One of the rising concerns of this modern world is to solve the problem of infertility. The main tips to solve the problem of infertility are given mainly by the medical informational archives and also by the modern publications. Most of the times it has been observed that advises given on the problem of the infertility always revolve around the general health issues and related concerns. But now the basic approach of solving the problem of infertility has reaches to its peak and with the introduction of the specified medicines, the couple who are facing the difficulty conceiving their child can have a solution now. This article deals with some of the easy and effective tips in this regard.
" First Tip: The first tip which is discussed here is called the self evaluation. You can solve this problem by giving yourself an exposure to the personal evaluation. The main thing that you must know about yourself is about your work. Are you working in the hazardous substances on the daily basis which can affect your health?
If the answer to his question is yes, then you have to reconsider. According to the studies and surveys, it has been revealed that the circumstances of the work can affect the capacity of an individual to bear a child.
If this happens with you, then it may be possible that no amount of sedative care can be able to reverse the lifelong and permanent effects of these kinds of daily exposures. But only thing which one can do is to keep on trying to stay away from this work.
" Second Tips: The second tip is also belonging to the person itself. You must also ask a question to yourself that whether you are having a regular sexual intercourse? And this question becomes even more important during the fertility periods which mainly occur once in a month.
If the answer to this question in NO, then you have to apply your common sense and general knowledge to find the remedy of this problem. You have to find the solution of how you can take care of yourself and besides that how can make the sexual intercourse more fun-filled, so that both the partners can have fun and can make every time of it.
The best way to deal with this problem is to have a deep talk with the wife or the husband on this topic. But keep one thing in mind that you must never overdo this. With the overdoing it simply means that you should not perform the sexual exercises in too potential manner so that reproductive systems can be harmed. Never overdo the exercises because it is said that more you do then the chances of conceiving will be less.

Andi Beark is a part-time author as well as being the ultimate WAHM (Work at Home Mom). Her life has been impacted by fertility issues through family and friends so she has become an advocate of Fertility Centers of Illinois. Start asking questions about infertility and how they can help.

Ironically, fertility enhancing treatments also seem to have the same effect on cancer, by increasing the risk of cancer in women who undergo fertility treatment.
Treatment for infertility almost always involves intake of fertility drugs, but it appears by improving fertility and the chances of a woman to conceive, the fertility drugs may simultaneously be increasing the risk of cancer. The risk of uterine cancer in particular is seen to increase.
Ovulation-inducing drugs are common in treatment of infertility. The effects of these drugs on the health of the women who use them have not been verified yet.
The studies conducted on the topic come out with contradictory findings on the direct relationship between medication intake and ovarian or breast Cancer. Certain constraints on the research such as the short duration of study or inclusion of women with a higher propensity for cancer due to other reasons are cited as reasons for lack of absolute clarity in the findings.
A recently conducted study on 15,000 Israeli women 30 years after they gave birth was published in the American Journal of Epidemiology. Out of this large group, 567 had used ovulation-inducing drugs. 362 women also took the fertility drug clomiphene. The study revealed that the subjects developed cancer at a higher rate than the other drug-free women; they were also at a higher risk for developing other forms of cancer.
A study conducted at the Stanford University also says that the correlation between ovarian cancer and fertility drugs was more predominant in those women who took fertility drugs, but never became pregnant. This could suggest the cancer risk to be associated with the type of infertility rather than the treatment drug use itself.
Besides breast cancer, increased risk of developing other forms of cancer, like skin cancer and non-Hodgkin’s lymphoma were also noted. Still, in spite of the large sample used in the study, scientists say it is not easy to draw reliable conclusions because a detailed history of fertility drug use for all the women were not available. Also, only a very small percentage of women developed uterine cancer.
The findings are nonetheless significant. Medication that blocks the brain’s estrogen receptors are found to increase the risk of uterine cancer.
 

Alex White is a free lance writer and a health & fitness expert who has been associated with several health care providers across various specialties. Through his articles, Alex White wishes to inform and educate public about breast Cancer which will benefit those who are looking for resourceful information regarding health.

Every time I hear something about H1N1 on the TV or the radio it is always revolved around support for the vaccination. This is the same type of vaccination that caused Guillan-Barre syndrome in some of the people who took it back in the 70’s. This new version of the vaccine was hardly tested before it was handed out to mass quantities of scared citizens. Somehow they didn’t tell us that you should not take Tylenol when you have the flu because a little boy has now died from doing so. How many times have we given our children Tylenol or Motrin to reduce a fever when they have the flu or after they’ve had their vaccinations? How many times have our pediatricians recommended this?
Many people who die with complications related to H1N1 are young people. If you do your homework, you’ll find that children and teenagers who take aspirin while they have the flu are at risk for Reye’s Syndrome. This disease is horrific and destroys the internal organs very rapidly with the liver and the brain getting the worst of it and eventually causing death. The weird thing is, I’ve heard about this syndrome but wasn’t really sure what it was until I did a little research of my own. My child’s pediatrician certainly never pointed it out. Good thing I never gave my daughter aspirin when she had the flu last year. Phew, that was close. The doctor will tell you what to give your child, but doesn’t always tell you why not to give them something else. Tylenol and Motrin were supposedly okay to give to our children and now they’re not. Doctors are now recommending cool baths and more old-fashioned techniques for fever reduction when your child has the flu. We probably should have stuck with those in the first place.
There have been many deaths in Mexico linked to a combination of the flu and fever reducers because patients have not been informed of the deadly effects. Japan put a stop to the use of NSAID’s (ex. Tylenol, Advil, Motrin, etc.) for reducing fever for children with the flu in 2000 and the fatality rates for children with the flu declined. Many people with flu related deaths between 1918 and 1919 in the U.S. were found to have complications beyond pneumonia at the time of death that were attributed to taking aspirin. Just before the high rates of death occurred, the Surgeon General and other health organizations recommended aspirin to the public. According to The British Medical Journal, antipyretics (pain relievers and fever reducers) are the cause for many flu related deaths and people should not take any of these should they get H1N1.
The H1N1 pandemic has been haunting us since last year and you would think that I would not have to dig for this type of information to find it. The deadly combination of flu and fever reducers should have been public knowledge well before this pandemic even began. The government is so obsessed with pumping out this ridiculous flu vaccine that they are not paying attention to the fact that people are dying from something as simple as Tylenol and aspirin.

Keep yourself informed as this story changes daily, Fox News, CNN and Discovery Health Channel on Dish Network have all dedicated coverage to H1N1.

Summer is coming to a close, but the effects of chigger bites are still being felt. Folks are still being bitten by ticks, mosquitoes, other various and assorted flying demons and of course, the infamous chigger. It seems no one is immune from the effects of some stinging, biting or chewing vermin of some description when it comes to summer.
The effects can range from mild momentary itching bumps to severe swelling, fever, inability to breath to even death. Yes, the records show approximately 100+ folks die each year from insect bites. Because of the annoyance and in some cases life threatening effects of these bites and stings folks are turning to fight them off with their insect repellant of choice.
It is best to avoid being stung or bitten in the first place. But if you unfortunate enough to become their target or their lunch, as the case may be, brush the stinger off. Do not squeeze it. If it is a tick, put a dab of dish soap on a cotton ball and hold it over the tick for a few second. When you lift the cotton ball off the tick will usually come with it. If it is a chigger bite, well, the little biter is long gone so you get to go scratch.
The form of war chosen most often is some topically applied commercial insect repellant. The active ingredient in most is a chemical called DEET. The various products have various amounts of DEET by volume from a few percent to 100%.
Millions of dollars are spent on products with the chemical in every year. And there are no warnings attached to the containers telling the consumer (you) of the harmful side effects of this chemical.
WARNING!!! Do NOT use DEET for a Chigger repellant!
Studies at Duke University show DEET to cause brain cell death and behavioral changes with prolonged and continuous exposure. If the stuff toxic to bugs, do you think it could be toxic to humans and pets as well?
The human skin is the largest organ of the body. It is also the most exposed. The skin is like a sponge, ready, willing and able to absorb any absorb-able substance put on it.
Chigger Bites are a small price to pay compared to the side effects of DEET.
DEET is responsible for producing the following side effects to users even years later after being exposed. Severe memory loss, seizures, headaches, muscle and joint pain, shortness of breath, tremors, fatigue, weakness and even death. WARNING! Insects are not the only thing that should avoid DEET!
Please do not expose your children to this nasty chemical. Find some form of natural insect repellants that is harmless. It may be less long term effective, but your health is at stake here. If you must use it, apply it only to clothing and never to the skin. If you it does get on the skin, wash it off immediately if not sooner, please.

Chigger Bites are a small price to pay compared to the side effects of DEET.
Discover How to Repel Chiggers Today
 

Eight million people will visit their family doctor complaining of shoulder pain this year in the USA. Between fifty five and sixty percent of those will be diagnosed as having a rotator cuff problem. It doesn’t help to find that you are only one of millions but at least it means that shoulder complaints are taken seriously.

It also means that there are a lot of resources and information available to help. Whatever you do, don’t try to work through a painful shoulder. Unlike a lot of other muscular injuries, most shoulder injuries will only get worse if you ignore them.

There are generally two or three major causes of shoulder injury. Aging leading to wear and tear, a repetitive movement, a direct injury such as a fall or knock to the shoulder or as in my case, trying to lift something that is too heavy.

You will experience pain, weakness and a loss of movement. A classic symptom of shoulder injuries is the inability to lift your arm above shoulder height ,to the side, front or behind your back. The amount of loss of movement is a good pointer to the amount of damage that you have suffered.

Most injuries in the shoulder involve the muscles, ligaments, tendons and cartilage of the joint rather than the bones themselves. There are seventeen different muscles in and around the shoulder joint any one of which can lead to shoulder problems. Because the majority of shoulder injuries involve soft tissue damage physical therapy features strongly in a lot of the treatments but it is important that you do exercises that are designed for your particular injury as the wrong exercises can cause more damage and worsen the injury.

The rotator cuff is a classic example of this. The rotator cuff is a group of four muscles that help stabilise the shoulder joint. They all connect the humerus to the scapula. They are small muscles but essential for a healthy shoulder joint. These muscles run under and over other muscles and one of them, the supraspinatus muscle, even runs through a channel in the collar bone or clavicle. If you damage this muscle it can swell under the collar bone. Continuing to use this muscle can result in partial or complete tears that will need surgery.

Treatment for shoulder injuries will focus on RICE. Rest, ice, compression and elevation but will also often focus on strengthening the rotator cuff muscles to improve stability in the joint. Any exercise that works on this group of muscles will involve small weights and specific movements that do not stress the muscles. If you experience pain then you are doing it wrong.

The shoulder also suffers from a poor blood supply so anything you do to stimulate the blood supply will help with recovery. Massage and heat will both help to increase the blood supply and improve healing. You also need to keep your shoulder moving as much as possible without causing yourself pain.

See a doctor and find out what is wrong but also find out as much as you can about your shoulder and the best way to fix it. Remember knowledge is power!

If you found this article interesting check out my full story at http://www.myrotatorcuffcure.blogspot.com
My name is Nick Bryant and I tore my rotator cuff lifting something that was too heavy. Despite being told that I would need surgery I have managed a full recovery with just exercise. Check out how  
here
 

We all know that smoking kills, but what many don’t realize is that it is exposure to Radon that causes the lung cancer that inflicts most smokers, and is the single greatest factor of lung cancer in non-smokers. The US Environmental Protection Agency and the Office of the Surgeon General have estimated that radon causes as many as 20,000 lung cancer deaths each year. Lung cancer induced by Radon costs over $2 billion dollars every year in direct and indirect healthcare costs.
What is Radon?
In layman’s terms, Radon is a radioactive gas that causes cancer. Though Radon traces might be present in your home, you cannot see, smell or taste it.
If you smoke and your home has high levels of radon, your risk of developing Lung Cancer is very high. Children are more sensitive to Radon because of their high respiration rate and rapidly dividing cells. They are more vulnerable to damage caused by radiation.
The US EPA says that 1 in 3 homes that were checked in seven states had Radon screening levels of over 4 pCi/L, which is the recommended level for safe Radon exposure. Though there is no “safe level” for Radon exposure, it is agreed that the risk of death due to Radon at 4 pCi/l is approximately 1 in 100. The alpha radiation that Radon emits is the same as that emitted by radiation sources like Plutonium.
The statistics are terrifying. If a home has radon levels of 4 pCi/l or greater, it is equivalent to the family being exposed to 35 times as much radiation as allowed by the National Regulatory Commission, if they were standing next to a fenced radioactive waste site. A school student spending 8 hours per day in a classroom with 4 pCi/l of Radon receives almost 10 times as much radiation as allowed at the edge of a nuclear power plant.
How does it get to us?
Radon occurs naturally as a radioactive gas, it comes from the natural breakdown of Uranium. The radio active decay of Uranium causes Radon to be present in igneous rock and soil, and even in water in some cases.
Humans are exposed to Radon through ingestion and inhalation. Radon that is present in the ground, water or building materials can enter living and working spaces and disintegrate. High radon concentrations in groundwater can contribute to exposure through ingestion, but inhalation of radon as it is released from water is typically more important.
Testing for Radon
Testing for Radon is the only way in which you can know the Radon levels present in your home. You can hire someone to get your home tested for Radon; there are also simple test kits for about $20 that are available at hardware stores. These kits are normally to be placed in the lowest living area of the home; they should be left in place for a few days and then sent to the manufacturer who then reports back with a radon level reading.
 

Alex White is a free lance writer and a health & fitness expert who has been associated with several health care providers across various specialties. Through his articles, Alex White wishes to inform and educate public about LungCancer which will benefit those who are looking for resourceful information regarding health.

Stomach related disorders are on a considerable increase in the United States. Recently, there have been a number of cases including people who were affected with gastrointestinal disorders and they had to undergo a considerable amount of medicinal therapy in order to make sure that they get cured of their condition. Stomachs disorders occur primarily on account of the fact that people do not take care to ensure that they eat properly. Often, people resort to the constant intake of fast foods which are fried in unhealthy oils. These can lead to increase in gastric acid formation and lead to stomach ulcers. Also, starving and change in the lifestyle like smoking; alcohol consumption can significantly affect your GI characteristics. Go visit a Gastroenterologist Los Angeles to make sure you are all right.
There are number of methods by which a GI surgeon can detect and cure your condition. There is Video Capsule Endoscopy which has been proved to be highly effective in the near past. This method is same as colonoscopy with a difference that in this, the camera is allowed to enter into the GI tract from the oral route and is not controlled by an external wire. The camera is of very small size and is covered with a capsule coating. After the gelatine dissolves, the camera is exposed simultaneously gathers video feeds of the internal anatomy of the patient and stores it in a disk. After the camera comes out of the stool, the doctor uses the disk to gather information about the patient’s condition.
Similar to the above mentioned procedure, there are other methods including EGD Upper GI Endoscopy, colonoscopy etc. which have been instrumental in providing relief to patients with a considerable amount of gastric disorder. Also available are a number of medications that help to ameliorate the harmful conditions and provide for a healthy individual.

Dr. Mark M. Davidson, Gastroenterologists Los Angeles, is a professional dedicated to Excellence in EGD Upper GI Endoscopy specializing in Video Capsule Endoscopy, Los Angeles Colonoscopy and hemorrhoids treated.

More then 300 medications that are approved for treatment of various medical conditions, may cause vertigo, dizziness or both. An exacerbation in vertigo or dizziness can be another side effect of these drugs. The physician who prescribes the medication can not predict the effect on the vestibular system of his patient, if it is the first time that his patients takes this drug. Furthermore: a medication that was innocent in the past, may cause imbalance symptoms in advanced age.
When a cardiologist is injecting an IV medication as part of a life saving procedure, the possibility of vertigo as a side effect is not important. The physician must focus on the issue of saving life. The situation is different in elective treatments of which vertigo or dizziness are side effects.
Shemesh Zecharya (M.D.) from “Hadassah Ein Kerem” hospital in Jerusalem is presenting illustrative examples from the field of Cardio-vascular diseases.
What is the cause and what is the outcome of the treatment?
When the patient is experiencing a severe imbalance with vertigo or dizziness – this question may become the most important issue in the treatment. Based on the intensity it is possible to classify the diseases to two categories: Acute onset and Gradual onset. I did not use the term “Chronic onset” because the “Acute onset” may continue as “Chronic onset”.

When the patient can tolerate the process of deep investigation of the precipitating factors of his vertigo or dizziness, the physician and the patient can isolate the relevant factors and regulate the medication that could cause it. In the next line we shall try to relate to more specific examples from the spectrum of treatments for Cardio-vascular diseases.
Hyperlipidemia is a diagnosis of elevated blood fats such as Total Cholesterol, HDL cholesterol,
LDL Cholesterol or Triglycerides. Analysis of the blood picture of fats by an expert can assist in recognizing an increased risk of cardio-vascular diseases or weather there is no risk.
The first step in treatment is a special diet. When there is no benefit from the dietary treatment, the physician offers a drug treatment, and the most common medications for decreasing the risk are classified as “Statins”.
This treatment can be applied slowly and gradually. In low doses of the statins, the treatment is tolerated very well. When there is need to increase the dose to high levels, some patients will suffer from side effects, Vertigo, Dizziness or Tinnitus (sensation of noise in the ears or the head) may occur.
Cardiac Arrhythmia may be accompanied by vertigo or dizziness. The Cardiologist will have to decide what is the underlying cause: the anti arrhythmic medication or the Cardiac Arrhythmia itself. When a patient is admitted to emergency room, part of the routine data exchange includes a brief convey of information using short professional terms between the medical staff, and as a result, nobody writes in the chart that there are problems of imbalance.
When there are co-dominant symptoms: vertigo and treated cardiac arrhythmia the cardiologist should differentiate between episodic abnormal cardiac activity and side effects of the anti arrhythmic medication. Drugs such as Lidocaine, Tocainide, Mexiletine, Moricizine or Dofetilide are in the list.
Another possible combination: vertigo due to side effects of medications that is limited to the episode of the cardiac arrhythmia.
A more complicated medical condition may happen when there is no vertigo, but there are attacks of nausea or vomiting. It may occur during treatment by Quinidine (nausea. May cause tinnitus), Procainamide, Propafenone, Amiodarone (nausea alone) and Ibutilide (nausea alone).
In emergency room, under conditions of stress it is possible that someone will write down in the medical chart of the patient: “vertigo, nausea and vomiting” instead of just “nausea and vomiting”.
It is obvious that in a patient with Cardiac Arrhythmia the medical staff gives the highest priority to the investigation of the cardio-vascular parameters and (temporarily) neglect all other factors. The patient that wants a relief from his/her vertigo or dizziness may remain frustrated.
In the bottom line: even if the symptoms of a cardiac event are very mild, it is important to start the medical workup from a cardiologist, and only then go to a clinic for evaluation and treatment of vertigo and dizziness.
What treatments do you give your patients?
My patients come after failure of the physiotherapy, drug treatment such as betahistine or cinnarizine, given by otolaryngologists or insufficient effect of sedative medications that were prescribed by a psychiatrist. I offer my patients metabolic intervention. In most patients it is very effective.

For further Reading about Vertigo, Dizziness & Tinnitus medical assessment and treatment

Easy  System To  Eliminate  Carpal  Tunnel  Syndrome
Do you want to be free from carpal tunnel pain? Do you want to feel normal and no numbness in your hands? Do you want to end those times when you can barely sleep one full hour straight because the pains in your hands and wrists wakes you in your sleep? Ever wished that the numbness and tingling sensations of the hands and wrists would finally cease and feel normal again? Yes, we all do want to just live a day normally. Those nerves in your hand needs to be softened and relaxed again to get rid of the pains. Should our hands become useless or impaired, our lives would become extremely difficult. You find that tying your shoes is no longer an ordinary activity but a tedious task.
Let’s  Learn  About  Carpal  Tunnel  Syndrome
JKL Medical Dictionary (1998) defines carpal tunnel syndrome (CTS) as a restriction or narrowing of the large nerve which passes through the wrist and to the fingers. Your fingers are stiff, there is difficulty in grasping some objects and performing manual activity as buttoning a blouse or knotting a tie. The restriction is usually due to a narrowing of the tissues that surrounds the nerve.

Carpal  Tunnel  Symptoms
Some people are unable to tell between hot and cold by touch. Patients with carpal tunnel syndrome primarily suffer numbness and tingling of the hand in the distribution of the median nerve, including the thumb, index, middle, and part of the fourth fingers. A 2005 study, reported that 17 of pregnant women have carpal tunnel syndrome.
A computer programmer said that he worked all day and night, facing the computer, typing and typing and banging his keyboard, until he felt a tingling sensation and numbness in his hands which made him unable to sleep for so many nights. Remember it is always best for you to spend lots of time playing out doors and having fun with friends and your family. Carpal Tunnel syndrome is a medical situation of a person whose wrist is compressed in the middle nerves by the pulse. After two years of research, and of course, taking care of his inflammation, the programmer came up with an easy-to-follow, scheme that anyone can carry out in the comfort of their home regardless of the duration of the numb, tingling, painful Carpal Tunnel Syndrome suffering. Be able to sleep well and soundly without being agitated when your hands and wrists hurts in the middle of your sleep. Surgery involves cutting the band of tissues around the wrist to reduce on the meridian nerve. You need to cure these pains so you can continue to live normally just like before you had these pains. Medication must be taken with a full stomach to avoid abdominal symptom. If you have confirmed the alarming carpal tunnel syndrome news, what shall you do? Treatments for carpal tunnel could cost you hundreds and hundreds of dollars. Soon you will be able to feel your hands and wrist as you pass the day away. Knowing how you got carpal tunnel syndrome is the best bet and the best way to find the cure for you.
Common Carpal Tunnel  Questions:

> You want to learn to strengthen the muscles and tendons in your arms and hands easily without using any special exercise equipment or gadgets.
> You want to know the root causes of your wrist and hand pain and how to best treat it so the pain is completely gone and never comes back.

Carpal  Tunnel  System  Benefits:
Don’t let science chop your hand off. Squeezing a stress ball will also help a lot and not only your wrists but your hands and fingers too. Your hands may feel numb and painful at the same time if you are suffering from carpal tunnel. This carpal tunnel system will help you to intensify your muscles, ligaments, and tendons in your arms and hands, down to your fingers without the need of exercise equipments. Carpal tunnel is very uncomfortable to have. For instance, try no to wet or wash those tired hands after typing for a long time. The carpal tunnel system will tell you the exact causes of carpal tunnel, why you have these pains in your hands and how to avoid doing things you usually do that can make the symptoms worse. Refrain from activities that cause pain in your fingers, hands and wrist. The tingling sensation that occurs while you have carpal tunnel pain is a very bad feeling.
Let’s Go Over  What  We  Are  Going  To  Do
Buy the carpal tunnel system now and beat the carpal inflammation and the deadline. Don’t waste any more time on relieving your carpal tunnel symptoms. We guarantee that this system will end your carpal nightmares completely.
 

Carpal Tunnel Treatment .

The football season was upon them and the ladies were prepared to support their local high school boys in any way that they could. They knew from previous years that they would need a dry skin remedy to take care of their hands while they were out there supporting the boys with cheers and taunts for the other team. These mothers, sisters and aunts were the acknowledged backbone of the team and they would pass out that dry skin remedy to all of the people around them because they knew how annoying chapped skin could be. Even the local Stanley Home Products guy would ask for some when he dropped by to take in a game.
The team was supposed to be really good that year, but that is what the coach would tell people every year. He wanted to get them out to Stanley Home Products stadium, donated by a local businessman who had earned his fortune with the sale of Stanley Home Products, so that they would cheer the team to victory. Coach realized as he massaged in some dry skin remedy that the strength of his team was the support that they received. He did think that what he taught them helped, but if they were confident and backed up by the crowd they could do great things.
The first two home games went smoothly and as to plan. They were large victories and they played and won three away games in the same time period. The boys were glad to be playing at Stanley Home Products stadium, which everybody called “The Stan,” again. They would have all of the families with them and they could perform their best when they had the support of the crowd. There were to be three straight home games and the coach knew, if they won them all, they were a shoe in for the state tourney.
The first two games were against opponents that the boys considered inferior and they rolled over them like they were playing Pop Warner teams. The last home game of the stretch was against a feared state power. They had won four out of the last nine state football titles and they always made the playoffs. It was between these two teams this year. The moms brought plenty of dry skin remedy along with helping to provide concessions because they knew this was going to be a long one.
After the first quarter it was all but decided. The other team had scored two touchdowns and a field goal, and by the half they had a 24 point lead. The coach must have made a rousing speech in the locker room at half because his boys stormed back and made up all but three point of the deficit in the first ten minutes of the second half. At the start of the fourth quarter they scored the winning touchdown when a star defender ran the ball back after an interception. The other team never recovered. They went on to lose by 18 points to the next state champion.
 

Stanley Home Products has been in business since 1931, and offers high quality home and personal care products to keep your home and your body clean.
Visit http://www.stanley-home-products.com or Call # 1-800-992-1089