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There is one molecule that determines
whether you get an erection or you don't.

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One molecule. It is not testosterone. It
is not an ED pill. It is not a supplement

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your gym buddy told you about. It is
called nitric oxide. And right now,

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depending on how much damage you have done
to your blood vessels and your nerve, your

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body may be producing almost none of it.

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This podcast is for you, the Modern Man.
I'm Dr Anne Truong, your host. I'm an

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intimate health medical doctor and best
selling author of the book, Erectile

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Dysfunction Fix. I'll do a deep dive into
sexual health and performance and how it

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affects men of all ages and backgrounds.
So let's get started, and be sure to visit

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my website at
sexualhealthformenpodcast.com for more

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information and resources from the show.
See you on the inside.

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I'm Dr. Anne Truong. I'm a board-certified
medical doctor specializing in sexual

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health. I've been a doctor for 25 years
treating men with ED. I have come to think

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of nitric oxide as the master switch for
male sexual function. When it works,

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everything downstream works. When it
doesn't, nothing does. So today I'm going

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to explain exactly what nitric oxide is,
why most men with ED have a nitric oxide

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problem, and how using the penis pump,
done correctly, with the right protocol is

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one of the most powerful tools we have for
turning that switch back on again to

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increase your nitric oxide. This is the
science behind why the pump works. And

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once you understand it, you will never
look at the treatment the same way again.

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Let me give you the simplest possible
explanation of how an erection works. Your

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brain receive a signal either through your
eyes, your nose, your taste, what you hear

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and touch, where it's visual, emotional,
physical. It sends an electrical message

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down to your nerve that supplies the
penis. Those nerves do one critical thing:

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they release nitric oxide. That nitric
oxide travel to the penis muscle and opens

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up the arteries and tells the muscle to
relax. When the smooth muscle relaxes, the

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arteries open, blood rushes in, and the
erection fill up. So the smooth muscle

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relax, and the blood fills in, and then
you have an erection. Pressure build, you

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get a firm erection. That is it. The whole
mechanism. Nitric oxide is what unlocks

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the signal. Without it, the door doesn't
open. No matter how much blood is

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available, no matter how much testosterone
you have, no matter how aroused you feel,

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if nitric oxide signal is weak, the smooth
muscle or the penis muscle stay

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contracted, and blood cannot get in.

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Now, here's what most men, and honestly, a
lot of doctors don't fully appreciate.

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There are actually two separate sources of
nitric oxide in the penis, and they have

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different jobs. The first is called
neuronal nitric oxide, or nNOS. This comes

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from the nerve ending themselves. When you
receive sexual stimulation, the nerve fire

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and releases nitric oxide to initiate the
erection. Think of it as the ignition key.

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It starts the engine. The second is called
endothelial nitric oxide or eNOS, it comes

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from the endothelium, which is the thin
inner lining of your blood vessel. As the

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blood begins to flow and increase shear
force against those wall, the endothelial

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cell produces its own nitric oxide to
sustain and amplify direction. Think of

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this as the fuel that keep the engine
running. You need both of them. And in men

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with ED, both are typically compromised.
So this is where it gets important, and

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where most treatment falls short. The
condition that caused ED are the exact

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same condition that destroyed nitric oxide
production. Diabetes damage the nerve

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ending that produce neuronal nitric oxide.
The nerve literally cannot fire the way it

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used to. The ignition key is broken.
Cardiovascular disease and high blood

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pressure damage the endothelial lining of
the blood vessel. The cells that should be

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producing endothelial nitric oxides are
stiff, inflamed, and dysfunctional. The

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fuel system is compromised. Low
testosterone reduces the expression of

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both neuronal nitric oxide and e nitric
oxide. So your body literally makes less

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of the machinery needed to produce nitric
oxide. Oxidative stress that comes from

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smoking, processed food, chronic
inflammation destroys nitric oxide

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molecule before they can even do their
job. It's like pouring gasoline on an

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engine and lighting on fire before the car
can even move. Age alone also reduces

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nitric oxide production. After the age of
40, most men are producing meaningfully

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less, about 50% less nitric oxide. After
60, the decline is a lot more significant.

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Now, here is what I need you to understand
about Viagra, Cialis, or other ED pills on

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the market. These drugs do not produce
nitric oxide. They do not fix the system.

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What they do is block the enzyme, which
normally break down nitric oxide. By

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blocking that breakdown, the drug extend
the effect of nitric oxide your body is

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already producing. Which means, if your
nitric oxide production on your own is

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declining, if the nerve is damaged, if the
endothelium is impaired, there is

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progressively less to work with that the
drug can do. That's why only 70% of men

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using Viagra, Cialis finds it helpful, and
after a while, it doesn't help anymore. So

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it was never fixing anything. It was just
borrowing from a reserve that was quietly

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getting smaller. The question is not how
to extend the effect of nitric oxide. The

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question is how to rebuild your capacity
to produce it. This is where the pump

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comes in.

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How the penis pump rebuild your nitric
oxide system. When you create suction with

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the penis pump, you are doing something
that most men will never ever know. You

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are mechanically stimulating both sources
of nitric oxide: the nerve and the

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endothelial nitric oxide. So here's how
stimulating the endothelial nitric oxide.

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When you pump, it draws blood to the penis
muscle. That blood is moving through the

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penal artery that create what is called
shear stress, the physical force of blood

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flowing into against the vessel wall, the
endothelial cell detect this force and

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respond by producing more eNOS enzyme and
releasing more endothelial nitric oxide.

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This is the same mechanism made
cardiovascular exercise so beneficial for

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heart health. When you run or cycle, your
heart rate elevates. It increases blood

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flow to your artery, which then creates a
shear stress that upregulate the eNOS

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system throughout your body. Your blood
vessels become more responsive. Your

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endothelium become healthier. The penis
pump does specifically and directly does

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on the muscle the exact location where you
need it the most, in the penis. The penis

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pump will increase your eNOS in the penis.
Research has shown that regular vacuum

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therapy or penis pump increases ENOS
expression in the penile tissue. In plain

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language, your blood vessel get better at
producing molecule that open them up

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nitric oxide.

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Okay, how the penis pu,p stimulate the
nerve nitric oxide system? Regular penile

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blood flow keep the nerve ending alive and
functional. When tissue is chronically

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oxygen deprived, which is what happened
with untreated ED, the nerve ending in the

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penis just gets worse and worse. That
nerve fibers that produce the neuronal

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nitric oxide literally degenerate. So
using the penis pump here reverses that

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pathway by repeatedly flooding the tissue
with oxygenated blood, you are maintaining

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the metabolic environment that nerve and
neg need to stay healthy. You are keeping

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the ignition system alive. Think of it
this way: if you broke your arm and put in

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a cast for five years without any physical
therapy, without any movement of blood

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flow or stimulation, what would happen?
The muscle would atrophy, the nerve would

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lose sensitivity, the tissue would
stiffen. Now imagine a physical therapist

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working with that arm every single day
during recovery. Gentle movement, control

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resistance, regular blood flow. The
outcome will be completely different. This

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is what the penis pump is doing. The
physical therapy for the nitric oxide

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system inside your penis.

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So, guys, it is more than just an
erection. It is increasing nitric oxide in

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the penis and the nerve in the endothelium
level. 10 minutes, twice a day, consistent

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protocol. You are training the biology.
So, 10 minute erection inside the cylinder

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twice a day. So, not only are you treating
ED at the source of the problem as well.

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Okay, so the pump stimulate your body
produce and use nitric oxide more

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effectively, but you can dramatically
amplify those results by giving your body

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the raw material it needs to make it. So
you can give it nitrate. All right,

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nitrates are leafy green like spinach,
arugula, beets, and kale. These are high

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in dietary nitrate, which your body
convert to nitric oxide through a pathway

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that does not depend on damaged nerve
endings or endothelium. That is through a

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pathway that uses the bacteria in your
mouth which then convert to nitric oxide.

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Next, sunlight. So more vitamin D, UV
light trigger nitric oxide release from

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nitrite store in the skin. Men with less
sun exposure have measurably lower

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circulating nitric oxide level. This is
one of the reasons why heart health and

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sexual health often decline in the winter
month. Aerobic exercise, full body version

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of what the pump does locally, 20 to 30
minutes of moderate exercise a week

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increases your eNOS expression. So you are
training your endothelium throughout the

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whole entire vascular system, including
the penis artery.

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So, what to eliminate? Smoking destroys
nitric oxide directly and immediately. A

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single cigarette measurably reduced blood
flow in the penis for hours. Alcohol also

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impaired the endothelial nitric oxide
function. Processed seed oils drive

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oxidative stress that degrade nitric oxide
before it can even work. Chronic sleep

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deprivation reduces nitric oxide
production and testosterone

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simultaneously. So when you are doing all
this alongside your daily pump protocol,

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you are not just using a device. You are
running a comprehensive biological

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restoration system.

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I want to tell you about a patient I will
call Terence. He was just 60 years old

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when he came to see me. Years of blood
pressure medication. He's been on and off

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Viagra for decades. It's been working less
and less. When we did his full workup, the

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picture was clear: endothelial
dysfunction, low nitric oxide indicator,

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nerve sensitivity decline. The ignition
key was worn down before the fuel system

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was even compromised. We started the Get
Hard System. Penis pump was part of his

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daily routine, so is the Mediterranean
diet. Nitric oxide supplement with

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arugula, which is called our Get Hard
System. We improve his diet, his sleep got

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better, alongside with the clinic
treatment with his own stem cell and

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Botox. After a few months, he told me
something I will never forget. He said, "I

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had one erection that felt like I was in
my 20s." He was not imagining it. His

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biology has changed. The nitric oxide
pathway has been retrained. The tissue was

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responding again. This is the power of
treating the root cause instead of just

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chasing the symptom.

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Here's what I want you to leave with
today. ED is not a mystery. It is a nitric

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oxide delivery problem caused by damage to
two systems that produce it the nerve and

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the blood vessel. Viagra does not fix
those system; it borrows from them. The

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penis pump, used consistently with the
right protocol, is one of the most

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evidence based tool you have of
mechanically stimulating those system to

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heal and regenerate. Pair that with the
Mediterranean diet and exercise, and you

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are flooding your body with raw material
for nitric oxide production and rebuilding

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and increasing blood flow for better
erection. If you want to go further, if

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you want the full picture, what's
happening in your body, comprehend the

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blood work and a doctor-guided protocol is
what we're talking about in the Get Hard

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System. If you want to know how we can
help you, click the link below for

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discovery call or join us in the Modern
Man Club at NoEDMan. com, where we will

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work with you and work together to get you
out of ED towards a pathway where you can

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restore your sex life again. So there is
hope. You are not broken. You are not

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alone, and do not suffer in silence. Check
out the Modern Man Club at NoEDMan.com.

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00:14:13,065 --> 00:14:17,985
Having said that, it will mean the world
to me if you subscribe and set

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00:14:17,985 --> 00:14:21,945
notifications, share it with somebody you
think will be helpful, and let me know

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00:14:21,945 --> 00:14:26,535
what you think about this episode. We just
finished our four-part series, Taking Your

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Penis to the Gym, where we start out with
the benefit of the penis pump, and the

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penis pump with exercise, and the penis
pump with Mediterranean diet. Now, how the

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penis pump increases nitric oxide
together. So, having said that, check the

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series call "Taking Your Penis to the Gym"
in our playlist, and you will get the

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roadmap and how to restore your erection
again. See you in the next episode.

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Okay, Modern Man. If you're struggling
with weak erection, low energy, the food

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you eat could be the big part of the
problem. One of the best research pathways

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to boost circulation, support healthy
testosterone and improve sexual

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performance is the Mediterranean diet.
It's packed with food that open up your

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blood vessel, lower inflammation, and fuel
your hormone, naturally. I've seen men

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notice real improvement in both energy and
erection within weeks when they shift to

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this style of eating. So check out the
Mediterranean diet link right here below,

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00:15:28,440 --> 00:15:35,700
and get that as soon as you can. Stronger
testosterone and better erection.

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Thanks for listening to the Sexual Health
for Men Podcast. If you love this episode,

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00:15:40,980 --> 00:15:45,165
then please take a screenshot on your
phone and post it on Facebook, Instagram,

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00:15:45,165 --> 00:15:49,395
or wherever you post, and be sure to tag
me and let me know why you like this

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00:15:49,395 --> 00:15:53,235
episode and what you like to hear in the
future. That will help me know what's

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00:15:53,235 --> 00:15:57,675
great for you and I would love to give you
the most incredible free gift designed to

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00:15:57,675 --> 00:16:01,875
help you improve performance quickly. Go
to my website at

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00:16:01,875 --> 00:16:08,400
sexualhealthformenpodcast.com to get the
book, The Five Common Costly Mistakes Men

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00:16:08,400 --> 00:16:13,110
Make When Facing ED. I would appreciate if
you subscribe, leave a review on Apple

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00:16:13,110 --> 00:16:18,300
podcasts or wherever you listen. And just
know that you can have sexual vitality for

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life. I appreciate you. Until next time.