One Boom With Twenty Million Sperm

People always think that infertility problem is only on women side. Studies shows that men contribute 50% of the infertility among couples. Some people experience poor sperm in semen. Because sperm is microscopic you cannot see it with naked eye. High volume of semen don't mean high volume of sperm. The above product (spermboom) is made up of herbal supplements that enhance the lifespan, motility, maturation and healthiness of sperm. Boost your sperm with this herbal supplement. Being a herbal supplement it does not have any side effects. As a supplement it contains natural vitamins (not synthetic vitamin) that are antioxidant. Being antioxidant it prevent oxidation of molecules in the body that will release free radicals to cause diseases. Every diseases originated from the oxidation of molecules in the body to cause disease. E.g  somebody that has high level of glutathione will not experience malaria because glutathione will prevent oxidation of free radicals. Likewise someone that takes proper dose of vitamins such as Vitamin E A and C will not feel sick easily so this herbal supplement (spermboom) contains Vitamins in a right proportion that boasts, maintain motility healthiness and maturation of sperm also help in tissue development and those with chronic diseases like diabetes will benefit well.

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Clomid 《Clomiphene》
What clomid is used for

Clomid contains the active substance (clomiphene citrate) which belongs to a group of medicine called synthetic ovulation stimulants. Clomid (clomiphene citrate) is used as a complementary drug for fertility treatment. This medication works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg {ovulation}.

How to take clomid

Always take this medicine exactly as your doctor has prescribed for you. Clomid is an oral medicine to be taken by mouth, swallow the dose prescribed by a doctor with a small amount of water, do not chew or break the tablets. Do not exceed the recommended doses. Check with your doctor or pharmacist if you are not sure.

Usual dosage of clomid

Anovulatory infertility, the recommended doses of 50mg to 100mg of clomid
are given daily, far from meals, for five days, starting on the 5th day of the menstrual cycle. In patients with amenorrhea, treatment can be started at any time. If pregnancy does not occur after six causes of treatment, it is unlikely to act and treatment should be discontinued.

Main side / adverse effects

Like other medicine, clomid can cause side effects although not everybody get them the following side effects may occur.*

  • Hot flushes
  • Abdominal discomfort
  • Occasional nausea and vomiting
  • Insomnia
  • Breast tenderness
  • Intermenstrual spotting
  • Endometriosis
  • Weight gain
  • Headache
  • Rashes and dizziness
 * stop taking clomid and consult your doctor immediately if the above-listed symptoms occur.

Important information
Clomid should not be given to patients with ovarian cysts or endometrial carcinoma or during pregnancy. Moreover it is on advisable to continue treatment for prolonged periods. Patients should be advised about the possible occurrence of double or multiple pregnancy.

Your honest comments are highly appreciated .....
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Glucophage Uses, Dosage & Side Effects.

What is glucophage tablet?

Glucophage (metformin) is an oral diabetes medicine that helps to lower your blood glucose to as normal a level as possible.

Glucophage uses:

Glucophage is used as the first line treatment of diabetes. It belongs to a group of medicines called biguanides. Insulin is a hormone produced by the pancreas that makes your body takes in glucose (sugar) from the blood. Your body uses glucose to produce energy or stores it for future use. If you have diabetes, your pancreas does not make enough insulin or your body is not able to use properly the insulin it produces. This leads to a high level of glucose in your blood. Glucophage helps control blood sugar levels. If you are an overweight adult, taking glucophage over a long period of time also helps to lower the risk of complications associated with diabetes.

How to take glucophage:
Take glucophage with or after a meal. This will avoid u having side effects affecting your digestion. Do not crush or chew the tablet. Swallow each tablet with a glass of water.
  • If you take one dose a day, take it in the morning (breakfast) or if you take two doses a day, take them in the morning (breakfast) and evening (dinner)
  • If you take three divided doses a day, take them in the morning (breakfast), at noon (lunch) and in the evening (dinner) if, after some time, you think that the effect of glucophage is too strong or too weak, talk to your doctor or pharmacist.
If you have taken more glucophage than you should have, you may experience lactic acidosis. symptoms of lactic acidosis are vomiting, bellyache (abdominal pain) with muscle cramps, a general feeling of not being well with severe tiredness, and difficulty in breathing. If this happens to you, you may need immediate hospital treatment, as lactic acidosis may lead to coma. Contact a doctor or the nearest hospital straight away.

Usual dosage of glucophage 
Adult, children 10 years and over and adolescent usually start with 500mg with breakfast for at least one week then 500 mg with breakfast and evening meal for at least one week, then 500mg with breakfast, lunch and evening meal or 850 mg every 12 hours with or after food, usual maximum 2g daily in divided doses.

Main side/adverse effects 
Like other medicines, glucophage can cause side effects, although not everybody gets them. The following side effects may occur:
  • Gastrointestinal adverse effects including anorexia, diarrhoea, dyspepsia, flatulence, nausea, vomiting.
  • Headache, metallic taste, weight loss 
  • Anaemia, megaloblastic, hypoglycemia, lactic acidosis, long time glucophage therapy may cause a decreased of vitamin B12 absorption with decreased of serum levels.
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The ‘ABCs’ of diabetes

The ‘ABCs’ of diabetes – Patient Information

What can I do to stay as healthy as possible if I have diabetes? – If you have diabetes (sometimes called diabetes mellitus), the most important thing you can do is to control your “ABCs”:

“A” stands for “A1C” – A1C is a blood test that shows what your average blood sugar level has been during the last few months.
“B” stands for “blood pressure” – If you have diabetes, controlling your blood pressure is just as important as controlling your blood sugar. High blood pressure puts you at risk for heart attack, stroke, and kidney disease.
“C” stands for “Cholesterol” – Cholesterol is a waxy substance found in the blood. High cholesterol is another factor that increases your risk of heart attacks, strokes, and other serious problems.

Why are my ABCs so important? – Compared with people who do not have diabetes, people who have diabetes are 2 to 3 times more likely to have a heart attack or a stroke. People with diabetes also have heart attacks at a younger age, and that are more severe and more deadly. Plus, people with diabetes are much more likely to get kidney disease. By keeping your ABCs under control, you can lower your risk of these problems by a lot.

Isn’t my blood sugar the most important thing? – Keeping blood sugar low is important in preventing some problems caused by diabetes, including:
Eye diseases that led to vision loss or blindness
Kidney disease
Nerve damage (called “neuropathy”) that can cause numbness or pain in the hands and feet
The need to have toes, fingers, or other body parts removed by
surgery (amputated).
Even so blood sugar is just one of the things that should get your attention. That’s because the problems caused by high blood pressure and high cholesterol are often more serious than the ones caused by high blood sugar.

What should my ABC levels be? – The levels you should aim for will depend on how severe your diabetes is, how old you are, and what other health problems you have. Ask your doctor or nurse what your target levels should be.
Many people with diabetes aim for:
A1C levels below 7 percent
Blood pressure below 140/90, or lower in some cases
LDL Cholesterol level below 100 (LDL is one type of cholesterol, often called the “ bad cholesterol” or lousy cholesterol”).

How can I control my ABC? --- you and  your doctor will work together to create a plan to keep your ABCS under control. Your plan might include:
Medicine- Most people with diabetes take medicine every day to control their blood sugar.
They might also need to check their blood sugar level every day. Plus, many people with diabetes need medicine every day to treat high blood pressure or high cholesterol, or to prevent future health problems. If you have any problems with your medicines, or you cannot afford them, talk to your doctor or nurse about these issues.
Lifestyle changes—Choices you make every day about the foods you eat and the way you live can have a big impact on your ABCS and your general health. Here are something’s you can do to help keep your ABCS under control or  reduce your health risks:
Make healthy food choice – Eat lots of fruits, vegetable, whole grains and low –fat dairy
Products. Limit the amount of meat and fried or fatty foods that you eat.
Be active- Walk, garden, or do something active for 30 minutes or more on most days of the week
Stop smoking- Smoking increases the chance that you will have a heart attack or stroke, or develop cancer.
Lose Weight-  Being overweight increases  the risk of many health problem
Avoid alcohol- alcohol can increase blood sugar and blood pressure.
Luckily, many of the lifestyle changes above can improve all 3 of the ABCs. For instance, being active and losing weight can help control blood sugar, blood pressure and cholesterol levels (table 1).
Ways to get your ABCs under control
Take your medicine every day.
Eat a diet low in saturated fat and Cholesterol but rich in fruits and vegetables and low-fat dairy products.
Limit the amount of salt (sodium) you eat
Be active
Lose weight if you are overweight
Avoid alcohol.

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Eye complications

Diabetic retinopathy is a leading cause of visual disability. Significant retinopathy is rarely encountered in the first five years of type 1 diabetes mellitus, nor before puberty. However, over the subsequent two decades, the vast majority of people with diabetes develop retinal changes.
DAN (Diabetes Association of Nigeria) recommends that initial eyes examination should be done:
Within 5 years after the onset of type 1 diabetes,
Shortly after the diagnosis of type 2 diabetes.
The eye examination should be repeated annually for both type 1 & 2 diabetes. Less frequent examination (every 2-3 years) may be considered one or more normal eye exams.
Good control of diabetes results in the occurrence of retinopathy. Timely laser photo-coagulation has been gdemonstrated to prevent a major proportion of severe visual loss associated with proliferative retinopathy. It has also been shown to be of considerable benefit to patients with macular edema.
To prevent retinopathy and visual loss, the following are recommended:
Promoting good glycaemic control in all diabetic individuals
Controlling blood pressure
Detecting and treating glaucoma at an early stage
Detecting and treating cataract.
Detecting and providing timely treatment of potentially serious retinal changes
DAN guideline also states that Aspirin does not increase the risk of retinal haemorrhage and its use for cardioprotection is not contraindicated in retinopathy.


Diabetic nephropathy is a major cause of death among people with diabetes and an important cause of morbidity and increased health care costs due to diabetes. It leads to end-stage renal disease requiring dialysis or renal transplantation.
This complication maybe prevented and progression can be slowed by:
Strict glycaemic  control
Vigorous treatment of hypertension
Avoidance of nephrotoxic drugs and early and effective treatment of infection.

 The onset of clinical nephropathy is manifested by proteinuria. However an earlier marker of the onset of nephropathy is the presence of microalbuminuria (defined as an overnight excretion of 20-200 ɥg/min or excretion of >30 mg/24-hr) on more than one occasion.
The following action should be taken:
People with diabetes should have their urine tested at initial assessment and periodically at annual reviews.
In the absence of proteinuria, a test for microalbuminuria is recommended where local resources permit.
In the presence of microalbuminuria or gross proteinuria:
Full assessment of renal function should be performed periodically
Treatment of hypertension should be instituted as early as possible and good control should be achieved. Emphasis should be given to:
Avoidance of nephrotoxic drugs and early and effective treatment of infection
Optimal diabetes control
Dietary modifications in the form of reduced protein intake  and salt restriction If the need arises
DAN guideline recommends the use of ACE inhibitors, ARBs in treating non-pregnant patient with micro- or microalbuminuria. It further recommends reduction in protein intake and monitoring of serum creatinine and potassium levels in patients on ACE inhibitor, ARBs or diuretics.


Neuropathy is a common complication of diabetes. It causes clinical manifestations and disabilities of diverse spectrum and considerable severity. Both peripheral nerves (sensory and motor) and the autonomic nervous system can be affected. Patients present with distal symmetrical polyneuropathy (DPN), focal neuropathy or manifestations of autonomic involvement such as gastroparesis, constipation, diabetic diarrhea, bladder dysfunction, impotence and orthostatic hypotension.
Peripheral nerve affectation together with peripheral vascular disease predispose to foot ulcers and infection. If not detected early, these lesions may progress to gangrene and result in amputation.
Neuropathic involvement can be prevented or delayed by good glycaemic control. Foot complications can be avoided by good foot care and detection of early lesions.

Foot Care

Severe foot lesions requiring amputation are one of the major complications of diabetes.
The two main approaches to prevention are: (1) identification of high-risk individual, and (2) early detection of foot lesions: for example, trauma, infection or ulcers.
 Intensified foot care should be ensured for patients at high risk, such as those with:

Symptoms and/or signs of neuropathic involvement
Evidence of peripheral vascular disease
Nephropathy or significant retinopathy
Foot deformities and chronic orthopedic or rheumatic disorders, and
Poor hygiene
Instructions on foot care should be an integral part of any educational activity on diabetes.
They should focus on:
Self examination
Avoidance of trauma
Cessation of smoking, and
Wearing properly fitted shoes.
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1. Screening for diabetes during pregnancy

A substantial proportion of women of child bearing age develop gestational diabetes mellitus (GDM). GDM is defined as diabetes which is first detected during pregnancy. In order to prevent maternal and prenatal complications of diabetes, early detection of glucose tolerance abnormalities during pregnancy is important. Another advantage is screening for GDM is the fact that women who develop glucose intolerance during pregnancy will run higher risk of developing diabetes in the future; thus, detection of this abnormality provides the possibility of preventive intervention.

Screening is recommended at two stages during pregnancy: All pregnant women should be screened for diabetes during the first antenatal visit by testing for glycosuria. A positive test is an indication for further assessment by a 75 g oral glucose tolerance test.
At 24-28 weeks of gestation, women at high risk of developing GDM  or IGT should be screened by means of an oral glucose tolerance test, using 75 g glucose load.
Those at high risk include women with:
Previous GDM or IGT
A family history of diabetes
Adverse obstetric history
History of giving birth to a big baby
History of congenital malformation affecting the newborn in previous pregnancy
The WHO criteria for the diagnosis of glucose tolerance abnormalities can be used during the pregnancy.


Good glycaemia control has special importance during pregnancy. Maternal and prenatal complications can be reduced if good control is achieved before and during conception. Good biochemical control before pregnancy is important since hyperglycaemia seems to be a major factor in the development of congenital malformations and the risk of these malformations is highest during the first eight weeks of gestation.
Guidelines for the management of diabetes during pregnancy

Intensive education and management of the woman with diabetes should start several months before conception to ensure strict control during the early weeks of pregnancy.
Pregnancy may have to be deferred until optimal control is achieved.
Women well controlled on oral hypoglycemic drugs should be changed over to insulin and achieve optimal blood glucose control before conception.
Those controlled on diet alone may continue on such therapy as long as they are carefully monitored to assess the need for insulin.
Therapy targets, prior to conception, should be achieved. Treatment should aim at having pre-prandial and postprandial glucose levels which are close to normal as well as normal or near normal glycated hemoglobin levels (i.e., A1C, if such measurement is available).
Full clinical assessment is needed. Renal and retinal complications should be looked for.
During pregnancy frequent follow-up is needed to insure that therapy target is meet without significant hypoglycaemia. Review every two or four weeks is generally recommended but should be more frequent if required.
Early morning urine should be tested for ketones, if indicated, to rule out starvation. Urine glucose measurement, however, is no longer reliable during pregnancy because of change in the renal threshold Insulin is preferably given three to four times per day. Some patient may be  controlled with two daily injections of a mixture of short- and intermediate- acting insulin.
Delivery should be planned jointly by the physician and the obstetrician. It can take place at term without surgical intervention but earlier induction of caesarean section may be needed for obstetric reasons.
Following delivery, frequent blood glucose monitoring is needed to avoid hypoglycaemia and to adjust the insulin dose which diminishes dramatically at this stage.
Postpartum follow-up and counseling will be needed in all cases.

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What can you do to lower your risk of developing type 2 Diabetes?

You can’t do anything about your age or your genetic predisposition. On the other hand, the rest of the factors predisposing to diabetes, such as overweightness, abdominal obesity, sedentary lifestyle, eating habits and smoking are up to you. Your lifestyle choices can completely prevent type 2 diabetes or at least delay is onset a much greater age.
If there is diabetes in your family, you should be careful not to weight over the years. Growth of the waistline, in particular, increases the risk of diabetes, whereas regular moderate physical activity will lower the risk. You should also pay attention to your diet; take care to eat plenty of fiber-rich cereal products and vegetables every day. Omit excess hard fats from your diet and favour soft vegetable fats.
Early stages of type 2 diabetes seldom cause any symptoms. If you scored 12-14 points in the Risk Test, you would be well advised to seriously consider your physical activities and eating habits and pay attention to your weight, to prevent yourself from developing diabetes. Please contact your doctor for further guidance and tests.
If you score 15 points or more in the Risk Test, you should have your blood glucose measured (both fasting value and value after a dose of glucose or a meal) to determine if you have diabetes without symptoms.

Body-mass index: if your body-mass index is 25-30, you will benefit from losing weight; at least you should take care that your weight does not increase beyond this. If your body-mass index is higher than 30, the adverse health effects of obesity will start to show, and it will be essential to lose weight.

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