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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 medical
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doctor sexual health specialist. I treated over 7000 men. In
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today's episode, we're going to talk about the size behind
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lasting erection. So stay tuned with me, because I'm going to
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kind of touch upon several areas that will be very important for
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you to know.
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Now, a lasting erection is the result of complex interplay
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between psychological, neurological, vascular and
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hormones. The process is highly regulated, involving the central
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nervous system, which is in the brain, the peripheral which is
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outside of the brain, and interplay with nitric oxide
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playing a critical molecular role. Now let's talk about the
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key physiological mechanism. Number one, neural activation.
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This process begins in the brain. Sexual Arousal begins in
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the brain, not below the belt. The brain is the largest sexual
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organ, so it has to stimulate up here first. So the first thing
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that gets stimulated is through your senses, your eyes, your
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nose, the smell your mouth, what you taste, what you hear through
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your ears, and what you touch through your hand. And or on top
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of that, you can also have psychological stimuli, which is
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thoughts and emotion. So the brain sends signals through the
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spinal cord in the back of your head here, to the nerve all the
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way to the penis, but it starts here. If it doesn't start here
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in the brain, it isn't going to go anywhere below the belt.
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And then the next part is the parasympathetic nervous system
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has to be activated for an erection to occur. The
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parasympathetic nervous system releases neurotransmitters or
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chemicals that relaxes the smooth muscle of the penis,
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particularly the penile arteries and the corpus cavernosum, which
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is the smooth muscle in the penis, now stress and anxiety
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activate the sympathetic nervous system, which then can inhibit
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erection by making the blood vessel constrict, increasing
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muscle tone in the penis. So the bottom line is, stress and
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anxiety inhibit erection because it does not allow for blood to
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flow in, or that the muscle in the penis not relaxed in order
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to accommodate the engorgement of the blood flow. So you need
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to be in the parasympathetic. You need to be relaxed. The
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muscle of the penis has to be relaxed. Your mind has to be
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relaxed in order for you to get an erection. Okay? So any type
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of anxiety or stress, both, your erection is inhibited right
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away.
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The next part is nitric oxide release. So upon sexual
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stimulation, either locally or also by the sensors that I
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talked about, the parasympathetic nervous system
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release nitric oxide into the corpus cavernosum. Nitric oxide
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is the primary molecular mediator for penile erection. So
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it goes into the smooth muscle or the corpus cavernosum and
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activate quantulate cyclase or cyclic GMP with levels, which
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then cause the smooth muscle relaxation and opening the blood
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vessels. Essentially, nitric oxide relaxes the smooth muscle
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of the penis and open up the blood vessel, so that way you
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have more increase in blood flow.
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The next event is the vascular event, where you have relaxation
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of the smooth muscle the arteries, which then open up the
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blood vessel in order for the penis to have increasing blood
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flow. And also, when the penis is in war to have increasing
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blood flow, it then compresses, or the veins gets compressed,
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trapping the blood in the penis, maintaining rigidity. So the
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erection is an interplay between blood flow in and then the veins
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get compressed, and then the blood stays in the penis. The
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next part is that the veins need to be compressed and how it's
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compresses, because the muscle then and gorgeous, and then the
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vein is compressed against a lining called the tunica
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albuginea, which then prevent the blood from leaving the
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penis, sustaining direction. So with men who has ED, the veins
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or the venous leak, is what causes the loss of direction,
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which is the first symptom of ED. So luckily, when there is
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venous occlusion, we can treat that. So factors influencing
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your erection duration is blood flow and vascular health. So
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adequate inflow and efficient vein occlusion are essential for
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maintaining an erection.
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Condition that impair your vascular health is like
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atherosclerosis, diabetes and high blood pressure.
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Atherosclerosis a condition where hardening of the blood
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vessel artery and these can reduce erection quality and
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duration. So watch what you eat. You don't have diabetes.
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Exercise, so you don't have high blood pressure. Maintain healthy
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weight and also eat a Mediterranean diet, so you don't
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have to get atherosclerosis. These are all reversible, men.
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It's not something you inherit. It's reversible. So if you want
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to maintain your reaction, have good quality and a longer
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reaction, watch what you eat, follow the Mediterranean diet,
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exercise, decrease your stress, maintain your weight at a
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reasonable level, and you don't have to deal with
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atherosclerosis, diabetes or even hypertension. Now next is
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hormonal balance, testosterone, other hormones influence your
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libido or your sex drive, and also erection function. Hormonal
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imbalances, especially low testosterone, can shorten the
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duration of your erection.
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Next is the most important part, probably is psychological state,
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is anxiety, stress and performance pressure can
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activate the sympathetic nervous system, which I talked about
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earlier, which is the stress system, and when that is
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activated, you lose your erection. So men, stop
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overthinking about it, stop over analyzing it. Don't get stressed
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out or get anxious about your erection, because when you do,
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the sympathetic nervous system gets activated, your erection is
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gone. So you need to stay relaxed, and you need to stay
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calm to activate your parasympathetic nervous system
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and sustain your erection.
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The next part is medication and substances. Certain medications
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such as antihypertensive or blood pressure medicine or
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antidepressant and alcohol and recreational drugs can really
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impair erectile function by affecting the nerve and the
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blood vessel system. And also lifestyle such as smoking can
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also impair erection as well. The smoking impair your vascular
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pathway.
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Next is age. Aging is associated with decreased endothelial
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function, or the lining of the blood vessel, in lower
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testosterone and increased prevalence of other conditions
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such as obesity, high blood pressure and diabetes, and
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therefore can contribute to shorter or less reliable
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erection. However, all the condition I talk about is
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actually reversible, so you can't help that you get older,
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but the condition that you acquire when you get older is
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reversible, is controllable as well.
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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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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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is your step by step, path to sexual confidence and
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restoration. No more suffering in silence, no more trial and
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error, just real solution, real result and the confidence you
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deserve. It's time to take back your power on your term. Let's
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get this journey started together. Check out the course
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at getwoodnow.com. I'll see you there.
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Let's talk about the nitric oxide, the cyclic GMP pathway.
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Nitric oxide induce cyclic GMP accumulation is central to
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keeping an erection, so phosphodiesterase type five, or
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PDE-5, breaks down cyclic GMP. PDE-5 inhibitors such as Viagra,
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prolong erection by maintaining and sustaining cyclic GMP levels
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and smooth muscle relaxation. That's one of the reason why my
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treatment involves regenerative medicine, using stem cell
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therapy to help restore vascular and healthy tissue again. And
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also using focused shockwave to improve blood flow and stimulate
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angiogenesis, which is stimulate more blood flow and breaking
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down the microvascular plaque and offering long term benefit
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for ED. And we also add in Botox, because Botox relaxes the
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muscle. So the combination of stem cell to restore vascular
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tissue and focus shockwave to break down the plaque and
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improving blood flow, and then Botox to relax the penile
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muscle, all work together to improve blood flow, improve
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erection.
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So conclusion, lasting erection depends on optimal function of
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your nerve, your blood vessels and your hormones and the nitric
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oxide smooth muscle relaxation. Also, psychological relaxation
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is pivotal to your erection. So don't overthink it. Stay calm
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and activate your senses to activate the brain, because
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sexual arousal starts in the brain. But the good part is that
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all of these work in synergy together. You don't even have to
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think about it. Your body is made to have an erection. But
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just know that any disruption of any of these domain can lead to
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erection difficulty. That's the reason why I created the Get
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Hard System. The Get Hard System is what reverses all of the
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dysfunction to help you have better erection again. Shockwave
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therapy, we've also added high frequency electromagnetic chair,
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where you sit on the chair and it does 10,000 Kegels exercises
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for you. Why is this important? Because this will make the blood
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stay in the penis longer, for better erection, but also the
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pelvic muscle gets strengthened, so that way you can hold the
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erection longer as well, too. Regenerative medicine with stem
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cells to restore blood flow. Botox to relax the muscles. And
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then we stress that you maintain the Mediterranean diet and also
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a good exercise regimen at this time. And just know that ED is
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reversible if you know what you need to do. Start with just your
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diet and exercise, sleep, and reduce your stress, and that
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you're gonna go a long way at this time. And if you start to
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have ED at this point, start with diet, start with exercise,
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that will go a long way. And get your blood work, check your
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testosterone level as well. So that's a lot in today's episode,
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and I hope that you get something out of this. It's a
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lot to pack in, but I wanted to kind of throw in there on many
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different pathway in your body that work together cohesively,
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and that if one is not working well, it will lead to erectile
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dysfunction, and we're here to help. You do not have to suffer
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in silence at all. So reach out to see if we can work together
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to get you restore performance. Check out the calendar link
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right here to see if you can schedule a time with me to get
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you back in performance again. Go to
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restoreperformancesecret.com or check the link down here and
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check out that you do not have to live with this, there are
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alternatives to ED beside medication and surgery, and
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subscribe to the channel, and I will see you in the next
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episode, Modern Man.
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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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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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is your step by step, path to sexual confidence and
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restoration. No more suffering in silence, no more trial and
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00:14:46
error, just real solution, real result and the confidence you
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deserve. It's time to take back your power on your term. Let's
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get this journey started together. Check out the course
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00:14:59
at getwoodnow.com. I'll see you there.
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Thanks for listening to the Sexual Health for Men Podcast.
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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.