Madeeha Syed

Explore the understanding of erection loss: causes and concerns in men. Meri Sehat provides insights into factors affecting male intimate health.

Understanding Erection Loss: Causes And Concerns In Men

This article or video has been vetted and verified by Meri Sehat’s specialists. It contains citations and research from validated sources.

The Bald Truth

Overview

The bald truth is that hair loss in men can happen easily and quickly, and usually it&#39;s out of their control. While the reasons why hair loss occurs in men are somewhat murky, there are some things that can exacerbate the effects of natural balding. The good news is there are things you can do about it. We&#39;ve compiled a list of several ways for you to deal with baldness if it hits you or your loved ones. 
&nbsp;

Understanding the causes of hair loss

To start off with, lets first understand what causes hair loss in men. These include: 
&nbsp;

<ul>
	<li>Family History: A big chunk of the diseases or the disorders a person face is because of their family medical history. If your family has a history of male pattern baldness, there is a very slim chance for you to escape it.&nbsp;</li>
	<li>Hormones: We know you might feel like every other issue is now blamed on hormones but they have a crucial impact on our bodies. These <a href="https://merisehat.pk/article/what-is-hormonal-acne">hormones</a> are often imbalanced due to some medical condition or medicines that are taken for it that may lead you to lose your hair.</li>
	<li>Stress: This is another culprit of many issues in our body. However, losing hair due to stress is relatively temporary and is reversed in most cases.</li>
	<li>Hairstyles And Treatments: Too much product, styles that pull your hair, etc., may cause traction alopecia and causes your hairline to go backwards. This type of hair loss is permanent in many cases. 
	&nbsp;</li>
</ul>

Options For delay the process

If we are being blunt, there is no cure or a reversal of baldness or extreme hair loss. However, there are several options out there that may either delay the process or provide you with other options to copy with the issue.&nbsp;

&nbsp;

<ul>
	<li>Minoxidil: Originally created to treat high blood pressure, the side effect of the medicine included excessive hair growth with made the experts reconsider the use of the drug and target it towards treating baldness. The results are best shown in people who are 40 or under.&nbsp;</li>
	<li>Finasteride: Finasteride is a drug that can help fight male pattern baldness. It is available in both oral and topical forms, and works by decreasing the amount of DHT in the scalp. DHT seems to cause hair follicles to become thinner, so reducing DHT may help promote hair regrowth and slow hair loss. Unlike minoxidil, finasteride does not affect hair growth on other parts of your body.</li>
	<li>Surgery: If you&#39;re experiencing hair loss, the good news is there&#39;s a treatment for it. The bad news is that it requires surgery. Hair transplantation works for men with male pattern baldness. A hair transplant involves removing hair follicles from the back of the head, where they are resistant to DHT, and placing them on the scalp. As with any surgery, hair transplants carry the risk of complications. The American Society of Plastic Surgeons states that the risks include excessive bleeding and wide scars. Additionally, there is a chance the skin plugs may die, which requires further surgery to fix.</li>
	<li>Laser Combs: Laser combs are a newer form of hair loss treatment. Advocates claim these devices promote hair growth by using concentrated light to stimulate hair follicles. This treatment has mixed results and may work best when combines with other forms of treatment. 
	&nbsp;</li>
</ul>

Hair loss affects all ages, races, and sexes and literally has no boundaries. No one is immune from this epidemic and will eventually witness, if not experience it for themselves. It is an unavoidable fact of life that sometimes the best laid plans, the most fervent prayers or the strongest medications cannot eradicate. While some men see their hair grow back in after years of balding, for others their hair loss is a life long battle. This makes it even more important to live a healthy lifestyle and take active measures to ensure that you are doing everything possible to prevent hair loss.&nbsp; 
&nbsp;

Common Symptoms

Some common symptoms of male-pattern baldness include thinning or receding hairline, excessive hair on the side of the head, slow hair growth and even complete baldness at the top of the head over time. All men may benefit by getting more regular exercise and increasing activity during their free time. It is also recommended to have a balanced diet that includes vegetables, fruits and protein as well as staying away from fast food. Another natural remedy that can contribute to hair re-growth is using coconut oil regularly.

Umna Salah

What Is The Ketogenic Diet?

We know that there are three macronutrients in our diet that provide all the energy and nutrition we need to sustain our body&rsquo;s normal structures and functions. In a perfect world where everyone opted for a balanced diet, we would consume adequate quantities of these macronutrients. However, in reality a standard diet consists mostly of carbs (50 percent) with some fats (35 percent) and proteins (15 percent) thrown in.&nbsp; 
&nbsp;

Ketogenic diet

Keto is a low-carb, gluten-free and a low-to-moderate protein diet. It is very similar to the Paleo diet and Atkins diet.&nbsp;

In order to understand how a ketogenic diet works, we first need to establish how our body normally produces energy. Glucose is the main source of energy and is obtained mainly from carbs. Normally, a ketogenic diet comprises 75 percent fat, 20 percent of protein and only five percent of carbohydrates. But there are several renditions so you are allowed to switch these percentages around based on your daily needs.&nbsp;

Now where does your body generate the energy it needs if you eliminate carbs to such an extreme extent? It turns out that the body switches to metabolising fat for this purpose and conducts this via a process called &lsquo;Ketosis&rsquo;.&nbsp; 
&nbsp;

Fats are broken down into ketones and these ketones provide all the energy you need. This is where the name &lsquo;ketogenic&rsquo; is derived from &mdash; Keto for &lsquo;ketones&rsquo; and genic for &lsquo;producing&rsquo;. This primes your body to burn fat as a primary source of energy, which is why it&rsquo;s so well-known and widely used for <a href="https://merisehat.pk/article/five-myths-about-weight-loss">losing weight</a>.&nbsp;&nbsp;

It&rsquo;s important to note that our body is a living organism and there&rsquo;s no switch that can make it perform a different activity within a matter of minutes or even days. It will take your body a few days to adjust to employing fats as your primary energy resource and during that time you will feel all the negative impacts of having low glucose stores, including decreased focus, brain fog, nausea, vomiting, and irritability. This phase is commonly known as the &lsquo;keto flu&rsquo;.&nbsp; 
&nbsp;

Let&rsquo;s see some of the claims the proponents of the ketogenic diet make and how much weight they actually hold:&nbsp;

For Weight Loss: This is the main application of the keto diet and is a huge part of the current trend. Once your body gets used to burning fat for your daily needs it will also go ahead and burn your local fat stores. This helps shave off those few extra inches in a very short amount of time.&nbsp;

Another reason why this works for weight loss is the high fat content of your diet leads to satiety. Basically, this means you don&rsquo;t feel any cravings and also feel fuller for longer periods.&nbsp;

However, it is not good for long-term weight loss, and once you go back to your usual eating habits, you will quickly gain those extra pounds back. Putting your body through this kind of metabolic stress is also not advisable because it&rsquo;s very hard to sustain over a long period of time for many people.&nbsp; 
&nbsp;

For The Brain: Anecdotal evidence shows people feel sharper and more focused. Then again, some of them have also reported experiencing brain fog while observing a ketogenic diet.&nbsp; There is no clinical evidence for either of these claims. 
&nbsp;

This is actually well researched.&nbsp;

<ul>
	<li>Ketogenic diet works well for people who are either prediabetic or have Type 2 diabetes. This makes sense because people whose insulin doesn&rsquo;t work are constantly at risk of having high blood sugar levels. And a lifestyle of eating processed food doesn&rsquo;t help either. These are therefore classified as foods with a high glycaemic index &ndash; which essentially means that they raise your blood sugar very fast.&nbsp;</li>
	<li>People on keto achieve better insulin sensitivity over time. Simply because the diet gives the body less glucose to work with, enabling it to function optimally.&nbsp;</li>
	<li>It&rsquo;s also been found effective for heart disease, Alzheimer&rsquo;s, Parkinson&rsquo;s, certain sleep disorders, polycystic ovarian syndrome (PCOS), and metabolic syndrome.&nbsp;</li>
	<li>Cutting out carbs also helps control acne breakouts.&nbsp; 
	&nbsp;</li>
</ul>

For Childhood Epilepsy: This is what the ketogenic diet originally gained popularity for back in the 1920s and 1930s. Before new anticonvulsant medications and therapies were developed, children with epilepsy would fast in order to control their seizures. Keto replaced this successfully. One in seven kids benefit from a ketogenic diet.&nbsp;

Evidence-based science has established that children with refractory epileptic seizures experience seizures less frequently if they opt for keto.&nbsp; 
&nbsp;

For Cancers: Ketogenic diet has shown some promise when it comes to treating certain types of cancers, but the research is so far inconclusive.&nbsp; 
&nbsp;

There are some disadvantages to keto, including:

<ul>
	<li>Nutritional deficiencies&nbsp;</li>
	<li>Formation of kidney stones</li>
	<li>Frequent urination</li>
	<li>Increased thirst</li>
	<li>High levels of LDL (bad cholesterol)</li>
	<li>Increased incidence of certain cancers</li>
	<li>Constipation</li>
	<li>Indigestion</li>
	<li>Inconvenient and unsustainable over a long period of time</li>
	<li>Low blood sugar (hence the mental fog during the initial days)</li>
	<li>Tougher workouts (since you don&rsquo;t have glucose readily available for energy anymore)&nbsp;</li>
	<li>Keto flu: weakness, irritability, headaches, bad breath, and fatigue</li>
	<li>Dry mouth&nbsp; 
	&nbsp;</li>
</ul>

Bottom Line

The ketogenic diet is great for short-term weight loss if you are otherwise healthy. But, it&rsquo;s very tough to successfully carry out since it requires a drastic switch from a normal diet. Lack of conclusive research and knowledge means we don&rsquo;t know everything that might go wrong (or right!) on this diet. Safe to say, anyone planning to go on this diet needs to exercise a certain level of personal discretion.&nbsp;

Dr. Safia Mehmood

The Dos And Don’ts Of Keto

Keto or <a href="https://merisehat.pk/article/what-is-the-ketogenic-diet">ketogenic diet</a> has myriads of benefits. It is notorious as a shortcut to quick weight loss. Almost everyone has tried it at some point and they have also reaped its benefits. On the other hand, some people found that it was not their cup of tea; the experience left a bad taste in their mouth.&nbsp;

Even though it&rsquo;s not a new trend, there is plenty of misinformation around, which makes it harder to assess what you should actually do. The following tips would help you adapt a keto lifestyle while minimising its adverse effects.&nbsp; 
&nbsp;

Dos and Don’ts of Keto

Keto eliminates the need to count calories. As your body adjusts to using fat as the primary fuel, make sure to follow these rules:

<ul>
	<li>Fewer Carbs: You are allowed to consume only 5-10 percent of carbs. This is required for your body to switch to ketosis instead of using glucose as a primary source of energy.&nbsp;</li>
	<li>Just Enough Protein: When you consume an ample amount of protein, it&rsquo;s a signal for your body to convert it into glucose as well. This is exactly what we want to avoid while trying to elicit the keto state. Therefore, limit your protein intake to only 10-20 percent of your entire diet.&nbsp;</li>
	<li>Lots Of Fats: Your diet should primarily consist of fats (70-80 percent) to make the whole thing work.&nbsp;</li>
</ul>

There are free keto calculators available online that can help you measure exactly how much of these nutrients you consume daily.&nbsp; 
&nbsp;

To make it easier for you, you can eat:

<ul>
	<li>Meat: Devour red meat, sausages, chicken, and turkey. In other words, grass-fed meat.</li>
	<li>Seafood: This includes fatty fish like salmon, mackerel, trout, and oysters besides tuna, sardines, shrimps, and crab. See, keto&rsquo;s not about starving yourself.</li>
	<li>Non-Starchy Vegetables: Feed your belly asparagus, tomatoes, basil, spinach, broccoli, bell peppers, onions, celery, zucchini, lettuce, cauliflower, kale, broccoli, cabbage, jalapenos, cucumbers, eggplant, and Brussels sprouts.&nbsp;</li>
	<li>Cheese: Some good ol&rsquo; cheddar, goat cream, feta, parmesan, mozzarella, blue, brie provolone, and string cheese for flavour.</li>
	<li>Herbs: Don&rsquo;t forget to throw in thyme, rosemary, sage, mint, oregano, dill, parsley, cilantro, and basil.</li>
	<li>Seeds: Munch on flaxseed, chia seeds, and pumpkin seeds.</li>
	<li>Eggs, butter, peanut butter, and cream&nbsp;</li>
	<li>Plain Greek Yogurt, full fat yogurt&nbsp;</li>
	<li>Alternate Between Butter, Ghee, And Oil (extra virgin olive oil or avocado oil) for cooking or making creamy sauces.</li>
	<li>Nuts: Most of them are okay to eat. For example, almonds, pine nuts and walnuts. Avoid pistachios since they have a higher carb content.&nbsp;</li>
	<li>Plenty Of Liquid: Water, coffee or tea to go with your meals or otherwise. Use full fat cream or milk in your tea and coffee. Plant based milk such as soy, coconut, and almond milk are also keto-friendly.&nbsp; 
	&nbsp;</li>
</ul>

&nbsp;Consider the following as strictly off limits

<ul>
	<li>Starchy Foods like bread, rice, pasta, and tortillas. Even healthy whole grains are too high in carbs.&nbsp;</li>
	<li>Sugary Foods, like candy, cakes, brownies, cookies, donuts, ice cream, sweetened yogurt, and breakfast cereals. Natural sugars present in fruits are off limit as well, except for some berries (strawberries, blackberries, and raspberries) in small amounts.&nbsp;&nbsp;</li>
	<li>Starchy Vegetables, such as potatoes, sweet potatoes, parsnips, carrots, corn, and beets.&nbsp;</li>
	<li>Fruit Juices, soda, smoothies, ice creams, and sweet alcoholic drinks.&nbsp;</li>
	<li>Peas, kidney beans, lentils, and chickpeas.&nbsp;</li>
	<li>Sauces like BBQ sauce, honey mustard, teriyaki, and ketchup.</li>
	<li>Processed Vegetable Oils and mayonnaise.&nbsp;</li>
	<li>Sugar, sweeteners, and syrups in your beverages, tea, or coffee.&nbsp;</li>
</ul>

Note: Don&rsquo;t go overboard with adding too much fat as that means your body perpetually burns the fat you consume instead of the fat you had stored previously. 
&nbsp;

While observing a keto diet, the best snack is no snack. But it&rsquo;s understandable how those cravings are hard to resist sometimes. Some of the easiest Keto friendly snack options could be:&nbsp;&nbsp;

<ul>
	<li>Hard boiled eggs</li>
	<li>Slice of cheese</li>
	<li>Cold cuts (salami, prosciutto etc.)&nbsp;</li>
	<li>Avocados</li>
	<li>Olives</li>
	<li>A handful of nuts</li>
	<li>Fresh vegetables with creamy dressings such as ranch&nbsp;</li>
	<li>Berries with whipped cream</li>
	<li>Dark chocolate (the higher the cocoa percentage, the less sugar the chocolate contains)</li>
	<li>Keto friendly snack bars from the market&nbsp; 
	&nbsp;</li>
</ul>

Fatigue, brain fog, irritability, nausea, and headaches are just some of the symptoms you might feel while switching to keto. This is dubbed as the &lsquo;keto flu&rsquo;. 
&nbsp;

In order to combat the keto flu, you could:&nbsp;

<ul>
	<li>Increase your water intake and make sure you are adequately hydrated throughout the day. Also, prefer vegetables with a high water content such as cucumbers, celery, tomatoes, zucchini, etc.&nbsp;</li>
	<li>Increase your sodium, potassium and magnesium intake by adding extra salt to meals. And make sure to take mineral supplements. It would help deal with other micronutrient deficiencies you might suffer in a keto diet.&nbsp; 
	&nbsp;</li>
</ul>

<ul>
	<li>Get in the habit of reading food labels. Educate yourself on your nutrient intake and what each food contains and which might sneak into your diet. This will also help you recognise if a meal is keto-friendly or not. For example, when you are eating out and the restaurant doesn&rsquo;t mention it on their menu.&nbsp;</li>
	<li>Minimise the adverse effects of starting a keto diet by starting a low-carb diet at first before going full keto.&nbsp;</li>
	<li>When exercising during your diet, take creatine supplements to boost your performance. Caffeine helps, too. You can also take Whey protein supplements for augmenting your protein intake.&nbsp;</li>
	<li>Avoid keto if you are on any antidiabetic medication as this can cause diabetic ketoacidosis, which is a serious complication.&nbsp;</li>
	<li>Proceed slowly and with caution. Monitor your bad cholesterol levels if you are not over the keto flu within the first week consult your doctor.</li>
	<li>Plan ahead to avoid a high-carb meal. Even one high-carb meal can disrupt the body&rsquo;s metabolism switch towards ketosis.&nbsp;</li>
	<li>The biggest complaint is that it&rsquo;s not sustainable. Who has time to meticulously prepare for meals when you have work and family to look after? If you fall in this category, sign up for meal delivery services to deliver keto friendly meals to your doorstep.&nbsp;&nbsp;</li>
	<li>Use sugar free gum to combat halitosis (bad breath) which you will inevitably suffer from.&nbsp;</li>
</ul>

Armed with all of this information, you should be able to follow a ketogenic diet properly.&nbsp;

What Is Hormonal Weight And How To Deal With It?

Have you ever felt like you&rsquo;ve tried everything to lose weight and it just doesn&rsquo;t work? That no amount of dieting or exercise keeps those few extra pounds off.&nbsp;

The solution to your weight loss may not be as simple as <a href="https://merisehat.pk/article/body-weight-exercises-for-strength-training">diet and exercise if the weight gain</a> itself is &lsquo;hormonal&rsquo;.

Hormones are chemicals, responsible for various functions that go on in your body, from digestion, sleep, mood swings, and sexual desires to metabolism. That is why having any kind of a hormonal imbalance can lead to health issues including, weight gain, low mood and that awful bloated feeling.&nbsp;

Hormones can make you gain and lose weight because they control how your body uses and spends the energy that is generated. Therefore, hormonal weight gain occurs when there is an imbalance in hormone production. This in turn can disturb levels of cortisol, thyroid, insulin, estrogen, and testosterone. 
&nbsp;

Signs And Symptoms

A classic sign of hormonal weight gain is the accumulation of fat around the abdominal area.

There are several hormones responsible for wreaking havoc on your body, your weighing machine and, as a result, your overall peace of mind. These include:

<h5>Thyroid</h5>

This hormone is responsible for regulating your metabolism and burning calories. In short, your body needs the right amount of thyroid hormone to burn calories. It also controls the body temperature, heartbeat, and the rate at which the food moves through the digestive tract. 
&nbsp;

<h5>Estrogen</h5>

Estrogen is a hormone responsible for sexual and reproductive health. But it can also trigger weight gain. Imbalances in estrogen levels can affect ovaries and cause PCOS (Polycystic ovary syndrome).

&nbsp;

<h5>Cortisol</h5>

This stress hormone is one of the silent culprits when it comes to weight gain and hormonal imbalances. Increased cortisol levels can lead to major weight gain as they are associated with addiction and cravings for sugary foods. The worst part is that this food makes you jittery and lazy. Hence, there is no motivation to work out to address the weight gain. A cortisol imbalance is like a double-edged sword. 
&nbsp;

<h5 dir="ltr">Insulin</h5>

The hormone responsible for energy. It pushes glucose into the cells. When insulin levels are too high, there is an excess of sugar in the blood. This extra sugar is converted to fat. This eventually leads to increased fatty deposits and cravings for sugary food.

 
In conclusion&nbsp;Shedding weight gain caused by an imbalance of hormones can take longer than expected.

&nbsp;

<h5>Exercise</h5>

Under the supervision of your doctor and certified trainer, you can try workouts like high-intensity interval training (HIIT), yoga, and strength training to release the happy chemicals (serotonin, dopamine, and norepinephrine) into your brain. These chemicals in turn reduce the level of stress hormones which are the major contributor to weight gain.

&nbsp;

<h5>Diet</h5>

Workouts and supplements without a proper diet can only take you so far. A balanced and doctor-supervised diet is crucial for weight loss. A diet that is specifically designed to offset hormonal weight has foods that have a naturally therapeutic and balancing effect on the body.

&nbsp;

Solution

Besides, the common sign of weight gain, other signs of hormonal imbalance might not always be apparent. We might think it is due to aging or genetics are at play for the fat that&rsquo;s being accumulated in our bodies. And this may not be true.&nbsp;

To be sure, the best thing to do is to get yourself tested after a thorough consult with a doctor. This way you can find out which hormones are in excess and which ones are not. You can then plan out your strategic weight loss journey without the pain of constant disappointments.

Hormonal weight loss is reversible. Patience and a plan are all you need.&nbsp;

Namwer Rao

AL SHIFA CLINIC KARACHI

Syed Intisar Hussain

This article or video has been recorded by a subject / domain specialists with a proven track record of excellence in their area. 

Morning Wood Is Actually Good

Introduction

I could see this like a tent,

Made by my own content,

Only happened this event,

Because I am a gent,

Enjoying my mighty manhood again

It&rsquo;s nice to get morning wood again.

&nbsp;

Not many people are able to wrap their heads around the idea of a morning wood. And even though it&rsquo;s pretty much backed by science, the topic is still off-limits, stigmatized and causes shame to the one experiencing it. A man gets offensive nicknames or even bullied, if it&rsquo;s a frequent occurrence and on the flipside the pressure still exists if he can&rsquo;t get it up or if he can&rsquo;t keep it up for long. These sexual pressures can be intense especially for young, impulsive boys, and can unfortunately result in suicide. According to a study carried out in the US, 21% of teens commit suicide due to sexual pressures<a href="#accordion">[1]</a>.

&nbsp;

Morning wood is a very natural and healthy phenomenon. It is medically termed as Nocturnal penile tumescence (NPT), i.e., a spontaneous erection of the penis during sleep or when waking up. It is also known as sleep-related erection, morning glory or morning wood.&nbsp;

&nbsp;

The most important thing to understand here is that NPT, in no capacity, is an explanation of your sexual desires or arousal. In fact, it is a reassurance that the neurovasculature (nerves and vessels) of your reproductive system is intact. The blood is flowing where it should and you are getting enough sensations there to actively feel it. This spontaneous erection displays good health, and the absence of it could be indicative of a wide range of issues e.g. <a href="https://merisehat.pk/disease/erectile-dysfunction" target="_blank">erectile dysfunction (ED)</a> to low levels of testosterone, an important hormone of the male reproductive system<a href="#accordion">[2]</a>. It is important to consult your healthcare practitioner to determine the underlying cause and commence treatment.&nbsp;&nbsp; 
&nbsp;

Understanding Importance of Nocturnal Penile Tumescence (NPT)

There are multiple reasons as to why you get uninitiated erections. The most common one is when you get rapid eye movement sleep (REM sleep). You will frequently transition into this stage during your sleep cycle. According to studies, men slip into REM sleep about 90 minutes after sleeping and each episode of REM sleep produces an erection lasting 20-25 minutes<a href="#accordion">[3]</a>.&nbsp;&nbsp;

&nbsp;

But, it&rsquo;s not just during sleep; men can get erections when they wake up right after a REM sleep phase, too! This has been linked to the high levels of testosterone during the REM phase.&nbsp;

&nbsp;

The science behind this connection is that during REM, norepinephrine production slows down and testosterone takes command. Another theory is that there&rsquo;s an increased production of nitric oxide during the REM phase; nitric oxide is a vasodilator and thus there&rsquo;s greater blood flow to the penile vessels.&nbsp;

&nbsp;

All in all, it indicates a healthy and totally normal bodily function. There are studies that have been using NPT as a clinical indicator tracking the response of ED treatment and sexual health of individuals<a href="#accordion">[3]</a>.&nbsp;

<div>&nbsp;</div>

Not being able to achieve nocturnal penile tumescence can be a sign of serious health issues going on in the body. The most worrisome reason would be ED, a condition in which a man either doesn&rsquo;t achieve an erection or has a problem maintaining it.&nbsp;

&nbsp;

NPT also helps your health care provider to rule out other diseases. For example, if a person gets ample NPTs but cannot maintain an erection during intercourse, it signifies that at least the neurovasculature of the penis is intact and the doctor can consider other possibilities such as<a href="#accordion">[4]</a>:&nbsp;

<ul>
	<li>Cardiovascular disease</li>
	<li>Atherosclerosis (clogged arteries)</li>
	<li>Hypertension (high blood pressure)</li>
	<li>Diabetes Type 2</li>
	<li>Multiple Sclerosis</li>
</ul>

&nbsp;

It is important to bear in mind that the frequency of NPT is also determined by our daily life choices such as our dietary habits and/or physical activity. For e.g., excessive use of alcohol, use of illicit drugs, and a sedentary lifestyle may cause a delay in your flight&rsquo;s takeoff<a href="#accordion">[5]</a>.&nbsp;

&nbsp;

One important factor that ultimately leads to anything and everything is mental health. Issues like stress, anxiety, and depression may cause either Psychogenic ED or just reduce the REM phase, which at the end affects your NPT. Therefore, it&rsquo;s not only nuts you should be worried about, to ensure an efficient mental state, you need to learn to relax as well<a href="#accordion">[5]</a>.&nbsp; 
&nbsp;

You need to check a few things in order to get a clear picture of your NPT. Absence of NPT signifies some underlying health issues, which might also affect your ability to reproduce.&nbsp;

&nbsp;

Following are the factors that may help correct any non-serious temporary condition<a href="#accordion">[4]</a>:

&nbsp;

1. Being Physically Active

Exercising and being active generally allows your cardiovascular system to work efficiently. Furthermore, it would correct any blood flow issues (if any). It is recommended that adults get at least 150 minutes of workout every week. However, any regimen must be initiated after consultation with your doctor.

&nbsp;

2. Reduce Weight

Studies prove that people who are obese&nbsp; have a three fold higher risk of developing ED compared to individuals with a healthy BMI. Therefore, it&rsquo;s time to shed and keep off those extra kilos.&nbsp;

&nbsp;

3. Alcohol Limitation

Research proves that higher alcohol intake is associated with ED and unsatisfactory intercourse. Limit your daily alcohol intake to 2 drinks per day.&nbsp;

&nbsp;

4.&nbsp; Avoid Smoking

Smoking affects how blood is pumped throughout the body. This includes your penile vasculature as well. Poor cardiovascular health leads to ED. Consult your health care provider on the various options you can use to quit smoking.&nbsp; 
&nbsp;

Recent research shows that if you are unable to get your morning glory, it might be an early indication of clogged vessels. These clogged vessels could occur in any part of the body, and are not necessarily limited to the reproductive system. Hence, you can be at a higher risk of getting a stroke or even heart attack within a span of 3-5 years. According to Dr Leen Antonio, lead researcher and assistant professor of endocrinology at Katholieke Universiteit Leuven: &ldquo;Erectile dysfunction and poor morning erections are associated with increased mortality&quot;<a href="#accordion">[6]</a>.&nbsp; 
&nbsp;

Conclusion

Getting an erection is as normal as any other physiological process of the body. It should be understood that it is not something to be ashamed about. You need a medical evaluation if you haven’t got an erection in a long time. NPT or morning wood, especially, since NPT is not just related to your sexual health or performance, but is also an indicator of your overall health, and must be taken seriously. <div> </div>

Key Points

<ul><li>According to a study carried out in the US, 21% of teens commit suicide due to sexual pressures.</li><li>Morning wood is a very natural and healthy phenomenon. It is also known as Nocturnal penile tumescence (NPT).</li><li>Nocturnal penile tumescence is spontaneous erection of the penis during sleep or after you wake up.</li><li>NPT is a reassurance that the neuro-vasculature (nerves and vessels) of your reproductive system is intact.</li><li>Absence of NPT can be due to multiple reasons ranging from erectile dysfunction (ED) to low levels of testosterone, which is an important hormone of the male reproductive system.</li><li>NPT occurs during the rapid eye movement (REM) phase of the sleep cycle.&nbsp;&nbsp;</li><li>Each episode of REM sleep produces an erection lasting 20- 25 minutes.</li><li>Testosterone levels are reportedly at their highest when you wake up.&nbsp;&nbsp;</li><li>The science behind this connection between REM phase and NPT is that during REM, norepinephrine production slows down and it lets testosterone take command.</li><li>Also the production of nitric oxide&nbsp; increases during the REM phase. Since nitric oxide is a vasodilator, it means more blood flows to the penile vessels.</li><li>There are studies that have been using NPT as a clinical indicator to track the response of Erectile Dysfunction (ED) treatment and sexual health of individuals.</li><li>The most worrisome reason for not getting an NPT is Erectile Dysfunction (ED), a condition in which a man either doesn’t achieve an erection or has a problem maintaining it.</li><li>Your dietary habits and physical activity reflects on your erection, too.</li><li>Excessive use of alcohol, any use of illicit drugs, and a sedentary lifestyle makes it hard to get an erection as well.</li><li>Issues like stress, anxiety and depression may cause either Psychogenic ED or just reduce the REM phase, which ultimately affects your NPT.</li><li>You should try to stay physically active, ensure a healthy body mass index, and avoid alcohol, illicit drugs and smoking to achieve NPT.</li><li>However, if the symptom persists, you should consult with your doctor.</li><li>New research shows that if you are unable to get your morning glory, it may be due to clogged vessels in the body.&nbsp;</li><li>It has been stated that: “Erectile dysfunction and poor morning erections are associated with increased mortality”.</li></ul>

[1] Kupersanin E. Adults often in dark about suicide risk in teens. Psychiatric News. 2001;36(24):22-28. doi:10.1176/pn.36.24.0022

[2] Morning wood: Causes and frequency. Medical News Today.

[3] Team HG. What morning wood says about your health: Ro Man. Ro.

[4] What morning wood says about your health. hims.

[5] Lamour J. Your morning wood (or lack thereof) says a lot about your health. Mic.

[6] Mailonline JRF. New Study says men who get erections in the morning less likely to die from heart disease or strokes. Daily Mail Online.

Arbaz Ansari

Weight Loss Supplements Exposed

Obsessed with quick fixes and instant results? Well, I don&rsquo;t blame you. Aren&rsquo;t we all? Especially when it comes to securing the hourglass shape worthy of glossy magazine covers. The only issue is &ldquo;we don&rsquo;t have time&rdquo; for the (tried and tested) diet/exercise route.&nbsp;

So now imagine if we were to go to a pharmacy and see weight loss supplements placed strategically next to the counter. Imagine the pharmacist saying we don&rsquo;t need a prescription and that they yield magnificent results. The allure is simply undeniable. But is it love at first sight or a scam at first sight?

How do we know if they deliver on their claims or if they are just another gimmick in a crowded market? Let&rsquo;s discover the real story of these pills and potions! 
&nbsp;

Understanding weight loss supplements

Over-the-counter (OTC) weight loss supplements are readily available in pharmacies, health food stores, and online platforms without a prescription. They come in various forms, including pills, powders, and teas, claiming to aid <a href="https://merisehat.pk/article/weight-loss-supplements-exposed">weight loss</a> through mechanisms such as fat burning, appetite suppression, or metabolism boosting.

For instance, if you&rsquo;re obese, then appetite supplements can make you feel full faster or lessen your appetite so that your calorie intake is reduced and you&rsquo;re able to lose weight. Alternatively, fat-burning supplements increase the resting metabolic rate and reduce fat absorption by your body.

One of the primary concerns surrounding over-the-counter weight loss supplements is their safety. Unlike prescription medications, these supplements are not subject to rigorous testing and regulation by health authorities. As a result, their safety profiles can be uncertain, with the potential for adverse effects ranging from mild digestive issues to serious health complications. 
&nbsp;

Studies have shown that some ingredients commonly found in these weight loss pills, such as caffeine and green tea extract, may have modest effects on weight loss when combined with diet and exercise. However, the magnitude of these effects is often small, and long-term sustainability is questionable. Simply put, more research is needed to corroborate these results.

Recently, there has been growing scrutiny and calls for stricter regulation of OTC weight loss supplements. Health authorities have raised concerns about misleading marketing claims, undisclosed ingredients, and contamination with harmful substances. Despite efforts to improve transparency and oversight, challenges remain in ensuring the safety and efficacy of these products. 
&nbsp;

Some popular OTC supplements available include:<a href="#accordion">[1][2][3]</a>

<ul>
	<li>Orlistat &ndash; According to a review of controlled trials, the medication is said to provide a significant decrease in body weight. Side effects of weight loss pills include gastrointestinal issues and risk of kidney damage. It is recommended with a low-fat, low-calorie diet for adults with a BMI of 25 or above.</li>
	<li>Garcinia Cambogia &ndash; One review showed mixed results, with some people losing weight and others not. Adverse effects include nausea, headaches, and risk of liver damage.</li>
	<li>Glucomannan &ndash; It&rsquo;s not confirmed whether this fiber supplement promotes weight loss or not. Side effects include feeling bloated. It is generally recommended for females, especially when combined with garcinia cambogia.</li>
	<li>Conjugated Linoleic Acid &ndash; Believed to promote weight loss, this supplement may also lower HDL cholesterol levels and some people have even experienced greater insulin resistance and heart attacks after taking it.</li>
	<li>Green Tea &ndash; Consumed as a pill or in beverage form, it reportedly aids metabolism. It may also have an antioxidant, anti-inflammatory, and anti-cardiovascular effect. However, there is little research on its long-term effectiveness for weight loss. 
	&nbsp;</li>
</ul>

Note: The FDA has banned certain drugs for consumer use, including sibutramine and lorcaserin. Check with your doctor before buying these drugs. 
&nbsp;

If you&rsquo;re considering any of these products, it&#39;s essential to approach them with caution and skepticism. Remember, they&rsquo;re not medicines that would help treat or cure your condition.

Consulting with a healthcare professional before starting any new supplement regimen is advisable, especially if you have any underlying health conditions and allergies or if you&rsquo;re taking medications. You should also reconsider buying and using weight loss supplements if you&rsquo;re pregnant or breastfeeding.<a href="#accordion">[1]</a>

You may need to take a few vitamins and minerals, such as B-complex, multivitamins, iron, and magnesium, to give your body the extra boost it needs to ensure it keeps functioning effectively for weight loss.<a href="#accordion">[3]</a>

However, focusing on sustainable lifestyle changes, such as a balanced diet and regular exercise, remains the cornerstone of successful weight management. According to the CDC, losing 1-2 pounds per week through lifestyle modifications is a more sustainable option than shedding weight quickly.<a href="#accordion">[4]</a> 
&nbsp;

While some ingredients may offer modest benefits, the overall landscape of over-the-counter weight loss supplements is fraught with uncertainty. As consumers, it&#39;s crucial to be informed and prioritize evidence-based approaches to achieve long-term health and wellness goals. 
&nbsp;

<ul>
	<li>Over-the-counter weight loss supplements are widely accessible in various forms, including pills, powders, and teas, marketed to aid weight loss through mechanisms such as fat burning, appetite suppression, or metabolism boosting.</li>
	<li>Unlike prescription medications, they are not subject to rigorous testing and regulation by health authorities, raising concerns about their safety. Adverse effects, ranging from mild digestive issues to serious health complications, may occur.</li>
	<li>Efforts to improve transparency and oversight are underway, but concerns persist.</li>
	<li>Consult your doctor before starting any new supplement regimen, especially if you have any underlying health conditions or are taking medications.</li>
	<li>Sustainable lifestyle changes, such as a balanced diet and regular exercise, remain the cornerstone of successful weight management.</li>
</ul>

[1] Malia Frey MA. Your complete guide to weight loss pills and supplements. Verywell Fit. Accessed April 2, 2024

[2] Kubala J. 12 over-the-counter appetite suppressants reviewed. Healthline. September 25, 2018. Accessed April 2, 2024.

[3] Cafasso J. What are the best nutrients to boost your metabolism? Healthline. February 6, 2023. Accessed April 2, 2024.

[4] A guide to the top weight loss supplements in 2024. Forbes. April 1, 2024. Accessed April 2, 2024.

Shermeen Zuberi

The Write Way To Weight Loss Success

Losing weight can be challenging for many. Amidst the plethora of weight loss diet plans and weight loss exercise regimes, there&#39;s a simple yet powerful tool often overlooked: journaling and self-monitoring. According to research, behavioral interventions such as food diaries encourage significant weight loss. People who used a food diary lost twice the weight compared to those who didn&rsquo;t.<a href="#accordion">[1][3]</a> 
&nbsp;

Understanding journaling for weight loss

This includes:<a href="#accordion">[1][2]</a>

<ol>
	<li>
	<h5>Food Diary Or Log</h5>
	</li>
</ol>

<ul>
	<li>This is a detailed record. You may want to mention activity, stress levels, the time and location of your meals, whether you ate alone or with someone, and how you felt before, during, and after the meal.</li>
	<li>Other details that may be included are the type, caloric content, and amount of food or beverage consumed, along with the time of day of eating.</li>
	<li>It&rsquo;s better to not wait until the day ends because &ndash; let&rsquo;s admit it &ndash; recollections can be less accurate.</li>
	<li>Sometimes, doctors may ask you to maintain disease-specific logs. For instance, if you have diabetes, you may need to focus more on noting down&nbsp; carb content than calorie intake.</li>
	<li>&nbsp;Such logs also bring attention to underlying food sensitivities, like <a href="https://merisehat.pk/disease/irritable-bowel-syndrome-62">IBS </a>or acid reflux. 
	&nbsp;</li>
</ul>

<ol start="2">
	<li>
	<h5>Exercise Diary Or Log</h5>
	</li>
</ol>

<ul>
	<li>This records the type and intensity of physical activity and the time duration. Now, physical activity can be spaced out throughout the day, or it can be done at one time.</li>
	<li>Healthcare professionals generally recommend 30 minutes of exercise on most days of the week. Also, studies suggest around 4000-6000 steps per day for weight loss. But you need to remember that leisure walking for 30 minutes will have a different impact compared to 30 minutes of brisk walking. 
	&nbsp;</li>
</ul>

<ol start="3">
	<li>
	<h5>Regular Self-Weighing</h5>
	</li>
</ol>

<ul>
	<li>Regular monitoring can help maintain the weight. However, don&rsquo;t overdo it because the day-to-day fluctuations are not real indicators of your weight.</li>
	<li>It is recommended that you weigh yourself every week. Make sure to weigh yourself at the same time of day, the same day of the week. 
	&nbsp;</li>
</ul>

<ol start="4">
	<li>
	<h5>Self-Monitoring Tools</h5>
	</li>
</ol>

<ul>
	<li>Certain equipment, such as pedometers, hand-held calorie counters, sleep calculators, and heart rate monitors, can help with objective data collection.</li>
	<li>Research also highlights the importance of a sleep log to encourage adequate sleep for weight loss. 
	&nbsp;</li>
</ul>

One of the key benefits of journaling and self-monitoring is increased awareness. When you meticulously record your daily activities, including what you eat, how much you exercise, and how you feel, you become more mindful of your habits and behaviors. This heightened awareness is what helps you understand your&nbsp; triggers for overeating or&nbsp; identify unhealthy behavioral patterns.

For example, you might notice that you tend to snack more when stressed or that you consistently skip breakfast on busy mornings. However, it&rsquo;s common practice to ignore these signs. Journaling ensures you&rsquo;re proactive in addressing these patterns, such as finding healthier ways to cope with stress or preparing nutritious breakfast options ahead of time. 
&nbsp;

It also enhances accountability and motivation. When you have a written record of your goals and the actions you&#39;re taking to achieve them, you&#39;re more likely to stay committed. Additionally, seeing positive changes or gradual improvements over time can be incredibly motivating and reinforce your efforts.

For instance, if you set a goal to exercise for 30 minutes five days a week and you consistently log your workouts, you&#39;ll have tangible evidence of your dedication. Even on days when you might feel tempted to skip a workout, the thought of breaking your streak documented in your journal can serve as a powerful motivator to lace up your sneakers and get moving.

Visualize your success. Try positive affirmations like &ldquo;I am capable of achieving my goals&rdquo; instead of criticizing yourself for any setback or mistake in this journey. 
&nbsp;

Moreover, it allows you to identify what strategies are most effective for you. By tracking various factors, such as food choices, portion sizes, exercise routines, and even mood fluctuations, you can pinpoint which behaviors contribute to your progress and which ones hinder it.

For example, you might discover that eating a protein-rich breakfast helps you feel more satiated throughout the day. Or evening workouts may leave you feeling energized and less likely to indulge in late-night snacking. Armed with this information, you can fine-tune your approach and focus on the strategies that yield the best results for you personally. 
&nbsp;

Unsure of how to make the most of journaling and self-monitoring for weight loss success?

Perhaps your mind is resisting this &lsquo;change.&rsquo; Especially if you feel stressed out with all the micromanagement, your choice of log methods &ndash; digital or print &ndash; affects how you perceive it. 
&nbsp;

Here are some tried-and-tested tips:

<ul>
	<li>
	<h5>Be Consistent And Honest</h5>
	</li>
</ul>

Set aside time each day to record your activities, meals, and emotions. Consistency is essential to accurately tracking your progress and identifying trends.

Also, your journal is a judgment-free zone. Be specific and honest with yourself about your actions and choices, even if they&#39;re less than ideal. Think like this: every entry is an opportunity for reflection and growth. 
&nbsp;

<ul>
	<li>
	<h5>Use A Format Of Your Choice</h5>
	</li>
</ul>

Whether it&#39;s a traditional notebook, a smartphone app, or a digital spreadsheet, choose a format that you&#39;re comfortable with and that aligns with your lifestyle. While digital appears to be a more convenient option, a printable log serves as a constant reminder of your commitment to weight loss, including the healthy food choices you&rsquo;ve made so far.<a href="#accordion">[2]</a>

Further, don&rsquo;t feel compelled to fill in all the categories mentioned. If you don&rsquo;t eat dessert, don&rsquo;t fill the row. 
&nbsp;

<ul>
	<li>
	<h5>Stay Flexible</h5>
	</li>
</ul>

Be open to adjusting your approach as needed based on your observations and results. What works for one individual may not yield the same results for you; hence, don&#39;t hesitate to explore different approaches and adjust accordingly.

Always celebrate your successes, no matter how small. Whether it&#39;s reaching a milestone or simply resisting temptation, acknowledge and reward your achievements. And, most importantly, be patient; it may take longer to shed the pounds, so don&rsquo;t give up just yet. 
&nbsp;

Note: From negative thoughts and feelings of shame to obsession with numbers, food diaries may end up adversely affecting someone diagnosed with eating disorders like bulimia. In that case, talk to your doctor.<a href="#accordion">[1]</a> 
&nbsp;

Set SMART (specific, measurable, achievable, relevant, and time-bound) weight loss goals with these prompts:<a href="#accordion">[3]</a>

<ul>
	<li>What did I eat today?</li>
	<li>How much water did I drink today?</li>
	<li>What physical activity did I do today?</li>
	<li>What is my ultimate weight loss goal?</li>
	<li>What is my timeline to achieve this goal?</li>
	<li>What triggers my emotional eating?</li>
	<li>What healthy habits have I developed recently, and how do they affect my weight loss journey?</li>
	<li>What positive changes have I noticed in my body, mood, or energy levels? 
	&nbsp;</li>
</ul>

Journaling and self-monitoring are powerful tools that can positively influence weight loss success. By increasing awareness, accountability, and motivation, as well as helping to identify effective strategies, they empower individuals to take control of their health journey and achieve lasting results. So, grab a pen and paper or open that tracking app, and start documenting your path to a healthier, happier you! 
&nbsp;

<ul>
	<li>Incorporating&nbsp; a diet plan for weight loss and weight loss tips like journaling and self-monitoring into weight management interventions can lead to sustained weight loss and healthier lifestyles.</li>
	<li>It involves keeping a record of daily activities, food intake, emotions, and progress toward weight loss goals.</li>
	<li>One of its biggest advantages is that you become more mindful of your habits and more aware of what triggers overeating or impacts weight loss success.</li>
	<li>Moreover, regularly tracking progress enhances commitment and provides tangible evidence of your efforts, boosting motivation.</li>
	<li>Consistency, transparency, and flexibility are essential for effective journaling and self-monitoring.</li>
</ul>

[1] Ajmera R. How to keep a Food Journal: Instructions and tips. Healthline. September 16, 2021. Accessed April 2, 2024.

[2] Malia Frey MA. The easy-to-use printable food journal for weight loss. Verywell Fit. December 1, 2022. Accessed April 2, 2024.

[3] Ryan. 16 journal prompts for Weight Loss Success. The Mindful Page. May 15, 2023. Accessed April 2, 2024.

Sexual performance can be a source of pride and pleasure for many men, but what happens when things don&#39;t go as planned? Losing an erection in the middle of intercourse is a common concern that can lead to anxiety and self-doubt. In this article, we will examine the various factors that can contribute to this issue, offering insights into why it happens and when it might be a cause for concern. 
&nbsp;

Erection Loss

<h5>Psychological Factors</h5>

<ul>
	<li>Performance Anxiety: Fear of not satisfying a partner or living up to societal expectations can trigger <a href="https://merisehat.pk/disease/anxiety">anxiety</a>, making it challenging to maintain an erection.</li>
	<li>Stress And Relationship Issues: Stressors in life, as well as conflicts within a relationship, can manifest as sexual difficulties, including erection loss. 
	&nbsp;</li>
</ul>

<h5>Physical Factors</h5>

<ul>
	<li>Fatigue And Lack Of Sleep: Exhaustion and inadequate rest can affect a man&#39;s ability to maintain an erection during intercourse.</li>
	<li>Medications And Health Conditions: Certain medications, chronic illnesses, and hormonal imbalances can interfere with erectile function.</li>
	<li>Alcohol And Substance Abuse: Excessive alcohol or drug use can impair sexual performance, leading to difficulties in maintaining an erection. 
	&nbsp;</li>
</ul>

<h5>Age-Related&nbsp;Changes</h5>

<ul>
	<li>Natural Decline In Testosterone: As men age, their testosterone levels may decrease, which can impact erectile function. However, this is a gradual process and not necessarily a cause for immediate concern. 
	&nbsp;</li>
</ul>

<ul>
	<li>Consistent Issues: If the problem of losing an erection persists and becomes a recurring occurrence, it&#39;s essential to seek medical advice. Consistent problems could be indicative of an underlying health issue that requires attention. 
	&nbsp;</li>
	<li>Sudden Onset: If a man experiences a sudden and unexplained loss of erections in the middle of intercourse, especially if it is accompanied by pain or discomfort, it&#39;s crucial to consult a healthcare professional promptly. This could signal a more serious health problem. 
	&nbsp;</li>
	<li>Other Symptoms: If erectile issues are accompanied by other concerning symptoms, such as difficulty urinating, changes in libido, or unusual pain, these should not be ignored. They may be indicative of underlying health conditions that require medical evaluation. 
	&nbsp;</li>
</ul>

<ul>
	<li>Open Communication: One of the most crucial steps in addressing erectile issues is open communication with a partner. Discussing concerns and fears can help alleviate anxiety and strengthen emotional bonds. 
	&nbsp;</li>
	<li>Lifestyle Changes: Making positive lifestyle changes, such as managing stress, getting regular exercise, and maintaining a healthy diet, can improve overall sexual health. 
	&nbsp;</li>
	<li>Medical Consultation: If the issue persists or is accompanied by other worrying symptoms, seeking help from a healthcare professional, such as a urologist, is advisable. They can conduct tests, provide a diagnosis, and recommend appropriate treatments, which may include medications, therapy, or lifestyle adjustments. 
	&nbsp;</li>
</ul>

Losing an erection in the middle of intercourse can happen to any man at some point in their life, and it&#39;s essential not to let it create undue stress or anxiety. Understanding the various factors at play, knowing when to be concerned, and seeking help when needed can lead to improved sexual well-being and overall confidence. Remember that open communication and professional advice are valuable tools in addressing and resolving these common concerns.