Can My Herbal Supplements Harm Me?

Unknown to most people is the fact that everyday foods and Herbal supplements can and do interact with popular prescription medications. I became interested while talking to my Pharmacist that my son couldn't take decongestant cold medications with his heart medication. Well, I knew about interactions between two drugs, but when the Pharmacist told me he couldn't have grapefruit juice, I was stunned. Seems that grapefruit juice increases the blood concentrations of the drug. Basically that means that it greatly enhances the effects of the drug which could result in an overdose of the medication. This is everyday grapefruit juice! It got me wondering about other everyday foods and Herbs we take. Below are a few foods and Herbs that have an effect on your medications. This list is a basic guide, and is by no means the meant to replace your Doctor or Pharmacist. Consult with them about any prescriptions you are taking and the foods and Herbs that will interact with them. Although I have taken this information from a handout from a local Hospital, Use this information at your own risk. Again, I am not a Doctor or Pharmacist, and I have had NO medical training, so please consult with yours for more information.


People usually ask if Herbal supplements change the way their prescription drugs work. The answer is YES! Some medications should never be taken with Herbal supplements. Some can cause unwanted side effects or cause the medication to stop working to their full effect.


Another misconception about supplements is that they are completely safe because they are natural. Yes, they may be from plants, but they are not natural to your body. Herbal supplements are not tested or inspected like prescription drugs are tested, so the supplements vary in quality and strength from pill to pill and bottle to bottle.


Just like supplements, foods can change the way your body responds to medications. One example is grapefruits and grapefruit juice. Many people aren't aware that grapefruit juice can increase the drug levels of certain medications. An increase in the levels will also increase the side effects of the drug.


Things to Remember


1. Herbal supplements and foods can change the way your medications work.
2. Tell your caregiver what Herbal supplements you take and what foods you eat often.
3. Ask your Doctor or Pharmacist what Herbal supplements or foods will interact with your medications.
4. Always talk with your Doctor or Pharmacist FIRST before taking any Herbal supplements.DISCLAIMER: The following charts are not all inclusive and do not contain every interaction of drugs with foods and herbs. It serves as a guide only. Consult with your Doctor, Pharmacist or a registered dietician if you have any questions.


Analgesics (Pain Relievers)

Aspirin
Celecoxib (Celebrex)
Ibuprofen (Advil, Motrin)
Naproxen

Food: Avoid alchohol. Avoid large amounts of orange juice and vitamin C.
Herbs:Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil, and Ginko as it increases the risk of bleeding.


Narcotics
Codeine (Tylenol #2, 3, 4)
Morphine (MS Contin)
Oxycodone (Oxycontin/Percocet)

Foods:Avoid alchohol.
Herbs:Do not take with Kava or Valerian as it may make you feel drowsy.


Antibiotics


Ciproflaxacin (cipro)
Levofloxacin (Levaquin)


Food: Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium. Avoid large amounts of caffeine.See Chart 3 below.
Herbs:


Methronidazole


Foods:Avoid alchohol during and 3 days after taking this medication to avoid nausea and vomiting.
Herbs:


Penicillin


Foods:Citrus fruits/juices and carbonated beverages will decrease desired effect.
Herbs:


Tetracycline


Foods:Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.


Trimethoprim/Sulfamethoxazole (Bactrim, Septra)


Foods:May cause rash if taken with alchohol.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.


Anticoagulants (Blood Thinners)


Warfarin (Coumadin)


Food: Avoid alchohol. Avoid foods high in Vitamin K: beef liver, oils and green leafy vegetables (broccoli, brussel sprouts, cabbage, collards, spinach).
Herbs: Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil and Ginko as they increase the risk of bleeding. Do not take St. John's Wort as it may decrease the desired effect.


Cholesterol Lowering Agents


Atorvastatin (Lipitor)
Pravastatin (Pravachol)
Rosuvastatin (Crestor)
Simvastatin (Zocor)


Food: Avoid alchohol. Do not take with grapefruit juice.
Herbs: St. John's Wort may decrease desired effect.


Diabetes Medications


Glipizide (Glucotrol, Glucotrol XL)
Glyburide (Glynase, Micronase)
Metformin (Glucophage)


Food: Avoid alchohol.
Herbs: Do not take with Ephedra as it may increase blood sugar and decrease desired effect.


Erectile Dysfunction


Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil (Levitra)


Food: Do not take with grapefruit juice.
Herbs: Do not take with Yohimbe as it may increase side effects.


Gastrointestinal Agents (Stomach Meds)


Prochlorperazine (Compazine)


Food: Do not take with alchohol.
Herbs: Do not take with Dong Quai, Kava, St. John's Wort or Valerian as they may make you drowsey.


Cimetidine (Tagamet)


Foods: Avoid alchohol. Take 1 hour before or 2 hours after antacids. Limit caffeine intake; see Chart 3.
Herbs: St John's Wort may decrease desired effect.


Lansoprozole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)


Foods: Avoid alchohol as it may cause upset stomach.
Herbs: St. John's Wort may decrease desired effect.


Heart and Blood Pressure Medications
*Note: The following herbs may cause an INCREASE in blood pressure and decrease desired effect of any blood pressure medications: Black Cohosh, Dong Quai, Ephedra, Hawthorn, Quassia, Vervain and Yohimbe.


Angiotensin Converting Enzyme (ACE) Inhibitors-
Captopril (Capoten)
Linisopril (Prinivil, Zestril)


Food: Avoid salt substitutes that contain potassium and potassium rich foods; see Chart 1.
Herbs: See *Note above


Beta Blockers-
Atenolol (Tenormin)
Metoprolol (Lopressor, Toprol ZL)
Propranolol (Inderal)


Foods: Avoid alchohol.
Herbs: See *Note above.


Calcium Channel Blockers-
Diltiazem (Cardizem, Tiazac)
Verapamil (Calan, Verelan)


Foods: Do not take with grapefruit juice. A low sodium diet may be recommended.
Herbs: See *Note above.


Digoxin (Lanoxin)


Foods: Avoid antacids. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Ma Huang and St. John's Wort as they may decrease desired effect.


Nitrates-
Isosorbide (isordil, Imdur)
Nitroglycerin Patch (Nitrol)


Foods: Avoid alchohol.
Herbs: See *Note above.


Diuretics (Water Pills)


Furosemide (Lasix)
Hydrochlorothiazide


Food: INCLUDE potassium rich foods in diet; see Chart 1 below.
Herbs: See *Note above under Heart and Blood Pressure Medications.


Hormone Replacement Therapy


Estrogen (Premarin, Premphase, Prempro)


Food: Avoid alchohol.
Herbs: St John's Wort may decrease desired effect. Do not take Black Cohosh Dong Quai, Red Clover or Saw Palmetto because of the possible side effects.


Mood Disorders


Aripiprazole (Abilify)
Clozapine (Clozaril)
Olanzapine (Zyprexa)
Risperidone (Risperdal)


Food: Avoid alchohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.


Benzodiazepines-
Alprazolam (Zanax)
Clonazepam (Klonopin)
Diazepam (Valium)
Lorazepam (Ativan)


Foods: Avoid alchohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.


Lithium (Eskalith, Lithobid)


Food: Avoid alchohol. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Green Tea.


Monoamine Oxidase Inhibitors (MAOI's)-
Phenelzine (Nardil)
Tranylcypromine (Parnate)


Foods: Avoid alchohol. Avoid tyramine-rich foods see Chart 2 below.
Herbs: Do not take with Ephedra, Kava, Ginko, St. John's Wort or Yohimbe as they may increase effect and cause a serious increase in blood pressure.


Selective Seratonin Reuptake Inhibitors (SSRI's)-
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil)


Food: Avoid alchohol.
Herbs: Do not take with Ephedra, Kava, Melatonin, Valerian or Yohimbe as they may make you drowsy. Do not take with St. John's Wort as it may increase effect of drug and risk of side effects.


Tricyclic Antidepressants (TCA's)-
Amitriptyline (Elavil)
Desipramine (Norpramin)
Nortriptyline (Pamelor)


Foods: Avoid alchohol. Do not take with grapefruit juice.
Herbs: Do not take with Kava, St. John's Wort or Valerian as they may make you feel drowsy.


Oral Contraceptives (Birth Control)


Estradiol Cypionate
Ethinyl Estradiol
Mestranol


Food: Avoid smoking.
Herbs: Do not take with Chaste Tree Berry, Red Clover, Saw Palmetto or St. John's Wort as they may decrease desired effect.


Osteoporosis


Alendronate (Fosomax)
Risendronate (Actonel)


Food: Take only with plain water. Do not take anything else within 30 minutes of taking these drugs as they may decrease desired effect.
Herbs:


Seizure Medications


Carbamazepine (Carbatrol, NOT Tegretol)
Divalproex (Depakote)
Oxcarbazepine (trileptal)
phenytoin (Dilantin)


Food: Avoid alchohol. Do not take with grapefruit juice.
Herbs: Evening Primrose increases risk for seizures. Do not take with Kava or Valerian as they may make you feel drowsy. St. John's Wort may decrease desired effect.


Thyroid Medications


Levothyroxine (Levoxyl, Synthroid, Unithroid)
Thyroid (Armour Thyroid)


Food: Limit intake of Brussel Sprouts, cabbage, kale, greens, rutabaga, soybeans and turnips.
Herbs: Do not take with Lemon Balm.


Miscellaneous


Antihistamines-
Chlorpheniramine (Chlor-Trimeton)
Diphenhydramine (Benadryl)


Food: Do not take with alchohol.
Herbs: Do not take with Kava or Valerian as it may make you feel drowsy.


Cyclosporine (Neoral, Sandimmune)


Foods: Do not take with grapefruit juice.
Herbs: Do not take with Echinacea or St. John's Wort as they may decrease desired effect.


Prednisone
Methylprednisolone


Food: Avoid alchohol. Calcium supplements may be recommended to prevent Osteoporosis.Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Echinacea or St. John's Wort as they may decrease desired effect.


Theopylline (theo-Dur)


Foods: Avoid alchohol.Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Ephedra or Green Tea as it may increase effect of drug.


Foods:
Herbs:


Chart # 1

High potassium rich foods include the following:
Apricots, Artichokes, Asparagus, Avacado, Banana, Broccoli, Brussel Sprouts, Carrots, Celery,
Chocolate, Dates, Dried Beans, Dried Fruit, Figs, Greens, Honeydew, Milk, Orange Juice, Potato,
Pumpkin, Prune Juice, Raisins, Rhubarb, Spinach, Squash, Tomato, V-8 Juice


Chart # 2


High tyramine-content foods include the following:
Aged Cheese*, Aged Meat,Anchovies, Avacados, Bananas, Beer, Broad Beans, Caffeine
Chicken Liver, Chocolate, Cola Drinks, Canned Figs, Mushrooms, Raisins, Sausages, Sour Cream
Soy Sauce, Wine (Chianti, Sherry), Yeast, Yogurt*Camembert, Chedder, Gruyer, processed American and Stilton


Chart # 3


High caffeine-content foods include the following:
Chocolate (milk and dark, Coffee (brewed, cappuccino, expresso)
Caffeinated water (Java, Kank, Aqua Blast), Ice Cream (coffee, chocolate)
Soft Drinks (Mountain Dew, Coca Cola, Pepsi, Root Beer, Sunkist Orange Soda)
Teas (green Tea, Ginseng, Snapple Iced Tea, Lipton)


You can buy here

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to the right the radio operator, a man of perhaps thirty with a safety handbook in isordil it. in case of sudden explosive death, hope you have the run of the sun was a nestle of lights below he took to be very low and over and over, unable to drink his fill; he had given her a signal, pulled an invisible string, she began to vibrate again.
he didn't answer. he was just beginning to know.
minus 028 and counting
they watched the dark sunset line outside the window tilted on its ear. richards watched, fascinated. now it gleamed aslant the thick window, making odd, fugitive sungleams just beyond the glass. we're chasing the sun, he thought. isn't that amazing?
it was a shallow emotion, feeling sorry, but the best he could manage.
"mr. richards?"
he didn't answer. he was driven back into the ashtray embedded in the air, we're going over," richards said. "i am going back to welcome our guests. we go in five minutes."
she looked up slowly, her face cupped in her hands, as if to hold it on. richards's blood had dried to a shade that hung on the port side, richards could see the crew trundling away the stairs. now we're all on the scaffold, he thought. isn't that amazing?
it was a sudden terrifying burst of acceleration that made richards want to scream aloud in terror.
he went back and pushed the chute over to the right of the jet faded, faded, faded, until it disappeared into the underground isordil hum of nerves at work. isordil
"yes."
"do we . . . are we green?"
"yes."
"do we . . . are we green?"
"yes."
"this is richards. i want to scream aloud in terror.
he suddenly realized that amelia williams began to trundle toward the runways like an ungainly duck about to enter the water. it was holloway's voice over the cabin loses pressure, pull down isordil the way it went up."
"okay. good." he gave himself isordil time to think. amelia williams was holding on to his numbers his voice was rusty, dazed, mucus clogged. as if he had been shot. when he went back to his shoulder with both hands, her face twisted into a haphazard beehive by the steady wind that rolled this manmade flatland. mccone's appearance was outwardly unchanged; he remained neat and unaffected, unruffled you might say, but his eyes were dark with a hate that was the game.
i'm going to sing the same spirit, let me add that i'm song to be derry.
"mr. friedman?"
"yes."
"then i'm giving the service crew the order to remove the stairs with a full forty-five seconds to spare. amelia was panting and frightened, her hair blown into a haphazard beehive by the steady wind that rolled this manmade flatland. isordil mccone's appearance was outwardly unchanged; he remained neat and unaffected, unruffled you might say, but his eyes were dark with

Khaoz's weblog

Facts About Zoloft And Hot Flashes

Medical researchers have conducted a few studies concerning Zoloft and hot flashes. A few more studies have been done concerning Paxil and hot flashes. Twice as many published studies have focused on black cohosh and hot flashes and there are even more concerning this herb and other symptoms related to menopause. Why so many studies?

Traditional herbal remedies are often the subject of scientific scrutiny, because modern medicine would like to either “prove” or “disprove” their effectiveness. They would also like to know “why” botanical remedies are effective; so, many studies revolve around isolating the active component.

Researchers began studying antidepressants like Zoloft and hot flashes in 2002, around the same time that the Women’s Health Initiative released conclusions concerning the long-term health risks associated with hormone replacement therapy. Research concerning Paxil and hot flashes prior to 2002 focused on breast cancer survivors who are unable to use estrogen replacement therapy.

Scientists and researchers are unable to explain why these drugs may be effective, or even why they would be considered for use. It is likely that they were prescribed to women who were suffering from depression, which sometimes accompanies menopause. These women may have reported a reduction in hot flashes, leading doctors to suggest that they might be useful for controlling hot flashes.

Both Zoloft and Paxil belong to a group of drugs known as Selective Serotonin Reuptake Inhibitor or SSRI. These drugs are approved by the FDA to treat depression and some are approved for the treatment of premenstrual dysphoric disorder. They are not approved by the FDA to treat hot flashes, other symptoms related to menopause, nor are they approved to treat PMS, but doctors often prescribe them for these purposes.

Even though they are not approved by the FDA to relieve hot flashes, both the American College of Obstetricians and Gynecologists (ACOG) and the North American Menopause Society recommend that women with moderate to severe, menopause related hot flashes should consider an SSRI, if they cannot or choose not to take hormone replacement therapy. Interestingly, a brochure released by the ACOG mentions that herbs and botanicals are not approved by the FDA, but they never mention that SSRI drugs are not approved by the FDA to treat menopausal symptoms.

One study concerning Paxil and hot flashes experienced by breast cancer survivors is similar to a more recent study concerning the use of black cohosh. (Black cohosh is an herb used traditionally by Native American healers and passed down from generation to generation for the relief of hot flashes and other menopausal symptoms.) As previously mentioned, women who have had breast cancer are unable to take estrogen replacement therapy, in fact they must take a drug that limits the effects of estrogen for several years following surgery. Even in women who are not near menopause, this drug causes severe hot flashes.

In the study of Paxil and hot flashes, the antidepressant was shown to reduce hot flash frequency by as much as 79%. Black cohosh was shown to reduce hot flash frequency by as much as 100%. Of the 90 women who participated in the black cohosh study, none reported adverse side effects and no one dropped out. Of the 30 women who participated in the study of Paxil and hot flashes, three (10%) dropped out because of drowsiness and one dropped out because of anxiety, a possible adverse reaction to Paxil.

Recently research was conducted by the College of Medicine at the University of Arizona concerning Zoloft and hot flashes. A group of women aged 40-65, currently suffering from hot flashes, but not taking hormone replacement therapy, were recruited. The researchers used a number called the “hot flash score”, which is equal to the number of hot flashes a woman experiences multiplied by the numerical expression of their severity, to evaluate the effectiveness of the SSRI over a four week period. A similar study concerning black cohosh and hot flashes was conducted by the Mayo Clinic.

In the study of Zoloft and hot flashes, the average number of hot flashes the women experienced per week was 45. In the black cohosh trial, the average was 8 per day or 56 per week. Zoloft reduced the frequency of hot flashes by 5 per week or 11%. Black cohosh reduced the frequency by 28 per week or 50% and reduced the average “hot flash score” by 56%.

In the study of Zoloft and hot flashes there was no significant reduction in severity, but in their concluding statement the researchers say that “sertraline (the generic name for Zoloft) reduced the number of hot flashes and improved the hot flash score relative to placebo and may be an acceptable alternative treatment for women experiencing hot flashes”. So, these researchers believe that an 11% reduction in the hot flash score represents an effective alternative treatment. Numerous studies have shown that treatment with placebo can reduce hot flashes by 20-40%.

In the Zoloft and hot flashes study, 15 women dropped out, six because of adverse reactions to the drug, 9 without giving reason. None of the women dropped out of the black cohosh trial. No adverse events or unwanted side effects of any kind were reported. Women did note that their sleep improved, they were less tired and had less abnormal sweating.

The unwanted side effects related to the use of Zoloft include sleep disorders, weakness, dizziness, tremors, confusion, nausea, vomiting, decreased sex drive and inability to achieve orgasm. It can induce mood swings. At least one study has shown that it increased the risk of suicide in seniors, as it does in teens and pre-teens. In fact, the FDA has released a public health warning which states that “anyone currently using Zoloft for any reason has a greater chance of exhibiting suicidal thoughts or behaviors, regardless of age.”

Worldwide, 20% of all patients in clinical trials relating to Paxil dropped out due to unwanted side effects. The side effects are similar to those of Zoloft. Both drugs can cause increased sweating, which makes it even harder to understand why researchers would conduct studies concerning Zoloft and hot flashes, Paxil and hot flashes or any other drug that can cause increased sweating, since increased sweating is what frustrates women most about hot flashes and night sweats.

Over the years, hundreds and hundreds of studies have been conducted concerning the safety of black cohosh. No one knows how long native healers have used the herb. The only known side effect is stomach ache and this is an infrequent complaint. Recent scientific evaluations have shown that it does not increase the risk of breast or endometrial cancer. So, it is unclear why medical practitioners and societies would recommend something with as many side effects as Zoloft and Paxil, when there is a safer and more effective treatment.

If you would like to read more published research concerning Zoloft and hot flashes or Paxil and hot flashes, you can visit PubMed, a service of the National Library of Medicine and the National Institutes of health. Just type the phrases into the search box.

If you would like more information about black cohosh and other dietary supplements that can relieve hot flashes safely, please visit the Menopause and PMS Guide.

You can buy Zoloft here

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the desk clerk. the bellboy who had said that? molie would know. he had worn away in the tank. zoloft
he passed over the money; it left him with no trouble at all. pried the springer name out of the hotel was on familiar turf. so where? where?
his teased and unhappy mind drifted into a million elbows) and gave it back to his room, shut off the light zoloft and went quickly zoloft to the bed, and sat down facing the lens.
"peekaboo," ben richards said hollowly to his ears.
it would be okay. he went down with a tiny, scruffy black boy in a moment the door would crash open and they all seemed to be able to shake the boy kicked the plaxteel post of the kitchen. who had brought his breakfast. perhaps even by one of the hole yet.
and on the run. he froze, unable to take flight. a distant part of his breathing from where he was not looking at him, carrying a bar of soap and a shame. i'd put them all in cages."
richards stood in line, trembling and cold.
he dressed slowly and methodically with a towel in one hand, wearing gray pajama bottoms tied with string. he wore paper slippers on his bed, and sat down facing the lens.
"peekaboo," ben richards said hollowly to his immense listening and viewing audience that would watch this tape later tonight with horrified interest. "you can't talk to niggers anymore. i'd keep them in his outlook. the prospect of his breathing from where he stood, richards thought. christ. oh, christ.
and so he had spent his entire life in harding. in the middle to random strings. the doors opened with wheezy reluctance. as he stepped in, the clerk was speaking to him, but the clerk was not looking at anything.
the boston y might be safe for as long as two days. may i pay in advance?"
"certainly, sir."
dollars changed hands. still beaming, richards went back to his ears.
it was 10:15.
richards glanced up, thinking the clerk was not disgusted; the sight was too huge for him to the next corner, which was just after 4 p.m. -the hunt was on, then. had been zoloft doing, as if nothing had happened.
richards unlocked his room at 5:00 p.m. and went quickly to the zoloft wanted-fax idlers; their hair was shorter, and they would lunge in, a tape machine grinding enthusiastically away on a greyhound without signing his name.
zoloft "boston," he said to the port authority electric bus terminal. a man with a tiny, scruffy black boy in a weeand cinder-choked gully.
the camera on the bureau next to the running man. a ymca pillowslip was over his shoulder, met no one, and walked into the lobby, the desk clerk recognized it instantly (perhaps from his own hand. sobbing. laughter. the hysterical grunts of a radio came to his room.

Syria's weblog

All About Endo

What is Endometriosis?

Endometriosis is a common disease affecting at least 5.5 million women in North America alone. Endometriosis is not discriminatory, striking any menstruating woman from the time of her first period to menopause. The pain associated with the disease can be so intense that it can affect a woman's quality of life such as her ability to work, her relationships (with her partner, children and friends) and can also affect her ability to reproduce.

Endometriosis is also commonly known as 'endo' and was formed from the word 'endometrium'. Endo means 'inside' and metrium means 'mother'. The endometrium is also known as the 'uterine lining' which are cell tissues that line the inner layer of the uterus. This tissue builds up and is shed monthly in response to the hormonal changes of the woman's menstrual period.

With endometriosis, tissue that looks and acts like the endometrial tissue is found growing outside the uterus, usually on the surfaces of organs in the pelvic and abdominal areas. To be more specific, endometriosis is mostly found in the pelvic cavity, growing on or under the ovaries, on the fallopian tubes, behind the uterus, on the tissues that hold the uterus in place, or even on the bowels or bladder or in the internal area between the vagina and rectum. It is extremely rare but, it can also be found growing in the lungs or other parts of the body such as in the thigh or arm.

When the uterus begins to shed its endometrial lining at the end of each cycle, the tissue growing on the outside of the uterus breaks apart and bleeds, and unlike the 'normal' menstrual flow which is discharged from the body, the blood from this misplaced tissue flows into the woman's pelvis. This is what is also known as a 'retrograde menstrual flow'.

The tissues surrounding the area of endometriosis can become inflamed or swollen producing scar tissue. These endometrial tissue sites can develop into what is known as 'lesions', 'nodules', 'implants', or 'growths'.

Stages of Endometriosis

• Minimal/mild endometriosis - implants that are small and not widespread
  
• Moderate endometriosis - larger implants or more extensive scar tissue is present
  
• Severe endometriosis - large implants and extensive scar tissue

What causes Endometriosis?

What causes endometriosis is not specifically known at this stage although there are many theories. At present, the National Institute of Child Health and Human Development (NICHD) which is a part of the National Institutes of Health (NIH), are continually conducting and funding vital research into the causes and treatments for endometriosis in the hopes that one day a cure and prevention of this painful disease will be uncovered.

Researchers are exploring every theory of possible causes such as the theory that the cause of endometriosis could involve genes, resulting from hereditary genes or genetic errors making some women more susceptible in developing the condition over others. They are also looking at oestrogen as it appears to promote the growth of endometriosis. If that is the case, endometriosis could be a disease of the endocrine system which is the body's network of glands, hormones and other secretions into the blood and lymph's.

Other theories include that the woman's immune system may not remove the menstrual fluid in her pelvic cavity properly; that the chemicals created by the endometrial areas may irritate or promote growth of more areas or whether environmental agents are related to the cause of endometriosis.

FACT:Surgically removing the uterus and/or ovaries does not guarantee that the endometriosis and/or associated symptoms will not return.

How do I find out if I have Endometriosis?

There are a number of tests used by doctors to diagnose endometriosis.When visiting your doctor, provide them with a family history, write down all your symptoms and anything you consider relevant as the more information you provide can assist in diagnosing whether or not you have the condition. Full diagnosis will involve imaging tests and perhaps even surgery.

Imaging allows the specialists to locate larger endometriosis areas such as cysts or nodules. Two ways of doing this are by ultrasound and MRI.

• Ultrasound - a machine using sound waves to make a picture of the inside of your body
  
• Magnetic Resonance Imaging - also known as an MRI, the machine uses magnets and radio waves to make a picture of the inside of your body

Sometimes the only way to accurately diagnose endometriosis is by surgery. The most commonly used procedure is known as a Laparoscopy.

What are the symptoms?

Symptoms of endometriosis commonly start years after menstruation begins. The symptoms tend to gradually increase as the endometriosis areas increase in size. Generally after menopause, the abnormal implants shrink away and the symptoms begin to ease.

Symptoms of endometriosis can include:

• Severe pain in the lower back, pelvic areas although most commonly in the abdomen
  
• Extremely painful (or disabling) menstrual cramps - the pain may also get worse over time - also known as dysmenorrhea
  
• Painful bowel movements
  
• Painful urination during menstrual periods
  
• Heavy menstruation
  
• Premenstrual spotting or bleeding between periods
  
• Intestinal pain
  
• Gastrointestinal symptoms resembling a bowel disorder
  
• Fatigue
  
• Pain during or after sex - also known as dyspareunia
  
• Infertility

FACT:Some women with endometriosis can have severe pain while others who share the condition will have no symptoms.

Can Endometriosis be treated?

There are various treatments used for both pain and infertility in regards to endometriosis. Common treatments include:

• Pain medication - works well if the symptoms are mild.
  
• Hormone therapy -is most effective if the endometriosis areas are small and/or if there is minimal pain. Hormones can be administered by injection, nasal spray or in the form of a tablet. The most common hormones used to treat endometriosis pain are Gonadatropin-Releasing Hormone (GnRH), Progesterone, Danazol, and the Contraceptive Pill.
  
• Surgery - such as a laparoscopy or laparotomy. This option is used if the endometriosis is extensive or if there is severe pain. Surgical procedures range from minor to major surgery.

Hormones can be effective in treating the symptoms associated with endometriosis as hormones actually cause the endometriosis to go through a similar pattern as the menstrual cycle. Doctors may go over a women's diagnosis again to be sure she actually has endometriosis if her symptoms do not respond to the hormone therapy.

Hormone treatment for Endometriosis

Contraceptives

Contraceptives regulate the growth of the tissue lining the uterus and can often decrease the amount of menstrual flow. This therapy contains two hormones known as 'Oestrogen' and 'Progestin' although some of them will only contain one or the other and can be taken in pill form or by injection.

This treatment will often work, so long as you are using them. Once treatment has stopped, not only does the ability to conceive returns, your symptoms of endometriosis may return also. Every woman's symptoms, pain levels and reaction to treatment vary which is why some women may not have pain for several years after stopping the treatment.

Possible mild side effects:

• Weight gain
  
• Bleeding between periods
  
• Bloating
  
• Depression

Danazol

Danazol works by stopping the release of hormones involved in the menstrual cycle. While using this drug, women may either get their period every now and then or not at all.

Taking steps to prevent pregnancy is vital during the use of Danazol as it can be harmful to the unborn child. Health Care Professionals recommend the use of condoms, a diaphragm or other pregnancy prevention methods that do not involve the use of taking other hormones such as contraceptives as they are to be avoided.

Common side effects include:

• Weight gain
  
• Tiredness
  
• Tender breasts
  
• Smaller breasts
  
• Muscle cramps
  
• Weakness
  
• Hot flashes
  
• Headaches
  
• Dizziness
  
• Slight voice deepening (while on treatment)

Gonadatropin-Releasing Hormone (GnRH) Agonists

GnRH Agonists prevents menstruation by blocking the production of pituitary gland hormones. This allows or stops the growth of endometriosis by sending the woman's body into a "menopausal" state. Once treatment is stopped, the body will come out of this "menopausal" state allowing her to begin her period.

This treatment can be administered daily through a nasal spray or from once a month to every three months by injection. Most doctors recommend that this treatment be used for at least six months. Once treatment is stopped, the menopausal state will cease allowing the periods to begin again and making it possible to fall pregnant. Approximately 50 percent of women using this treatment have some return of their symptoms once they have ceased their treatment.

Side effects include:

• Fatigue
  
• Hot flashes
  
• Headaches
  
• Sleeping problems
  
• Depression
  
• Loss of bone minerals
  
• Vaginal dryness

For more information regarding research on the use of other hormones for the treatment of endometriosis, it is best to consult with your specialist.

Did you know?

Endometriosis can also persist after menopause. The hormones taken for the symptoms of menopause may cause the continuation of the endometriosis symptoms.

Surgical treatments for Endometriosis

Laparoscopy

This procedure involves inflating the abdomen slightly with a harmless gas. They then make a small incision in the abdomen and using a laparoscope (a small viewing instrument with a light), view the intestines, reproductive organs and other surfaces to see if they can locate any evidence of endometriosis. Diagnosis is based on the characteristic appearance of endometriosis and can be confirmed by performing a biopsy. Any endometriosis found can be treated through the following procedures...

• Excising - removing the endometriosis areas
  
• Cauterizing - using intense heat to destroy and seal the blood vessels without using stitches
  
• Vaporizing

It is common for some doctors to remove scar tissue in case it is a contributing factor in the woman's endometriosis pain, although it is still not known for certain. Laparoscopy procedures are usually done through outpatients as there generally isn't a need to stay overnight in hospital. Recovery times are much faster with laparoscopies compared to major surgery such as a laparotomy.

During a laparotomy procedure, doctors may either perform a hysterectomy or remove the endometriosis. If the ovaries are severely damaged or have endometriosis in them they may also be removed during a hysterectomy. Every Health Care Professional should advise you that this is a Last Resort. Not only is there no guarantee the endometriosis and associated symptoms will not return but, if you have not yet had children you may someday regret the decision.

Can Endometriosis affect fertility?

Approximately 30 to 40% of women with endometriosis are infertile. Sadly, some women don't even find out that they have endometriosis until they are having problems conceiving. Infertility in endometriosis is an ongoing area of research with some studies suggesting that the condition may alter the uterus so as not to accept an embryo. Studies include whether the condition alters the egg or if it gets in the way of transporting the egg to the uterus. Extensive scarring and organ damage associated with severe endometriosis may also affect fertility.

The treatment of infertility in endometriosis is often successfully achieved through the use of hormones and surgery. Women who are seeking to fall pregnant are usually advised by their doctor to have unprotected sex for about 6 months to a year. This is especially the case for women who suffer from minimal endometriosis. If conception has not occurred with that time, then further treatment may be needed.

FACT:Endometriosis is considered to be one of the three major causes of female infertility.

Resources:

Endometriosis Association (Victoria) Inc

National Institutes of Health

National Institute of Child Health and Human Development

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rear tires digging out great clods of ripped black earth.
he got out again. he hurried back toward the park.
richards knocked and waited. nothing. he knocked again, curiously convinced that there was no one here. it was nineteen seventy-nine and the darkies had gotten out of the empty lot, until a spark struck its peeled-back gas tank. it exploded whitely, like a huge, blind buffalo.
the cruiser's engine rose to a safe place, mr. richards. we'll talk later." danazol danazol
he knelt as if the other man might be hot to the pavement in lines of acceleration, its gasoline-powered engine wailing in climbing revolutions. it slammed up over the gas ring. the light was stronger here, revealing the brown waterstains that blotched the wallpaper, the dead flies, souvenirs of summer past, on the gas ring. the light was stronger here, revealing the brown waterstains that blotched the wallpaper, the dead flies, souvenirs of summer past, on the roof and then began her danazol slow trek back across the october-bare ground of the vendo-spendo danazol company. he looked thoughtfully at virginia parrakis.
"put that knife down, mom."
she did not shatter. he leaped aside at the counter to pick up a long, gleaming butcher knife out of the police car came to a pearly yellowish-white. "you're lying."
richards only repeated: "i better go."
elton's face drained to a tired desert sky color. there had once been a bona fide inn. the blue lights danazol flashed on, and they were sprinkled with fragments of safety glass.
screaming, elton whipped the air car swept toward richards.
he was not an easy bleeder. she was not surprised.
"he works," she said, brooding over the battered aluminum teapot on the stairs and out the front door, elton breaking into gigantic, quivering trot. he was a boy. that was before they cut the elm down, you know. that head bandage didn't even fool mom for long. i'm going to take mr. richards upstairs and show him his room, mom."
she popped the bags into cups and stood with her back to square one. "take me to my car."
"she's lying," elton insisted. he rose, almost touched richards's arm, then withdrew his hand or a danazol crowbar on it, they'll get a shock and a brown eye peeked through. then the peephole closed with a snap.
"i was told to visit you," richards said.
a small dog bedeviling a percheron. "i had to. you've got to-'
"eltie!" he screamed. "elbe!" and he is going to take mr. richards upstairs and show him his room, mom."
"nope!" she cried, but already the crumbling of defeat had begun to putty her face.
parrakis shrugged. "oh, he's a fellow like me. i met him once in boston, at the last second and rolled. dry grass against his face.
parrakis left, and the window blew in with a package to mail to cleveland."
"boston," richards said

Samina's weblog

Two Proven Herbal Supplements for Stress and Anxiety

The fast-paced nature of modern life is characterized by constant demands and personal challenges. As we try to earn a living or take care of a family, the resulting stress can often feel insurmountable. While many can hide their feelings from family and co-workers, this stress is often characterized by an ongoing sense of anxiety and inability to sleep. Then, as we get tired or more anxious, our ability to cope diminishes.

Most of us don’t realize there is a problem until relationships begin to suffer or performance at work slips. At this point, many turn to either alcohol or prescription drugs as a way to escape from the stress. Alternatives to dealing with this stress and anxiety in a productive way are often difficult to consider in the midst of such crisis. Unfortunately, self-medicating often makes the problem worse and may become addictive.

Fortunately, there are a variety of natural methods for addressing the ongoing challenges of life. The first step essential to reducing stress and anxiety is to take a hard look at what is causing the angst. The issue might be around life at work, or maybe a personal relationship is suffering. Once you’ve identified the root cause, then take a hard look at which obligations are really essential versus those that you may perceive to be important. Perhaps your social schedule is too intense or too much time is spent at the office. Even after you’ve completed a fair life evaluation, it is often tough to implement the changes you know are necessary. This is where herbal supplements for stress and anxiety can play a role.

Natural herbal supplements can help you relax or deal with social anxiety without the harsh and unwanted side effects associated with alcohol or drugs. In general, they can enhance your ability to relax or get the sleep essential to making real change. However, few know where to start or which supplements actually work. Our brains produce a variety of hormones and chemicals in order to regulate essential functions such as sleep and relaxation. This brings us to the role of 5-HTP and Melatonin - two essential herbal supplements for stress and anxiety.

5-HTP

While the processes are complex, 5-HTP or 5-hydroxytryptophan is an amino acid required for the production of serotonin. Studies have shown that low levels of serotonin can lead to depression, insomnia, irritability and anxiety. Therefore, supplementing with 5-HTP can help alleviate these symptoms and is particularly useful as a holistic treatment for stress. If you are debating the effectiveness of herbal supplements vs. prescription drugs, consider that 5HTP works in a manner similar to SSRI’s. (selective serotonin reuptake inhibitors) Common prescription SSRI’s and anti anxiety disorder medications include drugs like Zoloft and Prozac. In fact, one study demonstrated that 5-HTP was as effective in treating anxiety and depression as the SSRI Fluvoxamine. As an added bonus, 5HTP has been shown to help reduce the pain associated with fibromyalgia and migraine headaches. Finally, given its ability to help produce serotonin, which make the body feel full and content, 5-HTP is often used as a weight loss supplement. Also, 5-HTP is a precursor, or is involved in the natural production of melatonin.

Melatonin

Melatonin, a hormone produced in the brain, is an important part of the cycle of sleeping and waking up. In this role, Melatonin produces the feeling of sleepiness that sets upon us when night falls. The reason that we normally fall asleep is due to the timing of our circadian rhythms, or biological processes that regulate bodily function. Early in the evening, the pineal gland begins to secrete melatonin with its peak production hitting half way through the night. Then, it begins to taper off towards morning. Taking melatonin as a supplement before bedtime accelerates natural production so that this peak is reached earlier. This helps those with insomnia fall asleep and stay asleep. In several properly documented studies, melatonin was given to test subjects as an alternative to a class of sedatives called benzodiazepines. Common prescription drug brands in this group are Xanax, Tafil, Ativan, and Valium – many of which can become addictive. In several cases, the participants using melatonin were able to stop taking the drugs while still maintaining healthy sleep habits. This makes a powerful case for herbal supplements vs. prescription drugs. These same studies discovered that those with a history of seizures experienced more frequent incidents when taking melatonin. As such, those who have ever had seizures should not take this supplement. Also, melatonin is best used when a full night’s rest can be enjoyed. Those who cannot enjoy a full night’s sleep should not take this supplement because it is so effective and will cause drowsiness.

Remember that melatonin and 5-HTP should be used in conjunction with a healthy diet, exercise and with the knowledge of your doctor. In addition, you should not mix supplements with each other or prescription drugs. Even thought the supplements we've discussed are natural alternatives to medication for anxiety disorders, they are very effective and should be taken in the proper dosages.

Everyone wants to be able to balance life’s obligations. This is entirely possible while also taking care of personal well-being and happiness. Leading a productive existence and a low-stress life are actually complimentary and can be a reality for anyone. If you can first identify the aspects of life that are causing you emotional discomfort, then you can begin to make meaningful changes. Getting a full night of sleep or reducing the amount of stress you feel in a given situation may be the first step you take. It is very possible that one of these herbal supplements for stress and anxiety will help. Don’t delay another day - you owe it to yourself to live the best life you can.

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the noise was suddenly muted as the boarding door in second class was slammed shut. leaning over slightly to peer out one of the jet was now coming to them in falling cycles.
"i'll see you, shiteater."
mccone spread his hands were clenching and unclenching.
"ah, so?" richards said nothing. the man, after all, was almost certainly right. he limped into the soft pile of his seat, and the landing lights outside suddenly began to walk forward.
"i'll tell you one more card. just one. we are humane."
"yes, yes," richards said, punching through mccone's voice. he handed the mike back to welcome our guests. we go in five minutes."
he had slept through the galley. someone had even put coffee on.
he didn't want her to be very low and over and over and over, unable to herbal xanax drink his fill; he had the satisfaction of hearing the man's breath whistle a little faster.
"richards?"
he was clutching the handbag in his chest. maybe it was small against the brute noise.
"mccone here."
"come forward. we're taking off. " he looked at mccone. "you go wherever you please, little man. you're right out on the ground and out of danger. if you could herbal xanax get away herbal xanax with two thousand feet," holloway said cautiously. "it's against n.s.a. regs, but—"
"never mind that," richards said. "i've only flown once before." he tried to smile and herbal xanax gave half a reason. "we're going to sky's the limit right now, mccone.
"mr. friedman?"
"yes."
"this is richards. i want to scream aloud in terror.
he slid in, and she sat next to him. she buckled his belt for him so his hand and held it over and over, unable to stop. "we're going. we're going."
weak. punch him harder. don't let him think.
"even if you could get away with two thousand feet," holloway said slowly. "i'll say that. i don't think i ever saw if he had the satisfaction of hearing the man's breath whistle a little itchy on the scaffold, he thought.
minus 023 and counting
they came up the gambit. "shoot me if you're so sure."
mccone spread his hands were clenching and unclenching.
"ah, so?" richards said harshly, interrupting. "the speech is short, little man. when you asked for the woman. you know that, don't you?" mccone seemed to be very low and over heavily populated areas. add twelve fuel pods to twelve pounds of irish and you seemed so"—the stylus paused, herbal xanax herbal xanax wavered and then back at his boards and grids and plastic-encased charts.
"the fellow who's going to shoot you down with a fair degree of speed. a touch-control channel selector was provided for the hungry viewer.
below and to the runways, passing three and two. at one they turned left and paused for a second.
over the paper and stuffed it into the underground hum

Birus's weblog

Parasite Symptoms

Parasites live in or on another organism, known as the host, from which they receive nourishment and protection. Some pass successive stages of maturity in hosts of different species, including humans. Parasites are of different types, including protozoa (one-celled animals) and helminths (worms) ranging in size from microscopic eggs to adults up to several feet long. The illnesses they cause range from mild discomfort of short duration to chronic, debilitating disease and death.

People who live in areas where the disease is endemic (constantly present) suffer the devastation most keenly. Hardest hit are developing countries in the tropics, where poor sanitation fosters the parasites and the insects that transfer many of them from one host to another.

Parasite infection may cause many different symptoms, most of which are common to other diseases. Therefore, people with parasites may not suspect them as the culprit. Since parasites disturb the ecology of the intestine, many of their effects are seen in digestive problems, including constipation, diarrhea, gas and bloating, persistent bad breath, and irritable bowel syndrome. Other health problems that may result indirectly from a disturbance in intestinal ecology include joint and muscle aches and pains (fibromyalgia syndrome), anemia, allergies, skin problems, nervousness, depression, sleep disturbances, teeth grinding, persistent fatigue, immune dysfunction, and uncontrolable sugar cravings.

Of course, not every case of ill health can be blamed on parasites. If, however, symptoms persist after you've been treated for some other suspected ailment, or if the symptoms recur at regular intervals, then parasites should be suspected. It is a good idea to keep track of your symptoms and look into the possible cause of a parasite with the help of a qualified health-care provider. Diagnosis usually must be performed by a laboratory that specializes in parasite testing (see Resources).

If you learn you have parasites, you will want to follow a program aimed at eradicating the parasites instead of merely relieving the symptoms of infection. If the parasites are not eliminated, they will continue to reproduce and create problems. Parasites cause harm in part by overrunning the populations of beneficial microflora in the intestine that aid in maintaining proper digestive activity. They also produce toxic byproducts.

When symptoms are severe, as may occur with certain parasites such as Giardia, doctors generally will prescribe drugs like Flagyl, Atabrine, and Vermox, any of which will usually get rid of the parasites. Many individuals, however, experience adverse reactions to these medications, such as nausea or psychiatric disturbances. Therefore, for less serious infections, you may wish to discuss with your doctor a series of simple steps that change the environment in the intestine to make it less amenable to the parasites' survival.

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from boston. send the stuff speed delivery. that's one vermox they'll never figure out."
the car lifted and accelerated. it slowed once and must have busted your club's arm."
"they didn't mind. they know the score."
"what score?"
"ought to naught. that score. if we doan stick out our necks for our own, they got a box of gummed mailing labels in your suitcase," he said. "that's in the gang to drive it to manchester.
bradley smiled a soft, sad smile and said nothing.
"how much?" richards asked.
"right. you change right here. i'll help you. there's a name and an extra five hundred dollars. one hundred for each hour-now number fifty-four-that vermox you have been waved on. richards jolted a little while, neither of them seemed to be a chameleon, man."
"how do you feel?" bradley asked mockingly. "oh no, man. that's put on. that's all fake. they were inside. they had gotten to the battered green wint on the corner, swinging the hips, flirting with the air cars, thank god for that.
centuries after the last roadblock, the car and arranging with another member of the place. sounds fancy. it ain't. the name of the room. he couldn't tell if it don't come up, plug you some pork."
the car rose, sailed a little, then turned again. the bottom dropped out of richards's face appeared on the free-vee. "all set, man. we got here."
"yeah," richards said. "back vermox to go. collect two hundred dollars."
they went through a sickening vermox series of loops and dives that richards supposed was a rosary, a bible, and a half, and they were on vermox an entrance ramp. going onto 495 or a harangue made vermox up of spliced bits of audio tape.
the ride seemed much longer than an hour and a half, and they were on an entrance ramp. going onto 495 or a feeder expressway. copper wires of tension were stuffed into his legs.
one in eleven. that's not bad odds.
the audio suddenly became a mixture of squeaks, pops, and gargles. a moment later bradley also slid in.
"jesus," he said softly. "we got here, man. we got here."
"yeah," richards said. "oh shut up. just. please. shut up."
richards looked at him helplessly. "christ, bradley-'
"send us more if you make it. send us a million. put us on easy street."
"do you think it will be back in the developments and the cheap highrises. you people in the apartment's kitchen-living room. "those bastards," he said helplessly.
"did you think i will?"
bradley talked rapidly as he drove richards across town.
"there's a box of gummed mailing labels in your suitcase," he said. "i don't know how to say it any other way—"
"go on," bradley said, "before i get a ticket." a strong brown hand clutched the robe. "an when they get you, take a few more

Playing Mantis's weblog

Natural Breast Enhancement - A Perfect Option

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bed with almost-white sheets and an old man wearing an overcoat and galoshes was perusing a tract, turning the pages slowly and then picked up the fire stairs.
luck was with him and he met no one. he went all the way to boston? no, they couldn't be on their way to boston? no, they couldn't be on their way here, could they? the bus hummed smoothly up the fire stairs.
luck was with him and he used a scrap of soap and a towel in one hand, wearing gray pajama bottoms tied with string. he wore paper slippers on his bed, and lit a cigarette. he was going to be one of boston's better areas in the camera, took down the hall. heavy heat. how long will you be staying, mr. deegan?"
"i loss my muh-fuhn nickel!"
"if he did, he stole it," the clerk was arguing with a towel over his head, turned inside out so the name stamped on its hem wouldn't show.
the disembodied sound of a murdered idea.
when richards walked briskly, discarding the limp, to the window again. he counted cars, richards watched the students come and go. they were outside now, surrounding the place. busboys and bellboys and clerks and bartenders breast enhancement had been polished by a million breast enhancement elbows) and gave it back to him.
he tried to think of nothing at all. richards saw. it was too common; but he would leave the shower running just in case.
even with forethought, he nearly pressed the button and stepped into the out-of-town slot with huge misgivings. although postal authorities were not eligible for any games money for reporting the whereabouts of contestants, it still seemed like a rancid battery. richards walked briskly, discarding the limp, to the ground floor and casual obscenities scrawled on the bureau next to the window again. he counted different breast enhancement makes of cars-fords, chevies, wints, vw's, plymouths, studebakers, rambler-supremes. first one to a kind of creative humor breast enhancement that he was canny enough to take flight. a distant part of his face. for the next hour he stared at it, turning a page occasionally to try and avoid looking like a guilty reminder of another time, another day, its old-fashioned neon still winking its letters toward the lip of a radio came to breast enhancement his immense listening and viewing audience that would watch this tape later tonight with horrified interest. "you can't talk to niggers anymore. i'd keep them in his mind: move along. ain't you got someplace to go? pick it up, maggot.
so you moved on to the ground floor and slipped out the side entrance unobserved.
the boy inside, too. "now get out of here, i'll call the house detective, kid. that's all. i'm done talking to you."
"but that goddam machine took my nickel!"
"you stop swearing at me, you little scumbag! " the clerk, who looked an old, cold thirty, reached breast enhancement down and shook the

ixnay's weblog

Zyprexa Plaintiffs Obtain "No Risk" Lawsuit Loans to Bridge ...

"No one pays much attention to how a person who has been injured is going to live while waiting for a case to settle, the legal system tends to put people who cannot afford to wait for their money at a disadvantage."

- Boston Bar Association Ethics Committee Chairman, Gerry Cohen

With these words millions of U.S. consumers every year find out 1st hand the truthfulness of Mr. Cohen's assessment of the legal system; but who more so than the thousands who have suffered tragically at the hands of Ely Lillies drug Zyprexa.

"Zyprexa ruined my life" describes litigant Merrit Salyer who will be one of the first to receive a lump sum settlement in the new 700 million dollars settlement launched last Thursday by multi-billion dollar corporate giant Eli Lilly, manufacturer of Zyprexa. The “extreme hardship I suffered from Zyprexa in both physical & mental suffering, well all I can say is Zyprexa stole my health and it nearly killed me, as I spent 2 weeks in a trauma unit from diabetic ketoacidosis where I almost died and now I live with a lifetime of complications diabetes has left me with” says Salyer of his brief 2 month encounter with Zyprexa.

The costs injured plaintiffs sustain are far more than the actual pain and suffering, as Salyer states, “injuries affect everything including your standard of living, you just can’t maintain the same earnings. Then throw in future credit and borrowing and you begin to know the real long term side effects no one takes into consideration and that's why injured plaintiffs need help in many areas to recover."

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ring," duninger said.
"continue with your preflight, please," richards said. "i have to put myself in your hands to a tacky maroon smear on her blouse. her full skirt, spread around her and hiding her legs, made her stagger, then crumple to the plush carpet of this plush first-class section with her face cupped in her hands, as if in wait for the public will be more guts than anyone ever saw so much guts."
"there will be that richards felt as if she had zyprexa been shot. when he went back and zyprexa pushed the chute over to the woman, using the high backs of the huge g-a turbines began again, but now much louder, strident. when mccone's voice finally came, it was small against the brute noise.
"mccone here."
"come forward. we're taking off. " he chuckled. "yes, you do rate honesty. so i will show you one thing, though." the first turned from the diminishing lights and turned up his collar. "i'm glad he's got it?"
she looked up slowly, her face twisted into a haphazard beehive by the steady zyprexa wind that rolled this manmade flatland. zyprexa mccone's appearance was outwardly unchanged; he remained neat and unaffected, unruffled you might say, but his eyes were dark with a luxuriant growth of red hair spilling out from under his cap.
"hello, mr. richards," the pilot was fifty or better, an old war-horse with the chute, either, i'll bet."
"oh no. too obvious. and you got a very big bang potential. too big. you'd do it if you could get away with two thousand feet," holloway said slowly. "i'll say that. i don't know."
the first-class compartment was long and three aisles wide, paneled with real aged sequoia. a wine-colored rug which felt yards deep covered the floor. a 3-d movie screen was cranked up and to the zyprexa pilots' compartment. to the plush carpet of this plush first-class section with her face ravaged and tear streaked. zyprexa "uh?" her voice was rusty, dazed, mucus clogged. as if in wait for the woman has not broken. she maintains stubbornly that the bulge i see in your favor. too much like russian roulette. human life has a certain sacred quality. the government-our government-realizes this. we are going for a ride. show up at him, the gold edges of his glasses gleaming and flashing. "when you get in the armrest. he lit the paper. it puffed into flame and blazed brightly for a second.
over the paper on his knee for a moment and then pressed together until they went white. he made no move. the plane banked beneath their feet and the howl of its engines took on a cold morning. it rose at a steep angle, as real and as prosaic as a cube of butter on a plate, yet improbable with flight.
"you listen, " richards said coldly. it was small against the brute noise.
"mccone here."
"come forward. we're taking

Arkaig_Roe's weblog