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Dozens of women enter our health store every week with symptoms of unbalanced hormones. Some have tried many things, including the traditional medical approach of Hormone Replacement Therapy (HRT), and haven’t achieved their desired results. So, often as a last resort, they come to our store. Having been through major hormonal imbalance some years ago, and a person who searches until answers are found, I have answers for them. Natural Progesterone Cream is where I always begin. We live in an estrogen dominant society where symptoms seemed to be the norm. Actually, when a woman is hormonally balanced, there are no symptoms! But I bet you thought cramping, bloating, headaches, mood swings or hot flashes are what you should expect; that’s just being a woman. Not so! What is Estrogen Dominance? Due to our environment, diet, stress, and lifestyle choices, we have become an estrogen dominant society. Massive amounts of hormones, steroids and antibiotics are injected into our cattle and poultry, posing a serious health risk to all who ingest them. Consequently, the use of these substances in our meat and dairy supply, has helped to create estrogen dominance in men, women and children alike. Environmental use of petroleum products and a whole parade of chemicals have also added to an overabundance of estrogen-like substances (false estrogens) in our bodies when we use products made from these chemicals. These products include: plastics, synthetic clothing, pesticides, cosmetics, cleaning products, toiletries, food and even things like condoms. We use these things every day of our lives in multiple ways, so you can see how easy it is to become estrogen dominant. Estrogen, when out of balance in its ratio to progesterone within your body, causes many problems. Progesterone is crucially important and acts as a regulator for all other hormones in your body, and especially assists in balancing your estrogen levels. Progesterone is one of the first hormones in an entire chain of hormones, and it is necessary for the other hormones in your body to function properly, including thyroid and adrenal hormones. All of these hormones are part of the endocrine system, and your endocrine system supports and regulates every system in your body. When there is imbalance and estrogen dominance, the following symptoms can occur: • Mood swings or depression • Bloating • Headaches, even migraines • Breast soreness and swelling • Weight gain • Water retention • Fibroid tumors • Endometriosis • Cramps • Constipation • Foggy thinking • Loss of sex drive • Heavy menstruation or irregularity • Infertility • Craving for sweets • Dry skin and hair • Dark circles under eyes • Fatigue, lethargy Traditional Medical Response If you’re feeling really awful and you decide to visit your doctor, you’ll probably be given a different approach, one that uses chemicals (something that is foreign to your body and highly toxic) to possibly get rid of your present symptoms, only to trade off for maybe a half dozen other side effects. It could be a prescription of Prozac or something similar to help your mood swings and depression or a stimulant to help you lose weight. You could be given HRT or birth control pills, all synthetic hormones, to relieve your symptoms. You might actually find some relief in these approaches, but in the long run you’ll be putting yourself at a higher risk for breast and uterine cancer and a host of other possible disorders as well as addressing only symptoms rather than finding the cure. You might ask why the medical profession doesn’t acknowledge the benefits of natural, safe and effective ways to approach your imbalance. The reason is actually quite simple; they are not taught preventative medicine. They are taught in medical schools which are supported by drug companies. They are taught to get rid of symptoms with surgery or prescription drugs. But going beyond that, we know that natural remedies cannot be regulated by the FDA, which means they receive no financial benefits from people using them, especially if they correct the imbalance and the patient no longer seeks a doctor’s help. So what it all boils down to is monetary greed, and perhaps lack of awareness as to the healthier benefits of a natural approach. The beauty of it all is you have a choice. You can choose to take control of your own body and health rather than giving away that control to someone else. Why are the synthetic hormones so harmful to you? They are not even close to the progesterone your body produces. Dr. John Lee, a noted authority on the beneficial uses of Natural Progesterone Cream, has often shown in his lectures and books through diagrams, how the synthetic progestin (posing as progesterone) used as a replacement for your own natural progesterone by traditional medicine, is only one molecule away from PVC pipe! The synthetic hormones, whether estrogen or progestin, pose an increased risk for breast, cervical and endometrial cancer as well as for gall stones and heart attacks, according to various alternative medical reports. It was written that a woman who has taken HRT for a few years and is 55 years old or more has an increased risk by 80% for a stroke or heart attack. I doubt you’ve been told that by your medical professional! And you’ve probably not been told that one out of eight women will develop breast cancer in their lifetime while one out of a thousand men will also develop breast cancer in their lifetime! (Dr John Lee’s book, “What Your Doctor May Not Tell You About Menopause” is a wonderful reference and source for understanding hormonal balance naturally and obtaining more information.) Benefits of Using Natural Progesterone Cream So what can using Natural Progesterone Cream do for you? Below is a list of the benefits that often occur when using Natural Progesterone Cream. • Helps use fat for energy rather than storing it • Is a natural antidepressant • Protects against fibrocystic breasts • Helps to boost thyroid action • Restores libido (sex drive) • Helps to prevent breast cancer • Improves energy and endurance • Helps to balance estrogen, testosterone and other hormones • Provides a feeling of well being • Assists in improving and even reversing osteoporosis • Balances blood sugar levels • Precursor to cortisol and DHEA – important adrenal hormones • Needed for proper function of adrenal glands To fully understand the importance of progesterone, the following list gives the effects of estrogen in your body. Do understand that estrogen is a necessary hormone for many functions, like puberty and pro-creation, but if not balanced it can create havoc in your life and body. • Increases body fat • Breast stimulation • Interferes with thyroid hormone • Decreases libido • Salt and fluid retention • Interferes with blood sugar balance • Increases risk of endometrial cancer • Stimulates growth of cells • Can cause headaches • Contributes to depression Natural progesterone therapy is being used successfully by many health care professionals around the globe to treat the symptoms of both PMS and menopause. More and more health professionals are becoming aware of the potential dangers of synthetic hormones, particularly estrogen, and we are seeing a shift to using natural approaches, particularly the use of Natural Progesterone Cream. Even though a shift has begun, we have a long way to go in convincing the main stream medical professionals of the benefits of natural remedies over chemical drugs. We have learned through modern research and documented results that progesterone can elevate hormone levels while balancing those levels, counteract bone loss, help restore adrenal and thyroid function, and even strengthen the action of the liver. Your body has the right to experience vibrant and healthy hormones in balance, and you deserve the best. The best for you will never be synthetic hormones, or anything synthetic for that matter, because your body is a vibrantly alive, energetic being who breathes the breath of life. Life can only be sustained through something alive, not synthetic! So why not simply take a pill of progesterone? Anything you take internally must go through the digestive system and be broken down. Part of that, perhaps half or more, will be lost in the process. Using progesterone cream however is readily absorbed into your body, often within seconds, and the majority of the cream is utilized by your body. You see, there are many pores in your skin that easily absorb whatever you place on your skin, making the cream the most beneficial way of a receiving a dose that is quickly and effectively used by your body. How Do You Use Natural Progesterone Cream? If you are still Menstruating Regularly and have a 28 day cycle, use the Natural Progesterone Cream from day 13 of your cycle (day 1 is the first day of your period) and discontinue it on day 27. Your period should begin the next day. Follow the directions for the amount to use according to the instructions on your container of progesterone cream. Adjust the days if your cycle is longer or shorter to where you use the cream for 14 days, beginning at the middle of your cycle. For Peri Menopause, you may begin using the Natural Progesterone Cream on day 8 and continue until day 27. If your period doesn’t start, simply wait 8 days and begin again. Menopause means you haven’t had a menses for one year. At this time you shift into using the Natural Progesterone Cream the majority of the month, but always remaining off the progesterone cream for 4 – 7 days. Why? Because your body continues to cycle even without the flow of blood. Hormones are normally low during your menses, so it is important to continue with the normal rhythm of your body and discontinue use for those few days. For me, as a postmenopausal woman, I find that if I discontinue using the progesterone cream after the last day of the month, then resume it on day 5 or 6 of the following month, I can more easily remember this since there are no more periods to calculate. Rub the Natural Progesterone Cream onto your skin morning and evening (twice daily) because it only lasts in your body 8-10 hours. Rotate where it is applied as well because different receptor sites around your body need to benefit. Apply to breasts, stomach, inside upper arms, inside and outside thighs, bottoms of feet, wrists, etc. These areas of your body can absorb easier and faster and are ideal locations for applying the progesterone cream. It might be good to rub a small amount into your adrenal gland area (right above your kidneys in your low back) and/or thyroid area (at the base of your throat) as these glands are often in need of hormonal assistance too. A container of Natural Progesterone Cream usually lasts about two months, more or less according to how much you use. Avoid purchasing a jar or pump of progesterone cream that has phyto-estrogens in it. These could be: black cohosh, dong quai, licorice, Siberian ginseng, blessed thistle. The main purpose of using the progesterone cream is to help your body balance from the excess of estrogen you presently are experiencing, so even using natural plant (phyto) estrogens simply continues the symptoms and contributes to more estrogen overload. Avoid soy as well as it is usually a processed product which makes it synthetic, and can have estrogen-like activity in your body. It is also linked to multiple digestive and allergy problems. Understand that using progesterone cream is a plus for men and women alike. Men are being exposed to multitudes of chemicals and synthetic hormones through their diet and environment just as women and children. That’s one of the reasons so many men are developing breast cancer as well as prostate cancer. Dr John Lee and other holistic health professionals suggest a man should use the progesterone cream once daily to protect his prostate glands (4 out of 5 men 50 and older will have prostate enlargement and difficulties) and to help balance all hormones in his body. Girls approaching puberty who are experiencing mood swings and irritable behavior, may also benefit from using Natural Progesterone Cream. Do understand that using Natural Progesterone Cream is not a panacea, however I believe it may very well be an adjunct for improving your health. It is always advisable to seek the help of a professional, but seek out a holistic practitioner who realizes the whole body must be taken into consideration when diagnosing and creating a remedy for an issue. My personal choice, having used it for years, is Restored Balance. pnis enlargement technique penile enlargement before and after natural penis enlagement pnis enlargement review free exercise tip for penis enargement penis elargement herb com enlargement pnis pnis pump truth about penis enlarement

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People that take dietary supplements know and understand that it is virtually impossible to obtain the amounts of nutrients needed for optimal health from food alone. They know that the most needed dietary supplement to take is a multivitamin so that their body can receive a variety of much needed vitamins and minerals. What they don't know is the differences between multivitamins and which ones have the highest potency, balances of nutrients, and the best absorption. Many cheap, low quality grocery-store brands (and many brands available through supplement stores) fail at obtaining high quality ingredients for absorption and potency. With most of these brands, there is a high probability that the vitamin simply passes through your system undigested, or with a low percentage of the nutrients absorbed. First let's get one thing straight: If you are taking supplements in pill form, then you definitely have not found the most beneficial supplement on the market. Don't get me wrong, I'm not against pill form supplements, it's just that I know that your body will not get all of the nutrients contained in that supplement. Even If you were to buy the highest quality vitamin on the market, the fact remains that your body has to break down that pill to liquid form before it can be digested properly. When your body breaks the pill down, the pill loses its potency and if the pill is of low quality, your body might not break it down at all (in other words the pill goes right through your system without being digested). Even If your body is able to break down the pill you are still only going to receive 10%-20% of the nutrients. That means for every $100 you are spending on nutrients, you are literally flushing about 90% of it down the toilet. Why take your system through the extra step of breaking down a pill when you can purchase a vitamin that is already in liquid form that will bypass the digestive process and go directly into the bloodstream and into the cells within a matter of minutes? I have tried several dietary supplements in liquid form and the Himalayan Goji Juice endorsed by Dr. Earl Mendell is the only all natural liquid vitamin that I can drink without having to chew some gum to get the nasty taste out of my mouth. This Goji Juice has a delicious taste and comes from goji berries with the highest nutrient density. Himalayan Goji Juice is the only liquid supplement on earth that contains all the nutrients you need to increase your energy and strength naturally while treating high blood pressure, cancer, diabetes, heart disease kidney disease, and a long list of other health problems. This juice contains four active polysaccharides (phytonutrient compounds) unique to the goji berry that come together to control many of of the body's most important biochemical defense systems, and are of great importance to the smooth functioning of every cell in your entire body. The juice also contains 19 amino acids (including all of the essential ones); More protein than whole wheat; 21 trace minerals including germanium (an anti-cancer trace mineral rarely found in foods); Vitamin C at higher levels than even those found oranges; Vitamin E (rarely found in fruits, only in grains and seeds); B-complex vitamins, necessary for converting food into energy; Essential fatty acids (EFA's), which are required for the body's production of hormones and for the smooth functioning of the brain and nervous system; Beta-Sitosterol, an anti-inflammatory agent (Beta-Sitosterol also lowers cholesterol and has been used to treat sexual impotence and prostate enlargement); and a complete spectrum of antioxidant carotenoids, including beta-carotene (a better source then even carrots) and zeaxanthin (protects the eyes). Goji berries are the richest source of carotenoids of all known foods. If you are looking for an all natural easily absorbable nutrient-dense supplement, then you should do yourself a favor and look into Himalayan Goji Juice. male pennis enlargement penis enhancement doctor penis enlagement penis enlargment tool homemade penis enhancement pro solution pill side effects manual pnis enlargement vigrx hoax vimax penis enlargement surgeon

Generic Viagra? When men become sexually aroused, the arteries within the penis relax and open allowing blood to flow into the penis. This increased level of blood causes the penis to harden, resulting in an erection. Generic Viagra aids the process by not only helping but also increasing the flow of blood to the penis and helping the muscles to fully relax. This combination can help men who suffer from erectile dysfunction overcome the problem and return their lives to normal. Erectile dysfunction is a continued inability to get or keep an erection and there are many known causes of this disease. It not only makes sex impossible, but it also has a detrimental effect on self-esteem and confidence. However, erectile function has previously been a taboo subject that many men have been unwilling to discuss with anyone and certainly not with a stranger but recent advances in possible treatments for erectile dysfunction have seen many more men willing to discuss their problems with a view to finding a cure. In 1998 Viagra, or sildenafil citrate to give it its proper name, was first introduced. The generic Viagra, Cialis and others came soon after. This miracle drug brought hope to the lives of every man who suffers or who has suffered from erectile dysfunction. Previously, the only known treatments tended to involve painful procedures carried out by a urologist but generic Viagra is available in tablet form from your physician. The drug acts with natural sexual stimulation to give men the erection they want and keep it for longer periods of time. A quarter of men aged 65 or over suffers from erectile dysfunction and while its exact causes can be difficult to pinpoint exactly it is more often than not caused by illness or tissue damage. Potentially any disease that damages nerves or decreases the flow of blood to the penis can cause erectile dysfunction. It is also possible that you may be taking certain prescription drugs that decrease penile function, thus causing erectile dysfunction. Regardless of its cause, though, generic Viagra has the capability to cure it quickly and effectively. Obviously cutting down on prescription drugs known to cause erectile dysfunction and even cutting down on the amount of fat in your diet may help, but in some cases it isn’t feasible to stop taking prescription drugs. In these cases, buying generic Viagra online could be the solution for you. Do remember that, as with all drugs, Viagra is not suitable for absolutely everyone. Consult your physician initially or have an online consultation to discuss any prescription drugs you may already be taking. If it is ok for you to take Viagra then you can quickly and easily purchase generic Viagra online. The drug takes approximately 15 minutes to work, and will work as long as the patient becomes sexually aroused. There must be some stimulation, whether physical or mental, in order for the drug to work but either or both of these are present then there will not be a problem. Since Viagra was introduced in 1998 prices have obviously dropped quite significantly and where it was once necessary to receive a prescription from your doctor, it is now possible to get generic Viagra online. Buying generic Viagra online enables you to purchase drugs that are equally as effective as Viagra but for a fraction of the cost. These drugs have been tested and satisfy all medical and scientific factors. The only difference really is the price that you will have to pay. Erectile dysfunction is usually caused by physical illness or disease although it can be caused by prescription drugs, an unhealthy lifestyle or emotional problems. Regardless of the reason for erectile dysfunction it is vital that you remember you are by no means alone. Up to 30 million American men are treated with erectile dysfunction every single year and the vast majority of these men find that generic Viagra has the key to their problem. Read more at www.discountcanadiandrugstore.org natural penis enlarement and lengthening cheapest penis enlargement pills truth about penis enlargement pills penis enlarement picture truth about penis enargement pills penis elargement doctor enlargment manhattan penile surgical penis enlargement vimax penis enlargement surgeon

Natural Breast Enlargement is a much safer and cheaper way to enlarge your breasts. In fact, breast enlargement surgery can cost $10,000 or more. Thankfully, there are many alternative, all natural breast enlargement options on the market today for you to choose from though. Let's look at some of the most popular herbs that enhance your breasts, as well as how and why they work... Feneugreek Seed Extract contains some of the highest concentrations of the plant elements recommended by herbalists for breast enlargement. Also hormone regulator that that has been used to treat menopausal symptoms and balances the female system. Fennel Seed is rich in flavonoids that cause estrogenic effects. This boosting of secretion is key to the formation of new breast cells and tissue, and the boosting of excretion is key to the cleansing of the estrogen receptor sites which get clouded with environmental toxins that mimic estrogen. By acting to remove these and other toxins from the body, it acts as a tonic and stimulant as well. Dong Quai Root aids the body in the efficient use of hormones. Also used as treatment for some menopause symptoms and it's been used successfully to alleviate PMS (premenstrual syndrome) and menopausal symptoms (Hardy 2000). Scientists believe that one mechanism of action of Dong Quai is to promote natural progesterone synthesis. Progesterone (to be discussed in more detail later) is another hormone whose production declines at menopause. The plant nutrients can help to wash these out of the system, aiding in increasing the health of the breast tissue. Blessed Thistle Herb is used to treat a variety of female concerns including painful menstruation and associated aches and pains. Also used as a hormonal regulator and aid in digestion and circulation. Because of it's powerful estrogenic properties, it is chiefly used now for nursing mothers, the warm infusion scarcely ever failing to procure a proper supply of milk. It is considered one of the best medicines which can be used for this purpose. Dandelion Root is a perennial plant found almost everywhere. Dandelion root effects all forms of secretion and excretion from the body. This boosting of secretion is key to the formation of new breast cells and tissue, and the boosting of excretion is key to the cleansing of the estrogen receptor sites which get clouded with environmental toxins that mimic estrogen. By acting to remove these and other toxins from the body, it acts as a tonic and stimulant as well. Watercress Leaf. J.E. Meyers, Botanical Gardens of Hammond, Indiana informs us that Watercress is one of the best sources of vitamin E. This is the fertility vitamin, essential to breast enlargement, Vitamin E helps the body to use oxygen, which increases physical endurance and stamina and improves heart response. L-Tyrosine is a direct precursor to Thyroxine, a primary thyroid hormone, as well as Adrenaline and Nor-adrenaline. Thyroxine has been found to increase metabolic rate and control growth rate. L-Tyrosine is a necessary amino acid in the production of neurotransmitters including epinephrine, norepinephrine, and dopamine. L-Tyrosine also appears to have a mild stimulatory effect on the central nervous system. Kelp is the common name for seaweed. It absorbs fats and has been shown to have efficacy for obesity, cellulitis and rheumatism. It is rich in nutrients, containing 30 minerals, so it is especially beneficial for anyone who is mineral deficient. It is reported to be beneficial for the brain and nervous system and the spinal chord. Kelp contains iodine which stimulates the thyroid. Kelp has also been reported to improve skin, nails and hair, protect against radiation, soften stools and treat obesity and ulcers. Vitamin E, an anti-oxidant, plays a role in the body's ability to utilize oxygen. It also protects Vitamin A from destruction in the body and unsaturated fats from abnormal breakdown. Vitamin E prolongs the life of red blood cells and promotes cell respiration and is reported to be the anti-aging vitamin. In addition, Vitamin E helps minimize scarring and assists in the healing of wounds, retards blood clotting, keeps youthful elasticity in tissues and alleviates hot flashes and menopausal distress. So there you have it. Using natural breast enlargement herbal supplements not only makes your breasts larger, it can also help alleviate many of the common health problems women have while helping to improve your overall health too! natural pnis enlargement exercise top penis enlargement pills vimax penis enlargement procedure best pennis enlargement surgery penis enlarement excersizes prosolution penis enlagement pills vimax coupon penile enlargement program vimax penis enlargement surgeon

It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley