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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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00:08:50,200 --> 00:08:55,150
defeating. The endless guessing,
the quiet shame, the weight of

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00:08:55,150 --> 00:08:59,260
not feeling like yourself is
exhausting. But here's the

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00:08:59,260 --> 00:09:04,570
truth, you are not broken. You
are not alone. You don't have to

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00:09:04,570 --> 00:09:09,670
figure this out alone anymore.
The Get Wood Now Boost Program

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00:09:09,850 --> 00:09:14,890
is your step by step, path to
sexual confidence and

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00:09:14,890 --> 00:09:19,600
restoration. No more suffering
in silence, no more trial and

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00:09:19,600 --> 00:09:24,340
error, just real solution, real
result and the confidence you

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00:09:24,340 --> 00:09:29,260
deserve. It's time to take back
your power on your term. Let's

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00:09:29,260 --> 00:09:32,860
get this journey started
together. Check out the course

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00:09:32,950 --> 00:09:37,300
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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00:13:01,260 --> 00:13:05,670
testosterone level as well. So
that's a lot in today's episode,

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00:13:05,910 --> 00:13:10,110
and I hope that you get
something out of this. It's a

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00:13:10,110 --> 00:13:14,640
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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00:13:32,910 --> 00:13:36,570
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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00:13:41,670 --> 00:13:45,240
you back in performance again.
Go to

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00:13:45,300 --> 00:13:50,130
restoreperformancesecret.com or
check the link down here and

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00:13:50,130 --> 00:13:55,560
check out that you do not have
to live with this, there are

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00:13:55,560 --> 00:14:01,530
alternatives to ED beside
medication and surgery, and

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00:14:01,740 --> 00:14:06,090
subscribe to the channel, and I
will see you in the next

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00:14:06,090 --> 00:14:07,590
episode, Modern Man.

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00:14:08,010 --> 00:14:12,030
Okay, Modern Man, you are not
alone and you don't have to

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00:14:12,030 --> 00:14:17,190
suffer anymore. ED can feel
isolating, frustrating, and even

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00:14:17,190 --> 00:14:22,110
defeating. The endless guessing,
the quiet shame, the weight of

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00:14:22,110 --> 00:14:26,220
not feeling like yourself is
exhausting. But here's the

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00:14:26,220 --> 00:14:31,530
truth, you are not broken. You
are not alone. You don't have to

200
00:14:31,530 --> 00:14:36,630
figure this out alone anymore.
The Get Wood Now Boost Program

201
00:14:36,810 --> 00:14:41,850
is your step by step, path to
sexual confidence and

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00:14:41,850 --> 00:14:46,440
restoration. No more suffering
in silence, no more trial and

203
00:14:46,470 --> 00:14:51,300
error, just real solution, real
result and the confidence you

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00:14:51,300 --> 00:14:56,220
deserve. It's time to take back
your power on your term. Let's

205
00:14:56,220 --> 00:14:59,790
get this journey started
together. Check out the course

206
00:14:59,910 --> 00:15:04,290
at getwoodnow.com. I'll see you
there.

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00:15:05,340 --> 00:15:08,520
Thanks for listening to the
Sexual Health for Men Podcast.

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00:15:09,120 --> 00:15:12,510
If you love this episode, then
please take a screenshot on your

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00:15:12,510 --> 00:15:15,930
phone and post it on Facebook,
Instagram, or wherever you post,

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00:15:16,290 --> 00:15:19,590
and be sure to tag me and let me
know why you like this episode

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00:15:19,770 --> 00:15:22,680
and what you like to hear in the
future. That will help me know

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00:15:22,680 --> 00:15:25,710
what's great for you and I would
love to give you the most

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00:15:25,710 --> 00:15:28,740
incredible free gift designed to
help you improve performance

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00:15:28,740 --> 00:15:34,650
quickly. Go to my website at
sexualhealthformenpodcast.com to

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00:15:34,650 --> 00:15:38,490
get the book, The Five Common
Costly Mistakes Men Make When

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00:15:38,490 --> 00:15:42,450
Facing ED. I would appreciate if
you subscribe, leave a review on

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00:15:42,450 --> 00:15:46,350
Apple podcasts or wherever you
listen. And just know that you

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00:15:46,350 --> 00:15:50,010
can have sexual vitality for
life. I appreciate you until

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00:15:50,010 --> 00:15:50,760
next time.