January 5th, 2011
09:32 AM ET

How many stages are there in non-Hodgkin's lymphoma?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the
American Cancer Society.

Question asked by Paula Holman-Yorba of San Bernardino, California

How many stages are there in non-Hodgkin's lymphoma?

Expert answer

Two weeks ago, Paula asked about staging of non-Hodgkin's lymphoma. We discussed cancer staging in general. This week, we discuss lymphoma and its staging and prognosis.

Lymphoma is cancer of the lymphatic system, which is an important part of the immune system. The lymphatic system consists of conduits or tubes throughout the body with filters called lymph nodes along the path. The system carries a clear fluid with immune fighting cells such as lymphocytes.

Lymphoma is a disease that is increasing in incidence in the Western world. Common risk factors include exposure to:

• ionizing radiation;

• certain chemicals such as benzene, insecticides, or herbicides; and

• some viruses such as HIV, HTLV 1 and 2.

There is also evidence that people with immune diseases such as rheumatoid arthritis, systemic lupus erythematosus (SLE, or lupus), or celiac sprue are at higher risk of developing lymphoma. Patients with immune hyperstimulation from H. pylori infection of the stomach or hepatitis C are also at increased risk of certain types of lymphoma.

The appropriate treatment and the prognosis for a lymphoma patient are related to a combination of the type of lymphoma and stage of disease. The type of tumor is determined by a pathologist's microscopic examination of a biopsy of the tumor.

There are two major types of lymphoma: the Hodgkin's lymphomas and the non-Hodgkins lymphomas. HL spreads primarily through the ducts of the lymph system. NHL spreads more through blood vessels. There are five subtypes of HD and more than two dozen types of NHL. These NHL are categorized into three groups: the indolent, intermediate and aggressive.

The stage or degree of spread of the disease is determined by the physical examination and radiologic imaging. A TNM stage, discussed last week, is determined and usually translated into what is known as the Ann Arbor staging system with Cotswolds modifications. This is the overall or summary stage, in brief:

• Stage I - Lymphoma involving a single lymph node region (I) or a single node and the organ next to it.

• Stage II - Involvement of two or more lymph node regions in the chest or two or more in the abdomen or the area of the retroperitoneum (low back). There can be direct extension of lymphoma from the lymph node chain into an adjacent organ.

• Stage III - Involvement of lymph node in the abdomen and the chest or the retroperitoneum and the chest. Involvement of the spleen, which is located in the left upper abdomen, is stage III disease.

• Stage IV - Diffuse or disseminated lymphoma involving one or more organs or tissues without associated lymphatic involvement.

Patients with stage I or stage II disease are then further stratified for treatment purposes into favorable and unfavorable prognosis disease, based upon the presence or absence of certain clinical features, such as age and B symptoms (weight loss, fevers, night sweats, and large volume of disease in the chest).

Laboratory studies are done to determine the type of cancerous cells. There are drugs specific to the treatment of what are known as B cell lymphomas. B cell positive versus T cell positive or other laboratory markers can also be used to predict patterns of spread and patterns of invasion of a lymphoma.

The appropriate treatment of a lymphoma varies by the type of tumor and by the stage. Stage I and II lymphomas can often be treated with radiation alone. They are of limited size and spread, such that they can be illuminated by one radiation beam. Stage III and IV lymphomas generally must be treated with a series of chemotherapy drugs active in lymphoma. Type of tumor is very important, as indolent lymphoma usually presents as widely spread or stage IV disease, but can often be appropriately watched, and treatment can sometimes be deferred for a decade or more. On the other hand, the aggressive lymphomas can be a medical emergency requiring immediate treatment.

The international prognostic index (IPI) is used to determine prognosis for patients with lymphoma. The index takes into account the the type of lymphoma, stage of disease, and what markers or genes are expressed in the tumor. As a whole, lymphoma is one of the most treatable of malignancies. While the prognosis for many of the lymphomas can be very good, there are some lymphomas that are very difficult to treat.

Ask experts a question

soundoff (59 Responses)
  1. JC

    Thank you for this. When I was a child, I had a friend die of lymphoma. Treatments have come such a long way and it's not an automatic death sentence anymore, even at stages III and IV. This article was very informative and easy to read.

    January 5, 2011 at 11:22 | Report abuse | Reply
  2. Patricia

    JC, you're absolutely correct. I was diagnosed with Stage IV lymphoma in 1994. I've written about this experience on a blog for anybody to read. The blog is


    For a while I was selling and giving away meditation cds based on what I myself did. But, I'm not doing that anymore and just hope the blog can give others some insight and comfort. P.

    January 5, 2011 at 12:21 | Report abuse | Reply
  3. Khan

    Good Article. I am a Stage IV Burkitt's Lymphoma survivor since last 3 years. Burkitt's lymphoma is a very agressive type of Lymphoma which requires a strong regimen of Chemotherapy (McGrath Protocol) where I had to stay in hospital 24/7 for every cycle.
    I want to start an awareness about this disease since it is very common in children, Adults aged 30-35(quite strangely) and older (60 and above). There is a facebook group I had started for survivors to share their stories.

    January 5, 2011 at 12:39 | Report abuse | Reply
    • Jon

      What is the group on facebook called? I would love to join it.

      January 5, 2011 at 13:37 | Report abuse |
    • notimeforcancer

      I was diagnosed with stage II Hodgkins Lymphoma. The entire upper portion of my body is riddled with inflamed/infected lymphnodes and tumors. I have been doing the AVBC chemo but no radiation since it is ALL over the place. I am a married mom of three in her early 30's and this just threw our entire family off our game. My 10 yr old needs councilling and needs me to always wear a hat (he has PDD-NOS- so there are other issues there, though). I am so grateful to know that I am so far from alone. The support from my community- both online and off- has been KEY to my healing. I am scheduled to continue through March but this year will be THE BEST EVER!!! Thank you for your encouraging post and I will be checking out your blog!

      January 5, 2011 at 14:02 | Report abuse |
    • khan

      Please try this on Facebook
      http://www.facebook.com/#!/group.php?gid=163454643668468 or search for Burkitt's Lymphoma Survivors group. I dont have contents to put on the group page, if you have information that you can share please feel free.

      January 5, 2011 at 19:26 | Report abuse |
  4. Patricia

    Good article. I am a stage 4 follicular lymphoma surivor of five years. Although I have had several months of chemo, only to have continuing reaccurances, I am still going strong, and believe there will be a treatment to knock this for good.

    January 5, 2011 at 13:28 | Report abuse | Reply
  5. Jon

    I am, also, a survivor of Burkitt's Lymphoma. I was diagnosed in October 2009, Went through 6 months of intensive chemotherapy. 8 cycles and hospitalized for the administration of the chemo. I would like to help others who are newly diagnosed with some sort of support group. I didn't have it, and I know it would have helped. We were very much in the dark about the process.

    January 5, 2011 at 13:32 | Report abuse | Reply
  6. Jeannie

    My mom is a lymphoma survivor of more than 15 years. Hers was detected by suffering from a bout of double pneumonia. She had chemo and was in remission for a number of years, however, it has reared its ugly head again. She is now 80 yrs old and still lives independently and walks 2 miles daily!

    January 5, 2011 at 13:53 | Report abuse | Reply
  7. Patricia

    dear no time for cancer. My son was fifteen when I was diagnosed. It had an incredable affect on him...No child should have to worry about losing there mom. Counseling for him helped, and the support of the church and friends. That is the worse thing for us when we are diagnosed is what our loved ones go thru. Hang in there..

    January 5, 2011 at 14:07 | Report abuse | Reply
  8. Monkey

    I was diagnosed with Hodgkin's lymphoma in 1995 at the age of 16. My first node swelled in my neck about 6 months before my diagnosis and I was told that it was just an infected node due to my ear piercings. (Ear, Nose, Throat doc took one look at me and judged me by my appearance). They drained it and sent me on my way. 6 months later OOPS! you have cancer and it's now moved into your chest and you're in stage II. Needless to say it was a long summer of not learning to drive, chemotherapy (throwing up!) and a fall and winter of radiation. I've heard that chemo is alot easier than it was back then when they gave you the anti-nausea meds AFTER the treatement in pill form and then you just throw that right back up. Thanks for the article, I always wondered what the difference in the two was.

    January 5, 2011 at 14:45 | Report abuse | Reply
    • Laura H

      We just found out today that my step-daughter has NHL and she is 17. She also had a bump in her neck that they kept saying was nothing and now NHL. We are scared to death and meet on Monday to find out more and to start the next steps. Any information you give me us would be great. We have not told our daughter the entire truth, not sure if that is good or bad but that was her mom's decision. Please send a response if you like to my email address. Thanks in advance.

      May 7, 2011 at 17:39 | Report abuse |
  9. JoeKnowMe

    I was diagnosed 10 years ago with NHL Large Diffuse B-Cell. Had 6 cycles of CHOP +R (rituxan). Glad these options were available. Haven't looked back since. Thank you American modern medicine.

    January 5, 2011 at 15:31 | Report abuse | Reply
  10. Matt

    I was originally diagnosed with Crohns disease in 2002. Landed in the hospital 3 times in a year, and they decided to remove some inflamed tissue to buy me some years. After the surgery, the surgeon told my wife, "textbook Crohn's". Well, 2 days later he was singing a different tune: "Pathology indicates Lymphoma, no sign of Crohn's" So, I spent almost 2 weeks in hospital recovering. Originally the oncologist told me I had a slow growing system NHL, and that we'd do "watch and wait" therapy. 3 weeks after I left the hospital, I got a call on a Sunday from the oncologist. He told me, "it isn't what they told me it was. You have a very aggressive NHL and need to start chemo right away!". It turned out I had stage IV large diffuse T cell. Well, that was no fun, I must say. Anyway, 6 rounds of CHOP (5 with +R), and all gone. So, been almost 7 years now. My oncologist told me if it comes back, it is most likely a new occurrence. During the surgery, I had my ascending colon removed, my sigmoid colon removed, and 1/2 my transverse colon removed, plus 20 cm of bowel. I had fistulas everywhere and was a mess. Dr told my wife: "looked like someone dropped a hand grenade in there." There were times I felt self pity while lying in recovery, but, for me, I try to remain logical – ok, cancer, you say? – well let's get rid of it and move on. I was lucky. My wife had a hard time with it. We have 4 kids, the oldest only 9 in 2003, and some as young as 1. I don't think they remember much. Last week I had a squamous cell carcinoma removed from my arm, so the score is now me: 2, cancer: 0. Let's hope the shutout continues.... Good luck to all who face this disease (any variation thereof). It can be difficult, but it can be beat.

    January 5, 2011 at 21:17 | Report abuse | Reply
  11. Leong Wei Jyee

    Hello, The rituxmab treats B-cells but it knocks out all the B-Cell instead of the bad ones. Any actual targeted therapy where it only targets the bad B-cell?

    January 5, 2011 at 21:19 | Report abuse | Reply
    • shelley farrell

      Rituxan works on big B cells only.

      January 5, 2011 at 23:12 | Report abuse |
  12. Alan

    I lost my father to NHL in 1986, after a 5 year fight with the disease. After only being given a year to live, at age 39, he managed to fight on bravely for another four years.....acting as a guinea pig for my experimental treatments now being used to some positive effect. I was only 14 when he passed, and there's not a day I haven't thought of him over the past 24+ years. I can only hope that one day the medical community to rid us of this insideous disease.....

    January 5, 2011 at 22:42 | Report abuse | Reply
  13. dan ross

    I was diagnosed with mantle cell lymphoma in April of 2010. Went through 7 months of chemo and one round so far of radiation. I agree that no one should have to tell their family and friends they will not be with them in the near future. The treatment I received from the James Hospital in Columbus Ohio have placed the lymphoma in remission for now. I promised myself as long as I can I will fight for a cure and more research. We need to help the medical community in every way possible to find a cure for this disease.

    January 9, 2011 at 12:34 | Report abuse | Reply
  14. irisb


    October 8, 2013 at 10:39 | Report abuse | Reply
  15. Andypij

    notice an abundant the world

    Nana ( Darlene ) is almost certainly against Louoneiana child, Her father or mother was metallic employee reinstating and therefore modifying sport bikes within the somewhere point in time (the reason the girl achieved Benji). lady's pops ripped on his childhood except very much more grumpy santa claus more aged, stern stoic want truthfully wasn as professional while he gazed. him father engaged in exterior door for makeup incomes for a few years like an girl AVON? in which completedn have a handsome profit but her girlfriend loved to finally imaginary this girl. this girl were living outside of lady implies that, taken some of the family units investment searching easily fit in, keeping up appearances. the lady was a pageant wide variety, quite lovely, aspirant socialite. far from into all the stay home the mom level greater numbers of elaborate receptions. sweetness yet,yet somehow flighty enjoyed Nana appreciated to turn into considerably may takecial for being Nana parent actually seriously. Shopaholic, inspiring, will be cry his another option of trouble with Nana parent so it you should definitely labored. He couldn maintain upset attending this lady, comfortable spot for her. featured served by a rich executive for a time returned many in the evening chnlove scam ( a good reason Nana am determined in aiming to take Kulta in the event his / her mother became skipping.) Janis never greeted her grandparents for my child dad lateral.

    December 1, 2020 at 02:31 | Report abuse | Reply
  16. Brantyva

    Because nobody being alone in a dark place

    advance to contentmy subreddits

    Limit my search to r/depressionuse in this article search parameters to narrow your results:are aware of the search faq for details.

    Any surveys or research related posts must be pre approved by the mod team. Approved research posts may have a tag that only moderators can apply.

    Do not debate or sensationalise current events or hot button topics while they happen to have a "panic attack angle,

    "laborious love" Of any account.

    General striking or "It gets improve" signals. support is not helpful unless it integrates real, Personal knowing of the OP feelings and situation.

    Anything explicit or inciting associated with suicide or self harm.

    Claims about the efficacy of any medicine or self help strategy including religion.

    Please don diagnose others or advocate for or against specific techniques or self help strategies.

    In response to someone who asked for help, It okay to spell out how something worked (Or didn wants, But it not okay to prescribe for anybody else.

    Our focus is on support in lieu of "fixes, If you are interested in a more solution beautiful russian ladies oriented community, browse /r/getting_over_it/ or /r/GetMotivated.

    December 22, 2020 at 02:22 | Report abuse | Reply
  17. Tancav

    Vietnemese womens museum

    We noticed that you're using an outdated browser. The TripAdvisor business web page may not display properly. Upgrading your browser will ensure the absolute best experience on our web site:

    Windows: web browser, Mozilla opera, yahoo and bing Chrome. mac pc: safari.

    Hanoi TourismHanoi HotelsBed and Breakfast HanoiHanoi Holiday RentalsHanoi Holiday PackagesFlights to HanoiHanoi RestaurantsHanoi AttractionsHanoi Travel ForumHanoi PhotosHanoi MapHanoi GuideAll Hanoi HotelsHanoi Hotel DealsLast Minute Hotels in HanoiBy Hotel TypeHanoi MotelsHanoi HostelsBusiness Hotels HanoiFamily Hotels HanoiRomantic Hotels in HanoiSpa Hotels in HanoiLuxury Hotels in HanoiCasinos in HanoiHanoi ResortsHanoi Beach HotelsBy Hotel Class5 stars Hotels in Hanoi4 stars Hotels in Hanoi3 stars Hotels in HanoiBy Hotel BrandCrowne Plaza Hotels in HanoiHilton Hotels in HanoiMelia Hotels in HanoiVBA Hospitality Group Hotels in HanoiInterContinental Hotels in HanoiManaged by AccorHotels in HanoiOYO Hotels in HanoiPopular AmenitiesHanoi Hotels with a PoolHanoi Hotels with ParkingPet Friendly Hotels in HanoiPopular Hanoi CategoriesBoutique Hotels HanoiAffordable Hotels in HanoiCity Centre Hotels in HanoiBackpacker Hostels HanoiQuiet Hotels in HanoiLuxury Spa Hotels HanoiHanoi Party HotelsHotels with kitchenette in HanoiHanoi Spa ResortsHotels with Infinity Pools in HanoiNear LandmarksHotels near Vietnamese Women MuseumHotels near Ho Chi Minh MausoleumHotels near Temple of Literature National UniversityHotels near Hoa Lo PrisonHotels near Vietnam Museum of EthnologyHotels near Presidential Palace Historical SiteHotels near Hanoi Transfer ServiceHotels near St. Joseph CathedralHotels near West LakeHotels near Vietnam armed forces History MuseumNear AirportsHotels near (HAN) Noibai AirportNear CollegesHotels near Hanoi Open UniversityHotels near Hanoi Medical UniversityHotels near Hanoi University of Science and TechnologyHotels near National University of Civil EngineeringHotels near FPT UniversityAll Hanoi RestaurantsRestaurants near Vietnamese Women MuseumPopular DishesBest Catfish in HanoiBest Tilapia in HanoiBest Veggie Burger in HanoiBest Chicken Sandwich in HanoiBest Eggs Benedict in HanoiBest Crab Soup in HanoiBest Poke Bowls in HanoiBest Red Curry in HanoiBest Macarons in HanoiBest Macaroons in HanoiBest Waffles Crepes in HanoiBest Hot Pots in HanoiBest Hamburgers in HanoiBest Curry in HanoiBest Kabobs in HanoiAll things to do in HanoiThings To Do last week in HanoiThings to do near Vietnamese Women MuseumMon Cheri CruisesVietnam Tour Co,LtdMotorbike City ToursAmazing Nature TravelOriental bridge travel Day ToursCerender Ceramic ShopDynasty Cruises HalongRental Cars HanoiAthena CruiseFour Palaces ShowAgence Vietnam DecouverteAsia Travel LeisureNinh Binh Trekking ToursEforea Boutique Salon and SpaTrang Tien PlazaMuseums in HanoiArt companies in HanoiArt Museums in HanoiChildren Museums in HanoiHistory Museums in HanoiMilitary Museums in HanoiNatural History Museums in HanoiScience Museums in HanoiObservatories Planetariums in HanoiSpeciality Museums in HanoiPopular Hanoi CategoriesTours in HanoiBoat Tours in HanoiKayaking Canoeing in HanoiWaterskiing Jetskiing in HanoiCoffee Tea Tours in HanoiBalloon Rides in HanoiBike Tours in HanoiFishing Charters Tours in HanoiNature Wildlife Tours in HanoiArchaeology Tours in HanoiHistorical Heritage Tours in HanoiLiterary, Art Music trips in HanoiBar, Club Pub Tours in HanoiFashion Shows Tours in HanoiPhotography Tours in HanoiStand Up Paddleboarding in HanoiOutdoor Activities in HanoiBeaches in HanoiBiking Trails in HanoiHiking Trails in HanoiMotorcycle Trails in HanoiZoos in HanoiBoat Tours in HanoiEquipment Hire in HanoiKayaking Canoeing in HanoiWaterskiing Jetskiing in HanoiBalloon Rides in HanoiBike Tours in HanoiFishing Charters Tours in HanoiNature Wildlife Tours in HanoiSafaris in HanoiStand Up Paddleboarding in HanoiBoat Tours aquatic events in HanoiBoat Tours in Hanoiaquatic sports in HanoiBoat Hire in HanoiGondola Cruises in HanoiSpeed Boats Tours in HanoiKayaking Canoeing in HanoiParasailing Paragliding in HanoiRiver Rafting Tubing in HanoiScuba Snorkeling in HanoiSubmarine Tours in HanoiSurfing, Windsurfing Kitesurfing in HanoiWaterskiing Jetskiing in HanoiFishing Charters Tours in HanoiStand Up Paddleboarding in HanoiShopping in HanoiArt Galleries in HanoiAntique Stores in HanoiDepartment Stores in HanoiFactory Outlets in HanoiFlea Street Markets in HanoiShopping Malls in HanoiGift Speciality Shops in HanoiFashion Shows Tours in HanoiShopping Tours in HanoiFood Drink in HanoiBeer Tastings Tours in HanoiCoffee Tea Tours in HanoiCooking Classes in HanoiFood Tours in HanoiWine Tours Tastings in HanoiWine Bars in HanoiOther Food Drink in HanoiDistillery Tours in HanoiSpas Wellness in HanoiSpas in HanoiHealth/Fitness Clubs Gyms in HanoiOnsen Resorts in HanoiHammams Turkish Baths in HanoiRoman Baths in HanoiThermal Spas in HanoiYoga Pilates in Hanoicommuter in HanoiMass commuter Systems in HanoiTaxis Shuttles in HanoiBus transport in HanoiRailways in HanoiDay Trips in HanoiClasses Workshops in HanoiSports Camps Clinics in HanoiLessons Workshops in HanoiCooking Classes in HanoiPaint Pottery Studios in HanoiNightlife in HanoiBars Clubs in HanoiBlues Clubs Bars in HanoiCigar Bars in HanoiCountry Western Bars in HanoiGay Clubs Bars in HanoiJazz Clubs Bars in HanoiKaraoke Bars in HanoiDance Clubs Discos in HanoiCoffee Shops in HanoiWine Bars in HanoiBar, Club Pub Tours in HanoiSights Landmarks in HanoiArchitectural Buildings in HanoiBattlefields in HanoiBridges in HanoiCivic Centres in HanoiSacred Religious Sites in HanoiEducational sites in HanoiHistoric Sites in HanoiHistoric Walking Areas in HanoiMonuments Statues in HanoiObservation Decks Towers in HanoiScenic Drives in HanoiScenic Walking Areas in HanoiArenas Stadiums in HanoiChurches Cathedrals in HanoiUniversities Schools in HanoiFun Games in HanoiPlaygrounds in HanoiMovie Theatres in HanoiCasinos in HanoiGame home theatre Centres in HanoiBowling Alleys in HanoiSports Complexes in HanoiRoom Escape Games in HanoiScavenger Hunts in HanoiOther Fun Games in HanoiMini Golf in HanoiPaint Pottery Studios in HanoiNature Parks in HanoiPlaygrounds in HanoiBeaches in HanoiGardens in HanoiGeologic Formations in HanoiMountains in HanoiNational Parks in HanoiParks in HanoiBiking Trails in HanoiHiking Trails in HanoiMotorcycle Trails in HanoiOff Road ATV Trails in HanoiAquariums in HanoiZoos in HanoiBodies of Water in HanoiConcerts Shows in HanoiBlues Clubs Bars in HanoiCountry Western Bars in HanoiJazz Clubs Bars in HanoiPerformances in HanoiTheatres in HanoiTraveller Resources in HanoiConference Convention Centres in HanoiLibraries in HanoiVisitor Centres in HanoiCommonly Searched For in HanoiAdventurousHidden GemsGood vietnamese girls for Adrenaline SeekersFree EntryHoneymoon spotGood for a Rainy DayGood for KidsGood for Big GroupsBudget friendlyGood for CouplesTravel GuidesAppsCruisesGreenLeaders

    Reviewed 30 October 2014 Worth looking for

    Unfortunately professional medical listed in most of the guide books. I can't imagine why it isn't really. I found it on Trip Advisor and was directed there by my Hanoikids guide. your girl (My publication) Said it isn't really in the books, once I checked I found she was correct. The exhibits are top notch and the size is substantive while not being overwhelming. produced by another culture, I found the internet to be eye opening both historically and culturally. I was surprised with Hoa Lo Prison had half dedicated in the women prisoners. After visiting the Women's Museum I was able to have a full perception of how significant a role women have played in all parts of life in Vietnam for a very long time. It was one of the most popular experiences in Hanoi.

    Date of experience: October 2014Reviewed 30 October 2014 Feminism rrn addition to communism. Two good to determine about! (Depending on your mind-set)

    Great to see the praise and status of women in society! Each floor was different in content and very enlightening. It was not all we expected as we were expecting more of a an increased exposure of historic figures. However it was more of a timeline of womens roles in everything starting from the war, To child rearing and relationship. It was a great cultural insight into the best way world traditions are carried out. there seems to be also a heroic tribute to female revolutionaries!

    Date of experience: september 2014

    Ask PandG1989 about Vietnamese Women public

    Reviewed 28 October 2014 via mobile Great Insight Into attractive potential partners

    This museum is a lot bigger than you might expect and you could spend an entire day here if you wanted to read every display in detail. The museum provides a great insight into the lives of Vietnamese women throughout their lives and throughout history. The highlight of the museum for me were the video displays into the lives of the women selling fruit/flowers etc assisting the street. You see a lot of propaganda in Vietnam but the stories out there women seems quite genuine leaving a very poignant feeling lingering. The video of the wedding festivities was another highlight. I was both suprised and content to see a video in a museum showing people drinking beers, drinking shots, And stumbling around working on the camera.

    December 29, 2020 at 00:50 | Report abuse | Reply
  18. Wanghpp

    reviews september 13

    is certainly fatty tissue my personal miscalculation?

    quality health articles september 13, 2011

    an issue on the grounds that ancient lumpy and bumpy skin as well. rather than weight lifting, and others men, think that their cellulite is a direct result of action or regarding on operator except is truly the case? I will endeavor to e.

    Travis Van Slooten

    Safecopy back up take another look at: A look into the Basics

    servers , 2011

    as more computer users noticed the significance of online reassurance, much more vendors will likely appear, offering their services. nonetheless,however it which generally experts count showing a shot? this particular Safecopy back-up.

    Travis Van Slooten

    Norton web data backup examine: everything Norton can have to you

    computer system systems , 2011

    no doubt, Norton is single purpose known labels with regard to computing machine backup as security. because the corporation has make a broadband burning assist, Many are wondering you'll no doubt as the appropriate as being.

    the reason for letting go of Your Dreams of becoming an expert photographer?

    all of us dream of becoming an expert photographer but then very own do it yourself queries emerge and then we fairly quickly give up visions. as to the reasons? almost all that tough.

    Duy Nguyen

    forming ones own game system: 5 Important considerations to Have

    computers , 2011

    gaming applications charmingdate review are particularly addictive. And to many individuals, anyone concerned, getting referrals in time to yourself is now each indisputable idea from the routine practices. having said that, In order to experience the top a higher standard ga.

    January 30, 2021 at 00:26 | Report abuse | Reply
  19. Yipxit

    3 painless new ways to Fix the best lack of staying power

    by the way if you're like a large amount of everyone, You could have a problem in the bedroom!

    the most significant anxiety mankind has is focused on not being able to succeed with girls. which assume ones ladies possibly be turned off and programs find an additional fanatic. this means that becoming even better performance is a vital market to educate yourself about.

    worry and as a consequence finding commited has become a hurdle to using first class love-making. when you finally illustrate this type of habits, you might murder sort of chance of latamdate scam making pieces fun and light-weight hearted. definitely, is actually regarded why fear has an immediate connection close to impotence problems.

    therefore you will need shedding pounds overcome the fretfulness you're feeling in the bedroom.

    of course really being motivated could be a harsh circuit. very you concerned your performance, those more frustrating you certainly will take care of.

    one way to eliminate anxiety and panic is to fail to you be worried about successful. actually take pleasure in the skills and techniques about turning out to be "cool while having sex, you can find that it's quite simple to enhance your heightened sexual performance.

    2 Follow a keep fit pencil in

    according to a considerable number of very well being pundits, you could potentially improve your performance caused by sticking to a general exercise foundation. when you're regular exercise as a minimum 3 4 days a week, you'll find a spectacular broaden to yourself stages of libido, Which may ultimately link to progress in the sack.

    another benefit of general exercise is it stimulates the circulation path of the sympathetic nervous system and so supports whole lot to one's penile herpes arena. When this takes place, pretty much any problems including "an individuals supplies" likely to be really fast less expensive.

    As you can understand, regular activity plan can quickly alleviate a large percentage of sexual difficulties.

    many men have trouble with their heightened sexual performance due to a unconscious or therapeutic malady. So you might have considered just of advice and you discover that you still just cannot increase your speed and agility, Then you may need to ask health advice.

    when ever actually talking to your physician, it is advisable to fully express your trouble in addition implement her / him to discover the main grounds for your condition. it indicates working determine if you have a medical exam or building disease. it follows that conform to each and every testimonials that health care provider prescribes.

    making all your reproductive problem is the vital to using a fun existence. If you endeavor to decrease your burden, get more work to listen to a for the extended setback, Then you will discover huge love remains workable.

    February 5, 2021 at 19:58 | Report abuse | Reply
  20. frolep rotrem

    Just wanna comment on few general things, The website design and style is perfect, the content material is really excellent : D.


    February 6, 2021 at 10:10 | Report abuse | Reply
  21. https://europa-road.eu/hu/transportation.php

    Some really nice and useful information on this internet site, as well I think the pattern has got good features.


    February 9, 2021 at 03:44 | Report abuse | Reply
  22. Jerome Tasch


    March 6, 2021 at 14:10 | Report abuse | Reply
  23. Jackzby

    overview suitable for gurlat

    fully grasp dozens of people that learn the game on their partial long term rate. naturally which they usually men's, yet they labourers, production line persons, trades-people, workers in offices (and therefore supervisors). playing golf seems to have the identical group to weekend fishing

    despite the fact I not a individual professionally i can tell the impress. the program a decreased have an impact on sort regular exercise, Not everybody has the charmlive fake personal to obtain effect sports, And not you should to just invest in a bushwalk..

    And for each of these guys tennis is the at best prevailing social exercise. which they perform the job extended hours, keep on top of their families, but nonetheless,but nevertheless,on the contrary once in a while they meet up with their good for a little while and as well converse over a game of tennis. fellows love to be over a provided behavior.

    not to mention implemented as opposed to what social remoteness is a hassle the lot of men, And the consider our appalling mens destruction insurance quotes, Shouldn regarding prove inspiring person social sporting activities relatively demonizing him.

    March 9, 2021 at 01:55 | Report abuse | Reply
  24. Quality Private Proxies

    Well I truly liked reading it. This information procured by you is very constructive for accurate planning.


    April 7, 2021 at 15:48 | Report abuse | Reply
  25. canadian weight loss pills

    canadian diet pills https://canadapillstorex.com/ canadian pills online

    April 11, 2021 at 21:48 | Report abuse | Reply
  26. vardenafil

    generic levitra vardenafil https://vegavardenafil.com/ what is vardenafil used for

    April 13, 2021 at 06:16 | Report abuse | Reply
  27. zithromax.com

    do i need a prescription for zithromax https://zithromaxes.com/ zithromax uso

    April 13, 2021 at 15:48 | Report abuse | Reply
  28. Roderick Farrall

    I don’t even know the way I stopped up right here, but I believed this put up was once great. I do not recognise who you might be however certainly you are going to a famous blogger for those who aren't already 😉 Cheers!


    April 14, 2021 at 20:59 | Report abuse | Reply
  29. best erectile dysfunction pills

    erectile pills online india https://canadaerectiledysfunctionpills.com/ which erectile dysfunction foods work fast

    April 15, 2021 at 20:34 | Report abuse | Reply
  30. Bryandan

    Vietnamese married

    august 27, 2008 here at 4:36 in the morning manually filed by seeing each other asian kitchenware, cookware online dating, cookware single men and women, evening out on the inside vietnam, marry vietnam moms, day vietnamese, a new relationship in vietnam, marry vietnamese, Saigon darlings, Saigon big date, Saigon beginning and ending dates, Saigon seeing each other, Saigon marriage ceremony, Saigon online dating, Saigon penpal, Saigon personal ads, Saigon allure, Saigon single, Saigon single people, Saigon occasion, Viet a relationship, Viet marital relationship, Vietnam years, Vietnam going, Vietnam babes, Vietnam relationships, Vietnam penpal, Vietnam personal ads, Vietnam make an impression on, Vietnam single young women, Vietnam members, Vietnamese internet dating, Vietnamese young girls relationship, , Vietnamese penpals, Vietnamese personal ads, Vietnamese elegance, Vietnamese men and women, Vietnamese the women seeing

    Saigon Darlings have the paramount Vietnamese girls that can be your perfect match. Vietnamese women were alluring, compassionate and in addition faithful by nature. at this point, Viet your girls may be industrious on top of that artistic. if you desire to meet some brilliant ladies because of marriage or truly serious great care and commitment, undoubtedly are at the best place. support Saigon Darlings, all the Vietnamese babes have always been life-threatening in searching for a rapport. get acquainted with these kinds of pleasant ladies and satisfy very own desires having a whole life domestic partner. access over thousands of amazing images and review this profiles by using move on examination attribute.

    Vietnam going on a date at Saigon Darlings will help you to make contact with over a hundred stunning Vietnamese american singles. Once part, ready yourself to introduce yourself to numerous Vietnamese single ladies. show off your current interest fee to the telltale Viet young girls through shipping Vietnamese brides kids voicemails, enjoyment or emailing them that is for sale only at Saigon Darlings. as enjoy a extraordinary Vietnam going out that you pirate booty for your other life. the chances of event the woman of your dreams suggests of Vietnam a relationship in Saigon Darlings tend to sizable! prospective benefits are boundless; you will not know that the "one" You in fact waiting around for each one of many years is only at Vietnam courting.

    April 17, 2021 at 09:42 | Report abuse | Reply
  31. tadalafil pills 20mg

    tadalafil dosage https://elitadalafill.com/ generic tadalafil united states

    April 17, 2021 at 23:44 | Report abuse | Reply
  32. Gisele Eldredge

    Thanks for your personal marvelous posting! I certainly enjoyed reading it, you may be a great author.I will be sure to bookmark your blog and will come back in the future. I want to encourage yourself to continue your great job, have a nice weekend!


    April 18, 2021 at 14:26 | Report abuse | Reply
  33. Davidxsr

    eliminating your 3 MistakesWill that you Win The dating game

    If you are thinking about posting your prized summary on any one of the free internet dating rrnternet sites in addition are after the process of writing about this right now, there can be 3 misunderstandings that you will need to avoid if you ever truly slightly giving thought to doing these items! they are really: scattered, exaggerating the details and simply saying your business downward.

    This is one of many common mistakes men and women render if and when they established their own free online dating kinds. proceeding to add particulars in single members or ignore it outdoors that can be really important to the men and/or ladies who are thinking about this profile. as a rule the information appended or missed is not really which experts state important in the artistic framework of it; also whatever you are not aphorism could make the field of difference to the one who decides that you are currently the "immaculate" sweetheart the particular.

    another thing that you may possibly check out sorrow later is actually exaggerating reality of your life if you end up positioning your free online dating collection as a group. it is as elementary as saying that you've got been in tv programs ads when you really haven't been or perhaps a hang been sliding whenever you are terrified behind height. evidently this may not seem that way good sized of a package to nearly everybody, It will come back to bite you in the butt in case your chum discovers for you do not forget that over it. that can be considered as being elegant,decor a break the rules of related with think.

    if you believe that this isn't a miscalculation, then you certainly seriously need to reconsider on this one! there may be certainly noreasonwhatsoever to or put yourself reduced unconditionally remember when you are which causes which will free internet dating personal. this can be as bad as downright spread upon upvc profile as really does you not a proper rights in the. in case you mention of thyself lower, All your are doing has always been expressing others who might like to know that you that you will do not have a lot your confident outlook otherwise which team you really are. this is certainly not good either one, you may just come across getting someone who is an individual and/or abuser in such a manner.

    This is yet another mix up that a lot of people made in which planning their unique free internetdating profile; And the reason why they've carried this out is to supply their companies come across as best to the mediocre ones. since there are that this is accomplished is very simple: his or her despise how they now look and feel or the recent pics concerning personal. This is yet another wrong doing that does indeed not do you any individual rights in both the short term and the longer term. for people with dispatched an old think about philippine women of all themselves, this could cause an unhappiness as you two contend to physically; As they won't are aware that this is why you seemed to be finally, Not whenever do so now.

    April 21, 2021 at 17:03 | Report abuse | Reply
  34. alprostadil urethral suppository

    injectable erectile dysfunction drugs https://alprostadildrugs.com/ alprostadil injection

    April 21, 2021 at 19:30 | Report abuse | Reply
  35. viagra sale canada

    viagra without a doctor prescription in canada https://canadaviagrastore.com/ how to buy teva sob for viagra in canada

    April 23, 2021 at 06:08 | Report abuse | Reply
  36. Buy Cheap Proxies

    I discovered your weblog website on google and verify just a few of your early posts. Proceed to maintain up the superb operate. I just further up your RSS feed to my MSN Information Reader. Seeking forward to reading extra from you in a while!…


    April 24, 2021 at 17:18 | Report abuse | Reply
  37. canadian customs pills vitamins

    canadian pharmacies ed pills https://canadapillstorex.com/ canadian diet pills

    April 25, 2021 at 03:32 | Report abuse | Reply
  38. priligy

    dapoxetine usa dapoxetine tablets price

    April 29, 2021 at 10:08 | Report abuse | Reply
  39. avanafil

    avana tablet avana 200 mg

    May 4, 2021 at 06:05 | Report abuse | Reply
  40. Dustin Frary

    Very good write-up. I absolutely appreciate this site. Continue the good work!


    May 6, 2021 at 04:26 | Report abuse | Reply
  41. malarone

    chrloroquine https://chloroquineorigin.com/ side effects of chloroquine

    May 6, 2021 at 06:03 | Report abuse | Reply
  42. storno brzinol

    Its superb as your other blog posts : D, thankyou for posting. "Experience is that marvelous thing that enables you to recognize a mistake when you make it again." by Franklin P. Jones.


    May 13, 2021 at 12:23 | Report abuse | Reply
  43. Lenita Filla

    I really like looking through a post that will make people think. Also, thanks for allowing for me to comment!


    May 16, 2021 at 16:59 | Report abuse | Reply
  44. tausAffessy

    where to buy tadalafil on line https://tadagatadalafil.com/ tadalafil order online no prescription tadalafil drug cialis tadalafil

    May 23, 2021 at 11:26 | Report abuse | Reply
  45. cyclomune

    cyclosporine medication buy cyclosporine

    May 24, 2021 at 07:23 | Report abuse | Reply
  46. Tritreviewifind

    side effects of tadalafil where to buy generic cialis online safely generic cialis tadalafil tadalafil generic where to buy https://tadagatadalafil.com/ – tadalafil online

    May 24, 2021 at 16:13 | Report abuse | Reply
  47. Tritreviewifind

    tadalafil tadalafil liquid what is tadalafil buy tadalis https://tadalafilww.com/

    May 25, 2021 at 17:42 | Report abuse | Reply
  48. tausAffessy

    buy tadalafil cialis tadalafil where to buy generic cialis online safely buy generic cialis online with mastercard https://tadagatadalafil.com/ – tadalafil online with out prescription

    May 25, 2021 at 18:25 | Report abuse | Reply
  49. Soosteemocush

    https://cttadalafil.com/ buy tadalis tadalafil goodrx buy generic cialis online with mastercard cialis at canadian pharmacy

    May 25, 2021 at 21:33 | Report abuse | Reply
  50. tausAffessy

    canada generic tadalafil https://tadalafilww.com/ tadalafil goodrx tadalafil without a doctor prescription where to order tadalafil tablets

    May 26, 2021 at 13:10 | Report abuse | Reply
1 2

Leave a Reply to malarone


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.