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Medical professionals estimate that of over 100 strains of Human Papilloma Virus (HPV) approximately 30 strains of the virus are known to lead to genital warts. Genital warts are classified as a sexually transmitted disease, yet the exchange of bodily fluids during sexual intercourse is not required for the virus to spread. The highly contagious genital warts are transmitted through skin-to-skin contact. The human Papilloma Virus that causes genital warts is transferable through oral sex, and genital HPV strains have been detected in warts that have formed in the mouth and throat. Once infected, it is also possible to spread genital warts to other parts of your body by scratching an infected area and then touching another body part, particularly in the genital area. It is important to wash your hands thoroughly should you accidentally come in contact with the genital warts on your body or come in contact with them during the application of a topical treatment. Vertical transmission is the name given to the transferal of genital warts from mother to baby during childbirth. While it is possible for a mother with genital warts to deliver a baby vaginally without transferal, there are some accounts of infection to the newborn from the mother. Though there is no hard proof that genital warts can be transferred from fomites—objects that carry viral diseases from one person to another—it is still good practice not to deliberately use a towel or other personal item that may have come in contact with genital warts. The effectiveness of your immune system plays a significant roll in the appearance of physical symptoms of genital warts and the degree to which they are present. For some, the physical signs of genital warts may appear in months. For other individuals, the appearance may take years. Human Papilloma Viruses are generally classified into two categories: • High risk strains: those likely to lead to cancer of the cervix, anus, vagina, throat, or penis • Low risk strains: those likely to lead to genital warts The individual strains of the Human Papilloma Virus that have been identified have each been assigned a number for reference purposes. Of the thirty strains identified as sexually transmitted, the following are more prevalent and considered high risk strains: 16, 18, 31, 33, 35, 39, 45, 51, 52, 58 and 69. Oral strains include: 6, 7, 11, 13, 16, and 32. Low risk stains, those which can lead to genital warts, include: 6, 11, 42, and 43. Clinically known as Condylomata Acuminata, genital warts or venereal warts are one of the most prevalent forms of sexually transmitted disease. Annually, approximately 5.5 million new cases of the Genital Human Papilloma Virus are reported. Though 20 million Americans are believed to have genital HPV, less than 4% of those people have been diagnosed or are being treated for the virus. Most people show no physical symptoms and do not know that they have the virus. 90% of all reported cases of genital warts are of the low risk variety, strain number 6 or 11. penis enlagement before and after picture manual penile enlargement pennis enlargement herb easy elargement free penis surgery way permanent pennis enlargement do penile enlargement pills work penis enlagement pills product vimax penis enlargement exercise

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Rabies- Attacks the nervous system and causes encephalitis. The virus is transmitted in saliva from the bite of an infected animal. It usually takes two-eight weeks before the signs appear. However, it only takes about ten days before it's passable through saliva. The most common ways for an animal or human to be infected is by a bite from an animal who's infected – usually a skunk, fox, raccoon or bat. Cats are actually more at risk than dogs – because they put themselves more at risk that dogs. There are three stages to Rabies: Prodomal Stage- Lasts two-four days. Signs can include behavioral changes, fever, slow eye reflexes, and chewing at the bite of the site. The Paralytic Stage- Last two-four days. Signs of paralysis develop, usually beginning in the limb that was bitten. Paralysis of the throat or face causes a change in the bark. Drooling with typical foaming at the mouth, and a dropped jaw. Followed by depression, coma, and death from respiratory paralysis. Once clinical signs develop there is no treatment! If a pet has been bitten by a wild animal or known related rabid animal – if they've been vaccinated, re-vaccinate them and quarantine them for 90 days. If the pet has not been vaccinated, euthanize and submit tissue for rabies testing. If the owner is unwilling to euthanize the pet, it should be strictly quarantined for six months with vaccination one month prior to release. Distemper- Greatest single disease threat to the world's dog population. Distemper develops over a course of days. Canine distemper virus is fatal to 80% of the puppies and 50% of the adult dogs that contact it. Symptoms include congested lungs, nasal discharge, vomiting and diarrhea. As it progresses, it attacks the nervous system, often causing partial or complete paralysis and seizures. The disease is highly contagious. Dogs can get the virus through coming into contact with anything another dog infected, including through all secretions of the infected animal and very surprisingly, even through the air. Most distemper appear in dogs less than six months of age and in old dogs that have not been vaccinated. Once infected, there is no cure. Treatment is supportive -- fluids through I.V to prevent dehydration, and symptoms treated. Dogs who recover from distemper may have vision, nervous system problems, hardened foot pads and nose leathers, throughout their lives. In addition, puppies may also have mottled teeth from damage to developing enamel. Dogs should be vaccinated, and given boosters, to prevent this disease. Parvovirus- This disease can overwhelm a dog within hours of first symptoms and result in death within 48-72 hours. It is found through the world, it is highly contagious and attacks the intestinal tract, white blood cells, and sometimes the heart. It is spread with contact through feces of infected dogs. Parvovirus can be carried on shoes, crates, equipment or the hair and feet of infected dogs. Symptoms appear five-seven days after exposure and include depression, loss of appetite, vomiting, severe diarrhea. Feces are generally light gray, or yellow-gray, and may be streaked with blood. Puppies under six months are most susceptible to the disease. If the disease effects the heart, puppies can die within hours, weeks or even months. Doberman Pinschers and Rottweliers appear to be at a higher risk for parvo than other breeds. There is no treatment that cures the virus. Nursing care consists of replacing fluid, keeping the dog warm, controlling vomiting and diarrhea, and dosing with antibiotics to prevent secondary infections. Parvovirus can live for several months in an infected area, thorough cleaning of all surfaces is necessary to eradicate the disease. Household bleach is a very effective agent. Vaccination against parvo has dramatically reduced incidence of the disease. The vaccine protects the dog for several years. Infectious Canine Hepatitis- It is inhaled or ingested by the dog, enters the bloodstream, and targets the liver, kidneys, eyes, and the cells lining the inner surface of the blood vessels. Some cases barely show symptoms – puppies may show a slight fever or be slightly lethargic and recover quickly. Some cases are quick and deadly. They may also have tonsillitis, reddened mouth and eye membranes, colic, then shock and death. Sometimes all within 24 hours! The in-between manifestation of the disease is the one most commonly described. The early symptoms are similar to the other forms – some puppies recover within two weeks, others develop internal bleeding, central nervous system involvement, and liver disease. There is no cure, only supportive treatment. Vaccination lasts several years. Kennel Cough- This is a respiratory disease in dogs that covers the actions of several infectious agents, including Bordatella bronchiseptica, a bacteria, canine adenovirus 2, and canine parainfluenza virus. The parainfluenza virus is related to the canine distemper virus. Symptoms range from hacking cough to inflammation of the larynx, bronchial tubes and trachea. CAV-2 also produces pneumonia in ten-twenty percent of the affected dogs. They're highly contagious, especially in kennels or shelters where the canine immune systems are stressed. Good ventilation is necessary to prevent and spread diseases. A combined kennel cough vaccination contains CAV-2, parainfluenza, and Bordatella in one dose of nose drops. Symptoms are no more than a bad cold, vaccination is recommended if dogs are to be boarded, or will come into contact with a large numbers of dogs. Leptospirosis- This is a bacterial disease spread in the urine of wild and domestic animals and capable of causing illness in humans as well as dogs. Several species of the bacteria produce disease in dogs. Symptoms include lethargy, kidney inflammation, low-grade fever, vomiting, reddening of the mucous membranes, and conjunctiva, and blood clotting abnormalities. A more generalized form of the disease can cause elevated liver enzymes, jaundice, pneumonia, and intestinal inflammation. Chronic kidney problems can result. Antibiotic therapy is effective in fighting the bacterial invasion and supportive nursing (replenishment of fluids, administration of diuretics to flush the kidneys and prevent kidney failure, blood transfusions, if necessary) is required. Vaccinations are not recommended unless there is a disease in the area. The vaccines help to lessen the severity of the disease, but do not prevent it. It also may not be effective for more than six months. Puppies and small dogs can have adverse reactions to the vaccines. If there is a lepto outbreak occurring and veterinarians do recommend vaccination, dogs should be inoculated against all four strains of the disease, unless the particular strain is identified. Lyme Disease- Is a bacterial disease spread by ticks. Symptoms in dogs include lethargy, joint pain, lack of appetite, lymph node enlargement, and fever. Some dogs have antibodies to the disease, indicating they've been exposed, but they show no symptoms. Treatment is with antibiotic, Tetracycline. Vaccine is available, but is not widely recommended because the disease is self-limiting and protection is limited to no more than six months, following inoculation. Lyme disease is more serious for humans than for dogs. Coronavirus- This virus causes diarrhea and vomiting, and can be confused for parvo. The mode of infection is direct contact of an infected animal or its feces. 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Chapter Seven Lilli Ann [Work and Play and Colleen] Many things were starting to happen after the tournament was over. It seemed my life had stopped for a moment in time. I had been working five to six days a week, mostly five. Met a guy, my age called Dan, at the karate studio one evening, he was just watching, and we got talking, and I helped him get a job at Lilli Ann. He was assigned to Mr. Green and would eventually be reassigned down stairs in the packing department. I was assigned in another department, which was one floor lower than his. He started falling in love with a Spanish gal, and wanted me to help him out by asking her why she was so down right rude to him. And so I did, it must have worked because they started dating, thereafter. Well Dan’s brother came into town, he was eighteen-years old, and again Dan and I were both twenty-one. The landlord would not allow two people in their apartment so I talked to my landlady and they ended up renting out the big room. I liked them both, but Dan was a little more level headed. His brother smoked pot night and day, Dan occasionally. About this time my mother said she was coming down to visit me after Christmas, which was not too far off. And so many things were happening. And as the weeks passed by I would often go downtown San Francisco after work and go to the double feature movies, they were older ones but very cheep, .75 cents during the day, before 6:00 PM, and afterwards walk around. I can remember a few times walking down a side street by a little café and Hell’s Angels were hanging out there. One time one of the Hell’s Angels, gave me a strange look but paid me little heed, and went back playing some kind of game. I had to walk around all the motorcycles for they hand them parked in the street, on the sidewalk, and every which way… and them seeing me trying to dodge the bikes to get around them, probably gave them a little groan, one that might have meant, ‘…don’t tip them over sunny.’ And I didn’t bump any. At work a few of the Spanish gals up in Mr. Green’s area were eyeballing me up, but I found out they were married and so I paid little attention to them afterwards. And a few Japanese girls, older women talked to me often, but I never got to dating any of them. Then one evening, after work, Colleen with her sparkling white Catholic seen me waiting for a ride by a street car stand, and asked where I was going, I said down by mission street, and offered to give me a ride. She was around thirty-three years old, whit a healthy looking body, and was hunting I presume—that is, looking for something. Colleen As she drove down Mission Street, she knew exactly where Lilli Ann was, I guess many people did, it was very famous for women’s exclusive clothing, they had dresses in Harpers Bazaar, some famous magazine, and advertised in London, Paris, New York, and here in San Francisco. I closed the window a bit in the car, the air was cool this morning, I told her, but I shouldn’t complain, it was nothing like Minnesota; for weather in December at 57 degrees is like heaven sent; I had heard them say on the radio, that it was going to get to 66 degrees before the end of the day. Not bad, in Minnesota we’d have about forty inches of snow by now, and most likely it would be about three to five below zero. January was the coldest month, in Minnesota usually, reaching many times ten degrees below zero or lower, and February had all the snow it seemed, sometimes twenty inches in one month; sometimes sixteen inches in one day. Some years we had ninety inches of snow. I was inclined to ask her for a date, even though she looked much older than I, but she said first, as I opened the door to get out, “Do you drink wine?” “Occasionally,” I said, for I used to drink some back home, but it was that cheep Ripple crap or Thunderbird, rotten gut stuff. But I didn’t want to tell her that. “The dry wine is even better than the sweet if you have the right bottle, and it’s aged some…” she added as I stood up next to the car, “I’ll pick you up after work, say 4:30 PM, does that sound good?” What could I say, the Cadillac girl was leading, and I had nothing better to do. I hadn’t gone to karate practice going on three weeks now. I think Yamaguchi was a little disappointed in me, surely not his black belt bunch though. “Ok,” I said as I started to turn around and walk inside of the three story building. Things were always happening so fast these days I hardly ever questioned anything. Dan had me meet a friend a week ago, some guy who was selling dope, pot or whatever, we talked and he offered me a job at twice the amount I was making, but I turned him down, I didn’t want to be his or any bodies body guard, end up dead with some heroin stuck in my ass, or down my throat. This was safer, work here at $.1.75 per hour, and just enjoy life; live longer. It was funny, when I stopped to talk to a young man, my age who wanted a quarter, and back in those far off days, they were all over San Francisco, --at any rate, I told him to go get a job, and he asked how much I made in a week, I said $70-dollars, and he laughed, saying: “I make more than that in a day, $75.” Oh well, I guess I still have values. I just couldn’t sit down on the street corner and beg; it wasn’t even a thought. Or should I say, it never occurred to me. ٭ The day went fast, Dan was flirting with his new Spanish girlfriend, who worked in the office at Lilli Ann; I think she was happy I set them up, but I was a little jealous now, I guess I would have like to date her, but I was always drinking, going to movies, and before karate, running around town. No real time I suppose. I think she was wondering why I didn’t smile as much as I did before when I met her halfway going up and down the stairs a few times a day. But I tried. My mother wrote and said he’d be in town now in January. Not too far off. It was 4:35 PM, I just slammed the heavy door behind me to Lilli Ann, and there on the street was that white Catholic, and Dan was not too far behind me, he’s seeing me go to the car, I told myself, not looking in back of me, I’ll hear about it tomorrow. “See yaw later Chick,” Dan said, I think it was to get Colleen’s attention; I turned around and smiled a bit and shook my head. “I did show up, didn’t I, I bet you thought I wouldn’t?” Said Colleen. “Not sure what I thought,” I admitted, and I seem to put on a dumb look. “I always like wine in the fall, --woops, soon to be winter in a week or two.” “Always --” I said-, opening up her car door, and getting in. “Always my new friend, now let’s go to the Bay and look at the Golden Gate.” I nodded my head yes, for I even liked walking along the bank and dock area, by the railroad tracks also. As we got to a certain spot, evening was starting to set in, the once white clouds were turning light-gray, and I opened up the window a little. I loved to grab the moment, absorb what was happening. San Francisco was so very much different than my conservative St. Paul, and it seemed like I was starting to own it a little. There in front of me was the beautiful Golden Gate Bridge, I would never forget it. I had walked across it, seen it a dozen times, and I just never got tired of it; but one thing, I only walked across it once, it is far…longer than one imagines. It was a settling evening. The cars with their horns, the people at work, I was starting to calm down. The night was creeping in. On one hand I was hoping it would never end, and on the other hand, it was a fast pace city for me, it could slow down a bit. “Are you thirsty Chick,” said Colleen. “Oh yes, very much…” I took the bottle from her and drank right out of the top. She pulled out two glasses, then hesitated, and put them back in her back seat saying, “We really don’t need them I see.” I guess I might have seemed a little uncouth, but it was me. For awhile we talked about the earth quake everyone was talking about; how the evangelist’s were saying San Francisco was going to be sunk to the bottom of the ocean. Many people were taking long vacations to get out of town. It was supposed to be on a certain week end coming up (or within the month of January). They talked about it at the bar, at Lilli Ann, every where. She smile, said, “Of course,” as she took a drink. I think she was thinking about her youth; --for whom at twenty-one runs around looking for a glass when you got a bottle. We sat just drinking, and looking at the Bay and the bridge, silent for awhile, some people don’t like too long of a period of silence, but it can be golden, --she lit a cigarette, and so did I, and we took turns drinking. She told a few dirty jokes, and I pretended to think they were funny, and when she laughed I laughed, not because they were funny, but because she was. She commented, “You’ll have to let me know when they have the fabric sales down at Lilli Ann, I want to buy as much as I can.” I didn’t quite understand what she was talking about then, but I did find out later on that they had sales about every four months, and employees could buy fabrics not usable. I would however purchase some for her, during our short time romance. “Let’s go eat,” she commented. “Where…” I said. “I’ll pick up something at a store or restaurant.” “That’s perfect,” I replied, as I put the cork back into the bottle, there was not much left to the wine. Colleen stopped in front of a fancy restaurant, --went inside and ordered some burgers made up for us. “Dolores Street right,” she asked, and I gave her the address, “They’ll taste better relaxing at your apartment.” She said. I explained she was welcome but I only had a small room, and my friend, whom was Dan, she remembered the person who had said, “By Chick”, lived in the other room next to me, --I explained we shared bathrooms. “So she rents out rooms,” she commented. “Yaw, why, you need one?” “Not quite yet, but could be soon, or in a month or so,” she ended her replied with. As she stopped in front of the mansion I lived in, my hunger had changed from food to lust, or so it seemed, the burgers did not seem at all appealing; none the less, we went directly to my room. As we entered the room she looked about, “Quite cute, and yes, you were not kidding, it is small, but cozy, enough for a single man. I had a little dresser by the side of the bed where I kept an ashtray, and a light, along with a little radio. A closet in along side of the bed, a little to the right of the doorway you might say, a window behind me overlooking my bed, and the door to the bathroom on the right also, of the bed; --if I was laying on my back I’d be looking at the doorway in front of me She put the burgers on the small table, took a last drink of the wine, gave it to me, there was one swallow left, I drank it, as she undressed, then she jumped under the covers. She had big breasts and a semi tight body for her age. She was not thin, nor fat, quite healthy looking. I got a hard-on immediately, and like a dog in heat, we pulled our lust together and she grabbed my item and directed it to her warmth. We made love for about 45-minutes, and I fell to my side a bit, rested, and pulled her over to me again, and stuck my penis back into her private area. She was very warm inside, and my body shook as I climaxed. “We should get some sleep Chick,” she said with a chuckle. It seemed she found what she wanted, but I felt a little out classed for some reason. She had a degree I had found out while sitting by the Bay over looking the Golden Gate and she worked as a legal assistant. I couldn’t sleep, so I looked at some of the roof tops of the houses out my window; San Francisco was very complicated for me, all its old and new mixed into a whole, and Colleen laying next to me. But I told myself to go to sleep, tomorrow was another day. As I rolled my body back under the covers, I could not hear anymore car horns, the radio was quiet, Dan and his brother must have fallen asleep, and his girlfriend gone home. The wind was making a bit of noise on the window sill, but that was tranquilizing, if anything. Chapter Eight The Christmas Party Well, Dan was dating the Spanish lady, and Colleen was coming over picking me up on regular bases now. She even got to know the Colonel a little, and Dan and his brother Jack. I think she was eyeing up the little bedroom by Dan’s big room. In-between our dating that is. During this period in San Francisco I was working, and I wasn’t seeing Goesi much, going to the movies as I usually did, and we had a Christmas party coming up in a few days. Mom had written and I expected her to be flying into San Francisco, in two weeks. From here she’d stay a week then fly down to see my brother in Montclair, Southern California. The weather got a little colder also, but why argue it was still in the 50’s during the day, and low 40’s at night. Some rain but not much. I now was running the dogs for the Colonel; I had a hell of a time taking the “Beast,” out. I called him that because he was up to my waste when on all fours, and had teeth almost like a saber tiger; he looked more like a wolf than a dog. He ran like a horse, and I had a choke chain on him; --thank god I could run with him, I think he liked that. 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Matter-of-fact, one night a neighbor came over and was hollering at the Colonel, and threatened her about the dogs, I was in the hallway upstairs listening, had a few beers in me, I came down slowly, and she told the guy to go because I was the one running the dogs, which the guy noticed, and that with my karate, and temper it might not work out too good if he sticks around;” adding, she said, “I think he heard you hollering at me.” “So what, let him come…” and then out of the blue I was five feet from him on the outside stairway, he was two steps down, and the Colonel was against the beam of the door way. “You better take care of them dogs and shut them up before…” “Before I kick you ass, that that…” I leaped toward the man with my hands in the air as to block the man if he thrust the knife at me, and landed on the second to last step, about two feet in front of him, and in a circular motion, threw several blocks to off set his focus, he jumped back, pulled out a two inch knife, he was terrified. “You better not come closer,” he said. I started laughing. “And you mister, better shut your mouth, go home and never, I mean never come around here again, and if I find out you’ve cause any trouble for my landlady, I’ll find you and stick that knife up your ass…….get out of her NOW!!” He moved as fast as he could. Yes, I had my wild moments, as most people have. Said the Colonel, “I hope he doesn’t cause trouble for me, but I sure liked the way you handled him,” and she had a smile half a mile wide. vig rx penis pill penis enhancement surgeon top penis enlargement pill penis elargement pills product top penis enlargement pills cheap penis enlargement best pennis enlargement pills compare penis enargement pills best penile enlargment surgery

If you are reading this, and fit the situation, then the subject is already a consideration on your mind. You may have read something on the subject, spoken to a girlfriend who has passed through the experience recently, and heard about it in school. We hope to help you here, with a short guide. It is for you. First of all, you must feel it is the correct thing to do. You must NOT be pressured into it, or the experience will fail to bring you the pleasure and good memories you expect and deserve. You are in charge of your life and body. You must really feel ready for it. If you have been masturbating, you probably had clitoral orgasm, so you know what is possible in terms of feelings. You must also, know your own anatomy. You know you have some outer lips that cover the vulva, and some inner lips which are very flexible. If your hymen is intact, you are also going to tear that, with the accompanying sensations and bleeding. Find out. In the second consideration, do not have sex if you have over-drunk alcohol. You can become drunk and lose a great deal of your judgment after even one drink. The third consideration is INSISTING on the use of a condom with your partner. The reasons for this are well known, and certainly there is no excuse for not using it. You must be protected. This is a health concern, a very good way to prevent conception, and generally a good idea as it will help to slow down your partner by desensitizing him a bit. So to begin. You cannot have too much foreplay. This should take the form of mutual kissing, erotic massaging, exploring each other’s bodies, seeing where each of you are sensitive and have erogenous spots. Don’t rush. It will be over soon enough as it is. All the while as you have foreplay, your womb will be producing the all important moisture that is required. Believe us, the wetter the better. You cannot be too wet for the first time. If you are a bit adventurous, ask you partner to give you cunnilingus, and if you can, give to your partner some fellatio. These are wonderful signs of showing affection. Getting into it. Make sure after your foreplay (and perhaps fellatio) put on the condom if you haven’t already. The partner may make the first move to go directly into the standard missionary position. Bad idea. It is the worst position to lose your virginity. You are not in control, and it will be more painful and you cannot do anything but lay there and take it. Instead, try the girl on top position. Here you are in control. Your vagina has never had anything in it before (like a penis) and it must accommodate it slowly…and it will. If you are losing you hymen, you are the one determining the speed and pressure with which it occurs. You will not suffer, and if you are still not wet enough, you can apply some water-based vaginal lubricant (such as K-Y). The deed is soon done, and you can get down to thrusting. At first, have your partner move without thrusting, just applying pressure while fully inserted in your vagina. As it begins to feel natural, you can your self start thrusting. At this point you can change positions (assuming your partner has lasted) and go onto your back. However, do not settle for the simple missionary position, but tilt your pelvis slightly up, and ask your partner to suspend himself on his arms and not lay on you…this when thrusting will stimulate both your clitoris and G-spot. There are a lot of variables here, but lose you virginity as we suggest, and you will have in your mind pleasant memories instead of feeling unfilled, or used. penis enhancement surgeon manual penis enlargement homemade penis enlarement penis enlarement surgeries penile enlargment drug cheap penis enhancement pills enlargment manhattan penile surgeon penis enlarement excercises best penile enlargment surgery

Proper Sexual function in men is a combination of desire for sex and the ability to get the job done and nitric acid is essential in the process. If you don’t get enough nitric oxide performance will suffer. Let’s look at why it’s so critical and ways to ensure you are getting enough. The erection process begins with sensory and mental stimulation. Impulses from the brain and nerves cause the release of nitric oxide. This then causes the muscles of the penis to relax allowing blood to flow into the spongy tissue of the penis and create an erection. Nitric Oxide declines with age and many men who are getting older do not need to take Viagra they simply need to increase their production of nitric oxide and get the blood flowing sufficiently to achieve an erection. Difficulties can arise from physical problems such as hardening of the arteries that restricts the flow of blood into the penis. Nitric oxide is produced in several areas of the body. A critical area of production is in the walls of the arteries. Arteriosclerosis (build up of plaque in the arteries) hinders the production of nitric oxide and also contributes to blocking the flow of blood particularly to the sexual organs. There are s supplements that are proven to help with the production of Nitric Oxide. Many men will find that by taking them they can increase libido sex drive and get better erections and they are: 1. L-Arginine, 2. Gingko biloba, 3. Ginseng All have undergone significant medical testing and are safe to take and do not need a prescription. Many men who take Viagra don’t actually need it and the above will in many cases help. When looking at sex drive and lack of libido you need to look at the whole of your body none of it works in isolation it works as a whole and curing lack of libido should be seen in this way. Nitric oxide is critical for peak sexual performance so make sure your getting enough