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Acne
This factsheet is for people who have acne.
Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25.1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.
What is acne?
Acne is a skin condition that typically causes one or more of the following:
* blackheads (comedones)
* whiteheads
* red or yellow spots
* greasy skin
* scars
Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary.
Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.
Acne is very common and affects about 80 in 100 people aged 11-30 at some time.
home health information health factsheets
Acne
This factsheet is for people who have acne.
Acne is a skin condition that causes spots. Most people affected by acne are aged between 12 and 25.1 However, men and women in their 30s and 40s can also suffer. There are many treatments available to help deal with the condition.
What is acne?
Acne is a skin condition that typically causes one or more of the following:
* blackheads (comedones) 2,3
* whiteheads2,3
* red or yellow spots2,3
* greasy skin2,3
* scars2,3
Acne typically affects the skin of the face, back, neck, chest and arms and the severity of the condition can vary.1,4
Acne affects people of all skin colours. The processes that cause acne are exactly the same in people with black or brown skin but the impact is altered by the skin pigmentation.
Acne is very common and affects about 80 in 100 people aged 11-30 at some time.4
The skin
The surface of the skin has lots of small sebaceous glands just below the surface. These glands make an oily substance called sebum that keeps the skin smooth and supple.
Tiny pores (holes in the skin) allow the sebum to come to the skin surface. Hairs also grow through these pores.
IIllustration showing the structure of skin
Illustration showing the structure of skin
What causes acne?
Acne is caused by the overactivity of the sebaceous glands that secrete oily substances onto the skin.
The sebaceous glands of people with acne are especially sensitive to normal blood levels of a hormone called testosterone, found naturally in both men and women.
Testosterone in people prone to acne triggers the sebaceous glands to produce an excess of sebum. At the same time, the dead skin cells lining the openings of the hair follicles (the tubes that hold the hair) are not shed properly and clog up the follicles.
These two effects combined cause a build-up of oil in the hair follicles. This causes blackheads and whiteheads to form.
For some people, their acne does not progress beyond this stage.
However in other people, the build-up of oil in the hair follicles creates an ideal environment for a bacterium called Propionibacterium acnes to grow.
These bacteria normally live harmlessly on your skin but when this ideal environment is created, they grow. They feed off the sebum and produce substances that cause a response from your bodys immune system. This inflames the skin and creates the redness associated with spots.
In more severe inflammatory acne, cysts develop beneath the skins surface. These acne cysts can rupture, spreading the infection into nearby skin tissue. This can result in scarring.
What makes acne worse?
There are a number of things that can make your acne worse. These include the following:
* picking and squeezing the spots may cause further inflammation and scarring1
* stress can make acne worse in some people, although it is not clear why1,
* in women, outbreaks may be affected by the hormonal changes that occur during the menstrual cycle1,
* excessive production of male hormones such as testosterone from conditions such as polycystic ovary syndrome may be another cause.5 For more information, please see the separate BUPA factsheet Polycystic ovary syndrome
* some contraceptive pills may make acne worse. This is due to the type of progestogen hormone in some pills whereas some other types of contraceptive pills can improve acne - see Treatments section below. Your GP will advise you which contraceptive pill to take
* some medicines can make acne worse. For example, some medicines taken for epilepsy, and steroid creams and ointments that are used for eczema. Do not stop a prescribed medicine if you suspect it is making your acne worse, but tell your GP. An alternative may be an option
* steroids can cause acne as a side-effect
Treatment
Acne may cause you considerable emotional distress but there is a range of treatment options to help you tackle the problem. No treatment will completely your acne. The aims of treatment are to prevent new spots forming, to improve those already present, and to prevent scarring.3
Home treatment
It is important to keep spot-prone areas clean, so wash the affected area twice a day with an unperfumed cleanser.1,6 The skin needs a certain amount of oil to maintain its natural condition, so avoid aggressive washing with strong soaps.
There are a number of over-the-counter remedies available from pharmacies to treat mild acne. These usually contain antibacterial agents such as benzoyl peroxide (eg Oxy and Clearasil Max).
As well as its antibacterial effects, benzoyl peroxide can dry out the skin and encourage it to shed the surface layer of dead skin. Together, these effects make it harder for pores to become blocked and for infection to develop.
Benzoyl peroxide can cause redness and peeling, especially to start with. This tends to settle down if you reduce the number of times you use it. You can then build up your use gradually.
No home treatments for acne will work immediately. It can take weeks, if not months, for significant effects to be noticeable. If home treatments have not worked after two months, or you have severe acne, you should visit your GP.
Prescription medicines
Your GP may start your treatment by prescribing a preparation containing benzoyl peroxide. If this does not work, or if you have more severe acne, there are a range of other treatment options that you can either rub onto your skin (topical) or take in tablet form (oral).
Topical treatments
There are several topical treatments you may be prescribed including those listed below:
* azelaic acid (Skinoren) is an alternative to benzoyl peroxide and may not make your skin as sore as benzoyl peroxide
* topical retinoids (eg Adapalene) are medicines based on vitamin A, which are rubbed into the skin once or twice a day.7 They work by encouraging the outer layer of skin to flake off
* a topical antibiotic lotion applied to the skin can be used to control the P. acnes bacteria (eg Dalacin T). Treatment needs to continue for at least six months. Preparations that combine an antibiotic with other acne medication are available (eg Benzamycin which combines an antibiotic with benzoyl peroxide)
Oral treatments
There are several oral treatments you may be prescribed including those listed below:
* oral antibiotics (tablets), such as tetracycline, can be prescribed for inflammatory acne. They should be taken daily for around three months, although it might take four to six months for the benefits to be seen.7 The success of this treatment can be limited because the strains of bacteria are often resistant to the common antibiotics. Antibiotics do not prevent pores from becoming blocked so treatment to prevent blackheads, such as benzoyl peroxide, is often also prescribed at the same time
* some types of oral contraceptive tablets help women who have acne. A combination of the usual pill hormone called ethinylestradiol with cyproterone acetate (eg Dianette) suppresses male hormone activity so is often used in women with acne
* isotretinoin (eg Roaccutane) is a medicine known as an oral retinoid, which also exists in a topical form (see above). Isotretinoin works by drying up oily secretions. It tends to be prescribed to people with severe forms of acne that have proved resistant to other treatments. There a number of serious side-effects of this drug, such as liver disorders and depresssion. You should not take isotretinoin if you are pregnant, as it is very dangerous to an unborn baby. For safety reasons, isotretinoin is only prescribed under the supervision of dermatology specialists.
Kerwin Chang writes for http://www.acnestuff.net where you can find out more about acne and other skin care topics.

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For many people, the thought of high blood pressure never crosses their mind, until they are diagnosed with it. Once a person is diagnosed with having high blood pressure they begin to find out how to lower blood pressure. For the most part, the best way of lowering blood pressure is through lifestyle modifications.
One of the most drastic lifestyle changes that needs to be made is a change in eating habits. Many people seem to struggle the most with the dietary modifications, when they are putting what they learned about how to lower blood pressure into an action. Making the necessary changes should be like second nature, but it generally takes time for it to actually become a second nature.
Here is what you can do to lower your blood pressure:
1. Throw the cigarettes out. If you previously felt you did not have good enough of a reason to quit smoking, now you do. Smoking increases the stress on your heart and causes your blood pressure to increase.
2. Eating healthy foods instead of prepared and sodium rich foods is best. Eat more fresh fruits and veggies. Do not use salt to season your foods. There are many other herbs and spices that you can use. If you must use canned veggies, be sure to use those that have reduced salt or sodium. You should also rinse them completely with cold water.

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As many as one in three women with type 1 diabetes is suffering from some form of sexual difficulty, according to a recently released study.
While the sexual difficulties men experience as a consequence of diabetes are usually physical side effects, such as erectile dysfunction from poor circulation and neuropathy in the penis, the sexual side effects women experience seem to be linked to depression rather than physical side effects.
More than 600 women were studied and 35 percent of those women reported symptoms of sexual dysfunction. Over half of the women experienced a loss of libido.
About half reported problems achieving orgasm, nearly half reported that reduced vaginal lubrication was an issue. About 40 percent of the women said their ability to be aroused was less than normal, and over 20 percent of the women reported painful intercourse.
Researchers looked at the womens age, marital status, whether or not they had been through menopause, whether or not they had circulatory issues, and whether they were depressed. Marital status and depression appeared to be strongly linked to sexual dysfunction.
While questions about symptoms of depression, sexual functioning and sexual satisfaction should be a part of any womans annual physical examination, these are especially important questions to be asked of diabetic women.

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Each quarter, beginning in January 2009, Spectrum, a Washington DC-based public relations and public affairs firm, will interview 1,000 repondents and ask them to identify from the 27 healthcare products, programs and services tested those ever used and how satisfied or not satisfied they were each. The results can be used to identify what Americans value in healthcare programs, products and services, and how the value changes over time.
Second quarter 2009 results
During the first two quarters of 2009, 2,025 respondents were interviewed. Half the respondents were men and half were women; half were married; 15% were African-American and 73% were White; 27% were aged 18 – 34, 41% were aged 35 – 54 and 33% were over the age of 55. The mean household income was $51,600. Sixty-one percent suffered from a health condition in the past year, and 78% of all respondents had insurance coverage.
The study found that four services: prescription drugs, over the counter drugs, dentist services and physician services have ever been used by the vast majority of people; these are also the four services most commonly used regularly. Surgical services, over the counter drugs, dentist services, physician services, diagnostic laboratory services, prescription drugs and health/personal care goods were the highest rated services among the 27 tested. The lowest rated services included care for the elderly, health relief services, mental retardation services, mental health services, substance abuse services, preventive health services and individual social/health services.
Central to the Spectrum Health Value Study is the analysis of the relative value that respondents place on the 27 healthcare programs, products and services listed above.

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Maybe it’s because of the way we’re brought up, but men try to ignore a lot of the signals our bodies send us. We’re taught to ignore pain (including hypertension headaches), to appear strong and in control at all times and to take life’s rough-and-tumble punishments with a stiff upper lip. Unfortunately, we ourselves often inflict the punishment.
High blood pressure can happen when you’re under stress for a long time. Because you’re uptight inside, your whole cardiovascular system absorbs that tension. Arteries and arterioles become narrower because the sheaths of smooth muscle that surround them contract and diminish circulation. The longer the stress goes on, the more permanent a condition this becomes, eventually affecting the whole blood-delivery and waste-extraction systems. In terms of simple hydraulics, the heart (the pump) has to exert increased tension (pump harder) to get the same amount of fluid through the narrower openings. This state, called is easy to ignore until it’s too late and an aneurysm, stroke or infarction occurs.Blood Pressure Detection
High blood pressure is considered a stealthy killer because there may be no detectable signs for a long time. It’s usually unnoticed unless you’re systolic and diastolic readings are taken regularly using a sphygmomanometer–the cuff and mercury the doctor puts around your biceps. The first reading is the pressure of your heart when it’s pumping. The second is the strength of the after-wave of blood flowing through the system when the heart is at rest. The ratio between the two readings tells a lot about how your heart is functioning. So what is blood pressure? If you’re a peak performance athlete about 18 years of age, normal may be 115/75. But as we get older, a higher reading such as 140/90 is acceptable. However, once it rises above that, you’re probably registering too much pressure on the system. The cause of high blood pressure varies with different individuals. The orthodox medical profession usually blames hypertension on stress from work, relationships, children, debts and parents–you name it. However, these states of stress can be prevented.A Preventive Lifestyle
One of the best antidotes to stress is exercise. Practitioners of tai chi claim that the regular practice of their art definitely lowers blood pressure. Cycling, swimming and walking are other fitness suggestions. It is ideal to get 20 minutes of exercise each day. Cigarette smoking is not a good idea. Most medical research associates smoking with damage to the cardiovascular system. Of course there are stories about guys who smoked until they were climbing into the coffin at 98 years of age! But there are a lot more stories about smokers who had massive cardiovascular problems at young ages and who are no longer able to lead productive lives. Find out what really relaxes you and make it a daily routine. Even watching an old movie, getting away to the country or taking up drawing or painting might be helpful. Also consider taking other positive steps to eliminate stress, such as simplifying your life.
Once diagnosed with high blood pressure, the first thing you have to do is slow yourself down. Faithfully take a day off every week. Switch from coffee to herbal teas such as camomile and peppermint. If you have a big caffeine dependency, try weaning yourself with green tea. There are other appropriate herbal teas. One of the finest and best tasting is linden blossom (lime flower or Tilia americana et spp.). It can be used regularly to maintain the smooth inner lining of the blood vessels. The French have found the flowers and keel of this plant help prevent the aggregation of platelets. Linden blossom is often combined with hawthorn (Crataegus spp.) in treating hypertension. The gentle, calming effect of both these herbs teaches the body how to relax. Herbal relaxants are also appropriate in cases of essential hypertension. Valerian (Valeriana officinalis) is widely used by professional herbalists, usually as a tincture (one teaspoon or five ml three times daily). Herbalists often combine this plant with cramp bark (Viburnum opulus). This remedy is active in relaxing smooth muscle (the tense muscles around the arteries are unconsciously clenched). Use one teaspoon (five ml) of the tincture three times daily. It would be wrong to think that any herb alone might lower blood pressure. Some plants will even raise it. If you have high blood pressure, you should avoid broom (Carothamnus scoparius) and licorice (Glycirrhiza glabra). The latter can pop up in a number of herbal teas being marketed as beverages. Check the ingredients. While herbs can help treat high blood pressure, it makes sense to prevent high blood pressure in the first place. Exercise, eat healthy foods, take time out-and enjoy it. Make peace with yourself. Now sit back, have a cup of linden tea and listen to your arteries purr.
Heart-Healthy Food Choices
The foods you eat play an important role in how your body deals with both high blood pressure and stress. One of the main reasons for high blood pressure is the consumption of too much saturated fat from animal sources and trans-fatty acids from artificially hardened vegetable fats such as shortening and margarine, as well as refined vegetable oils. Sweet foods, overly salted foods and insufficient fibre also contribute to high blood pressure.
Fresh, raw vegetables and fruits should prevail in a diet to control high blood pressure. Soy beans, potatoes and nuts are highly superior to animal meat as a protein source. Potassium lowers blood pressure by reducing blood-vessel constriction and helps alleviate stress by supporting the adrenal glands. Potassium-rich foods include apples, asparagus, avocados, cabbage, corn, tomatoes, bananas, oranges, grapefruit, prunes and raisins. High blood pressure has been linked to calcium and magnesium deficiency. Green, leafy vegetables are rich in calcium; almonds and cashews are excellent sources of magnesium. Nuts and seeds should also be eaten daily as a source of essential fatty acids, which produce hormone-like substances called prostaglandins that expand the veins and arteries. Foods rich in B vitamins, such as whole grains, green vegetables and eggs, help build resistance to stress.
There have been several reputable studies lately that indicate that a little wine or beer is good for the cardiovascular system. The Mediterranean diet is very healthy for the heart. Mediterranean cuisine embraces wine, olives and garlic, avoids fatty meats and is endlessly inventive with fresh green salads interspersed with bitter leaves of chicory and endive, along with sweet fruits such as oranges. Garlic is hypertensive, or lowers blood pressure. If you value your social life, you might want to take odourless garlic supplements available from health food stores. On the other hand, if you start feeding your friends pesto, they wont even notice!
Visit www.ALISTROL.com for more information and try this natural, safe supplement to provide high blood pressure relief quickly while gaining health benefits as well.

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ser mam im 23 years of age, im smoking before and drink but i stop it after i got heart enlargement after 9 months i lost 65 pounds from my weight of 230 pounds. my blood pressure is normal but my heart beat fast but my heartrate is normal, sometimes i feel my heart is going to enlarge and then i experience pain. my doctor and my parents, said that it was just psychological . I just lost 65 pounds of my weight but still i experiencing chest pain. i do exercise, balance diet, monitoring of blood pressure, but i experience chest pain. thanks god bless, read the bible always it could help, avoid sins.

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Those Terrible Horrible No Good Very Bad Republicans
Lorie Byrd
Tuesday, May 05, 2009 Townhall.com
With the recent sad news of the passing of Jack Kemp, Brent Baker of Newsbusters blog  remembered the following 1996 quote from Bill Schneider of CNN:
He is a rare combination a nice conservative. These days conservatives are supposed to be mean. Theyre supposed to be haters.
Baker cited that as one example of how some in the news media used the selection of Kemp as Bob Dole s presidential running mate to deliver backhanded insults about the who comprised the rest of the Republican Party.
It often seems, especially if you watch much television, that the words and are associated, if not synonymous, with rich, mean, white people.  I resemble the white part, except in the summer when I sometimes turn a reddish brown thanks to my native American ancestors.  But Ive never been rich,  unless measured in blessings, and the only people who have told me I am mean are liberals who dont think much of my conservative beliefs (and my soon-to-be thirteen year old when she doesnt get her way).  Most of the Republicans I know are pretty much like me.
So how is it that Republicans and conservatives have such a bad image? 
How is it that Miss California, Carrie Prejean, recently answered a pageant question about gay marriage honestly, and respectfully, by echoing the same position as that of President Barack Obama and the voters of California, yet she was cast by the media as a villain?
Carrie Prejean was labeled as a dumb b h (and worse) for saying, I think that I believe that a marriage should be between a man and a woman.  No offense to anybody out there, but thats how I was raised.   MSNBC fake journalist, Keith Olbermann not only called Prejean a but made fun of her appearance, joking about cosmetic surgery she reportedly had.
President Barack Obama said of gay marriage, m a Christian. And so, although I try not to have my religious beliefs dominate or determine my political views on this issue, I do believe that tradition, and my religious beliefs say that marriage is something sanctified between a man and a woman. Rather than being called a nazi or a dumb bunny he is hailed as a uniter and a healerthat is, when he is not being called an enchanting savior. 
Not surprisingly, the focus of mainstream media coverage was not on how similar Prejeans comments were to President Obamas, or how her opinion was the same as not only the majority of Americans, but Californians.
When President Bush and the GOP enacted legislation resulting in a $600 tax stimulus check for Americans, Michelle Obama said re getting $600 - what can you do with that? Not to be ungrateful or anything, but maybe it pays down a bill, but it doesnt pay down every billand it may even feel good that first month when you get that check, and then you go out and you buy a pair of earrings. But when her husband and Democrats provided $400 stimulus in tax relief earlier this year, few, if any, in the mainstream media even pointed out the hypocrisy.
How is it that when Michelle Obama wears a $540 pair of sneakers during what her husband has referred to as the worst economy since the Great depression we are not treated to dozens of MSM stories about how she is out of touch? Yet George H.W. Bush (and later Rudy Giuliani) inspired dozens of media reports about how their failure to correctly identify the price of a loaf of bread or gallon of milk showed they were hopelessly out of touch.
In a recent conference call, the RNCs new media director Todd Herman said we need to confront the fact that some people want to believe our brand is somehow owned by Jon Stewart among others. He is absolutely right. Little the Republican Party, or conservatives, have done lately seems to have made much of a difference in that image problem.  They are not setting the narrative.  Their opponents on the Left, and those in the liberal media are doing it, and with great success.
Those much younger than I am may believe that if we just behave more like Ronald Reagan, the good natured optimist, then the world will see that we are really nice people with good intentions.  What they fail to realize, and what those who lived through the Reagan years know, is that during his administration he was often demonized by those in the media and the opposing party.  He was painted by his opponents as a dim witted war monger who wanted as many people as possible to be homeless and die of AIDS.  But Reagan was beloved by the majority of the American people because he was able to talk past (and above) the media to speak to them directly.
When John McCain chose Sarah Palin as his running mate many saw her way of communicating similar to that of Reagan.  She was able to speak the language of the common man.  Those wishing to disparage her would say she spoke the language only of the red(neck) states, but the truth is they only felt that way because so many of her opponents are far removed from everyday America.  They dont realize that most Americans, not just those in the red states, could identify with Palin.
There is no way to know for sure, but I betcha the campaign would have been much more successful if run Palin-style than the way McCain handlers did it.  Palin was itchin to answer every attack on her.  She did not shy away from the fight, but rather welcomed it as an opportunity to talk about what conservatives really believe.
John Hawkins recently wrote that the Right needs to play as dirty as those on the Left.  While the Right doesnt have to dip down into the sewer as far as the Left has, we do need to start giving them a taste of their own medicine, if only to make them think twice about the way theyre treating our fellow conservatives.
I would not say we need to fight  but at the very least we should stop being worried about being seen as mean or nasty.  We Republicans and conservatives) have learned that our opponents are going to do everything in their power to portray us that way, regardless of how inaccurate it is and we have to stop letting them get away with it.  We not only do not fight hard enough against the image, and the unfair (and often untrue) allegations and accusations in reaction to them, but we do nothing to preempt them.
How the Republican Party and conservatives manage to do that is a big topic of discussion, but there is no doubt it is something they must do if they want any chance of regaining political power.

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I am going to be living in Puerto Vallarta, Mexico for two months in Dec/Jan of next year and am looking for work. I am a Canadian university student taking a year away from school to do volunteer work and to make some money in order to afford returning to school. I have extensive graphic and web design experience, and that would be my preferred job. I would also love to work in tourism, and Dec and Jan are big tourism months in PV. I speak some Spanish, but will be taking a course before I move to Mexico. I would really appreciate any information on design/tourism jobs in Puerto Vallarta. Thanks!
Its not so much that Im concerned about finding a job - I have a few potential employers lined up - its that I would prefer to work in either graphic/web design or tourism. I have searched job posting websites, and there have been short-term (1-2 month) design jobs in Puerto Vallarta, I just havent been able to find any current such jobs.

hello,
to start with: im german living in mexico since more than 14 years in total (2 years puerto vallarta (bucerias),2 years cancun and since 10 years in playa del carmen).please excuse my way of putting it together for youenglish is not my first (or even second) language.i may have a funny way to explain it to you.
FIRST:in order to work legally in mexico you need a whats called FM3 (after 5 years it turns into a FM2 and after another 5 years you will be an ).it will take an average somewhere between 4 to 6 weeks from the day on you apply for that permit till it is approveddepents on how busy they are and in which state you would like to work.during that time it is ILLEGAL to work.like everywhere else in the world:your papers are in process? you wait.buttom line.most companys will tell you:t worrynothing is going to happen. .of course they do soif immigration comes they pay a little fine and your little behind is on fire.i couldnt care less what everybody else saysi saw it to many times.
second:even if you have that FM3that permit is only valid for ONE company.you are only allowed to do one job for one company at the time.there is no way that you are legally allowed to do two jobs at the same time.THATS THE LAW.if you do so you are no better then every mexican who swims across the rio grande and works in the u.s. or canada without papers.beside thatyou will only get a working permit if you do a job which a mexican is not able to well that law is like gumthere is always a way.
and to the idea to work in timeshare:if you tell to who ever is in charge that you plan to stay for two month only.nobody will hire you without experience.meaning if you never worked in the industrie before.why? they would have to train you first.that will take somewhere between 7 and 10 days at least.why should they train youinvest in youif they know you will be gone in a few weeks.other then that.till you have your first deal and the commision is payable you are already on your way back home.no way jose.
in other wordsbetween you and me: if you find something to simply for a few weeksbartender,reception or what everi dont seriously think anything will happen in such a short time period..but whatever it will be.be aware that it would not be legal.the pay? well thats a whole different story.do not expect muchor why do you think so many mexicans are on the run?
if you do have more questions you will find my e-mail adress in my profile.
good luck,
cancundivers
p.s.:before somebody says:it did this and i did that.i talk about the law.

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Lokono-Arawak descent, and cognizant of the fact that I was part of the planning committee for this 3rd indigenous Leaders Summit of the Americas and head of the communications sub-committee (my tenure expired as of 6.30pm on April 15th 2009 when the Summit officially ended), I was saddened to hear that the Governments of Colombia, Chile, Argentina and Brazil - were still frustrating the efforts of the Indigenous Caucus in the draft American Declaration on the Rights of Indigenous People's process, when I had attended the last OAS session in Washington DC a few months ago the USA and Canada had dropped out of the process entirely - which is an act guaranteed to sabotage any progress we hope to make on that front due to the 'Consensus' requirement within the OAS.

The undemocratic 'Consensus' is the de-facto modus operandi among OAS states, this 'consensus' system requires that every state must be in complete agreement with EVERYTHING being proposed to be adopted by the OAS - otherwise it is ultimately rejected.

This might sound almost noble in theory to those who do not have to face 'semantic skulduggery' - for time and time again we see certain states using the most petty and ridiculous arguments such as the placement of a comma or hyphen etc. to say "We do not agree with the placement of the comma in that sentence so we cannot support the text being proposed." Thereby ensuring that our efforts are frustrated by ever more delays and 'consensus' cannot be reached so the indigenous rights we are fighting so hard for are denied once again.

To further expose the 'consensus' deception - it would be akin to not allowing any American presidential candidate to win office unless 100% of all votes cast were for a particular candidate....I ask you - is that what you call democracy? Is is truly absurd for the countries who traverse the globe meddling in other countries internal affairs in the name of 'Championing democracy' to be the SAME countries who do their utmost to ensure that a majority vote democratic process is NOT allowed to exist within the OAS system.

In truth and in fact the 'Consensus' system being forced by the powerful in the OAS - was devised specifically to ensure that the Neo-Colonial States of the Americas (not their willing or unwilling citizenry) are ALWAYS in a position to dictate their self-serving agendas to those they consider to be their 'subjects'.

With the exception of Guyana, the Caribbean States disrespectful lack of interest and attendance at the vast majority of OAS sessions concerning Indigenous Peoples of our Hemisphere is another disturbing factor in our quest to eventually see the American Declaration on the rights of Indigenous Peoples officially and legally come into existence, for we foresee a worrying scenario whereby the Caribbean States (who in large part are dependent in one way or another on the USA and Canada) being strong-armed into voting AGAINST our declaration by using the argument that "They are not sufficiently informed to make a decision in support of the Declaration"....if the Caribbean states would wake up and show some interest and make the same effort as ALL the Latin American States have been for many years - they would know enough to make an informed decision - of course this would require Caribbean governments to ACTUALLY care about Indigenous Peoples, a falsehood they are fond of publicly stating - but in my opinion - based on their actions is not yet the case in reality.

Take a critical look at the Republic of Trinidad and Tobago as but one example, they are holding the 5th Summit of the Americas - yet the government of Trinidad and Tobago STILL refuses to officially grant their Indigenous Carib People even 1 square foot of land titled to them - and this is land that in reality - and according to the United Nations Declaration on the Rights of Indigenous Peoples which the Government of Trinidad and Tobago voted to approve - has belonged to the Carib people BEFORE any of the ethnic groups who all came subsequently and usurped the traditional territories of the Carib People (same can be said of the Red Caribs of Sandy Bay in St. Vincent).

Take a glance at Suriname - who's constitution does NOT even recognize the existence of the 20,000+ Indigenous Amerindians in that country! Do you think any Caribbean head of State has ever raised this glaring injustice being perpetrated by the government of Suriname on it's native peoples in violation of International Laws and Human Rights Conventions? Not a word from any of them, their CARICOM heads of state cocktail party get-together's is of far more importance obviously.

Verily, we take hypocrisy to unprecedented levels in the Caribbean Community (CARICOM).

In the 90+ paragraphs of the OAS 5th Heads of State Summit Declaration only TWO have passing references (not even entire paragraphs) to the Indigenous peoples of the Americas, one about Education, and the other about Health...what does this tell you about the 'equitable treatment' these two-faced politicians claim to want for their 'indigenous brothers and sisters'?.

The Indigenous Caucus of the Americas is only being permitted one brief address to the OAS Heads of State - then like dutiful servants we must leave the room, not even being permitted to sit as official observers as we were granted in previous OAS Summits.

Our ONLY hope now is that full blooded Amerindian President Evo Morales of Bolivia or President Hugo Chavez of Venezuela - who is of mixed Amerindian descent, will use their time at the podium to remind the world that we Indigenous STILL exist, that the conquest of the Americas has NOT yet ended, and neither has our resistance to it!

There is a glimmer of hope for the future - because in the legal apparatus of the OAS a simple majority democratic vote CAN be held to pass a document such as the Draft American Declaration on the rights of Indigenous Peoples - IF 'weaker' countries are willing to stand-up to the high and mighty in our Hemisphere and make that Clarion call for such a vote.

It was not always this way, the Government of Antigua and Barbuda gave up its seat to the Indigenous Caucus many years ago and very early in the process - an act which allowed us to have a seat at the table and raise our issues, and the Government of Dominica's UN Ambassador Gregoire tirelessly made the rounds in the UN general assembly to champion Indigenous Rights and garner support for the UN Declaration which was eventually passed!

We shall see which of our leaders today actually has some courage and sense of justice.

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My mom has essential high blood pressure sometimes reaching over the 200/160 mark. As her blood pressure has been high for a while she has an enlarged right ventricle which will and is leading to CHF. Her breathing is already heavy. Her doctor has given her Betaloc, Plendil, Inhibace, Dosan, Cartia a blood thinner, Lipex for high cholesterol and Quinine for night cramps. Shes in her early 70s and she complains of head aches, extreme fatigue and loss of energy. She has increasing dark circles around her eyes as if she hasnt slept in months with shortness of breath like shes gasping for air. I would like her to try natural remedies because these synthetic drugs dont appear to be doing much for her overall health. Can anyone advise some really good and effective natural remedies to treat both high blood pressure and CHF? I know Celery is good for lowering blood pressure.

Its great that you are concerned for your mother. She has a lot of stuff to be concerned about, and I hope you can take the time to learn about all of the issues.
I feel for you and your mother. Its hard to believe that they cant get her BP under control. Ill give you my best answer on natural means for reducing BP, but I strongly recommend you find a hypertension specialist. The bloodpressureline Yahoo! group is a great resource, as well. It is run by a hypertension specialist who can help you to find someone in your local area.
On the CHF side, you should find a heart failure specialist, as well. (Not just a regular cardiologist!)
Now, as to how to treat it:
1. Do *all* of the obvious things:
a. No smoking
b. Cut out caffeine and alcohol
c. If her BMI isnt 25, help her figure out how to get it down there. Obesity, more than anything else, is a huge issue. Check out the DASH diet and the rice diet.
d. Reduce sodium intake and increase potassium intake (fresh fruits such as oranges and bananas can help here). This is actually a very easy thing to do and might bear fruit, so to speak.
e. Make sure she doesnt have sleep apnea. It can cause high BP.
f. Get her regular exercise, even if it is just walking around a few times a day or doing water aerobics. Build up her stamina. Create a log for this, if necessary, so that she can visually see her own progress.
2. Take her BP regularly. If she doesnt have a digital BP cuff, get her one and make sure she knows when and how to use it. (Theyre remarkably inexpensive around $50 for a good one at your local pharmacy.) Have her log BP as well as exercise.
3. Work with the hypertension and heart failure specialists to determine if her medications and their dosages are appropriate. Is Betaloc the right beta blocker? Is a calcium channel blocker such as Plendil indicated? Is her ACE inhibitor (Inhibace) at the right dosage, and does she understand the best times of day to take it? Cartia is a calcium channel blocker. Why is she on two different CCBs? Quinine is not FDA-approved for the treatment of leg cramps. There should be a better way for that, IMO. And if she has shortness of breath at night, why in the world isnt she on a diuretic to get the fluids out of her lungs?!
4. Check out chfpatients.com for more information on CHF treatment. Start by reading the manual. You might also be interested in the nutrient stew section.
5. Ask your mother if you can sit in on her doctor appointments. Write out as many questions in advance as possible and send them to the doctor beforehand. Youll get much more thoughtful responses this way.
Please feel free to contact me if you want to chat about any of this
Good luck.

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Not only do you have access to helpful high blood pressure information, but now you can keep up-to-date with what`s new on this site. Keep your eyes peeled for some eye openers on the Alternative Treatment page, and my list of high potassium foods that keeps growing! To subscribe to my RSS feed, just click on the little orange button at the bottom of the nav bar. Check back soon! Gem.

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Fit To Drop ...

It's been one of those days today. Heavy energy pervaded the premises I was 'working' from. No amount of Orgonites would shift the oppression which was there upon arrival this morning. It was long and it was weary. I am now fit to drop. The energies of the Orgonites seem a distant star at this moment in time ... I am so tired. A good night's sleep and I will feel fine again in the morning.

Easter Monday and a day of consideration as there are a number of new siblings to be created. But I will not think about that until the light of the new day catches my eye and I wake up feeling refreshed.

Before then I have more interesting notions to consider. Resultant contemplation after another round of interesting observations. Energies have been high and have acted in removing several more epidermal layers from the veils that have been hiding the obvious from my vision for so long. I've been able to link what I thought was a writing of fiction with actual stone cold fact today. A location mentioned in some text ... was 'visited' and sure enough there is what was claimed. Very interesting for me as it links so many missing pieces. I won't say any more than that at this stage. But I'm sensing reasoning now in my awareness. Sentient instructions and invisible guiding hands ... directing me to look in certain places and to risk revealing certain things. This has been happening for a while. Seeming haphazard ventures have been heralding startling results. First, a reality check and a slight wobble from myself ... then curiosity followed by sheer pleasure. Seerlike instructions as a child have now heralded that which was whispered in my mind when I was a kid.

I'm seeing so much more than I've ever done before ... and it is a blessing in disguise. Now all I have to do is lose the misconceptions which have plagued the human part ever since I began the school conveyor belt trip all those years ago. 'We don't need no education ... just another brick in the wall ... the falling hammer and the kids squished into sausages ....' Once I lose that conditioning I will lose the sense that all the strange entities I see are not harmful. Indeed I am realising very quickly that many are just like you and me. Spirit occupying a physical body ... many lost and so many miles away from home. Refugees on a strange world. Strangers in a strange land.

But, enough of that ... too much information. I merely muse on what is drifting around in the grey matter at this time. I am in awe of some of the 'images' I have created during my reversal process. If the images are correct then this earth plane is not the place I was led to believe by the logical brain conditioning ... but is very much the place my spiritual brain was telling me. Seeing it for myself ... creates the wobble ... I need to readjust perhaps. But then again the images could be tricks of light. I remain open minded with sealed lips. It is not for the masses that is for sure ... but it suits me to have my own opinion without forcing a philosophy on others.

But enough of that ... I am fit to drop after all. It's time to climb them stairs ... place an orgonite or two or three near the bed. Clamber under the covers and watch the descending lights and movement above my head. Then it will yet another more real than real projection ... yippee I can't wait.

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U.N. Security Council Resolution allowing land-based operations in Somalia to combat piracy; (2) created an understanding with Kenya (which has a lot of economic activity at stake) to try the pirates in their court system; (3) worked with the shipping industry to teach them best practices; and (4) put military ships and aircraft in the region to fight the pirates. Ambassador Stephen Mull, undersecretary of State for International Security and Arms Control, testified that the U.S. has "worked with our military partners to create a transit lane throught the Gulf of Aden, which has an enhanced military presence, to further protect international shipping from the threat of piracy.
As of last month, the progress had been noticeable. As recently as October 2008, 64 percent of pirate attacks were succeeding. By contrast, only 17 percent succeeded in February. Moreover, there were only six ships being held hostage when the hearing took place last month, compared to 14 at the same time one year earlier.
But it isn't easy to stop the pirates, as Vice Admiral William Gortney described:
If the coalition is out there with ships, airplanes and helicopters, there aren't any pirates. If they see us, they're 'fishermen.' If they don't see us, they are potentially pirates...
The pirates' skiffs are exactly the same as the fishing boats in the area. And even when apparent pirates are identified out "fishing" without fishing gear the U.S. military releases them unless they are caught in the act.
When we get on top, either with maritime patrol or with helicopters, or with a ship, and we look inside these skiffs, and we determine that they don't have nets or baskets, and they have AK-47s, RPGs and ladders, we know that they're not involved in fishing. And that's when we take them, we disarm them, we take their pictures, we fingerprint them, biometric them, and then we release them if we did not catch them in the act.
Gortney described their modus operandi:
If we're not around, they will attempt to attack a type of vessel that is susceptible to attack, which is based on the speed of a vessel and the freeboard the height of the first deck from the water...We see the attacks in the morning and with a sea-state of less than three feet. If it's less than three feet, in the morning, then we watch for these 'fishermen' to become pirates.
Low and slow invites the attack a low freeboard doing 13 knots or less. The pirates use grappling hooks and rope ladders to board them. But ships with high freeboards doing over 15 knots tend to get away. More:
[The pirates] will get in their skiffs and pull up alongside and intimidate either with AK-47s or rocket-propelled grenades, in some cases shooting both to get the captain to stop...The time from the initial attack to on-board the vessel is about a 15-minute window of opportunity. If we're not there to prevent them from getting aboard in that 15-minute window of opportunity, and they're successfully on board and they stay on board, then we're in a hostage situation, and the pirates take it to the East Coast of Somalia and work the negotiation process with the shipping company that's responsible for that vessel."
The pirates belong to well-coordinated and hierarchical clans, not unlike commercial militaries, and clan leaders call the shots during negotiations. Our government does not involve itself in this "arbitration," witnesses testified. The average hostage situation lasts for 45 days, and the average ransom is anywhere from $1.5 to $2 million. It makes sense that most shipping companies would pay ransoms for their crew and cargo, yet at the same time this heightens the incentive for more pirate activity.
"Every time a pirate is successful and extracts a ransom, that encourages others," says Rep. John McHugh (R, N.Y.), the ranking member of Armed Services. "Success breeds success. . . . The paying of ransom does encourage more rather than less, but I think we have to look at the other side. The ship owners have crews and valuable cargo. They and their insurance companies make what for them is a financial decision as well that paying a certain sum up front is cheaper in the long term than risking the lives and the ship itself."
In addition to McHugh, I spoke earlier today with Rep. John Fleming (R, La.), a Navy veteran who sits on the House Armed Services Committee. In the March 5 hearing, he had asked about the use of "low and slow" decoys to lure out the pirates and crush them, and was told that the United States had "contemplated that a few years back and rejected it as not as effective." Given Gortney's testimony about the phony "fishermen," though, he is still high on the idea.
"I think it would be a good idea to put ships out there that will attract the criminals, and then of course we end up ambushing them," he said. "When we make it very risky, so that they can't tell a law-enforcement vessel from a merchant vessel, I think that's going to make it an even more high-risk situation for them. . . . The problem is, if these pirates can be successful even one out of ten times, that's enough to keep them coming back.

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Posted by admin under Health
Considerations to make when purchasing contact lenses online
The FDA wants you to be a wise consumer if you buy contact lenses, an FDA-regulated product, on the Internet, over the phone or by mail. While such purchases are often a convenient and economical way to get lenses, Internet, phone, or mail orders require consumers to exercise some caution. The following questions and answers should help you take simple precautions to make your Internet, phone or mail purchase safe and effective for you.
What do I need to consider when buying contact lenses on the Internet, by phone or by mail?
Is my contact lens prescription current? You should always have a current, correct prescription when you order contact lenses.
If you have not had a check-up in the last one to two years, you may have problems with your eyes that you are not aware of, or your contact lenses may not correct your vision well.
The expiration date for your prescription is currently set by your state. Some require a one-year renewal, some a two-year renewal, while other states leave it to your doctor to decide.
Never order lenses with a prescription that has expired.
What does a valid contact lens prescription include?
This depends on the state where your doctor practices. State laws often define a prescription’s requirements. In states without a legal definition, the prescribing doctor includes some minimum elements.
The minimum elements usually include your name and the doctor’s name along with the contact lens brand name and material. Also, lens measurements such as power, diameter and base curve are included.
More detailed prescriptions will include directions for safe use such as wearing schedule, whether lenses are for daily or extended wear, the number of refills, whether lens material substitutions are allowed and an expiration date.
Some Internet sites ask for information about your doctor so that they may check the prescription with your doctor. State laws vary greatly concerning the kind of verification that is required. Internet sites should comply with applicable State requirements concerning verification of prescriptions for contact lenses.
Will I get in legal trouble if I buy my contact lenses on the Internet, by phone or by mail if I don’t have a copy of my prescription?
You won’t break any laws, but the company is selling you a prescription device as if it were an over-the-counter device. In legal terms, this misbrands the device. Often, the company will say that they will check back with your doctor to confirm the prescription and expiration date; however, that may not always happen.
Some Internet sites will allow you to fill out a chart with the ordering information about your contact lenses and ask you to fill in your doctor’s name and phone number. The site may or may not ask for an actual copy of your prescription, but they should comply with applicable State law concerning contact lens prescription verification.
Since individual states have different licensing requirements for optical dispensers, enforcement of prescription device sales has usually been left to State authorities.
What harm can be done if I don’t have regular check-ups with my doctor or I order lenses without a valid prescription?
At your check-up, your eye doctor will re-evaluate the fit of your contact lenses and observe any changes in your cornea caused by your lenses. You will benefit by having a correct, current prescription and you may avoid serious problems, especially if you wear your lenses on an extended or overnight schedule.
Though infections of the cornea are rare, severe cases can cause loss of vision and even blindness. During regularly scheduled visits, your eye doctor looks for irregularities that, if left untreated, may lead to severe problems. These irregularities often have no symptoms and you may be totally unaware of them.
Contact lens wear causes many changes to cells and tissues of the eye, and sometimes wearing contact lenses can damage the cornea (the clear window of the eye). Even if you are currently experiencing no problems, the lenses may be causing damage to your eyes. Regular check-ups will reduce the likelihood of damage going undetected.
Contact lenses that are not properly fitted by an eye doctor might not work well, or even worse, may harm your eyes.
Ask your eye doctor how often to have a check-up.
Will regular check-ups help prevent me from having problems with my contact lenses?
Anyone wearing contact lenses runs an increased risk of corneal infection. Regular check-ups will help reduce your chances of having a problem. At your check-up, your doctor may find something that requires refitting with a new lens or requires modifying your wearing schedule.
What can I do to avoid serious problems with my contact lenses?
Ask your eye doctor how often you should have a check-up and see the doctor according to the recommended schedule.
You run a greater risk of developing serious eye problems such as infection if you wear lenses overnight.
Order your contact lenses from a supplier you are familiar with and know is reliable. Contact lenses are often more complex than they appear.
Request the manufacturer’s written patient information for your contact lenses. It will give you important risk/benefit information, as well as instructions for use.
Beware of attempts to substitute a different brand than you presently have. While this may be acceptable in some situations, there are differences in the water content and shape between different brands. The correct choice of which lens is right for you should only be made based on examination by your doctor, not over the phone.
Carefully check to make sure the company gives you
the exact brand,
lens name,
power,
sphere,
cylinder, if any,
axis, if any,
diameter,
base curve, and
peripheral curves, if any.
If you think you have gotten an incorrect lens, check with your eye doctor. Don’t accept a substitution unless your doctor approves it.
Where can I report problems that I have with my contact lenses.

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Dietary Supplement. Feel the Difference: Potent science-safe; Gentle on the stomach; Guaranteed 100% natural. Celebrating 25 years! The No. 1 selling multivitamin customized for women's busy lives. Women's One Multivitamin delivers complete, energizing nutritional support designed to balance and protect the female systems with: Research-backed multivitamin protection - customized to go beyond the minimal support afforded by 100% of the daily values to delver protective potencies. Iron and key bone-supporting nutrients - such as magnesium, vitamin D, boron and calcium in carbonate and citrate/malate forms to support easy absorption.

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peripheral arterial disease’ a painful condition of the legs commonly known as PAD. Dr. Paul Capito used the drill known as the Jetstream Pathway PV Atherectomy System for the first time on Oct 22nd 2008.
The most common symptom of PAD is pain in the calf muscles, thighs, or buttocks which is triggered by exertion such as walking and exercise. The sufferer’s arteries become narrower through the build up of plaque, preventing sufficient oxygenated blood from reaching the legs. The biggest risk factor for PAD is smoking.  Other risk factors are: a lack of exercise, carrying excess weight, diabetes, and high blood pressure.
The potential benefits of this device are already becoming apparent. A recent trial in Germany concluded that 12 patients who used the device found that there was no recurrence of arterial blockages after six months. The procedure is also less invasive than conventional methods and can be repeated at a later date if necessary.

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What this change in guidelines is really about is protecting ACOG members in lawsuits, not improving outcomes in VBACs.

VBAC Is Only For Rich Urban Women

One side effect of the "immediately available" rule is that VBAC has become available only to a select few--those who have excellent insurance coverage and who live in a large urban area near a major regional hospital that can afford 24/7 coverage. (Note: Even there it's not always allowed.)

If you live in a rural area, forget it. If you are on Medicaid, forget it. If you don't have a lot of money, forget it. Chances are, you are not "allowed" to have a VBAC. You are not "allowed" control over your own body or say in your own choices.

Doctors in rural areas excuse this blatant discrimination by telling women they can just go to an urban hospital if they really want a VBAC....but the reality is that this is simply not feasible for most families. Most people in rural areas or small cities simply can't afford to drop everything and move to The Big City for several weeks around a birth, nor do most women want to drive several hours to The Big City while in labor.....especially in uncertain weather seasons like wintertime.

So basically, women from smaller towns and rural areas are, in effect, being forced into repeat cesareans by the "immediately available" rule.

Some smaller hospitals "permit" occasional VBACs....if the mothers pay an additional fee for having an anesthesiologist come baby-sit on site while they labor. In effect, they are making it so that only rich women have the choice for VBAC.

Even in large urban areas, access to VBAC is not guaranteed. A number of hospitals in big cities have stopped doing VBACs because some malpractice insurance companies charge more for doctors doing VBACs.

Other hospitals stopped doing VBACs because they are looking at their profit margins, which increase as cesarean rates go up. More cesareans create more billable services, require less staffing (no hands-on labor support), make it easier to schedule personnel, and fills their hospital beds predictably. Hospitals make more money from banning VBACs and increasing cesarean rates.

The sad fact is that it's not about what's best for moms and babies; it's about what's best for their bottom line.

Even if you live in a large urban area and have a local hospital that does accept VBACs, you are still not home-free. If you are on Medicaid, you don't get a lot of choice in your birth attendant. You have to take whomever accepts Medicaid, and many of those doctors don't "do" VBAC. So even if you have everything else going for you, if your Medicaid-approved doctor doesn't do VBACs (and many do not because they can't afford to sit in the hospital 24/7 with you), you're out of luck.

So now there are distressing and deeply troubling patterns of discrimination starting to emerge. All because ACOG decided to change "readily" to "immediately" in their 1999 guidelines.

Speak Up About It

The point is that ACOG needs to change their guidelines. A lack of 24/7 surgical and anesthesia staffing should not be a requirement to "permit" VBAC. Bottom line, VBAC should not be held to a different standard than all other births.

Doctors and hospitals and elected officials MUST start pressuring ACOG to restore the "readily available" wording to their guidelines. We consumers have been pressuring ACOG for years to change the wording but they could care less about the chilling impact their guidelines have had on women and childbirth choices all over the country. It's all about protecting their members from lawsuits instead.

It's been TEN YEARS since that wording was instituted and they still haven't changed it back. They don't care what we think. They don't care about our needs. They only care about their own narrow self-interest.

Still, we consumers must keep up the pressure and intensify it on doctors, hospitals, and elected officials, for the wording will only change when the big guns start pushing ACOG back.

Outraged yet? Want to take action? Link to the Time article on your blog, or email the story to someone (from the TIME website preferably).

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If you suffer from the symptoms of high blood pressure then this is the site for you.
Blood pressure expert Doctor Gordon Cameron is on hand to guide you through the maze of blood pressure treatment options.
You can ask questions about high blood pressure symptoms and get answers both from the doc himself and from others who have hypertension or raised BP themselves.
This site is designed so that you can contribute your own questions and add your own feedback or answers. Doctor Cameron will reply directly to many of the questions - but if you can contribute useful information then please do . just type your comment in the box and well publish it promptly.
All aspects of blood pressure can cause problems for those who suffer with it. Both high blood pressure and low blood pressure cause symptoms and can lead on to further problems for those who suffer with them.

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Ihave a family member who has been taking prescription meds to for HBP (high blood pressure) they have only given her other problems like headachs, nausea, etc. She has even asked the dr to prescribe the lowest form which still makes her vomit, low energy and constipation. Does anyone know of any Vitamins, herbal remedies or OTC meds that she can purchase to reduce her HBP an not have all these other complications?
Thanks for suggestions.

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Omron HEM 629 Auto Inflate Wrist Blood Pressure Monitor Latest 2009 Review
Due to my mother suffering from hypertension she has put on lots of weight and her arm sizes has also become large. As she also has high BP so for her we wanted a monitor which can be worn on her wrist. After considering many options we went for Omron HEM 629 Auto Inflate Wrist Blood Pressure Monitor. This monitor fulfills all our needs and requirements. One of the major features of it was the wrist cuff that can be easily and conveniently worn by my mother without anybody’s assistance.

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