Suggested Use:
Liquids: Use 20-30 drops mixed with water
two to three times daily or as recommended by a practitioner.
Cautions: Contains Damiana which may reduce
the absorption of iron. Contains Ginkgo which may thin the blood. Use
under care/advice of a medical practitioner. Not intended for long term
therapy.
Contraindications: Do not use if anemic.
Pregnant women should consult with their physician before taking this
product. Those who have circulation disorders or are taking
anti-coagulants should seek the advice of their medical practitioner.
Ingredients:
Maca (Lepidium peruvianum), Muria Puama (Ptychopetalum
olacoides), Damiana (Turnera diffusa), Catuaba (Erythroxylum
catuaba), Horny Goat Weed (Epimedium grandiflorum),
Huanapro (Jatropha macracantha), Ginkgo (Ginkgo biloba),
vegetable glycerine, distilled water and organic grain alcohol.
More About Amazon Man™:
1. Nutrients and botanicals for erectile dysfunction:
examining the evidence.
McKay D.
Altern Med Rev. 2004 Mar;9(1):4-16
Thorne Research, PO Box 25, Dover, ID 83825. duffy@thorne.com
PMID: 15005641 [PubMed - indexed for MEDLINE]
2. The role of histamine in human penile erection.
Cara AM, Lopes-Martins RA, Antunes E, Nahoum CR, De Nucci G.
Discipline of Urology, Faculty of Medical Sciences, UNICAMP, Campinas,
Brazil.
Br J Urol. 1995 Feb;75(2):220-4.
PMID: 7850330 [PubMed - indexed for MEDLINE]
3. [L-arginine and male
infertility] [Article in Italian]
Scibona M, Meschini P, Capparelli S, Pecori C, Rossi P, Menchini Fabris
GF.
Scuola di Specializzazione in Andrologia, Universita degli Studi di
Pisa.
Minerva Urol Nefrol. 1994 Dec;46(4):251-3.
PMID: 7701414 [PubMed - indexed for MEDLINE]
4. “The Impact of Maca Root Extract on Libido, Sexual Function
and General Energy Level on Men with Diagnosed Prostate Cancer”
An Anecdotal Trial Recap January 2005 (San Francisco, CA)
5. The relaxation of isolated
rabbit corpus cavernosum* by the herbal medicine Catuama and its
constituents.
Antunes E, Gordo WM, de Oliveira JF, Teixeira CE, Hyslop S, De Nucci G.
Department of Pharmacology, Faculty of Medical Sciences, UNICAMP, P.O.
Box 6111, 13081-970, Campinas (SP), Brazil. eantunes@bestway.com.br
Phytother Res. 2001 Aug;15(5):416-21.
PMID: 11507734 [PubMed - indexed for MEDLINE]
*Note: Corpus cavernosum: spongy erectile tissue of
the penis
6. Stimulating property of
Turnera diffusa and Pfaffia paniculata extracts on the sexual-behavior
of male rats.
Arletti R, Benelli A, Cavazzuti E, Scarpetta
9. Effects of Lepidium meyenii
Walp and Jatropha macrantha on blood levels of estradiol-17 beta,
progesterone, testosterone and the rate of embryo implantation in mice.
Oshima M, Gu Y, Tsukada S.
Graduate School of Medical Imaging, Suzuka University of Medical
Science, Suzuka-shi, Mie, Japan.
J Vet Med Sci. 2003 Oct;65(10):1145-6.
PMID: 14600359 [PubMed - indexed for MEDLINE]
10. Classification of
commercial Catuaba samples by NMR, HPLC and chemometrics.
Daolio C, Beltrame FL, Ferreira AG, Cass QB, Cortez DA, Ferreira MM.
Departamento de Química, Universidade Federal de São Carlos, Rod.
Washington Luis Km 235, São Carlos/SP, Brazil.
Phytochem Anal. 2007 Sep 21; [Epub ahead of print]
PMID: 17890569 [PubMed - as supplied by publisher]
11. On-line identification of tropane alkaloids from Erythroxylum
vacciniifolium by liquid chromatography-UV detection-multiple mass
spectrometry and liquid chromatography-nuclear magnetic resonance
spectrometry.
Zanolari B, Wolfender JL, Guilet D, Marston A, Queiroz EF, Paulo MQ,
Hostettmann K.
Institut de Pharmacognosie et Phytochimie, Université de Lausanne, BEP,
CH-1015 Lausanne, Switzerland.
J Chromatogr A. 2003 Dec 5;1020(1):75-89.
1. Nutrients and botanicals for erectile dysfunction: examining the
evidence.
McKay D.
Altern Med Rev. 2004 Mar;9(1):4-16
Thorne Research, PO Box 25, Dover, ID 83825. duffy@thorne.com
Erectile dysfunction affects 50 percent of men ages 40-70 in the
United States and is considered an important public health problem by
the National Institutes of Health. Consumers are exposed to a plethora
of natural products claiming to restore erection and sexual vitality. A
review of the available empirical evidence reveals most naturally
occurring compounds lack adequate clinical trials to support efficacy.
However, arginine, yohimbine, Panax ginseng, Maca, and Ginkgo biloba all
have some degree of evidence they may be helpful for erectile
dysfunction. Improvements in penile endothelial L-arginine-nitric oxide
activity appear to be a unifying explanation for the actions of these
naturally occurring agents.
PMID: 15005641 [PubMed - indexed for MEDLINE]
2 . The role of histamine in human penile erection.
Cara AM, Lopes-Martins RA, Antunes E, Nahoum CR, De Nucci G.
Discipline of Urology, Faculty of Medical Sciences, UNICAMP, Campinas,
Brazil.
Br J Urol. 1995 Feb;75(2):220-4.
OBJECTIVE: To investigate the relaxant
action of histamine on human corpus cavernosum in vitro and the erectile
response caused by the intracavernous injection of histamine in
patients with psychogenic impotence. PATIENTS AND METHODS: Human corpus
cavernosum (HCC) tissue was cut into strips of approximately 2 cm and
suspended in a cascade bioassay. The strips were then superfused with
oxygenated and warmed Krebs solution and precontracted with
noradrenaline (3 microM). Glyceryl trinitrate, acetylcholine and
histamine were injected as a single bolus in the absence or in the
presence of mepyramine and cimetidine. For the in vivo studies,
histamine (30-60 micrograms) was injected intracavernously as a single
bolus into the right corpus cavernosum 1 cm from the balamo-preputial
sulcus. Similar protocols were carried out for papaverine (50 mg). The
erectile response was divided into four grades: no response, tumescence,
partial and full erection. RESULTS: In vitro studies demonstrated that
histamine (3-100 micrograms) caused dose-dependent relaxation of the HCC
strips which was significantly inhibited by cimetidine (5-10 microM).
The histamine H1 receptor antagonist mepyramine (1 microM) potentiated
histamine-induced relaxation. The co-infusion of both mepyramine and
cimetidine did not abolish histamine-induced relaxation. When injected
intracavernously in humans, histamine (30 micrograms) caused full
erection in 13% of the patients, whereas 87% had partial erection or
tumescence. A higher dose of histamine (60 micrograms) caused full
erection in 26% of the patients and 74% had partial erection or
tumescence. Papaverine induced full erection in the majority of patients
(66%). In contrast to papaverine, the duration of erection induced by
histamine was markedly shorter (mean 200 and 6.5 min, respectively). The
penile erections induced by papaverine were associated with
complications such as pain, haematoma and priapism. Histamine did not
induce any complications. Treatment of eight male patients with
psychogenic impotence with the histamine H1 receptor antagonist
astemizol (10 mg orally once daily for 1 week) did not affect
histamine-induced erectile responses. CONCLUSION: These results indicate
that histamine may play a role in human penile erection. The
erection-promoting action of histamine is probably due to H2 receptor
activation, although another histamine receptor, possibly H3, also seems
to be involved. This study suggests that histamine could be a valuable
tool in the diagnosis of erectile dysfunction.
PMID: 7850330 [PubMed - indexed for MEDLINE]
3. [L-arginine and male infertility] [Article in Italian]
Scibona M, Meschini P, Capparelli S, Pecori C, Rossi P, Menchini
Fabris GF.
Scuola di Specializzazione in Andrologia, Universita degli Studi di
Pisa.
Minerva Urol Nefrol. 1994 Dec;46(4):251-3.
The clinical efficacy and acceptance of L-arginina HCL was tested in
40 infertile men. All of these men had a normal number of spermatozoa
(> 20 million/ml), but a decreased motility; this decreased motility
was not due to infection or to immunological disorders. The treatment
consisted of 80 ml of 10% L-arginine HCL administered daily per os for 6
months. L-arginine HCL showed to be able to improve the motility of
spermatozoa without any side-effects.
Publication Types: Clinical Trial
PMID: 7701414 [PubMed - indexed for MEDLINE]
4. “The Impact of Maca Root
Extract on Libido, Sexual Function and General Energy Level on Men with
Diagnosed Prostate Cancer”
An Anecdotal Trial Recap January 2005 (San Francisco, CA)
BACKGROUND: Ten members of the Prostate Awareness Foundation (PAF),
with diagnosed prostate cancer, recently underwent a three month trial
of a Peruvian root known as maca to evaluate its effect. Maca root has a
long history of usage in the high Andes of South America, both as a
sexual and general endurance enhancer. Inca royalty once felt it was
such a powerful botanical that its use was a privilege reserved for the
nobility. Maca is a root in the radish family and only grows at
elevations above 10,000’. Maca is once again gaining recognition among
health professionals, especially in Latin America for its use as an
endocrine modulator. Most literature available on the subject is in
reference to the use of maca as an endocrine modulator for women dealing
with menopausal problems. There have been no studies on the efficacy of
maca for men dealing with prostate health concerns. The product for the
Prostate Awareness Foundation trial was supplied free of charge, by
Herbs America in Murphy, Oregon. They can be reached at 541-846-6222.
PAF decided to conduct this small anecdotal trial based on reports from
members around the country that were reporting encouraging effects from
maca. Specifically, some men on ADT therapy, a pharmaceutical blocking
of the bodies ability to produce testosterone, which slows the growth of
prostate cancer, who should not have a libido or erection were
reporting full sexual function and sexual interest.
THE TRIAL: The goal of the anecdotal trial was to determine if the
regular use of maca root extract would have an effect on PSA levels,
libido, sexual function and the general endurance level in men with
diagnosed prostate cancer. Included in the trial were men who had
undergone or are currently undergoing a number of different treatment
paths including: radiation, ADT hormonal blockade treatment, radical
surgical removal (prostatectomy) or are in various stages of watchful
waiting while instituting dietary and lifestyle changes. .
Participants: 10 men with diagnosed prostate cancer
Parameters: Have a PSA test prior to the start of the protocol, have
testosterone levels also checked
Take a PSA test after the protocol is completed, have testosterone
levels checked and recorded.
Complete a pre and post trial questionnaire
Supply list of current supplementation
Dosage: two tinctures of maca root extract in an alcohol base four
times per day for ninety days.
TRIAL RESULTS: Of the ten men beginning the trial, two discontinued
use of the product before the completion of the ninety days and were not
included in the below summary.
PSA Change: It should be noted that there were no dramatic increases
or decreases of PSA in the men reporting at the end of the trial.
2 rise in PSA *
5 lowering of PSA **
1 no change
* one of the two men stopped taking ADT therapy during the trial which
is likely the reason for his increase in PSA.
** two of the five men reporting lower PSA levels began taking ADT
therapy during the trial. This should be considered an unusual
occurrence that merits further study.
Testosterone level changes: Since the use of maca seemed to have a
positive effect on the sexual energy of 75% of the men in the trial it
is interesting to note that five out of eight men reported a decrease in
their testosterone levels. We also know that the primary side effect of
ADT therapy, since it is designed to chemically stop the body’s ability
to produce testosterone, is a loss of libido. This did not seem to
prove out in our trial! Nor did maca seem to raise testosterone levels
for the majority of men.
2 increase in testosterone level*
5 decrease in testosterone level**
1 no change in testosterone level
* one of the two men stopped taking ADT therapy during the trial
** two of the five men began taking ADT during the trial
General Energy Level:
6 improvement
1 diminished*
1 no observable change
* participant began ADT therapy during trial and may have been
impacted by this new therapy! Many men report a loss of general energy
while undergoing ADT therapy.
Sexual Energy & Libido:
6 improved*
2 diminished*
* it should be noted that one participant who reported diminished
sexual energy was the same person who began ADT therapy during the
trial. It should also be noted that two of the reports of increased
sexual energy were from men already on ADT therapy and who should not
have had a libido!
Sexual Appetite (General Horniness):
6 improved
1 diminished
1 remained the same
Reported side effects:
Waking up with erection
Stronger and stiffer erection
Plan to continue use of product:
5 Yes
1 No
2 Undecided
Recommend product to friend or associate:
4 Yes
1 No
3 Undecided
Nocturnal urinary frequency: (improvement represents less frequent
nocturnal visits)
1 improvement
1 more frequent nocturnal visits
6 remained the same
Mood and feeling of well-being:
6 improved
1 diminished
1 remained the same
Although the results are preliminary and the sample small, the initial
results look promising and we feel merit further study. The product
does not appear to have a profound effect on PSA levels, is relatively
inexpensive and seems to enhance the sexual and general energy of a
majority of men who take it.
’
5. The relaxation of
isolated rabbit corpus cavernosum* by the herbal medicine Catuama and
its constituents.
Antunes E, Gordo WM, de Oliveira JF, Teixeira CE, Hyslop S, De Nucci
G.
Department of Pharmacology, Faculty of Medical Sciences, UNICAMP, P.O.
Box 6111, 13081-970, Campinas (SP), Brazil. eantunes@bestway.com.br
Phytother Res. 2001 Aug;15(5):416-21.
The effects of the Brazilian herbal medicine Catuama and each of its
plant constituents (Paullinia cupana, Trichilia catigua, Zingiber
officinalis and Ptychopetalum olacoides) were investigated on rabbit
corpus cavernosum (RbCC) using a bioassay cascade. Catuama caused
short-lived and dose-dependent relaxations (11% +/- 7%, 26% +/- 5% and
82% +/- 9%, at doses of 1, 3 and 10 mg, respectively). Neither the
nitric oxide synthesis inhibitor N(omega)-nitro-L-arginine methyl ester
(L-NAME; 10 microM) nor the soluble guanylate cyclase inhibitor ODQ (10
microM) significantly affected the Catuama-induced relaxations.
Similarly, the selective ATP-dependent K(+) channel (K(ATP)) blocker
glibenclamide (10 microM), the muscarinic receptor antagonist atropine
(1 microM) and the voltage-dependent Na(+) channel blocker tetrodotoxin
(1 microM) all failed to affect significantly the Catuama-induced
relaxations. These results indicate that the relaxations induced by
Catuama involve neither nitric oxide release nor K(ATP) channel
activation. The extracts of P. cupana, Z. officinalis and P. olacoides
caused short-lived and dose-dependent RbCC relaxations, whereas T.
catigua evoked long-lasting relaxations which were occasionally preceded
by a brief contractile effect. The extract of P. cupana was the most
active in relaxing RbCC strips. The relaxations induced by all extracts
were not significantly affected by L-NAME (10 microM). The infusion of
ODQ (10 microM) had no significant effect on the P. cupana- and Z.
officinalis-induced relaxations but reduced by >50% (p < 0.05)
those evoked by P. olacoides and T. catigua. Incubations of RbCC with
Catuama(10 mg/mL for 0.25 to 5 min) caused increases of cAMP levels
(143% increase at 5 min of incubation). Incubations of RbCC with P.
cupana extract (1 mg/mL) increased the cAMP levels by 200% whereas
higher doses (10 and 100 mg/mL) caused smaller increases in the
nucleotide levels (150% and 89%, respectively). The extracts of Z.
officinalis and P. olacoides (same doses) caused smaller increases of
the cAMP levels compared with the P. cupana extract, whereas T. catigua
(1-100 mg) did not increase the levels of this nucleotide above the
basal values. Our results show that of the four extracts assayed, P.
cupana was the most effective, indicating that it is the main extract
responsible for the relaxing effect of Catuama on rabbit cavernosal
tissue. Copyright 2001 John Wiley & Sons, Ltd.
PMID: 11507734 [PubMed - indexed for MEDLINE]
*Note: Corpus cavernosum: is one of a pair of a
sponge-like regions of erectile tissue which contain most of the blood
in the male penis during erection. There are corresponding structures
and functions in the female clitoris. The term literally means
“cave-like body” (plural: corpora cavernosa).
6. Stimulating property of
Turnera diffusa and Pfaffia paniculata extracts on the sexual-behavior
of male rats.
Arletti R, Benelli A, Cavazzuti E, Scarpetta G, Bertolini A.
Department of Biomedical Sciences, Section of Pharmacology, University
of Modena and Reggio Emilia, Italy. farmacol@unimo.it
Psychopharmacology (Berl). 1999 Mar;143(1):15-9.
Sexually potent and sexually sluggish/impotent male rats were treated
orally with different amounts of Turnera diffusa and Pfaffia paniculata
fluid extracts (0.25, 0.50, 1.0 ml/kg). While having no effect on the
copulatory behavior of sexually potent rats, both plant extracts--singly
or in combination--improved the copulatory performance of sexually
sluggish/impotent rats. The highest dose of either extract (1 ml/kg) (as
well as the combination of 0.5 ml/kg of each extract) increased the
percentage of rats achieving ejaculation and significantly reduced
mount, intromission and ejaculation latencies, post-ejaculatory interval
and intercopulatory interval. Neither extract affected locomotor
activity. These results seem to support the folk reputation of Turnera
diffusa and Pfaffia paniculata as sexual stimulants.
PMID: 10227074 [PubMed - indexed for MEDLINE]
7. With specific regard to male sexuality,
Kee Chang Juang, Ph.D., Professor Emeritus of Pharmacology at the
University of Louisville, Kentucky, claimed that in laboratory research,
Epimedium appeared to have a sexual stimulatory effect on human males
and may also stimulate the growth of the testes. In addition, it was
also reported that men who took this herb showed a boost in erectile
function and an increase in spermatozoa production. In the Chinese
Materia Medica, pharmacist, You-Ping Shu, Ph.D., reported that in animal
laboratory experiments, there was an increase in semen secretion.
8. Ginkgo biloba (EGb
761) in arteriosclerosis prophylaxis.
Siegel G, Schäfer P, Winkler K, Malmsten M.
Department of Neurophysiology, Charité--Universitätsmedizin Berlin,
Berlin, Germany. guenter.siegel@charite.de
The prevention or deceleration of atherogenesis is one of the most
significant anti-aging objectives since this is a matter of avoidance of
myocardial infarction and stroke. To approach this prophylactic aim,
phytochemical nutrition counteracting peroxidation of blood lipids based
on their scavenger qualities for reactive oxygen species (ROS) can
possibly serve. For example, oxidized LDL particles are highly
atherogenic. Against this background, we investigated in a pilot study
the effect of Ginkgo biloba (EGb 761: Rökan novo), the free oxygen
radical scavenging properties of which are well-documented, on the
atherosclerotic nanoplaque formation in cardiovascular high-risk
patients. In eight patients who had undergone an aortocoronary bypass
operation, the reduction of atherosclerotic nanoplaque formation
amounted to 11.9 +/- 2.5% (p < 0.0078) and of nanoplaque size to 24.4
+/- 8.1% (p < 0.0234), respectively, after a 2-month therapy with
Ginkgo biloba extract (EGb 761, 2 x 120 mg daily, Rökan novo, Spitzner
Arzneimittel, Ettlingen, Germany). Additionally, superoxide dismutase
(SOD) activity was upregulated by 15.7 +/- 7.0% (p < 0.0391), the
quotient oxLDL/LDL lowered by 17.0 +/- 5.5% (p < 0.0234) and
lipoprotein(a) concentration decreased by 23.4 +/- 7.9% (p < 0.0234)
in the patients’ blood after the 2-month medication regimen. The
concentration of the vasodilating substances cAMP and cGMP was augmented
by 37.5 +/- 9.1% (p < 0.0078) and 27.7 +/- 8.3% (p < 0.0156),
respectively. A multimodal regression analysis reveals a basis for a
mechanistic explanation of nanoplaque reduction under ginkgo treatment.
The atherosclerosis inhibiting effect is due to an upregulation in the
body’s own radical scavenging enzymes and an attenuation of the risk
factors oxLDL/LDL and Lp(a). Furthermore, the significant increase in
the vasodilator cAMP and cGMP concentration powerfully supports the
maintenance of an open bypass. The effects of two Peruvian folk
medicines, Lepidium meyenii Walp and Jatropha macrantha, on mouse sex
steroid hormones and embryo implantation were investigated. Progesterone
levels increased significantly in mice that received L. meyenii Walp,
while testosterone levels increased significantly in mice that received
L. meyenii Walp as well as in those that received both L. meyenii Walp
and J. macrantha. However, there were no marked changes in blood levels
of estradiol-17beta or the rate of embryo implantation.
PMID: 14600359 [PubMed - indexed for MEDLINE]
9. Effects of Lepidium
meyenii Walp and Jatropha macrantha on blood levels of estradiol-17
beta, progesterone, testosterone and the rate of embryo implantation in
mice.
J Vet Med Sci. 2003 Oct;65(10):1145-6.
Oshima M, Gu Y, Tsukada S.Graduate School of Medical Imaging, Suzuka
University of Medical Science, Suzuka-shi, Mie, Japan.
The effects of two Peruvian folk medicines, Lepidium meyenii Walp and
Jatropha macrantha, on mouse sex steroid hormones and embryo
implantation were investigated. Progesterone levels increased
significantly in mice that received L. meyenii Walp, while testosterone
levels increased significantly in mice that received L. meyenii Walp as
well as in those that received both L. meyenii Walp and J. macrantha.
However, there were no marked changes in blood levels of
estradiol-17beta or the rate of embryo implantation.PMID: 14600359
[PubMed - indexed for MEDLINE]
10. Classification of
commercial Catuaba samples by NMR, HPLC and chemometrics.
Daolio C, Beltrame FL, Ferreira AG, Cass QB, Cortez DA, Ferreira MM.
Departamento de Química, Universidade Federal de São Carlos, Rod.
Washington Luis Km 235, São Carlos/SP, Brazil.
Phytochem Anal. 2007 Sep 21; [Epub ahead of print]
For over a century, Catuaba has been used in Brazilian folk medicine
as an aphrodisiac even though the identity of the plant material
employed is often uncertain. The species recommended by the Brazilian
Pharmacopeia is Anemopaegma arvense (Bignoniaceae), but many other
plants, regionally known as Catuaba, are commercialised. Frequently, the
quality control of such a complex system is based on chemical markers
that do not supply a general idea of the system. With the advent of the
metabolomics approach, a global analysis of samples becomes possible. It
appears that (1)H-NMR is the most useful method for such application,
since it can be used as a wide-spectrum chemical analysis technique.
Unfortunately, the generated spectra is complex so a possible approach
is to look at the metabolite profile as a whole using multivariate
methods, for example, by application of principal component analysis
(PCA). In the present paper, we describe for the first time a proton
high-resolution magic angle spinning nuclear magnetic resonance
((1)H-HR-MAS NMR) method coupled with PCA for the metabolomic analysis
of some commercial Catuaba samples, which provided a reduction in the
time required for such analysis. A comparative study of HPLC, HR-MAS and
liquid-NMR techniques is also reported. Copyright (c) 2007 John Wiley
& Sons, Ltd.
PMID: 17890569 [PubMed - as supplied by publisher]
11. On-line identification of tropane alkaloids from
Erythroxylum vacciniifolium by liquid chromatography-UV
detection-multiple mass spectrometry and liquid chromatography-nuclear
magnetic resonance spectrometry.
Zanolari B, Wolfender JL, Guilet D, Marston A, Queiroz EF, Paulo MQ,
Hostettmann K.
Institut de Pharmacognosie et Phytochimie, Université de Lausanne,
BEP, CH-1015 Lausanne, Switzerland.
J Chromatogr A. 2003 Dec 5;1020(1):75-89.
The bark of catuaba (Erythroxylum vacciniifolium Martius,
Erythroxylaceae), a tree native to the northern part of Brazil, was
investigated for its alkaloid content. With the aim of obtaining
preliminary structure information on-line, the alkaloid extract was
analysed by high-performance liquid chromatography coupled to diode
array UV detection, to mass spectrometry and to nuclear magnetic
resonance. Interpretation of on-line spectroscopic data obtained from
this extract led to structural elucidation of six new alkaloids and
partial identification of 18 potentially original alkaloids bearing the
same tropane skeleton esterified in positions 3 and 6 by
1-methyl-1H-pyrrol-2-carboxylic acid and/or
4-hydroxy-3,5-dimethoxybenzoic acid.
PMID: 14661759 [PubMed - indexed for MEDLINE]
Disclaimer: Statements on this page
have not been evaluated by the Food and Drug Administration. This
product is not intended to diagnose, treat, cure or prevent any disease.
Information on this publication should not be used as medical advice.
Data prvided for research and professional use only.