Comprehensive men's sexual health information, tips and news about men's sexual health.

CETYLMYRISTOLEATE: At room temperature cetylmyristoleate is a liquid wax. It can be digested only in the alkaline environment of the small intestine. Cetylmyristoleate is a large molecule. These molecules have a strong affinity for each other and tend to clump together in large impenetrable masses. This results in a very small surface area relative to its weight and volume. Only the surfaces are exposed to the digestive process. Since that is only a very small percentage of the whole, very little gets digested, giving unaltered cetylmyristoleate a very low level of bioavailability. This is true of virtually all waxes. Faecal analysis indicates that they pass through the digestive system virtually undigested.

CMO: To get an efficient and effective orally administered product, it was essential to raise the digestibility and resultant bioavailability of cetylmyristoleate. Consequently, we had to develop proprietary pharmaceutical processing methods that employ cerasomal technology. The resulting product, now a waxy solid rather than a liquid, was appropriately named

cerasomal-cis-9-cetylmyristoleate, and trademarked as CMO.

There is a very important difference between the liquid form and the solid form. As a solid, CMO now resembles a crystalline structure that shatters in the alkaline confines of the small intestine. These shattered particles form a netlike mesh with enormous surface areas, allowing immensely greater digestive efficiency. Furthermore, the reticulated cleavage faces range between 0.9 and 1.0 microns in diameter, which accesses biological uptake mechanisms not available to either larger or smaller particles. Research shows that the body is 40 to 200 times more receptive to particles of this size. This is what makes CMO much more bioavailable and effective than other products. And it is our exclusive proprietary processing methods that make it so.

CETYLMYRISTATE: It’s pathetic that we even have to bother with this one. Myristate, as opposed to myristoleate, has virtually no immunomodulatory properties. Thus, it has essentially no effect on arthritis or any other autoimmune disease. The best that promoters of these products (often as cheap as $3.00-$4.00 a bottle wholesale) can come up with to describe their stuff is something like “a free floating myristate.” Nobody here can figure out what that means. And the producers won’t clarify. If you can figure it out, please clue us in.

A NOTE ON “VEGETABLE” SOURCES: Edible Oil and Fat Products, clearly lists only four sources for myristoleic acid, the substance needed to produce any form of myristoleate, including cetylmyristoleate. Those sources are beef tallow, butterfat, chicken fat, and sheep tallow. Period! Its extensive listings clearly show that there are NO VEGETABLE SOURCES, not even coconut or soybean oil as some have tried to claim. Any claim that cetylmyristoleate can come from a vegetable source is fraudulent.

A CAUTION ABOUT SYNTHETIC PRODUCTS: Synthetically produced cetylmyristoleate contains a large amount, probably 50%, of trans type cetylmyristoleate. The trans type molecule is unnatural to the body and causes physical damage by disrupting cellular membranes. Even in some so-called “natural” products there remains a trace of toxic residue left from harsh processing. Because it is a completely natural product, CMO has absolutely no trans molecules, and there is no toxic residue because no toxic substances are used in any stage of its processing.

We hope this helps you understand the difference between products, and that there is only one genuine and effective CMO.

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Symptom

Flat, dome-shaped, or protruding skin growths that can be up to a centimeter long and vary in color

Home care

If a mole requires treatment of any kind it will be necessary to see a doctor.

Precautions

-    A doctor should see any mole that is bleeding or crusting, changing color, or growing rapidly. The doctor should also be consulted if a mole has been partly removed by accident, or if the color is extending into surrounding skin.

-    Most moles are noncancerous. However, a type of mole known as pigmented nevus can become cancerous; this mole (unlike other types) is present at birth and is dark in color and very large.

-    Moles cannot safely be burned off by the following methods: electrocautery, acids, dry ice, or liquid nitrogen. The doctor must remove them completely, if necessary, with a scalpel.

-    No child is completely free of moles; some children develop many of them during childhood.

Moles are benign (noncancerous) growths on the skin. They can be flat, dome-shaped, or protruding. They vary in color from tan or brown to blue or black, and in size from one-half to one centimeter or larger. Moles are rarely present at birth; they develop during childhood. No child is totally free of moles, and some children develop hundreds of them.

It’s very unlikely that any mole will become cancerous (malignant). However, one exception to this is a type of mole called a pigmented nevus. This mole, which is present at birth, is extremely large (several centimeters wide) and dark and a mole of this type can become malignant.

Signs and symptoms

Moles are easily recognizable, but if the doctor is in any doubt about a growth on the skin a laboratory examination of part of the growth may be necessary. Examination of an entire mole under the microscope may be needed.

Home care

If a mole requires any kind of treatment, it will require medical, not home, care.

Precautions

A mole should be seen by a doctor if:

• It has been partly removed by accident;

• It is bleeding or crusting;

• It is changing color or growing rapidly;

• If the pigment (color) is moving into the surrounding skin.

Medical treatment

If the mole shows any of the characteristics listed above under “Precautions,” the doctor will remove the mole surgically. Any pigmented nevus probably should be surgically removed because of the possibility of a malignancy. Moles must be removed completely with a scalpel. The surgery will leave a scar of some sort. Moles cannot safely be burned off by a procedure called electrocautery, or by acids, dry ice, or liquid nitrogen. Moles are sometimes removed for cosmetic reasons.

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Allergies, autoimmune diseases and infections all create a lot of inflammation in your body. People with autoimmune diseases such as systemic lupus erythematosus and rheumatoid arthritis are much more likely to have a heart attack than the general population. You are also more likely to have a heart attack during or soon after having an infection, such as the flu or pneumonia. Sometimes people with chronic hidden infections such as gum disease, Helicobacter pylori or infection with cytomegalovirus are more prone to heart disease.

If you have a hyperstimulated, overworked immune system, it is likely that you have elevated levels of C-reactive protein. Immune cells also release a host of inflammation-promoting chemicals called inflammatory cytokines. Some of these include interferon, interlukin-6 and interleukin-10. As well as causing tissue damage, and the symptoms specific to various immune disorders, these chemicals all promote irritation and damage to your endothelium, or inner lining of your arteries.

To improve the function of your immune system you can:

• Avoid eating foods you are allergic or intolerant to:

If you are continually exposed to something you are allergic or intolerant to, it acts like a poison in your body. Your immune system is continually fighting to counteract the effects of this food, and in the process produces a lot of chemicals that have damaging effects in your body. The foods that most commonly produce allergies/intolerances are dairy products wheat, gluten, eggs, tomatoes, soy and oranges. Possible symptoms you may experience if you have a food allergy/intolerance include:

• Abdominal bloating

• Skin rashes

• Foggy brain and poor concentration

• Fluid retention

• Headaches

• Joint or muscle aches and pains

• Irritable bowel syndrome

• Mood changes, anxiety or depression

An elimination diet that is guided by a naturopath or nutritionist is recommended to pinpoint your allergies. Many people with these symptoms have leaky gut syndrome, and this must be treated.

• Eat raw foods to nourish your immune system:

It is very important to eat fresh raw foods every day. Raw foods contain enzymes and nutrients which cooking may destroy and they take very little effort to digest. It is important to eat at least one raw vegetable salad each day; try to vary the vegetables you use and have a variety of different coloured vegetables, as they each have different healing properties. Raw fruit is an excellent snack. As well as getting vitamins, minerals and antioxidants from fruit and vegetables to keep free radicals under control and prevent the oxidation of cholesterol, you obtain a lot of fibre from these foods, helping to remove cholesterol via your bowels.

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 Vitamins

The  vitamins are water-soluble which means you lose them when passing urine.

Vitamin B6

Research has shown that giving B6 to women who have trouble conceiving increases their fertility. In one study a group of women who had stopped having periods because of a hormone imbalance were given vitamin B6 for three to four months. Some of the women started to have regular periods again.

And in another study, 12 out of 14 women who had been trying for up to seven years conceived after taking vitamin B6 daily over six months.

You should take up to 50mg a day.

Your partner should take up to 50mg a day.

Vitamin Â12

Vitamin B12 is vital for cellular reproduction and a number of studies have shown its potential for increasing male fertility.”6 In one study in the 1980s, men with low sperm counts were given vitamin B12 each day and over a quarter of them improved by more than five times.

You should take up to 50mg a day.

Your partner should take up to 50mg a day.

Vitamin E

Vitamin E is another powerful antioxidant. Like selenium, it plays a protective role in the body and benefits both male and female fertility.

With some couples, the woman is ovulating so her tubes are not blocked, and the man is producing a good quantity of sperm, yet the sperm cannot penetrate the egg, so there is no fertilisation. This is obviously a major problem and, in cases of poor fertilisation, even where the sperm count is good, doctors may have to resort to ICSI.

However, an intriguing piece of research looked at men who had good sperm counts but low fertilisation rates during IVF treatments. These men were given vitamin E each day. One month after starting treatment, the fertilisation rate had increased from 19 per cent to 29 per cent. These findings suggest that the antioxidant activity of vitamin E may make sperm more fertile.

Like other antioxidants, vitamin E combats free radicals. (Linked to cancer, coronary heart disease, rheumatoid arthritis and premature ageing, free radicals speed up the ageing process by destroying healthy cells.) High levels of free radicals in semen can cause sub-fertility so it is important that any sperm problems are corrected by ensuring an adequate intake of antioxidants.

If you have been told you have unexplained infertility I would recommend that you and your partner take vitamin E supplements. And if you have had a miscarriage you should take a vitamin E supplement because it prevents abnormal clotting.

One study, published in 1960, showed that giving vitamin E to both partners resulted in a significant increase in fertility.120

If you are over 35, and have been told that your fertility problems are caused by your age, then you are also likely to benefit from taking vitamin E. Studies show that adding antioxidants, such as vitamin Ñ and vitamin E, to an animal’s diet significantly reduces age-related ovulation decline. Another study concluded that ‘these findings may have direct implications for preventing or delaying maternal-age-associated infertility in humans’.

You should take 300-400 IU a day.

Your partner should take 300-400 IU a day.

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•    Although no one knows quite why it should be, hypertension is much more common in fat people. One study of 10,940 hypertensive patients found that 60 per cent of them were overweight. Hypertension does, of course, occur in thin people but it is almost unknown in cultures where all the population is thin. Often, mild blood pressure can be treated simply by losing a stone or two. Certainly preventing obesity also helps prevent high blood pressure. This starts at the cradle. Breastfeeding exclusively for at least six months and then weaning on to unrefined, whole-foods rich in dietary fibre will prevent many children from becoming obese. It is during these rapid-growth early years that obesity sets in, mainly because of poor eating habits and even an addiction to sweet, refined foods. These habits are difficult to change later in life and almost inevitably produce obesity.

A study in California looked at twenty-five obese hypertensives and after only a twelve-week weight-reducing diet found a significant decrease in blood pressure to within the normal range. Furthermore, few (only about a quarter) of the subjects reduced to their ‘ideal’ body weight but the reduction they did achieve was enough to reduce their blood pressure to normal. They found that a 10-30 per cent reduction towards ideal weight was enough to lower blood pressure significantly. Interestingly, such losses in weight reduced the blood pressure of all the obese subjects whether or not they started out with high blood pressure.

•    Several studies have suggested that salt added to food during cooking or at the table is responsible for much of the hypertension we see in the West. However, a great deal of salt (probably the majority) is added during food manufacture and processing and we have little direct control over this hidden salt (especially in cured and processed foods). This is a real danger. Get used to reading labels and avoiding pi ducts where salt comes high î the list (ingredients are listed in order of weight in the product Buy salt-free products if possible. Unfortunately, even drinking water can be very rich in sodium (salt). A Massachusetts study found that a particular town had a very high level of sodium in the drinking water. Even high-school students in this study had raised blood pressures, and it was found that the water they drank accounted for 40 per cent of the difference in total salt intake between these children and those of a neighboring town.

•    When cutting down salt do it slowly over a month or two, first by not adding salt during cooking. Use a salt shaker with smaller holes for adding salt to food at the table, and over 6-8 weeks use less and less. Once again, prevention starts in the cradle. Discourage children from eating salty foods and wean them on to salt-free foods whenever possible. Research suggests that children have already acquired a taste for salt by the age of two.

Interestingly bound up with the salt story is potassium-another essential mineral. Potassium is vital for the transmission of messages in nerves, aids digestive enzymes, and is essential in muscle function. Sodium and potassium are intimately interlinked within and outside cells, and the balance has to be finely maintained if we are to remain healthy. A study at the London Hospital Medical School showed that potassium seemed to act as a shield against sodium-induced hypertension. In the first study sixteen people with mild hypertension and a group with normal blood pressure ate one diet for a twelve-week period, and then a different diet for the next twelve weeks. During the first twelve weeks both groups ate their normal diet plus sodium tablets. During the second period the normal diets were supplemented with potassium and they were asked to avoid salty foods and not to add salt.

The high-sodium diet produced a slow rise in blood pressure in both groups. But with potassium and a low-salt diet both systolic and diastolic pressures fell sharply and significantly in the hypertensive group-in contrast to an insignificant rise in the normal group! A month after the study ended both groups went back to normal eating. The hypertensive blood pressures shot back up again. This rise was explained by the researchers as due to the poor levels of potassium in their food rather than the marginal rise in sodium (salt). Other research found that if you have a family history of blood pressure you are especially likely to be sensitive to the blood-pressure-lowering effect of potassium. Such people develop the condition when the potassium in their diets falls below a certain essential level. Fruits and vegetables are among the best sources of potassium so this could be yet another advantage of a high-fibre diet. Particularly rich sources are potatoes, Brussels sprouts, broccoli, wheat germ, dates, chicken, salmon and halibut. A banana contains 350 mg potassium and only 1 mg sodium. A glass of pure orange juice contains 180 mg potassium and only 2 mg sodium.

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Bulimics are generally better suited to the group approach than anorexics. They tend to be older, more socially involved, and thus less afraid of other people. But for many bulimics, dealing with others produces feelings of inadequacy, rejection, and worthlessness, feelings that drive them to seek solace in a heaping plate of food. Groups can provide a setting to improve social interactions. Groups work better if, as in anorexia, members are selected carefully. Some groups are comprised of members who have never been anorexic or who are all married, for example. Having patients of similar age reduces the risk that older patients will ignore younger patients who may have different concerns. However, groups are never “perfectly” compatible. It helps to have patients explore their differences in order to lower resistance and increase their willingness to engage in therapy. The goal should be to achieve a “good enough” fit among members.

One way of selecting a group is by severity of the illness. Patients who binge and purge frequently (at least once a day for several years) but who aren’t in immediate medical danger may need an intensive program with several sessions a week. Twice-a-week bingers might do better in a more relaxed program.

In any case, group therapy should focus on symptomatic eating behavior. When patients regain healthy control over their eating, they can work more productively on other issues.

One such issue is assertiveness. We spend a lot of time discussing ways of handling apologies, compliments, and criticism. One patient complained, “I always do exactly what my husband tells me to do. If I don’t he’ll sulk and pout and make me feel guilty. Maybe we bulimics need a ‘Just Say No’ campaign of our very own!”

Problems: As in anorexia, some common features of bulimia can interfere with group therapy. One writer, Janice M. Cauwels, put it this way: “Bulimics tend to distrust people, especially other women, and most of all bulimic women.”

Bulimics can be perfectionists. If other members of the group don’t quite live up to their expectations, they may feel frustrated or angry.

Some patients place too much emphasis on food. They may use a “verbal binge” as they would a food binge to escape from their feelings. Group should address this issue. For example, during one session a patient said, “Hilary talks so much about food that I feel like I’m stuck in quicksand. I think she’s just doing that so she won’t have to talk about her problems with her boyfriend.”

Some patients expect a “magic cure,” believing that if they just show up at group meetings their symptoms will disappear. The group can help them confront and deal with this misconception.

Gradually, members realize that getting better takes time and work.

As with any group, feelings of competition and rivalry may emerge among patients. In groups that have a more psychodynamic orientation, members – guided by the therapist – can explore such conflicts. Doing so usually results in a deeper understanding of how the patients’ feelings influence their past and present relationships.

Group therapy should offer patients positive role models. Sometimes, however, newer members may feel jealous or inadequate when they see how other people have succeeded at reducing their symptoms. Conversation should focus on such feelings, especially if the patient’s pattern is to binge immediately before or after the group session.

One final note: Eating-disordered patients with drug or alcohol problems need additional help, because such problems can both substitute for bulimic symptoms and trigger them. Abstinence from substance abuse is usually a prerequisite for successful eating disorder treatment.

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Rita Wolberg traded in her scale for a tape measure. It helped her slim down not once, but twice.

When she was 31, Rita, an IRS program analyst from Alexandria, Virginia, decided to join Weight Watchers to unload some extra pounds that had accumulated over the years. “I just overate, and I didn’t know what I should eat to be slim,” she explains. She followed the program to the letter, taking off 22 pounds in 12 weeks.

After the birth of her son some 5 years later, Rita developed chronic sinus infections. Four sinus surgeries later, she found that she had gained 30 pounds. “I had put on so much weight that I moved up 3 clothing sizes,” she says. She went back to Weight Watchers, and this time, she took off 30 pounds in 18 months. “I wasn’t quite as vigilant about sticking with the program,” she admits. “I knew it would work. I just had to be patient.”

On both occasions, Rita used a tape measure—not a scale—to monitor her weight-loss progress. She found that by checking the circumference of her bust, waist, hips, and thighs once a week, she had a more accurate record of her changing body shape. “Even the second time, when the pounds came off slowly, I could count on my tape measure to show that I was improving,” she says. “Some part of my body was getting smaller, even if the scale didn’t show it.”

Rita, age 45, now serves as a program leader for Weight Watchers. “I started there as a receptionist in 1988, and they let me stay even when I regained weight,” she says. “That really inspired me tunity to tell others how valuable a tape measure can be as a weightloss motivator.

WINNING ACTION

Trade your scale for a tape measure. A scale won’t tell you how your body composition has changed, but a tape measure can. As you lose fat and gain muscle, certain body parts get smaller. To check the size of your waist, wrap the tape around the narrowest part of your waist, roughly halfway between your bottom ribs and your hipbones. For your hips, wrap the tape around your hips and butt at their widest points, usually slightly below the actual hipbones. Write down younmeasurements, then track them from week to week.

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You should be educating your daughters now about the need to eat nutritious foods rich in calcium. The recommended daily calcium intake for girls of eight to eleven is 900 mg (boys need 800 mg), which is equivalent to three or four daily serves of calcium-rich food (one serve can be 250 mL milk, 200 g yoghurt or 35 g cheese). Girls aged twelve to fifteen years should have around 1000 mg daily (boys 1200 mg), which is four to five serves of calcium-rich food. For women aged sixteen to fifty, three serves daily or 800 mg of calcium-rich food suffice (the same for men of all ages), and from fifty onwards women should increase their intake of calcium-rich foods to four or five serves (1000-1500 mg).

It is also important to remember that the growth patterns of boys and girls vary, with girls starting their spurt at around the age of eleven and boys later, at around thirteen. So an eleven-year-old girl will probably be eating more than her twelve-year-old brother. It’s important to realise this, otherwise parents may be critical of a daughter’s appetite.

Girls also tend to be excessively concerned about the amount of body fat they acquire during adolescence. They need reassurance that fat on breasts, legs and hips is normal. Otherwise they may turn to fad diets or excessive exercise and quickly become deficient in energy, protein, calcium and iron. In extreme cases this may lead to anorexia nervosa. Regular moderate exercise will improve appearance, even if it means gaining weight in terms of muscle.

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Vaginal lubricating compounds such as K-Y jelly, and new hormone-free substances that last for several days and are not messy (such as Replens), are helpful. You can also make use of’male dew’, the natural lubricant from the tip of the penis. Masturbation, either alone or with your partner, can also help to promote

lubrication. Although frowned on in some religious circles, masturbation is widely regarded as a healthy way to handle sexual needs and expression with or without a partner. Some couples find that a hand-held vibrator and sexually stimulating magazines or videos also help. Think about your range of sexual positions. Be adventurous in trying new ones, bearing in mind that some will put less stress on vaginal tissues that would otherwise tend to be hurt by penetration. A woman on top, for example, has increased control of the situation. She should also take plenty of initiative in the type and duration of love-making and ensure that she is completely comfortable throughout.

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Mood-altering medications such as antidepressants, antipsychotics and benzodiazepines (for example, Clozapine and Diazepam) can also contribute to bone problems. Elderly patients taking these medications are more likely to have falls and fractures’. The medications may add blood pressure changes and physical instability to existing vision problems, poor flexibility, and depleted muscle mass and strength.

As mentioned briefly, osteoporosis is more likely in women who have an early surgical removal of their ovaries, a hysterectomy without removal of the ovaries or a premature natural menopause (before the age of forty). In addition, you may be more likely to get osteoporosis if you have had anorexia nervosa, exercised so much at some time that your menstrual periods stopped for six or more months (known as amenor-rhoea), used steroids over a long period (for example, to treat asthma or arthritis) or been confined to bed for some months, perhaps because of a serious accident.

Bobbi was in her early fifties when she fractured her wrist after slipping on some wet grass. Her medical history included a three-year period of anorexia nervosa in her twenties, together with smoking throughout her adult years, so a DEXA investigation was ordered. This revealed a worryingly low bone density, which prompted Bobbi to quit smoking, improve her diet and start treatment with HRT. A bone density measurement two years later indicated that the deterioration of Bobbi’s bones had been arrested.

The most important factor of all in determining your risk of osteoporosis is the genes that control the way your body functions, and that may conspire with neglect of weight-bearing exercise, smoking, or a low calcium intake. If genetic vulnerability is combined with any other risk factor, the likelihood of osteoporosis multiplies. Attempts to put figures on these risks have proved controversial.

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