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The Vamp in the Veil: Is she a Saudi princess - or a prostitute? As the High Court is gripped by wild tales of cocaine, sex and the occult, what is the truth about Sara Al Amoudi?

She arrives at the High Court in London each morning in a black Rolls-Royce Phantom with a personalised number plate bearing the initials ‘HRH’.

As cameras flash, a team of Middle Eastern security guards descend from a Range Rover to help her cross five yards of pavement to the building’s revolving front door.

Some are entrusted with her handbag. Others look after her £50,000 diamond-encrusted luxury Vertu mobile phone.

A snappily dressed flunky named Mohammed pushes a wheelchair, in which she occasionally chooses to park her derriere.

This regal creature, who invariably has her face veiled, always wears a black burka, sometimes with gold silk stitching or a jewelled trim.

Underneath, you can catch a glimpse of designer shoes with five-inch killer heels. Occasionally, she stretches out an arm to reveal a gem-studded Rolex and a wristful of gold jewellery.

The apparently wealthy woman calls herself Sara Al Amoudi. She claims to be 31 years old, though others say she’s 43.

She has dark brown hair, greenish eyes and appears to wear a lot of make-up.

Oh, and for most of the past month, she has been at the centre of one of the most sordid and downright surreal court cases in living memory.

This regal creature, who invariably has her face veiled, always wears a black burka, sometimes with gold silk stitching or a jewelled trim.

Underneath, you can catch a glimpse of designer shoes with five-inch killer heels. Occasionally, she stretches out an arm to reveal a gem-studded Rolex and a wristful of gold jewellery.

The apparently wealthy woman calls herself Sara Al Amoudi. She claims to be 31 years old, though others say she’s 43.

She has dark brown hair, greenish eyes and appears to wear a lot of make-up.

Oh, and for most of the past month, she has been at the centre of one of the most sordid and downright surreal court cases in living memory.

Yet as the high-stakes civil proceedings have progressed, the ‘Vamp in the Veil’ case has grown increasingly strange and sleazy.

On Wednesday, for example, Ms Al Amoudi attempted to prove that she is incredibly wealthy — and presumably therefore does not need to defraud anyone — by insisting, under oath, that she spent almost £1 million on perfume in just a few weeks.

‘I have a problem with shopping,’ she declared. ‘In the past two months, my perfume, only the perfume … $1.4 million (£912,000). I can show you the pictures.’

Earlier, key players in the case were accused of conducting illicit sexual affairs, concealing addictions to drink and drugs, and prostituting themselves, more of which later.

Then there is a dark back-story involving a dead former business associate — and alleged ex-lover — of Al Amoudi, who is accused of dabbling in the occult with her at the Cliveden estate in Berkshire, scene of the Profumo scandal, again more of which later.

At the centre of these dizzying claims and counter claims there sits a huge unanswered question: Who exactly is this woman?

For, as proceedings have progressed, it has become apparent that no one — least of all Judge Sarah Asplin, who must decide the eventual outcome of the extraordinary trial — is entirely sure.

For example, several acquaintances have told the court that for years Al Amoudi has described herself as a Saudi royal.

One, an elderly hereditary peer called Lord Mereworth, who met her several years ago, said she had talked to him of being the estranged wife of King Abdullah, the country’s monarch.

‘I understood she was married to the king of Saudi,’ he said.

Yet in her own evidence to court this week, Al Amoudi — who has produced no credible birth, marriage or other document confirming her identity — denied having made such a claim.

A former boyfriend once told reporters that she spoke of being Osama Bin Laden’s daughter, claimed to be a friend of Kate Moss, and talked of dating two Hollywood film stars — Irish former hellraiser Colin Farrell and Gladiator star Joaquin Phoenix — as well as former Arsenal footballer Freddie Ljunberg.

However, there is no evidence of her having any link to the Bin Laden family, and none of the supposed celebrity acquaintances will admit to having anything to do with her.

A few years ago, in a successful application for a £4 million mortgage from a bank, that was shared with the court, Ms Al Amoudi allowed the bank to assume wrongly that she was the daughter of Sheikh Mohammed Hussein Al Amoudi, one of the world’s wealthiest men.

Yet the Ethopian-Saudi billionaire’s legal representatives, who were in court all week, have issued a formal denial of paternity.

At various other points, she has told acquaintances that her father is Mohammed bin Aboud Al-Amoudi, the super-wealthy owner of the Intercontinental Hotel in Jeddah.

But the businessman’s representatives have vigorously disputed that claim, too.

Then there is the question of the source of Ms Al Amoudi’s apparent wealth. In legal papers, she has claimed to be a Saudi-born heiress, married at 13 and exiled from the country in the Nineties because of an adulterous relationship.

After arriving in London almost two decades ago, she says she has existed thanks to a £100,000 weekly allowance, sent by her family in the form of suitcases filled with banknotes.

Yet one of the two plaintiffs in the fraud case, 56-year-old property developer Amanda Clutterbuck, a well-preserved blonde, alleged this week that Al Amoudi earns her crust as a high-class prostitute, who for years worked from a £750,000 flat, with two sisters, yards from Harrods.

‘Far from being Saudi Arabian princesses, they were all prostitutes,’ she said, claiming that the women would trawl Harrods in search of clients.

Asked about that allegation in court, Al Amoudi claimed ‘in the name of Allah’ to be ‘a good Muslim woman’.

Certainly, there are questions about how rich Ms Al Amoudi actually is. In court on Tuesday, she claimed that her wealth was genuine, citing her expenditure on perfume as evidence.

‘I’m afraid I’m addicted to spending money and get through enormous amounts of cash,’ she said. ‘I can easily spend £50,000 to £100,000 in one spree.’

Yet the very next day, despite her luxury cars and huge entourage of employees, she suddenly declared herself ‘broke’, telling the judge: ‘I don’t have anything!’

It was a typically odd moment in a surreal three days during which Al Amoudi gave evidence to the court.

She had agreed to remove her veil in court, but sat behind a wall of document files, so that her face was invisible to most of the onlookers.

During hours of rambling testimony, at times she talked so softly that she could barely be heard; at other times she raised her voice and broke into hysterics or tears.

Often (but not always) she adopted a heavy Middle Eastern accent.

On several occasions, Al Amoudi insisted she could barely understand proceedings and needed to speak through an interpreter — only to break into eloquent English moments later.

At one such point, the court dissolved into laughter when the opposition counsel thanked her for suddenly being ‘fluent in English again’.

Things were similarly odd during Ms Al Amoudi’s last brush with the law, a 2010 trial at Southwark Crown Court when a former boyfriend, Swedish male model Patrick Ribbsaeter, stood accused of assaulting her driver.

Back then, she appeared in a bejewelled burka to give evidence for the prosecution, who claimed Ribbsaeter was a ‘gold digger’ after her money. Following his acquittal, he claimed Al Amoudi’s devout appearance during the trial was a facade.

During their short, volatile relationship, he claimed, ‘she didn’t wear the burka as a rule — she wore designer clothes,’ many of them revealing.

Al Amoudi also frequented upscale London bars, restaurants and nightclubs. ‘She was drinking champagne every night,’ he said.

‘She had a lot of issues … who knows what the truth is about this strange woman?’

One person who claims to know the truth is South London furniture dealer Negat Ali, who came forward after seeing Al Amoudi’s unveiled picture in the Daily Mail and told the court she knew her of old.

The ‘Vamp in the Veil’ is not a royal or even a Saudi, Ali claimed: she is an Ethiopian who later lived in Yemen and Dubai, she insisted.

Ms Ali, who is originally Ethiopian but now works in Battersea, claims to have met Al Amoudi in 1985.

She then ran into her again by chance in 1996 at the London strip club Stringfellow’s, where they were attending a ‘ladies’ night’.

The two women went on to share a flat in Bayswater, she said.

In 2000, Al Amoudi fell pregnant and gave birth to a daughter at St Mary’s Hospital in Paddington, where the Duke and Duchess of Cambridge’s son, Prince George, was born this week.

That daughter, who is now aged 13, is at boarding school.

Ms Ali claims that she lived with Al Amoudi for several years — during which time the infant was used to seek maintenance payments from a variety of men — before they fell out over an alleged unpaid debt of £500.

Ms Ali suspects the ‘Vamp in the Veil’ is not actually a Muslim and uses her burka as a disguise during public appearances to prevent old acquaintances, and clients, from recognising her.

Al Amoudi’s barrister, for his part, accused Negat Ali of being a disgruntled former servant trying to settle an old score with claims that are entirely untrue.

The nuts and bolts of the court case revolve around a disputed property deal.

The plaintiffs, Ms Clutterbuck and her partner Ian Paton, allege that Ms Al Amoudi cultivated their friendship over several years.

She then carried out a ‘very accomplished’ face-to-face fraud, convincing them to sign over six properties to her as security for a major future cash advance.

They say she claimed to be hugely wealthy and willing to act as a partner helping to secure finance on a deal to buy properties worth £170 million on Hans Place in Knightsbridge.

Al Amoudi allegedly told them she could secure a loan of £46 million from contacts in the Middle East. In exchange, they signed over to her the titles to six London properties.

But the massive loan never materialised, and now the couple want the properties, which are worth £14 million, to be returned.

‘I thought I was living through an Alfred Hitchcock film, in which reality seemed to be totally distorted,’ said Ms Clutterbuck — who counts the Duke of Gloucester among her social circle — recalling the moment she came to believe she had been conned.

Al Amoudi, for her part, claims that Paton signed over the flats to her in order to repay debts he owed her from years as a crack cocaine addict.

She claimed Mr Paton had been her ‘lover’ for around a decade, taking millions of pounds from her over this time.

Mr Paton has denied ever sleeping with Ms Al Amoudi and says he has never taken crack cocaine.

As is common in civil proceedings, the case, which continues, will be decided by Judge Asplin, not a jury.

Crucial to the eventual verdict will be Sara Al Amoudi’s love life. In court, Ms Clutterbuck and Mr Paton’s barrister identified a string of men to whom she is believed to have been attached during the years she claims to have been conducting an affair with Mr Paton.

They include a man known only as ‘Sammy’, who is the father of her child, and one Gerald Jerko Zovko, who is believed to have been married to Al Amoudi until he was killed in Iraq in early 2004 while working as a private security contractor.

His vehicle was hit by rocket- propelled grenades in the town of Fallujah, and his mutilated body was then dragged through the streets by a mob.

Then there is Cliff Besley, an Australian triathlon champion who, the court was told, was introduced as her fiancé at business meetings in 2008, and an alleged boyfriend called Ryan Bish.

Another man, still in her life, is Lord Mereworth, an 83-year-old divorced, heirless and apparently very wealthy hereditary peer, who lives in Pimlico, South-West London.

He appears to have become entranced with Al Amoudi after meeting her a few years ago. They have dined together at the House of Lords, and he agreed to give evidence in her support.

During cross-examination, in which Lord Mereworth denied that she had ever proposed marriage to him, he claimed to be convinced of her legitimacy.

‘I may have been misled, who knows? But I still trust her,’ he said.

The final player in this extraordinary soap opera is an acquaintance of Amanda Clutterbuck, a man named Elliot Nichol, with whom Ms Al Amoudi appears to have had a lengthy affair.

Mr Nichol, who died of alcohol poisoning in December 2009, is said to have been obsessed with the occult. He would speak with Ms Al Amoudi on a mobile phone that had a number ending in 666 — which is popularly associated with the devil.

In the run-up to his death, Nichol was living with Al Amoudi at properties in central London and on the Cliveden estate in Berkshire, Ms Clutterbuck told the court.

‘At Christmas 2006, Mr Nichol phoned in an almost totally incoherent state, singing at the top of his voice: “I am drowning in Vuitton handbags and Cavalli, we’re thinking of floating them down the Thames.” ’

The ‘Vamp in the Veil’ denies being with Nichol at the time of that call.

As with almost everything about this mysterious woman, the truth is hard to ascertain. Now a judge will have the unenviable task of sorting fact from fiction in this most modern tale of greed and guile.

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When asked if they would like to have sex with me, 30 percent of women said, 'Yes', while the other 70 percent replied, 'What, again?'."

Former Italian prime minister Silvio Berlusconi, 2011

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How to make your penis bigger: All the options

According to plastic surgeons, cosmetic procedures for men in the UK have risen 200 per cent in the last decade and demand for intimate procedures is unprecedented. Thanks to advances in cosmetic surgery, a range of cutting-edge injectables and implants mean that you can now be picture perfect for your next "belfie".

Scrotox

The latest plastic surgery takes vanity to a new, ballsy level. The nonsurgical plastic procedure is "scrotox", which is Botox shot into the scrotum. The procedure, which costs £400 to £650, takes a man's prunes and turns them into plums. So why do men get their "balls done"? Beverly Hills plastic surgeon Dr Randal Haworth believes there are three reasons.

First: "It keeps the balls from sweating," which is a big issues if you're an athlete.

Second: "It makes the balls look bigger."

And finally: "It gives the scrotum a more youthful look."

The Botox "relaxes" the wrinkles. They also "tighten up and move closer" to the body, giving the old boys a lift. With scrotox, you'll end up with the testes of a 12-year-old boy. The UK tends to be about three years behind the US in plastic surgery and scrotox is a relatively new procedure. Since it only lasts around four months, it's not yet as popular as other procedures. That said, the procedure is coming to the UK soon and is predicted to be big.

The Brazilian butt lift

The second most popular procedure for men - after pectoral implants - is the Brazilian Butt Lift (BBL). Who gets this procedure? We asked Dr Matthew Schulman, a surgeon in New York City, who performs many of them. "About 75 per cent of men requesting BBLs are gay and looking to increase the size and roundness of their buttocks," he says. "The other 25 per cent are straight men who complain that they have always had a flat butt." The results are permanent. "The advantage of this procedure is that it also includes liposuction as a way of harvesting donor fat. This allows for simultaneous contouring of the hip flanks and abdomen." Finally, a fat stomach that's good for something.

Dr Schulman also notes that it's a millennial phenomenon, with men aged between 20-35 requesting it the most. "The Kardashians have fuelled the increase in the procedure. Plus, Instagram has made us very conscious of how our body looks and there are plenty of photos of ideal butts." A reality show changed the beauty aesthetic of the United States and started a body modification trend that has trickled down to men. At a recent Hollywood party, the prevailing look for women was thin with a big derriere, stuffed into a tight dress.

For thin men with no body fat to harvest, Dr Schulman also provides silicone butt implants, but says they are riskier and can cause infection and shifting. And you can't sit down for three months until "the seeds are grown", as Dr Schulman explains. But at nearly £7,000 for each procedure, at least you'll have an ass like a Kardashian.

The P-shot

The P-shot or the Priapus shot was named after the Greek god of fertility. The shot was pioneered by Dr Charles Runels, an American MD who specialises in sexuality issues. The patient's blood is withdrawn, processed through a centrifuge to create platelet-rich plasma which contains growth factors. The process is used in sport medicine to rejuvenate torn ligaments. Dr Runels uses it to increase penis size by ten to 20 per cent and improve blood flow for a stronger, harder erection. Runels, the inventor of the Vampire Facelift says, "When I first started doing cosmetic procedures to sculpt the face, it occurred to me that it would be wonderful to do the same thing to the penis."

A study in the Journal Of Urology researching new therapies for erectile dysfunction found that "neovascularisation using vascular growth factors have been demonstrated to be feasible in animal models". So if you inject growth factors into a human penis, it'll grow new tissue and blood vessels and you will end up with a cock the size of a horse (probably).

In 2016, a gift certificate worth £1,375 was placed in the Oscar swag bags of nominees up for Best Actor In A Leading Role and Supporting Role, which included Michael Fassbender and Leonardo DiCaprio. "The 'penis rejuvenation' shot promises a bigger and firmer trouser trophy. It lasts 18 months, which gives time to be up for Best Erection In A Leading Role.

The penis implant

The equivalent of breast implants, the penis implant has finally popped up as a surgical option. Unlike the penile implant used for erectile dysfunction, this invention is for looks only. A silicone sheath wraps around the shaft to make it 2.5-4cm wider and longer. To be a candidate for the new penis implant, you can't have diabetes and can't be taking a blood thinner. And you have to be circumcised first, which is a great deal if you're Jewish.

The implant was invented in 2003, and since then only one doctor, Dr James Elist, a urologist and plastic surgeon in Beverly Hills, does the surgery. He has performed over 1,300 experimental operations, with what he says is a 95 per cent satisfaction rate. He is waiting for final FDA approval so he can license his product globally, so men around the world will go from having a small one to having a suitable-for-a-dick-pic one. If and when that happens, the penis implant will be the next big thing.

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The world is full of multimillionaires who can't handle money. Because, if you have money, you either start building your own kingdom, or it's useless.

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Khmer Rouge terror in Cambodia

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‘This is our moment’: Trump’s win emboldens activist behind effort to ‘make rape legal’

The spokesperson for a group which advocates for “legal” rape praised the election of Donald Trump for legitimizing the “masculine behaviours that were previously labelled sexist and misogynist.”

In a post on his website, self-styled “pick up artist” Daryush “Roosh V” Valizadeh suggested that Trump’s election had made it acceptable to call women “fat pigs.”

Valizadeh, who has called to “make rape legal” on private property, interpreted the decision of the American people to mean “that you can exercise your free speech, your opinions, and your desire to flirt with attractive women without having to obey a speech police force.”

I’m in a state of exuberance that we now have a President who rates women on a 1-10 scale in the same way that we do and evaluates women by their appearance and feminine attitude. We may have to institute a new feature called “Would Trump bang?” to signify the importance of feminine beauty ideals that cultivate effort and class above sloth and vulgarity. Simply look at his wife and the beautiful women he has surrounded himself with to remind yourself of what men everywhere prefer, and not the “beauty at every size” sewage that has been pushed down our throats by gender studies professors and corporations trying to market their product to feminist fatsoes. The President of the United States does not see the value in fat women who don’t take care of themselves, and neither should you.

We now have a President who will not encourage anti-male propaganda, rape culture, and female victimhood. While I do have minor concerns on the influence of his feminist-minded daughter, Ivanka, Trump will not continue the attack on men that has been institutionalized since the sexual revolution and accelerated during the eight years of Obama. Because our current cultural dystopia is the result of intense long-term manipulation, it is more than enough for Trump to simply not touch the gender issue to allow the culture to return to a more patriarchal order. Stop feeding the rot and it will die off, allowing biology to naturally reassert itself.

According to Valizadeh, Trump does not need to take any specific actions to fortify the rights of men because his “presence automatically legitimizes masculine behaviors that were previously labeled sexist and misogynist.”

“This is our moment. The door is opening for a renaissance of masculinity where men can take pride in being men, and the best part of it is that we don’t need to wait for Trump to do anything,” he proclaimed. “His victory is more than enough for us to apply our own individual strength in seizing the bull’s horns where we can come out of the politically incorrect closet and assert our beliefs and behaviors.”

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Islamize Europe and get women out of politics. Feminism is the root if terrorism.

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Non-Offending Pedophiles Suffer From Isolation

The stigma of pedophilia and the fear of criminal consequences often prevent non-offending pedophiles from seeking help. Non-offenders who confess sexual urges toward children are usually turned away by professionals who are untrained or unwilling to help, leaving these adults or adolescents to struggle on their own.

The Diagnostic and Statistical Manual of Mental Disorders defines a pedophile as someone who has “recurrent, intense, sexually arousing fantasies, sexual urges, or behaviours involving sexual activity with a prepubescent child or children.” To be diagnosed with pedophilia, the person must experience these symptoms for at least six months, and feel serious distress from the sexual urges and fantasies.

As an under-researched population, it is hard to know the precise number of non-offending pedophiles. Michael Seto, Director of the University of Ottawa’s Forensic Research Unit, estimates that up to 9 percent of men have fantasized about having sex with a prepubescent child. It is now believed that approximately 1 to 5 percent of men identify as a pedophile.

Adam (name changed), a non-offending pedophile, first noticed his attraction toward young children when he was 11. In a Matter Magazine interview with award-winning journalist Luke Malone, he describes his adolescence as a period of agonizing self-hatred:

“I was passively suicidal for a long time […] A lot of it was, ‘I’m a monster’ for having viewed [child pornography], but also just for having these attractions.”

There is currently no system in place in Canada to treat those who are sexually attracted to children, but have not acted upon these urges. Mandatory reporting laws, which make professionals responsible for reporting suspicion of child abuse to Child Protective Services, often deter non-offending pedophiles from seeking treatment. In Ontario, this requirement exists under the Child and Family Services Act.

Elizabeth Letourneau, Director of the Moore Center for the Prevention of Child Sexual Abuse at Johns Hopkins University, is a leading force in prevention programming targeting non-offending pedophiles. In an interview with TIME Magazine, she describes her experiences working with this population.

“I’ve spoken to young men who were horrified to realize they were attracted to younger children in adolescence, and that they were not growing out of their attraction. They described appalling childhoods, living in self-imposed isolation for fear of being discovered and labeled a pedophile. Several expressed self-loathing. Many considered suicide. As adolescents, they wanted help controlling their sexual impulses, but had nowhere to turn for help.”

A U.S. researcher in the field of primary prevention, Letourneau calls for the development of a “culture of prevention” around pedophilia. She advocates for preventative therapy for both non-offenders and offenders alike:

“If they could have just turned to someone to talk about this, a professional who’s going to treat this objectively and see them as a person of worth, who’s going to know that they’re not bad kids, that they’re good kids but they have this aspect of them that they really need help controlling. That’s what they’re looking for and that’s what I hope we can provide.”

Many non-offending pedophiles like Adam desperately turn to the internet for social support. In his words:

“For a pedophile, there is almost no place to go and get information or any sort of help, I’m sure that there are pedophiles who kill themselves who will never reveal or admit to it, even in a suicide letter. I think there’s probably a lot more than people would realize.”

Adam now leads an informal online support group for pedophiles in their teens and early twenties who want help battling this issue. There are a total of nine members, between sixteen and twenty-two years of age. All members need to abide by two rules: no previous history of offending and complete abstinence from child pornography.

Other self-help resources exist online for non-offending pedophiles. Virtuous Pedophiles, the largest online pedophile support group in the U.S., currently has over 1200 members and operates under the simple belief that sex with children is wrong.

In Germany, prevention efforts are already in place. Thousands of self-identified pedophiles reach out to Prevention Project Dunkelfeld, a therapeutic program that targets non-offending males attracted to children. Germany does not have mandatory reporting laws, making it easier for non-offending pedophiles to seek treatment.

In accordance with recent research on pedophilia claiming a neurobiological basis to the disease, Klaus Beier, director of the German project, believes that, at the very least, a minor attraction to children is a fixed part of a pedophile’s identity. Dunkelfeld operates within a harm reduction framework. Rather than trying to change behaviour, the program works to manage their clients’ attraction towards children. The project offers both weekly cognitive behaviour therapy sessions and libido-reducing medication.

Paradigm shifts towards relieving stigma and treating pedophilia as a disease are key to enacting real change. It is vital to differentiate between fantasy and behavior and to offer resources to those who want to manage their condition willingly.

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Porn stars dangle their dicks in front of super subwoofers to produce super erection. Do it yourself shockwave therapy.

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Woman chops off cheating husband’s penis, kills herself

A woman in northern Thailand chopped off her unfaithful husband’s penis and then drank pesticide to her death, local police told dpa on Tuesday.

Kawinnart Saezong, 33, was declared dead on Monday at a hospital in Phayao province, said Narin Cherdyoo, Phayao police officer.

Kawinnart’s suicide happened soon after she chopped off her 38-year-old husband’s penis while he was asleep early Saturday, after she learned of his multiple infidelities, Narin said.

Her husband, Niran Saewang, survived the attack.

He was transferred from Phayao to Lampang hospital, which is a three-hour drive, and had his penis reattached, a hospital staff confirmed to dpa.

Hospital staff in Phayao managed to retrieve Niran’s penis and froze it with ice during the hospital transfer, according to Lampang hospital.

This is not the first time Lampang hospital has had to deal with such a case, the hospital said, adding that all of the penis reattachment surgeries there had been successful.

The hospital said Niran is recuperating at the hospital following Monday’s successful surgery.

Doctors said he could urinate but will no longer be able to perform sexually again.

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This site contains photos of brutality. Semantically and philosophically speaking, the photos are not brutal. What is brutal is the depicted reality.

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95 percent of the victims of violence are men. Because women feel flattered when men fight each other and kill each other to prove that they are real men.

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Californian Man Off's Himself in the Kingdom of Cambodia (Backstory Update)

17th February 2017, Kampong Chhang Province, Cambodia - A 33 year old USA national was found hung from a tree. The man was maybe an US expat, as his name (which I've censored) was not Cambodian; and he had a Khymer 'wife'? The motive for his suicide has yet to be determined. He must have committed suicide in full or semi darkness, as is that a head torch I see around his neck?

****UPDATE*****

19th February 2017 - The man was a Cambodian American and had the Khymer name Bora Chea, along with the name given on his US passport. The body was found at midnight, which confirms my hunch as to the head torch/light. Just saying...

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The Thai miracle sex herbal butea superba has strong antiviral properties. It is now investigated as a cure for AIDS.

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In Hypogonadism, Stroke May Be Prevented With Testosterone Replacement Therapy

Neurology Advisor

Testosterone replacement therapy (TRT) may exhibit a protective effect against myocardial infarction, stroke, and all-cause mortality in men with secondary hypogonadism. The findings were presented at the 26th Annual Scientific and Clinical Congress of the American Association for Clinical Endocrinologists (AACE), held May 3-7, 2017, in Austin, Texas.

Given that there has been growing concern that TRT may be associated with an increased risk for adverse cardiovascular outcomes or mortality, investigators led by Joyce George, MD, of the Cleveland Clinic in Ohio, conducted a retrospective cohort study using electronic health records from a large health care database to examine outcomes.

Records for men at least 40 years of age, with at least 2 testosterone levels <220 ng/dL (one obtained between 7 am and 10 am) were pulled from the database. Patients with primary hypogonadism, secondary hypogonadism related to overt hypothalamic pituitary pathology, HIV infection, metastatic cancer, a history of prostate cancer, prostate specific antigen >4 ng/mL, elevated hematocrit, or a history of previous thromboembolic disease were not included in the final cohort.

The study ultimately included 418 men (median age 53.8 years) exposed to TRT and 283 matched controls (median age 54.9 years; P =.02). At baseline, the prevalence of established cardiovascular disease was 9.8% vs 12.7%, respectively (P =.23). The treatment group was followed for a median of 3.8 years compared with 3.4 years for the control group.

The event composite outcome in the treatment group was 3.3% compared with 6.4% in the control group, with the investigators ultimately observing a reduction in the odds of the combined cardiovascular end point in the treatment group (hazard ratio [HR] 0.49; 95% CI, 0.24-0.99; P =.046).

While “the effect of TRT may vary considerably depending on the etiology of low testosterone, the patient's age, and whether or not they have established CV [cardiovascular] disease,” the results suggest TRT may protect some men with hypogonadism from cardiovascular events, the investigators concluded.

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This site teaches an understanding of reality. Reality is brutal. Death is often brutal. And if death isn't brutal for the way it happens, then it is still brutal as a fact of life. We are all goners.

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