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 JUMPING FOR JOY
Between work and school, my life is just too busy for the gym. Is there a quick and easy way to get a power-packed cardio workout in a short amount of time?
Caleb Long Island, NY
Have you tried jumping rope? It’s the simplest way to maximize your calorie burn in a portable, do-anywhere kind of way. An average 5’9”, 155-pound male can burn up to 350 calories in as little as 20 to 30 minutes. Jumping rope can assist in developing agility, coordination and balance, improve cardiovascular and muscular endurance and help maintain and/or build healthy bones. Whew! A few things to remember before jumping: You’ll want to wear proper shoes with enough support for a higher-impact exercise. Keep your shoulders low, abs tight and breathe! Roll off the ball of the foot and land with ease. Never land hard—it adds unnecessary impact. You can grab a good rope for cheap at any sporting goods store and be burning calories in no time! —PK
SAVING FACE
I suffered from extreme facial wasting due to years on HIV meds. I’ve tried every remedy with poor results and great cost. I found someone (not an MD) who does cheek silicone injections and I’ve never looked better! Others ask where they can get the same thing done. Do I tell people and let them proceed at their own risk?
Michael Fort Lauderdale, FL
The effects of wasting as a result of long-standing HIV are devastating for some men. So much about what we know is the result of hindsight, especially since wasting is known to be exacerbated by certain HIV medications. Currently, the FDA has approved a line of facial fillers made from poly-L-latic acid, like Sculptra. Silicone, which is not FDA-approved, has been used widely, especially on the West Coast. I have seen wonderful results with silicone, but patients run the risk of tumorlike developments under the skin and allergic reactions. The major concern is that silicone is permanent once it has been injected into your face. I would not feel comfortable with, nor would I recommend that anyone undergo, a medical procedure from someone who is not licensed to do so. You have to question his or her credentials. Even if you gave someone this referral with the full disclosure of his or her lack of credentials, how would you feel if the outcome was terrible? There are numerous licensed physicians who are experts in treating facial wasting, even with silicone. Do the research and don’t take a risk. —FS
TOO MUCH TOO SOON
I’m a relatively young guy of 26, and I find that when I top I reach completion too quickly. Only stopping or taking breaks to “calm down” seems to work. Is there something else I can do to have continuous, longer-lasting sex as a top man?
Gabriel via Internet
Yes! There are options to explore that may help you prolong your future sexual experiences. It sounds like what you are trying to do is postpone ejaculation during sex. While taking breaks during sex will definitely “calm down” your ability to reach climax too quickly, its use is limited and not guaranteed to be 100 percent effective. When you’re alone, you may consider “edging.” Edging is a technique used to stimulate the penis to near ejaculation and stopping before the orgasm. This is one method used to increase sexual endurance that can prove quite effective and satisfying when engaged in sexual activity with a partner. Also, think about your diet. Essential fatty acids are crucial for your sex life since they produce hormones and improve circulation and blood flow to your penis while stimulating the production of prostaglandins (vital for sexual response). Two essential fatty acids are linoleic acid (found in sunflower oil, walnuts and almonds) and EPA (found in salmon, sardines and other cold-water fish).You can also try adding herbs like cayenne pepper, damiana and muira puama to your daily diet. The herbs and fatty acids slow down the orgasm by affecting the adrenal and endocrine system through the nervous system. —PF
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Instinct Online 
written by Mark on October 16, 2007
It is ashame that Michael in Ft, Lauderdale, even though he has a terrible disease is most concerned about his looks.. I found this very interesting since it validate my belief that the men in Ft. lauderdale are the most shallow people in the world. Get over your self , Michael, take care of your health and instead of worrying about what you look like, go get some professional help, from a psychologist or psychiatrist.. If anyone needs it its you.