These transcriptions of books by various nineteenth century authors of instructive books for teenagers, were made during the period 1997 to 2004 by Athelstane.
We used a Hewlett-Packard scanner, a Plustek OpticBook 3600 scanner or a Nikkon Coolpix camera to scan the pages, TextBridge Pro 98 or ABBYY Finereader 7 to produce a first draft of the text, and Athelstane software to improve the text. We proof-read the chapters, and then made a CD with the book read aloud by either Fonix ISpeak or TextAloud MP3. The last step enables us to hear and correct most of the errors that may have been missed by the other steps.
This process represents a large investment of time and skill. You may freely download a copy for your own use. We do not in the least mind if anybody wishes to offer any of our work on another website, but would point out that they should state that the copyright is ours, rather than claiming it as their own.
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In the United States, an average of 11% men between ages 18 and 39 years were taking testosterone in 2002, about the same as overall teen age population. Most recently, sales of oral testosterone products, which came under the FDA's regulation in 2010, have been decline after falling for a decade. In contrast, sales rose for erectile dysfunction drugs (by about 28%) and among younger men seeking treatment for poor sexual performance (by about 14%). Erectile dysfunction drugs have increased sales by more than 40% since 2011, while erectile dysfunction treatments rose by about 25%. Among males ages 17 to 64, for example, oral testosterone increases the likelihood of having ejaculation problems by about 23%, compared with 6% among males ages 17 to 24 who are not taking such drugs. Many U.S. males (61%) who have sexual difficulty say they not had to use erectile dysfunction drugs in the past year. Europe, where number of users is lower, sexual dysfunction drugs are less common, and, if taken properly, are not thought to contribute problems of ED.
Some researchers believe that young men may use testosterone to improve sexual performance, but the benefits are unclear.
When the FDA approved drug, it said the benefits of administering testosterone must be shown in randomized, placebo-controlled trials.
"As with any prescription drug, it is important that patients understand because of a medical condition or an age-related health condition, testosterone use may not be acceptable," the FDA said in a statement. It gave testosterone to men with erectile dysfunction as long the drug's benefits could be proven in randomized clinical drugstore primer uk
trials. But if that could not be proved, testosterone would allowed to be used only with a prescription. So far, the FDA has granted testosterone approval for only Online purchase of viagra tablets
two other conditions: primary hypogonadism in men over age 40 who have not had sexual intercourse in the previous 12 months, and secondary hypogonadism in men over age 40 who have had sex in the previous year.
In 2005, the American Urological Association urged doctors to stop using testosterone treatment of ED because its risk kidney harm. Two years later, the agency announced that doctors should continue prescribing a drug not as safe it could be.
In the U.S., a study released in February found that when people with ED use high doses of testosterone the problems go away. In study, 12 men receiving therapy for ED took testosterone shots five months, then had an MRI that measured their brain's gray matter volume. Half of the men were then told to stop testosterone (without an MRI) because the brain scans showed changes that suggested testosterone had damaged the brain's nerve cells. other half took an additional testosterone shot -- while the MRI scans showed no sign of problem. Five months later, the guys taking testosterone showed no longer significant volume loss in their gray matter.
The men in study with grey matter issues had been taking testosterone less than three months.
The findings are "very encouraging," Dr. John Krystal, the lead investigator and a professor of neurology at the University Arizona, said in a statement about Viagra 30 Pills 100mg $59 - $1.97 Per pill
the study that has not been peer-reviewed but is now public. But, "it will be important to confirm the magnitude and duration" of differences in brain changes. "These are very large differences in terms of overall brain volume, so we believe they are significant. It suggests that the treatment will need to be discontinued."
Dr. Krystal had been reluctant to talk about testosterone at all because of the issue testosterone's use in ED. He described it as "a very complicated problem," which involves brain function that needs to be reviewed with a multidisciplinary team and which has nothing to do with whether the man is a or not. "If we are going to treat this population and put them on testosterone, we need to make sure are very careful," he said.
A report released earlier this year from the National Institutes of Health noted that in one study, testosterone therapy produced "improvements in sexual function and satisfaction among men with ED-related erectile dysfunction" and found that "an increasing number of clinicians are exploring testosterone therapy as a treatment option for ED," but it stopped short of recommending such therapy, saying more research was needed.
A 2012 study of testosterone in 683 men treated for ED found that more than half had improved sexual functioning, and that more than half also had decreased ED.
Testosterone also has some advantages Purchase genuine viagra online
over its more traditional rivals. It is not as expensive, so doctors can treat more guys at a time. It produces an improvement in sexual functioning for about a year on average. But it is not long-term, and long-term effects are not certain.
Other drugs that increase testosterone levels and sexual function include dutasteride, a pill;
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Viagra comes as a tablet containing sildenafil citrate, to take by mouth. For most men, the recommended dose is 50 mg. taken, as needed, approximately 1 hour before sexual activity. However, sildenafil citrate may be taken anywhere from 4 hours to 0.5 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. The maximum recommended dosing frequency is once per day.
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