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Recent research has now explained how tongkat ali (scientific name: Eurycoma longifolia) has the double benefit of making sex better and increasing muscle mass. The trick is achieved by tongkat ali inhibiting the action of two enzymes, aromatase and phosphodiesterase.

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Weatherford, Texas: Abu Dhabi agency pulls seven products with yohimbine from shelves

Michael R. Baker 1238 Sardis Sta Weatherford, TX 76086

The Health Authority-Abu Dhabi has pulled seven different products containing yohimbine, a herb known for its ability to act as an aphrodisiac.

The authority issued an alert after receiving reports from pharmacy inspectors who found seven different products containing yohimbine in a food supplements shop in Abu Dhabi.

"We haven't received any reports of anyone being affected by the herb," said Dr Mohammad Abu Al Khair, Drug Consultant at the authority. "All seven products shouldn't be found anywhere in Abu Dhabi now."

Yohimbine is a powerful herb that originates from China. It can pose serious health risks for people with hypertension or heart, liver or kidney disorders. Used to treat impotence, yohimbine appears to relax and widen blood vessels in male genitalia.

The most common reported adverse effects of yohimbine are anxiety and increased urinary frequency. Other side effects include dizziness, gastro-intestinal disorders, diaphoresis, insomnia, headache, palpitations, severe hypertension and tremors.

The authority, Abu Al Khair said, has advised consumers not to use these herbal products, which may be available in the local market as dietary supplement or aphrodisiac.

"The authority also advises consumers who have health or medicinal concerns to contact their physician or the Poison and Drug Information Centre in Abu Dhabi on 800424."

It is sold under various trade names

The products containing yohimbine are sold under different trade names including Horny Goat Weed, Maca Man Dietary Supplement, V Male With Herbs, Ultra man, Cobra, Yohimbi 451 and Yohimbe standardised.

Yohimbine, also known under the outdated names quebrachin, aphrodin, corynine, yohimvetol and hydroergotocin, is the principal alkaloid of the bark of the West African tree Pausinystalia yohimbe Pierre (formerly Corynanthe yohimbe), family Rubiaceae (Madder family). There are boosting supplements, Butea superba 31 other yohimbine alkaloids found in Yohimbe.

Some internet shops sell expensive formulations of yohimbine for transdermal delivery to effect a local reduction of adipose although there is no evidence that it is effective. Demand for products of this kind is frequently found in the bodybuilding community.

Controlled studies suggest that it is not a particularly effective treatment for impotence, and evidence of increased sex drive (libido) is anecdotal only.

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Madison, New Jersey: Hyperandrogenemia due to ingestion of Butea superba

Ray A. Clark 2526 Granville Lane Madison, NJ 07940

Androgen or testosterone is an important masculine hormone. It helps construct the male appearance. Hyperandrogenemia is majorly described in of females with hirsutism, insulin resistance and polycystic ovarian syndrome. However, hyperandrogenemia in males is not frequently mentioned. In this short article, the authors report a case of hyperandrogenemia due to ingestion of Butea superba, a herb found in South East Asia. This is an interesting case of hyperandrogenemia induced by an external source. The effect of phytoandrogens is also discussed.

The patient was a Thai single male, aged 35 years, without any underlying disease (his basic annual laboratory checkup showed normal results). On presentation, the chief complaint of this patient was a feeling of increased sexual drive. He gave the history of no use of narcotic and regular intake of vitamin and nutritional supplementation. Physical examination revealed no significant abnormality. Laboratory investigations were performed which showed increased dihydrotestosterone (1512 pg/mL, reference value 250–990 pg/mL). The results of other sexual hormone related investigations in this case included dehydroepiandrosterone sulfate 328 μg/dL, free testosterone 1.7% and sex hormone binding globulin 43.24 nmol/L [no data on follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels]. The diagnosis of hyperandrogenemia in this case was therefore arrived at. Further investigation to find the source of androgen in this case was performed. With complete history taking, the clinical nutritionist could define an important problematic food component, B. superba, a local herb. The patient gave additional information that he had just taken this locally made capsule of this herb for a few weeks because he was suffering from hair loss. This patient was advised to stop ingestion of this herb, and follow-up after 1 week revealed that the patient had no feeling of increased sexual drive and dihydrotestosterone had decreased to normal level.

In general, androgen plays an important role in the sexual drive of males. Decreased androgen level is strongly related to reduced sexual activity and decreased sexual drive. This is a common problem in old males and in cases with erectile dysfunction. In males with the problem of sexual desire, androgen investigation is a useful test. In this case report, the patient also complained of increased sexual desire, which hmight have been due to exogenous hyperandrogenemeia.. Similar to hyperestrogenemia caused due to phytoestrogens, some herbal regimens might contain phytoandrogens that can lead to hyperandrogenemia. In this case, B. superba is the problematic external source of excessive androgen. This plant is considered to be a male potency herb. In animal models receiving this herb, stimulation of sexual organ has been reported. In case of human beings, there is only one previous trial using this herb for treating erectile dysfunction. The effect of this herb is comparable to that of Pfizer's blue. However, there has never been any report on this herb in healthy males. This is the first case report on hyperandrogenemia due to ingestion of B. superba. With the widespread usage of local herbs presently, the effects of herbs need to be considered. Indeed, a previous report also mentioned genotoxicity due to large dosage ingestion of B. superba.

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Vancouver, Washington: Sexual enhancement products confiscated

Travis A. Sullivan 1966 Honeysuckle Lane Vancouver, WA 98686

Wewak Urban LLG acting manageress, Winnie Sagiu, confirmed confiscation of these enhancement products at Tang Mow Department Store.

Sagiu, in an official letter to the store management, police and local and provincial government hierarchy,confirmed the confiscation of six of these illegal products, which are now placed in the care in the care of Customs PNG.

She stated that the products are to Eurypeptides and bogus science">stimulate the male sex organs during sexual intercourse.

Sagiu, who is also a Health Extension Officer, said the products increase the risk of getting sexual transmitted infections due to having multiple partners.

The store manager were tight lipped when questioned by authorities.

The store manager said the products were bought from the street sellers and sold in their shop.

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Aberdeen, Washington: Products seized from Toronto sex shops may pose health risks

Ralph R. Benjamin 3055 Honeysuckle Lane Aberdeen, WA 98520

Toronto police are searching for the driver after an early-morning crash.

It appears a white vehicle slammed into a bus shelter on Davenport Road at Caledonia Park Road, just west of Lansdowne Avenue, around 3:30 a.m. on Monday. The driver then ran away.

The bus shelter was heavily damaged.

No one else was hurt.

Health Canada is warning that some products seized from two Toronto sex shops may pose serious health risks.

Health Canada says it seized a variety of items from the two stores.

They include poppers and products promoted for sexual enhancement.

Health Canada say the items contain ingredients that could pose a danger to users.

The agency says those who have used the product should consult a doctor if they’ve had any health problems.

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Kailua, Hawaii: More WA men seeking penis surgery to increase size

Peter P. Lake 4726 Stratford Drive Kailua, HI 96734

INCREASING numbers of WA men are seeking to enlarge their manhood with surgery, with doctors warning of risks to their sexual and psychological wellbeing.

Cosmetic surgeon Dr Jayson Oates, who runs a cosmetic surgery clinic in Subiaco, and clinical psychologist registrar Dr Gemma Sharp have teamed up to improve patient safety.

Dr Oates said WA men travelled interstate and overseas where penile augmentation was popular, particularly in South Korea and Mexico.

He said while men risked disfiguration and function loss from invasive surgical phalloplasty, there were safer non-surgical alternatives including an injectable procedure which increased the girth of men’s appendages.

“Size is an important issue for many men and is considered to symbolise masculinity and sexual prowess,” he said.

“Men commonly believe that ‘bigger is better’. So when men feel inadequate, it can have a major negative impact on their self-esteem and sexual functioning. It comes as no surprise that men are increasingly seeking procedures, and non-surgical enhancement.”

At his Calibre Clinic in Subiaco, Dr Oates has performed more than 100 male enlargement procedures on men as young as 22 and as old as 68 with a non-surgical technique he pioneered to increase size without surgery, using dermal fillers usually used for the face.

Dr Oates said the “calibre” procedure can be performed during a one hour in-clinic session and last up to 24 months.

He is now collaborating with Dr Sharp to research penile augmentation. She noted most men who requested penile augmentation had a penis in the normal size range, but were unhappy with its size.

The doctors hope for better understanding of motivations for cosmetic genital surgery.

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