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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. And people jumped every which way when they seen us coming: --and a few times he got away from me whereas the panicked started all around me, people jumping far away from the on coming beast, I didn’t blame them. The Confrontation I knew when I left San Francisco, I’d miss the dogs. 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. penis enlargement exercise cheap penile enlargement penile enlargment pump penile enlargement drug free penis enlagement technique online vig rx best penile enlargement surgery vimax penis enlargement tool

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Tantra is a spiritual tradition that originated in India some 4,000 years ago. It is a way of life that celebrates and strives for the union of body, mind, heart and soul. Tantra is a form of yoga. Yoga means union. The ultimate purpose of Tantra is the union of lovers, and ultimately union with the Divine. In the Tantric tradition, sexuality and spirituality are joined. Lovers actually invite God into their bed! Many cultures have a variation of this challenging and delightful practice, the Taoists in China and the Cheyenne in North America. There are differences in these practices, but all forms of sacred sexuality share the intentional cultivation and use of sexual energy for spiritual growth, healing, creativity and enhanced pleasure. The practices of Tantra were first introduced to the west in the 1800s, but a Tantric revival in the ashrams of India during the late 1960s has led to a gradual popularization of these practices in Europe and North America. Recent testimonials by celebrity musicians and movie stars like Sting and Woody Harrelson have promoted it and Tantra is becoming the sexual learning of choice for those who want to have it all: a passionate sex life, a healthy body, and spiritual growth. Tantric lovemaking involves breathing exercises, muscle contraction exercises, sound, visualization, affirmations, creating a sacred loving space and other ceremonial practices, meditation, sensual massage, and sexual play. In order to build a high sexual energy charge and to move into ecstatic states of divine connection Tantric lovers extend lovemaking over several hours, experiencing extraordinary levels of pleasure along the way. Part of the delight of Tantra is that you can continue to learn and advance throughout years of practice; it is never-ending in its potential for growth. At the same time, it is a practice that yields immediate results. You can experience a difference in your lovemaking right now if you follow these nine simple steps. Tantric Loving Step by Step 1. Intention Regular lovemaking has a goal, orgasm. If you both come at the same instant, many believe this is as good as it gets. However, this approach often results in a great deal of frustration and performance anxiety. With Tantric sacred loving there is no goal, but there is a purpose, union. Your intention is to merge with your lover in all aspects, body, mind, heart and soul, not just body. You can help this along by looking at your lover differently, by seeing your partner as a god or goddess, as a living expression of the divine. Look for the glory, the beauty and the wonder in your playmate and in yourself and let that shine. 2. Creating a Sacred Loving Space Set the mood; transform any ordinary space, bedroom, living room, etc., into a sacred space. It takes only a few minutes and costs little or nothing. The important thing is your intention, not the specific items you use. First, clean the room; vacuum, dust, and put away any clutter lying about. In the evening dim the lights and use lots of candles. Bring in plants or fresh cut flowers. A bowl of fruit is very sensual. You may wish to have a bottle of wine to share. Bring special objects that have emotional importance for into the room. Make up a lover's bed using your finest clean linens (silk is exquisite) and have lots of pillows handy. When you have finished creating the space, take a few moments to purify it energetically. That means consciously sending away negative or fearful thoughts and feelings, and inviting in those that are joyous, passionate and safe. Create your own rituals with sweet grass, incense, and musical instruments. 3. The Lover's Purifying Bath Cleanse each other in preparation for your joyous union. Wash away the dirt and cares of the world. A hot bath with essential oils and bath salts is perfect, especially if you can both fit into the tub at the same time. A shower is the next best thing, but perfectly acceptable. The essential thing is to be squeaky clean. After all you will be eating off that skin! Make the bath a slow, luxurious affair giving complete attention to your lover. Wash and dry each other with playful abandon. Men shave or trim facial hair and apply scent. Women apply their best perfumes and lotions. Sensually prepare your bodies for the delights ahead. 4. Honor, Respect and Permission Trust, surrender and opening your heart are essential if you want to reach the heights of bliss. It is not just technique that will get you there. You must join together as loving equals on the sexual journey. Men, think of the yoni (vagina) as a potential opening, don’t ever take your lady for granted! Speak softly how much you adore, love and respect her as you gently blow on her ears and nibble on her ear lobes. Let her know that you think of her constantly and how strong your desire is to make love with (not to) her. Also, let her know that you invite her to awaken sexually and to express her sexuality fully. Let her know that you are NOT caught in that tired old cultural conditioning that still insists "good girls" do not enjoy sex, the Madonna/Whore split. Make her believe you when you tell her that you know she can be all she wants to be: a successful career woman, a respectful daughter, a faithful wife, a caring mother, a passionate lover and a sincere spiritual seeker all at the same time. Tell her how beautiful she is, how wonderful she smells, and all the things you appreciate most about her. Finally, ask permission to be her passionate Tantric lover. Ladies, let your man know that he is safe! He may act macho and tough, showing little emotion, but inside most men are afraid of emotional intimacy. The tougher a man acts the greater this fear of trusting and surrendering will be. Let him know that you admire his strength, but that it also turns you on when he allows himself to be vulnerable by showing his feelings. Tell him how handsome he is and how talented. Mention all the things you like most about him. Tell him why you love him so deeply. Tell him how much you think about him when he is away, and how you have fantasies about making love with him and touching him when he returns. Make him believe that you really want him sexually. Finally, ask permission to be his passionate Tantric lover. 5. Foreplay Two simple ways to tune into each other are harmonizing your breathing and gazing deeply into each other's eyes. By matching your breathing rhythms and making soulful eye contact you connect emotionally and energetically as well as physically. Begin to explore each other's bodies with wonder, lust and playfulness. Remember, in Tantric sacred loving there is no goal. You are not trying to get somewhere. Each touch is complete in and of itself. Once you master how to work with your sexual energy both lovers will discover they can have orgasms just by touching fingers together, or looking into each other's eyes across a crowded room! So men are not in a hurry to get at the woman's breasts or into her yoni. When touching her body, start at the extremities, fingers and toes, and work in toward the hot spots. Go slowly! Generally men enjoy having their genitals touched at any time, but women usually only enjoy having their breasts and genitals touched after they are already sexually excited from other touching, stimulating conversation, or emotional connection. Make sure the woman is well lubricated before any attempt at intercourse. If possible, help her to have a clitoral orgasm before moving on to intercourse. 6. Intercourse Five to fifteen minutes of lovemaking is usually not satisfying for women. Men can learn to delay ejaculation so that lovemaking can be extended for hours. A man can delay ejaculation for weeks or months at a time, not just during one lovemaking session. A man who masters his ejaculation response can separate orgasm from ejaculation and become a multi-orgasmic-man! Such a man can last long enough in lovemaking so that his female partner will have enough time to also have multiple orgasms. Although Tantric loving lasts several hours, this does not mean you are having active intercourse during that entire time. Intercourse is interspersed with touching, oral play, quietly holding each other, dancing, massage, etc. It is a good idea for a man to allow his erection to subside every 30-45 minutes to exchange the blood supply and recharge his oxygen and hormone levels in the lingam (penis). 7. Moving Your Energy: The Passion Pump Riding the wave of bliss happens when the lovers become totally aroused sexually, maintaining that arousal for a period of time. They build up intense hot sexual energy. For the man, if this energy has nowhere else to go, there will be such great pressure in the prostate, that it will go into involuntary spasm and ejaculation will end the lovemaking. However, with a combination of breathing, relaxation, and muscle contraction exercises both men and women can learn to circulate sexual energy through their own and their lover's body. Ultimately the ego boundaries disappear and the lovers become one in ecstatic union. The muscle contraction exercise is very simple. If you were urinating and stopped the flow of urine in mid-stream you would be contracting exactly the right muscles in exactly the right way. This squeezing and relaxing of muscles around your genitals is called the PC Pump. It's the first and most important exercise in learning to circulate your sexual energy. At the peak of sexual arousal, either during intercourse or manual/oral stimulation stop your normal lovemaking movements and focus on moving the sexual energy that's pulsing in your genitals. Move it up and through your body. Use slow, deep abdominal breathing to keep your body relaxed. Add the PC pumping action and visualize moving energy up your body in a ball of fire or a wave of light or a current of electricity. Through your eyes, your hands, your genitals pass this powerful force on to your lover. At first, this may seem difficult because we are not accustomed to paying attention to our internal energy. With practice, you will be able to recognize and direct it. 8. Afterplay Regular lovemaking usually ends (often abruptly) when the man ejaculates, but Tantric sacred loving often ends while the lovers still have desire. This assumes the man has some mastery over his ejaculation response so that ending lovemaking is a conscious choice, sometimes including ejaculation, sometimes not. With Tantric loving you wind down your lovemaking with slow caresses, words of endearment and honoring each other with food and drink. 9. Sharing Wine, Food and Other Sensual Pleasures The sharing of good food, wine and other intoxicants, sensual massage, dressing up in costumes and playing sexual games are part of the ancient Tantric tradition. While Tantra is serious, it need not be heavy. Lighten up; be playful, lusty and daring! Tantra lovers know that they are personally responsible for their own sexual fulfillment and their own spiritual progress. This may be especially important for men. Many men experience a great deal of performance anxiety. But even the greatest, most sensitive, highly skilled Tantric lover cannot make a woman have orgasms. She must be able to go to that place in herself that is orgasmic. Sexual/spiritual ecstasy has little to do with control. It requires trust, surrender and letting go. Both lovers must learn to do this. If there is some psychological work to do before you will allow yourself to open in this way, then get on with it! In the meantime, please each other with the preparation, serving and consumption of fine food and drink. Lavish each other with touching in sensual massage. Dress up (and down) for each other. Take on different personalities with different costumes; wear masks. Play and laugh together. Celebrate your spirit through your sexuality. Open your heart. Let your lover in and your love out! enlargment manhattan penis surgeon mp4 vimax penis enargement surgeon prosolution penis enlargement pills natural penile enlargment technique compare pennis enlargement pills cheapest penis enlargement pills best penis enlarement surgery cheap pennis enlargement pills

One of the more popular plastic surgery procedures involves breast enlargements. Let us take a closer look at the type of procedures available. Enlargements are often thought to be the most popular form of plastic surgery. In truth, it is the third most popular procedure and covers more option than most people consider at first blush. The procedure is technically known as augmentation mammaplasty. It involves the placement of an implant into both breasts for the purpose of enlarging and shaping the breasts. The earliest form of this procedure was undertaken in the 1860s in Germany with fatty tissue from the body used to perform the enhancement. As time passed, silicone implants became the implant of choice, leading to one of the most contentious debates in medical science. Ultimately, the silicone implants were banned in 1992 by the Federal Drug Administration. Improved design and further medical research has led to the reintroduction of some silicone implants and the FDA is considering approving further models. There are several techniques used in enhancements and you should discuss the best option with your plastic physician. Nonetheless, the options are sub-glandular where the implant is placed in the body of the breast, sub-muscular for small chested individuals where the implant is placed below the musculature, and sub-fascial where the implant is placed between the muscle and outer fascial. The specific procedure is dependent upon the pre-existing conditions each person has. A second issue that you need to keep in mind is the type of incursion technique. Specifically, where will the surgeon create an incursion in the body to put the implants? The axillary approach involves creating an incision in the arm pit and bringing the implant in from the side. Peri-Areolar involves an incision around the lower half of the nipple, in a semi-circle format. The Infra-mammary approach involves an actual incision into the lower flesh area. The incursion technique should be discussed carefully with your surgeon, particularly as it pertains to scarring issues. Incisions result in scars, and even tiny ones have to be taken into account. The decision to have enlargement surgery necessarily involves a lot of choices. Make sure to fully discuss the options, risks and benefits with your physician to determine if the surgery is appropriate for you and the best option to get a result you are happy with in the future. penis enhancement surgery photo penis enlargement surgery photo penis enlargement without pills enlargement manhattan penis surgeon vimax penis enlargement before and after photo enlargment free penis pills sample safe penis enlargement penile enlargement patch cheap pennis enlargement pills

Medical hair restoration in the literal sense includes the hair loss treatment which depends upon the use of medicines. Unusual hair loss both in men and women is caused by the alterations in the androgen metabolism. Androgen is a male hormone which has a major role to play in regulation of hair growth or hair loss. The dermal papilla is the most important structure in a hair follicle which is responsible for hair-growth. It is the dermal papilla, the cell of which divides and differentiates to give rise to a new hair follicle. The dermal papilla is in direct contact with blood capillaries in the skin to derive the nutrients for the growing hair follicle. Research has shown that dermal papilla got many receptors for androgens and there are studies which have confirmed that males have more androgenic receptors in dermal papilla of their follicles as compared to females. The metabolism of androgen involves an enzyme called 5 alpha reductase which combines with the hormone androgen(testosterone) to form the DHT (Dihydro-testosterone). DHT is a natural metabolite of our body which is the root cause of hair loss. Proper nutrition is critical for the maintenance of the hair. When DHT gets into the hair follicles and roots (dermal papilla), it prevents necessary proteins, vitamins and minerals from providing nourishment needed to sustain life in the hairs of those follicles. Consequently, hair follicles are reproduced at a much slower rate. This shortens their growing stage (anagen phase) and or lengthens their resting stage (telogen phase) of the follicle. DHT also causes hair follicle to shrink and get progressively smaller and finer. This process is known as miniaturization and causes the hair to ultimately fall. DHT is responsible for 95% of hair loss. Some individuals both men and women are genetically pre-disposed to produce more DHT than the normal individuals. DHT also creates a wax-like substance around the hair roots. It is this accumulation of DHT inside the hair follicles and roots which is one of the primary causes of male and female pattern hair loss. Blocking the synthesis of DHT at molecular level forms the basis for the treatment of MPHL ( male pattern hair loss) and FPHL female pattern hair loss). There are many natural DHT blockers and a number of drugs which are used for medical hair restoration. Let us see the main drugs which are available for medical hair restoration in men and women. Minoxidil Minoxidil has the distinction of the first drug being used for promoting the hair restoration. This medical hair restoration treatment drug was used earlier as an oral antihypertensive drug, but after its hypertrichosis (excessive body hair) effects were noticed, a topical solution of the drug was tested for its hair growing potential. Minoxidil was then approved as medical hair restoration treatment drug for men by the US Food and Drug Administration (FDA) in 1988 as a 2% solution, followed by 5% solution in 1997. For women, the 2% solution was approved in 1991. Though 5% solution is not approved for women, it is used as a medical hair restoration treatment by many dermatologists worldwide. Both solutions are available without a prescription in the US. Mechanism of action Minoxidil is thought to have a direct mitogenic effect on epidermal cells, as has been observed both in vitro in vivo. Though the mechanism of its action for causing cell proliferation is not very clear, minoxidil is thought to prevent intracellular calcium entry. Calcium normally enhances epidermal growth factors to inhibit hair growth, and Minoxidil by getting converted to minoxidil sulfate acts as a potassium channel agonist and enhances potassium ion permeability to prevent calcium ions from entering into cells. Thought the exact action of minoxidil preventing the formation of DHT has not been shown but the drug has been shown to have a stabilizing effect on the hair loss. The result of the drug takes about few months time to be evident since it is the time which is necessary for restoring the normal growth cycle of hair fibers. Use of Minoxidil has approved by FDA for men (Norwood II-V) and women (Ludwig I-II ) older than 18 years. It is used as a medical hair restoration treatment either for frontal or vertex scalp thinning. It brings about an increase in density which is mostly caused by conversion of miniaturized hairs into terminal hairs rather than a stimulated de novo re-growth. The hair loss becomes stabilized after continued use of drug, which takes about a year’s time for the medical hair restoration treatment to show its complete results. Hair loss restoration treatment with 0.05% betamethasone dipropionate and 5% topical minoxidil are found to be superior to minoxidil alone. Topical minoxidil is very well tolerated and adverse effects are mainly dermatologic. The most frequent adverse effect is an irritant contact dermatitis. Though minnoxidil does not have any effect on blood pressure, it should be used with caution in patient with cardiovascular diseases. It is also contraindicated in pregnant and nursing mothers. Finasteride The drug finasteride was earlier used as treatment for prostate enlargement, under the medical name Proscar. But in 1998, it was approved by FDA for the Medical hair loss restoration in MPHL. Mechanism of Action Medical hair restoration treatments with Finasteride depends upon its specific action as an inhibitor of type II 5α-reductase, the intracellular enzyme that converts male hormone androgen into DHT (Dihydro Testosterone). Its action results in significant decrease in serum and tissue DHT levels in even in concentration as low as 0.2mg. Finnasteride is able to stabilize hair loss in 80% of patient with Vertex hair loss and in 70% of patients with frontal hair loss. Most of these patients are able to grow more hair or retain the ones they have. The peculiar thing about Propecia is that its effect is more pronounced in crown area than in the front. The hair that grow after the medical hair restoration treatments are better in texture and are thicker, more like the terminal hair. The best thing about medical hair restoration treatment with the finnasteride is that it is well tolerated and has minimal side effects. Sexual dysfunction (decreased sex drive, erectile dysfunction, and decreased semen volume) are observed in about 3.8% of cases. But these side-effects subside within few months of Medical hair restoration treatments or disappear within a week’s time as soon as the treatment is stopped. It generally requires about 6 to 12 months for the m edical hair restoration treatment to be apparent but the side effects appear earlier. So even after the medicine is stopped, there is no possibility of loosing the hair that has been gained, but the side effects are sure to disappear. Many hair restoration surgeons find Propecia (finasteride) to act as an excellent adjunct to the surgical hair restoration. There are several benefits of this kind of combination therapy. As the Medical hair restoration with Propecia brings about a hair re-growth in the crown area, it has a complementary action; it allows the surgeon to have more donor hair to be available for frontal hair transplant and design the hairline at his own will. Since finasteride has no effect in the frontal area of the scalp, it does not have any interference with the surgical hair restoration. Combination Therapy There are reports which say that use of finasteride and topical minoxidil combination therapy as a Medical hair restoration treatment is of more advantage in cases of mild to moderate MPHL. Further studies are in progress. Many hair restoration doctors have already started the use of combination therapy in order to obtain better hair growth. Anti Androgen Therapy For women with hyperandrogonism( with increased levels of androgen) who do not respond well to minoxidil, antiandrogen therapy is another option of Medical hair restoration. In UK the most commonly used anti-androgen for women is CPA (cyproterone acetate), which is used in combination with ethinyl-estradiol. However, in United States, where CPA is not available, the aldosterone antagonist spironolactone is the alternative choice of hair restoration doctors. Flutamide Medical hair restoration with flutamide has shown improvement as hair loss restoration treatment in women with hirsutism. For hyperandrogenic premenopausal women, flutamide is a better medical hair restoration agent than both the CPA or finestride. Hair loss restoration management is a structured process which depends upon many factors along with the medical hair restoration. For more details on the topic you can refer to section medical hair restoration or article on male pattern hair loss or female pattern hair loss at our site hairtransplantadvice.com. penis enlargement testimonials do penis elargement pills really work manual pennis enlargement mp4 vimax enargement manhattan penis surgeon penis enlarement before and after photo prosolution pennis enlargement pills vimax do penis enlargement pills really work cheap pennis enlargement pills

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