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migraine, blood pressure, maybe cholesterol fixed but theres a small problem
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Napoleon
medicine forum beginner


Joined: 22 Jun 2006
Posts: 6

PostPosted: Fri Jun 23, 2006 5:37 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

Andrew B. Chung, MD/PhD wrote:
Quote:

Would suggest two things:

(1) Lose weight. For many impotence goes away with becoming leaner and
trimmer (and hungrier <-- healthy appetite). Would suggest you ask
your doctor to supervise your use of the 2PD-OMER Approach:

http://HeartMDPhD.com/wtloss.asp

(2) Inform your doctor about your impotence. There are medications
that should help until you become healthier, more fit, leaner and
trimmer when you may not need these medications anymore.

Prayerfully in Christ's amazing love,

Andrew
http://HeartMDPhD.com/TheLife

That gives me hope I can help with some weight loss. You 2 lb of food a
day diet looks interesting and the ultimate in simplicity, but if I'm
going to be very happy on it those 2# it will have to be something
like Chocolate Fudge Haagan-Daz. (Not seriously of course, but I
calculate the calories would still only come to about 2000 per day
which by past experience I know is easily low enough for me to lose
weight with.)
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Fri Jun 23, 2006 6:44 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

napoleon_mmvi@yahoo.com wrote:
Quote:
Andrew B. Chung, MD/PhD wrote:

Would suggest two things:

(1) Lose weight. For many impotence goes away with becoming leaner and
trimmer (and hungrier <-- healthy appetite). Would suggest you ask
your doctor to supervise your use of the 2PD-OMER Approach:

http://HeartMDPhD.com/wtloss.asp

(2) Inform your doctor about your impotence. There are medications
that should help until you become healthier, more fit, leaner and
trimmer when you may not need these medications anymore.

That gives me hope I can help with some weight loss. You 2 lb of food a
day diet looks interesting and the ultimate in simplicity, but if I'm
going to be very happy on it those 2# it will have to be something
like Chocolate Fudge Haagan-Daz. (Not seriously of course, but I
calculate the calories would still only come to about 2000 per day
which by past experience I know is easily low enough for me to lose
weight with.)

It is unlikely your doctor will like the idea of your being on a Ice
Cream diet dovetailed with the 2PD-OMER Approach. Instead, less of
everything across the board without changing **what** you are eating
except as your doctor advises you as s/he supervises you.

Prayerfully in Christ's amazing love,

Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/TheLife
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judy.n@gmail.com
medicine forum beginner


Joined: 26 May 2006
Posts: 9

PostPosted: Fri Jun 23, 2006 7:05 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

They actually sell a device called Resperate for around 300$ that
trains you to breath slowly. It's been proven effective. Andrew Weil
(the alternative medicine MD from Tucson is always mentioning it.) I
sent away for literature on it for my husband, and it's a reasonable
device, although somewhat overpriced--but if you compare the price of
meds and the price of experiencing side effects, I suppose it's worth
it. Sometimes it really helps to have an actual device to force you to
practice slow breathing.
http://www.resperate.com/?Ls=J&lk=1

One final comment: the "ideal" blood pressure is currently defined as
120/80. 90/60 is actually quite low, especially for an adult.

Judy
Comax wrote:
Quote:
Napoleon wrote:
I am a caucasion male 50 years old.

I had a dr.'s checkup and lab tests one month ago that showed the
following problems:

blood pressure 150/90 - high
ldl cholesterol 240 (hdl was 40) - very high
weight 195 at 5'11" - doughy

and also i have been taking medications for a quite a while for
migraine (maxalt and lately relpax)

So the dr. suggested that we treat the blood pressure and cholesterol
aggressively because the cholesterol was at a frightening level and
these treatements have been known to put the migraines into remission
so now, for the last month, I am taking

Hydrochlorothiazide 25 - 1 per day
Vytorin 10/20 - 1 per day

after one month

blood pressure 90/60 - normal!
ldl cholesterol - not measured yet
weight 188 - slightly better
no migraines! (normally I would have had at least six with two of them
very bad)

I feel very, very good now - almost high all the time - occationally i
feel a tiny pain almost wanting to start on the side of my head only to
dissapear in a few seconds. Also I have very entertaining dreams now
which are more interesting than anything on cable TV. Miracles of
science! But all is not 100% good.

My one dissatisfaction: After a couple days on these pills I became
100% impotent! That is one sad sack penis I have right now ----
pfffffft => nothing ever and it doesn't seem to be getting any better.

I would like to know how to get my erections back but not my blood
pressure or migraines. Are these drugs going to cause a perpetually
limp member? Any ideas? If I can just occasionally get a decent
erection and maintain my other benefits ...what a utopia!


Hi Napoleon

Unfortunately for you impotence is quite common. I suggest that you
read the book "The Cure of High Blood Pressure by Respiratory
Exercises" written mid-last century, and now available as an e-book on
www.cureofhighbloodpressure.com, and practice some of the techniques
suggested (with your Doctors knowledge of course!).
Hope this helps,
Good Health!

Comax
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Napoleon
medicine forum beginner


Joined: 22 Jun 2006
Posts: 6

PostPosted: Fri Jun 23, 2006 11:52 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

Muerta wrote:
Quote:

As I read through the thread, I see Peabody beat me to this. I discussed
this in the long past with my Dr., and as he assisted greatly in my approach
to cure ED, I had said to him..."NO Thiazides or Beta Blockers". He was most
agreeable and sympathetic and we fought my hypertension as a team until back
in the 120/80 normal range.

Used an AT2 blocker and a Calcium Channel blocker.

There are several responses now all pointing the finger of accusation
at the hydrochlorothiazide (not the vytorin) which makes me happy
because it seems there are several options for lowering blood pressure.
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Napoleon
medicine forum beginner


Joined: 22 Jun 2006
Posts: 6

PostPosted: Fri Jun 23, 2006 11:56 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

gPeter wrote:
Quote:
90/60 for BP is a little "better" than normal. But I don't think it has
anything to do with your impotence.
gPeter

I wouldn't think so either because I've always believed that impotence

increased with increasing blood pressure not the other way around.
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Juhana Harju
medicine forum Guru


Joined: 06 May 2005
Posts: 1056

PostPosted: Sat Jun 24, 2006 6:16 am    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

judy.n wrote:

: One final comment: the "ideal" blood pressure is currently defined as
: 120/80. 90/60 is actually quite low, especially for an adult.

Any reference for that?

--
Juhana
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Ignatz's Bricks
medicine forum beginner


Joined: 21 Apr 2006
Posts: 5

PostPosted: Sat Jun 24, 2006 1:44 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

napoleon_mmvi@yahoo.com wrote:

Quote:
I don't give a darn about cholesterol yet I try to get HDL up.
Exercise and Niacin for my adventure seem intelligent for me.

If you use Niacin, be sure that your doctor follows up with testing.
Also, use traditional Niacin, which may be hard to find, instead of the
"no flush" and "timed release" versions which don't work as well and
cause stomach problems on many people.

Ignore pen name, I'm 66 year old Caucasian male.

For me:

Control (no prescription medication):
Tri: 155 Total C: 274 HDL: 42 LDL: 201 VLDL: 31

2G total of Niacin daily (no other changes):
Tri: 100 Total C: 220 HDL: 62 LDL: 138 VLDL: 20


Quote:
As for BP talk to your doc about diuretic options.

It seem the consensus here is that it's the BP medicine that is causing
my problems.


I would talk to your doctor about what his intended blood pressure range
is for you. You may be one of those people who's blood pressure jumps
when they are in the doctor's office and you are being over medicated.
I'd suggest that you get a home blood pressure testing kit and test
yourself at home, and bring that testing kit in with you to the doctor
next time and compare readings in the doctor's office.

Most "water pill" type of blood pressure medicines can cause impotence,
but your body should adjust within a month or two to the new pressure
levels and the impotence may go away.

Ignatz's Bricks
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judy.n@gmail.com
medicine forum beginner


Joined: 26 May 2006
Posts: 9

PostPosted: Sat Jun 24, 2006 1:48 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

Tne National Heart Lung and Blood Institute publishes guidelines for
treatment of blood pressure: they call them JNC (Joint National
Committee): the most recent is JNC 7. Here's the web site with a free
download of the documents:
http://www.nhlbi.nih.gov/guidelines/hypertension/

In the "old" days, we accepted 140/90 as borderline HTN, now there's a
new ideal of 120/80, yet studies show that to achieve that level, in
Western societies, as we age, most people will require medication.
JNC is a "moving target" as they're always updating their data and
recommendations, but they base in on the levels of blood pressure and
bad outcomes--stroke, heart attacks.
For years we wanted diabetics at 120/80, now it's the ideal for
everyone.
Judy
Juhana Harju wrote:
Quote:
judy.n wrote:

: One final comment: the "ideal" blood pressure is currently defined as
: 120/80. 90/60 is actually quite low, especially for an adult.

Any reference for that?

--
Juhana
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Juhana Harju
medicine forum Guru


Joined: 06 May 2005
Posts: 1056

PostPosted: Sat Jun 24, 2006 2:22 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

judy.n wrote:
: Juhana Harju wrote:
:: judy.n wrote:
::
::: One final comment: the "ideal" blood pressure is currently defined
::: as 120/80. 90/60 is actually quite low, especially for an adult.
::
:: Any reference for that?

: Tne National Heart Lung and Blood Institute publishes guidelines for
: treatment of blood pressure: they call them JNC (Joint National
: Committee): the most recent is JNC 7. Here's the web site with a free
: download of the documents:
: http://www.nhlbi.nih.gov/guidelines/hypertension/
:
: In the "old" days, we accepted 140/90 as borderline HTN, now there's a
: new ideal of 120/80, yet studies show that to achieve that level, in
: Western societies, as we age, most people will require medication.
: JNC is a "moving target" as they're always updating their data and
: recommendations, but they base in on the levels of blood pressure and
: bad outcomes--stroke, heart attacks.
: For years we wanted diabetics at 120/80, now it's the ideal for
: everyone.

I did not find any reference for your claim that 120/80 would be better than
90/60. The references state that "beginning at 115/75 mm Hg, CVD risk
doubles for each increment of 20/10 mm Hg."

--
Juhana
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Ignatz's Bricks
medicine forum beginner


Joined: 21 Apr 2006
Posts: 5

PostPosted: Sat Jun 24, 2006 2:31 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

Juhana Harju wrote:

Quote:
Pomegranate juice might be a healthier alternative for blood pressure
lowering medications, most likely without any unpleasant adverse effects. In
an Israeli study below drinking pomegranate juice daily reduced systolic
blood pressure by 21 mmHg (not 21% as the abstract mistakenly states). That
would be enough in your case. Besides lowering blood pressure the juice
would also improve your antioxidant status considerably.

http://www.pomwonderful.com/pdf/clinical_nutrition.pdf

I don't have high blood pressure, but I take 4 ounces of Pomegranate
juice twice a day for impotence problems, and one side effect that I
noticed was that it lowered my blood pressure by about 10 mmHg Systolic
and by about 05 mmHg Diastolic.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15947695&query_hl=4

For the record:
These guys really ought to proofread more carefully, too. The full text
version of the Journal of Urology article has a typo in the formula for
finding the Body Mass Index.

IB
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kol_Isha
medicine forum beginner


Joined: 24 Jun 2006
Posts: 2

PostPosted: Sat Jun 24, 2006 2:37 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

"Juhana Harju" <shantigiriorama@gmail.com> wrote in message
news:4g505oF1lfq3nU1@individual.net...
Quote:
judy.n wrote:
:
: In the "old" days, we accepted 140/90 as borderline HTN, now there's a
: new ideal of 120/80, yet studies show that to achieve that level, in
: Western societies, as we age, most people will require medication.
: JNC is a "moving target" as they're always updating their data and
: recommendations, but they base in on the levels of blood pressure and
: bad outcomes--stroke, heart attacks.
: For years we wanted diabetics at 120/80, now it's the ideal for
: everyone.

I did not find any reference for your claim that 120/80 would be better
than
90/60. The references state that "beginning at 115/75 mm Hg, CVD risk
doubles for each increment of 20/10 mm Hg."

--
Juhana


I don't think she is saying that 120/80 wouild be better than 90/60. She is
saying that 120/80 (the "new" standard) is better than 140/90 (the "old"
standard). Low blood pressure, as far as I know, is not bad (unless it
drops way too low, I guess, and it's not the norm for that individual).
Mine normally runs around 90/60, and my doctor totally pooh-poohs this being
a problem at all, despite the fact that for years, my mother has been
yelling at me to "talk to the doctor about your blood pressure, it's too
low." (My doctor quietly tells me not to pay any attention to my mother.)
I am also quite certain that low blood pressure does not contribute in any
way to my migraines... although a few times, when I've sought treatment in
the emergency room because my migraine was out of control, it was noted that
my blood pressure at those times is sometimes as low as 80/50. (I noted on
one emergency room admission sheet that they diagnosed me with "migraine"
and "syncope." I did NOT faint, but I suppose I probably looked like I
might. Of course, that could have as easily been the migraine or all the
medications I had taken.)

Regards,

Arlene
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Juhana Harju
medicine forum Guru


Joined: 06 May 2005
Posts: 1056

PostPosted: Sat Jun 24, 2006 2:49 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

kol_Isha wrote:
: "Juhana Harju" <shantigiriorama@gmail.com> wrote in message
: news:4g505oF1lfq3nU1@individual.net...

:: I did not find any reference for your claim that 120/80 would be
:: better than
:: 90/60. The references state that "beginning at 115/75 mm Hg, CVD risk
:: doubles for each increment of 20/10 mm Hg."
::
: I don't think she is saying that 120/80 wouild be better than 90/60.
: She is saying that 120/80 (the "new" standard) is better than 140/90
: (the "old" standard).

She said that the "ideal" blood pressure is currently defined as 120/80 and
that "90/60 is actually quite low, especially for an adult."

: Low blood pressure, as far as I know, is not
: bad (unless it drops way too low, I guess, and it's not the norm for
: that individual).

I know that low blood pressure is not bad unless it causes dizziness or
fainting. That is the reason I was asking her to post some references to
back her claim.

: Mine normally runs around 90/60, and my doctor
: totally pooh-poohs this being a problem at all, despite the fact that
: for years, my mother has been yelling at me to "talk to the doctor
: about your blood pressure, it's too low." (My doctor quietly tells
: me not to pay any attention to my mother.) I am also quite certain
: that low blood pressure does not contribute in any way to my
: migraines... although a few times, when I've sought treatment in the
: emergency room because my migraine was out of control, it was noted
: that my blood pressure at those times is sometimes as low as 80/50.
: (I noted on one emergency room admission sheet that they diagnosed me
: with "migraine" and "syncope." I did NOT faint, but I suppose I
: probably looked like I might. Of course, that could have as easily
: been the migraine or all the medications I had taken.)
:
: Regards,
:
: Arlene

--
Juhana
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Juhana Harju
medicine forum Guru


Joined: 06 May 2005
Posts: 1056

PostPosted: Sat Jun 24, 2006 2:54 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

Ignatz's Bricks wrote:
: Juhana Harju wrote:
:
:: Pomegranate juice might be a healthier alternative for blood pressure
:: lowering medications, most likely without any unpleasant adverse
:: effects. In an Israeli study below drinking pomegranate juice daily
:: reduced systolic blood pressure by 21 mmHg (not 21% as the abstract
:: mistakenly states). That would be enough in your case. Besides
:: lowering blood pressure the juice would also improve your
:: antioxidant status considerably.
::
:: http://www.pomwonderful.com/pdf/clinical_nutrition.pdf
:
: I don't have high blood pressure, but I take 4 ounces of Pomegranate
: juice twice a day for impotence problems, and one side effect that I
: noticed was that it lowered my blood pressure by about 10 mmHg
: Systolic and by about 05 mmHg Diastolic.
:
:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15947695&query_hl=4

Thanks for your posting! I had not thought about this kind of use of
pomegranate juice. I had not seen the study either.

: For the record:
: These guys really ought to proofread more carefully, too. The full
: text version of the Journal of Urology article has a typo in the
: formula for finding the Body Mass Index.
:
: IB

--
Juhana
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judy.n@gmail.com
medicine forum beginner


Joined: 26 May 2006
Posts: 9

PostPosted: Sat Jun 24, 2006 4:45 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

The reference deals with high blood pressure. Low blood pressure is an
issue: it has been implicated in syndromes like chronic fatigue, and if
a patient can not maintain their blood pressure with changes in
position--orthostatic hypotension--they are at risk for dizziness or at
worse, fainting. Tilt table testing is used to formally diagnose
orthostatic hypotension.
I was at a recent lecture on blood pressure, and the cardiologist
stated that with older people who have "stiffer" blood vessels, rapid
lowering of blood pressure may cause them to not be able to maintain
adequate circulation.
So, you want me to justify what qualifies as hypotension. Blood
pressure norms vary by age: there are tables for children. After 18 the
normal blood pressures are defined by the article I cited. Symptomatic
hypotension is a completely different subject than guidelines for
treating high blood pressure.
Again, I've read recent articles that are implicating orthostatic
hypotension in chronic fatigue, and clearly some patients tolerate
lower blood pressures, but older patients frequently do not--they stand
up and faint. If it's not that severe, they might just feel fatigued
and ligthheaded.
I just peeked at pubmed, and although many articles implicate low
blood pressure in chronic fatigue, a recent article showed that many
people drop their pressure on the tilt table without symtpoms. So, it's
controversial.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstract&list_uids=16378795&query_hl=2&itool=pubmed_docsum
The bottom line, for me, is that if you are lowering someone's blood
pressure by medications, you need to be careful, as they have become
used to a higher pressure, and many do have symptoms with too rapid
lowering and too low of a blood pressure.
Here's an article on blood pressure lowering and orthostatic
hypotension
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=16685202&itool=pubmed_abstractplus&dopt=abstract&dr=abstract
Is that enough evidence?
Judy
Juhana Harju wrote:
Quote:
kol_Isha wrote:
: "Juhana Harju" <shantigiriorama@gmail.com> wrote in message
: news:4g505oF1lfq3nU1@individual.net...

:: I did not find any reference for your claim that 120/80 would be
:: better than
:: 90/60. The references state that "beginning at 115/75 mm Hg, CVD risk
:: doubles for each increment of 20/10 mm Hg."
::
: I don't think she is saying that 120/80 wouild be better than 90/60.
: She is saying that 120/80 (the "new" standard) is better than 140/90
: (the "old" standard).

She said that the "ideal" blood pressure is currently defined as 120/80 and
that "90/60 is actually quite low, especially for an adult."

: Low blood pressure, as far as I know, is not
: bad (unless it drops way too low, I guess, and it's not the norm for
: that individual).

I know that low blood pressure is not bad unless it causes dizziness or
fainting. That is the reason I was asking her to post some references to
back her claim.

: Mine normally runs around 90/60, and my doctor
: totally pooh-poohs this being a problem at all, despite the fact that
: for years, my mother has been yelling at me to "talk to the doctor
: about your blood pressure, it's too low." (My doctor quietly tells
: me not to pay any attention to my mother.) I am also quite certain
: that low blood pressure does not contribute in any way to my
: migraines... although a few times, when I've sought treatment in the
: emergency room because my migraine was out of control, it was noted
: that my blood pressure at those times is sometimes as low as 80/50.
: (I noted on one emergency room admission sheet that they diagnosed me
: with "migraine" and "syncope." I did NOT faint, but I suppose I
: probably looked like I might. Of course, that could have as easily
: been the migraine or all the medications I had taken.)
:
: Regards,
:
: Arlene

--
Juhana
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judy.n@gmail.com
medicine forum beginner


Joined: 26 May 2006
Posts: 9

PostPosted: Sun Jun 25, 2006 2:56 pm    Post subject: Re: migraine, blood pressure, maybe cholesterol fixed but theres a small problem Reply with quote

"I know that low blood pressure is not bad unless it causes dizziness
or
fainting. That is the reason I was asking her to post some references
to
back her claim."
How do you know this to be true?
Low blood pressure can be a serioous problem in certain situations.
Judy
Juhana Harju wrote:
Quote:
kol_Isha wrote:
: "Juhana Harju" <shantigiriorama@gmail.com> wrote in message
: news:4g505oF1lfq3nU1@individual.net...

:: I did not find any reference for your claim that 120/80 would be
:: better than
:: 90/60. The references state that "beginning at 115/75 mm Hg, CVD risk
:: doubles for each increment of 20/10 mm Hg."
::
: I don't think she is saying that 120/80 wouild be better than 90/60.
: She is saying that 120/80 (the "new" standard) is better than 140/90
: (the "old" standard).

She said that the "ideal" blood pressure is currently defined as 120/80 and
that "90/60 is actually quite low, especially for an adult."

: Low blood pressure, as far as I know, is not
: bad (unless it drops way too low, I guess, and it's not the norm for
: that individual).

I know that low blood pressure is not bad unless it causes dizziness or
fainting. That is the reason I was asking her to post some references to
back her claim.

: Mine normally runs around 90/60, and my doctor
: totally pooh-poohs this being a problem at all, despite the fact that
: for years, my mother has been yelling at me to "talk to the doctor
: about your blood pressure, it's too low." (My doctor quietly tells
: me not to pay any attention to my mother.) I am also quite certain
: that low blood pressure does not contribute in any way to my
: migraines... although a few times, when I've sought treatment in the
: emergency room because my migraine was out of control, it was noted
: that my blood pressure at those times is sometimes as low as 80/50.
: (I noted on one emergency room admission sheet that they diagnosed me
: with "migraine" and "syncope." I did NOT faint, but I suppose I
: probably looked like I might. Of course, that could have as easily
: been the migraine or all the medications I had taken.)
:
: Regards,
:
: Arlene

--
Juhana
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