Live Q&A: Ask Me Anything (Men's Health & Performance Unfiltered)

Can you hear me now? Can you hear me now? Okay, sorry about that. Okay, all right, okay, I think I muted my, my, I muted my microphone. That's probably why you can't hear me. Now you can hear me, right? All right, good, you can hear me now. Good. So welcome to Ask Me Anything session. I go live. I'm Dr. Anne Truong MD. Treated over 7,000 men with ED. I'm a medical doctor who's been doing sexual health for over 25 years, and we go live every Monday from 12 PM to— 12 PM to 1 PM Eastern Standard Time. And you— we are live now on Facebook, YouTube, Twitter, um, at this point. So you ask, uh, any questions in the comment and I will see it, uh, and we'll answer that. And if not, uh, we'll just answer questions from last week. Um, uh, we have lively questions, um, every week, and I learn as much as you guys learn from, um, our sessions. And what is your most challenging, uh, uh, issues and problem that, uh, you have? So my team, my team guys, is that you, the end of the sessions, if there's a question that we didn't answer, go ahead and save that on a document and then we'll pull it up from the next session that we have, okay? And most of the time I answer most of the questions as people are filing in, uh, for, uh, the live. Um, and the live will give me an opportunity to get feedback from you all about our content and, uh, what questions are commonly, uh, being asked, um, at this point. And so, um, yeah, um, okay, so, uh, put the comment in and I will highlight it. If not, we'll get some, uh, questions from the last time. Okay. Okay. Very good. Okay. Notes, comments. Okay, so if we can pull, guys, if you can pull maybe some of the questions from last week, are we able to do that at all? Okay. All right, so, okay, so here's the question. Let me choose what question to highlight. Okay, so don't highlight the questions yet. Yeah, sometimes I want to kind of shift through, uh, to do that. Okay guys, very good. We are live and I see, I see people showing up here. It takes some time, takes a little while for people to get notified, to get show up, and, um, as well, uh, also, uh, John, make sure that we send out emails, um, in, uh, the general email to our group as well as in the Modern Man Club. So if you guys are not aware of the Modern Man I have no idea what happened there. I have no idea what happened. Uh, uh, uh, sorry about that. I just disappear and then now I'm back. Okay, um, my internet has not been, uh, great lately, so, um, okay, so we're back on, uh, we're back on, uh, now. Okay. Um, we are back on. So, uh, okay, so we have some questions, uh, coming up here. So sometimes it takes some time for people to go live, but, uh, just wanted to let you, uh, my team know that to, um, also, uh, post our session, uh, in our general email and in the Modern Man Club as well. So if you guys are not aware, we have a group coaching program called The Modern Man Club, where I and my team of expert coaches will give you the roadmap to get out of ED. And you have 2 live sessions with myself in a small group once a month. And you have access to a nutritionist who will help you how to eat to get out of ED, and also a mindset coach with a yoga instructor show you how to calm down the mind and to cope with performance anxiety. Then we also have a fitness coach, Ken, who will do exercises with you. And then we also have a group meeting. So everything that you need to get out of ED, You don't feel alone anymore. You don't feel like you have to figure it out yourself. That's called the Modern Man Club. Can you get that, the link of that, and put that in the— put the— get the link of that and put that in the— no, that's not the Modern Man Club. The Modern Man Club is No Man Ed or something like that. The Modern Man Club. Uh, the Modern Man Club is, uh, yeah, it's, uh, noedman.com. Yeah, type that in, make sure that that is— that worked. Okay, so noedman.com, or, um, okay, so what we would definitely put that, uh, in, uh, uh, guys, and, uh, so you see the link, there you go. Noedman.com is the, um, is the link. Okay, noedman.com, uh, is the link. So go and check it out. And also add the QR code too. Um, if you can add the QR code— a QR code is— this is the mod. Uh, yeah, a QR code is here. So if you're watching from a screen, you can scan that. So essentially, the group coaching with my team on giving you the roadmap that to get out of ED, we work together. Okay. For that. So that way you don't feel alone on your journey to get out of ED because it really is a journey. It's like a weight loss journey. It's not just, you know, one day is going to reverse or one pill is going to get you back again. Okay. So it is a journey that you start with, okay? Anything that's worthwhile is, uh, anything that is worthwhile, you have to work on it. And your sex life is definitely, um, uh, worthwhile. Um, okay, so here is a Leo said, thank you for your ED work, just started, um, just started my 7th decade. Good for you, good for you, Leo. That is from, uh, Twitter. And he said he's in the 7th decade, and I hope you're functioning well. And if you're not, subscribe to my YouTube channel. I put everything out there for you guys. The YouTube channel is kind of like a depository, okay, of information. And the Modern Man Club is where we put all that information in a way that will work for you. And then, you know, if you need to get functioning quicker and need my help to get started on a more, in the office we do stem cell procedures and other modern technology to reverse ED for you in the office. And so that will be renewwithme.com, renewwithdranne.com. What that is, is that you put in, answer some questions, and then talk with my team to see if we are a fit to work together. There's information on YouTube, and then there's the Mind of Anne Club, and then there's Renew with Dr. Anne. Let's get the first question here. From Menko. It is, hello, doctor. After having inguinal hernia surgery, my waist has been swollen and I look smaller. Would pumping help size appearance or should I leave it be? So inguinal hernia surgery, I assume is one side and not both sides. It is very common to stay swollen. And sometimes it could take so long, it's up to 3 weeks as well too. It depends on how far deep they go in for your surgery. It depends how deep, like did they dig in, like was the intestine going through the inguinal canal or not, or was it just a bulge? So it depends on how deep they go in during the surgery, that will depend upon how long you will have to swell. So you already have your waist feel swollen. It will go down and you gotta follow the post-operative instruction from your, post-operative instruction from your surgeon on how to manage the swelling, okay? And make sure that you follow up on your post-operative, post-op visit to make sure it's not infected because swelling could may even be infection, but swelling would normally accompany with redness and pain. But if it's just swollen, pumping wouldn't help with the inguinal surgery. Pumping wouldn't help with the waist swelling, okay? Pumping will really more affect more of the penis itself, but not so much your waist from the inguinal surgery, because inguinal surgery is surgery that's in your groin area. And so pumping wouldn't help with that. So, you know, if it stays swollen, make sure you get checked with your doctor and so everything is okay. Oftentimes they give you post-operative instructions on what to do, whether it'll be using compressions or using heat or even some medication as well. Make sure you follow all the post-operative instructions and Most of the time, leave it be and it will go down. It should go down within 3 to 4 weeks. Okay. And but make sure you follow up with your doctor. Okay. All right. So, but pumping wouldn't help with the swelling after inguinal surgery. Okay. Okay. Yeah. So that is a great question. There. So also make a note of the question I didn't answer, reserve that as well. Okay. Okay, so next one. Next one. Let's see. Okay. All right. Very good. All right, very good. Okay, here's a question from Mario. If taking 5 milligrams of tadalafil daily for BPH, can I also take CBD tincture? The short answer to that question is yes. CBD tincture, you're taking it for You're taking it to calm yourself, taking it for sleep, you're taking it for pain. CBD can help with all that, help with anxiety, help with sleep, help with pain, help even with inflammation. So it depends what you're taking it for, but you can take Tadalafil with CBD. Just make sure that CBD do have some THC in there as well, and you may test positive on urine test. So if you work in an environment that requires urine tests, you have to be clean. You have to be very careful with those products. And 5mg of tadalafil, very common for BPH because it does work well. BPH is essentially enlargement of the prostate. So essentially, the enlargement of the prostate— let me get out my, uh, penis model. There you go. So here's the prostate, here's the bladder. Imagine your body cut in half like this, the man. Here's the bladder. Here is the prostate that sits right below the bladder, right? And this is the seminal vesicle that stores sperm. The prostate function is to add semen fluid to the sperm so it can survive in the vaginal canal and travel up to the uterus for implantation. So this is the pubic bone. All right, uh, this is the pubic bone right here. The pubic bone should be, uh, more like above right here, but this model's like, uh, just a model. So, uh, and the prostate was— you— the urethra, which is the tube, the pipe that connects the bladder, that goes through the prostate, go to the penis, uh, so that way it— you urinate. Right? That's how you urinate. And that's how when you ejaculate, it comes from the prostate, it goes through again the urethra. The urethra is the pipe that you also bring out urine, right? So go through and come out. But you— all right, so, um, so urine and semen go through the urethra here, okay? And this is the, uh, uh, prostate. Oftentimes the prostate can be palpated or touched by just external, right underneath the scrotal area. You can touch it and feel the prostate. Okay. And in some men, I do ultrasound to look at the prostate. And in some men, it's about 2 centimeters or 1 inch just below the skin. It's very superficial. You can actually feel it. All right. It's about an inch below the skin right here, just inside. You can see it. So, but the best way to reach the prostate is through the rectum right here. And when doctor do a finger exam, that's how we feel. We put our finger in here and feel for the prostate, feel for the prostate internally and check the size for the prostate internally. Okay. So, um, um, so, uh, so this— the best way is internal exam where the doctor put the finger in and, uh, and feel for the prostate. And if you're a man and now is over 40, uh, you should get your prostate checked, uh, through, um, a finger exam as well as getting a PSA. Okay. Um, and, um, yeah. Because men, when you get older, you have an enlarged prostate. And so enlarged prostate is more common than you think. But it doesn't necessarily mean that it's cancer. It's enlarged oftentimes. It can be enlarged as long as it doesn't affect your urine stream because the urethra, which is the pipe that takes out your urine, goes through the prostate. If the prostate is enlarged right here, so if the prostate is enlarged, then it will compress the urethra, which is the tube that brings out your urine. It will compress the urethra, and therefore that's why you have symptoms of decreased stream. The stream is not as long when you were younger, and that's why it takes you longer to urinate. And also sometimes you have to do double void because when you go to urinate, you don't empty everything in the bladder because the prostate's clamping down on that. And then number 4, other symptoms is that you tend to leak. You tend to leak when you're not urinating. And other symptoms is also at nighttime. At nighttime, you go like 2, 3 times, 4 times a night to go to the bathroom. When you have enlarged prostate, it affects your sleep because you have to get up and go to the bathroom. Enlarged prostate doesn't necessarily cause ED, but indirectly can cause ED because it's interfering with your sleep and it's causing you stress to manage the symptoms. Also, there's a nerve, the nerve that go to the penis lies on top of the prostate. Sometimes when the prostate is enlarged, it can affect that nerve as well. So enlarged prostate directly does not cause ED, but indirectly can also contribute to ED, but not the primary factor. All right. And the reason why men that are older have enlarged prostate because of low testosterone as well as inflammation, drinking a lot of liquor. Can cause inflammation of the prostate as well too. But interestingly, men that have at least 3 times sexual intercourse in a week tend to have less enlargement of the prostate and less prostate cancer and live longer. So essentially, if you are sexually active 3 times a week, then it will help with enlargement of the prostate and development of prostate cancer. So the normal size of a prostate is like a walnut, like this. It could be like a walnut size like this. Where's my camera? There we go. To be of the size of a walnut or 30 grams. 30 grams is normal size of a prostate, probably the same size as this, all right, right here, 30 grams. Um, and, um, uh, but you know when you have enlarged prostate because it's gonna affect your urine stream, all right? It's called lower urinary tract symptoms, or LUTS. L-U-T-S. That's how the doctor know. That's when you determine whether you need to do a procedure called TURP to go in. So they go into your urethra and they go in through here and make a larger opening so that way you can urinate again. But one thing is this, if you have such an enlarged prostate and it compresses down, on the urethra, it's going to cause retrograde. The urine is going to go backward. The urine is going to go backward to the bladder. It goes backward to the bladder and sometimes even semen will go backward. Retrograde ejaculation will go backward to the bladder. And also the bladder starts to get stiff and was filled with scar tissue. So the bladder become not as flexible either, so it doesn't get the urine out. So it has like a backward effect as well. So not only will affect your urine stream and may affect the erection, will also affect the functionality of the bladder because of the compression on the bladder itself. All right, so if you find that you are urinating more than 2 times at nighttime and your urine stream is not as strong, go see a urologist and get your prostate checked. Oftentimes, is it enlarged and it's affecting your urine stream? You're gonna be taking medication. But I will tell you this, diet, Mediterranean diet. So can you change the banner to Mediterranean diet, babe? Banner, change the banner as well to the Mediterranean diet. If you follow Mediterranean diet, it will also help with decreasing the size of the bladder because it's anti-inflammatory. And it will also— and also if you moderate your alcohol content Moderate your alcohol content, meaning keep your alcohol consumption to about 14 drinks or less for the week because alcohol is inflammation to the prostate. Those two main things can help with help with the size of the prostate. And then, what was I going to say? Yeah, the size of the prostate. Yep. It mainly is medication. But you can take supplements like saw palmetto, ashwagandha, that will also help as well too. So ashwagandha, saw palmetto, all of that will also help. And we have that available as prostate support. Prostate Support is in our store at ednomore.com. Has all the ingredients that you need to help with inflammation of the prostate. Okay, so the prostate is a very, very complex structure. It is between the bladder, then it's between the penis And it affects your erection, it affects your semen, it also affects the bladder and can cause retrograde ejaculation. It can cause sometimes so much enlarged you can't even get the semen out as well, to get the semen out as well. And so You definitely need to get it checked. Don't ignore it because it could also be cancer. Cancer is small, but could also be. But especially you need to get it monitored if you are— you have a family history of prostate cancer. Okay. So, you know, I like to talk about the prostate and what it is because it's very common for men. And if you're 50 years old, 50% of you will have enlarged prostate. If you're 60 years old, 60% of you will have enlarged prostate. And now we're seeing prostate cancer showing up in younger men in their 40s. It used to be a cancer of men in their 60s and 70s, but now we're seeing it in men in their 40s as well too. So that's why the recommendation is to get checked around 45. Used to be that get checked around 60. Now it's like 45 and even in your 40s. Okay, so I hope that helped. Let me know what you guys think. Put it in the, uh, uh, put it in the comment. We're getting comments on Twitter and we're getting comments on YouTube. I don't see anything on Facebook yet. I think next time I'm probably gonna do like another— I might use my phone, we'll stream live also on TikTok. So remind me that, John, or that stream and using TikTok. Okay. Okay. Next question. Next question here. All right. So I want to show— I want to follow up something that Mario says. Mario said, I've been following the Mediterranean diet with exercise and lost over 40 pounds. It has improved my overall health. Thank you, Dr. Truong MD. Thank you, Mario, for the feedback. It makes me feel so good to hear feedback like that because simple things as changing your diet can go a long way. It's not just for your prostate or for sex. It's really overall health because Mediterranean diet is recommended for diabetes, recommended for heart health. Okay. And so not only will help with your sexual function, also help prevent heart attacks, prevent strokes, and also help you live longer and improve your quality of life. And it also help you lose weight because if you feed your body the right type of food that your body want, you actually will lose weight. Okay, so what is the Mediterranean diet? Make sure this is the Mediterranean diet. So what is the Mediterranean diet? The Mediterranean diet involves lean meat, like eating lean meat. Essentially, the Mediterranean diet, eat the food that the earth gave you. Okay, don't eat anything in a bag. Don't eat anything in a box. All right, eat what the earth grow for you. So what does the earth grow? Right, whatever the earth grow. The earth doesn't grow cookies. It doesn't grow cake. It doesn't grow pastries, right? It doesn't grow potato chips. It grows potato. Potato's great. So put it in that wide context in that eat what's not in a bag or a box or a can and eat it fresh. And you want to eat lean meat like chicken, fish, pork. And you could eat red meat too, but not every day, maybe twice a week or so. Just less red. But you could eat red meat as well, but that's just not every day. And then on your plate is more of vegetables and all vegetables, any type of vegetable that the earth grow for you. And then fruits, right? And fruit. You're allowed to have 2 slices of bread a day. And you're even allowed to even have a glass of red wine a day as well too. So that is not a strict diet. It's really think of just eat fresh and eat what the earth grow for you. You can do it. Okay, you can do it. Mario just said that he lost 40 pounds just doing that with some exercise as well. And I'm sure it's not like rigid exercise, but exercise and follow a Mediterranean diet, you're going to get your sex life back. I will tell you that right off the bat. And then also add in the Good Morning Wood Smoothie. Let's go ahead and put the— yeah. So go to the URL, go to goodmorningwoodsmoothie.com and also make sure the QR code, the Good Morning Wood Smoothie as well here, or scan the QR code You can get the recipe. And the Good Morning Wood Smoothie follows the Mediterranean diet. And what does the morning good smoothie have? It has fruits and vegetables in there, high content of nitric oxide. That nitric oxide will help with your erection. And so nitric oxide helps with erection, right? And so the best thing is to make your recipe for the Good Morning Wood Smoothie in the morning when you're breaking your fast. I recommend that you fast at least 12 hours to 16 hours, meaning when I say fast, don't eat anything after 8:00 PM. And then no eating after 8:00 PM. And then start eating the next day at 8:00 AM, which is a 12-hour fast, or 12:00 PM or noon time, which is a 16-hour fast. Okay. You can break that fast with a Good Morning Wood Smoothie, which is a recipe full of fruits and vegetables and almond milk that will give you a high nitric oxide content. So go to this link right here. Goodmorningwoodsmoothie.com or scan this code right here to get the recipe. We've been having good feedback that the Good Morning Wood Smoothie is definitely helping with getting good morning wood again. I will tell you this, if you follow the Mediterranean diet and even just walking 30 minutes, 3 or 4 times a week, and you use a Good Morning Wood Smoothie, you will start getting good morning, getting morning wood again in probably about 2 or 3 months. But it does take time. It does take time, guys. It does take effort. It takes persistence. But you will start to see results. The first thing you're going to see is morning wood. And also, if you follow the Mediterranean diet, you're also going to decrease your— you're going to improve your blood sugar. Your hemoglobin A1C will go down if you're a diabetic. So if you're a diabetic, and you're having challenges in managing your blood sugar, follow the Mediterranean diet. Mediterranean diet also will also lower your blood pressure as well, along with exercise. Mediterranean diet will also lower your cholesterol medication. It will— I'm sorry, your lower cholesterol level, your cholesterol level. So that way you don't need cholesterol medication. It will also lower your blood pressure as well. So you may not even need your blood pressure medication. So if you follow the Mediterranean diet, you may even get off of your diabetes medication, your blood pressure medication, your high cholesterol medication. And if you add in the diet with that, it's going to compound and work with each other. So when you're adding Mediterranean diet and exercise, and I'm talking about like 30 minutes of exercise, 3, 4 times a week, you add in exercise along with that, you may get off of some of your medication because believe it or not, the medication that's for your blood pressure and the medication for your cholesterol and for your diabetes will affect your erection. Okay, it does affect your erection as well. So, um, if you want to treat the root cause of why you have ED, follow the Mediterranean diet, do the exercises, okay? And also, um, uh, um, use a Good Morning Wood Smoothie. Go to goodmorningwoodsmoothie.com, um, and, uh, sleep 7 hours at nighttime, um, And stress reduction. What's stress reduction? Sometimes just knowing what's stressing you out, avoiding it, right? Or to do deep breathing. And when you wake up, do deep breathing for 15 minutes in the morning and then also 15 minutes at night. What's deep breathing and how to do stress reduction? I recommend doing box breathing, which is inhale through your nose for 4, for 4, the count of 4. Hold it, right? And then exhale to your mouth for a count of 4, and then hold it, and then in and hold it for 4 counts. So everything is 4 counts. So you inhale for 4 counts, right? You hold it in your sinuses for 4 counts. You exhale through your mouth like this, as if you exhale into a straw for 4 counts. You hold for 4. All right, so that's the box. Oh no, 4 counts right there. That is the box. And you can actually find, um, uh, my YouTube channel on my YouTube video. I show you how to do box breathing to calm down the stress. All right, uh, and so, um, if you do that, you're going to see a difference in about 2-3 months. You can definitely see a difference. You're going to lose weight. You can look better, you can feel better, you have more energy, um, and, um, uh, you have more energy as well, and you're gonna, you're gonna feel that you have a better, um, erection. Okay, so guys, it's really putting in the effort, putting in the work to, uh, your journey to, uh, be actually more healthy. When you're more, when you're more healthy, you have more energy, then you're gonna get your erection back. Okay, um, it's— sometimes it— that is, uh, that, uh, simple, uh, there. Um, all right, so here is the, um, here is the video here. It's called, uh, How Breathing Technique Can Give You Stronger Erection. All right, so check out that video. And also, uh, John, uh, make a QR code for this too for our future We want to kind of save this as a banner and then also QR code to help, you know, so in a way to help to give information for future sessions on meditation and breathing. Okay. And then so that's the breathing technique. And so Really, guys, I just literally outlined what you need to do to get your erection back. It takes work. It takes persistence. For anything that is valuable for you, you need to put in the work. Okay? Okay. Very good. I hope that helped. Give me some feedback. See what you guys think. Give me some feedback on that. Okay, um, all right, so here's an interesting question here from Fact Nation. Is, hey Doc, how are you? I'm, I'm very well, thank you for asking. Uh, I just have a simple question. Should I remove all my pubic hair or is it harmful or not? Um, you can remove all your pubic hair. I've done it all the time. You can either go to a, um, a hair removal place to do it or you can do it yourself. And make sure when you do it that when you shave, you shave along the grain of where the pubic hair grow. Don't shave against it, go along it so that way it prevent, prevent ingrown hair. Okay, so most of the time it's really shaving down, shaving down or towards your feet. Okay, it should be fine. It shouldn't be a problem. It shouldn't be a problem at all. And so men do it all the time. It has enough, and we don't see any adverse effect from that at all. It actually will help when you shave. It will actually help doing pumping a little bit better, right? Because that way you have a better seal, suction seal for doing penis pump. And actually, when you shave, the penis may look a little bit longer or larger because it's not being covered by all the hair, and the base of the penis is more exposed. Okay, so it does have some advantages in aesthetic and that making the penis look a little bit longer., as well. So, um, just make sure that, um, you go along, you know, going from, you know, head to head to toe down, um, and check for ingrown hair, and that you use, uh, a good moisturizing, uh, soap. Okay, if you're doing it yourself. But a lot of men go to the, um, hair removal, uh, place, and they'll do it for you, either probably through wax Waxing sometimes can be painful, but yet, you know what, if you use your shaver, the shaver that you normally use for your beard, it does a good job for the hair down there as well too. Okay. All right. So it does have some advantages for shaving your pubic hair. So I hope that helped. Let me know what you think. Okay. Okay. See what else. Okay, that's the next, uh, question, uh, here. Um, okay, so here's the next question. Um, says here, um, from Damon. Damon Phillip, are you here? Put the comment you're here. Damon Phillip. Um, hello, doctor. I haven't had morning wood and my penis and testicles always feel soft. What, uh, what does that mean in general? I'm 56 years old. Do I have to see a urologist to get my testosterone looked at? Um, well, the short answer to that is that, um, uh, yes, if you are noticing that things are not, well down there, you definitely need to get you, uh, go see a urologist or sexual health specialist doctor on, uh, getting blood work, right? Um, every man, guys over 40, get your blood work done. I can't tell you how many times I see men with ED, uh, and they don't know that they even have diabetes, or, or they don't know that they have high cholesterol. All those conditions can add to your, uh, ED condition. Okay. So if you're over 40, please go get blood work. All right. Because if you have undiagnosed blood sugar or undiagnosed high cholesterol, it's really on you because it can be reversed. All right. So you just need to get blood work done. So, yes, get your blood work done. Make sure you get your testosterone level checked, total testosterone. Free testosterone, sex hormone binding globulin, and get that checked, right? Along with the blood sugar, cholesterol, liver function test, kidney function test. All right, so those are the main thing. If you haven't had Morning Wood yet, and if you're— I don't know what you mean by my penis and testicle feel soft, I don't know what that means. I don't know what feeling soft means compared to what it was before. If the testicles are a different texture, softer than it was before, instead of a little firm, kind of like an egg texture, then you definitely need to go see a urologist and get an ultrasound check. Don't ignore it, guys. Know your body. Know your body and be attuned to your body. Because if you feel that your testicle is softer than it was before, get it checked out. We are living in 2026. We're not living in 1906. All right? So get it checked out. There are tests that can be done easily that can look at, view an image of of the testicles, of even the penis and everything to see if something's wrong with it. Sometimes it could be cancer, it could be cysts. So it could be several things. You need to get that checked out. And sometimes it could even be testicle claudication, where the testicles are kind of shrinking and dying away. So you need to get that evaluated. Okay. You need to get that evaluated. And the penis as well. If you feel more soft, it's because it's soft because it has low testosterone. Because when testosterone level is low, it will affect the size of the penis as well as your erection. The penis muscle depends upon testosterone. It has a lot of testosterone receptors in the penis. And when testosterone levels are low in your blood, it's going to affect the penis function as well. So, you know, definitely get checked, get examined by your doctor and get blood work done and see what's going on. All right. But know your body. I suggest all of you guys, all the men, I suggest any man over 20 or even 18, do testicle exam. Just use your two fingers and just examine your testicles. Just go around, examine the borders of your testicle, examine the texture of your testicles, even go up and to feel the the, uh, what the testicles connect to, you know, the, the piping, uh, that connect to the, uh, the prostate. Because the testicles where testosterone is made, where your sperm is made, and then the sperm gets released and gets stored, uh, in the sac here, uh, uh, that's connected to the prostate. But then the testosterone that's made in the, in your testicle goes to the bloodstream, and it goes to the bloodstream, and that's how you get your testosterone, right? So your, your, your, uh, uh, your factory of, of your manhood is really from here, right? From the testicle here. And then in the, in the penis, there's a lot of, um, like receptors. They think of receptor like, um, the hole of a key. And the testosterone is the key, and the hole of the key is on the penis here, and testosterone will go in that hole and open up the door or open up more blood flow in the penis. So testosterone can affect the integrity of your penis as well, but it's not the main thing. Low testosterone does not mean that it's going to cause ED.. It may affect the function of your penis, but does that mean it will cause ED? Many factors can cause ED. The most common cause of— I will tell you this, the most common cause of ED is really alcohol. Drinking a lot of alcohol, cigarette smoking, Obesity, overweight, right? And then diabetes and high blood pressure. So it's really lifestyle factors like alcohol and smoking, right? And that can— you can stop from that. I know it's not easy, but you can definitely— you do have a choice on that. All right, so the most common cause of ED is something that you can choose to stop. And then followed by that is, uh, is, um, diabetes and being, uh, overweight. So the, the point that I'm trying to say is that if you're overweight, well, how do you lose weight? You eat, you eat, uh, better. Uh, you eat better by following the Mediterranean diet and start exercising. That's how you lose weight. All right. So, um, um, definitely get checked and get your testosterone level checked. Testosterone level is made here. It affects the penis, but also affects the prostate. Remember I mentioned that low testosterone will also enlarge prostate, and also high testosterone will also irritate the prostate. If you're on testosterone supplementation and the clinic give you a dose that's very high and your level is above 1,000, Well, that testosterone gets converted in your body to an inflammation testosterone called dihydrotestosterone or DHT. And DHT that comes from testosterone being too much, it will cause enlargement of the prostate here as well. And then also it will also cause hair loss. Right? So there's a different receptor in the hair that is sensitive to DHT that will cause hair loss. So when you're on testosterone supplementation, just make sure that you get your blood work at least once or twice a year to know what your levels are. And don't try to manage it yourself. You need to follow up with a doctor when you're doing testosterone supplementation. Okay? And because high or low level can really mess your body up. Okay. All right. So that's a good question. I hope that helped. I hope that helped. Damon Phillips. All right. Okay. So shrinkage. So Damon also followed up and say, well, shrinkage. Having problem with shrinkage. Well, when you have low testosterone, you will notice that the penis will shrink a little bit, right? Because remember I said that the penis muscle has the receptor or the keyhole, the keyhole for the key, the testosterone is the key, and there's a keyhole that's on the penis. So the penis may become softer or shrink a little bit, but not having an erection, will also shrink the penis a little bit too. So if you have ED and you're not having erection because either you don't, if you don't use a penis pump or you don't masturbate, because if you don't have an erection, your penis muscle is going to actually start to atrophy or shrink, and then scar tissue will set into the muscle. So that way it's harder to get an erection next time. And so, and then when you don't get an erection, the penis muscle is not getting enough oxygen, not being expanded. So in fact, in a way, you don't get an erection, you are putting yourself at risk for having more difficult erections in the future. Right. And when you have more difficult erections in the future, it's kind of hard to get an erection. Right. So, um, so for a man, uh, if you, uh, have ED, you should pump. You literally should pump every other day. Uh, use a penis pump, and that penis pump will, uh, help you, will give you an erection. Leave the erection in the cylinder for 10 minutes, but pump to get an erection so that way you can exercise your penis. Because you don't exercise your penis, penis gonna shrink. Penis gonna shrink, and then the penis gonna— the penis gonna shrink, and then the penis is gonna have scar tissue. So if you're not having intercourse 3 times a week, use the penis pump. Go to this link right here, ednomore.com, or scan the QR code here for to get either the manual penis pump that we have or the electric penis pump. It is literally taking your penis to the gym. All right. It is a penis exerciser and taking your penis to the gym for that. Okay. So that's a good question about shrinkage. What can you do? Do things for shrinkage. You can use the penis pump, right? Get your testosterone levels checked. Do testicle massage. So testicle massage right here, because when you do testicle massage, will also— the massage itself will also increase blood flow to the testicles. So you may make more testosterone naturally with testicle massage. Okay. And know your testosterone level, guys, all right? Because you can— if your testosterone level is low, then you can get it supplemented through either testosterone injection or testosterone pellets, and now even testosterone orally. You can even get testosterone as gel as well too. You can put it as a gel, but my favorite is testosterone pellets and then followed by injection. Okay. So the key is know your level, know what you are, know your level and that you do have choices and that treating— how do you treat the root cause of ED? The treatment root cause of ED is by following the Mediterranean diet. Okay. And exercise, exercise, walking 3 times a week, 4 times a week. Get adequate sleep, 7 hours of sleep at nighttime, sleep between 10 PM to 6 AM. And then stress reduction. And stress reduction, you can do that with box breathing. You can do the things that you enjoy. Even sometimes when you exercise, it's also a stress relief as well. Okay. And, you know, guys, we are social beings. We, you know, be around with people that make you feel good and make you feel loved, and you give love as well. That is a stress reduction as well. So check out the Mediterranean diet. You can find that at eat4noed.com, or you can check out the QR code, uh, here, uh, as well too. And, um, um, really, that is a secret to getting your sex life back. Okay, uh, it takes time, right? It can take up to 3 to 6 months. All right, but you're not only doing this for to get your erection back, you're doing this really for your health because we know that men with ED, 5 to 7 years down the road, a third of you are going to get a heart attack and 5% is fatal, meaning you get a heart attack and you die from. So treating your ED now will actually save your life later on in the future. You, eh? And so I'm, you know, be happy about that because women don't have feedback like that. With women, you know, we notice more in, you know, symptoms of harder to get erection and dryness to know that we are— vaginal dryness to know that we are having ED. You guys know that you have ED and it's really Mother Nature's way of saying, Well, you have ED, it's just, you know, in the future you're going to have heart issues and you may even not have incidences of mortality. So do something about it now. So it's really your warning sign that you need to be— to make changes to your diet and your exercise. To be healthier or else you're not going to be able to have sexual performance. So it's Mother Nature's way of telling you, be healthy, you know, get back, be healthy, or else you're not going to be able to perform. Because when you're able to perform, you can pass down your DNA, right? You can pass down your DNA, you can pass down your— you can have children. Having children is passing down your DNA. So it's almost like Mother Nature wants— what is that— a selection process, right? Passing down the best DNA along the way. So that's why when you're younger, you have no problem with sexual performance. It's only when you get older, you may have that problem. It's because when you get older, you accumulate medical condition that predispose you to have ED. And I mentioned about what those are, high blood pressure, high cholesterol, diabetes, and then you gain weight, and then alcohol on top of that. Know that Mother Nature is giving you a warning sign when you have ED. All right, so essentially I mapped out what you need to do. I let you know that ED is a warning sign of future heart event in the past. So if you have ED now, do something about it, guys, and don't pop a pill because you're popping that pill, it's not going to resolve why you had ED in the first place, right? You just heard Mario said earlier, he lost 40 pounds just following Mediterranean diet and adding exercise. And I know for sure that his sexual performance improved. Okay. Um, sexual performance improved too. He's probably having morning wood as well too. So, um, uh, it does work. It would just require work from you all. That's all. All right. It does work. And, uh, it just requires dedication and work. As in anything, you got to put in the work and then you will enjoy the fruit of that. Okay? So having said that, thank you for joining me today on our live. I appreciate you being here. I appreciate the question. And if I don't answer your question this week, I will answer it next week. So we'll save those as well. I go live again next Monday at noon, but the following— for following in July from, I think, like from July 4th to 19th, we'll take a little break and then we'll get back on again. And so if you haven't subscribed to my channel yet, and we are streaming from X and Facebook, if you haven't subscribed to my channel yet, Subscribe to our YouTube channel and go to YouTube and type in Dr. Anne Truong MD, or do we have a QR code for my YouTube channel? Or scan the QR code if we have one. But I would appreciate if you guys subscribe, put notification, and share this with somebody that you think may benefit from the information. We put everything out there for you. Everything that's out there for you at this point to, uh, uh, everything that's out there for you, uh, on the YouTube channel to get your sex life back, right? And if you need some, uh, you need to do it together with us where we walk you through everything, then join the Modern Man Club. The Modern Man Club is a group coaching where you get access to me twice a month, access to our mindset coach our dietitian, our exercise coach twice a month. And we give you the roadmap on how to get out of ED. And if you need more intensive work and treatment to boost your function for you to get an erection to get and get results fast, then put in an application to see how we can work together so that way I can see you in my office to do the state-of-the-art treatment using stem cell therapy, Botox, hormones, and a technology to boost the functionality of the penis to help you with your erection. So we have 3 different levels, right? The YouTube, then we have the group coaching, and then we have coming to the office. So if you think that you need to come to my office to get function quickly, go to renewwithdranne.com here and put in application and talk to our team to see if we're a fit. Having said that, I appreciate you being here. I appreciate Mario, your feedback as well. And make sure you subscribe to the YouTube channel @dranne truong MD. I will see you next week.