The Association between Obesity and Cancer

April 28, 2015

The Association between Obesity and Cancer: The known truths between obesity and the various types of cancer

The Association between Obesity and Cancer can be a very big threat to good health if not addressed in time. Talk to your doctor in good time for advice.

At the mention of the disease cancer, people frown and stress and worries settle in. The condition becomes even worse when the patients struggling with this health condition are also obese or overweight. Experts all over the world are very much concern with the prevalence of obesity that is threatening to get out of hand. Unless we take some decisive action today, obesity is going to be the number one threat to health owing to its close association with other chronic diseases like cancer. In our previous article we discussed the relationship between obesity and some types of cancer, and we want to continue with the same in this article so that we can all be ready to eliminate the two conditions from our societies. We spoke to doctor Dalal Akoury a medical professional in various medical disciplines. Doctor Akoury is the MD and founder of AWAREmed Health and Wellness Resource Center a health facility whose primary objective is to help people transform their individual’s lives through increasing awareness about health and wellness and by empowering them to finding their own inner healing power. This is something that she has done for over two decades making one of the most experience professionals you can trust with your treatment. As you consider calling doctor Akoury, let us continue with the discussion about the association between obesity and cancer.

The Association between Obesity and Cancer: Obesity and Colorectal cancer

Being obese or overweight is closely associated with increased risk of colorectal cancer in men. This is mostly facilitated by the distribution of body fat especially with the abdominal obesity giving the clear evidence of an association with colon cancer risk. This is also seen in women but with little significance. However the use of MHT is likely to modify the association in postmenopausal women. A number of mechanisms have been proposed to account for the association of obesity with increased colon cancer risk. One hypothesis is that high levels of insulin or insulin-related growth factors in obese people may promote colon cancer development. High BMI is also associated with rectal cancer risk, but the increase in risk is more modest.

The Association between Obesity and Cancer: Obesity and kidney cancer

Obesity has been consistently associated with renal cell cancer, which is the most common form of kidney cancer, in both men and women. The mechanisms by which obesity may increase renal cell cancer risk are not well understood. High blood pressure is a known risk factor for renal cell cancer, but the relationship between obesity and kidney cancer is independent of blood pressure status. High levels of insulin may play a role in the development of the disease.

The Association between Obesity and Cancer: Obesity and Esophageal cancer

Overweight and obese people are about twice as likely as people of healthy weight to develop a type of esophageal cancer called esophageal adenocarcinoma. Most studies have observed no increased risk, or even a decline in risk, with obesity for the other major type of esophageal cancer, squamous cell cancer. The mechanisms by which obesity may increase risk of esophageal adenocarcinoma are not well understood. However, overweight and obese people are more likely than people of normal weight to have a history of gastro-esophageal reflux disease or Barrett esophagus, which are associated with an increased risk of esophageal adenocarcinoma. It is possible that obesity exacerbates the esophageal inflammation that is associated with these conditions.

Obesity and pancreatic cancer – Many studies have reported a slight increase in risk of pancreatic cancer among overweight and obese individuals. Waist circumference may be particularly important factor in the association of overweight and obesity with pancreatic cancer.

Obesity and thyroid cancer – Increasing weight has been found to be associated with an increase in the risk of thyroid cancer. However it is not very clear what the mechanism might be.

Obesity and gallbladder cancer – The risk of gallbladder cancer increases with increasing BMI. The increase in risk may be due to the higher frequency of gallstones, a strong risk factor for gallbladder cancer, in obese individuals.

Is there any possibility that avoiding weight gain decreases the risk of cancer?

This is very interesting acknowledges doctor Akoury, nonetheless the only way to ascertain this is through running a controlled clinical trials. A number of NIH-funded weight loss trials have in the past demonstrated that people can lose weight and that losing weight reduces their risk of developing chronic diseases, such as diabetes, while improving their risk factors for cardiovascular disease. It is also worth noting that the result emanating from the last trials, the NIC workshop findings demonstrated that it would not be feasible to conduct a weight loss trial of prevention of cancer. The question that follows would be why? The reason is a simple one that is the effect of weight loss trial of other chronic diseases would be demonstrated and the trial consequently stopped so that the public could be informed of the benefits before the effect on the prevention of cancer would become evident.

Therefore, most data about whether losing weight or avoiding weight gain prevents cancer come mainly from cohort and case-control studies. Data from these types of studies, called observational studies, can be difficult to interpret because people who lose weight or avoid weight gain may be different in other ways from people who do not, just as obese people may differ from lean people in other ways than BMI. That is, it is possible that these other differences explain their different cancer risk.

Nevertheless, many observational studies have shown that people who have a lower weight gain during adulthood have a lower risk of:

Colon cancer
Breast cancer (after menopause)
Endometrial cancer

A more limited number of observational studies have examined the relationship between weight loss and cancer risk, and a few have found decreased risks of breast cancer and colon cancer among people who have lost weight. However, most of these studies have not been able to evaluate whether the weight loss was intentional or related to underlying health problems. It is because of such findings that made doctor Akoury to create AWAREmed Health and Wellness Resource Center with a sole objective of transforming each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. If you want a more personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms, then you need to schedule for that appointment with doctor Akoury today.

The Association between Obesity and Cancer: The known truths between obesity and the various types of cancer

Facts about relationship between obesity and cancer

April 27, 2015

Facts about relationship between obesity and cancer: Obesity and Cancer Risk

Facts about relationship between obesity and cancer. This relationship has no good to offer to human health and must be prevented by all means

The common understanding of obesity is a condition where an individual person or persons has an abnormal high and unhealthy proportion of body fat. The measurement of obesity is often done using the BMI scale. This is believed to provide a more reliable and accurate measure of obesity or overweight as oppose to the use of weight alone. Now of what interest do we have in the ascertainment of peoples’ weight? This is because the prevalence of obesity and overweight is growing into a catastrophic situation and people’s health is at risk. National Health and Nutrition Examination Survey (NHANES) is giving an estimation of about 68% in US alone as the adult population age 20 and above to be struggling with either obesity or overweight. With this impact and the complications that come with being obese or overweight, it has become necessary that both the professionals and the laymen take a position in fighting the scourge. To this effect, we want to discuss some of the facts about relationship between obesity and cancer with a view of creating awareness to the society to be on the look out of the consequences that are attached to these two conditions.

Facts about relationship between obesity and cancer: Obesity and Cancer

Experts have established that obesity is closely associated with increased risks of various types of cancer including the following among many others:

Esophagus
Pancreas
Colon and rectum
Breast (after menopause)
Endometrium (lining of the uterus)
Kidney
Thyroid
Gallbladder

According to of the studies done using NCI Surveillance, Epidemiology, and End Results (SEER) data, estimated that in 2007 in the United States alone, about 34,000 new cases of cancer in men representing 4 percent and 50,500 in women representing 7 percent were due to obesity. Even though there were some cases attributed to obesity, there were some variances in the cancer types with endometrial cancer and esophageal adenocarcinoma being as high as 40%. Experts while analyzing this, could make a projection that if the trend continues as it is now, then in the next two decades the future health and economic burden of obesity will lead to about 500,000 additional cases of cancer. On the other hand, while analyzing the same findings, it was established that if the average adult was to reduce their BMI with just 1%, then this would translate into preventing an increase of the number of new cancer cases by about 100,000. That is how closely obesity is related to cancer.

In the meantime, we spoke to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury and she says that several possible mechanisms have been suggested in the past to explain the association of obesity with increased risk of certain cancers. The following are some of the tabled suggestions:

Fat tissue produces excess amounts of estrogen, high levels of which have been associated with the risk of breast, endometrial, and some other cancers.
Obese people often have increased levels of insulin and insulin-like growth factor-1 (IGF-1) in their blood (a condition known as hyperinsulinemia or insulin resistance), which may promote the development of certain tumors.
Fat cells produce hormones, called adipokines that may stimulate or inhibit cell growth. For example, leptin, which is more abundant in obese people, seems to promote cell proliferation, whereas adiponectin, which is less abundant in obese people, may have anti-proliferative effects.
Fat cells may also have direct and indirect effects on other tumor growth regulators, including mammalian target of rapamycin (mTOR) and AMP-activated protein kinase.
Obese people often have chronic low-level, or “sub-acute,” inflammation, which has been associated with increased cancer risk.

Other possible mechanisms include altered immune responses, effects on the nuclear factor kappa beta system, and oxidative stress.

Facts about relationship between obesity and cancer: Obesity and breast cancer

Many studies have shown that overweight and obesity are associated with an overbearing increase in risk of postmenopausal breast cancer. This higher risk is seen mainly in women who have never used menopausal hormone therapy (MHT) and for tumors that express both estrogen and progesterone receptors.

Overweight and obesity have, by contrast, been found to be associated with a reduced risk of premenopausal breast cancer in some studies.

The relationship between obesity and breast cancer may be affected by the stage of life in which a woman gains weight and becomes obese. Epidemiologists are actively working to address this question. Weight gain during adult life, most often from about age 18 to between the ages of 50 and 60, has been consistently associated with risk of breast cancer after menopause. The increased risk of postmenopausal breast cancer is thought to be due to increased levels of estrogen in obese women. After menopause, when the ovaries stop producing hormones, fat tissue becomes the most important source of estrogen. Because obese women have more fat tissue, their estrogen levels are higher, potentially leading to more rapid growth of estrogen-responsive breast tumors.

The relationship between obesity and breast cancer risk may also vary by race and ethnicity. However, there is limited evidence that the risk associated with overweight and obesity may be less among African American and Hispanic women than among white women.

Facts about relationship between obesity and cancer: Obesity and Endometrial Cancer?

Overweight and obesity have been consistently associated with endometrial cancer. This is the cancer of the lining of the uterus. Obese and overweight women have two to four times the risk of developing this disease than women of a normal weight, regardless of menopausal status. A number of studies have also found that the risk of endometrial cancer increases with increasing weight gain in adulthood, particularly among women who have never used MHT.

Although it has not yet been determined why obesity is a risk factor for endometrial cancer, some evidence points to a role for diabetes, possibly in combination with low levels of physical activity. High levels of estrogen produced by fat tissue are also likely to play a role. In conclusion to part with the prevalence of obesity and all the relationships we are observing with different kinds of cancers, we all have a duty to perform in the realization of good health. It begins with the mutual acknowledgement that these two conditions are a threat to our health. Up on that we can begin to talk to the experts both at AWAREmed Health and Wellness Resource Center and other institution where professionalism is practiced in offering treatment of the same. You can schedule for an appointment with doctor Dalal Akoury today and she will be there to help you overcome whatever challenge you may be having.

Facts about relationship between obesity and cancer: Obesity and Cancer Risk

Understanding of Bullying and Obesity in Children

April 26, 2015

Understanding of Bullying and Obesity in Children: The Growing Prevalence of Obesity in Children

Understanding of Bullying and Obesity in Children is very important for all parents if they have to protect their children from being bullied.

The prevalence of obesity is at alarming level and everyone is either affected directly or indirectly. The most worrying part of it all is that children are equally in danger of the overweight scourge. The problem of obesity in children is closely associated with several elements that negatively affect the child’s normal upbringing. It is the duty of every parent to ensure that their children are safe from all kinds of danger whether health wise or otherwise. The focus of this article is therefore going to help you in understanding of bullying and obesity in children by all means. The available statistics indicate that three times as many children are actually overweight or obese compared to a few decades ago. And as a matter of fact many states today are a host of over 20% obese children thereby adding to the number of children suffering from many complications including psychological problems like bullying, poor self-esteem and isolation.

Besides such short-time problems, doctor Akoury says that there are so many long-term physical problems which can affects the heart, bones, hormones and reproductive organs of overweight and obese children. Most concerning are the links to early onset of type 2 diabetes and heart diseases which are leading causes of death in globally. Children who are overweight or obese are also more likely to be of poorer socio-economic status in future as adults. Research findings have also established that being overweight as a child is a strong predictor of obesity in adulthood. Listening to these life threatening conditions, we all need to collectively and individually be on top of everything to keep our children and the future generation form these sufferings. If you know of anybody whose child is suffering from the problems of weight related complications, you can talk to doctor Dalal Akoury MD and founder of AWAREmed Health and Wellness Resource Center a facility whose primary focus is to restore life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Therefore this is the place to be, schedule for that appointment and start your journey to health and safety with the experts.

Understanding of Bullying and Obesity in Children: What is the link between bullying and obesity?

Being overweight or obese is in itself a factor of being bullied and molestation of obese children by the peers. This has been established by several studies across the globe. Overweight or obese children are more likely to be teased by other children either verbally by name-calling, physically bullied in boys or have difficulty because other children stopping an associating with them or begin spreading rumors about them. Other children often judge overweight kids with a negative stereotype and associate them with being lazy, careless, and selfish and mean because of the way that they look. Both boys and girls who are overweight or obese are more likely to be bullied at primary school because they do not fit into the normal physical stereotype. Obese children are also more likely to be the perpetrators of verbal bullying to other children. By bullying other kids however, overweight or obese children can divert attention away from being bullied themselves. In boys particularly it is presumed this is because they are physically bigger than other children, and therefore can be physically dominant (i.e. pushing). In girls however, there is no advantage in being physically bigger than other children because most bullying is by name-calling (verbal) and relationship bullying.

Understanding of Bullying and Obesity in Children: What should parents know?

Understanding the link between bullying and long-term psychological problems in children is important. It is very important that parents needs to learn more about childhood bullying says doctor Akoury. Like for instance when a child is overweight or obese, parents should understand that these boys and girls are at increased risk of being bullied. When a boy is overweight he is more likely to bully other children also. This is important to recognize because there are negative social outcomes for bullies too. They tend to grow up with difficulty forming adult relationships and also suffer from an increased risk of depression.

Information is power and therefore recognizing the signs of bullying in a child is an important step in breaking the chain of negative outcomes. Doctor Dalal Akoury an expert in weight loss is sharing with us some of the signs we should be aware if we have to keep our children safe from being overweight. The signs may include the following:

Increased stress
Depression
Unexplained bruising
Recurrent abdominal pain
Vomiting
Frequent or repeated accidents
Hyperventilation
Submissive behavior and
School refusal

It is important that if you have any concerns about bullying seek advice from the local school or a doctor/pediatricians. Many schools have anti-bullying campaigns in place and will be able to help you have this problem properly addressed for the safety of your children. Studies prove that school-based interventions to reduce bullying are effective. Nonetheless, the best way to approach this growing problem of bullying in overweight children remains an area of future research. And as we get into further studies to unlock the misery, I want to put emphasis on the need to have weight gain put in control. I had given you the back ground of doctor Dalal Akoury and her team of experts at AWAREmed Health and Wellness Resource Center. Talking to as expert who has vast experience will be very important for a start. This is because if we can prevent overweight and obesity, we will be able to protect our children from this psychological frustration in the name of bullying. Remember that doctor Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. You may have not known this, but now you know. You can now schedule for that appointment for commencement of treatment today.

Understanding of Bullying and Obesity in Children: The Growing Prevalence of Obesity in Children

Eliminating Cigarette Addiction without fear of Being Obese

April 22, 2015

Eliminating Cigarette Addiction without fear of Being Obese: The healthy ways of living a Smoke free Life

Eliminating Cigarette Addiction without fear of Being Obese. The kind of lifestyle you live impacts either positively or negatively to your health.

You have been in a weight loss class and your instructor noticed that you are smoking. He tells you that smoking is not only harmful to your health but will also rearrange your facial appearance. And because you want to look good you desire to quit is primarily to look good both on the body and on appearance. But wait a minute you missed appoint and you have just remembered, that he also said that while eliminating you will gain a little more as a result of losing. This point sends you thinking of the great contradiction. You registered to slim and not to bulge, the instructor tells you to stop smoking which is going to work against your desire to slim. You are being confused and I totally agree with you. This confusion is what I want to address in this article. Our focus is going to be on eliminating cigarette addiction without fear of being obese.

We are going to rely heavily on the expertise of doctor Dalal Akoury who is a medical doctor specializing on addiction, obesity and weight gain and also the MD and founder of AWAREmed Health and Wellness Resource Center to help us in unlocking certain all your concerns. Doctor Akoury has been in the medical practice for more than two decades and has help many people deal with their addiction alongside weight gain and yours will not be a problem if only you can schedule for an appointment with her today. Doctor Akoury says that if you are a smoker, the best thing you can do for your health which is the most valuable asset you have is to eliminate and completely kick out the smoking habit from your life.

Eliminating Cigarette Addiction without fear of Being Obese: Smoking and weight gain

Even though cigarette smoking is addictive and difficult to quit, it is not impossible either. The challenges will always be there including the dilemma we are focusing on. Eliminating cigarette smoking often goes hand in hand with weight gain. Is it possible to be both slimmer and smoke-free so long as there is a resolve commitment to do so in the right way with the guidance of professionals? While appreciating the likelihood of gaining some weight when you stop smoking, the gain will not be that threatening as you may passive. Yes it is true that cigarette activates your metabolism and that you will burn about 250 calories because of smoking and quitting will mean that your metabolism rate will slow down leaving you with a pack of 250 calories to deal with resulting in weight gain for many people. Doctor Akoury says that under normal circumstances majority will gain some two pounds on quitting the first time in a few weeks. This is likely to cause a concern to people that what would be the impact in a few month is in just two weeks you add two!

The feeling is mutual in this case however this should not motivate you to go back to smoking to have you metabolism reactivated. Doctor Akoury advices that you need to hung on because the increase will not escalate to unhealthy weight. Your focus should be on the end result not the temporal obstacles. In this case you could compare the benefits of quitting with not quitting and the negligible weight gain and you will be able to see that the gain is a lesser sin. The benefits of a smoke-free lifestyle both inside and out to those few extra pounds means nothing. Take for instance the possibilities of your vital organs like the lungs, heart, and the arteries start repairing themselves almost immediately after the last puff. And not only that, your skin clears up and starts to look smoother, your fingernails stop looking yellow, your breath improves, and your teeth can be bright again. All these less-obvious benefits of smoking will have you looking great, even if you put on a few. If this has convinced you to take the worthy challenge then you can schedule for an appointment with the experts at AWAREmed Health and Wellness Resource Center for professional assistance. But in the meantime, let us consider the best approach to go about it the whole exercise.

Eliminating Cigarette Addiction without fear of Being Obese: The Right Approach

People will often take the quitting challenge differently with some people just opting to stop by making up their mind and literally disposing off the cigarette. This is fine however experts recommend a systematic approach to be the most effective. Therefore it is important than up on the resolve to quit, you need to set a quite date and prepare for it by setting aside some extra time to start a regular physical activity, like walking. And do your best to bypass the buffets and start eating healthier.

During this time ensure that you make improvement on your diet, make it healthy and this will help in the minimizing weight gain.

Next, start to pinpoint what situations which may trigger the urge to smoke and get ready to deal with them.

The urge for a cigarette tends to be the most pronounced the first few days after quitting for most people. After the fifth day, the number of urges starts to decrease.

While it varies from person to person, the urges will typically continue although less frequently for several weeks or even months. But they are still as annoying as when you first quit, so be prepared to tackle them head-on. With this mechanism in place, you are now ready to quit.

Eliminating Cigarette Addiction without fear of Being Obese: Quitting Time

When it comes time to quit, the following are tips to help you minimize cigarette cravings and weight gain:

Drink more water at least 8-ounce glasses of water a day. This will keep you hydrated, help you feel full, and give you something to do with your hands.
Make smart choices when snacking. Quitting smoking will increase your snacking appetite. While you should avoid substituting food for cigarettes, you should plan healthy snacks, like cut-up veggies, fruit, or almonds or pistachios (in limited amounts.) Try to avoid sugar and unhealthy starches. If you feel you must have sweets, go for sugarless and fat-free ones. But keep in mind that fat-free snacks often have just as many calories due to the added sugar.
When a craving for a cigarette strikes, be prepared. If you want certain snacks around, make sure they’re handy and healthy. Have water around. Take a walk, have a soda. Think these things through so when an urge hits, you are prepared. It’s all about careful planning.
Keep up the physical activity and the healthy eating. This will help you quit smoking as well as trim your waistline, explains Purcell.
Be ready for challenges. You have to have the right mindset and be prepared for challenging times. If you can get through the first two weeks, chances are you’ll make it.
Most importantly, even if the needle on the scale starts to creep upward, don’t reach for that cigarette! Just stick it out and let your metabolism even off. It’s only temporary, and you can address the weight later after you’ve quit.

Eliminating Cigarette Addiction without fear of Being Obese: The healthy ways of living a Smoke free Life

The Observation about Obesity and Erectile Dysfunction:

April 19, 2015

The Observation about Obesity and Erectile Dysfunction: The Relationship Obesity and Erectile Dysfunction

The Observation about Obesity and Erectile Dysfunction is very important in identifying avoidable problems in good time

It not a secrete anymore that being overweight or obese is not good for your health and a lot is being done to correct this but in the meantime what many are asking is whether it can also be one of the causes of erectile dysfunction? What are the effects of excess weight on your sex life, and can adopting a healthy lifestyle be part of an effective treatment solution for ED? These are actually pertinent questions of concerns and they will be very helpful for us in the observation about obesity and erectile dysfunction ED. A lot of research have been done before and a lot more are being done currently to establish the clear relationship. However for our consumption in this article of the observation about obesity and erectile dysfunction we spoke to doctor Dalal Akoury the MD and founder of AWAREmed Health and Wellness Resource Center and we are doing to relay on her expertise to unlock some of the concerns you may be having.

According to a recent study published in the American Journal of Medicine, it was estimated that more than 18 million men in the United States above 20 suffer from ED. Some experts however are disputing this and are placing it much higher than that to an estimated figure of about fifty three percent of men between the ages of 40 and 70 have some degree of erectile dysfunction.

The Observation about Obesity and Erectile Dysfunction: Risk Factors for Erectile Dysfunction

Risk factors for erectile dysfunction may include age, diabetes, cardiovascular disease, hypertension and high blood pressure. Doctor Akoury says that what is still not very clear though, is whether obesity and being overweight are also cause of ED or simply tied to risk factors associated with it. It still remains a misery since the available data on the relationship between obesity and erectile dysfunction is not clear either. There are however some papers which indicate that obesity alone is a risk factor, and others which show that it’s not. In all this, what is positively clear is that obesity is an important contributing factor to ED. Like for instance, men who are obese or overweight may have high concentration of cholesterol levels and a higher risk of hypertension and cardiovascular disease. In addition, diabetes is a very important and serious consequence of being obese and overweight, and is highly associated with ED.

It is also estimated that over 50 percent of men struggling with diabetes suffer from erectile dysfunction. Therefore if you’re obese, it is important that you take speedy steps to have this treated because the risk of developing diabetes is much higher like two to three times more likely than for someone who is not obese. Simple things like lifestyle changes such as eating a healthy diet and especially getting physical activity can help a man not only to avoid ED in the future, but can also be part of an effective treatment for it. Research findings indicate that sedentary behavior are strongly associated with ED. Research has actually established that men who are physically inactive or were very sedentary as in those watching TV for up to three or more hours daily are much more likely to have ED than were men who were physically active. Doctor Akoury explains that even though getting off the couch and exercising may not only help in reducing your risk of diabetes and cardiovascular disease, it is also very beneficial in helping you prevent ED.

The Observation about Obesity and Erectile Dysfunction: The effects of lifestyle changes on erectile dysfunction

The effects of lifestyle changes on erectile dysfunction has been the subject of study in many institutions in the recent past and according an Italian study conducted by the Second University of Naples and published in the Journal of the American Medical Association in 2004. In the study a group of about 110 men of between 35 and 55, who all had some degree of ED. All the men who took part were obese but otherwise healthy, and were divided into two equal groups.

The first group was given detailed and individualized advice, reducing their total body weight by 10 percent or more through healthy food choices and by increasing physical activity. The second group was just given general information about healthy diet and exercise. By the end of the study, the BMI of men in the first group decreased more than the BMI of those in the second. In addition, in the first group there was a 22 percent improvement in erectile dysfunction and 31 percent of the same men reported being at a level that no longer categorized them as having erectile dysfunction. In contrast, only 6 percent of the men in the second group were no longer considered to have erectile dysfunction.

What does this finding communicate to you? It simply means that if you are already suffering from ED, a healthy lifestyle is a big part of any treatment plan that you should discuss with your doctor even though it may not deliver immediate results, it is an effective way of correcting this problem in the ling run. There are a number of well-known drug treatments, as well as other alternative treatments available for ED. Before doing anything, including making lifestyle changes, anyone with erectile dysfunction should approach his doctor. I appreciate that this may not be an easy assignment for some of the men, but I want to encourage you to take courage and discuss this with your doctor for you to get the much need help in good time.

Finally even though there’s no definite evidence that being overweight or obese causes ED, one thing we do know for sure is that it doesn’t help either. It is therefore very important that you get active and eating healthy food tuff will not only help your weight loss but it will also have positive effects on your sex life as well. You can consult with doctor Dalal Akoury in case you have any thing that you want to be clarified and she will in confidence handle your case with a lot of confidentiality.

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