Culture

Key Information From a Urologist About ED

Published

1 month ago

November 7, 2024

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It is an awkward conversation for men to discuss…so here is key information from a urologist about ED (erectile dysfunction)

As a urologist it was very common for me to see patients for the diagnosis and treatment of impotence. Impotence refers to the ability to achieve and maintain an erection for sexual intercourse. Before treatment I had to arrive at the correct diagnosis.

Through the process of history taking, a physical exam and testing, we first categorize impotency as either physical or psychological. Over the decades of evaluating men, it became quite evident that when a man has a physical cause of impotency, there is often psychological overlay worsening the physical cause. This often makes treatment more challenging.

The are subcategories to physical impotency. This may be caused by neurological disorders, vascular disease, physical changes, hormone issues or medications.

Of the neurological disorders, some are easily identifiable through history or physical exam. Typical causes are diabetes mellitus, alcoholism, multiple sclerosis, spinal cord and nerve injuries and nerve injuries due to pelvic surgery such as prostate surgery.

Regarding the vascular causes, this could be due to either the arteries (inflow) or veins (outflow). There has to be more inflow of blood than outflow in order to have an erection. The most common inflow abnormality is atherosclerosis (hardening of the arteries). This can be caused by smoking, high cholesterol levels in the blood or may be familial. If the valves in the veins are incompetent, this may cause the erection to be incomplete or early loss of an erection.

There are multiple physical changes which can occur. The most common are Peyronie’s disease, penile fracture, pelvic injury or pelvic surgery.

Low testosterone or thyroid hormonal changes can cause impotency.

There are multiple medications which may cause impotency. These commonly are antidepressants, antihypertensives, chemotherapy medications, Parkinson’s medications, prostate cancer medications and anti anxiety medications. Drugs that affect or suppress the central nervous system such as alcohol, barbiturates, nicotine and opioids can be suspect in causing impotence. My experience with patients using cannibus is that for some it improves erections and others it worsens them.

Finally psychological issues can cause impotence. The most common I saw in my practice was performance anxiety. This is when a man is so worried about having difficulties that he psychs himself out of it. Other causes can be depression, loss of sleep, relationship issues, anxiety, stress and low self esteem.

After resolving the cause or causes of impotence, the physician has a better guide as to treatment.

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3 Wise Men

Three Wise Men Give Marijuana Strain Gift Suggestions

Published

1 day ago

December 20, 2024

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It has become a popular gift with over 20% of the population putting it under the train. So we asked 3 wise man what to give (or consume) during the season.

The holiday season is a special time of year with a combination of Christmas, Hannakuh, and more are the modern hoildays descended from pagan holidays. Food, celebrations, gifts and a hint of something magical are all part of the holidays. With Christmas, the three wise men bring gifts to the baby Jesus being steered by a star. As we head into the last part of the season, why not think of the perfect gift to give or for yourself. We have three wise men give marijuana strain gift suggestions to share with our readers.

Terran Cooper, one of the rising stars of the industry and a part of the firm Falcon Rappaport & Berman who works in the cannabis industry. New York based, he says while there are several great strains, he has two to share for the holiday season.

One of my favorite day time strains, Pineapple Express has skyrocketed in popularity following the 2008 film by the same name. This strain is one of the more energetic strains that I’ve come across, allowing for a nice balance between productivity and relaxation this holiday season. Its joyful and uplifting effects may pair nicely with last minute holiday tasks in addition to any festivities. Though infrequent consumers beware – its relatively high THC content means that a little can go a long way.

Beautifully wrapped Christmas gifts under a festive tree with glowing lights.

Andrew Laub, managing partner of Keneh Ventures and CEO of Cannabition, is a leader in the industry and shared his favorites. Golden Goat is my secret to finding joy in any moment, especially during the holiday season. Its tropical, citrusy flavor is bright and uplifting, just like its effects. I love how it gives me an energized, creative boost without feeling overwhelming, making it perfect for everything from decorating the house to hosting friends. It’s my reminder to savor the fun and chaos of the holidays.

Granddaddy Purple is like my personal escape when the holiday rush gets overwhelming. I love its rich, grape-like flavor and how it helps me unwind at the end of a busy day. Whether I’m binge-watching holiday movies or enjoying quiet time by the fireplace, this strain makes everything feel a little cozier and more magical.

Sour Diesel is my motivation when there’s too much to do and not enough time. Its energizing, citrusy aroma wakes me up, and its focus-boosting effects help me tackle long to-do lists with ease. I love using it to power through holiday prep, whether I’m wrapping gifts, planning meals, or brainstorming creative ways to make the season special.

Online cannabis influencer Miguel a.k.a Miggy420 (@miggy420) believes consumption of cannabis is a personal experience with everyone being different. He sees the endocannabinoid system as unique as snowflakes in winter. Some smoke to wash away ills, others to wash away the ills of society. He shared his two favorites.

Vin Diesel Diesel is a sativa grown by Dewey’s Cultivars. Her beauty matches her taste with gassy hits reminiscent of early 2000 diesel strains I would buy in the traditional market. These growers come with a biochemical background and it shows with this plant, pure bliss – and this is coming from someone who prefers indicas.

If you’re looking for something post family events i.e you just realized the debt you incurred for the little ones or you’re just happy your conspiracy Uncle is gone, I recommend Gelato Cake by Agro Couture. This indica dominant hybrid will have your mind drifting away and able to focus on what it is you really wanted to do, hot box your bedroom and binge watch YouTube.

Enjoy these suggestions and may everyone have a great holiday season.

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Canada

Teen Marijuana Use Continues To Drop With Legalization

Published

2 days ago

December 20, 2024

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In another positive reason for cannabis legalization – teen use continues to drop.

One of the great arguments against marijuana legalization is it will lead to more youth partaking. This argument is brought out, despite teen alcohol use continuing to be a problem. Now, a new study shows teen marijuana is continuing to decline, coinciding with the increasing legalization of cannabis for adult use across the United States. This trend contradicts predictions made by opponents of legalization, who argued that easier access would lead to increased youth consumption.

According to the latest Monitoring the Future (MTF) Survey, supported by the National Institute on Drug Abuse (NIDA), cannabis use among 8th, 10th, and 12th graders is now lower than before the first states began enacting adult-use legalization laws in 2012. This decline is part of a broader trend of decreasing youth drug use, which has reached historic lows since the coronavirus pandemic.

The U.S. Department of Health and Human Service’s National Survey on Drug Use and Health reported an 18% decrease in the percentage of 12- to 17-year-olds who had ever tried marijuana from 2014 to 2023. Additionally, current marijuana use among this age group fell by 19%. Similarly, the Centers for Disease Control and Prevention’s Youth Risk Behavioral Survey found a 26% reduction in the percentage of high schoolers identifying as current cannabis consumers between 2013 and 2023.

Researchers attribute this decline to several factors:

Regulated markets: Licensed dispensaries require proof of age, making it more difficult for teenagers to obtain marijuana.
Effective ID policies: Studies show high compliance rates among licensed cannabis retailers in checking customer IDs.
Shifting perceptions: There has been a significant drop in youth perceptions that cannabis is easy to access, despite the widening adult-use marketplace.

The trend is not limited to the United States. A Canadian study found high school students reported more difficulty accessing marijuana since the country legalized it nationwide in 2019

These findings support the argument that regulated marijuana markets for adults, with appropriate safeguards, can effectively deter youth access and use. The data suggests that legalization policies can be implemented in a manner that provides regulated access for adults while simultaneously limiting youth access and misuse.

As more states consider legalizing marijuana, this evidence can inform policymakers and public health officials in developing effective strategies to protect youth while allowing adult use. The ongoing decline in teen marijuana use demonstrates that legalization, when properly implemented, does not necessarily lead to increased adolescent consumption and may even contribute to its reduction.

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alcohol

The Best Cocktails To Make You Feel Festive

Published

2 days ago

December 19, 2024

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Lean into the joy of the holiday season with this merry cocktails – delight your taste buds and favorite people!

According to TikTok, it s the most wonderful, stressful, fun, boozy time of year. So why not lean into the season and make merry with something fun. Here are the best cocktails to make you feel festive, no matter what the situation. Plus, these are drinks you can make quickly with minimum effort and maximum fun. Pour one of these concoctions and have a moment of peace or share them with the one you like, love or tolerate at work. Sip, savor and bring a little ho ho ho into the moment.

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Christmas Old Fashioned

Here is a way to settle into a cozy beverage which will warm your body and soul. Bourbon has been part of the holidays for generations…and you can make this a new tradition.

Ingredients

2 oz bourbon
1/2 oz simple syrup
2 dashes bitters
2 dashes orange juice
Garnish: cinnamon stick and orange peel

Create

Combine ingredients in a mixing glass and add ice
Stir for 20 seconds
Strain into a rocks glass with ice
Garnish with orange peel and a cinnamon stick

Easy, Tasty Egg Nog

You either you love it or hate it, but Egg Nog is a holiday staple. This recipe makes it lighter, tasty and a wee dangerous since it is so good. It bring a whole new take on a staid drink.

Ingredients

2 oz store bought egg nog
1 oz milk (2% is the best)
small splash vanilla
1 oz Licor 43

Create

Combine egg nog, milk and vanilla
Stir until well mixed
Add Licor 43 and stir again
Pour into a fun glass and enjoy

White Bishop

The Bishop’s Wife is a great holiday movie filled with the Christmas spirit and some never ending booze. This drink is an embraces the fun, warmth, snow, and spirit of the evening. Perfect as a dessert drink, a morning treat or just to lift your holiday mood.

2 oz vanilla vodka
1 oz heavy cream
1 oz Frangelico or Licor 43
Small splash of vanilla

Create

Combine all ingredients in shaker with ice
Shake for 20 seconds
Strain into a martini glass

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Poinsettia Champagne Cocktail

Nothing says celebration like bubbles. Whether you use champagne or prosecco, this is bound to bring a smile to your face. And the poinsettia is Christmas tradition since

Ingredients