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Today is my one year on testosterone. I honestly do not know if I will ever find the words to properly express how thankful I am for this opportunity and privilege. It seems that words will never suffice to convey the intensity of my appreciation. So, I turn to the perpetual fight of equality and continue to be mindful of the pain I used to live in. Without my personal memories of extreme dysphoria and depression, I would not be my best self. Clinging to these memories that have impinged me fuel the fire and fight. I will never stop. This past year was the most honest year of my life, the first year of my life. I took a wrecking ball to the walls I built around my core throughout the past eighteen years of my life. Opening up the heaviest, most internalized aspects of my identity, I shared them, unapologetically, with the world to accept. This was never easy, but the idea of having a chance to become the physical embodiment of my true self was enough to put everything on the line. I had no idea what to expect or what I would look like. But, here I am. I became him. My name is Chella Man. And, I am one year on testosterone today. Thank you to all who have fought for transgender and queer rights, now and in the past, as you have allowed me to live this life. Thank you MaryV for consistently reminding me; I am worthy of love in this world. Thank you to my family for listening to me, verbally or through sign language. Thank you to all of you who have sent your hearts to me, wherever you may be. Please know, your messages of support and encouragement are taken in, not just by me, but countless others who need to see the love, acceptance, and support. This world is changing. To be continued.

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Erectile dysfunction (ED) is a common condition that affects millions of men worldwide. It can have a significant impact on a man’s self-esteem, relationships, and overall quality of life. Fortunately, there are many treatment options available to help manage ED, including medications, therapy, and lifestyle changes. One increasingly popular option is ED gummies, which are edible supplements containing ingredients that are believed to help improve erectile function. In this comprehensive guide, we will explore the effectiveness and benefits of ED gummies to help you make an informed decision about whether they are right for you.

What are ED Gummies?

ED gummies are a type of dietary supplement that is specifically formulated to help improve erectile function. These gummies typically contain a blend of natural ingredients, such as vitamins, minerals, amino acids, and herbs, that are thought to have beneficial effects on sexual health. Some common ingredients found in ED gummies include L-arginine, ginseng, horny goat weed, and zinc.





These ingredients work together to increase blood flow to the penis, improve sexual performance, and boost overall sexual health. ED gummies are available over the counter and do not require a prescription. They come in a variety of flavors and are easy to take, making them a convenient and discreet option for men seeking to improve their sexual health.

Effectiveness of ED Gummies

While ED gummies may not work for everyone, many men report positive results after taking them. The ingredients in ED gummies have been studied for their effects on sexual health, and some research suggests that they may help improve erectile function in men with ED. For example, L-arginine is an amino acid that is known to promote the production of nitric oxide, a compound that helps relax blood vessels and increase blood flow to the penis.

In addition, ginseng has been used for centuries in traditional medicine to treat sexual dysfunction and improve libido. Horny goat weed is another herb that is believed to have aphrodisiac properties and may help enhance sexual performance. Zinc is an essential mineral that plays a key role in testosterone production, which is important for maintaining a healthy sex drive.

Benefits of ED Gummies

In addition to potentially improving erectile function, ED gummies offer several other benefits for men’s sexual health. One of the main advantages of ED gummies is their convenience and ease of use. Unlike many prescription medications for ED, gummies do not require a visit to the doctor or a trip to the pharmacy. They can be ordered online and discreetly delivered to your door.

Furthermore, ED gummies are generally well-tolerated and have few side effects. This makes them a safe and accessible option for men who may not be able to take prescription medications due to underlying health conditions or other concerns. Additionally, the natural ingredients in ED gummies may provide other health benefits, such as improved circulation, increased energy, and enhanced mood.

Choosing the Right ED Gummies

When selecting ED gummies, it’s essential to choose a reputable brand that uses high-quality ingredients. Look for gummies that are made with natural and scientifically-backed ingredients, and avoid products that contain artificial additives or fillers. It’s also a good idea to read online reviews and testimonials from other users to get an idea of the product’s effectiveness.

Before starting any new supplement regimen, it’s a good idea to consult with your healthcare provider, especially if you have any underlying health conditions or are taking medications that may interact with the ingredients in the gummies. Your doctor can help you determine if ED gummies are a safe and appropriate option for you and provide guidance on proper dosing and usage.

Conclusion

Overall, ED gummies can be a convenient and effective way to help manage erectile dysfunction and improve sexual health. While they may not work for everyone, many men find them to be a helpful addition to their treatment regimen. By choosing high-quality gummies with natural ingredients and following the guidance of your healthcare provider, you can enjoy the potential benefits of ED gummies and enhance your overall sexual well-being.

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Dr Marcelo Dratcu Médico formando pela Escola Paulista de Medicina, especializado em clinica médica e medicina comportamental, corpo clinico e docente do Instituto Albert Einstein Dr Edson Bor-Seng-Shu professor livre docente pelo departamento de neurologia do Hospital das Clinicas da Faculdade de Medicina da USP Dr Marcelo De Lima Oliveira doutor pelo departamento de neurologia do Hospital das Clinicas da Faculdade de Medicina da USP A medicina comportamental tem como objetivo expandir o período de tempo com qualidade de vida, diferente de longevidade total. Desta forma os últimos anos ou por vezes décadas de vida tem que ser bem vividas. A abordagem da medicina para qualidade de vida por vezes é diferente da medicina convencional o que traz o conceito de medicina comportamental. Essa medicina adequa o comportamento do paciente para melhorar a adesão dos tratamentos e promover hábitos saudáveis e dessa forma, melhorar a eficiência dos tratamentos e prolongar a vida com qualidade. Atividade física é importante para saúde, porém poucas pessoas fazem atividade física regular e movimentam-se pouco durante o dia. Ao longo dos séculos o ser humano passou a movimentar-se menos por vários motivos. A medicina comportamental procura melhorar o hábito de movimentação, hábitos alimentares, adesão aos tratamentos e melhora do sono para que sejam saudáveis. Como traçar estratégias para mudança de comportamento para melhora da adesão aos tratamentos? O ideal seria o que é considerado tratamento mais científico seja colocado para o indivíduo de maneira viável para o paciente. Por exemplo, doenças crônicas como diabetes, hipertensão são doenças crônicas que poderão ocorrer para o resto da vida e essa informação pode assustar o paciente. Durante a consulta o médico deve ter empatia com o paciente para que ele crie um vinculo com o profissional e dessa forma entenda melhora que adesão do tratamento são decisões compartilhadas para que haja melhor adesão aos tratamentos e evitar sofrimentos desnecessários. Com essas regra de compartilhamento a maioria dos pacientes vão entender a aderir aos tratamentos. Algumas outras regras na comunicação com o paciente: 1) não julgar os hábitos do paciente, 2) observação e abordagem comportamental através de perguntas de conhecimento a respeito da doença e o que pode acontecer se não tratar, 3) compartilhamento da decisão, 4) adequar comportamento para ter resultados. A reestruturação cognitiva ensina o paciente a detectar pensamentos automáticos protetores e distorcidos por erros cognitivos. A medicina comportamental ajuda a detectar esses pensamentos e analizar se eles são benéficos ou não para que ele entenda a doença e tenha adesão ao tratamento. As diretrizes e protocolos populacionais na medicina são muito importantes, porém a individualização dos tratamentos para cada paciente é muito importante. Por exemplo, a farmacogenomica pode testar a resposta individual de cada paciente para cada tipo de medicação, como estudo do metabolismo individual de pacientes para substancias especificas. Importante ressaltar que cada paciente tem um comportamento diferente e a área comportamental na medicina contempla os diferentes comportamentos e reações dos pacientes. Por exemplo: atividade física faz parte do tratamento do paciente e o paciente vai aderir esse tratamento quando ele quiser. A medicina comportamental vai conhecer o paciente e os anseios do paciente a fim de convence-lo a adesão do tratamento através da atividade física, pois esse talvez seja o mais importante dos tratamentos das doenças crônicas. O desenvolvimento da musculatura através dos exercícios e movimento é fundamental para independência nas idades mais avançadas. A relação cosa quadril é tão importante quanto ao diâmetro abdominal para prever doenças e morbidade. Portanto, a medicina comportamental é essencial para convencer o paciente na adesão da prescrição a atividade física. Uma das coisas que faz com que o ser humano nao faça ou desista de praticar exercícios é a expectativa de ser um atleta. A atividade física deve ser feita se possível de forma prazeirosa e progressiva sem necessidade de ter alto rendimento. A movimentação corporal é tão importante quanto o exercício físico, ou seja, andar. Andar evita trombose, atrofia muscular e depressão. O movimento previne depressão! Se a pessoa começa lentamente e o exercícios e tiver adesão por tres meses a chance de prolongar a pratica da atividade física será maior. A gestão do stress e ansiedade no trabalho também é muito importante na qualidade de vida. Gestores e com certos tipo de personalidade podem ter as chances aumentadas de infarto e AVCi. Existem estratégias que podem ser praticadas diariamente para melhorar a qualidade de vida pois o stress pode somatizar e causar doenças orgânicas. Além disso, as questões emocionais podem atrapalhar o cognitivo para performar no desempenho do trabalho. #healthspan #qualidadedevida

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