cause pain. If they're really tight, it can prevent blood from getting to the genital organs. So for men, they can have erectile dysfunction. For women, they can have difficulty getting orgasms or difficulty getting arousal because they're not getting blood flow to the clitoris. Sometimes they can also cause premature ejaculation in men. And so
Building. Does anybody in this room know Bill de Blasio-- the mayor of New York? You can talk about erectile dysfunction.
Tada. And that's not all. So, they actually did a study on pistachios where guys at 100 g of pistachios every day and they saw a decrease in erectile dysfunction because if you're not having erections now, you're no longer getting blood flow to your penis and it will shrink over time. And the same goes for women with their clitoris because it's the same type of tissue. But also, when
blueberries, citrus fruits, um lycopine, which is red fruits, all of these things improve antioxidants and also have been shown to reduce the incidence of erectile dysfunction. So having stronger erections. specifically blueberries actually came out to have I think something around 20% also improvement in erectile function when you're eating blueberries regularly. So lots
shown to reduce the incidence of erectile dysfunction. So having stronger erections. specifically blueberries actually came out to have I think something around 20% also improvement in erectile function when you're eating blueberries regularly. So lots of I think things in the diet that can be helpful. Also fiber is one that we don't talk about enough. When you eat
mass decreases about 7% every decade of life after around 40. When you maintain it through resistance exercise, they're three times less likely to have erectile dysfunction. Oh, really? Yeah. So, they maintain erectile function, they maintain sexual desire, they maintain um satisfaction with sex.
biologic factors, but the data is really robust on older guys. So above the age would support that when you have erectile dysfunction if it's because of an organic reason, right? not psychoggenic but most people I think
inspires absolute confidence. We're there at the Four Seasons, at the bar, and he's explaining the anatomy to me, how the prostate is embedded within various crucial nerves that control urinary continence and erectile function. And he's joking with me that God put the prostate in such a difficult place in order to make it even harder for Samadi
and you're going have the best night's sleep of your life. Or if you're having erectile dysfunction, you just take this medicine. You can throw the football through the tire, and life is great and life is perfect.
study called the Health Professionals Follow-up Study. They look at 20,000 men, and they saw that men who adhered to a Mediterranean diet had a 22% lower risk of erectile dysfunction. So what specific things in that diet, right? People always like, "What are the superfoods I need to have?" Almonds are great, but pistachios, they
moderate intensity exercise. So they did like a 5minute warm-up. They did 20 minutes of walking and 5 minutes of a cool down. And with this supervised protocol, they still improve erectile function by 70%. So it's all relative to where you're starting. But any sort of cardiovascular exercise that's above what you are capable like what you're doing now is going to improve sexual function particularly erectile function
biologic factors, but the data is really robust on older guys. So above the age during sex. Is that erectile dysfunction? But what if he can keep his erection watching porn?
No one really cares, like get to the next dance or the next song. I was like, erectile dysfunction man.
there's also this cognitive dysfunction so people with sleep apnea you know have memory Focus concentration um decreased mental sharpness and then for men there's also erectile dysfunction okay so how is sleep apnea treated um the CPAP is called The Continuous positive airway pressure and that's a gold standard treatment
actually did a study on pistachios where they looked at 100 grams of pistachios. Guys ate 100 grams of pistachios every day and they saw a decrease in erectile dysfunction. So pistachio nuts will make my penis harder.
biologic factors, but the data is really robust on older guys. So above the age of 50, we see 52% of men having erectile dysfunction, which is 52%.
population of men in Massachusetts and all different kinds of men. And it showed that basically, erectile dysfunction occurs in everybody. Almost in every age group you'll find erectile dysfunction, trouble with erections. And the second thing is it goes up as you get older. So in this graph, white means basically no problem and yellow, orange, and red mean there is a problem.
So we'll start with cardiovascular exercise. The one study that's quoted very often is 150 minutes of exercise of cardiovascular exercise moderate intensity. when you look at the improvement in erectile function scores, it is the same amount of improvement as you would see when you take a medication like Viagra. So, literally, if you do
protocol, they still improve erectile function by 70%. So it's all relative to where you're starting. But any sort of cardiovascular exercise that's above what you are capable like what you're doing now is going to improve sexual function particularly erectile function cuz it's going to improve blood flow to the genitals going to improve blood flow to the penis. It's going to improve
comes to sexual function. It's a hugely important part of sexual function. How many people are struggling with these issues, specifically the like erectile dysfunction issues and what age are they? Yeah. So, it starts early. I think there's always been a sort of a disconnect where we think young guys don't have this or if they have it, it's
biologic factors, but the data is really robust on older guys. So above the age dementia. And I think this is worth pausing on which is a erectile dysfunction problem is a often a symptom
biologic factors, but the data is really robust on older guys. So above the age opportunity to look inside to figure out what's going on and to investigate and to change your life and when you say erectile dysfunction we
And we did it in college students. A in the factories, they had more sexual problems and more erectile dysfunction.
Yes. Our full selves. And make it sexy and fun and give them all the stats about how getting enough sleep deals with erectile dysfunction, for example.
demonstrate the mechanics of this. But what else is going on with the penis? So, that's the mechanical issues, but the erection is not an isolated event. The problems with erections is not just a simple mechanical problem, because men with erectile dysfunction we now know, this is established science, have twice the, . in their 40s or so, have twice the risk of heart attacks as they get older than men who don't.
right? So menopause is a castration event. If I cut your testicles off right now, you would have hot flashes, night sweats, osteoporosis, depression, low libido, erectile dysfunction, metabolic syndrome, your weight would go up and you would be generally pretty unhappy.
endothelop protective mechanisms. They protect the blood vessels. They make them healthier. And so when your blood vessels are healthier, you get better metabolic health. So you get less diabetes, less high blood pressure, less high cholesterol. And these all of these things together improve erectile function. So I think making sure that you meet the criteria for fiber, which is 38 grams
for men, 25 grams for women, um, is really really important. And then obviously managing your calories and a maintenance, right? because we don't want to gain weight because excess atapost tissue or excess fat also puts you at higher risk for erectile dysfunction and other sexual dysfunctions. Next we have uh strength.
three times less likely to have erectile dysfunction. Oh, really? Yeah. So, they maintain erectile function, they maintain sexual desire, they maintain um satisfaction with sex. I read a quote yesterday that said muscle is medicine. And I thought, that's really true based on everything I've learned on this podcast around, you
Yeah. So, it starts early. I think there's always been a sort of a disconnect where we think young guys don't have this or if they have it, it's all in their head. That's not necessarily true. Many young men do develop erectile dysfunction because of biologic factors, but the data is really robust on older guys. So above the age
biologic factors, but the data is really robust on older guys. So above the age And it goes up 10% every decade. So 60% of 60-y olds, 70% of 70 year olds. So erectile dysfunction continues to
biologic factors, but the data is really robust on older guys. So above the age god, like my penis is a bit softer than usual." Yeah. So, erectile dysfunction is defined as the inability to maintain an
seeking to improve their lives to recover from injury. I have you know fertility patients that are just dying to start their family and I have patients that are suffering from hormonal imbalances that haven't felt right in years. I I treat erectile dysfunction in men that have been struggling for years after prostate cancer treatment. I mean these are people that are broken and hurting. You want to be able to help them and so I
help their heart disease out, they'll get better erections. So you can actually improve things. So, let me summarize. Erections are common. Erectile dysfunction is very common. Your age: 31, 32, 40. It can be a marker of heart disease if it's real and there's a way to figure out whether it's really an organic problem, or it's just a stress-related situational problem.
if it's real and there's a way to figure out whether it's really an organic problem, or it's just a stress-related situational problem. And that's really easy to differentiate with one visit. And then, erectile dysfunction is related to overall health. That's really important. So you need to take care of your overall health. You need to eat well. You need to sleep well. You need to exercise.
It's admitting your mistakes and what's wrong with what you're doing today. And if you look at advertising today, in many cases it's irrelevant at best and can be offensive at worst and if you take things like the erectile dysfunction category, that we've all seen the advertising for these and what's amazing is that it's only about one percent of men over age 40 suffer from this condition.