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Implants: the reason that I choose to start talking about implants is very simple, in my point of view they are the beginners in EBM, or using a better choice of words, they are the least invasive of the 3 base techniques. I found so many types of implants and all of them are very interesting, So I decided to write about: Eye ball jewellery Magnetic Implants 3d implants Eye ball jewellery is probably one of the newest techniques of the all EBM. It was developed by ophthalmologic experts, it is an ocular Surgery that adds a decorative platinum implant inserted under a thin membrane in the eye, which holds the implant in place. Since the membrane is clear, the implant can be seen clearly against the white of the eye. There are not many shapes of ornaments offered yet, and it is a very new procedure that for now can only be done officially in Holland, the cost is around U$ 1200.So far the doctors could not find a side effect to it, what does not mean that there aren’t any. In the U.S. some States committees already approved a bill to ban it; the procedure goes more or less like the following: • The eye is anesthetized with routine eye-drop anaesthesia medication. • The eye is decontaminated and draped with routine techniques used in ocular surgery. • An intra conjunctival bleb is created by injection of BSS in the most superficial conjunctive layer. The bleb may be positioned adjacent to the temporal limbus. • With conjunctive scissors, the bleb is opened and a superficial intra conjunctival tunnel is made. • The tunnel is checked to determine if it is wide enough to accommodate the implant. • The device is inserted into the tunnel up to the desired final position of the implant. • With a sponge, all excess BSS is removed from the implantation area. • At the end of the procedure, antibiotic drops are applied onto the eye. • Postoperative management includes antibiotic eye drops for 1-2 week(s). • The procedure takes about 15 minutes. So far Doctors could not find any side effect or complications caused by the implant, and hopefully they won’t find any. So keep in mind, there are very few people authorized to do this procedure, and so far it can only be realised in Holland, and even so only 2 clinics are fully authorized to do so. Magnetic Implants: What are they? They are small magnet implanted under your skin with the purpose to enhance your senses as if it was the acquisition of the so famous sixth sense, how it happens, by moving in response to an electromagnetic field and transferring this as sensation to the surrounding nerves. We can divide the magnetic implants into 4 types: Sensory: The one that supposed to give you the sixth sense Sexual: Where the magnets are placed inside the most sensitive area or the genitalia of a couple, male and female have to get the implant, it supposed to enhance the feeling of the body parts while in movement against each other, they can also be placed in the lips. Symbolic: is implanted but a couple to create a magnetic bond as the two people hold hands, as there are not real proves that a couple can really exchange energy thru this technique, we can take it as more discrete kind of wedding rings. Functional: Probably not a very comfortable matter, but if you get larger magnets you would be able to pick up things such as screws and some other items, with the magnets commonly used you can’t pick up more than a paper clips, the up side of having such small magnets is that they wont affect your credit cards, hard drives, monitors, and so on. To get the implant is also quite simple: Small incision in the tip of the finger and opening a pocket Create a tinny pocket to add the magnetic pellet (the magnets are about a third the size of a grain of rice) Do the suture and bandage the finger tips (the procedure takes about half an hour to do 5 fingers) The first few days the sensation is not very pleasant but after a week and the stitches taken off the pain goes away and in the period between 1 to 4 weeks you can start to enjoy the magnetic field moving feeling, and the benefit of this EBM is that the scars are almost invisible and if what I read is true, the feeling is quite interesting. Because this procedure is bran new the side effects are not known yet, but the biocompatibility of neodymium, but it is considered a generally toxic irritant and moderately poisonous with documented adverse effects. In order to keep the magnet from coming in contact with the skin, it has to be coated with a sheath of biocompatible silicone, there is always the risk of “peeled” the silicone off of the magnet, if it happens the compromised magnet should be replaced by removed and replaced by a new one. This procedure is so very new that not even all the BM specialists are doing it; some are waiting for it to get a bit safer and better developed. Because so far risks are unknown, but once that the coating of the magnet problem is solved it will probably turn into a huge trend among people. But if you are one of those that want to get all of it first, please wait until it is proved safe. 3d implants: It is the act of placing an object under the skin to create a design on the skin’s surface, it is actually a very simple technique, an incision is made, and the implant that can be made out of many materials (titanium, soft or solid silicon, Teflon and steel, the steel variety sometimes can cause an infection, there is also the option of natural bone tissue) is inserted, you are stitched up and ready to go. Simple….the after care apparently is simpler than the after care of a piercing. To get a 3D implant you can choose many areas of the body, forehead (the intern horns, third eye and the external horns), you can place spikes on your head, beads on your arms, legs, chest and many but many more, if you are a guy you can get your penis beaded (pearling), in many different ways. Some of the risks of the implants are: -Tissue Resorption: erosion of the tissue by rubbing or pressure applied against the body. Implant can bury itself into the muscles wearing down the body's natural defences; this risk can happen especially with hard materials such as Teflon and stain less steel so if you want to get it done try to use softer materials such as silicone and choose safer places to add the implants. -Implant Rejection: Is when the implants put enough pressure on the skin above them, that it actually manage to do enough damage to surrounding tissue that the skin above the implant dies and the implant becomes exposed ,once this process begins there's not lot that can be done about it other than removing the implant. -Pressure on Nerve and Muscle: When an implant is placed on top of muscle, nerves, or blood vessels, it has the potential to interfere with their functioning. To minimize the risk you have to be sure to tell the 3D artist if you are experiencing anything that can be related to it, this way the artist can change the positioning or the placement of the implant without harm you, in some cases the procedure has to be postponed or aborted. You should also strongly consider research about the kind of implant that you will get and the location of it so you can do it safely. There are also many other possible risks that can be associated with implants such as: Keloids, Implant surface contamination, Implant Biocompatibility, Implant Finishing, Lidocaine Toxicity, Anaesthetic allergy, Sub dermal Shifting, Mod before Client, Needle allergy, Adrenalin Excitement, Impact damage, Hypertrophy scarring, Abscess, Boils, Cancer, Blood loss, Shock, Bloodborne Pathogens Ok that is all for now guys, next week I will be writing about Surgical modification……And I can promise to you all that it will be a very, but a very interesting article….Until them, go have fun and enjoy life… Yes, I’m really trying to fix my karma thing……we never know what can happen tomorrow….. vimax forum do penis enargement pills work best enhancement exercise penis penis enlargement video herbal pnis enlargement natural penis enlarement exercise penis enlarement testimonials vig rx pill

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Failures are very much a part of everyone’s life but according to me, “Real losers are those who are unable to overcome their failures”. One must not lose heart after failing and should be ready to try again with better efforts. If someone is able to learn a lesson from his failure by analyzing his weaknesses he is a winner rather than a loser. For it, it is only the homework that one can do to bring success the consequences are beyond one’s control. One such failure one may have to face in life can be a sexual failure like premature ejaculation, impotence etc. This can happen due to various causes like nervousness, exhaustion, stress or it may be due to a physical problem in the body of the sufferer. ED or erectile dysfunction traditionally known as impotence is one of the most miserable affliction of them all. Under ED, a male is unable to have penis erection good enough to have sexual intercourse. As a result both the partners are left unsatisfied and sleepless. As ED is still considered as a taboo under most societies, the sufferers often conceal their problem fearing the reaction of the society. And these, according to me are characteristics of real losers. Instead of worrying about reaction of the society they should think “What is good for them?” Needless to say the best think for them is to unveil their sexual disorder to a doctor and follow his instructions. It is only then they’ll be able to overcome their failure of sex and improve their performance in order to get the pleasure of sexual intercourse. The best treatment for ED is in the form of prescription drugs like Cialis. It is very affordable and works only after 30 minutes of its consumption. One may buy cialis online from any cheap cialis pharmacy. It is the best way to convert your failure into success and “success” here refers to nothing but a pleasurable sex. homemade penile enlargement does pnis enlargement work free penile enlargment penile enlargment tool penile enlargement pump prosolution free penis enlargment technique natural penis enhancement vimax plastic surgery penis enlargement

There are no specific high blood pressure symptoms, and if you have high blood pressure, you cannot tell by the way you feel. If you experience severe high blood pressure then you may end up being hospitalized. A lot of people suffer from high blood pressure and it is indeed a matter of concern. High blood pressure symptoms may lead to some serious health hazards like heart or kidney disorders. Suffering from cardiovascular diseases like angina, heart attack, kidney damage, eye problems, gangrene may be high blood pressure symptoms. The cardiovascular high blood pressure symptoms are related to other high blood pressure symptoms irrespective of the fact you smoke or not, or if you have diabetes or even high cholesterol. Some lifestyle factors can add to high blood pressure symptoms but it might be the case, that in spite of the same lifestyle some people experience high blood pressure symptoms and some do not. Hypertension or high blood pressure symptoms can run in the family. However, that does not mean you cannot notice high blood pressure symptoms if any one does not have high blood pressure in your family. If you are overweight, if you consume a lot of alcohol, if you eat a lot of salt, or if you are under a lot of stress it is likely that you could develop high blood pressure symptoms. Many people with hypertension don’t have any specific high blood pressure symptoms. You may not know you have high blood pressure. Some of the usual high blood pressure symptoms are headaches, neck aches, black out, fits, blurred vision etc. If you have such symptoms, you must regularly check your blood pressure, lead a healthy lifestyle, you should try losing weight if you are overweight, take proper and regular medicines, visit or consult your healthcare provider at regular intervals, keep a healthy diet, exercise daily, and quit smoking. You may also have to get a number of tests done if your high blood pressure symptoms have an impact over your body. These tests might include: examination of your urine, a blood test, checking the condition of your kidneys, a chest X-ray, identifying any enlargement of the heart muscle, and an ECG. These are a few check ups that you might have to undergo if you suffer from hypertension. If you suspect you are suffering with high blood pressure you should consult your primary care physician immediately. compare penis enlagement pills prosolution penis enlagement pills vimax compare penis enlargement pills herbal penis enlargement pills natural penis elargement exercise do pnis enlargement pills work natural penis enlagement exercise pnis enlargement pic before and after vimax plastic surgery penis enlargement

So what is extreme body modification, or hardcore body modification? There really is no answer for that, as it’s really up to each person. But assuming we’re dealing with an average Joe, most people consider hardcore body modification to be lots of facial piercings, tattoos on their heads or faces, and even the new craze of tongue splitting (yes, people split their tongues for complete aesthetic purposes). Now, if you walk to something that’s a little bit deeper in the body modification scene, that’s nothing! Hardcore body modification to them would be splitting the head of your penis, suspending yourself from a single hook in your chest, or doing what’s known as skin peeling (where long strips or shapes of skin are sliced off). If you go even deeper, the more hardcore body modifications would be amputation or nullification (from the removal of part of a finger, to an entire arm). The obvious question that most people would have after reading this is, “Why?” And the answer is simple. It’s because they wanted to! That’s it! That’s the beauty of each and every one of us having our own lives, we get to do what we want with it. For the same reason someone wouldn’t get a tattoo, another person would. These are basic civil liberties that every human has been with for thousands of years and will always have. So, the next time you want to know why, think why not! If you want to see photos of people sharing their experience is various hardcore body modifications, head on over to http://www.BodyMod.org, and have fun looking through the galleries. And if one day you decide to venture down this road, post a pic of it. We’d all like to see! penis enlargment device penile enlargement system enlargement manhattan pennis surgeon herbal natural pnis enlargement homemade pnis enlargement pro solution pill side effects penis enlagement traction device safe penis enlarement vimax plastic surgery penis enlargement

If you’ve ever witnessed someone suffer a stroke, you understand the humbling nature of this disease. It can reduce the mightiest human being to an immobile, helpless creature. Impairment of crucial functions like speech, walking, and control of bowel and bladder can wrench control from the body in a moment. Even perpetually youthful TV personality Dick Clark was struck down by stroke at age 75, despite the outward appearance of perfect health. Clark’s stroke resulted in a six-week hospital stay and, judging from fragmented reports, significant disability. Stroke can be like a devastating fire that strikes without warning, leaving only smoldering rubble. Stroke can so ravage basic bodily functions that often all you can hope for is to regain a portion through rehabilitation. The disease process that underlies stroke requires decades—30 or 40 years—to develop. With that much lead time, why aren’t we better able to detect or stop this crippling disease? The truth is that we are able to predict many, if not most, strokes. Advances in imaging technology allow detection of atherosclerotic plaque that cause stroke years before it becomes a threat. Progress in deciphering the causes of stroke has also leapt forward. Unfortunately, your neighborhood physician still focuses on diagnosing the crisis rather than anticipating it. Physicians prefer to deal with catastrophes and are just not that interested in prevention. Most physicians ask: “Is it time to operate or not?” The medical community obsesses over procedures like carotid endarterectomy (surgical removal of plaque) or carotid stents. Even when a person is afforded the warnings of a “mini-stroke”, or transient ischemic attack (TIA), little more is done once it’s determined that surgery is not necessary—even though this person has high risk for future stroke (50% over 10 years). Let’s flip-flop this approach to stroke. Procedures represent a failure of prevention! Where do strokes come from? Stroke develops when some portion of the brain is deprived of blood. This usually results from a tiny bit of debris that dislodges from an atherosclerotic plaque along the walls of an artery (the same sort that accumulates in coronaries causing heart attack). The sources of debris have been a subject of controversy, but new imaging technologies have settled the question. Any blood vessel that leads from the heart to the brain can be a source. The two carotid arteries on both sides of your neck are a frequent source, as these arteries are prone to develop plaque. (Our discussion will be confined to what are called thromboembolic, or ischemic, strokes, i.e, strokes that occur from plaque that fragments, sending debris to the brain, and will not include the far less common hemorrhagic strokes due to rupture of small vessels in the brain, nor will we discuss atrial fibrillation and other heart causes of stroke. The thromboembolic strokes we discuss cause around 88% of all strokes.) Over the last 10 years, the aorta has been recognized as another important source of stroke. The aorta is the main artery of the body whose branches go to the head, arms, and legs. Atherosclerotic plaque is a live tissue that, through poor diet, inactivity, high cholesterol, overweight, etc., grows and becomes progressively more unstable. At some point, plaque fragments. Little bits break away, traveling to the brain. Fractured plaque also exposes its deeper structures to flowing blood, triggering blood clot formation, which in turn can also fragment and go to the brain. Atherosclerotic plaque is a prerequisite for the most common causes of stroke. If the majority of strokes originate from plaque, why not measure plaque to determine if you’re at risk for stroke? How can we easily, safely, and accurately measure plaque in the carotid arteries and aorta? And if plaque can be measured, can it be shrunk or inactivated to reduce or eliminate risk for stroke? How can plaque be measured? Just 20 years ago, the only practical method of identifying plaque in the carotids or aorta was through angiography, requiring catheters inserted into the body to inject x-ray dye. Angiography was impractical as a screening measure. CT scanning and magnetic resonance imaging (MRI) are emerging as exciting methods of imaging both carotids and aorta. Unfortunately, most centers and physicians are much more focused on the diagnostic uses of these technologies for people who have already suffered stroke or other catastrophe, and application of these devices for preventive uses is still evolving. One exception is when aortic calcification or aortic enlargement is incidentally noted on the increasingly popular CT heart scans; this is an important finding that can signal presence of aortic plaque. The one test that is widely available and can be performed in just about any center is carotid ultrasound. It’s simple, painless, and precise. Two basic observations can be made: 1. Plaque detection—Atherosclerotic plaque can be clearly visualized. If plaque blocks more than 70% of the diameter of the vessel, or if there are “soft” (unstable) elements in plaque, then stroke risk may be high enough to justify surgery or stents. However, if there are plaques that are less severe, substantial risk for stroke may still be present that can be reduced with preventive measures. 2. Carotid intimal-medial thickness—This is a measure of the thickness of the lining of the carotid artery in areas not involved by plaque, but often precedes the development of mature plaque. Carotid intimal-medial thickness also provides an index of body-wide potential for atherosclerotic plaque that can place you at risk for stroke. The aorta, for instance, cannot be well imaged by surface ultrasound but can still be a source for stroke. Increased carotid intimal-medial thickness and carotid plaque are closely associated with likelihood of aortic plaque. The Rotterdam Study of 4000 participants demonstrated that if carotid intimal-medial thickness is greater than normal (1.0 mm), then you can be at risk for stroke (and heart attack), even if no carotid plaques are detected. Carotid ultrasound is the one test you should consider that provides the most information with least effort. Ultrasound is harmless, painless, and can be obtained just about anywhere. Even if your doctor disagrees with your request for a carotid ultrasound, an increasing number of mobile services are popping up nationwide that make this test available for around $100. One important point: many scanners and interpreters will only report whether plaque is present or not. While this is important information, you should request that the carotid-intimal medial thickness be made as well. Not all centers can make this simple measure (because of software requirements), but it doesn’t hurt to try. Any amount of carotid plaque is reason to follow a preventive program, even if the plaque is insufficient to justify surgery. Can plaque be reduced? Can we shrink plaque in carotid arteries and aorta and thereby reduce, perhaps eliminate, these sources of stroke? That question is gaining momentum as effective therapies become available that pack real punch for reducing plaque. Study after study has now documented that plaque can be reduced and, with it, risk for stroke. Reduction in plaque of 10–20% is possible within a year or two. Let’s consider the most potent influences on carotid and aortic plaque growth that need to be considered in a plaque-reducing program. (I assume that you are a non-smoker—if you are a smoker, you first need to concentrate on quitting.) Hypertension Considerable experience documents the power of blood pressure-lowering for prevention of stroke. The most recently updated guidelines, the JNC–VII, recommends a blood pressure of 407 mg/dl heightens stroke risk six-fold. C-reactive protein (CRP) This measure of inflammation is proving to be a useful marker for identifying people at risk for stroke, with increased risk beginning at a level of 0.5 mg/l. High CRP also predicts more rapidly growing carotid plaque. Homocysteine Homocysteine is an important marker of increased likelihood of both carotid and aortic plaque, as well as stroke. In 1997, the European Concerted Action Project reported more than a doubling of stroke when homocysteine levels exceeded 12 mol/l. As homocysteine increases to 20 μmol/l, risk for stroke and heart attack increases an amazing 10-fold over that at a level of 9 μmol/l. Asymmetric dimethylarginine (ADMA) ADMA is recently discovered amino acid whose blood levels can skyrocket up to 10-fold in the presence of hypertension, metabolic syndrome, diabetes, high cholesterol and triglycerides, obesity, and high homocysteine levels. ADMA blocks the action of the amino acid, l-arginine. This mimicry reduces the availability of nitric oxide, a powerful dilator and protector of arteries. ADMA levels in the top 10% predict a six-fold heightened risk for future stroke, and ADMA levels in people with strokes are double that in other people. A carotid ultrasound study in 116 subjects showed that higher blood levels of ADMA are associated with more severe carotid plaque. Because of ADMA’s shared role across a variety of abnormal conditions, correction or blocking the action of ADMA has been suggested as a unique therapeutic tool to reduce stroke risk. Cholesterol Data suggest that lowering cholesterol with statin cholesterol-lowering drugs slows carotid plaque growth and reduce stroke risk approximately 22%. An interesting study from the Cardiovascular Institute at Mt. Sinai School of Medicine in New York using the precise measuring ability of MRI of the carotids and thoracic aorta showed an impressive 20% regression of plaque area with simvastatin (Zocor®) taken for two years. Although guidelines for cholesterol treatment recommend reduction of LDL cholesterol to 100 mg/dl in high-risk persons, a report from the Walter Reed Army Medical Center in Washington, DC, showed that carotid plaque was more effectively reduced when LDL cholesterol of 70 mg/dl or lower was achieved with statin cholesterol drugs. Lower LDL cholesterol may, therefore, be better. Treatment Strategies to Reduce Carotid and Aortic Plaque The essential question: How do we reduce carotid and aortic plaque? If we make this the focus of our efforts, many pieces begin to fall into place. If you’ve had any measure of carotid or aortic plaque such as a carotid ultrasound or aortic calcification on a CT heart scan, you know that you’re at increased risk for stroke. You also have a baseline for future comparison to gauge whether your program is working or not. Because most people have not one but several causes of carotid and aortic plaque, there is no one single treatment that effectively eliminates risk for stroke. Instead, most people require a comprehensive program of healthy diet, exercise, supplements, and medication when indicated. Here, we focus on the nutritional supplements that can be critical components of your plaque-reduction program. Fish oil Fish oil is a cornerstone of your stroke prevention program. Epidemiological observations suggest a strong relationship of fish intake and reduction of stroke risk. Carotid ultrasound studies demonstrate less carotid plaque with greater intakes of fish. A cleverly designed University of Southampton study made the fascinating observation that fish oil transforms the structure of carotid plaque. 150 people with severe carotid plaque scheduled for carotid endarterectomy (surgical removal of the plaque) were given fish oil, sunflower oil, or no treatment over several months while waiting for their procedure. (Delays in the British health system permitted this unique design.) Plaque was removed at surgery and examined. Participants taking fish oil had reduced inflammation in plaque and thicker tissue covering the fatty core, markers of more stable plaque. Those taking sunflower oil or no treatment had unstable plaques with greater inflammation and thinner, less sturdy covering tissue. This suggests that fish oil stabilizes carotid plaque, making it less likely to rupture and fragment. A standard capsule of fish oil (containing 300 mg of EPA + DHA) contains the same amount of omega-3s as a 3 oz serving of cod or halibut; three capsules (900 mg DHA + EPA) contain the equivalent of a serving of farm-raised salmon. The dose that seems to provide greatest protection from stroke, lowers triglycerides (that form abnormal lipoproteins; see above), and reduces fibrinogen, is four capsules per day (1200 mg EPA + DHA). Coenzyme Q10 (CoQ10) Although there are no data specifically addressing whether CoQ10 reduces plaque, it is a marvelously effective way to reduce blood pressure, one of the crucial factors causing carotid and aortic plaque growth. A pooled analysis of eight studies showed that, on average, CoQ10 in daily doses of 50–200 mg reduced systolic blood pressure by 16 mm Hg, diastolic pressure by 10 mm Hg. Data suggest that CoQ10 can reverse abnormal heart muscle thickening (hypertrophy), another manifestation of high blood pressure, strongly suggesting that CoQ10 has benefits beyond just reducing pressure. Supplements to correct the metabolic syndrome Weight loss is, without question, the most immediate and direct path to correction of this dangerous pre-diabetic condition. A drop of even 10–20 lbs yields improvements across the board: increased sensitivity to insulin, increased HDL, and reductions in triglycerides, CRP, fibrinogen, small LDL particles, and blood pressure. Diet and exercise are fundamental components of an effort to lose weight; low carbohydrate or reduced glycemic index diets (e.g., South Beach or Mediterranean) rich in fibers are clearly effective. Several supplements can amplify weight-reduction efforts and be useful adjuncts to your lifestyle program. Among them: White bean extract White bean extract blocks intestinal absorption of carbohydrates by 66%. 1500 mg twice a day with meals yields, on average, 3–7 lbs of weight loss in the first month of use. The only side-effect is excessive gas, due to unabsorbed starches. Glucomannan This unique fiber taken prior to meals absorbs many times its weight in water and thereby fills your stomach. You consequently take in less food. Most people lose around four lbs per month using 1500 mg prior to each meal. Interestingly, glucomannan also blunts the rise in blood sugar after meals, an effect that, by itself, may lead to weight loss. Be sure to take with plenty of water. DHEA This adrenal hormone is key to maintaining physical stamina, mood, muscle mass in men, and libido in women. A recent randomized, placebo-controlled study at Washington University in 56 subjects showed a 13% decline in abdominal fat (fat that drives resistance to insulin) measured by MRI with 50 mg of DHEA per day at bedtime, along with improved sugar control and lower insulin levels. Pectin, beta-glucan Pectin is the soluble fiber in citrus rinds, green vegetables, and apples, also available as a supplement. Beta-glucan is the soluble fiber of oats and is also available as a supplement. Both are wonderful fibers that provide feelings of fullness, lower cholesterol, slow release of sugars, and can yield modest weight reduction. A USC study in 573 subjects using carotid ultrasound showed that greater intake of healthy fibers like pectin and beta-glucan is associated with less carotid plaque growth. Folic acid, vitamins B6 and B12 Dr. Daniel Hackam at the Stroke Prevention and Atherosclerosis Research Centre in Ontario conducted a study using carotid ultrasound in 101 participants treated with folic acid 2.5 mg, vitamin B6 25 mg, and B12 250 mcg per day. Treatment resulted in plaque reduction, especially when homocysteine levels exceeded 14μmol/l at the start, compared to untreated participants who experienced substantial plaque growth. An attempt to clarify the role of homocysteine treatment was made through a National Institute of Health-sponsored study of stroke prevention. 3680 participants with a prior history of stroke were enrolled and given either a “low-dose” (20 mcg folic acid, 0.2 mg B6, 6 mcg B12) or a “high-dose” (2.5 mg folic acid, 25 mg B6, 400 mcg B12) regimen. Although starting homocysteine levels showed a graded association with stroke risk (higher homocysteine levels predicted greater stroke risk), the treatment groups experienced, on average, only a 2 μmol drop in homocysteine levels and no reduction in stroke risk over two years. The study investigators as well as critics have suggested that the study failed due to an insufficient treatment period and that the doses were too low. (The doses we use in our plaque reduction program are folic acid 2.5–5.0 mg, B6 50–100 mg, B12 1000–2500 mcg.) L-arginine L-arginine can be used to overpower the adverse effects of ADMA. L-arginine is emerging as an important carotid plaque-reversing tool. Early reports in animals showed that l-arginine completely halted growth of aortic plaque, and did so more effectively than lovastatin (a cholesterol-lowering drug). In humans, L-arginine reduces blood pressure, abnormal constriction of carotid and coronary arteries, blocks entry of inflammatory cells into plaque, increases sensitivity to insulin, and heightens exercise capacity. Following coronary angioplasty or stent placement, l-arginine results in up to 36% reduction in plaque growth. The average American takes in 5400 mg of l-arginine through food every day. Supplementing with doses of 3000–12,000 mg per day has proven useful to correct many of these phenomena. (We use a dose of 6000 mg of l-arginine powder, twice a day on an empty stomach, dissolved in water, for our plaque regression program.) Does this result in a reduction of stroke risk? The emerging data suggest that l-arginine is likely to exert a powerful plaque-reducing and stroke-preventing benefit, but we await more clinical trial data. Conclusion Reducing stroke risk by reversing carotid and aortic plaque is becoming an everyday reality, with better tools becoming available. To know whether you’re at risk, the best and most available imaging tool is carotid ultrasound, aiming to identify intimal-medial thickness >1.0 mm, or carotid plaque. Any degree of calcification of the aorta, such as on a CT heart scan, is another useful measure of risk. Treatment to reduce risk is multi-faceted but is based on examining all your sources of risk, including metabolic syndrome, small LDL, lipoprotein(a), and C-reactive protein. Fish oil is the one absolutely crucial ingredient in any stroke prevention program. Other supplements can be used in a targeted fashion, depending on the causes identified for your carotid or aortic plaque. Ideally, repeat scanning of your carotids should be done sometime after your program has begun to assess whether you’ve successfully achieved reversal of plaque growth.