And heres our host dr kasten liquid talent hello and welcome to in good shape prevention is the best medicine and to live a Healthy Lifestyle its important for you to work out and exercise like me im riding my bike through berlin and if you dont own a bike and if you dont live in berlin you can try this. If you lose a few home for cool the idea behind parks or is that theres no road map you find your own way and technical. Skill patil if you got caught in theory at least there are no rules you just propel yourself from point a to point b. And call. The fussing. Good fascinates me because i feel free and i dont have to think about anything else theres nothing else just me and. Its not like all with a circuit training but you do traditional exercises like sprints pushups whatever gets you heart pumping no equipment just whatever makes you fitter. Is an entirely intensity exercise in short bursts which gets your heart rate up and think too much about soon im working out to some group is motivating trying to push ourselves and of course the trainer also me to make sense to keep going ive lost a fair bit of weight and i look slimmer to. Splitsville or paul is like ice hockey without the ice there are different versions like when using a wide goal were playing an amateur version with a small goal when both men and women and its a fast paced game where you run a lot and have lots of fun but. So far i discovered when my daughter started playing. When this amateur team is great because my girls come along and we can all play together under the minds eye. In the beginning i was scared of playing with the men. Theres a physical. Its a big difference. But now i really enjoy it and its got me to push my own boundaries a bit the sureness of things and the great thing is youre not alone theyre nice people and thats what i like most of. Something good for me for me jumping means enjoying x. Science to the point where im now almost addicted to it and i come here all the time so i can just go wild on the trampoline this house. To help me cope with the everyday stress we all have to deal with when i come here and it just washes away. I have it built stamina so i end up having more energy to be active at other times too. And thats really great and when i leave here im tired and happy ive. Calmed down does a new kind of workout that combines cardio training with Strength Training stick you use real sticks which are kind of drumstick. And what i like about pound is the music and its really good for your waistline. Legs and backside by now i can last through the entire workout without taking a break between songs so basically each. Exercise not only protects you from diabetes or cancer it protects you from erectile dysfunction as well thats what a study from the German Society for Sports Medicine and prevention says. Impotence is a catastrophe for men and its wrong to only ignore it you should talk about it like i will do this dr partic here in the heart of. It. Its not embarrassing to talk about impotence. Dr partic we live in a society where success is mandatory but a mans penis is not always sharing this opinion so when do you have to see a doctor when you think that youre getting impotent the penis is a very complex organ and. It depends from a lot of different influences of your body hormonal influences nervous influence was rescued influences and so on function and erectile dysfunction may be an early some time off for severe diseases so one should be aware if something doesnt doesnt if it doesnt function like one wants to have it but not every not everything is a real problem so one should say take a good awareness for this problem and one should good little doctor if one has both the balls and dysfunction just by the older man not only saw you the older you get. The worse some functions of the body work but thats. Thats the truth but also in young people and young men erectile disfunction kind of cure were continuing to talk in just a moment and a lot of causes for dysfunctions and impotence and one cause might be the consumption of pawn movies it could be that paul movies just mess around with your fantasy a little bit and when it comes to real life sex they get disturbed and a little bit bart but most of the cases it is just physical problems or emotional problems. This couple have been married for over 20 years they love each other very much and their sex life is still important to them but for the past 6 months thomas has been suffering from erectile dysfunction and thats a problem for both of those. As vying to kind of like the problem wasnt that i couldnt get an erection i just wasnt able to maintain it for long it lasted for about half a minute not enough to have intercourse and if it doesnt work down there anymore then you start to get the feeling that youre only half a man. Does happen here it was very depressing. It lowered my confidence and my selfesteem. It was a cycle of negativity got to life and i ended up wondering if i can something wrong was hard to come out. At 1st they tried to find their own solution. To things didnt improve. As the a reptile this function has increased by 30 percent and were also seeing more men asking for a prescription for biography or a similar medication theres been a dramatic increase over the last 10 years seen young bands and artists who were numb and yes definitely there are more men experiencing problems and more men asking for medication to hear from i forgot im 6 is an ever present factor in modern society with no room for failure but we know that stress and the pressure to perform contribute to impotence. Of the many. Men feel the pressure to perform at any time also from the media in the expectations are too high and they dont want to fail that often men on wont do much mr. Cuyler therefore finding it hard to relax which is crucial for achieving an erection once the brain detects an erotic stimulus it causes nerves to relax the muscles in the penis this causes the blood vessels to dilate and the erectile tissue to fill with blood. Of the same time the blood flow slows down the penis becomes erect. In order to have a reliable erection and a fulfilled love life again thomas started looking for help on the internet as do many men. But half of all drugs Available Online a counterfeit thats according to an investigation by german pharmacists a Major Health Risk for customers who avoid going to the doctor and pharmacist due to embarrassment or because they cant afford the prescriptions. Theres no such thing as a good counterfeit theres no standardized regulation there are 2 kinds of fakes to watch out for. Some of them are similar to the original buy and contain the medicine i would often in smaller doses so you would expect a smaller effect. But other counterfeits i made say in someones garage where they even might have paint likes to them and a potentially lethal. Thomas decided to buy the pills abroad but only look taking them. Concerned about any undesirable side effects that could happens with side effects that i didnt want to have masses of what if your Blood Pressure goes out of control or your heart suddenly stops or Something Else really awful happens after. Thomas summoned up his courage and went to a year just to find the cause of his impotence perhaps it was due to a serious illness. A lot of men with impotence issues who dont go to a doctor or have undetected diseases a man who thinks he has a problem with his potency might actually have coronary Heart Disease. In the worst Case Scenario that means a danger of a heart attack thomas had a complete checkup his blood work was fine so was his testosterone level a scan of the blood vessels in the abdomen growing and penis so that everything is also fine physically. So its safe for him to take medication the dilates the blood vessels and an erection the doctor encourages thomas to try it out and it works. As is and of course its a big relief it still works and i can imagine perhaps not needing the medication after a while and then everything will get back to normal so none does the scans and faff we dont yet. Chatter through this knowing that makes it easier to be together knowing that we have a solution and that its going to be operated. Well i dont have personal experience with him pretends but what is the right doctor i could send my patients to appears as a part of the euro genital tracts of your genitals or tract is. Our business off the garage just right there are some specialized you are just called and drawl are just internationally i think its important to go to a doctor was a lot of experience with a special organ penis and with erectile dysfunction also and what to say physicians do. The physician will do some physical examination as 1st as ultrasound today i just saw on the socalled color coded doppler some graffiti you can make the vessels and the blood stream inside visible and you can see exactly how the blood flows in and i would flows out and see the difference between this ball for flaws before emerging in some cases not all case but in some cases you have to do hormone or examinations also to look for the hormones like testosterone and so on and what causes reduced blood flow into the penis the penis is influenced by 3 you systems the hormonal system the nervous system and the best of the system and most important for vascular system the vessels can get influenced by different diseases and number one disease is diaby just the diabetes mellitus is the number one. Producer of lets say 1st going to. Diseases overall and the 2nd one is hypertension these are both diseases. Caused by the vessels of the heart and of the penis also so. If you see a patient who has some impaired blood flow into the penis does it mean that he could also have Heart Disease then yes of course theres a very important everyone who comes to me into my. Practice will be sent to a cardiologist to the cardiologist looks for the vessels in the heart if they are functioning the right we are not and if we think about younger men you are not very likely to get a heart attack or have healthy restless i think so whats the main cause for. Younger bands psychological its a deterioration kind of cure this may be fear this may be. May be you depression all sorts of there are a lot of influences were not good for the actor function. Ok and what you sent there was meant to a psychiatrist yes i think we have a lot of experience with this younger people but if i see that there is a. Psychological disease or psychological i would send them away to a psychologist course but even if the man is very young he could still have physical problems could. Be just can start very young with 1718 years and also hypertension and there are some neurological diseases like multiples for all those which can start in the youth and its possible. Neurological diseases may make only erectile dysfunction and no other symptom its possible well continue our talk about treatment of erectile dysfunction in just a moment and the 1st thing you think about treating erectile dysfunction is by agra this was introduced me to 20 years ago and it was a revolution in treating erectile dysfunction. The blue pill that still generates huge sales for its manufacturer today it was launched in the us 20 years ago it became the best selling drug in history although my aggro required a prescription and a single tablet cost between 8. 00 and 10. 00 suddenly more and more men wanted to increase their potency. The active substance sildenafil was originally being tested as medication for high Blood Pressure and heart complaints but it caused a surprising side effect among male test participants they got erections by agra stimulates the blood circulation in the a reptile tissue in addition it inhibits an enzyme so that the penis doesnt soften too soon. From the outset the blue pill was also in big demand elsewhere but until official approval 6 months later in germany for example it had to be ordered at great expense from the us. Via agra is now prescribed in over 120 countries more than 3000000000 tablets have been sold since its launch. So how many men can be helped with those potency pills the pills do only influence the rescuer inflow into the venous if something is wrong with a nerve. Steering them they want her soul there was one group one Important Group of. Dysfunction these men had had prostate operations or operations and the law and the nerves was tearing directions are destroyed so for these patients. The previous 5 inhibitors will not help so what about side effects of those potency pills is its there danger i mean there even reports that some men have died after taking. A question if they have died of. Died of after sex so we dont know that exactly there was a small girl. Of men who should not take on a fear these are men who have to take my trades. Or drugs because of their Heart Disease so this is berlin and this is it plays in germany to party and many men are taking vagrant as a lifestyle truck so its a suitable. Gears that is known also in young men you can. Increase the blood flow of the penis for enough period and. Also young men can profit by having longer erections and repeated erections also i think there are other drugs more dangerous than a few what we have to warn for as a party drugs the party drugs speed whatever you can get the. One thing i wanted for you if you if you buy in a pharmacy its ok if you buy a deal on a Party Locations you do not know what you gives you sometimes there are dangerous drugs mixed into these fields so this should not be done as a lifestyle what role does testosterone play in dysfunction this is what all of you have said from tunisia once you know testosterone is the male hormone which is orgasm only and we need that if you have no source around you get we. Dont work really you get to get depressive you have no. More normal sexual interests and so on so its very important to look for the testosterone in every man who has a direct just function and how about Natural Remedies even something called horny goat wheat. I think the most known as you hear that. America. Study is that the works but not in severe erectile dysfunction if you have a mild or moderate form you can contrive it and if you dont want to buy any pills or dont want to. Try out a whole new go tweet and you can even perform surgery on patients with the problems if the drugs are going to work then you can have surgery Vascular Surgery is an old style of modern surgery implanting devices into the penis to have a prosthetic surgery and youve got one implant with you yes theres a typical hydraulics for implant 2 cylinders which are implanted into the penis of the corporate bodies of pump which is implanted into the straw. Which comes into the space if the man wants to have an erection just to pump just to take food from 13 his fingers that everything is inside the body you cant see it from outside and if you problems transports the water from the reservoir into the rods and you can see how they gets bigger and now they are not bend over this is an artificial erection thank you so much and youve got a great Technical Advisor talking about your computer and you can fire it up and send me all the questions. On an upcoming show well be looking at food supplements canned fruit and vegetables give us enough nutrients or tablets the answer if you have a question about this sensitive in good shape d w dot com dont forget to write Nutritional Supplements in the subject line we look forward to hearing from you. There are medical conditions where no pills or remedies can help for instance when your hearing gets better and almost find mechanisms in your ears dettori 8 the best and most gifted g. P. Cannot help you so its very important to take good care of your ears. Once again. What. In the past doctors warned of the harm to our hearing from discotheques and rock concerts now in the age of smartphones the airports that people use to constantly listen to music pose a new risk. Even children use them we decided to ask some young people on the street how loudly they turn up the volume when they listen to their favorite she wants. To have 5 minutes for us sure no problem Philip Miller listens to electro and techno music. For the test hearing a consultant. Fastens approach microphone to his ear and covers it with headphones experts say listening to noise levels of 80 decibels for several hours a day is already a problem. Here we have an average level of around 85. 00 decibels that puts us in a range where industry for example if you work for a whole week or 8 hours a day then you probably really have to wear hearing protection. I wasnt so where is this problem i worry about a lot of other things but not explicitly about were hearing experts. And the other participants in our test dont seem to worry about their hearing either they all listen to loud music for several hours a day experts recommend 2 hours at most. I didnt realize that it could lead to such damage long term. Most new if phones indicate the volume range thats considered safe. On the phone as color coded so once it shows red youre in an area where its not so good to wear ear phones for an extended period of time. Max could. Loves to listen to music loud music. Which happened when i was doing the right downloaded programs onto my headphones so i could make the sound on my laptop even louder. Today he has problems with his hearing. A much much printed copy of im not friends in a bar or somewhere i usually stand like this look into the floor of the table trying to hear better with one ear a lot i still dont understand everything. But if i was would 1st of the 21 year old wants to get an Expert Opinion on whether hes hard of hearing and takes a hearing test at the doctors hes exposed to a series of sounds increasing in pitch and has to press the button as soon as he his them. Another test checks whether the sensory receptors in the in the ear are sustained damage when sound waves enter the hearing canal theyre transmitted to the inner ear via the ear drum in the middle ear the head like receptors there convert the waves into electrical impulses that are related to the brain by the order tree nerve if the hair cells are damaged by excessive stimuli your hearing is impaired. And ones in is basically there are 2 factors the level of sound pressure or how loud the noises either in the workplace or when i hear loud music and then the duration of exposure every day and that adds up to assume youre 34. 00 max current has some hearing loss but his inner ear is not damaged now he only listens to music for one or 2 hours a day on headphones and he takes breaks. Anyone who wants to listen to more music than matt should listen to moderate volume and without headphones the shorter the distance from the source of the sound to the year the stronger the effect on the it drum. Then is. That once you have noise induced hearing loss there is no treatment that will reverse it. Because basically the only thing that will help you as a hearing aid most of all but remember that not even the best model will restore your hearing 100 percent we go to war so the best thing is to avoid loud noise was our. Show. That said 1st i may see you next week and until then lets all try to stay in good shape. Call my. Selfie skills. Devastating counterattacks. Phone trouble power. Now for. The coming. The world but some man still doesnt take them seriously when the only prejudice is finally be overcome. In 30 minutes on d w. Broken leg. Below flood. Plain sinful school condemned by the church. I know the evil feeling that you feel when you like. The astros of music. Star bubble no one is more popular than jesus come closer religious morality preachers subversive rockers battle with sound marketing potential by placing a warning label on music products. Rock and religion a clash that brings many colors to light. Are the 2 really so irreconcilable. Carter. Rock n roll storage june 17th one t. W. Facilities have to get through the biggest make it break without a football thanks. Again. To the list of the funniest slips of excitements. Not such. A 19 year. Old the results on the telly observed. Just listen this is the sound of time passing as far as the size of 25 football fields are lost every minute adding to Greenhouse Gases but what is the sound of a tree not for us the sound of biodiversity tourism. Community Development Reliable food and water. The United Nations Development Program is listening and working with communities to protect forests for the future we want if youre hearing what were hearing find out more. About it. This is d. W. News live from berlin kazakstan prepares to elect a new president but observers say the outcome isnt in doubt with a handpicked successor of the countrys long standing author of terry and victory also coming out. In football that teenage star is born in from germany make a winning stop at the womens world cup. And standing up for the little guy we made a traditional German Company putting on a brave face even as it risks things warped by