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If you're over 40 and waking up
three times a night to use the

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bathroom, your body is trying to
tell you something. A lot of men

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are turning to CBD to help with
prostate inflammation, but it

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comes with one major hidden
catch. Today we're talking about

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BPH, your sex life, and how to
protect both.

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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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"If taking five milligrams of
tadalafil daily for BPH, can I

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also take CBD tincture?" The
short answer to that question is

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yes. CBD tincture, you're taking
it to calm yourself, taking it

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for sleep, you're taking it for
pain. CBD can help with all

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that, help with anxiety, help
with sleep, help with pain, help

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even with inflammation. So it
depends on what you're taking it

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for. But you can take tadalafil
with CBD. Just make sure that

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CBD do have some THC in there as
well, and you may test positive

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on urine test. So if you work in
an environment that require

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urine test, you have to be
clean, you have to be very

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careful with those products.
Okay? And five milligrams of

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tadalafil, very common for BPH,
because it does work well.

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BPH is essentially enlargement
of the prostate, and here's the

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prostate, here's the bladder.
Imagine your body cut in half

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like this. The man, here's the
bladder. Here is the prostate

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that sits right below the
bladder, and this is the seminal

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vesicle that stores sperm. The
prostate function is to add

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semen fluid to the sperm, so it
can survive in the vaginal canal

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and travel up to the uterus for
implantation. So this is the

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pubic bone. It's the pubic bone
right here, and the pubic bone

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should be more like above right
here, but this model, and the

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urethra, which is the pipe that
connects the bladder that goes

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through the prostate, go to the
penis, so that way you urinate,

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that's how you urinate. And as
when you ejaculate, it comes

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from the prostate, it goes
through again the urethra, the

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urethra is the pipe that you
also bring out urine, right, to

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go through and come out. So
urine and semen go through the

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urethra, here, okay? And this is
the prostate. Oftentimes

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prostate can be palpated or
touched by just external right

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underneath the scrotal area. At
least you can touch it and feel

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the prostate, and some men I do
ultrasound to look at the

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prostate. And in some men it's
about two centimeters or one

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inch just below the skin, it's
very superficial. You can

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actually feel it. It's about an
inch below the skin right here,

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just inside. You can see it. But
the best way to reach the

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prostate is through the rectum
right here. When doctor do a

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finger exam, put a finger in
here and feel for the prostate

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internally and check the size
for the prostate internally. So

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this the best way is to internal
exam where the doctor put the

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finger in and feel for the
prostate.

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And if you're a man and now is
over 40, you should get your

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prostate check through finger
exam as well as getting a PSA.

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Because men, that when you get
older, you have an enlarged

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prostate. And so enlarged
prostate is more common than you

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think. But doesn't necessarily
mean that it's cancer. If it's

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enlarged, oftentimes it can be
enlarged as long as it doesn't

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affect your urine stream,
because the urethra, which is

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the pipe that takes out your
urine, go through the prostate.

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If the prostate is enlarged
right here, then it will

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compress the urethra, which is
the tube that brings out your

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urine. It will compress the
urethra, and therefore that's

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why you have symptoms of
decreased stream. The stream is

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not as long when you are
younger, and that's why it takes

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you longer to urinate. Also,
sometimes you have to do double

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void, because when you go
urinate, you don't empty

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everything in the bladder,
because the prostate is clamping

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down on that. Other symptoms is
that you tend to leak when

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you're not urinating. And other
symptoms is also night time, you

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at night time you go like two,
three times, four times a night

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to go to the bathroom. So when
you have enlarged prostate. It

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affects your sleep. You have to
get up and go to bathroom. And

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enlarged prostate doesn't
necessarily cause ED, but

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indirectly can cause ED, because
it's interfering with your sleep

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and it's causing you stress to
manage the symptoms. And also

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there's a nerve, the nerve that
goes to the penis lies on top of

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the prostate, and sometimes when
the prostate is enlarged, it can

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affect that nerve as well. So,
enlarged prostate directly does

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not cause ED, but indirectly can
also contribute to ED, but not

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the primary factor. All right?

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And the reason why men that are
older have enlarged prostate

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because of low testosterone, as
well as inflammation. Drinking a

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lot of liquor can cause
inflammation of the prostate.

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But interestingly, men that have
at least three times sexual

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intercourse in a week tend to
have less enlargement of the

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prostate and less get prostate
cancer and live longer. So

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essentially, if you are sexually
active three times a week, then

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it will help with enlargement of
the prostate. Okay? And

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development of prostate cancer.
So, normal size of a prostate is

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like a walnut, it should be like
a walnut size, like this, or 30

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grams. 30 grams is normal size
of a prostate. Probably the same

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size as this right here, 30
grams. But you know when you

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have a large prostate, because
it's gonna affect your urine

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stream, it's called lower
urinary tract symptoms, or LUTs.

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That's when you determine
whether you need to do a

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procedure called TURP to go in.
So they go into your urethra,

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and they go in through here and
make a larger opening, so that

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way you can urinate again. But
one thing is this: if you have

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such a large prostate and it
compresses down on the urethra,

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it's going to cause retrograde,
the urine kind of go backward to

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the bladder, sometimes even
semen will go backward

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retrograde ejaculation. And also
the bladder start to get stiff

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and was filled with scar tissue.
So the bladder become not as

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flexible either, so it doesn't
get the urine out. So it has

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like a backward effect as well.
So not only it will affect your

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urine stream, it may affect the
erection, will also affect the

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functionality of the bladder
because of the compression on

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the bladder itself. If you find
that you are urinating more than

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two times night time and your
urine stream is not as strong,

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go see a urologist and get your
prostate check. Oftentimes, is

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it enlarged and it's affecting
your urine stream, you're going

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to be taking medication.

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But I will tell you this: diet,
Mediterranean diet. If you

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follow Mediterranean diet, it
will also help with decrease in

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the size of the bladder, because
it's anti-inflammatory. And

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also, if you moderate your
alcohol content, we keep your

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alcohol consumption to about 14
drinks or less for the week,

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because alcohol is inflammation
to the prostate. And so those

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two main things can help with
the size of the prostate. It

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mainly is medication, but you
can take supplements like saw

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palmetto, ashwagandha, will also
help as well, too. So,

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ashwagandha, saw palmetto, all
that will also help. And we have

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that available as prostate
support. Prostate support is in

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our store at ED No More. All the
ingredients that you need to

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help with inflammation of the
prostate. The prostate, it's a

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very, very complex structure. It
is between the bladder, then

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it's between the penis and it
affect your erection, it affects

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your semen. It also affects the
bladder and can cause retrograde

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ejaculation. It can cause
sometimes so much enlarged you

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can't even get the semen out as
well. You definitely need to get

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a check. Don't ignore it,
because it could also be cancer.

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Cancer is small, but could also
be, but especially you need to

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get a monitor if you have a
family history of prostate

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cancer.

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I like to talk about the
prostate and what it is, because

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it's very common for men. And if
you're 50 years old, 50% of you

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will have enlarged prostate. If
you're 60 years old, 60% of you

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will have enlarged prostate. And
now we're seeing prostate cancer

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showing up in younger men in
their 40s. Used to be a cancer

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of men in the 60s and 70s, but
now we're seeing it in men in

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their 40s as well, too. So
that's why the recommendation is

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to get checked around 45, okay?
Used to be that get check around

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60, now it's like 45 and even in
your 40s. So I hope that helped.

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Let me know what you guys think.

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Okay, Modern Man. If you're
struggling with weak erection,

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low energy, the food you eat
could be the big part of the

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problem. One of the best
research pathways to boost

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circulation, support healthy
testosterone and improve sexual

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

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open up your blood vessel, lower
inflammation, and fuel your

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hormone, naturally. I've seen
men notice real improvement in

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both energy and erection within
weeks when they shift to this

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style of eating. So check out
the Mediterranean diet link

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right here below, and get that
as soon as you can. Stronger

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testosterone and better
erection.

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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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00:11:05,030 --> 00:11:08,960
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.