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Ostarine (MK 2866) Review | Before And After Results, Side Effects and Benefits

This article deals with Ostarine (MK 2866), a powerful anabolic SARM dominating the gyms lately.
Ostarine (MK 2866), though promoted as a safe alternative to anabolic steroids, is not as safe as many people think.
It is a SARM, i.e. a Selective Androgen Receptor Modulator, a product with strong anabolic power (almost equal to that of steroids), however, with a more “selective” action causing far fewer side effects.

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Ostarine is a medicine used for immediate physical/athletic benefits.

  • muscle strengthening
  • muscle growth
  • fat burning and “drying” of the body
  • increased endurance
  • rapid recovery
  • increased protection of lean muscle mass
  • enhanced focus
  • stimulated motivation

Nevertheless, prior to starting the analysis of what Ostarine is (MK 2866), it would be good to emphasize a very important point.

Ostarine is a very strong chemical compound.
Indeed, research to date has shown that it can deliver significant athletic benefits, almost equal to those of anabolic steroids.
In addition, the “selective nature of this chemical allows it to have a targeted action causing far fewer side effects than those of an anabolic steroid.”
However, this does not mean that Ostarine (SARM, MK 2866) is irresponsible and completely safe.
Everything else in fact.
This chemical is one of the most dangerous and banned substances according to WADA.

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Ostarine MK 2866 is a truly wonderful drug, however, it is still under research, as clinical studies on the effects of its application in humans have not yet been completed.
It has not yet received FDA approval, and those who take it for sports use, they are doing so illegally and at their own risk for their health effects.
It should also be noted that the use of Ostarine is detected by special controls and is punished by sanctions imposed by applicable law.
Most sporting events around the world prohibit the use of Ostarine and other anabolic substances listed in the WADA updated list.

Ostarine or MK 2866 – what it is

Ostarine is a drug, originally developed purely for medical/therapeutic purposes, nevertheless, in the process, it attracted the interest of the sports world with its powerful anabolic properties.

This synthetic muscle-strengthening drug called MK 2866 (Ostarine) belongs to a special class of drugs called SARMs.

Originally created – as already mentioned above – for pharmaceutical/medical use by the pharmaceutical company GTx. Inc. [also may be found under the brand name Enobosarm].
Its use is allowed only under a prescription (and strictly ONLY for therapeutic purposes).
Therefore, the original purpose of Ostarine was to fight diseases causing muscle loss (such as osteoporosis, cancer, cachexia, AIDS).

Today, Ostarine is broadly (illegally) used as a product of muscle strengthening, improving athletic performance and enhancing the training process.
It is a favorite product especially of bodybuilders, as well as other athletes of “heavy” sports.


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What are SARMs? What makes them stand out from anabolic steroids?

As mentioned earlier and to be repeated several times, Ostarine, like all other products called SARMs, is a product still under research, not approved by the FDA for broad use by the man.

Its use is limited to medical purposes and only with a prescription.
It is also used as a research product, following the special licensing of the user by the special body.

But let’s see what SARMs are.
Their name comes from the acronym derived from the initials of the words “Selective Androgen Receptor Modulator”.

The action of SARMs is strongly anabolic, this being the reason that attracted the interest of the sports world.
Its chemical structure – very different from that of anabolic steroids – gives results equal to those of steroids – but without their massive harm.

Nevertheless, let’s point out that although offering similar benefits to steroids, Ostarine is not a steroid in nature.
(The same is true for other SARMs, which – compared to anabolic steroids – deliver many significant benefits without the huge range of steroid side effects).

This is due to the selective action of the specific drugs, introduced under the name SARMs and usually described by a combination of letters and numbers (such as Ostarine, known as MK 2866).
The selective action of SARMs – as shown by scientific research and clinical trials to date – is targeted at muscle and skeletal tissue, without, however, appearing (to date) to spread to other tissues and affecting them.

Some call SARMs “new generation anabolic” and rush to define them as the ultimate solution.
Indeed, the benefits provided are remarkable and their side effects far more limited than those of anabolic steroids did.
However, it remains to be seen over time (and extensive scientific research) whether they are indeed suitable for human use and in fact for such “extensive” use as that required by the law of gyms.

Are SARMs (including Ostarine) legal?

The answer is clear and cannot be avoided.
We answer explicitly and emphatically: “NO”
Ostarine and other SARMs are not FDA approved for sports use and are among the most dangerous and banned substances according to WADA.
Athletic use of SARMs (and certainly Ostarine) requires long-term use and high dosage to achieve the desired athletic benefits.
However, this can have many very serious consequences for the proper functioning of the body (something we ignore since they are still under investigation).

Many celebrities (athletes, models, singers and celebrities in general) use SARMs to achieve a flawless look in a short time.
From time to time, many cases of serious side effects from the use of such illegal substances have been reported.

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Is Ostarine MK-2866 a SARM or an anabolic steroid?

MK-2866 (Ostarine) , although it provides anabolic effects similar to steroids, does not belong to the anabolic family.
It belongs to a class of medicines called SARMs and is something completely different in chemical structure and action from anabolic steroids.

You will often hear them refer to Ostarine as “Enobosarm”.
It is a medicinal product with strong anabolic action, ensuring very fast/very large physical gains.
It is a favorite preparation for bodybuilding as it achieves:

  • huge muscle mass [1]
  • extensive fat burning
  • increased endurance (aerobic and anaerobic)
  • enhanced energy

In brief, everything an athlete needs.

To date, however, scientific research is not sufficient to conclude with certainty that Ostarine is safe for human use.
After all, the FDA is still delaying its approval and this has a reason.

Benefits of Ostarine (MK 2866) use

1. Huge hard muscle gains

The first (and surely the most important) reason why many people choose Ostarine for their workouts is none other than the enormous muscle benefits offered.
Especially bodybuilding fans seem to have “replaced” the classic steroids with the new generation of muscle-strengthening drugs, SARMs.

Specifically, Ostarine ensures very strong and fast action, with visible muscle gains.
For every athlete (and especially for every bodybuilder) it is a huge gain to lose body fat, while at the same time rebuilding a hard lean muscle mass, clearly lined and dry.

Nevertheless, as general facts say nothing, let’s talk in numbers.
In a 12-week trial, the group of people taking Ostarine MK 2866 (even at a very low dose of three (3) mg per day) was able to gain approximately one and a half (1.5) kg more lean muscle tissue than the group treated with placebo.
(Think that in bodybuilding the dosages are much higher than those even for beginners are)


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2. Targeted fat burning and drying of the body

Although the MK-2866 Ostarine is usually found in bulking cycles, you should know that it promotes the burning of excess body fat just as effectively.
It achieves this with an enhanced metabolic function, also delivering (in addition to targeted fat loss), huge amounts of energy to exploit in training, or elsewhere.

3. Avoid muscle waste

Ostarine (MK-2866) is a product that, in addition to rebuilding new muscles, will also protect your existing muscles from the damage caused by such hard workouts and restrictive diet programs.

4. Stimulated Strength/Endurance/ Performance

Another huge benefit offered by the use of Ostarine is the enhanced muscular strength, necessary for athletes dealing with weights or seeking to exceed the limits (personal or general).

With Ostarine MK 2866 every week, you will feel stronger, more durable and efficient in your training.
You will be able to make them more demanding and elevated, while you will see that you can significantly reduce the time between workouts.

5. Rapid recovery

Another reason for allowing you more frequent and more painful workouts are the reductions of muscle recovery time allowed by SARM Ostarine.

6. Increase in bone density

Finally, we cannot ignore the enhancement of bone density offered by this drug.
Ostarine was created as a drug-fighting muscle and bone damage, a key issue for every bodybuilder.
With Ostarine you can deal more effectively with overwhelming fractures, serious injuries and bone fractures keeping you out of training procedures.

7. Protection and preservation of lean muscle mass

Rebuilding muscle mass in your body is indeed extremely difficult, requiring effort/dedication/ perseverance.

However, maintaining the muscle mass built intact from damage/loss is just as difficult for most athletes.
Muscle damage is one of the most “insidious” enemies of bodybuilders and athletes in general, aiming for muscle mass.

The basic law for the proper reconstruction and maintenance of muscle mass is the correct training and nutritional process.
Many athletes tend to make significant mistakes (and exaggerations) in their exercise program or diet plan.
This results in significant muscle loss and damage.

One of the most common mistakes made by many athletes (leading to significant muscle damage), is that they do not trust experts guiding them properly in their training and diet routine, resulting in serious injuries, dystonia (or even starvation), nerve damage, insufficient rest and other serious issues forcing the body to exhaustion and dysfunction.

Therefore, the lack of proper (this is emphasized strongly) physical activity and well-structured diet can contribute to the development of muscle atrophy, taking your workouts far back and making your efforts go to waste.

Why is Ostarine so popular (though banned)?

As shown above, the benefits of using SARM Ostarine are not small, in fact, everything else.
The many important sports benefits, combined with the selective nature of its action reducing side effects, have made it a very popular choice of many bodybuilders, weightlifters and athletes of all kinds.

It is therefore no coincidence that Ostarine is preferred among many drugs today and especially over its former anabolic steroids.
It strengthens the muscular reconstruction, while at the same time it promotes the achievement of a dry and lean body, muscular and ribbed.

In addition, Ostarine MK 2866, enhances fitness, endurance, energy and athletic performance, not to mention the benefits shown by users in the sexual part and in the workplace as well.

At this point, it is worth mentioning, in brief, the “history” of SARM Ostarine MK 2866 these last years since its creation.
As early as the ’90s, Ostarine began to “dominate” the gyms.
However, at that time, the spread of the “benefits” of this new drug was limited and word of mouth.
Nowadays, with the internet, the spread of this active force of a powerful chemical called Ostarine is very easy around the world and not just the spread, but even the illegal buying and selling of it.

With the advent of the internet, Ostarine and generally illegal chemicals (such as anabolic steroids) have become much more “accessible” to anyone.

Today Ostarine received no official approval yet from the FDA, being available for research purposes legally (and only with the necessary certifications from the competent body).

How does Ostarine work and why does it fail to obtain FDA approval?

What you definitely need to know prior to any decision to use an illegal substance (in the case we are talking about today, Ostarine MK 2866), is the way it works in your body (and – certainly – the effects shown).

SARM MK 2866 enters the bloodstream and binds to androgen receptors (like other SARMs).

Once it enters the organism – through the bloodstream – it begins its action by regulating androgen receptors with the ultimate goal of encouraging the growth of muscle tissue in the body.

Up to this point, everything is completely understandable and clear.
The action of Ostarine – relating to muscle growth – seems to be quite similar to that of anabolic steroids.

Nevertheless, what ultimately differentiates Ostarine and other SARMs from conventional steroids?

The big difference of Ostarine is found in its selective action (also true for other SARMs).
SARM MK 2866 is not bound to non-target proteins, meaning that the side effects it may cause are fewer and milder than those of anabolic steroids are respectively.

However, we should not forget or overlook the fact that Ostarine is a chemical (a SARM), still under the microscope of scientists.
There are still several gaps in the knowledge held by the scientific community to date regarding the action and effects of this chemical on the human organism.

Clinical trials are still ongoing, and the possible side effects of this powerful drug have not yet been determined, this being one of the most serious reasons why Ostarine has not yet received FDA approval.

Evidence from research and clinical trials suggests that Ostarine may lead to liver damage (especially after long-term use), or even heart attacks or strokes.
Of all the SARMs, Ostarine is the one that has undergone the higher number of clinical trials (and continues to this day).

Ostarine MK 2866 – Possible side effects

As mentioned earlier, we cannot be clear and sure about the side effects a person may experience using Ostarine.
The fact that it is still under investigation and is undergoing relevant clinical trials to this day is in itself a very powerful inhibitory factor if you consider trying it.
It is an unknown chemical with unknown effects on the organism.

Many people (mostly bodybuilders) around the world, however, use Ostarine, illegally.
Therefore, we can talk about “possible side effects” based on the data collected from the experiences and reviews of its users to date.

The most serious side effects reported by Ostarine users to date are:

  • stroke
  • heart attack
  • liver damage

The results are certainly clearly random, as they are not solid scientific conclusions.
We see, however, that although many consider SARMs completely harmless (because of their selective action) the risks do not disappear.
In fact, the data collected to date from user reviews and reports, have even referred to serious illnesses that can lead the user even to death.

Let us, therefore, emphasize once again that SARMs are not as harmless as some persons would like them to be.
In fact, although in theory, SARMs do not cause as much testosterone suppression as anabolic steroids, they still require a recovery cycle (PCT), meaning that the relevant side effects of natural testosterone suppression are not absent.

Specifically MK 2866 may not cause you extreme acne (as with AAS) but it is almost certain that you will experience repressive side effects such as mild acne, severe headaches, sleep problems, joint pain, muscle aches, constipation, increased stress, thinning hair and elevated blood pressure levels.

In case of extreme side effects or worrying contraindications, it is recommended to discontinue the cycle immediately and seek medical help.

Conclusion

If you are between a SARM and an AAS (Androgenic Anabolic Steroid) then surely SARM is a better and safer choice.
In particular, Ostarine now appears to have significantly fewer side effects than a steroid.
Speaking of numbers, Ostarine seems to cause only 1% of the side effects of an anabolic steroid (and surely somewhat weaker action).

If on the other hand, you want an even healthier and safer solution to enhance your training & stimulate your athletic profits, then the solution is in the legal SARM of the bodybuilding nutrition supplement company CrazyBulk.
This is called OSTA 2866, imitating the action of the well-known SARM Ostarine.

Ostarine MK 2866 – Recommended Dosage

The recommended dosage results from empirical knowledge of many users of the known SARM, and not from formal clinical trials.
This stands at 3 mg daily for a period of 1 cycle (i.e. between 12 and 16 weeks).
However, most experienced users of Ostarine prefer a dosage consistent at 10 to 15 mg daily for a cycle of 8 to 10 weeks.
Caution. In no case should the dosage exceed 25 to 30 mg per day.

Following a cycle with SARM Ostarine is a Post Cycle Therapy (PCT).
According to NDTV a common choice of experienced bodybuilders for a recovery cycle is Nolvadex.
The recommended dosage is 10 mg daily for a cycle of 2 weeks.

In case of adverse organic reactions and side effects, the cycle should be discontinued immediately and the person should seek medical help immediately.

At this point, let us emphasize once again that Ostarine has not received approval from the FDA, while its use is prohibited by WADA and the NCAA.

Ostarine – Usual Stacks

Ostarine is a SARM that you will often hear in gyms. It is a favorite choice of many athletes.
In particular, you will often see it used in combination with other SARMs (i.e. in stack).
The three (3) most popular stacks you will come across for Ostarine are:

Bulking Stack with YK-11 Myostatin and RAD-140 Testolone (for experienced users also MK 677 Ibutamoren)

Cutting Stack together with the SR 9009 Stenabolic and the S4 Andarine (for experienced users the MK 677 Ibutamoren)

Recomping stack with LGD 4033 Ligandrol and RAD-140 Testolone (for experienced users plus MK 677 Ibutamoren)

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SARM Ostarine – Legal alternative

Our suggestion for active and tireless workouts and extreme physical benefits is a legal dietary supplement in capsule form imitating the action of SARM Ostarine MK-2866.

The supplement is called Osta 2866 and is a product of the company CrazyBulk.
It is an all-natural legal dietary supplement, non-toxic/non-addictive/and not at all dangerous.

A top-quality natural supplement aiming to enhance sports gains and maintain them in optimal condition.

The main benefits of using Osta 2866 are similar to those of SARM Ostarine.
That is

  • energy
  • increased athletic performance
  • endurance
  • physical strength
  • enhanced muscle gains
  • extreme fat burning and drying
  • enhanced testosterone levels
  • focus
  • rapid recovery

Content Disclaimer

The information does not constitute advice or an offer to buy. Any purchase made from the above press release is made at your own risk. Consult an expert advisor/health professional before any such purchase. Any purchase made from this link is subject to the final terms and conditions of the website’s selling as mentioned in the above as source. The Advertising Agency and its downstream distribution partners do not take any responsibility directly or indirectly. If you have any complaints or copyright issues related to this article, kindly contact the company this news is about.

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Male enhancement pills are natural dietary supplements that can help men with a variety of performance issues in the bedroom. The best male enhancement pills can help you perform at your best with improved libido, enhanced sexual stamina, increased confidence, and better overall sexual performance. These supplements may also help with symptoms of erectile dysfunction without the need for prescription medication.

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Male Extra contains 100% safe, natural ingredients that do not produce side effects for most users. These ingredients work together to benefit men’s sexual health in a few ways.

One of the supplement’s most potent ingredients is pomegranate 40% ellagic acid. This acid is a polyphenol antioxidant that occurs naturally in various fruits and vegetables but has exceptionally high concentrations in pomegranates.

Ellagic acid may improve penile blood flow, making it easier to get hard when aroused. This antioxidant may also delay fatigue during physical exercise, improving your sexual stamina.

Male Extra also contains the amino acid L-arginine HCL. This amino acid can improve your nitric oxide levels, giving your penis access to more blood, which can help with erectile dysfunction.

The male enhancement pill pairs its L-arginine content with another amino acid: L-methionine. This essential amino acid can help treat premature ejaculation by delaying the conversion of histidine into histamine in your body. The more histamine you have, the faster you will orgasm. As a result, lowering your histamine can help you last longer in bed.

Cordyceps is another essential ingredient in the Male Extra formula. This ingredient acts as a natural aphrodisiac, increasing your sexual appetite and stamina. These aphrodisiacal qualities come from two chemicals within cordyceps: deoxyadenosine and cordycepic acid. Both chemicals impact the area of your brain responsible for libido.

Male Extra also contains zinc, an essential mineral in numerous aspects of male health. In this male enhancement formula, zinc can support healthy libido. It can also raise natural testosterone levels.

Male Extra’s complete formula includes the following natural ingredients:

  • Cordyceps
  • L-arginine HCL
  • L-methionine
  • Methyl sulfonyl methane
  • Niacin
  • Pomegranate 40% ellagic acid
  • Zinc

Key Features

Male Extra offers a few deals and discounts to save you money on your purchase. For example, when you purchase three bottles of Male Extra, you can receive a free sexual performance gel to pair with your supplements. This gel contains fast-acting ingredients to stimulate the penis before sex, creating a more intense sexual experience.

Additionally, you can receive free, discreet shipping on your Male Extra order. You don’t need to opt into any subscriptions to benefit from this shipping discount.

When you purchase Male Extra male enhancement pills, you will receive a 100-day money-back guarantee. This guarantee allows you to try these supplements for three months before making a final decision about their efficacy. If you decide Male Extra isn’t right for you, you can return your unused bottles for a full refund — no questions asked.

Who is Male Extra Best For?

We highly recommend Male Extra for any man looking to improve erectile function and to boost sexual energy.

#6. Semenax: OTC Male Performance Supplement for Semen Volume and Orgasm Intensity

Semenax Best Male Enhancement Pills

Click here to buy Semenax

Semenax is a male enhancement pill that can increase semen volume and produce more intense orgasms, alongside several other benefits. This supplement contains a unique formula that targets four aspects of semen production, providing noticeable results.

Semenax can produce the following benefits:

  • Longer orgasms
  • Better orgasm control
  • Greater ejaculation volume
  • Intense orgasmic contractions

Formula Overview

The Semenax formula increases four of your semen-producing functions:

  • Seminal vesicle fluids
  • Prostate gland fluid
  • Seminal plasma
  • Bulbourethral gland fluid

The formula improves these functions through a blend of scientifically tested ingredients. One of the primary ingredients in this formula is Swedish flower pollen.

Pollen is the male cell in plants, so it makes sense that this ingredient can also benefit male sexual health. Swedish flower pollen provides the biological factors and sex hormone precursors you need for a healthy male reproductive system.

Semenax also contains the amino acid L-arginine HCL. This amino acid can increase sperm and semen volume and support male fertility. L-arginine has proven especially effective for men with poor sperm motility and low sperm counts.

Next, this supplement contains both zinc oxide and zinc aspartate. Zinc can improve male sexual function by enhancing natural testosterone production. This ingredient may be especially effective when combined with L-lysine, which is also in the Semenax formula.

To maximize zinc absorption, Semenax combines its zinc content with ingredients that are high in zinc. For example, pumpkin seed contains impressive zinc levels and has proven helpful for overall prostate health.

Cranberry extract also plays an essential role in the Semenax formula. This extract is a natural aphrodisiac with an extensive history among Native Americans and European settlers. It’s also a source of several essential vitamins, such as vitamin C and A. Finally, cranberry extract is high in antioxidants and phytochemicals that can aid sexual health overall.

Semenax contains all of the following ingredients in its formula:

  • Avena sativa extract
  • Butea superba
  • Catuaba bark
  • Cranberry extract
  • Epimedium sagittatum
  • Hawthorn
  • L-arginine HCL
  • L-carnitine
  • L-lysine
  • Maca
  • Muira puama
  • Pine bark extract
  • Pumpkin seed
  • Sarsaparilla
  • Swedish flower pollen
  • Vitamin E
  • Zinc aspartate
  • Zinc oxide

Key Features

The Semenax creators conducted several studies when creating this male enhancement formula. These studies found that patients taking Semenax showed a 20% or higher increase in semen volume compared to a placebo group. Semenax patients also showed increased orgasm intensity compared to the placebo.

This supplement comes with a 67-day money-back guarantee and free shipping on select orders. You can feel confident trying Semenax for two months without losing any money on your investment.

You can also read user reviews on the Semenax website to learn how this supplement has benefited men like you. Reading these reviews can help you understand the real-life results you can expect to receive from Semenax.

Who is Semenax Best For?

Semenax is the best male enhancement product for men looking to enhance semen quality and orgasm intensity.

What Are Male Enhancement Pills?

Male enhancement pills are dietary supplements that contain natural plant extracts, amino acids, vitamins, and minerals that support sexual performance. These pills can improve your sex life in a few different ways.

First, male enhancement pills typically contain ingredients that raise testosterone levels. Testosterone plays a significant role in your reproductive health, libido, energy levels, and feelings of youthfulness. Because your testosterone levels decline as you age, taking a dietary supplement with testosterone boosters can counteract this decline.

Next, male enhancement pills often include ingredients that encourage more blood to flow throughout your body, including to your genitals. When your penis has access to more blood, you may be able to become erect and aroused more easily.

Certain male enhancement pills also contain natural aphrodisiacs. These ingredients may boost your libido and your romantic attraction to your partner. While their effects are only mild, combining these aphrodisiacs with the other effective ingredients can work wonders for improving sexual performance.

Additionally, many male enhancement supplements include vitamins and minerals your body needs for daily functioning. Supplementing your dietary intake of these ingredients can promote your overall health and well-being, which can support your reproductive health in turn.

How We Ranked The Best Sexual Enhancement Pills for Men

The natural male enhancement pills on our list are only a few of the dozens of male enhancement supplements available on the market. However, many male enhancement products do not actually produce their stated benefits. Some of these supplements may even be harmful to your health.

When we created this review of the best male enhancement supplements, we examined numerous supplements before narrowing our list to the seven products above. Here are the factors we considered when choosing the top enhancement pills.

Ingredients

Ingredients are some of the most critical elements in any natural supplement. A supplement company can make as many claims as it wants about a product’s benefits and safety. However, if the ingredients in the formula do not back up these claims, the supplement probably will not be very effective.

When we created our list of the best male enhancement pills, we read each product’s ingredient list closely. We specifically looked for a few powerful ingredients that we know enhance sexual performance, such as L-arginine and Muira puama. However, we also sought out products with clean ingredients in general.

The top male enhancement pills provide descriptions of each ingredient in their formulas. After reviewing these descriptions and each product’s ingredient list as a whole, we found the seven products above to have the most effective formulas.

Sexual Health Benefits

When we created our list, we looked for natural male enhancement pills that target several aspects of sexual performance. The supplements that made our list each produce at least five benefits, increasing your chances that they will target one of the struggles you face.

Price and Discounts

We also searched for male enhancement pills that stay within a reasonable budget.

Most male enhancement pills work best when you take them long-term, so you may want to avoid the most expensive options. However, some companies produce absurdly cheap products using low-quality ingredients and ineffective manufacturing processes. Staying in a moderate price range can help you avoid these two extremes.

The top male enhancement supplements on our list are affordable without being too cheap, making them accessible for many people.

Shipping and Returns

Finally, we only selected male enhancement pills that come with a money-back guarantee. This guarantee can prevent you from losing money on an ineffective supplement. If you find that a male enhancement pill isn’t right for your needs, you can return it for a full refund.

We also chose supplements that offer free shipping on specific orders, allowing you to save money.

What to Look for in the Best Sex Pills for Men

The best male enhancement pills on the market check a few boxes that lower-quality ingredients don’t. Here are a few elements that make up the top penis enhancement pills available today.

Clinically-Backed Ingredients

The best enhancement supplement companies develop their formulas through extensive research and testing. These companies also share the results of their studies to allow buyers to make more informed purchases.

Made in the USA

International countries sometimes do not have the same manufacturing standards as the U.S. However, the top male enhancement pills are manufactured in the U.S., ensuring that they adhere to strict safety standards.

Discounts for Multiple Bottles

Because most sex pills work best when you take them for at least a few months, the best options come with discounts on bulk orders. These discounts can allow you to save money while taking enhancement pills long-term.

Money-Back Guarantee

Typically, companies only offer money-back guarantees when they feel confident that most customers will benefit from their products. As a result, you can trust that supplements with these guarantees are high quality and effective.

Clean Label

Finally, the best sex pills clearly state the ingredients and dosages in their formulas. These products do not use proprietary formulas because they have nothing to hide about their ingredient lists.

Benefits of Male Enhancement Pills

Male enhancement pills often tackle sexual performance in several different ways, producing numerous benefits for your reproductive health. Here are a few benefits you can expect to receive through these products:

  • Better libido
  • Stronger sexual endurance
  • Enhanced semen quality
  • Greater sexual energy
  • Higher testosterone levels
  • More intense orgasms
  • Stronger blood flow

Are Male Enhancement Pills Safe?

Male enhancement pills are typically safe for most people. These products contain only natural ingredients you can purchase from nutrition stores without a prescription. Additionally, most users do not experience any side effects while taking these pills.

However, some sex pills are safer than others. Recently, the FDA released a notice about tainted sexual enhancement products containing potentially dangerous drug ingredients. In this notice, the FDA listed all of the enhancement products it has found to contain hazardous ingredients. Be sure to check this list before buying a male enhancement pill.

How to Avoid Male Enhancement Pill Scams

Some male enhancement companies lure consumers in with promises of incredible results, only to scam them out of their time and money. Unfortunately, because the FDA does not regulate supplements within the U.S. market, these scams are relatively common among male enhancement pills.

However, most male enhancement scams are easy to detect. Here are a few signs that an enhancement supplement is a scam:

  • Claims that seem too good to be true
  • Unreasonably high or low prices
  • Overwhelmingly poor reviews
  • Low ratings on websites like the BBB
  • Proprietary or hidden formulas
  • Low-quality websites with misspellings and grammatical errors
  • No “HTTPS” at the beginning of the website URL

Can Male Enhancement Pills Help With Erectile Dysfunction?

Some male enhancement supplements can provide mild benefits for erectile dysfunction. However, if you are experiencing severe erectile issues, you may want to ask your doctor for a stronger treatment.

Who Are Male Enhancement Formulas Best For?

Male enhancement formulas are best for men experiencing mild challenges in their sex lives. These men may experience issues like:

  • Low libido
  • Performance anxiety
  • Trouble staying aroused

However, these supplements are typically not suitable treatments for men with diagnosed sexual problems. Instead, they can produce mild results for men who simply need a boost to their sexual performance.

How Much Do Male Enhancement Pills Cost?

Male enhancement pills can come in various price ranges. The priciest supplements cost over $100 per bottle, while the cheapest are closer to $10 for a one-month supply.

If you want to receive a high-quality supplement, we recommend staying somewhere in the middle of this price range. The pills on our list cost between $50 and $80 for a one-month supply but offer discounts on bulk orders. This price range indicates that the supplements are affordable and use reliable formulas.

When Should You Consider Prescription ED Medications?

While male enhancement pills can produce noticeable results for sexual performance, their benefits only go so far. If you’re experiencing more severe issues with performance, you may want to turn to prescription medicines for treating ED.

We recommend talking to your healthcare provider about ED medications if you:

  • Struggle with getting erect
  • Have trouble maintaining hardness
  • Have very low or no libido

Some of the most popular prescription drugs and ED pills for erectile dysfunction are:

  • Sildenafil (Viagra)
  • Vardenafil (Levitra)
  • Tadalafil (Cialis)
  • Avanafil (Stendra)

It’s important to note that prescription drugs often come with adverse side effects. It’s recommended that you try dietary supplements first before opting for fda-approved medications.

How Long Does It Take For Sexual Performance Boosters to Work?

Male enhancement formulas and testosterone supplements typically begin working after a few weeks of daily use. You may see the most significant benefits after taking your supplement for at least two months. Then, you’ll continue experiencing your supplement’s advantages as long as you continue taking it.

Where to Find The Best Sexual Enhancers for Men

The best enhancement pills are only sold on the supplement company’s official website. Over-the-counter supplements typically do not have a high enough dosage to be effective. Additionally, purchasing directly from a company’s website ensures that you receive an authentic, reliable product.

Final Thoughts on Male Performance Pills

If you’ve been looking for a solution to low libido or poor performance in the bedroom, male enhancement supplements are an excellent option to consider. Our list includes the top seven best enhancement pills on the market, allowing you to narrow your options and choose the best product for your needs.

Because all of these products come with a money-back guarantee, you have nothing to lose by trying them out. Order one of the male enhancement pills on our list today — it just might transform your sex life.

Summary of the Top Recommended Male Enhancement Pills

  • Performer 8: Best sexual pills overall
  • Erectin: Best for size gains and hardness
  • Prosolution Plus: Best for premature ejaculation and lasting longer in bed
  • Vigrx Plus: Best alternative to prescription medications for ED
  • Male Extra: Best for libido and stamina
  • Semenax: Best for increased semen volume and pleasure
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HEALTH SERVICES

Goal: Advocate for the development of an effective system in conjunction with community partners, to meet the health needs of students, staff, and families.

Behavioral and health problems of school-age young people often hinder their ability to learn. Growing numbers of young people have health conditions that affect their school attendance and classroom performance. The extent of physical, emotional, psychological, and social problems present in some student populations is so great that the primary mission of the school – education – cannot proceed if these pathologies are not addressed (Carnegie Council on Adolescent Development, 1989)

These services are designed to ensure access or referral to primary health care services. The services also should foster appropriate use of primary health care services, prevent and control communicable disease and other health problems, provide emergency care for illness or injury, promote and provide optimum sanitary conditions for a safe school facility and school environment, and provide educational and counseling opportunities for promoting and maintaining individual, family, and community health. Qualified professionals such as physicians, nurses, dentists, health educators, and other allied health personnel provide these services.

Resources:

Child Health Insurance: Health Choice for Children
Health insurance plays a key role in keeping children healthy and in school. As of October 1998, families who make too much money to qualify for Medicaid but too little to afford rising health insurance premiums are able to get free or reduced price comprehensive health care for their children. The new plan, “NC Health Choice for Children,” is the same as coverage provided for the children of state employees and teachers, plus vision, hearing and dental benefits. When working families cannot afford health care for their children, the consequences can be dire. Babies may not get the checkups that make sure they are growing healthy and strong. Families may wait until a child is very sick before seeking medical help, sometimes getting help only in an emergency. Untreated illnesses can have long-lasting consequences, such as hearing loss caused by ear infections. To find out more about this free or reduced cost children’s health insurance plan, visit the NC Health Choice web site.

Dental Health Services
The NC Oral Health Section provides statewide school-based education / promotion programs including classroom education supported with educational videos and other audiovisual tools, printed activity materials and interactive exhibits. Instruction covers disease prevention, oral hygiene practices, injury prevention, appropriate diet, consumerism and professional dental care practices.
Training in the comprehensive dental health curriculum, Framework for Dental Health Education is available for all elementary teachers in the state. The training includes companion videos and study guides. The curriculum correlates with the NC Department of Public Instruction’s Statewide Comprehensive Curriculum for public schools.

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PHYSICAL EDUCATION

Goal: To provide each student with the knowledge, skills, confidence and motivation to engage in a healthy active lifestyle and to create a supportive environment that is conducive to enjoyable life long physical activity opportunities for students, families, staff and community.

A planned, sequential K-12 curriculum that provides cognitive content and learning experiences in a variety of activity areas such as basic movement skills; physical fitness; rhythms and dance; games; team, dual, and individual sports; tumbling and gymnastics; and aquatics. Quality physical education should promote, through a variety of planned physical activities, each student’s optimum physical, mental, emotional, and social development, and should promote activities and sports that all students enjoy and can pursue throughout their lives. Qualified, trained teachers teach physical activity.

(You can join the DPI Physical Education / Athletics listserve by contacting Kymm Ballard at [email protected])

Resources:

New! Energizers
Classroom Based Physical Activities!
The way teachers integrate physical activity with academic concepts.
Check out these short, about 10-minute, activities that classroom teachers can use to provide activity to children.

State Board of Education Policy: Healthy Active Children

Jean Blaydes Madigan – Brain Based research for physical education  
www.actionbasedlearning.com

Station PE – Action based learning for physical education teachers
addressing the national and state standards through cultural diversity,
character education, literacy development and more.   
www.stationpe.com

Everyone, including people with disabilities, can enjoy the numerous physical, psychological, and social benefits of increased physical activity.According to the 1996 surgeon general’s report, people with disabilities are less likely to engage in regular moderate physical activity than people without disabilities, yet they have a similar, and sometimes greater, need for health promotion and disease prevention opportunities. The NCODH has implemented 2 projects that are designed to enhance the number of opportunities that persons with disabilities have to engage in physical activity.
http://www.fpg.unc.edu/%7Encodh/PhysicalActRec/index.htm

BAM!
BAM! is brought to you by The Centers for Disease Control and Prevention (CDC), an agency of the U.S. Department of Health and Human Services (DHHS). BAM! was created to answer kids’ questions on health issues and recommend ways to make their bodies and minds healthier, stronger, and safer. BAM! also serves as an aid to teachers, providing them with interactive activities to support their health and science curriculums that are educational
and fun.

Be Active Kids:
Be Active Kids is an early childhood (ages 4-5) physical activity and nutrition curriculum and kit for child care centers. The program focuses on establishing an early, positive relationship with one’s body through participation in fun physical activities and education about healthy eating concepts. The overall goal of the kit is to promote positive attitudes towards physical activity and healthy eating. www.Beactivekids.com

Eat Smart, Move More NC
Eat Smart, Move More NC is a statewide initiative that promotes increased opportunities for physical activity and healthy eating through policy and environmental change. Increasing public awareness of the need for such changes to support increased physical activity and healthy eating opportunities is an integral aspect of the initiative. The ultimate goal of the initiative is to promote healthy behaviors that reduce risks and prevent disease related to inactivity and unhealthy eating behaviors.

VERB. It’s what you do.
In December 2001, Congress charged the Department of Health and Human
Services’ Centers for Disease Control and Prevention (CDC) with creating a
healthy movement among youth through a paid media campaign. Starting in
June 2002—with your help—we will do just that. The campaign itself, which
was fully launch October 2002, encourages positive activity—both physical
and prosocial activity—among youth ages 9-13. VERB. It’s what you do

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HEALTHY ACTIVE CHILDREN POLICY

NORTH CAROLINA STATE BOARD OF EDUCATION
Policy Manual

Policy Identification
Priority: High Student Performance
Category: Student Health Issues
Policy ID Number: HSP-S-000

Policy Title: Policy regarding physical education in the public schools

Current Policy Date: 01/09/2003 – Amended 04/07/2005
Other Historical Information: 
Statutory Reference: 
Administrative Procedures Act (APA) Reference Number and Category: 

HEALTHY ACTIVE CHILDREN:

Section 1. LOCAL SCHOOL HEALTH ADVISORY COUNCIL

(a) Each school district shall establish and maintain a local School Health Advisory Council to help plan, implement, and monitor this policy as well as other health issues as part of the coordinated school health plan.

(b) The local School Health Advisory Council shall be composed of community and school representatives from the eight areas of a coordinated school health program mentioned in Section 4 (a), representatives from the local health department and school administration.

Section 2. PHYSICAL EDUCATION

(a) To address issues such as overweight, obesity, cardiovascular disease, and Type II diabetes, students enrolled in kindergarten through eighth grades are to participate in physical activity as part of the district’s physical education curriculum. Elementary schools should consider the benefits of and move toward having 150 minutes per week with a certified physical education teacher throughout the 180-day school year. Middle schools should consider the benefits of and move toward having 225 minutes per week of Healthful Living Education with certified health and physical education teachers throughout the 180-day school year.

(b) The physical education course shall be the environment in which students learn, practice and receive assessment on developmentally appropriate motor skills, social skills, and knowledge as defined in the North Carolina Healthful Living Standard Course of Study and foster support and guidance for being physically active. In order to meet enhanced goals, these classes should be the same class size as other regular classes.

Section 3. RECESS AND PHYSICAL ACTIVITY

(a) Structured/unstructured recess and other physical activity (such as, but not limited to, physical activity time, physical education or intramurals) shall not be taken away from students as a form of punishment. In addition, severe and/or inappropriate exercise may not be used as a form of punishment for students.

(b) A minimum of 30 minutes of moderate to vigorous physical activity shall be provided by schools for all K-8 students daily. This requirement can be achieved through a regular physical education class and/or through activities such as recess, dance, classroom energizers, or other curriculum based physical education activity programs. However, such use of this time should complement and not substitute for the physical education program.

(c) The physical activity required by this section must involve physical exertion of at least a moderate to vigorous intensity level and for a duration sufficient to provide a significant health benefit to students.

Section 4. COORDINATED SCHOOL HEALTH PROGRAMS (CSHP)

(a) The State Board of Education shall make available to each school district a coordinated school health model designed to address health issues of children. The program must provide for coordinating the following eight components:

(1) safe environment;

(2) physical education;

(3) health education;

(4) staff wellness;

(5) health services;

(6) mental and social health;

(7) nutrition services; and

(8) parental/family involvement.

(b) The North Carolina Department of Public Instruction shall notify each school district of the availability of professional development opportunities and provide technical assistance in implementing coordinated school health programs at the local level.

Section 5. THIS AMENDED POLICY SHALL BE FULLY IMPLEMENTED BY THE 2006-2007 SCHOOL YEAR.

(a) Each local school district shall develop an action plan prepared in collaboration with the local School Health Advisory Council to assist in the implementation of the policy. This action plan shall identify steps that need to be taken each year to fully implement the policy by the 2006-2007 school year and shall include a review and appropriate modification of existing physical education and health curricula.

(b) Action plans shall be submitted to the North Carolina Department of Public Instruction by July 15, 2004.

(c) Progress reports shall be submitted to the North Carolina Department of Public Instruction by July 15, 2005 and 2006.

(d) Beginning July 15, 2007, each local school district in collaboration with the local School Health Advisory Council shall prepare a report annually which will include the minutes of physical education and/or healthful living, physical activity received by students in each school within the district. Indicators that will mark successful implementation and evidences of completion shall be a part of the plan.

(e) This report shall be completed by July 15th each year and remain on file for a period of 12 months to be provided upon request of the North Carolina Department of Public Instruction and local boards of education.

(f) Progress reports and the annual reports shall also include any other information that may be recommended from the State Board of Education’s Ad Hoc Committee studying implementation of the physical education and Healthful Living programs in kindergarten through eighth grades.

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NURTITION SERVICES

Goal: To improve the health, nutritional well-being and academic performance of North Carolina’s students through coordinated and comprehensive nutrition policies that enhances the school classroom, cafeteria and community environment and support lifelong healthful eating habits.

School breakfast programs:

  • increase learning and
    academic achievement
  • improve student attention
    to academic tasks
  • reduce visits to the school nurse
  • decrease behavioral problems
    • Murphy, Pagano, Nachmani,
      Sperling, Kane, and Kleinman, 1998

Nutrition Services is comprised of many components; the Child Nutrition Program, Nutrition Education and programs that support health eating at school and home. Program and services that provide screening, assessment, counseling and referral for nutrition problems and the provision of modified meals for students with special needs are also included.

Child Nutrition programs reflect the U.S. Dietary Guidelines for Americans and other criteria to achieve nutrition integrity. The school nutrition services offer students a learning laboratory for classroom nutrition and health education, and serve as a resource for linkages with nutrition-related community services. Qualified child nutrition professionals provide these services. The Child Nutrition program provides access to a variety of nutritious, culturally appropriate foods that promote growth and development, pleasure in healthful eating, and long-term health, the prevention of school day hunger and its consequent lack of attention to learning tasks.

Nutrition education should empower students to select and enjoy healthful food and be physical activity. Nutrition education is included in the Healthful Living Standard Course of Study for grades Pre-K – 12.

Resources:

Eat Smart, Move More
Eat Smart, Move More NC is a statewide initiative that promotes increased opportunities for physical activity and healthy eating through policy and environmental change.Increasing public awareness of the need for such changes to support increased physical activity and healthy eating opportunities is an integral aspect of the initiative.The ultimate goal of the initiative is to promote healthy behaviors that reduce risks and prevent disease related to inactivity and unhealthy eating behaviors.Eat Smart, Move More is a program of the Physical Activity and Nutrition Branch in the NC Division of Public Health.

Child Nutrition Programs
Child Nutrition Programs provide nutritious school meals to promote learning readiness and the opportunity to practice skills learned in classroom nutrition education. Programs in schools include the National School Lunch Program, the School Breakfast Program, the Special Milk Program, After School Snack Program and the Summer Food Service Program. Programs are available to all children regardless of ability to pay. Federal regulations also support the student with Special Dietary Needs. Meals are modified with a proper medical prescription without additional cost to the parent of guardian. For more information, call Child Nutrition Services with the NC Department of Public Instruction (919) 807-3506.

Team Nutrition
Approximately half of North Carolina’s schools are Team Nutrition schools. Team Nutrition provides schools with nutrition education materials for children and families, and technical assistance materials for Child Nutrition directors, cafeteria managers and staff. State agency partners provide training and technical assistance to support these programs in local schools. Team Nutrition supports the School Meals Initiative policy that school meals reflect the Dietary Guidelines for Americans. For more information, call Child Nutrition Services with the NC Department of Public Instruction (919) 807-3506.

Nutrition Education and Training Program (NET)
The North Carolina NET Program, through its local, state and federal partnerships, provides leadership in promoting healthful eating habits for the state’s children. NET integrates mealtime and learning experiences to help children make informed food choices as part of a healthy lifestyle. Activities of the NET Program include a Resource Lending Library, mini-grants, workshops and a newsletter. For more information, call the NET Program with the NC Department of Health and Human Services at (919) 715-8792.

North Carolina 5 a Day Coalition
This coalition of state and local agencies, public, private and nonprofit organizations is licensed to promote the National Cancer Institute’s 5 a Day Program. Schools are primary channels that the coalition is using to encourage North Carolina children to consume at least five servings of fruits and vegetables daily. For more information, call the Health Promotion Branch with the NC Department of Health and Human Services at (919) 715-3829.

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HEALTH EDUCATION

Goal: Developed to motivate and assist students’ commitment to life-long health through classroom instruction that addresses the multi-dimensions of health.

“For every dollar spent on high-quality, multicomponent health education delivered in the school, society saves more than $13 in direct cost, such as medical treatment, addition counseling, alcohol-related motor vehicle injuries and drug related crime, and indirect cost, such as lost productivity due to premature death and expenditures associated with teen pregnancy (CDC, unpublished manuscript, 1997)”

The curriculum is, sequential, K-12 and addresses the physical, mental, emotional and social dimensions of health. The curriculum design assist to motivate students to maintain and improve their health, prevent disease, and reduce health-related risk behaviors. It allows students to develop and demonstrate increasingly sophisticated health-related knowledge, attitudes, skills, and practices. The Healthful Living Standard Course of Study (www.ncpublicschools.org/curriculum/health) includes a variety of topics such as personal health, family health, community health, consumer health, environmental health, sexuality education, mental and emotional health, injury prevention and safety, nutrition, prevention and control of disease, and substance use and abuse. The Healthful Living Education program promotes behaviors that contribute to a healthful lifestyle and improved quality of life for all students. The Healthful Living Education Standard Course of Study, when fully integrated, supports and reinforces the goals and objectives of its two major components health and physical education. When the concepts of these two areas are integrated, learning is enhanced to its maximum.

Resources

North Carolina Comprehensive School Health Training Center (www.appstate.edu/www_docs/depart/ncshtc/index.html)The School Health Training Center offers training for teachers and other school personnel in the skills-based North Carolina Framework for Healthful Living Education. The School Health Training Center activities is funded in part by North Carolina Healthy Schools through a cooperative agreement with the Centers of Disease Control and Prevention.

Successfully Teaching Middle School Health (www.learnnc.org/dpi)The new and improved Manual is packed with exciting teaching ideas and student activities. The Manual contains six step lesson plans for each 6th, 7th, and 8th grade health objective in the North Carolina Standard Course of Study for Healthful Living Education. A new chapter on health related fitness has been added along with engaging student handouts, and black line masters. A CD is packaged with the Manual which allows teachers the flexibility to personalize the lessons, adapt lessons to meet individual classroom needs, and update statistics and materials as needed. Interactive games and creative PowerPoint presentations are also available on the CD which will enhance instruction and student learning.

NC Institute of Medicine’s Comprehensive Child Health Plan
Improving school health education is one of the top priorities established in the Comprehensive Child Health Plan. Comprehensive Child Health Plan: 2000-2005. Task Force Report to the North Carolina Department and Human Services. Executive Summary. May 2000. Download pdf version. Download Executive Summary. Chartered in 1983 by the North Carolina General Assembly, the North Carolina Institute of Medicine (NC•IOM) is an independent, nonprofit organization that serves as a non-political source of analysis and advice on issues of relevance to the health of North Carolina’s population.

Web Resources:

 

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FAMILY AND COMMUNITY INVOLVEMENT

Goal: Create partnerships among schools, families, community groups, and individuals designed to share and maximize resources.

Functioning, supportive families and social support within communities contribute to students’ success. When children feel valued, they are more likely to develop important skills, avoid risk behaviors, and remain in schools (Epstein, 1995)

Families and communities can support each other and contribute to the success of the school by:

  • Volunteering times and resources
  • Work in conjunction with student supportive services
  • Participate on School Health Advisory Councils, to build support for school health programs
  • Schools and communities share facilities and encourage participation by all individuals and groups

NC Board of Education Strategic Priority: Strong Family, Community, and Business Support:
The State Board of Education has identified strong family, community and business support for schools as one of their five strategic priorities for education in North Carolina. The specific goals of this strategy are:

  • State education priorities responsive to the needs of the family, community, and business customers
  • A comprehensive and aligned system of support for the academic success and general well-being of all children that promotes:
  • Meaningful involvement in schools
  • Interagency collaboration for health, nutrition, and social services
  • State and local partnerships
  • A system to build the capacity of local districts to create, respond to, and sustain meaningful partnerships

Resources:

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ENERGIZERS

Classroom Based Physical Activities!
The way teachers integrate physical activity with academic concepts.
Check out these short, about 10-minute, activities that classroom teachers can use to provide activity to children.

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EIGHT COMPONENT MODEL

A coordinated school health program (CSHP) model consists of eight interactive components. Schools by themselves cannot, and should not be expected to, address the nation’s most serious health and social problems. Families, health care workers, the media, religious organizations, community organizations that serve youth, and young people themselves also must be systematically involved. However, schools could provide a critical facility in which many agencies might work together to maintain the well-being of young people.

Coordinated School Health Model: Health Education; Physical Education; Health Services; Nutrition Services; Counseling, Psychological, and Social Services; Healthy School Environment; Health Promotion for Staff; Family and Community Involvement.

  1. Health Education: Classroom instruction that addresses the physical, emotional, mental and social aspects of health – designed to help students improve their health, prevent illness, and reduce risky behaviors. 
  2. Physical Education: A planned, sequential K-12 curriculum that promotes life long physical activity develops basic movement skills and sports skills. Physical education shall be the environment in which students learn, practice, and are assessed on developmentally appropriate motor skills, social skills, and knowledge. 
  3. Health Services: Preventive services, education, emergency care, referrals, and management of acute and chronic health problems – designed to prevent health problems and injuries and ensure care for students. Can include school nursing as well as dental services and school based/school linked health centers.
  4. Nutrition Services: Integration of nutritious, affordable and appealing meals; nutrition education, and an environment that promotes healthy eating. 
  5. Health Promotion for Staff: Opportunities that encourage school staff to pursue a healthy lifestyle that contributes to their improved health status, improved morale, and a greater personal commitment to the school’s overall coordinated health program. This personal commitment often transfers into greater commitment to the health of students and creates positive role modeling. Health promotion activities have improved productivity, decreased absenteeism, and reduced health insurance costs.
  6. Counseling and Psychological Services: Services that include individual and group assessments, interventions, and referrals – designed to prevent problems early and enhance healthy development. 
  7. Healthy School Environment: The physical and aesthetic surroundings and the psychosocial climate and culture of the school. Factors that influence the physical environment include the school building and the area surrounding it, any biological or chemical agents that are detrimental to health, and physical conditions such as temperature, noise, and lighting. The psychological environment includes the physical, emotional, and social conditions that affect the well-being of students and staff.
  8. Parent/Community Involvement: An integrated school, parent, and community approach for enhancing the health and well-being of students. School health advisory councils, coalitions, and broadly based constituencies for school health can build support for school health program efforts.

 
Adapted from: Healthy Youth: An Investment in Our Nation’s Future, 2004, Department of Health and Human Services, Centers of Disease Control and Prevention
http://www.cdc.gov/nccdphp/aag/pdf/aag_dash2004.pdf