In this video Dr. Anne Truong, a board‑certified physician who has treated over 7,000 men with erectile dysfunction (ED), presents a detailed case review of a 78‑year‑old, physically fit male (6 ft, 169 lb) who has experienced moderate ED for five years despite normal blood pressure, excellent lipid profile, no diabetes, and a high total testosterone of 864 ng/dL (top 10th percentile). Dr. Truong walks through the multifactorial nature of ED, emphasizing that 90 % is physical (blood‑flow, nerve, hormonal, drug‑induced) and 10 % psychological. The patient’s workup includes the ADAM questionnaire (positive for low‑testosterone symptoms), an IIEF score of 19/25 (moderate ED), abdominal CT showing iliac‑artery atherosclerosis, and penile Doppler ultrasound revealing slightly reduced penile blood flow. Although he has morning erections and responds to a penis ring, he cannot tolerate PDE5 inhibitors due to headaches. Dr. Truong proposes a stepwise management plan: dietary antioxidant‑rich Mediterranean eating, low‑dose aspirin, weekly testosterone injections (≈120 mg), daily nitric‑oxide supplementation before sex, regular penis pumping, and continued use of a penis ring. If no improvement after six weeks, she suggests advanced therapies—stem‑cell and platelet‑rich plasma injections, Botox, low‑intensity shockwave, electromagnetic therapy, and Kegel exercises. Throughout the video she promotes her “Get Hard Protocol” (an in‑office, $16,000 program in Virginia) and the subscription‑based “Modern Man Club” (NoEDMan.com) as pathways for men seeking comprehensive, non‑pill solutions. The overarching message is that ED is not an inevitable consequence of aging and can be reversed with proper evaluation and targeted interventions.
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Most people assume that ED at 78 years old is just part of aging. But what do you do when a patient has normal blood pressure, very healthy, good blood work, but yet have moderate ED for about 5 years? In today's episode, I'm going to analyze the real cause as to why this patient has ED and what to do about it. Most men think losing peak performance is just getting old. I will tell you it's not. There's a natural proven protocol doctors rarely talk about that will restore your confidence without side effects. It is called the My Get Hard System, and you can get that by joining the Modern Man Club today. Go to noedman.com. That's noedman.com, and I'll see you there. I'm Dr. Anne Truong. I'm a board-certified medical doctor. I've treated over 7,000 men with ED. In today's In this episode, we're going to talk about a 78-year-old male who had moderate ED for about 5 years now and is very healthy. He's 6 feet. He weighs 169 pounds. He has no diabetes and not even high cholesterol at all. He runs 3 miles a week and he eats well. All his blood work is fairly normal. In fact, At 78 years old, his total testosterone is 864. That's pretty at the top 10 percentile because testosterone runs from 300 to 900 nanograms per deciliter, and he's at the high 800. So he's up there, and this is without testosterone replacement therapy. So that tells me that he's fairly active, he's fairly healthy. That's why his testosterone level is high. Mm-hmm. But yet he still has ED. Why does he have ED? Well, let's break that down today. So we know that there are causes of ED, and let's go over why he has ED. I'm going to show you a slide here. ED is multifactorial. Mainly, 90% of ED is physical and 10% is psychological. But the physical part is due to blood flow or nerve damage. Or hormones, and drug-induced or lifestyle. Drug-induced meaning the medication you take may be affecting it, like smoking or vaping or porn. So that's how you kind of think about it. If it is physical, is it blood flow, which is the most common organic causes, or is it nerve damage, or is it hormone or drug-induced? Quick note before we go any further. If you're a high-income man, usually the age between 45 to 85, and you're ready to invest to fix your ED without relying on pills or surgery, I have the Get Hard Protocol, in-office program where we treat you in Virginia. We combine stem cells, shockwave, Botox, hormones, and lifestyle to help restore natural erection. It's not for everyone. You must be able to travel to Virginia. and be comfortable investing around $16,000 for your health. If that's you, pause this video for a moment, click the link down below in the description that says, get ED Breakthrough with Dr. Anne, and complete the application. If you're not in that position yet, no problem. Keep enjoying this video and check out our Modern Man Club at NoEDMan.com. Those are the things. So why does this patient, let's just call him John, Today, 78 years old, very healthy. He had ED for 5 years. I always do questionnaires when I evaluate patients. So I give him a questionnaire which is called the ADAM test, meaning the Androgen Deficiency Test, and it shows that he does have symptoms of low testosterone. He answered that his erection is not as firm. He also said that he feels fatigued. He lost height. 3 out of 10 questions is positive. Therefore, he has symptomatic positive of low testosterone. He on the erectile dysfunction scale, IIEF, he scored 19 out of 25, which put him at moderate ED. Let's go through what is causing his ED. Could it be that he's symptomatic in low testosterone even though his Blood level of testosterone is 864. So what is the cause of his ED? Could be symptomatic low testosterone, but not high-level testosterone. Remember I said that testosterone level is genetically determined, so the receptor for testosterone is different in every man, and every man is happy in a different zone. So John may be happier if he's in maybe 900 area, but he's also 78 years old. He had a CT scan of his abdomen, and it does show that he has some atherosclerotic heart disease around the iliac artery, which is the one that goes down to the groin that provides all the blood vessels in the groin and also in the penis. So he's starting to have atherosclerotic heart disease in the big blood vessel. That may be compromising blood flow going down to the penis. But you don't see that in his blood work, but you see that on just the abdominal test and also in Doppler ultrasound of his penis, where he does have some slight decrease in blood flow to the penis. So you have decreased blood flow, that's from doing the test called the Doppler ultrasound. And then He's symptomatic in low testosterone, though his testosterone level is high. The bottom line is that he has ED mainly from decreased blood flow, but you have to do a test called Doppler ultrasound to see that, even though his blood work looks good. And then just a little bit of low testosterone affecting it as well. Now, he does have morning wood, and he tells me that if uses a penis ring, He's able to maintain his erection and a little bit of weed. Having said that, how do I get him to functioning again? Well, this is the case I love. A very healthy male, about 5 years of ED. And in fact, he doesn't want to take medication. He starts to have a headache if he tries to take Viagra or Cialis. So how do we approach this case? So first of all, we know it's due to blood flow and maybe from a little low testosterone, atherosclerotic heart disease. Well, he already had good cholesterol and good blood pressure, and he's also exercising. So right now, I would recommend that he eat more fruits and vegetables to add more antioxidants to his diet to improve the atherosclerosis, which will affect his blood flow. I would advise him to take an aspirin a day. In fact, he doesn't take medication at all. His blood pressure is fine. He's really a healthy man. And I recommend that he gets on a little bit of testosterone injection, about maybe 120 milligrams total in a week, and then do penis pumping. Do penis pumping every day, twice a day, and take nitric oxide, which is the one that we have, the nitric oxide. Check it out in our store at ednomore.com. And also the Libido Plus would also naturally increase his Testosterone as well. And that I suggest that he take nitric oxide about 30 minutes before sexual activity, 'cause it works like Viagra. So just by recommending that and him using the penis ring, he's able to function now. He's able to get an erection for activity, and he's actually now starting to notice morning wood now as well too, with just a tweak in his diet a little bit. He's already eating well. But we're adding more fruits and we're adding more vegetables to his diet to have that antioxidant effect, which then help with the inflammation and also help with the endothelial healing. So in this case, it's a very mild case of ED from the look of it, in a very healthy male who's 78 years old, who's 6 feet and weighs 169 pounds. Pounds. So my point here is that you have ED, go see the doctor, get blood work, get a Doppler ultrasound, let your blood flow of your penis get analyzed. And sometimes just a little tweak in what you need to do on a daily basis will really get you working again and have a good firm erection. And for him, he doesn't need a lot at this point. Now, I would recommend that if he does that for about 6 weeks and doesn't see much, Improvement, then we would do the stem cell therapy with platelet-rich plasma, Botox, and shockwave, along with doing electromagnetic therapy and Kegel. Now, I would recommend that he also do Kegel along with penis pumping and using the penis ring. But the whole point here is that ED is reversible even at the age of 78, and that ED is not an inevitable part of aging. You just need to know that there are solutions. You don't have to live with it. So having said that, you are not alone. Do not suffer in silence. And we have a program to get you out of ED within 90 days if you follow it step by step and working together with us called the Modern Man Club. Check it out at NoEDMan.com. And that my whole point here is to let you know that there are alternatives. That you can reverse your ED. I'll see you next episode. Okay, Modern Man, if you're struggling with weak erection, low energy, the food you eat could be the big part of the problem. One of the best research-backed ways to boost circulation, support healthy testosterone, and improve sexual performance is the Mediterranean diet. It's packed with food that open up your blood vessel, lower inflammation, and Heal your hormone naturally. I've seen men notice real improvement in both energy and erection within weeks when they shift to this style of eating. So check out the Mediterranean diet link right here below and get that as soon as you can. Stronger testosterone and better erection.
