BPH and uses of Cialis

There are too many factors in BPH causing urinary problems among older men to  discuss in detail here.* BPH is NOT cancer but an enlargement of the tissue and muscle in the prostate which puts pressure on the urethea causing weak, frequent and sometimes painful urination, especially at night. This is common in men as they age past 50 and more prevalent as the years pass.


ED (erectile dysfunction)

Need for frequent and urgent need to urinate

Weak flow and difficulty starting

Overweight men are more likely to develop BPH and obese men are 3.5 times more likely according to John Hopkins Hospital, (particularly those with abdominal fat).High blood sugar above 110is also a factor. Probably a good percentage of the men reading this article have BPH as I do.

Some remedies:

Saw Palmetto has been a standard for years but has some positive but also some negative research results. Worth trying especially if you add Nettle Root to the daily dose.

Then you can go on to Beta Sitosterol and even further to Finasteride(but this one while working well on BPH has negative effects on sexual function).

Also, in a study, men who took beta-sitosterol experienced greater improvements on two standardized assessments of prostate/urinary symptoms than men who took a placebo.  .”  LIFE EXTENSION FOUNDATION ADVISORY   May 22, 2016.


The problem is there is no generic Cialis made in Mexico and the 5 mg brand is 75 pesos per pill. If you are interested I have a quality source of 10 and 20 mg generic Cialis at a greatly reduced cost. Email me for information. For BPH just use a pill cutter to halve the 10mg pill. I have used Cialis for 2 months AND it works!!


There is a 63 page report from Scientific America Magazine and Johns Hopkins on BPH available by emailing me

Ross Macdonald

415 1535378

Smart Vitamin Buying

There are more than 1600 hundred vitamin/supplement brands in the USA made by fewer than 20 companies So prices are set by the type of marketing i.e. on line, retail stores, Drs web pages, MLMs (multi level marketing) and giant retailers’ private labels. Specifically ,a large vitamin manufacture which makes 18 different brands (all well recognized) with each having its own marketing. The products sold on line and the ones sold in the retail store have different brand names BUT the same inventory number, same strength, and same number of pills. However, the store brand is twice the price of the online brand.

Consumer Labs in New York, is the company that tests vitamins/supplements for quality, content, purity, ads, and price comparisons. The following is a quote from Consumer Labs after completing a massive survey of prices vs quality.  “ You certainly don’t need to pay the highest prices to get good quality supplements. In fact, Consumer Labs has found that some of the most economical products costing pennies per day are of better quality than premium priced supplements costing more than a dollar a day.”

Examples: cents per pill (same strength and number of pills)
- Co Q 10 9 vs 78      
- Lutein 9 vs 119    
- Magnesium 2 vs 83      
- Vit C 3 vs 78    
- Vit D3 4 vs 37  
- Fish Oil 5 vs 105

Consumer Labs’survey with answers from 10000 members  covered more than 1600 brands for popularity. It showed Life Extension Foundation to be the most popular overall. Others: Calcium and CO Q 10: Puritan Pride; Fish Oil and Multi Vit; Life Extension Foundation. Most popular on line retailer:  Swanson.

Vitamins are usually made from rock or coal tar and others are grown in nutritionally saturated water using plants like mustard seeds.  Calcium and Magnesium etc. are elements and cannot be changed chemically. Yes you can add to their structure (like Magnesium oxide or citrate)  or add additives but it has not changed the element itself. So vit C  is Vit C  without additives.

In my opinion on line Drs and MLM companies are the last place to buy supplements. They are rarely tested by Consumer Labs and probably do not have their own manufacturing facilities. These supplements are sold based on the doctors’ online reputation at very high prices. Some are made in China.

Supplements can be delivered anywhere in Mexico.

Testosterone's Medical Uses

Recent research studies from major universities and health organizations show that low or high testosterone levels are detrimental to several aspects of men’s health. Testosterone is measured at two levels —bonded and free---the latter being the active form. Bonded testosterone makes up about 90% of the total and is bonded to bones and muscle. Free testosterone flows in the blood and is very important for many health aspects in men and women.

Metabolic Syndrome is a combination: -waist size, high blood pressure, high cholesterol, and high blood sugar. It leads to diabetes, heart disease and the inability to process fats and sugars. Men with low testosterone have an increasing prevalence of diabetes, hypertension, stress, and body fat (especially visceral belly fat). As total testosterone levels rise to the optimum level, (550ng/dl) or above, the chance for these diseases decreases.  New research now shows that men in the lowest testosterone level are twice as likely to have cardiovascular disease (CVD) versus those at the optimum level who over the five year program had a 30% lower risk of CVD. Any level below 550ng/dl resulted in a significant increased risk. Only at 550ng/dl or higher was the 30% reduction for CVD seen and 24% for strokes.

The important consideration is hormone balance. As men grow older they are more and more at risk for increases in an enzyme called aromatase. One of the main causes of this increase is belly fat. Obesity can cause estrogen levels to rise because belly fat produces aromatase which coverts testosterone into estrogen. 

When testosterone and estrogen are in youthful balance there are many protective effects. Research has shown there is an increase in mortality when estrogen levels are either too low or too high.

Measuring FREE testosterone is the most accurate way of assessing levels in men. The balance should be 15-20ng/dl free with estrogen less than 30ng/dl. An in balance between these two hormones leads to diet resistant belly fat which is due to either too much estrogen or too little testosterone. In men this fat increases estrogen resulting in memory loss, lack of motivation, depression and low libido. Belly fat can also be linked to stress which releases hormones like cortisol which signals the body to maintain its fat and weight and also to low DHEA (the precursor to these hormones).

Low testosterone which may be linked to stress, can also lead to belly fat in both men and women. This type of fat resists diet, is very difficult to remove and can increase estrogen levels. This jump in estrogen levels helps to develop platelet aggregation, coagulation and inflammation in arteries which may cause a heart attack.

 High HDL levels (good cholesterol) protect against heart attacks by helping to remove plaque from arteries. Testosterone enables HDL to remove this built up of cholesterol from arterial walls and cycles it back to the liver for disposal. This is known as Reserve Cholesterol Transport (RCT). Adequate levels of testosterone are required for optimal support of this process; low levels may cause a drop in HDL increasing the chance of CVD. 

A major research study revealed that free testosterone levels below 17pg/dl resulted in a 3.3 fold greater risk in developing arterial disease. In perspective aging men with levels below 17pg/dl often have HDL levels below 40-50 mg/dl.

Chronic heart failure (CHF) is characterized by exercise intolerance, shortness of breath and muscle wasting. Low testosterone is one of the mail culprits. Testosterone increases anabolic function, improves arterial dilation and is a known anti inflammatory agent.

The Journal of the American Medical Assoc. published a study measuring estradiol (the active form of estrogen) in men with chronic heart failure (CHF). The end results were: men with the lowest level were 217% more likely to die and men in the highest level were 133% more likely to die sooner from all sources than men with a balanced estradiol—testosterone level.

Over 16 years ago several research reports indicated that excess estrogen (in its active form of estradiol) contributed to atherosclerosis (artery blocking). Men with only slightly increased levels had twice the risk of a stroke and a higher chance of CVD. The research also explained that men with “high” levels of estrogen and “low” levels of testosterone had higher incidences of benign prostate enlargement (BPH) . On the other hand too low estrogen levels can lead to osteoporosis and bone fracture.

A low testosterone level indicates an increased possibility of prostate cancer. This is detailed in research from Harvard Medical School with Dr. Abraham Morgentaler’s  book and from the National Institute of Health (NIH) 2006 ,It is high levels of estrogen not testosterone that cause prostate cancer. WHY?          

First: the research done in 1940 which stated that testosterone was the culprit (for which the author received the Noble Prize) was based on the results from dogs, a castrated man and ONE normal man! Dr Morgentaler’s research at Harvard starting years ago has proved this research was flawed.

Second: it was found that in aging men obesity, especially belly fat, can cause estrogen levels to rise. This visceral fat produces an enzyme called AROMATASE , which converts testosterone into estrogen. Excess estrogen is also one of the leading factors in women’s breast cancer.

New research just released from Un. of Texas Health Science Center : “ For the first time we have demonstrated that excess fat (adipose belly fat) is a key factor in cancer progression regardless of the diet contributing to the excess weight.”

Harvard Medical School list the optimum hormone levels as: DHEA -350-490ng/dl;  Estradiol 20-30pg/ml; Total testosterone 550/700ng/dl; free 20-25 pg/dl.

Abdominal exercises like sit ups and crunches do NOT reduce belly fat. This fat is deep and wrapped around your interior organs and is not affected by abdominal exercise. Exercises to reduce this visceral fat include: cardio, pushups, lunges, squats and step ups.

Now you will understand that belly fat is dangerous in more than one way

Erectile dysfunction (ED) is closely related the vascular disease. The three known common medications (Viagra et.al.) do not increase blood flow they activate an enzyme called FDN3 which inhibits the blood from flowing out. Researchers from Harvard have written several articles /books about ED, its’ probable causes and remedies. There are several non prescription items that have a proven beneficial record of alleviating ED. 

Erectile Dysfunction (ED) is caused by a lack of blood flow which can occur gradually as one gets older. It is closely related to CVD which may happen two or three years after the beginning of the ED. The three known common medications (Viagra et.al.) do not increase blood flow into the penis (however there are supplements that do so don’t worry) they activate an enzyme called FDN3 which inhibits the blood from flowing out. Researchers from Harvard and Life Extension Foundation have written several articles and /books about ED, its’ probable causes and remedies. There are several non prescription supplements that have a proven beneficial record of alleviating ED. 

Viagra et al (especially the daily dose of Cialis) has also been shown to reduce the urinary tract problems associated with BPH( benign prostate hyperplasia) and reduces stress in the brain after a stroke by stimulating the growth of nerve cellsThere are also remedies that inhibit aromatase from converting testosterone to estrogen. 

Essential Oils: What Are They? What Do They Do?

When a Supplement is called “Essential”   it means that the body does not produce it and, therefore, it has to be “supplemented” by other means—mostly by mouth.

There are several OILS (called fatty oils) that are important to your health. For one thing the brain is largely made up of these fatty oils. The “oil” known as Omega 3 is usually derived from cold water fish specifically mackerel, herring, halibut and salmon, or from Flaxseeds.( Many of you will remember being “forced” to take cod liver oils as kids). Omega 3 is a combination of EPA and DHA oils (the scientific names I will not bother you with). 

More and more strong evidence suggests that Omega 3 is one of the, most helpful supplements in your heart’s health  in the growth of cells, and in your immune and nervous system. Omega 3 comes in capsule form with a recommended dosage of 1000mg twice a day. Flaxseed oil has the added benefit of helping to maintain present cholesterol levels.

The Omega 6 oils come from Borage, Evening Primrose and Black Current oils. These are also essential and have successfully been used to combat  pain due to arthritis in its different forms. The base of Omega6 oils are grains and cereals. Omega 3 and 6 have been studied extensively and good results have been obtained using them to improve: age related mental impairment, Alzheimers, anticancer treatments, breast cancer, herpes, prostate cancer prevention and pain management, AND help maintain strong bones.

This is one of the most important supplements available. The various names are: DHA, EPA, OMEGA3, OMEGA 3,6,9.,FLAXSEED, AND GLA. Omega 3 oils should be accompanied by vitamin gamma E.

VITAMIN E is one of the most important antioxidants necessary to good health. . There are, however, various forms of this vitamin. The prefix “dl” states the vitamin is chemically produced, “d” is the natural form and is absorbed much more rapidly into your system.  Some research has found the synthetic Vit E is almost worthless. There are also the Alpha and Gamma forms. The considered best is Gamma Tocopherol a combination of both alpha+gamma tocopherols and tocotrienols.

Vitamin E works well with vitamin C and Selenium. It is a strong anti oxidant to fight free radicals in the body and helps maintains a healthy immune and prostate system. 

Several years ago at the Un of California Berkley researches discovered that old almost dying rats could be revived by using a form of the amino acid L- Carnitine ( used for heart health)  known as Acetyl L Carnitine (ALC). It was discovered that ALC slowed the breakdown of the animal’s cells – a real anti aging sign—and when the addition of a very strong anti- oxidant called Alpha Lipoic Acid( ALA) was added the rats remained  healthy. ALC is also widely known as a protector of brain cells.

ALA also promotes muscle energy, liver health, and revitalizes the underlying skin structure so it looks more radiant. ALA also has the ability to “recycle” the anti oxidants Vitamins C, E and Co Q -10 to help fight free radicals.

How Important Is Lifestyle?

Most of us are born with the potential to live a normal lifespan. What we do with and to ourselves in the ensuing years is our responsibility. The normal or convenient belief is that we have no control over risk factors, fate and our ancestors have fixed us with a definite genetic makeup. However, research indicates that genes play a significant but much smaller role and lifestyle a larger role. We determine our own fate throughout our entire life. Sickness is not a factor that has to occur in the elderly any more than  loss of mobility. Our problem is that we did not know the benefits of exercise and nutrition years ago. There is no time like the present!

Medical research has developed a new perspective on aging. Illnesses associated with age have little to do with years or getting older and much more to do with the accumulation of hidden health violations made in your earlier years. Apparently the experts are saying that despite the great health physical you just passed with flying colors you may still be at serious risk for eventual illness. However, at any age you have more control over your health than you may think and your lifestyle is one of the most important (if not the most important) factors in your fate.  

High blood pressure, increased blood sugar levels and excess weight are not, according to many experts, a normal part of aging. They are a result of the past and a sure sign of impending problems. Even at a late age these conditions can be ameliorated by a change in lifestyle---your body is quite resilient and muscles have memories --- it takes work. Physical and mental control over your life can even help you live longer; it certainly makes it easier to do so. Whatever your age you are NOT too old to exercise. Remember: “if you do not have time for exercise then make time for illness.”

Fat and strong bones are at war with each other. Even when you exercise regularly why don’t you lose fat?  Look at how and what you eat/. Processed and convenience foods have replaced raw foods. Fat free foods are not fat free to the extent you think. It still comes down to calories, the amount of sugar in your diet and how efficient your metabolism is. If your metabolic rate burns all day with regular small meals you will lose weight when combined with exercise. If it gets a big food splurge twice a day it will turn your body into fat, exercise or not. It becomes impossible to lose weight under these circumstances. It is becoming very apparent that sugar and corn fructose are the main cause and these high sugar foods are the secondary cause of several illnesses. Even carrots and beets are fairly high in sugar.

 Another old age problem is bone loss. We all know about 1,200-1,500 mg of calcium and 2-5000 mg of vitamin D3 and should know about vitamin K and DHEA taken daily. By the time you are in your 40s you are probably losing more bone mass than you are growing. “Any exercise will have a positive effect on bone density, but strength training yields the greatest results” A recent review of 22 well designed studies clearly showed the positive effects of weight training particularly for the elderly and postmenopausal. These benefits are twofold: 1) stronger muscles that provide stability and prevent falls and 2) stronger bones that resist fracture in the event of a fall.

It is so easy-- all you need is the will to live.

Omega 3 Oils

People age prematurely due to oxidation and glycation. Antioxidants help control the former

( vitamin E,C,GREEN TEA etc) they are not helpful with glycation which causes sugars to link with proteins which degrades the function of the proteins. The amino acids L- Carnosine and L-Taurine in combination with vitamin B1 inhibit the pathways involved in the sugar toxicity to the cells.

 FISH OIL,  WHAT IS IT?  This supplement known under the names:Omega 3, Essential oil,  Salmon Oil, Krill  is basically derived from cold water fish like salmon, mackerel, and tuna. It has been recognized for years for its strong ability to protect against cardiovascular disease and now in depth research has added remarkable new attributes to fish oil: guarding against depression, cancer, osteoporosis, and arthritis among others. These simple oils became so important that one drug company “persuaded” the Federal drug Administration ( FDA) to approve a fish oil drug called OMACOR which will sell for over $250.00  or about 12 times what you pay for Omega 3 in the store.

The American Heart Assoc now endorses Omega 3 fatty acids to lower triglycerides, reduce heart arrhythmias and slow plague growth. Fish oil also clears the fat from the blood after a meal. Scientists suspect this fat a contributor to atherosclerosis. Studies show that Omega 3s slow the rate of plaque growth, This plaque can cause sudden heart attckes without warning. In fact it is believed tha Omega 3 actually changes the composition of the plaque making it less likely to rupture.

In addion, these fatty acids can help dilate blood vessels helping the blood flow.

 Fish oil also suppresses abnormal heart rhythms In one study eating one or more servings of old water fish per week reduced the risk of sudden cardiac death by 52%!!

Cold water fish oils are EPA and DHA. A much less concentrated source is Flaxseed oil and Canola oil. These should not be considered in the same heart disease fighting category as the Omega 3 oils.

 CANCER: Omega 3 oils are now used to fight cancer. These oils alter genetic signaling in cells preventing them from becoming cancerous and “reprogram” damaged genes so they cannot contribute to the start of cancer. Fats called Omega 6 fats from vegetable oil, eggs and poultry

contribute to the growth of pro-inflammatory compounds; the Omega 3 oils produce anti inflammatory compounds.

EPA and DHA have prevented the progression of breast and prostate cancer cells in both laboratory and animal studies. Also the Omega 3 fatty acids can inhibit receptors on the cells that are needed for tumor cells to grow. Other studies show that the Omega 3s have a powerful ability to reduce the risk of prostate cancer and breast cancer.

For over 10 years doctors have known that Omega3 can shield your skin from harmful sun rays and sunburn!

DEPRESSION: New compelling evidence shows that mental health disorders such as depression, attention deficit disorder, and schizophrenia may reflect a severe lack of Omega 3 fatty acids.

The low fat craze can cause depression; Omega 3  fight depression and enhance the action of other drugs. The fatty acids fight depression in doses of 2000 to 4000 mg per day. 

More than 1/3 of the brain’s fat is Omega3 fatty acid. A deficiency of these fats can decrease the blood flow to the brain.

BONES: Research now understands that Omega3 fats improve bone structure by increasing calcium absorption ,reducing bone loss, and maintaining mineral density. They may prevent age related declines in bone mineral density while increasing the intake of calcium.

ARTHRITIS:  . New ssubstances from EPA and DHA called “resolvins” and “protectins” may relieve pain, inflammation and immobility associated  with arthritis without any side effects.


SARCOPENIA: What’s this? Severe loss of muscle mass as you grow older without a proper regimen.

This program should include: dietary modifications, hormone replacement therapy, nutritional supplements, vitamins, and EXERCISE. This will dramatically improve lean muscle mass at any ANY AGE.. This program should begin now.    Now is better than later!!

Age related loss of muscle increases the risk of devastating injuries and death from sudden falls and other accidents. San Miguel is a perfect example of this.

This disease starts after age 40 and increases rapidly after 75. While engaging in physical activity is essential, inactivity is not the only factor. Like osteoporosis sarcopenia is a multifactorial disease that may result from suboptimal hormone levels, inadequate dietary protein, nutritional imbalances lack of exercise, oxidative stress and inflammation.. Sarcopenia and osteo are related conditions and one often follows the other. Muscles generate the stress required to keep our bones strong. .When muscle mass is reduced it increases the loss of bone mass.

 Muscle mass also acts as a metabolic reservoir. For example, after a traumatic event muscles produce proteins and metabolites required for survival and recovery. NOW this suggests that elderly people lacking this metabolic energy due to low muscle mass will have a harder time recovering from operations AS THEY LACK THE MUSCLE TO SUPPORT THE IMMUNE SYSTEM

Dietary factors that contribute to sarcopenia  are: inadequate protein intake, calorie intake, and abnormal acidity in the body’s fluids.. Older adults seem to have a low intake of protein perhaps due to an inability to digest it. Protein requirements for seniors are higher than for younger people, AND should be higher than most doctors recommend. But it’s also true that too much protein can cause acidity. So a buffering agent can be used to allow higher protein intake and decrease acid. THIS IS Potassium Bicarbonate.

Hormone levels must be maintained. The important ones are HGH (human growth hormone) ,DHEA, TESTOSTERONE, Mecanico growth factor and insulin-growth factor. Without these basic hormones it may be impossible for anyone to maintain lean muscle mass regardless of what they eat or exercise.

Adequate levels of testosterone in older men are Essential, and to a lesser extent in women. (who can use DHEA), Everyone over 40 should have a hormone balance test yearly. 

To combat sarcopenia the best supplements are Creatine, vitamin D3, and WHEY protein. Creatine helps replace APT, the chemical necessary for fast “twitch” muscle reactions. Creatine when given to older men and women in resistance training (weights) increases strength and muscle mass. (Creatine is the supplement most used by professional athletes).Vitamin D3 helps preserve the Type II fibers that are the ones prone to atrophy in the elderly. Low vitamin D levels are associated with poor bone formation and muscle mass.

WHEY PROTEIN: contains the amino acids necessary for the development of protein in the body and muscles.

OTHER NECESSARY SUPPLEMENTS:  Omega3 (fish oil, DHA and EPA) ,L-Carnitine ,especially the acetyl variety,and, in particular, L-Glutamine  the most abundant amino acid in the body and  muscle and necessary for the immune functioning of the digestive tract.

EXERCISE is critical!! It stimulates the release of hormones like HGH, human growth hormone, and mechano hormone.  Aerobic exercise is great for the cardiovascular system and body fat. BUT it is not very effective in preserving lean muscle mass. Athletes use weight training when they want to increase lean muscle mass. The federal Center for Disease Control notes that in addition to building muscle mass, strength training can promote mobility, improve health related fitness and improve bone health.


The skin is the largest organ in your body, comprising several layers of tissues. Skin protects against germs, provides insulation, temperature regulation, and sensation and helps synthesize Vitamin D (a hormone)from the sun. . Years of free radical damage can cause changes in the skin’s appearance. The final result of these age related changes is wrinkling, dryness, sagging, lost flexibility, dullness and poor healing.

The aging process in all areas of the body from brain to toes is a result of decreasing mitochondrial activity. These cells are the cellular power plants that produce energy. As we age this “power plant” slows down and in combination with the detrimental oxidative processes within our bodies causes aging. We cannot live with out oxygen but it also in the long run “burns” us up.

Cells called Fibroblasts produce the proteins named collengen and elastin which provide the underlying support for the layers of skin. As the mitochondrian in these cells dysfunctions they are no longer able to structure the skin and “olaha”,sagging, wrinkles and more. Sun,wind and dryness help the process along. So what can we do about it?

Start with the simple things:  WATER-- drink lots of it, take L Lysine and L Proline that is the least expensive and simplest formula. Then: (1) Use a sun screen rated for both UVA and UVB rays one without the other does not help; and put a cream lotion of Vitamin E on your face under it.

(2) As much as possible use a combination of Matrixyl 3000,ceramides,glycolicand hyaluronic acids, Co Q 10, green tea, promegranate and vitamins E and C used together both orally and topically. AND exercise your face. Yes , it’s a lot so let’s look at each one individually.

The sunscreens need to be qualified by the FDA as Category 1. They should contain Oxybenzone and Avobenzone along with Beta Glucan ( an oat derivative). Using this sunscreen along with daily application of Vitamin E and C skin creams is helpful. The screen should also have zinc or titanium oxide.

If you have dark age spots try Vitamins A, C ,biotin and bioflavonoids.

Matrixyl 3000 is a patented product the helps “lift” or plump up the skin layers. Thereby , minimizing the appearance of wrinkles and creases. Studies have shown that after 8 weeks of topical application the surface area occupied by deep wrinkles shrank by 45%. Skin tone improved by 20% during the same time frame.

Ceramides, found in good skin creams, are similar to those lipids that occur  in skin membranes. These ceramides or lipids maintain the protective functions of the skin’s outer layer.

Co Q 10 helps control “photoaging”. Photoaging produces negative changes in skin color, texture and health caused by exposure to ultraviolet light. CO Q 10 concentrations in skin decline significantly in older people .The loss of this agent is the probable  cause of the increases in skin diseases ( including cancer) and photoaging..A long tern study found a direct link between CO Q 10 levels and the progression of melanoma and its spread to other parts of the body.

Co Q 10 is widely used to counteract the decline in mitochondria energy that causes aging. Oral and topical use of this agent restores deficient levels in cells. It is best known as an anti oxidant for the heart.

 Idebenone or ubiquinol; a cousin of CO Q 10, is stronger and even better at conferring protective effects. It has been shown to produce clinically visible improvements in phototaged skin.

To avert many of the effects of ultra violet light topical applications of green tea, glycolic and hyaluronic acids promote skin texture and appearance. Green tea also enhances the cells’ responses to inflammation and chemicals that can cause tumor growth.