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This podcast is for you, the Modern Man. I'm Dr Anne Truong,
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your host. I'm an intimate health medical doctor and best
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selling author of the book, Erectile Dysfunction Fix. I'll
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do a deep dive into sexual health and performance and how
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it affects men of all ages and backgrounds. So let's get
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started, and be sure to visit my website at
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sexualhealthformenpodcast.com for more information and
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resources from the show. See you on the inside.
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Hello there, Modern Man. I'm Dr Anne Truong, I'm a sexual health
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specialist. I treated over 7000 men. In this episode, we're
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going to talk about what is the relationship between sleep and
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your morning erection. Because, as you all know, morning
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erection is kind of like your best thing. Kind of like you
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wake up and you're like, are you there? Are you awake? Are you
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alive? And it's also your barometer on how you're doing.
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And I know it's important for men, because you start having it
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in puberty, and you have it throughout your life, and when
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you don't have it, you kind of miss it, right? Let me know what
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you think.
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Well, morning erection, or the formal medical term is called
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nocturnal penile tumescent (NPT). So they are normal
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physiological phenomena that occur during sleep, and
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particularly REM sleep or rapid eye movement. It is considered a
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sign of healthy vascular and neurological function in the
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penis. So what I'm trying to say is, when you have morning wood,
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it is considered that everything is working down there. You have
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healthy vascular system. You have healthy neurological
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system. However, the absence of morning erection can have
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multiple causes, both benign and pathological. We're just gonna
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focus on sleep today. There are many other factors that will
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affect your morning erection, but let's focus on sleep as
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something that is so simple, but yet so pivotal in your life, and
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particularly for your sex life, for every day. Because if you
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don't sleep well, you're not going to function that day or
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the day after. Sleep is like blinking your eye. It is a must.
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Now consider this so the normal sleep cycle is common to wake up
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without an erection, but if awakening does not coincide with
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REM sleep, then your morning erection may not appear. So
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we're going to talk about common causes for no morning erection.
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So sleep, it's important. We'll dive into that later. Number two
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is aging. So the frequency and rigidity of morning erection
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tend to decrease with age due to natural decline in testosterone
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and changes in your erection tissue such as age related
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atrophy, collagen or scar tissue development that leads to venous
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leakage. I have talked about it in my previous episode about
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what venous leakage is. So check it out here. So sleep quality
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and disturbances, what it does is that it disrupts your
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circadian rhythm and can really, really disrupt the mechanic of
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your morning erection. Now other physical condition can affect
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your morning erection, such as diabetes, heart condition, high
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blood pressure, kidney disease, nerve disorder and Peyronie's
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disease. Of course, low testosterone could contribute,
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but it's not the only reason. Something to consider,
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medications, such as high blood pressure medication,
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antidepressant, tranquilizer like anxiety medication,
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appetite suppressant. I know appetite suppressants are kind
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of the big deal now where people are taking it to lose weight,
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but that will also affect your morning erection. And medication
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for enlarged prostate will affect your morning wood, as
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well as any type of painkillers. Depression, anxiety will play a
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role into this. And I gotta mention lifestyle factors such
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as smoking, excessive alcohol consumption, overweight and
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sedentary lifestyle can really impact the vascular health of
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blood flow, which then will reduce morning erection.
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Now the absence of morning erection is not always a cause
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for concern, especially it occurs with aging. But if it is
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persistent loss of morning erection and accompanied by
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erectile dysfunction during sexual activity may indicate
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underlying vascular nerve or hormone that really need an
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evaluation with your doctor. Now when to seek advice? Well, you
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seek advice is when you have persistent loss of morning
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erection with ED. And the first thing you should do is to get
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blood work and to really look at your diet, your exercise, your
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weight. Are you smoking? How much alcohol you're drinking,
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like I talk about my other episode here as well.
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So let's dive a little bit into sleep. How does REM sleep affect
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morning erection? Rapid eye movement or REM sleep play a
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central role because it often happens during sleep, of course,
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but that is when dreaming is most common. Dreaming only
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occurs in REM sleep. The body experiences a shift from
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sympathetic, which is fight or flight, to parasympathetic,
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which is rest and digest. Parasympathetic is where you get
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your erection. That's where you are relaxed, you want to be in
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parasympathetic for morning wood an erection. Sympathetic takes
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away your erection. So the parasympathetic nervous system,
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especially the nerve that around the pelvic area, stimulate blood
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flow to the penis. So REM sleep, stimulate the parasympathetic.
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Number two is that men typically experience multiple REM cycle
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through the night, and with each REM phase, an erection can occur
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4 to 6 times each night, lasting 5 to about 30 minutes. So mother
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nature is already helping you exercise your penis at nighttime
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as many as 4 to 6 times a night. And what happen is that REM
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sleep get longer towards the morning, and the likelihood of
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waking up during or just after an REM phase increases. That's
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how morning wood is more noticeable in the morning. You
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may not notice Morning Wood at nighttime. So during REM sleep,
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inhibitory signals from the brain in the area called the
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locus coeruleus are reduced. So it's reduced, allowing more
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excitatory testosterone mediated pathway to induce an erection.
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So the activation of the parasympathetic nervous system
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during REM sleep leads to smooth muscle relaxation and also
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opening of the penis artery and therefore increasing blood flow
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and erection. Now interestingly, testosterone levels are the
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highest also in early morning, and also contribute to the
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frequency and rigidity of the morning wood. Although it's not
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the primary driver at this point, it's really the driver is
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REM sleep. So the clinical significance is that the
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presence of morning wood is a sign of healthy nerve, healthy
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vascular system, and that the absence may indicate issues with
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your sleep, your hormones and your vascular and your nerve
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health.
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Okay, Modern Man, you are not alone and you don't have to
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suffer anymore. ED can feel isolating, frustrating, and even
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00:08:28
defeating. The endless guessing, the quiet shame, the weight of
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not feeling like yourself is exhausting. But here's the
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truth, you are not broken. You are not alone. You don't have to
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figure this out alone anymore. The Get Wood Now Boost Program
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00:08:48
is your step by step, path to sexual confidence and
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00:08:53
restoration. No more suffering in silence, no more trial and
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00:08:57
error, just real solution, real result and the confidence you
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00:09:02
deserve. It's time to take back your power on your term. Let's
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00:09:07
get this journey started together. Check out the course
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00:09:11
at getwoodnow.com. I'll see you there.
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Now, I'm gonna give you some tips in today's episode to how
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to improve your REM sleep. Because more REM sleep, more
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morning wood, more testosterone, more erection, and better
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erection. So number one, maintain a consistent sleep
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schedule. Go to bed and wake up at the same time every day,
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including the weekends. This regularity helps regulate your
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circadian rhythm and ensure you cycle through all your sleep
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stages, including REM sleep.
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Number two, prioritize sleep duration. REM sleep increases in
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the second half of the night, so getting enough sleep, usually
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around seven to nine hours for adult is crucial. Short sleep
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duration can significantly reduce REM sleep.
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Number three, optimize your sleep environment. Keep the
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bedroom dark, quiet and cool, ideally cool to 60 to 67 degrees
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Fahrenheit. I know that's kind of cool, and your partner may
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complain, because I'm always kind of cold nature. Right now
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it's 70 degrees, I'm sitting here with a jacket on. So you
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got to talk with your partner how much you want to lower that
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temperature down to, because I'm always fighting with my husband
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when it's around like 67, 65 degrees. But coolness will
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actually help you sleep better. And then you can add blackout
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curtain, and you can also add white noise machine. Yes, white
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noise machines. I'm gonna leave you a link for blackout curtain
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and white noise machine in the episode description, because I
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use a white noise machine to actually sleep, and also use
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that in my office. Also use comfortable bedding on your bed
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to minimize this disturbance that can fragment your REM
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sleep.
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And, number four, avoid substances that disrupt REM
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sleep. Yes alcohol. Limit or avoid alcohol before going to
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bed, because it could suppress REM sleep by 25%. As well as
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caffeine and nicotine, which are stimulant that would delay REM
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onset and reduce its duration. So do not take caffeine or
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nicotine, at least 6 to 8 hours before bedtime. Yes, 6 to 8
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hours. Believe me, I am a caffeine drink or two. I know
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that I have to probably stop at around 3pm if I want to have my
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good REM sleep.
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Number five, establish a relaxing bedtime routine,
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meaning engaging in calming activity before bed, such as
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reading, not on your iPad or on your phone, no screen. Just
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reading simple old fashioned take out a book or newspaper or
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magazine to read. Or even listening to soft music or
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taking a warm bath or practicing gentle stretching exercises. But
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avoid screen time. Avoid anything that stimulates your
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brain, especially blue light. That's what comes from the
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screen. That will also interrupt your sleep. So avoid the blue
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light and screen time, guys.
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Number six, exercise regularly, because moderate exercise, which
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is about 30 minutes 4 to 5 times a week, or total 150 minutes per
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week, is associated with improved sleep quality and more
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REM sleep. But avoid intense workout close to bedtime, I
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would say, probably not like at least 4 hours before you go to
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bed, because it can be very stimulating.
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Number seven, manage stress and mental health. So what that
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means is that stress and anxiety can really disrupt your REM
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sleep. Haven't you noticed sometime when you're kind of
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stressed? You know, sleep throughout the night, you keep
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waking up. Next day, you wake up more tired, because that's what
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happened. You didn't get your REM sleep. So what you can do is
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meditation, and then you can also do yoga practices, will
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really minimize the stress. And also, if you have sleep apnea,
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you need to use your equipment or get diagnosed and control the
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sleep apnea.
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Number nine, dietary consideration such as consuming
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foods rich in magnesium, which is spinach and almond and
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tryptophan, which is Turkey, bananas and eggs, may really
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support sleep quality, and indirectly benefit sleep. Now I
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take a magnesium supplement at nighttime because I don't really
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have a lot of time during the daytime to eat a lot of these
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vegetables or even eat turkey. So I'll put my favorite
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magnesium supplement that I take myself at nighttime. So my
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husband and I, we take magnesium and a melatonin chewable for our
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sleep routine.
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And then number ten, my favorite, replace your old
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bedding. Uncomfortable pillows or mattresses can cause
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disruption in your sleep. So updating the bedding or fine
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sheets, like satin sheet, satin sheet helps with skin, help with
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your hair, even satin pillows, I'll put that recommendation
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here in my Amazon store. See all these links. And just even
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putting a little bit essential oil on the bedding may also
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help.
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So these are the 10 tips to improve your REM sleep that will
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give you better morning erection. Doing better
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improvement in your testosterone and better erection overall. So
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I hope you find this helpful, and I really, really want to
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make sure that I give you all the tools that you need to get
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out of ED. So it will mean the world to me if you subscribe to
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the channel, get notification, share it with somebody that you
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feel may benefit from this. And know that you do not have to
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suffer with ED in silence. They're all alternatives to ED.
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That's why I created the Modern Man Club to give you the pathway
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to get out of ED and the support that you need for things that
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really work, to avoid all the confusion that's out there in
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the internet. The Modern Man Club is here for you. Check it
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out at noedman.com and also know that there are options.
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Having said that, I will see you in the next episode, modern man.
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And just know that we together can create a sexual revolution
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to help men and women have the best sexual health. See you in
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the next episode.
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Okay, Modern Man, you are not alone and you don't have to
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00:16:15
suffer anymore. ED can feel isolating, frustrating, and even
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00:16:20
defeating. The endless guessing, the quiet shame, the weight of
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00:16:25
not feeling like yourself is exhausting. But here's the
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00:16:29
truth, you are not broken. You are not alone. You don't have to
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00:16:34
figure this out alone anymore. The Get Wood Now Boost Program
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00:16:39
is your step by step, path to sexual confidence and
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00:16:44
restoration. No more suffering in silence, no more trial and
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00:16:49
error, just real solution, real result and the confidence you
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00:16:54
deserve. It's time to take back your power on your term. Let's
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00:16:59
get this journey started together. Check out the course
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00:17:02
at getwoodnow.com. I'll see you there.
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00:17:08
Thanks for listening to the Sexual Health for Men Podcast.
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00:17:12
If you love this episode, then please take a screenshot on your
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phone and post it on Facebook, Instagram, or wherever you post,
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and be sure to tag me and let me know why you like this episode
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and what you like to hear in the future. That will help me know
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what's great for you and I would love to give you the most
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incredible free gift designed to help you improve performance
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quickly. Go to my website at sexualhealthformenpodcast.com to
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get the book, The Five Common Costly Mistakes Men Make When
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Facing ED. I would appreciate if you subscribe, leave a review on
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Apple podcasts or wherever you listen. And just know that you
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can have sexual vitality for life. I appreciate you until
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next time.