
નમસ્તે મિત્રો,
મારુ નામ નવનીત (નામ બદલ્યુ) છે. અને હું હાલ એક માર્કેટીંગ કંપનીમા મેનેજર ની પોસ્ટ પર કામ કરી રહ્યો છુ. હાલ મારી ઉમર ૬૦ વર્ષ છે અને હું માર્કેટીંગ ક્ષેત્ર સાથે છેલ્લા ૩૨ વર્ષથી સંકળાયેલ છુ. આજે હું આ મેગેઝીન મારફતે મારી નપુંસકતા તથા શિધ્રપતનની તકલીફ અને તેની સારવાર સબંધિત ચર્ચા આપની સમક્ષ કરવા માગુ છુ.
મારા લગ્નને ત્રણ દાયકા કરતા પણ વધુ સમય થવા આવ્યો છે. મારુ લગ્નજીવન અને જાતીય જીવત સુખમય પસાર થતુ હતુ. માર્કેટીંગના ક્ષેત્રે હોઇ ક્યારેક ટાર્ગેટ અને વેચાણ સબંધિત તણાવ રહેતો પણ એકંદરે જીવન આનંદમય વિતી રહ્યુ હતુ. હું ડાયાબિટીસનો દર્દી છુ. જેની દવાઓ નિયમીત લઇ રહ્યો છુ અને તે માટે જરુરી ખોરાક ની પરેજી અને વ્યાયામ પર પણ પુરતુ ધ્યાન આપી રહ્યો છુ.
આજ થી એક વર્ષ પુર્વે મને પ્રથમ વખત લાગ્યુ કે સેક્સ સમયે હું પુરતો ઉત્તેજીત થઇ શકતો નથી. કદાચ આ તકલીફ એકદમથી શરુ થઇ ના હતી. મને આ તકલીફ શરુ થવાનો અંદાજો જ ના આવ્યો અને ધીમે ધીમે આ તકલીફ વધવા લાગી. મને ખાસ યાદ છે ત્યા સુધી, આશરે છેલ્લા એકાદ વર્ષથી તો આ તકલીફ ઘણી વધી ગઇ હતી. સેક્સ જાણે આનંદરુપ હોવાને બદલે તણાવરુપ બનવા લાગ્યો હતો. સેક્સ સમયે લીંગને ઉત્તેજીત કરવા પુષ્કળ પ્રયત્નો-ફોરપ્લે કરવા છતા પણ લીંગ જોઇએ એવુ ઉત્તેજીત થતુ ના હતુ અને ક્યારેક મહા-મુસીબતે લીંગ ઉત્તેજીત થઇ જાય તો પણ સંભોગ નો સમય અરધી મિનીટ પણ ના ચાલતો. આ તકલીફ બાદ સેક્સ ની ઇચ્છા પણ ઓછી થઇ ગઇ હતી. પત્ની સામે ભોંઠા પડવાનો ડર પણ ખરો. હું આ તકલીફ માટે યોગ્ય ઉપાય ની શોધમાં હતો. મને ક્યારેક “વાયેગ્રા” જેવી દવાઓનુ જાતે સેવન કરવાનો વિચાર પણ આવેલ પણ આ તકલીફમાં ડોક્ટરની સલાહ વિના જાતે દવાનું સેવન કરવુ યોગ્ય ના હતુ.
આ દરમિયાન મે મનોચિકિત્સક-સેક્સોલોજીસ્ટ નો સંપર્ક કર્યો. ડોક્ટરે મારી તકલીફ શાંતીથી સાંભળી અને આધેડ વયે થતી સેક્સની તકલીફો ઘણી વખત ઇન્દ્રિયમાં લોહીના પરિભ્રમણની રુકાવટના કારણે હોઇ શકે તેમ જણાવ્યુ. જેમ ડાયાબિટીસ, ઉંચુ લોહીનુ દબાણ (બ્લડ પ્રેશર), કોલેસ્ટેરોલ, તમાકુનુ વ્યસન વગેરે હદયની લોહીની નળીઓમાં રુકાવટ માટે કારણભુત છે, કંઇક એવી જ રીતે ઇન્દ્રિયની લોહીની નળીઓ પર પણ તેની અસર પડે છે. ઇન્દ્રિયની લોહીની નળીઓ હદયની લોહીની કરતા ઘણી પાતળી હોવાથી ઇન્દ્રિય પર લોહીની નળીઓ માં રુકાવટના લક્ષણો હદય ને લોહી ના મળવાથી થતા એન્જાઇના જેવા લક્ષણૉ કરતા ઘણા વહેલા દેખાય છે. ડોક્ટરે મને આ વાતની જાણકારી આપી જરુરી લોહીના રિપોર્ટસ માટે સમજાવ્યુ. હું “ડાયાબિટીસ”નો દર્દી છુ, જેની મને જાણ હતી. આ સિવાય અન્ય રિપોર્ટ્સ નોર્મલ આવતા મને હાશકારો થયો.
ડોક્ટરે મને દવાઓનુ પ્રિસ્ક્રિપ્શન લખી આપ્યુ. આ દવાઓ ઇન્દ્રિયમાં લોહીની નળીઓની રુકાવટ દુર થાય અને ઇન્દ્રિયને પુરતુ લોહી મળી રહે, કંઇક એવુ કામ કરે છે. (આ દવાઓ ડોક્ટરની સલાહ બાદ જ લેવી જોઇએ- આથી દવાની વધુ વિગતો અહીં અસ્થાને છે.) ડોક્ટરે મને મારી નપુંસક્તા અને શિધ્રપતનની ફરિયાદ માં એકાદ અઠવાડીયામાં ફાયદો શરુ થશે અને તેની પુરી અસર થતા એક થી દોઢ મહીનાનો સમય લાગી શકે વગેરે જરુરી માહીતી આપી.
હાલ જ્યારે હું આ લખી રહ્યો છુ ત્યારે દવાઓ નો કોર્ષ શરુ કર્યાને દોઢ થી બે મહિનાનો સમયગાળો વિતી ચુક્યો છે. હાલ મારી સારવાર શરુ છે અને મને મારી નપુંસકતા અને શિધ્રપતન ની ફરિયાદમાં નોંધપાત્ર સુધારો જોવા મળ્યો છે. વળી, ઇન્દ્રિયની ઉત્તેજના માં ફાયદો થતા મારો આત્મવિશ્વાસ પણ પરત ફર્યો છે મારુ સેક્સ-જાતીય જીવન ફરીથી પુર્વવ્રત નોર્મલ થઇ ગયુ છે.
Dr. I. J. Ratnani Psychiatrist યુ-ટ્યુબ ચેનલ સબસ્ક્રાઇબ કરો અને મગજ અને માનસિક રોગ સબંધિત વિડીયોઝ નિયમીત મેળવો.
Dr I J Ratnani’s OJAS Neuropsychiatry Clinic ડો. આઇ. જે. રત્નાણી નુ ફેસબુક પેજ લાઇક કરી નિયમીત અપડેટ મેળવો
ઉપરોકત કેસ દર્દીએ જાતે મગજ અને માનસિક રોગ અંગે જાગૃતીના શુભ હેતુ થી લખેલ છે. દર્દીએ ઓજસ ન્યુરો-સાઇકિયાટ્રી ક્લીનીક પર સારવાર લીધેલ છે. દર્દીનુ નામ અને અન્ય વિગતો ગોપનિયતાના હેતુ થી બદલેલ છે.
જો આપ અથવા આપના પરિવારજન મગજ અને માનસિક રોગના દર્દિ રહી ચુક્યા હોય અને આપનો કેસ મગજ અને માનસિક રોગ અંગે જાગૃતી ના શુભ હેતુ થી ચર્ચવા માગતા હો તો ratnaniclinic@gmail.com પર ઇ-મેલ અથવા 9925056695 વોટ્સ-એપ મારફતે જણાવશો. માનસિક બિમારી અંગે માર્ગદર્શન માટે ratnaniclinic@gmail.com પર ઇમેલ મારફતે સંપર્ક કરો.
ડો. આઇ. જે. રત્નાણી MD
મગજ, માનસિક રોગ અને સેક્સ સમસ્યાઓના નિષ્ણાત
ઓજસ ન્યુરો-સાઇકિયાટ્રી ક્લીનીક,
સેકન્ડ ફ્લોર, સાંઇ ગંગા, રસોઇ ડાઇનિંગ હોલ ની પાસે, કાળુભા રોડ, ભાવનગર
મો. 9978739359, ઇમરજ્ન્સી કોન્ટેક નંબરઃ 9925056695
Email: ratnaniclinc@gmail.com
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Use For Weight Loss, Side Effects, Cost, And More
Health Conditions
Wegovy is used for weight loss and managing obesity in adults, particularly
those who are overweight or have a significant weight-related health risk.
Condition Spotlight: Obesity Management
Wegovy has been shown to effectively aid in weight management and
reduce the risk of cardiovascular events associated with obesity.
Wellness Topics: Emphasizing Lifestyle Changes
While Wegovy helps with weight loss, it should be combined with a healthy diet and regular exercise for optimal results.
Product Reviews: Comparing Weight-Loss Aids
Wegovy is similar to diabetes medications like Ozempic and Victoza but is specifically designed for
weight management. It differs from Saxenda and phentermine
in its mechanism of action.
Featured Programs
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Lifestyle Quizzes: Test Your Knowledge
Answer these questions to learn more about using Wegovy effectively:
1. What is the primary purpose of Wegovy?
2. Can Wegovy be used alongside other medications?
3. Are there specific foods you should avoid while on Wegovy?
Health News: Recent Insights
Recent studies have highlighted Wegovy’s efficacy in reducing
cardiovascular risks, making it a valuable tool for long-term weight management.
This Just In: New Updates
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Top Reads: Essential Articles
– “The Science Behind GLP-1 analogs”
– “Effectiveness of Wegovy in Different Populations”
– “Living a Healthy Lifestyle While Using Weight-Loss Medications”
Video Series: Visual Learning
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Join our community to share experiences and tips with others
using Wegovy.
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Connect with us on social media platforms for updates, news, and more.
Wegovy Injection Overview
Wegovy is an injectable medication used for weight
loss and managing obesity in adults. It works by
mimicking the effects of GLP-1, a hormone involved in appetite regulation and glucose metabolism.
Wegovy Basics
Wegovy is a synthetic analog of GLP-1 designed to promote
weight loss by regulating hunger and glucose levels.
How Does Wegovy Work?
By binding to receptors in the gastrointestinal tract,
Wegovy slows gastric emptying, reducing appetite and promoting fullness.
What Are Wegovy’s Side Effects?
Common side effects include nausea, constipation, headache, and dizziness.
Serious side effects may include increased heart
rate and palpitations.
Mild Side Effects
Mild side effects often subside within the first few weeks of use.
Serious Side Effects
Seek medical attention if you experience severe or persistent serious side effects.
Boxed Warning: Nausea
Nausea is a common side effect and may require dose adjustment.
Consult your healthcare provider for guidance.
What Does Wegovy Cost? Are Savings Available?
Wegovy can be costly, but savings may be available through insurance or manufacturer programs.
Always check with your pharmacy for pricing options.
What Does Wegovy Cost with Insurance?
Insurance coverage can significantly reduce out-of-pocket costs.
Verify your plan’s specifics to maximize savings.
Is Wegovy Used for Weight Loss and Weight Management?
Yes, Wegovy is specifically designed for weight loss and managing obesity in adults.
Limitations of Use
Wegovy may not be suitable for everyone, particularly
those with certain health conditions or allergies to its
components.
Is Wegovy Used to Reduce Cardiovascular Risks?
Yes, studies suggest Wegovy may reduce the risk of cardiovascular events associated with obesity.
Frequently Asked Questions
1. Is Wegovy similar to diabetes drugs? Yes, but it’s specifically for weight loss.
2. Does Wegovy require refrigeration? No, but store at room
temperature unless otherwise instructed.
3. Is Wegovy a controlled substance? No, it is classified as a biologic
drug.
Wegovy vs. Ozempic
Wegovy and Ozempic are both GLP-1 analogs but differ in their indications and dosage
forms.
What is Wegovy’s Dosage?
Wegovy is typically administered once weekly via injection, with a dosage determined by the healthcare provider based on individual
needs.
Form and Strengths
Wegovy comes as a prefilled pen with a fixed dose, usually 10 mg.
Other strengths may be available upon prescription.
Recommended Dosages
The recommended starting dosage is typically one injection per week, adjusted by your doctor as needed.
Questions About Wegovy’s Dosage
Always consult your healthcare provider for specific instructions
and adjustments.
What If I Miss a Dose?
Take the missed dose as soon as possible and adjust your next injection time to maintain consistency.
Will I Need to Use Wegovy Long Term?
Yes, long-term use is often necessary to achieve sustained weight management benefits.
When Does Wegovy Start Working?
Effects may begin within a few weeks, with full benefits emerging over months of consistent use.
How Long Does Wegovy Stay in Your System?
The medication’s effects can last for several weeks, but individual response varies.
How Is Wegovy Used?
Wegovy is injected under the skin and should be used as
prescribed by a healthcare provider.
Using Wegovy Pens
Follow the provided instructions for proper administration, including cleaning the injection site before use.
Using Wegovy with Other Drugs
Inform your doctor of all medications, supplements, and vitamins you
are taking to avoid interactions.
Interactions
Wegovy may interact with other drugs or supplements.
Always inform your healthcare provider of any changes in your medication.
Other Warnings
Avoid combining Wegovy with alcohol, as it may increase the risk of side
effects. Inform your doctor if you are pregnant
or breastfeeding before using Wegovy.
Pregnancy and Breastfeeding
Consult your healthcare provider regarding the use of Wegovy during pregnancy or
breastfeeding.
What Should Be Done in Case of Overdose?
If an overdose occurs, contact emergency services immediately.
Symptoms may include severe nausea or dizziness.
Wegovy and Alcohol
Alcohol consumption is generally discouraged while on Wegovy to minimize
side effect risks.
Read This Next: Understanding GLP-1 Receptor Modulators
Learn more about how GLP-1 analogs like Wegovy
work in the body.
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If you can’t transfer the burden via a full vary of motion, you should finish
your set and check out again with a lighter weight. The seated cable row is a
again exercise that primarily targets the latissimus dorsi.
It also trains the other higher back muscle tissue, such because the rhomboids, traps, and posterior deltoids.
Focus on pulling again out of your elbows and upper arms, as it will allow you to to pull more together with your
back muscular tissues than with your biceps.
Done with a wide, overhand grip, the bent-over row additionally delivers
a wonderful posterior deltoid and higher again workout.
That stated, you will want to work hard to take care of the correct position and keep away from rounding your
lumbar spine. Seize maintain of both aspect of the handlebar attachment with an overhand
grip and lean again slightly, so there’s tension within the
cable machine before beginning each rep. This variation includes performing the train with one arm at a time, which will increase
the intensity of the workout by partaking extra stabilizing muscle tissue.
Resistance Band Push Ups are a great way to complement the exercise Seated Underhand Cable
Row. Resistance Band Push Ups interact the chest and triceps muscular
tissues while Seated Underhand Cable Rows activate the
again muscular tissues, particularly the lats. By performing each workouts, you can target opposing muscle
teams and ensure balanced growth of your upper physique.
This is necessary for overall energy and stability and
to assist stop injury.
This is often a stand-alone piece of equipment or a half of a multi-gym.
Seated cable rows can be utilized as a part of an upper-body strength exercise.
For instance, in this sequence of exercises for
new weight trainers, the seated cable row follows the triceps pushdown, which additionally makes use of the cable machine.
Using a cable row machine, the proper kind for the
seated elbows out row is to drag the handle again whereas transferring your elbows straight
again, away out of your torso. Keep your shoulders down, not by
your ears, to engage the upper trapezius, rear deltoid,
and rhomboids. You need each types of actions to ensure overall
back development.
During a cable row exercise, these muscles contract to tug the weight in the course of your body.
When performing cable rows with proper form, you should really feel your lats working as you pull the weight towards you.
To start, sit facing away from a cable machine with knees slightly bent and ft flat
on the bottom or elevated on a platform if out there. Grasp
the handle hooked up to the cable machine utilizing an overhand grip then lean forward slightly whereas preserving your backbone neutral earlier
than initiating the pulling movement towards chest stage.
Squeeze your shoulder blades together on the high of movement then slowly return arms to starting place earlier than repeating for desired
number of reps. The seated cable row is a seated compound rowing train involving
a cable machine.
Positive, you’ll find a way to set one thing up with a pulley system (discussed below),
but it wouldn’t be the same nor will it allow you to use such heavy loads.
This means that the only approach to practice your again muscular tissues in this manner is by utilizing the excessive machine row.
Selection is important for optimizing your strength and
hypertrophy coaching, so together with this distinctive movement is a should.
The cable row actually is a basic exercise for overall again improvement.
This move primarily entails hanging from a pull-up bar and creating “active shoulders,” Logan explains.
You’re moving from hanging completely relaxed together with your armpits floating up in direction of your ears to partaking your shoulders/scapula/rhomboids by pulling your shoulders back and down, he says.
Your best guess is to see a bodily therapist, who can test for rhomboid weak spot and assist you to deal with it.
Steadily increasing the weight over time ensures that your muscles consistently adapt, develop,
and acquire strength.
The upper trapezius muscles originate at the base of
your skull, prolong down the neck, and connect to the collarbone.
The main muscle groups that are activated through the Seated
Cable Row are the posterior chain muscle tissue.
Here are a few workouts you could possibly use as a replacement.
One of the signs of a weight that’s too heavy is leaning again excessively at the prime of the movement.
While likelihood is that your again will move a bit all through the train, you want to minimize that as
a lot as possible—otherwise, you danger straining your decrease back.
Strengthening not simply the lats however the again generally will also enhance your posture,
providing you with a taller and extra assured look.
Understanding how to do workout routines appropriately is just a small part
of the battle—it’s up to you to get to know your physique well enough to
sculpt the physique you’ve at all times needed. If they’re transferring freely round in the course
of the movement, the possibilities of straining your shoulder sharply enhance.
You’re on the lookout for shoulder stability—and the most secure place for
them is pushed again. Respiratory is necessary with the Seated Cable Pull in order to help establish a robust, secure
core always. Keep Away From these frequent mistakes to keep progressing and
constructing energy and muscle.
Many again exercises, such as the Deadlift, place a
substantial amount of pressure (intentionally) on the decrease back.
Begin with a light-weight weight and low reps.
Once you can do the train with good type, increase the weight and reps.
Manish is a NASM-certified fitness and vitamin coach with over 10 years of experience
in weight lifting and fats loss health teaching.
He focuses on gym-based training and has plenty of data about
exercise, lifting method, biomechanics, and more.
Nevertheless, combining energy coaching with a healthy diet and cardiovascular train is
necessary to shed pounds. Cable row can be part of a
weight reduction program as a outcome of it helps construct lean muscle mass
and will increase overall calorie burn. Reduce the load and ensure you’ve a full
vary of motion for this train.
Heaving the weight forwards and backwards, using one’s complete physique, is not the style by which
this kind of row is supposed to be accomplished. As An Alternative, once the starting place is assumed, there ought to be very little motion of
the torso. For example, you presumably can attempt using a sandbag, kettlebells, single kettlebell, weight plate (gripping the
edge) or fitness tube.
Maintaining your again straight and core engaged, slowly pull down on the bar
till it reaches chest level. Then slowly return to beginning position while sustaining
management of the burden throughout each rep.
Chest supported rows are a superb train for those looking to enhance their posture and core strength.
This exercise targets the muscles of the again, chest, shoulders,
and arms whereas also strengthening the core muscle tissue
that support good posture. The chest supported row is a good
way to construct higher body strength and muscle mass with out
putting too much strain on your lower again or spine. By using proper type and
technique when performing this train, you’ll be able
to scale back your risk of harm while still getting a great exercise.
In Addition To the latissimus dorsi, the seated cable
curl will train your upper again muscles, including traps, rhomboids,
teres major and minor, and posterior deltoids. Although developed lats will add width to your frame, you want dense higher again muscle tissue for better aesthetics.
You should focus on driving via your elbows and keeping them close to your aspect while performing this exercise for optimal lat engagement.
Your upper arms ought to a minimum of be at your torso’s
midline at the static contraction point at the top for maximal latissimus dorsi muscle fiber recruitment.
Chest supported rows help strengthen all of these essential postural muscular tissues which helps promote higher posture all through on an everyday basis activities like sitting at work or driving in site visitors.
Where dumbbell rear delt rows are a compound exercise, dumbbell rear delt raises are extra of an isolation train as they don’t contain your biceps.
This doesn’t make them any better or worse than the rear
delt row, only different.
The inverted row is another nice various train for focusing on similar muscles as those used during a straight
arm pulldown. This variation is carried out while seated in entrance of a cable machine, utilizing a impartial grip handle
attachment. The main muscles worked throughout a
straight arm pulldown train are the latissimus dorsi, or lats.
You should really feel a fair rigidity all through
this muscle group when performing cable rows correctly.
One Other advantage of dumbbell rows is you could usually get an extended vary of
motion in this train compared to other rowing exercises,
which is sweet in your muscle growth.
Unlike dumbbell and barbell workouts, cables keep fixed rigidity in your back all through the range of motion. Plus, they
permit training your lats in the transverse plane while seated
upright, which is just about impossible with free weights.
The heavier you raise, the higher the demand in your biceps and forearms shall be.
Using a neutral grip on this train will work the brachialis
muscle, which may add thickness to your arms.
An underhand grip will practice your biceps brachii muscles,
whereas an overhand grip will stimulate the brachioradialis.
One of probably the most significant advantages of the
machine high row is that it’s a machine train. This means the movement pattern shall be fixed with no (minimal) stabilization required.
As a end result, your back muscular tissues would be
the sole muscle tissue being labored. And meaning every again muscle;
the lats, entice, rhomboids…every thing will get an unbelievable workout.
Since the load is stabilized, you can put all your concentrate on pulling with the back that
means a extra intense exercise for muscle hypertrophy and power.
Nevertheless, you’ll be chopping yourself quick
if all you ever did had been bent over rows.
It’s a highly effective method to work the muscle tissue in your again and arms, making it a solid substitute for the seated cable row.
The primary advantage of the barbell row is that it doesn’t require a cable row machine.
All you need is a barbell and some plates, making it perfect if you practice at home with a limited quantity of equipment.
Low rows could be carried out with dumbbells, barbells or cable machines and may
help enhance posture in addition to improve
energy. Performing the lat pulldown exercise with shoulder width/underhand grip will draw further recruitment from the biceps as properly as the
muscular tissues down the center of the back. Reverse grip bent over rows involve pulling the bar into your stomach.
That can generally be attributable to choosing a weight that is too heavy
to lift all the way in which as a lot as the chin,
and when that happens, your elbows can’t come up fully. When this happens,
it puts undue stress on the wrists, elbows and shoulders.
In this motion, the primary muscles worked are the rear deltoids (on the again of the shoulders) and the upper trapezius (on the highest of the shoulders).
However that’s not all; the cable row is a
sneakily efficient train.
When performing again workout routines, bear in mind never
to strain the lower back. Exercises like seated rows and variations
work the upper and center again, so verify your type if you
really feel pressure in your lower again. To do this version, you’ll want a seated cable machine with
a straight-bar attachment. Maintain the bar along with
your arms barely wider than shoulder-width apart. The cable
row is an effective train for building your back muscular tissues and rising total upper-body strength.
The teres minor, teres main, and lats all contribute to overhead
upper-body motions, corresponding to throwing and pulling.
Furthermore, utilizing heavier weights will additional challenge these muscle tissue resulting in higher positive aspects in energy and measurement over time.
When carried out appropriately, they may help to construct
strength and muscle mass whereas additionally offering stability to the core.
The barbell row is also one of five exercises in our sample again exercise.
Widespread errors when performing the Cable High Row embrace leaning back too far, using an excessive amount of weight
which might compromise form, and never pulling the handles all the way to your higher waist.
All The Time give consideration to maintaining a slow, controlled motion and keep
away from rushing the exercise. This exercise includes pulling
a weight towards your body while keeping your torso stationary and engaging your
core muscle tissue to maintain stability.
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