keep it in the mouth. Swallow slowly. Lemon at your service: Pick a piece of lemon, put it in your mouth, and let it be there. Do not chew; just suck it slowly for a few minutes. This will also help the hiccups go away. Just wait:  Nine out of ten times, the hiccups will go away on their own, after giving you a little trouble, of course. If you are not too uncomfortable with hiccups, be patient and give them a few minutes. Most likely, they will pass off as spontaneously as they had come. "I think hiccup cures were really invented for the amusement of the patient's friends." - Bill Watterson
Women and impotence- The facts on sexual dysfunction in womenTraditionally when one hears the word 'impotence', one tends to associate it with the male partner. Female impotence is also a reality. Sexual dysfunction in women might infact be more common in women than in men. Read on to know more The sexual response cycle has four stages- excitement, plateau, orgasm and resolution. A problem arising in any of these phases is called Sexual Dysfunction. It hampers with the pleasures of sexual activity. All in all, a healthy lifestyle is the key to getting rid of several of the causes that may cause sexual dysfunction. Be frank and express your fears to your partner. Talking and establishing a mutual respect and comfort zone helps like nothing else can! Sexual dysfunction affects females as much as it affects men. The causes can be classified as below: Physical causes: Several diseases like diabetes, heart diseases, kidney disorders, liver disorders, neurological disorders, hormonal imbalance, menopause, excessive alcoholism or drug abuse can cause sexual dysfunction. In addition to it, inability to perform or initiate or enjoy sexual activity may happen due to side-effects of certain medications. Past pelvic surgeries are also a cause for sexual dysfunction in women. Psychological causes: The mind has got a definitive effect on the body. Sexual dysfunction is the apt example to explain this. Too much of stress, work pressure, depression are factors that do not allow an individual to perform well in bed. Past sexually traumatic events may also be a cause for sexual dysfunction. Sexual causes: This is the most frequently encountered cause for sexual dysfunction in women. Vaginusmus is the leading cause here. Vaginusmus is a pain that the woman experiences due to the fear of penetration. This causes involuntary contraction of the muscles making it impossible for her to relax. The origins of this fear are due to past painful and traumatic experiences. Dyspareunia is another cause for sexual dysfunction. It is a burning pain that lasts long after the act is over. The severity of the pain is of such a nature that the woman prefers not giving in to the pleasures of sex rather than experiencing pain. Sexual dysfunction is not something to be embarrassed of and certainly not something to be looked upon derogatorily. Sexual dysfunction often leads to frustration and can affect your relations. Speak out and seek help before it is too late. And for the men reading this, be supportive of your partner. She is going through a difficult phase and she needs your love and support along with the right treatment, not your scorn and displeasure. Treatment Options: Sexual dysfunction in women is treatable once the exact cause for the condition is known. Various natural remedies, holistic approaches and psychotherapy have been used with a good measure of success. Additionally, oral medication, hormonal therapy and surgical procedures are also used to treat impotency.
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