As Dr. Fahey wrote in the accompanying article, the majority of men in the gym are not focused on setting the powerlifting world on fire, nor are they particularly driven to ever mount the stage of a bodybuilding contest in mini-Speedos. That is not to say that some men don't have a thong in the nightstand and a dream of enticing Ms. Right by dancing in said thong to Right Said Fred's debut number one hit, "I'mToo Sexy For My Shirt.' [Disclaimer: I do not own a thong, nor have I ever danced to "I'm Too Sexy For My Shirt"... publicly, at least].

The greatest incentive for most men to improve their physique is the hope of attracting and/or enticing Ms. Right. While a 20-inch set of biceps or the ability to flip a tractor tire across a parking lot may impress one's male peers, those feats are rather ho-hum to most women and may even be a turn-off to some (at least until a tractor tire falls on her). Informal surveys published in glamour-type magazines consistently report that women care relatively little for "cannonball delts" or exaggeratedly huge quads, pecs or lats; instead, ladies are drawn to men with "a great set of buns" and tight abs.

The specific order varies depending upon the survey, but those two responses are always in the top-five features along with the obligatory "nice eyes" or "charming smile Perhaps the most accurate explanation about "what women want" comes not from Mel Gibson's movie of the same title, but from Los Angeles-based therapist Barbara Biggs, PhD, in an interview with WebMD. "First of all, not all women are attracted to the same things.' She compounds the uncertainty by adding that some women may find a man appealing one day but not others, depending on what they're looking for at the moment.

The fact that women consistently voice a preference for tight abs should be reason aplenty for men driven to tone in the hopes of "hooking up."  As Dr. Fahey indicated in "The Great Abs, Great Sex Workout:' a washboard set of abs is dependent upon two factors: first, the presence of prominent muscular development of the various muscle groups that comprise the mid-section; second, the absence of a thick, overlying layer of subcutaneous fat. In some cases, an abundance of body hair can also interfere with revealing the "six pack," which is why most male cover models shave the torso. In the real world, some women find body hair a turn-on, others a turn-off and still, others may be put off by a man who shaves his body hair. If this is confusing, refer back to the comment from Dr. Biggs.

As Dr. Fahey's exercise program will tone and build the abdominal muscle groups, all that remains is to follow a diet plan that will shed or prevent abdominal fat from camouflaging the results of all that hard labor. Further, as the end goal for many men goes beyond merely establishing a relationship, but enjoying the carnal pleasures of mutual attraction, "The Great Abs, Great Sex Diet" is designed to promote sexual function.The premise of "The Great Abs, Great Sex Diet" is to provide quick, short-term results in dropping abdominal fat and water, followed by long-term support of erectile function. In addition to providing a dramatic turnaround, think of the time saving, as you can Tivo past the erectile dysfunction ads.

The basis for nearly every diet's success is generating a negative energy balance; this means burning more calories than are consumed. While exercise and an active lifestyle are important cornerstones to developing an athletic physique, the foundation will always be the diet. Of course, the value of weight loss is diminished greatly if the result is just a smaller version of the body a person is already unhappy with; for the purposes of this article, it needs to result in the loss of fat, not muscle. "The Great Abs, Great Sex Diet" strives to preserve muscle, lose fat and promote cardiovascular health in conjunction with "The Great Abs, Great Sex Workout'

Why worry about cardiovascular health when the implied endgame is success in the sack? Recognizing the myriad factors involved with the enjoyment of sexual foreplay and intercourse, the most basic physical function required of a man is the achievement of an erection. Ironically, for all the time spent on thinking about sex, most men don't give a moment's thought to how an erection is achieved. Contrary to the belief of women worldwide, the brain/mind is the origin of a functional erection; this is why erotic films or social cues are arousing. Reflex erections can occur (e.g., in people with spinal cord damage), but they are typically of poor quality and short duration. When sexually aroused, a man's heart rate and blood flow increase dramatically in response to excitatory neurotransmitters. Blood rushes throughout the circulatory system, including blood vessels of the penis. Peripheral stimulation (physical contact) aids in accelerating the erectile process.

In the non-aroused state, arterioles (small "incoming" blood vessels) are contracted, providing a limited amount of blood to the "spongy" sinusoids (spaces) of the penis. With stimulation, a series of physiologic events occur that lead to the development of an erection: the arterioles open up, allowing more blood to flow in; the blood expands and fills the sinusoids (corpora cavernosa, corpus spongiosum and glans penis); the surrounding venules (small "outgoing" blood vessels) are compressed, further trapping the sinusoidal blood; as the sinusoids reach maximal capacity, the tunica (a fibrous sheath) of the penis is stretched to its limits, compressing other veins and further compromising blood outflow; blood continues to enter the sinusoids, increasing the turgidity (rigidity) of the penis and contraction of smooth muscles (ischiocavernosus), completing full erection.These changes are the result of a number of biochemical messengers released in response to the (physical and mental) erotic stimulation. As this description demonstrates, clinical reproductive or urology reading is neither arousing nor erotic.

What should strike a reader about the process of achieving an erection is the prominence of vascular factors necessary to reach the state of rigidity equating to a full erection. In fact, erectile dysfunction, once thought to be a psychogenic disorder (all in your head, no pun intended), is now considered to be a vascular disease in the majority of cases. Viagra, Cialis and Levitra all treat erectile dysfunction by restoring the vascular component of the erectile process.

Atherosclerotic cardiovascular disease (atherosclerosis), commonly known as "plaque buildup" or narrowing of the arteries, has long afflicted men in the United States. When atherosclerosis severely affects the coronary arteries that supply oxygen to the heart muscle, this condition often results in a heart attack or angina (chest pain). Coronary atherosclerosis is so common in the United States that it has been the number one killer every year with the exception of the 1918 flu epidemic; cardiovascular disease is an underlying cause in 37.3 percent of all deaths in the United States.

Athersclerosis can also affect smaller arterioles, such as those that provide blood to the penis. As the initial turgor (swelling) of an erection is dependent upon an increase in blood flow, it is easy to see why a condition (atherosclerosis) that negatively affects blood flow could easily affect erectile function. It is important to note that there are many other factors that can affect erectile function as well, including: neurologic disorders; endocrinopathies; benign prostatic hyperplasia; depression; medications; conditions associated with reduced nerve and endothelium function (aging, hypertension, smoking, hypercholesterolemia, and diabetes) alter the balance between contraction and relaxation factors of the vasculature.Thus, it is important for a physician to scrupulously evaluate the E.D. patient and not just write a script for Viagra, Cialis or Levitra and hope that cures the problem.

When Viagra was first released, it was directly responsible for at least 100 deaths during the first six months on the market, occurring mostly in older men with known heart disease. Later, an alarming number of deaths were noted among younger men. A pivotal study published in the journal Celljan disclosed that Viagra induced platelet clumping (a factor in blood clots), providing an explanation for the numerous deaths and heart attacks occurring in users.The mechanism responsible for this effect is common to Cialis and Levitra as well, so caution should be used by providers and users of these drugs. Yet another reason to work to prevent atherosclerosis and related conditions, since the quick fix can be dangerous, even deadly.

So, with no further ado, "The Great Abs, Great Sex Diet" solution for showing great abs and maintaining lifelong sexual vigor!

The Quick

Nothing is more frustrating than putting in weeks of effort, following a diet with religious devotion, only to step on the scale and see the needle hovering right where it was last recorded; on the other hand, a rapid reward encourages dieters to keep at it. People tend to notice dramatic shifts and compliments from friends and co-workers, perhaps an admiring eye from an attractive lady, support further efforts.

While America was steadily growing obese to a steady diet of low-fat muffins and pasta, a renegade voice in the field of weight-loss was attracting greater attention due to the success of his program. Robert C. Atkins, MD is viewed as one of the pioneers of low-carbohydrate dieting.Though his program, well described in his book Dr. Atkins' New Diet Revolution, is considered controversial for its non-traditional approach, Atkins is by no means a lone voice in the wilderness. Many other well-respected programs have demonstrated equal or greater success to the long-advocated low-fat approach, including The South Beach Diet and The Zone Diet.

All three named diets have proven to be a safe and effective means of losing weight. However, "The Great Abs, Great Sex Diet" recognizes that the greatest asset of the prototypical Atkins diet is its induction phase. During the initial two weeks (some people extend the induction phase to as long as one year) of the Atkins diet, people are instructed to consume no more than 20 grams of carbohydrate, with the majority coming from green vegetables (salad greens, asparagus, broccoli, etc.).

Following these directions strictly results in the body entering a state of ketosis. Ketones are break-down products of fatty acids that signify that the body has reached its maximal capacity in burning stored fat for ATP (energy) production. Ketosis typically does not occur in healthy people, as the hormone insulin (released in response to a carbohydrate containing meal) inhibits the breakdown of stored fat, instead promoting fat storage.Thus, by severely restricting carbohydrate intake, the body is not stimulated to release insulin and instead it diverts its metabolic machinery into creating energy (ATP) from stored fat. Some Atkins followers purchase Ketostix or similar urine-testing strips to ensure they are reaching ketosis.

A rapid weight loss is experienced during the induction phase of the Atkins diet, with some followers reporting a loss of 10 pounds or more in a week. Not only is there a dramatic weight loss, but many find that the quick results are noticeable to others, as a great deal of the shed weight is due to water loss.There are two basic reasons that weight/water is lost so quickly during the induction phase. Sugar stores are depleted during ketosis; sugar exists in the body in solution, meaning it must be dissolved in water.The less stored sugar one carries, the less water needed to keep the remaining supply in solution. Secondly, insulin causes the vasodilation and acts on the kidneys to retain water; by lowering the concentration of insulin, the signal to hold onto water is lessened.The flushing of excess water and production of ketones leads the Atkins program to recommend at least eight glasses of water (eight ounces each) be consumed daily.

Sadly, the induction is difficult for some people to follow, as low blood sugar can cause fatigue, crankiness and difficulty concentrating. Ketosis can also cause bad breath or even be mistaken for alcohol on the breath (breath mints are almost always sweetened with sugar, so that solution is not available). Many people develop food cravings as well, so good social support is critical for many, to prevent the well-intentioned offer of a bite off someone's carb-laden plate. However, if followed strictly, the rapid progress toward the goal of weight loss and tighter skin is very rewarding. In addition to the book Dr. Atkins' New Diet Revolution, numerous websites offer diet plans, advice and support.

The Long Term

The Atkins Diet is not for everyone, though it certainly has proven to be effective for many. One criticism of the Atkins Diet is that it is not heart-healthy, an argument unfairly and mistakenly fueled by Dr. Atkins death from a non-cardiovascular related heart death (he died from viral myocarditis, a viral infection of the heart muscle). The Atkins diet has proven to be at least as healthy as the traditional low-fat diet and possibly more so by certain laboratory measures. However, many people find the Atkins Diet difficult to follow in restaurants, awkward in social settings (receptions, parties, etc.) and expensive given the cost of meat, fish and poultry.

Fortunately, there is a second diet that is ideal for "The Great Abs, Great Sex Diet;' as it not only supports weight (fat) loss, but also promotes cardiovascular health. As we learned above, great blood vessels are necessary for great sex.

Along the coast of the Mediterranean Sea, the cultures enjoy lives relatively uncomplicated by cardiovascular disease. Even in populations where smoking and drinking are practiced at a higher rate than in the United States, citizens enjoy better health. Not only that, their television programs are not interrupted by commercials touting cholesterol-lowering drugs or treatments for erectile dysfunction; instead, the advertisements show sports cars and vineyards.

What is so wonderful about life in the Mediterranean that allows people to focus on how to live instead of how to stay healthy?The answer is found (for the most part) in the diet prevalent to that area, appropriately called the Mediterranean Diet. Compared to the United States, Mediterranean cultures eat relatively little saturated fat, practically no trans fat, few refined carbohydrates; their meals are plentiful in dairy and yogurt, fresh fruits and vegetables, spices, butter, oils (particularly olive oil) and moderate amounts of wine.The culture of excess does not exist to the same degree in the Mediterranean cultures, with buffets and "bottomless cup" nights being limited to touristy areas Americans visit.

Following a Mediterranean diet has been proven to decrease the risk of cardiovascular disease, even in subjects living in the same general locations. While health risks associated with saturated fat have been overstated, trans fats (present in margarine and products containing partially hydrogenated vegetable oil) promote atherosclerosis. Fresh fruits and vegetables provide appetite-satisfying bulk with little energy density, but replete with antioxidants, vitamins and other phytonutrients that decrease free radical damage. Free radicals oxidize (physiological "rust") fatty acids, proteins and nucleic acid (DNA, RNA), causing cellular damage and promote the adhesion of fatty acids to the lining of blood vessels. As the body becomes less able to repair itself and blood flow becomes compromised, health conditions arise including erectile dysfunction.

Much of the dietary fat in the Mediterranean diet comes from plant sources or fish, providing healthy, omega-3 fatty acids. Olive oil is rich in oleic acid. It decreases inflammation and is burned more readily for calories during exercise. Nuts, another component of the Mediterranean diet, are another rich source of essential fatty acids. Most fish is a rich source of DHA and EPA – the fish oils which also act to decrease inflammation and promote healthy cell signaling. It is notable that Mediterranean meals do not include high-glycemic foods and has a very modest glycemic load due to the smaller portions consumed in comparison to U.S. portions. Happily, converting from an Atkins plan to a Mediterranean diet will not result in a significant carbohydrate rebound.

The most exciting part of the Mediterranean diet for some people is the prominent role wine plays in conferring health benefits. However, prior to commenting on the benefits, it is important to note that the avoidance of excess applies to wine consumption as well. Cultures outside the U.S. include wine (sometimes beer or distilled spirits, depending upon the locale) as part of a person's lifestyle from a very early age. Wine is viewed as a contribution to a meal when not offered symbolically (religious ceremony, hospitality, etc.), rather than an intoxicating drink.

When "dosed" or consumed appropriately, alcoholic drinks of all types offer a number of benefits, including cardiovascular benefits.The recommended consumption for men is 1-2 drinks per day; women are allowed 1/2-1 drinks, the difference being due primarily to a greater lean body mass in men. People with alco-hol or substance abuse histories should refrain from alcohol, regardless of the potential benefits.

Beyond its alcohol content, many varieties of red wine appear to offer additional health benefits due to the presence of antioxidants, polyphenols and other non-nutritive compounds.These compounds are transferred to wine during fermentation through contact with the grape skin. White wines are colorless because the grape skins are removed from the vats before a significant amount of the compounds are released.The relatively high concentration of these grape skin-derived compounds in red wine is believed to account for the observation made in some reports of improved health in drinkers of red versus white wine.

It is important to note though that the difference may be insignificant in relation to the total contribution of the alcohol content of wine (and other drinks), as studies have not consistently shown health differences between red wine drinkers and consumers of other forms of alcohol. It is also important to note that while low-to-moderate alcohol consumption is associated with health benefits, compared to abstinence, excess drinking reverses the positive protection and leads to negative health consequences.

One area of science that is consistently demonstrating wine-related benefits is the study of resveratrol, one of the phytonutrients.

Resveratrol has been demonstrated to turn on cell-signaling that suggests to the body that it is consuming a low-calorie diet, through a gene product called sirtuin. Anti-aging advocates are already promoting the consumption of resveratrol to delay the onset of biological aging, 'though at this time, that appears to be premature, as the doses used in animal studies are on the order of 10-100 times what one could acquire by consuming wine responsibly. Also, it is unclear as to whether sufficient resveratrol from a capsule could be absorbed by the human body and if there are other components present in wine necessary to allow or complement the anti-aging effect. Resveratrol may have a place in "The Great Abs, Great Sex Diet" nonetheless, as it has been shown to have anti-obesity properties by inhibiting the formation of new fat cells.

It is also important to realize that not all red wine is the same.The compounds more often recognized for being vital components of the health benefits of wine, such as resveratrol and quercetin, are present in different concentrations among the various varieties of red wine. Differences arise from wines produced from grapes grown in different areas or even the same area from year to year. Thus, the important lesson seems to be regular, healthy consumption of deep, rich reds. Merlots and Pinot Noirs are two common types of red wine high in the health-promoting phytonutrients.

One more health-providing component of the Mediterranean lifestyle, certain to please many readers, is coffee. Among the most popular beverages worldwide, coffee is well known for providing a quick "pick-me-up" to the day. However, the attitude that nothing good comes without a price led many to believe that chronic coffee drinking must take a toll on the body; to the contrary, according to Harvard researchers and colleagues in Spain. Not only were coffee drinkers at no greater risk of death from cancer, but they also had a 7 percent lower risk of dying from (primarily) cardiovascular disease if they had a cup a day.The greatest protection was seen in people drinking four to five cups a day, as they had a 26 percent lower risk of dying during the study period.

Even though the focus on the benefits of the Mediterranean diet has been on its cardioprotective properties, brief recognition of the Mediterranean diet's ability to lower the risk of another significant health condition that may lead to erectile dysfunction is worth mentioning. Diabetics face a number of health challenges, among them is the markedly higher risk of cardiovascular disease. As should be clear by this point in the article, any factor that promotes atherosclerosis (or nerve damage, etc) as diabetes does, portends a future of erectile challenges as well.

Hopefully, this article clarifies the many benefits to cardiovascular health that can be achieved by following the Mediterranean diet. However, most readers did not snatch this issue off the shelf because it looked heart-healthy. It likely was the promise of two of the most highly coveted traits desired by men: great abs and great sex.

Even the most developed abs can be covered by abdominal fat (and believe it or not, we didn't even touch on the issue of visceral fat which affects the risk of cardiovascular disease and type 2 diabetes). To show the abs, body fat has to drop to near single-digit percentages, something that a daily trip to the bagel shop won't provide. Rapid fat and water loss occurs in people who strictly follow the induction phase of the Atkins Diet, due primarily to refined carbohydrate restriction resulting in lower body glycogen stores, reduced insulin concentration, greater stored fat breakdown and a shift in metabolism favoring fatty acid burning to meet cell energy demands.

One-week losses of five to 10 pounds are common, with a pronounced tightening of the skin of the face and upper body.The Mediterranean diet is the long-term basis of promoting continued weight loss while preventing (or at least delaying) cardiovascular disease. Erectile dysfunction, once thought to be psychological in nature, is now considered to be primarily a vascular disease. By following the dietary practices of the Mediterranean cultures, one can optimize the "plumbing" and hopefully avoid the problems that are projected to plague over 300 million men worldwide. Happily, a Mediterranean diet is neither boring nor tasteless. Perhaps an even greater incentive for many is the allowance of coffee and red wine, two health-promoting beverages that have been part of human culture for millenium.

It appears the age-old proverb, "You can't have your cake and eat it, too," is true. However, when the choice is between eating a cake and being able to look at it, but rather eating a cake or enjoy an active sex life, it becomes much easier to set down the fork.

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