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If you haven't had sex or even
an erection in a long time, you

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might think you're giving your
body a break. Here's the

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uncomfortable truth: long-term
abstinence can weaken the exact

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tissue you need for erections,
because the penis is like any

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other muscle. If blood flow
stops, it can start to shrink,

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stiffen, and scar. In this
video, I'll explain what can

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happen over time. The simple
maintenance routine I recommend

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twice a week, and how this also
connects to prostate health, and

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why weekly ejaculation can
matter.

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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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I've been abstaining for three
years, going on four. Is there

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any health and long-term
consequences to go that long

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without sex? That's a great
question, Lebo. What's the

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reason why you're abstaining?
Are you abstaining from

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masturbation? So, the reason why
I'm asking that question is, if

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you are not having sexual
activity, you just be aware that

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the penis atrophy if you don't
use it, meaning the penis muscle

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can shrink and it can start
having scar tissue that it's in

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the penis muscle if you don't
have an erection. So when you

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have an erection, it's bringing
more blood flow to the penis, it

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expands the penis, it keeps it
healthy.So if you're abstaining,

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then maybe you should masturbate
to continue the blood flow to

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the penis, keep the muscle
flexible to having the sensation

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what it's like to have an
erection. It's kind of like your

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muscle, your biceps muscle here,
if you bend your elbow, exercise

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to atrophy, right, start to
shrink, and then when the muscle

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fiber gets filled up with a scar
tissue, and then over time it's

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harder for that muscle to
expand. So again, when it does

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expand, it gets stiff, and it's
hard for it to expand. So I

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would recommend masturbation at
least once or twice a week, not

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with a lot of excessive
pressure. I mentioned before.

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Just enough pressure that will
feel like penetration. I would

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say enough pressure that you
don't see any bruising on the

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penis, won't see any swelling on
the penis. So that's the only

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thing that I can see if you're
not having an erection, just be

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careful, maybe have some
atrophy, that's all. Other than

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that, it's the only thing that I
would think of. However, you

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don't need to kind of masturbate
with using your hand. You can

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actually just exercise it with
just the penis pump. I don't

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know why I didn't think about
talking about the penis pump

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before. You can just use the
penis pump, put your penis in

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the cylinder, pump it up, and
then it will bring blood flow to

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the penis. It will help the
penis muscle expand, and if you

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do that about two times a week,
you should be okay. No need for

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masturbation using your hand,
just use the penis pump and keep

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the penis erect in the cylinder
for about 10 minutes. Don't go

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more than 10 millimeter of
pressure, then you should be

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okay. That's like maybe twice a
week, once a week, but at least

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have some kind of erection once
a week. Now, do you need to

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ejaculate? Well, probably
ejaculation is probably not a

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bad thing, because your
prostate, I don't know how old

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you are, but your prostate still
makes semen. The testicle makes

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sperm, and then it gets moved to
the prostate, and that's where

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semen is stored. So you still
make semen, you don't stop

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making semen, the prostate
stored the semen, and then I

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guess your body absorbs it. But
studies have shown that men have

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sexual activity three times a
week, have less chances of

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prostate cancer. What I'm trying
to say is that if you're going

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to abstaining, and if you're
going to use the penis pump, may

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not be a bad idea to also get
rid of that semen as well, too,

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to ejaculation. Just to kind of
clear the pipes, kind of get the

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semen moving along, and not
clamp down on the prostate,

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because the prostate probably
gonna get like swollen, clamp

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down if you don't get rid of it.
Okay, so once a week, probably.

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I call it cleaning the pipe,
keep the pipe going. Probably,

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maybe once a week, because you
know what our body is geared

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toward procreation, because our
body is made to be able to have

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sexual activity to carry the
human or the DNA over the years.

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Believe it or not, that kind of
like the primordial, the

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primitive way that our body is
made to carry the human gene,

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and so the way that your body is
made is to continue to always

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feed the reproductive system to
keep it going. And that if

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you're not keeping it going, it
may get blocked up. So, what I'm

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trying to get at is that clear
the pipe, use a penis pump to

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get an erection once a week or
so. If you don't do what I

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mentioned with using a penis
pump and cleaning the pipe, you

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don't do it, there may be a
slight chance of putting

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yourself at risk for more
enlarged prostate. I know

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there's a chance you're going to
have atrophy if there's no

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erection. And then scar tissue
development. I guess the

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long-term risk that may put it
yourself for harder chance to

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get an erection later on.

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Where can you get the penis
pump? You can get the penis pump

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at ED No More.com or check the
link down below this video to

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get the penis pump so you can
start exercising your penis

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again. Remember, you are only
one pump away.

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Is there a difference between ED
specialist and a urologist?

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There is. There is no specialty
that specify ED specialist, but

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an ED specialist could come from
multiple specialty. I'm a

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physical medicine or rehab board
certified physician. So I come

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from a pain management
orthopedic medicine perspective,

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but my training involved
comprehensive treatment and

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evaluation of the whole body.
Evaluating the nerve and the

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muscle and the whole complete
body and hormone as a complete

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unit for treatment for pain, but
for rehabilitation and for

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function. With that mindset, I
look at the whole, everything

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that I treat holistically and
comprehensively. And in order to

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be an ED specialist, you have to
do extra training yourself.

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Extra courses yourself in
hormones, in sexual health. So,

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what that mean is that we go to
get specialized training in

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courses for that. And we go get
specialized training in that,

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and that is really what the ED
specialist is. Compared to

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urologists. Urologists are
specialists in urology, which is

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the bladder, the ureter, and
also obviously a male and female

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sexual organ. So, there's an
overlap between urology and

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OB-GYN for women. And it's also
overlap with the kidney

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specialist with the urologist.
But not every urologist are

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sexual health specialist. Some
urologists just do medical

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management. Some sexual health
specialists prefer not to,

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because sexual health
specialists really do need to

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have a background in hormone
replacement therapy, as well as

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a holistic understanding of
sexual health. However,

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urologists are the leading
researchers in ED because

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they're the one dealing with
that sexual organ, and in fact,

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they're the one that I learned
from from going to courses. Some

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of my mentors are urologists as
well that are specialized in

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sexual health. However, sexual
health specialists could also be

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your family medicine doctor.
They can be an internist, your

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primary care doctor. They can be
an OB-GYN. They can be like

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somebody like myself, physical
medicine and rehab, or a pain

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specialist. It can be different
specialists as well. I know an

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emergency medicine doctor who's
also sexual health. I know a

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surgeon who's also a sexual
health doctor, as well. So, that

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is a very good question, I
guess. If the doctor labeled

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themselves as an ED specialist,
then it probably means that they

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focus on ED. And urologists are
doctors that you go see for

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kidneys and for prostate
problems and things along the

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penis, along with the female.
They also treat female as well,

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too. They do medical treatment,
but they also do surgery as

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well, too. So they do the
prostate surgery. They also do

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complex surgery to the penis,
such as penile implant and other

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surgery as well, too. However,
most of my knowledge I've

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learned about ED come from
urologists, come from

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endocrinologists for hormone
replacement therapy. So, just

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depends on who you see. That's a
great question, Keith.

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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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00:10:25,020 --> 00:10:30,090
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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00:10:34,680 --> 00:10:39,510
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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00:10:44,430 --> 00:10:48,165
get this journey started
together. Check out the course

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00:10:48,165 --> 00:10:53,505
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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00:11:00,735 --> 00:11:04,515
phone and post it on Facebook,
Instagram, or wherever you post,

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00:11:04,515 --> 00:11:07,965
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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00:11:10,890 --> 00:11:13,920
what's great for you and I would
love to give you the most

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00:11:13,920 --> 00:11:16,950
incredible free gift designed to
help you improve performance

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00:11:16,950 --> 00:11:22,860
quickly. Go to my website at
sexualhealthformenpodcast.com to

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00:11:22,860 --> 00:11:26,700
get the book, The Five Common
Costly Mistakes Men Make When

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00:11:26,700 --> 00:11:30,660
Facing ED. I would appreciate if
you subscribe, leave a review on

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00:11:30,660 --> 00:11:34,575
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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00:11:38,205 --> 00:11:38,985
next time.