Menopause Diagnosis

Solutions For All Lifestages And Issues Related To Woman In Menopause - By: Darrell Miller


Perimenopause. Menopause. Premenstrual syndrome. Estrogen dominance. Osteoporosis.

When watching the media these days, there is a good chance you are going to encounter a discussion about one or more of the above women’s health issues. Although these discussions offer much advice, it is often contradictory and debatable. In the following paragraphs, one will discover what really is happening in a woman’s body as she travels through her lifestages and why these changes are occurring.

No matter what our age, life’s plans, personal desires, or professional goals, being a female means that our organs and hormones will cause us to experience physical changes in fairly specific intervals. Within each of these stages, normal fluctuations in our reproductive hormones occur, with high levels in puberty, and ceasing levels later in life. Since our reproductive hormones are responsible for other important functions in our bodies, completely unrelated to pregnancy and babies, these changing levels greatly affect women’s health as a whole, resulting in a variety of normal and natural, but uncomfortable, symptoms. Healthcare practitioners have come to view these symptoms as problems to fix because they do cause discomfort. As for most diseases, healthcare practitioners prescribe synthetic hormones to treat these symptoms, but recent research has determined that these HRT’s (hormone replacement therapies) cause far more risks than benefits. The simple fact to this research is that you don’t need more hormones to treat hormonal imbalance. Instead, you need specific nutrients that restore hormonal balance and reduce symptoms, being vitamins, minerals, and good nutrition.

Estrogen, which is made up of estrone, estradiol, and estriol, is produced mainly in the ovaries, but small amounts are also produced in the adrenal glands, liver, kidneys, and a woman’s body fat. It is necessary for normal development of the breasts and childbearing organs and helps to control a woman’s menstrual cycle. Estrogen also is essential in reproduction and helps to maintain a healthy heart and bones. Progesterone, which is also produced in the ovaries, is the reproductive organ associated with pregnancy, as it guides the egg to leave one of the ovaries and travel to the uterus through the fallopian tubes. Progesterone is also responsible for building up a thick cushiony lining on the wall of the uterus for the fertilized egg to attach to.

A healthy woman relies on her ability to maintain hormonal balance. If her hormonal balance is disrupted, numerous health problems will follow. These imbalances can occur by exposure to xenoestrogens (chemicals used in pesticides, plastics, and fuels), as they can mimic estrogen and interfere with the body’s estrogen metabolism. After estrogen completes its required activity, it returns to the liver to be metabolized, where it is broken down into different enzymatic pathways. The first of these pathways, the 2-hydroxy pathway, results in “good” estrogen metabolites, which account for many of the benefits of estrogen such as prevention of heart disease, and strong, healthy bones. The second pathway, the 16-hydroxy pathway, produces “bad” estrogen metabolites, which result in hormonal metabolism imbalances. These bad estrogen metabolites can: accelerate the aging process; worsen autoimmune disorders; and cause anxiety, breast cancer, breast tenderness, cervical dysplasia, cold hands and feet, decreased sex drive, depression, dry eyes, fatigue, foggy thinking, hair loss, headaches, infertility, irregular menstrual periods, irritability, insomnia, magnesium deficiency, memory loss, mood swings, osteoporosis, premenstrual syndrome, a sluggish metabolism, uterine cancer, water retention, weight gain, and zinc deficiency.

Estrogen dominance can occur through exposure to synthetic estrogens (such as chemicals that are used in pesticides, plastics, and fuels, and also through exposure to animal products. A treatment that is currently popular for hormonal imbalance is progesterone cream. Although some women report relief of milder hormonal imbalance symptoms, the additional progesterone delivered inside the body can be metabolized into estrogen, resulting in an even greater hormonal imbalance and estrogen dominance. In most cases, women don’t need more hormones, but rather help in metabolizing estrogen and keeping their hormones balanced. The answer to this is found in a natural plant compound called diindolylmethane (DIM), which is found in broccoli and other cruciferous vegetables. Scientists have recently discovered that DIM improves hormonal balance by shifting the way that estrogen is metabolized in our bodies to the 2-hydroxy pathway, which is responsible for “good” estrogen metabolites. This increase in “good” estrogen metabolites has a simultaneous reduction on the number of “bad” estrogen metabolites produced. Most women should take 120 mg of DIM complex that is standardized to 25% DIM per dose, once daily. However, women suffering with many estrogen imbalance symptoms may find even more relief by doubling the dose and taking DIM twice daily. The complex needs to me specialized to improve bioavailability so it is better able to absorb into the body.

In the early/fertile/high estrogen years, which occurs until women reach their late 30’s and early 40’s, estrogen levels are high and progesterone levels rise and fall appropriately. However, because women in their 20’s and 30’s have also been exposed to a great amount of environmental and synthetic estrogen, there is a predominance of premenstrual syndrome (PMS) in this age group. This frustrating and painful cluster of symptoms, which occurs just before the onset of PMS each month, ranges from mild to disabling and tends to run in the family. Physical symptoms of PMS include: breast tenderness, bloating, fluid retention, headaches, backaches, and cramping, as well as extreme food cravings and feelings of panic, anxiety, irritability, and depression. These symptoms often affect relationships with people women hold near including, children, husbands, families, and friends, causing significant distress. Researchers are not exactly sure why PMS occurs, however they do know that it is associated with estrogen and progesterone levels and their balance. DIM can reduce the symptoms of PMS by restoring estrogen metabolism to the 2-hydroxy pathway, which relieves the pain and discomfort from PMS symptoms. At this stage, women also need a superior multivitamin containing vitamins A, D, E, B, and C as well as cranberry, chaste berry, iron, and calcium. They must also consume an adequate amount of folic acid, as it has a powerful ability to prevent spinal bifida, a serious birth defect.

The peri-menopause years, which takes place in women between the ages of 35 and 45, is the time period when women are not in menopause but something is definitely going on hormonally. Many women in this age group experience: unexplained weight gain, sore, lumpy breast, changing body temperatures, heavier or longer menstrual periods, increased menstrual cramps, loss of sex drive, irritability and shifting moods, foggy thinking, and insomnia or poor sleep quality. The conventional treatment for this stage of life is often progesterone in cycled doses, but the integrative answer to these symptoms is a collection of natural herbs and nutrients including Black Cohosh, Green Tea, Chaste Berry, Rhodiola, Valerian and Hops, and L-Theanine. Black Cohosh relieves hot flashes and reduces mood swings, as well as keeps night sweats from occurring. Green Tea adds energy, maintains breast cell growth, and helps to keep weight under control, while Chaste Berry provides a natural balance of progesterone. Rhodiola enhances concentration, energy, alertness, and endurance, as Valerian and Hops promotes relaxation and deeper sleep. L-Theanine alleviates nighttime muscle tension and promotes restful sleep. Along with these herbs and nutrients, a multivitamin is a must, containing iron if you are still menstruating. A woman in this stage also needs more advanced bone nutrition, with a critical need for calcium, you must look for a calcium based formula that is enriched with vitamins and minerals that make sure your bones remain active and healthy.

The last stage, the menopause years, is an opportunity for a woman to become anything she wants. And in order to make sure this opportunity isn’t lost, a variety of dietary supplements are needed to maintain health and vigor. Menopausal women require optimal levels of vitamins, minerals, and herbs, which only a superior daily multivitamin can provide. This multivitamin should exclude iron, as women at this age do not need it, but include calcium, magnesium, phosphorus, copper, zinc, and other minerals. Since menopause signals the end of a woman’s fertility, her ovaries slowly stop producing estrogen and progesterone, causing her to possibly experience hot flashes, mood wings, joint pain, vaginal dryness, and making her more vulnerable to heart disease, osteoporosis, and other health problems. Until recently HRT was the treatment of choice for women in menopause, but in July 2002, researchers discovered that HRT causes breast cancer and heart disease. The new solution was the safe, effective, and natural way to treat the symptoms of menopause. The above Black Cohosh, Green Tea, Valerian and Hops, and L-Theanine, along with Ginseng which increases energy, reduces stress, and helps Black Cohosh work better are a great, natural way to relieve menopausal symptoms. Because women in menopause still produce small amounts of estrogen and progesterone for fate cells and adrenal glands, DIM may be beneficial to prevent any symptoms of hormonal imbalance as well as their risk of breast, cervical, and uterine cancers, and osteoporosis. DIM, Black Cohosh and other great supplements can be found at your local health food store or internet health food store.

……………………………………………..
Body Changes During Perimenopause - By: Mary Ann Copson


During the Perimenopausal Passage many body systems require special care and support.

Immune functions -Supporting the immune functions buffers against the possible weakening effects of long-term grief on immunity. Women may experience this long-term grief reaction strongly or more subtly as a response to a perceived loss in menstruation or in response to the approach of menopause. Furthermore, it is important to support immune functions because of the possibility that estrogen may make a women's immune responses so sensitive that they attack her own body tissues.

Pituitary - The pituitary assists in stimulating all the glands of the body and releases FSH and LH. FSH and LH act directly on the ovaries to promote the development and enlargement of the follicles. In the post-menopausal years, the pituitary is responsible for secreting higher levels of FSH and LH. This post-menopausal increased production of FSH and LH results in more consistently elevated brain levels of these two hormones. Some think that these elevated brain levels of FSH and LH acting as neurotransmitters in the brain may be the mechanisms for the increased intuitiveness and awareness of post- menopausal women.

Adrenal glands - In the menopausal years the adrenal glands are important for balanced energy production and for the production of small amounts of testosterone from a precursor hormone called adrostenedione. The secretion of these small amounts of androgens (testosterone being one hormone from this class of hormones) help maintain the female sex drive, build bone and muscle strength and increase vaginal lubrication and elasticity. Androgens promote general well-being for the rest of a women’s life. The production of testosterone is thought by some to facilitate the developing assertiveness in post-menopausal women.

Pancreas - is responsible for the production of balanced sugar levels that may become unbalanced by loss of estrogen. Frequent and rapid changes in blood sugar may play havoc with emotional responses.

Nervous system - The nervous system may need extra support in order to cope with and compensate for the effects of all the hormonal revamping that occurs in menopause.

Brain functions - Memory, concentration, and attention functions may become unbalanced by the changes in hormone levels.

Liver - During the perimenopausal years it is important that the liver is strong and healthy so that it can metabolize and break down estrogen and its by-products. The liver is responsible for transforming the main type of estrogen, called estradiol, into other forms of estrogen. Estradiol in too high amounts or for too prolonged a period of time may be carcinogenic. The liver prevents excessive build-up of estradiol in the blood circulation by inactivating it. When the liver is healthy the conversion of estradiol occurs efficiently.

Digestive processes - Poorly functioning digestion stimulates the growth of certain types of bacteria in the intestinal tract. These bacteria chemically change the breakdown products of estrogen into forms that can be reabsorbed back into the body. This elevates the levels of estrone and estradiol in the bloodstream. These elevated levels of estrone and estradiol may be carcinogenic to certain sensitive tissue such as breast, ovarian, and uterine tissue.

Bone cell growth - Maintenance of adequate bone cell growth protects against the development of osteoporosis.

Cardiovascular functions - The decline of estrogen may increase the stress on the cardiovascular functions resulting in increased heart attacks, higher cholesterol levels, and stroke in the menopausal years.

Thyroid - A well-functioning thyroid helps in lessening the severity, frequency, and duration of hot flashes. Healthy thyroid functioning reduces osteoporosis risk and the frequency of numb and cramping legs and feet. A healthy thyroid also reduces edema.

By regenerating and nourishing these and other processes and functions and supporting organs, glands, and cellular functions you can provide your body with the best possible support to navigate successfully through the Perimenopause Passage.


Copyright (c) 2007 Mary Ann Copson

………………………………………………….
News Report Studies Hormone Treatments Following Menopause Diagnosis - By: Katie Kelley


Certain hormone replacement therapies have provided relief to menopausal women according to a study published in the New England Journal of Medicine, however, many have been linked to serious side effects, including an increased risk of breast cancer or stroke.

Additionally, according to news reports on the study from the BMJ Group the study was "stopped early" when risks with several of the drugs became prevalent. Many reports have noted that some HRT drugs have not been studied in combination with other medications, including Fosamax, an osteoporosis drug often used in conjunction with HRT treatment.

What are Hormone Treatments?
Menopause occurs in women when their ovaries decrease production of the female hormones estrogen and progesterone, thus requiring hormone replacement therapy as an appropriate treatment." There are both benefits and risks associated with hormone replacement therapies. Several long-term benefits, according to the Mayo Clinic are as follow:

- prevention and decreased risk of developing osteoporosis.
- a decreased risk of colorectal cancer.
- decreasing the onset of heart disease among many patients.

Additional health risks that exist include the following:

- an increased risk of heart disease among some patients.
- more instances of breast cancer among patients.
- an increased risk of stroke.
- the potential onset of blood clots among women patients.

Prescription Drug Dangers.
Because there are several prescription drug dangers that exist with consumption of hormone replacement therapy treatments, it is necessary for a pre- and post-menopausal patient to know the dangers surrounding HRT drugs as well as companion drugs such as Fosamax.

Fosamax, which is used to treat osteoporosis among patients, is commonly prescribed to women following a menopausal diagnosis. Merck and Co manufactures Fosamax, also known by its generic name sodium alendronate., and was released in 2001. Recently, the drug was linked to the onset of dead jaw or osteonecrosis (ONJ) among patients, which is considered a painful deterioration of the bone and bone mass within the body.

Patients who have suffered from the Fosamax risk should seek medical attention immediately as well as consult with a pharmaceutical attorney who can provide a freelegal consultation to patients suffering from the drug's side effects. It may be necessary for a patient to develop a Fosamax class action lawsuit in which monetary compensation could be derived for the damages endured by a Fosamax patient. Individuals may contact an experienced Fosamax attorney to learn more about developing a Fosamax case.

………………………………………………….
Warning, Osteoporosis is a Threat Affecting Women With Menopause - By: Mark Peters
What is osteoporosis

Osteoporosis is a disease affecting the bone structure and density of women with menopause. Osteoporosis literally means "porous bone" and this weakening of the bone can lead to unexpected fractures.

Osteoporosis are usually painless, thus it can go undetected for a very long time and might only be diagnosed once a fracture occurs.

Who is prone to osteoporosis

It is estimated that about 80% of all women that is experiencing menopause are susceptible to osteoporosis. Furthermore according to statistics about 33% of all women over 50 years old will experience fractures due to osteoporosis.

Men are also been affected by osteoporosis, but not as much as in the case with women. It is estimated that only 20% of men are affected by osteoporosis and that they are also affected much later in their lifetime as women. This might be due to the fact that a man's skeleton is much stronger and more bulky that women as well as the fact that women starts very early in their lifetime with hormonal changes, known as menopause.

This concludes that women needs to take much greater care as they are very susceptible to osteoporosis and once the first fracture occurred, she is also prone to more fractures.

Symptoms of osteoporosis

It is important for all women to take a proactive approach against osteoporosis as it is undetected until a fracture occurs. With most other diseases there is signs and symptoms that will warn a sufferer of the possibility of an underlying problem, but not with osteoporosis.

There are a couple of signs that one can look out for that might indicate the possibility of someone having osteoporosis. Below are some common symptoms that might indicate osteoporosis:

• Loss of height as a result of a weakened spine
• Fractured bones
• Brittle fingernails
• Spine deformities
• Periodontal disease
• Tooth loss
• Bone pain and tenderness
• Neck, spine and lumbar pain



What causes osteoporosis

Without a doubt, osteoporosis is linked to hormonal changes. This explains why 80% of women are suffering from menopause as they are undergoing extreme hormonal changes when they enter perimenopause. During this time there is an extreme change in hormone levels which results in inadequate levels of estrogen.

Without adequate levels of estrogen, bones can not absorb adequate levels of calcium which is used to replenish bone mass as the older cells die. When these cells slough off and die and are not being replenished, bone density decreases which causes osteoporosis.

There are other factors as well causing osteoporosis such as certain medications, genetic factors and insufficient bone growth during one's youth.

How can you prevent osteoporosis?

Prevention is better than cure! It is best to rather try and prevent the disease from starting in the first place than later searching for a cure. There are ways to increase bone mass and also to decrease the destruction of bones like we find in menopausal women.

It is best to take the bull by the horns before this becomes a problem. Below is a list of some preventative measures that can be taken to prevent this dreadful disease.

• Make sure you are eating enough calcium
• Eat food rich in Vitamin D
• Exercise regularly as keeping fit is always very beneficial
• Stop smoking if you are currently smoking
• Do not consume alcohol, avoid it
• If you are obese, lose it. Maintain a healthy weight for your height
• Prevent falling, wear appropriate shoes and take other necessary measures


Treatment for osteoporosis

When we are looking for treatment for a condition, we always start with the least invasive treatment. This might mean something as simple as a lifestyle change like eating healthier, taking more fluids, a vitamin supplement and should this not proof successful, we can move to pharmaceuticals and surgery.

The best way to combat hormonal changes can be accomplished successfully with lifestyle changes and alternative medicine. Alternative medicine is all natural, very safe and doesn't only help you combat the hormonal changes but also give your body that overall boost it needs to maintain energy levels and keep you healthy.
………………………………………………
Workouts To Help Prevent Osteoporosis - By: Steven A Johnson


Osteoporosis causes bones to become fragile and more likely to break. While women are more likely to have osteoporosis, men can also develop it. Regular resistance exercise working the upper-and lower-body muscles, along with a healthy diet that includes calcium and vitamin D, will help prevent the onset of osteoporosis. These exercises are designed for people who do not have a diagnosis of osteoporosis.

Check with a doctor before starting any exercise routine. Perform the exercises two to three times a week with at least one day of rest between sessions. Both upper-body and lower-body exercises should be performed. Add weight-bearing cardiovascular exercise such as walking, jogging, stair-climbing, elliptical machine and dancing to your routine.

The best exercises for building bone are weight- or load-bearing exercises. These include weight-lifting, jogging, hiking, stair-climbing, step aerobics, dancing, racket sports, and other activities that require your muscles to work against gravity. Swimming and simply walking, although good for cardiovascular fitness, are not the best exercises for building bone. Thirty minutes of weight-bearing exercise daily benefits not only your bones, but improves heart health, muscle strength, coordination, and balance. Those 30 minutes don't need to be done all at once; it's just as good for you to do 10 minutes at a time.

For upper body exercises, start with 1-2 sets of 10 repetitions of ezch exercise. You can build up to 3 sets of 15 repetitions as you get stronger. Upper body exercises can be performed with hand weights or household items such as a water bottle, can of soup or any 1-to-3 pound object that easily fits in your hand. Start light (1-2 pounds) and progress slowly, adding half to 1 pound at a time. During the last 2-3 repetitions of each set, you should feel fatigue or a slight burn in the muscles you are working. Adjust your weights accordingly.

Overhead press

Stand or sit with spine in neutral alignment and feet hip-width apart. Start with elbows extended and weights level with top of your head.

Exhale as you press weights toward the ceiling, straightening your elbows.

Inhale as you lower weights to start position. Feel the workout in the top of your shoulders and upper arms.
Don't stress or strain your neck.

Triceps kick-back

With weight in right hand keep spine in a neutral position as you lean on chair with left hand. Left foot is forward and knee is slightly bent; right leg is behind and straight.

Bring ritht upper arm next to your bidy and hold it still throughout the exercise.

Exhale as you straighten elbow, extending the weight back behind you.

Inhale as you slowly bend elbow. Feel work in the back of your upper arm and shoulder.

Bent-over rows

Weight in right hand, keep spine in a nurtral position as you lean on a chair with left hand. Left foot is forward and knee is slightly bent; right leg is behind and straight.

Start with right arm straight and the weight pointing at the floor on a slight forward angle.

Exhale to draw weight to your side, bending elbow. Feel work in your shoulder blade and back of arm.

Inhale to slowly lower weight to start position.

Biceps curl

Stand with feet hip-width apart, weights at your sides, palm facing forward.

Exhale as you bend elbows to draw weights toward your shoulders. Feel work in the front of your upper arm.

Keep upper arm and trunk still. Inhale to lower weights to start position.

Don't stress or strain your neck.
…………………………………………………



Primary Benefits of Prime™ Balance for post-menopausal women - By: Levy Freye


The disease Osteoporosis is more or less centered around the old age though it can be a marked and profound problem in women post-menopause. The density of the bones minimize, giving rise to a poor bone architecture making the diseased more vulnerable to fractures. This is indeed a very dreadful disease with very less pronounced symptoms and only comes out in the open when you have a fracture.

What is post-menopausal osteoporosis?

In females, the lowering of the Estrogen levels can be a welcome to Osteoporosis. As soon as the women attains the age of menopause (40 years or earlier) the levels of the hormones starts lowering. Primarily the Estrogen and Progesterone levels start decreasing considerably. Thus, is lowered the calcium levels of the body making the body more susceptible to calcium deficiency diseases namely Osteoporosis. Moreover, Menopause is the time when the general health of women degrades even tooth decay can be a major calcium problem during this time.

What is Prime Balance?

Prime Balance is the most important source of calcium, which has been, designed keeping in mind the post-menopausal females. It is an excellent way to maintain the body calcium levels the key ingredients being calcium and soy extract. It looks forward to the healthy bone formation and at the same time regulates the bone density which have been triggered down by the lowering of Estrogen level. Not only this, but it also contains antioxidants, which regulates the LDL particles that helps in checking the conditions of the heart under control.

Benefits of Prime Balance

For the females who have already attained their menopause, Prime Balance becomes the only source of calcium. It efficiently takes care of the bone health by treating and checking osteoporosis. Maintaining a steady calcium balance, it also ensures that other calcium related needs of the body are fulfilled. It is in enzymes, for proper working of the nervous system that calcium is required. Improving the general health thus taking care of the cardio-vascular health as well is the other areas that are under the supervision of Prime Balance.

Osteoporosis in females as well as males can bring in dangerous
consequences, which may very easily lead to death. The lowering of Estrogen levels not only deteriorates the skeletal structure but also at the same time leave a poor mark on the general health. Prime Balance deals chiefly with the maintenance of the calcium levels of the body, but at the same time fulfill other deficiencies like that of Vitamin B12. To sum it all Prime Balance is like your health supporter, which functions and ensures your well-being during the post-menopausal years of your life.
…………………………………………………..
Benefits of Weight Training for Female Baby Boomers - By: site john


With the access or cessation of menopause, women will acquaintance changes in their physique shape, admeasurement and all-embracing action level. Women may not be able to abstain menopause, but with the appropriate exercise program, they can abstain some of the concrete changes that go forth with it.

Exercise for Weight Accident

Regular weight training can advice yield off some balance physique fat, access beef accumulation and access the metabolic rate. This agency their physique will bake calories at a faster rate. In adjustment to lose weight by exercise alone, you charge to bake an balance of 500 calories per day or 3,500 calories per anniversary to lose 1 pound. I accept had the best acknowledgment with audience that convenance a aggregate of watching their caloric assimilation and exercising.

The absolute bulk of time it would yield you to bake all those calories depends on how abundant you weigh, your called action and the acuteness of exercise. It is important to exercise daily. Aim for 30 – 60 account of exercise per day. Consistency is all-important if you are absolutely austere about accident weight. Gradually increases your acuteness as you get added physically fit.

Exercise for Your Bones

Fighting cartilage accident is addition abundant acumen to alpha appropriation weights. Early in the cartilage accident process, you may not see any signs, but eventually it can advance to torn bones, the disfiguring dowager’s hump, accident of acme and assertive types of aback pain.

Throughout life, your physique loses bone. New cartilage grows to alter absent bone. The bulk of new cartilage advance changes as you age. Young adults ability their aiguille cartilage accumulation amid the ages of 25 and 35. That is if your cartilage is the strongest. From about 35 years and older, cartilage accumulation boring declines. A bulk at which your cartilage declines can be minimized and osteoporosis can be preventable. An alive lifestyle, weight-bearing exercise and able bistro can decidedly apathetic down the bulk of cartilage loss.

Weight-bearing exercise will advice your absolute physique and advice you advance cartilage mass. Resistance contest advice advance basic by deepening the anatomy about them. Building beef backbone will accomplish you beneath decumbent to injury.

It is important to accept the appropriate backbone training affairs that includes all of the above beef groups. For the high physique this includes the back, chest, biceps, triceps and shoulders. For the lower body, the quads, hamstrings, beasts and gluteus maximus should all be targeted. And don’t overlook the belly and lower aback anatomy which can advance posture, advice abate lower aback affliction and abetment in accustomed movements.

Remember to alpha apathetic and gradually access your weights. I acclaim two to three times per week, assuming anniversary exercise for at atomic two sets for 10 to 12 repetitions and a 30 – 45 additional blow in amid anniversary set. Accomplish abiding addition is included in the conditioning with anniversary beef group.

Be accommodating with yourself. You won’t accomplish cogent assets in the short-term. Exercise needs to be a allotment of your lifestyle, not just a concise action for a bound aeon of time. You are never too old to alpha exercising. You adjudge how alive you wish to be. The adjustment of an alive affairs is absolutely account the benefits. Ask anyone who is active.

…………………………………………………….