Are you one of the many people in Magnolia Park who are burning the candle at both ends and maybe only getting 4 or 5 hours of sleep a night? Are you also one of those guys having problems with his sex drive and feeling out of sorts? Well, recent studies done in Magnolia Park in the last 3 years show that these symptoms could all be due to the effect of sleep on testosterone – just how, though, may be a chicken and egg question!
While it’s true that lower testosterone levels can be the cause of a sluggish sex drive and irritability it seems to be a matter of research opinion whether low sleep levels cause low testosterone or low testosterone causes lack of sleep.
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Convincing Your Husband to Check His Testosterone Level
From the time they are little boys playing cowboys and Indians in the backyard, men are taught that they should be "manly." The macho image saturates the media in movies, television, and books. Even the romance novels aimed at women feature manly men with unbuttoned shirts on the cover.
It has become almost an unspoken rule that for a man to be respected, he should be strong, unemotional, and independent. With this in mind, think about what you may be doing to your husband if you question his manhood?
As the concerned wife, you may not think apprehension about testosterone levels have anything to do with questioning his manhood, but to your husband, you are doing just that. The very word testosterone has become synonymous with manliness. There are many jokes made about the "testosterone in the room" when men try to show up each other.
It is no wonder that the phrase "Honey, maybe you have low testosterone" is almost guaranteed to evoke an unsavory response. If the hormone is a concern, you cannot put your husband on the defensive by seemingly implying that he is not enough of a man.
Before even bringing up the subject, consider the symptoms of low t. He may not be even suffering from the problem, so do not put undue stress on him unless he is exhibiting the symptoms.
Generally, when men suffer low testosterone levels, he will show some of the following symptoms: decreased energy and strength, lower libido or sex drive, weakness of the bones, depression or anger, erectile dysfunction, an increase in fat on the body, and decrease in muscle mass.
Generally, 'low t' is caused by a signal mix-up between the brain and the testicles. For some reason, the brain may be signaling to lower testosterone creation or to halt production completely. Testosterone levels are low if they are under 300.
Although these symptoms are not definitively low testosterone, if a man is suffering from more than one, there is definitely a cause for concern. If you believe that your husband may be suffering from the hormone deficiency, then tread lightly.
It really does not matter how long you have been married, how close you are to your husband, or how well you know him. You could face a negative response if you blatantly tell him you are not happy with his sex drive or his energy level.
Remember, the problem is in no way about you. Do not make the situation about you, because if you do, he will see that as self-centeredness since he is the one suffering. His decreased sex drive does not mean he is no longer attracted to you. He is going through a difficult time, and implying that it is hard on you will only create bad feelings.
The low testosterone test is simply a blood test. No invasive procedures are required, and no embarrassing exams have to happen. Since finding out is fairly simple, you can make sure your husband knows this.
If you feel that your husband is exhibiting the symptoms of low testosterone levels, then you definitely need to broach the subject. Even if the condition is not low testosterone, there could be other underlying medical problems. Any time someone is exhibiting symptoms, it is best that they see a doctor.
However, in this case, a man may very well feel that his manhood is being called into question. There are three keys to talking with your husband about the problem: honesty, selflessness, and patience.
The first thing you need to remember is that you have to be honest, while being tactful at the same time. Instead of jumping at the big subject, like intimacy, choose something a little less inflammatory.
Begin with a phrase, like "You have been kind of tired lately, haven't you?" This way, you are opening the door to a discussion without even bringing up the idea of a testosterone problem.
Once he begins to talk and confirm his problem with fatigue, then you can delve deeper. Remember to go at his pace, not yours. Suggest that you read an article and found it interesting, or that you were concerned since he did not seem to be getting enough sleep.
When you feel ready, bring up testosterone. Make sure he knows you are bringing it up because of the many negative effects it can have on him and you are simply concerned with his health.
This is when selflessness comes in. At no point should you imply that it is a hardship for you at all. Do not bring up that you are under any stress or that you feel you are missing out on anything. Doing so is almost a guarantee of anger or defensiveness on his part.
Remember that if he is suffering low-t, it is nothing he can repair on his own, and it is unfair of you to blame him for a medical condition.
Finally, you must practice patience. If you bring up the subject and he gets angry, then put it on a back burner for a while. Give him some time to calm down and think more clearly. You may even want to email him an article on the subject so that he can think about it without feeling under pressure by talking face to face.
Thankfully, low testosterone levels in men can easily be treated with testosterone replacement therapy. There are a number of treatment options, including gels that are applied to the skin daily, patches similar to nicotine patches, injections, and tablets.
Not all treatments are right for each person, so a physician will have to evaluate your husband's overall health to determine the right course of action. Generally, with treatment, a man's quality of life immediately increases.
In order to successfully speak with your husband about the possibility of low testosterone, remember to be patient, to make it about him, not you, and be honest. Odds are, your husband has already noticed the problem, but he does not know how to bring it up himself.
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Breast Cancer is the cancer that develops in the breast tissues mostly in the inner lining of milk ducts or in the lobules which supply milk to the ducts. Depending on the place of origination, they are known as ductal carcinoma, if originated in the milk ducts or lobular carcinoma when originated in the lobules. Breast cancers are also classified as hormone-positive or a hormone-negative cancer which is decided based on their sensitivity to hormones like progesterone and estrogen.
The options available for breast cancer treatment depend on the type of breast cancer and the staging results. Staging is the process in which the disease spread and its progressive extend is determined. Though it is the most common non-skin type of cancer in women and is considered one of the fatal types of cancer, there are many advanced breast cancer treatment options which can help cure this disease if detected early.
Breast Cancer Treatment Plan
Once the cancer has been diagnosed, the doctors evaluate the pathology report and form a plan that would suit the type of cancer and the stage to which the disease has progressed. Treatment modes aim at reducing the spread of the disease, destruction of the diseased cells and reduction of chances for re-occurrence in future. The doctors would choose a single or a set of treatment options based on the patient's medical conditions which they may evaluate periodically.
Types of Breast cancer treatment methods
The treatments available are in general classified as standard methods and clinical trial methods. Standard methods are those that are currently practised for the cure of breast cancer while clinical trials are those that are currently being tested for more efficient results. The standard methods of breast cancer treatment include surgery, hormone therapy, chemotherapy, radiation treatments and targeted therapy.
Surgical method of Breast Cancer Treatment
Surgery is one potential option for removing the cancerous cells from the body. The entire breast or a partial portion of the breast is removed depending on the level of spread and the stage to which the disease has progressed. Based on the level of operation that is required to remove the cancerous cells, the surgeries are differentiated into three types as below.
* Breast-conserving Surgery - This is an operation where only the portion of the breast that contains the cancer is removed and not the breast itself. If the surgery requires removal of just the tumor in the breast and a little amount of tissue, it is known as Lumpectomy or is known as Partial mastectomy if it includes removal of partial amount of the breast along with a considerable amount of normal tissues. These kinds of surgeries may also include removal of lymph nodes under the arm which are used for the purpose of biopsy. Such dissection done either along with the surgery or after it is known as lymph node dissection.
* Total Mastectomy - This kind of surgery targets on removing the whole breast which is infected with the cancerous cells. This also requires removal of lymph nodes for the purpose of biopsy.
* Modified radical Mastectomy - This is the surgery that removes extensive portions to get rid of the cancerous cells. The complete breast affected by cancer along with certain lymph nodes under the arm and the chest muscle lining is removed by this process of surgery. In certain cases, even part of the chest wall muscles that are affected are removed by this surgery.
* Radical Mastectomy - This surgery removes the complete breast, chest wall muscles and all the lymph nodes under the arm. This kind of surgery for breast cancer treatment is also known as Halsted radical mastectomy.
These surgeries can also be followed by other modes of breast cancer treatment methods like chemotherapy, hormone therapy or radiation therapy to kill any presence of cancer cells. Such kinds of treatment that helps in prevention of cancer re-occurrence is known as adjuvant therapy. Some patients can also consider the option of breast implants to rebuild the removed breast shape after a mastectomy.
This kind of treatment helps in killing the cancerous cells or prevents them from growing by means of internal administration of drugs. The way of drug administration can be either through the blood stream that spreads throughout the body which is known as systematic chemotherapy or is placed directly in the cerebrospinal fluid or any specific organ which is known as regional chemotherapy.
This kind of breast cancer treatment includes the introduction of substances that negate the effect of hormones which induce cancerous growth. Estrogen has been known to induce the growth of breast cancer in certain cases. One of the treatment methods includes prevention of ovaries from secreting the hormone estrogen and such a method is known as ovarian ablation. The hormonal therapy includes the usage of aromatase inhibitor which decreases the estrogen secretion in the body. Aromatase inhibitors are given for hormone-dependent breast cancer patients who are in postmenopausal stage while tamoxifen is used in cases of metastatic breast cancer. Aromatase inhibitors are also in general used as a means of adjuvant therapy after continued use of tamoxifen for two years or more.
High energy x-rays are in general used as an alternative for drugs to kill the cancer cells and prevent them from growing.
Another type of treatment that helps in destroying the cancer cells without any harm to the normal cells is called targeted therapy. The targeted therapies used in breast cancer treatment are in general of two types, Monoclonal antibodies and Tyrosine kinase inhibitors.
* Monoclonal Antibodies - These kinds of substances are antibodies that are made from a single type of immune system cell which has the potential to identify and destroy cancer cells. They are also sometimes used to carry toxins or drugs to the cancer cells to bring in effective destruction of the cells. Trastuzumab is a monoclonal antibody that is used in treating patients of breast cancer. This method can be clubbed along with chemotherapy as a means of adjuvant therapy.
* Tyrosine Kinase inhibitors - These drugs block signals that are needed for tumor growth and are in general used in combination with other anti-cancer drugs. Lapatjnib is one such inhibitor which helps block the HER2 protein inside the tumor cells and is used effectively for treatment of HER2- positive breast cancer patients.
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Are You Curious About Testosterone Therapy?
The subject of testosterone therapy has caught my attention lately. I had begun to study about it when about three or four months ago my wife brought me a bottle of testosterone capsules for a 90-day trial. She wanted to see if it would help me in my battle with afternoon fatigue and general lethargy.
I thought why not, it can't hurt. I wasn't desperate or anything, I was mostly curious about "Low-T" and wanted to experience for myself all these health claims that are flying around the media lately. For example, these TV commercials about the cure for erectile dysfunction were getting on my nerves. I am particularly dismayed by the couple in two separate bathtubs. What's up with that? (Sorry no pun intended).
Then a few days ago I got a call from a telemarketer, asking how my testosterone trial was going. I told him it was working great for keeping elephants out of my flower beds. As long as I was taking the capsules, no elephants had trampled my flowers. He was not impressed by my humor, and just wanted to get me to order more. Nope, I told him. I really couldn't tell any difference on or off the capsules. When he told me I needed more time for my body to adjust to the product, I ended the conversation. I know more about Low T after my extensive research than he seemed to know
On the other hand, someone is buying this stuff. In an article by Rachael Rettner, (published on line on MyHealthNewsDaily June 3, 2013, Copyright © 2013 TechMediaNetwork.com). Ms. Rettner says, "The percentage of middle-aged men in the United States taking testosterone to treat symptoms of low testosterone, or "low T," has increased substantially in recent years, a new study suggests."
For the last ten years, prescriptions for testosterone supplements among men over age 40 has been gradually increasing until today more than 3% of men in that age bracket have received some form of testosterone therapy. That is almost three times more than in 2001.
But does the stuff work? The answer is that study results have been less than supportive that it does. In fact, I found many so-called scientific studies that made all sorts of weird claims, but none were truly conclusive. It is like my-elephant-in-the-flowerbed comment. The obvious sarcasm is that if I did nothing, the elephants wouldn't bother me because I don't have any elephants wandering around my suburb. Scientific research cannot prove a hypothesis by the absence of symptoms.
Ms Rettner presented her most shocking comment when she quoted an editorial by Dr. Lisa Schwartz and Dr. Steven Woloshin, of the Dartmouth Institute for Health Policy & Clinical Practice: "the low T campaign [is] "a mass, uncontrolled experiment that invites men to expose themselves to the harms of a treatment unlikely to fix problems that may be wholly unrelated to testosterone levels."
"Before anyone makes millions of men aware of low T, they should be required to do a large-scale randomized trial to demonstrate that testosterone therapy for healthy aging men does more good than harm," they wrote.
By Dr. Luke Aaronson, PhD
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The Upper Eastside (alternatively spelled East Side and commonly referred to as Northeast Miami) is a neighborhood in Miami, Florida, United States. It is north of Edgewater, east of Little Haiti, south of the village of Miami Shores, and sits on Biscayne Bay. In geographical order from south to north and east to west, it contains the subdivisions of Magnolia Park, Bay Point, Morningside, Bayside, Belle Meade, Shorecrest, and Palm Grove. The MiMo District along Biscayne Boulevard in the area is host to many art galleries, shops and restaurants.
The Upper East Side is primarily a residential neighborhood, composed largely of historic single-family homes from the 1920s, 1930s, and 1940s, with Biscayne Boulevard running along the center of the neighborhood with mid-rise and high-rise office towers, hotels, and apartments. The MiMo Historic District runs along Biscayne Boulevard, and includes a large number of MiMo hotels from the 1950s and 1960s, that have been preserved, and have recently begun to be renovated, and turned into stores, restaurants and boutique hotels.
Magnolia Park lies east of Biscayne Boulevard between NE 37th Street (next to the Julia Tuttle Causeway) and NE 39th Street. Bay Point is east of the Boulevard, north of NE 39th Street and south of NE 50th Terrace. Morningside lies east of the Boulevard from NE 50th Terrace to NE 60th Street. Bayside is east of the Boulevard from NE 61st Street to NE 72nd Street. Belle Meade is east of the Boulevard from NE 72nd Terrace to NE 77th Terrace. Shorecrest is east of the Boulevard from NE 78th Street to NE 87th Street. Palm Grove is west of Biscayne Boulevard between NE 54th Street and NE 77th Street Road (i.e.: south of the Little River).