The 6 Easy Steps to Get Hard Webinar: Q and A Portion

Dr. Anne Truong answers questions about erectile dysfunction prevention and treatment. She covers lifestyle changes like Mediterranean diet and cold exposure, supplements like beet powder for nitric oxide, and newer options like intrapenile Botox with platelet-rich plasma. She also shares a morning smoothie recipe and discusses nitrous-oxide saliva test strips.
Questions this video answers
About 300 men.
100 units and 50 units.
About five to seven days.
About nine months (9 months to a year between injections).
Lethal dose cited as about 10,000 units (much higher than treatment).
Chapters
This podcast is for you. The modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website@sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.
I'm ready for questions. I hope you guys are in awe. Either that or I bored you to death already, so let me stop sharing now.
And.
All right, I probably bored you to death from all this talking or I overwhelmed you too much. All right, Good. We got 11 people left. Okay.
Didn't put us all to sleep.
Any questions?
I don't know, you've done a pretty good job of explaining it. You know, I've been doing helping guys in the group for two years and, and I'm still learning stuff. Learned some stuff tonight.
What did you learn? What did you learn?
Well, I had no clue that. I had no clue that botox could treat erectile dysfunction. So that was a big one. And I'm just learning how important the nitric oxide is. I got your morning wood smoothie recipe and I got all the stuff for it. I've had it for like four days and have made one yet, so now you've motivated me to get one made.
Exactly, exactly. Yeah. Somebody said here, can you type in the chat Roslyn for everyone on the website, Dr. It's Dr. Men.club. so D R M E N dot club club is how you get the free ebook. But yeah, I'd love to hear your feedback on the good morning wood smoothie. Like I said, the, the men that are in the club. He had prostate cancer, he did a smoothie, he started eating following the Mediterranean diet, started sleeping powder. That's all he did. He had prostate surgery and now he, you know, he's able to get morning erection again.
So one little piece of feedback for you is in your smoothie recipe you mentioned, not nitric oxide powder. I drove myself nuts trying to find nitric oxide powder until I realized it was nitric oxide. Beet powder.
Yes. Yeah, no, that, you're right, it is beet powder. And I give a link on where you can order that. And I'm very picky. What supplement I recommend and the supplement, the nitrous oxide powder is the. No, beet powder. That is the most effective one. Okay. Those of you that are on here, I'm going to tell you, do not take L citrulline and L arginine. In fact, you know their company, and you go on the Internet, they say, well, you take L citrulline. L arginine is going to increase your nitrous oxide. In fact, it does the opposite. When you take a supplement that has L citrulline or L arginine, it will actually create a very inflammatory molecule. Not even nitrous oxide. It's a cousin of nitrous oxide, and that is inflammatory to your endothelium, which is the lining of your blood vessels. Do not take L Citrulline. L arginine. All right.
I've been taking it two years, so, yeah, this is good.
Yeah.
Does it have an impact on testosterone, the lr.
No. No, it does not. It does not have an impact on testosterone. You know what has the best impact on testosterone? Sleep. And your diet. I can't tell you how many times I see a patient, they come in with low testosterone, and. And I advise them to sleep better and they change their diet. I see their blood. Testosterone go from 300 to 600. The range for testosterone, 300 to 900 is the range. All right? And. And I've seen it go from 300 to 600. And all they did was change their diet and sleeping better. And I'm not. I'm not talking about drastic change. All they did was just, you know, eat less red meat. The red meat is very inflammatory. And eat less carb, less chip, less French fries. You know, that was it. But you still eat, you know, bread and so forth and fine. But I see it jump double. Now, you know, your doctor may look at your testosterone level and say, oh, you know, it's normal, even though it goes from three to 600. But, Galen, you may be functioning, you know, optimally at 800. That's just the way you are. But if you drop down to, like, 400, you start to have. You're starting to notice your libido changing. Your erection is not as good. Even though you're in range, that's still low for you. Every man has a sweet spot on what his testosterone level is. I've seen many men that has symptoms of low testosterone. What's low testosterone is fatigue, weight gain, not able to concentrate. Libido. Your libido is low moodiness, easily fatigued. Okay? And that can even start as early as in the 30s as well. So. But then I get the blood work, and their testosterone level is about 450. It's in range, but it's still low for them because they're functioning at around, you know, maybe 700, 800. And then when I, when I give them more testosterone, they feel so much better. So, you know, come and see me in the office that they're done for you. But you can increase your testosterone by your diet, by your exercise, that if you do hiit exercises, then it will actually help you increase your testosterone as well. But if you can't do that and sometime when you get older, you just can't do that, right? You can't get older, you can't do that. You can just walk and you can just change your diet alone and that will, will actually be impactful. Can you type in doctorman club at the URL there, Roslyn? Because I don't see it in the chat.
So you're ready here? Oh, let me just type in again. And doctor, and we have a question from iPhone8. Okay, let me read it to you. He said, could you explain more about Botox treatment and how you get access to it. Also a bit more about how it works.
Right, okay, that's a great question. That's a great, great question. So you can only get Botox from, from a doctor that's injected. It has to be injected into the penis and it has to be a doctor that knows how to do it. And the research just came out, Galen just really last year. So the research just came out last year in a study in Japan and Korea that they treated 300 men that fail ED medication. They take ED medication. Did not. They still have ED. That's pretty severe, right? And they just treated them with just Botox alone, 100 unit and 50 unit and they were able to have an erection within about, about five to seven days. And how Botox works is that Botox increases nitrous oxide in the penis. It relaxes the penis muscle. Remember I said in order for you to get an erection, your penis muscle have to be relaxed. If your penis muscle is not relaxed, you're not going to be able to get an erection. So the same way that it's injected into the face and help with wrinkles, it help with wrinkles because the muscles are relaxed. That's why the wrinkles goes away. The muscles are relaxed, they're not contracted. When the muscle is contracted, that's what causes the wrinkle. So it relaxes the penis muscle. It increases nitrous oxide. Right. And it also increases cycle gmp. Cyclic GMP is cyclogmp is how Viagra work. Is that Viagra eliminate Viagra allows cyclic gmp, which is a neurochemical to be, to be more. But so Botox works the same way. The Botox is almost like Viagra, but it's more natural. And these men, their erection is restored for nine months. Nine months.
My next question was how, how long between injections?
9 months to a year. Yeah. And that without, that's just Botox alone. So now I'm doing Botox with their own stem cell, their blood, the platelet rich plasma. So I'm doing that for, with the blood. So now we just started doing that last year around June and patients are still having, patients are still having a good erection. So for me they haven't come back yet. So it's at least been nine months already. I'm hoping along with the stem cell and the Botox is lasting longer than a year. But what the best thing about the Botox is that they start to see a better erection and especially a morning wood within five days after treatment. And it because, because how it work is that you, you'll see the penis being fuller and that you have about a half an inch enlargement in girth and also in length as well too. So you have to be really careful who you go see. You have to go see somebody that is specialized in sexual health that understand the research and knows how to inject it into the penis. And you know what, you know, Botox has been used for 20 years on women. 20 years with no side effect. And these women get Botox every three months. But we know that injecting to the penis is last nine months. How does that happen? We don't know. But maybe because the penis muscle is a smooth muscle that's different than the face. The face muscle is not a smooth muscle. Face muscle is a voluntary muscle. So the smooth muscle in the penis, it works differently. But we know that it lasted about nine months and you need about 100 units. All right. And you got to know there's a specialized way to inject that and that it's not going to be toxic because some doctors will say, well it's poison because it can go to your blood vessel and going to cause you to be paralyzed. Absolutely not. The lethal dose of Botox is a thousand times more than 100 units. It's 10,000 unit. So you gotta.
Is this something, is this something we can get done like at a university? Like I Dr. University of Colorado Health because my heart transplant. Can a university doctor do this or is it. We're talking.
Probably not. You're probably not right now. There's only a handful of doctors that are doing it. There's one. Well, there's one doctor in Texas that's not that far away from you, Dr. Runnells in Texas that are doing it. There's one and I'm in Virginia. There's another one in Mississippi. There's one in Texas. I, I think I, you know, you have to go to the sexual health doctor. That familiar doing it, do you usually the university, I can tell you they're more conservative. This is just new research that just came out. They're more conservative and honestly, they're restricted by the system they worked in that they probably are probably not doing at this point. Fly to Virginia. Fly to Virginia and I'll do it for you.
My arms aren't that strong. So I'm guessing this is not covered by insurance because of. It's a, it's a cutting edge.
Right.
Treatment, so.
Right, right, right. And the cost of that run to about 2, 900 is the cost for the botop injection.
Okay, one question I have, and it's not. You haven't covered it tonight and is that. That's red light therapy for testosterone improvement. What's your take on that? I think my universe, my University of Colorado urologist said, nah, I can't recommend that.
I totally second that. And if I haven't talked about it, I haven't seen the research to support that.
Okay.
Okay. So that, don't waste your money. All right. Red light therapy is like something that, you know, sexy.
Well, I can get me a red light at Walmart for 10 bucks.
Exactly. You know what the best thing is? Sleep. Eat more vegetable, fruit, decrease the red meat and take a walk 30 minutes a day. All right. No, seriously, don't spend any money in red light. Don't even spend money on both. House, I'm telling you, just start doing that, you're going to start feeling better. That's what my morning would smoothie, my morning wood smoothie. I think you put that in the Facebook group. It's free. And that, you know, you put antioxidant vegetables in there and fruits in there. And antioxidant, it what, repairs that endothelium, which is the lining of the blood vessels. So oftentimes, you know, the men like to try something new, something innovative, something, you know, tech. It's not that high tech. It's really back to the basics. Back to the basics of diet, exercise, sleep, stress reduction, stop smoking, moderate alcohol. So watch the alcohol. Alcohol is inflammatory. Yes. When you initially drink Alcohol, it relaxes you so that when you become disinhibited. But too much alcohol, guess what? Right? Whiskey dick. Right? But the alcohol, the alcohol actually will kind of numb the nerve in your brain as well as numb the nerve in your penis. So that's why you, that's why you get whiskey dick. And it also, too much alcohol will actually cause the blood vessel not to open up. It's just not responsive. So you have to be really careful. And it. Is alcohol toxic for your liver? Not that I'm advocating stop alcohol. I love my wine too, as well. It just, you know, there's a certain number, keep it under 10 a week if you can. And, but, but best thing is, you know, it's what you're eating and sleep, it's the best medicine for you. Have good sleep. Make sure you dream when you're sleeping. REM sleep will reset your circadian rhythm. And also, don't, don't ever neglect the power of nature. Why is that? In the morning when you. I'm going to give you a hint on how to do your morning routine in the morning when you first wake up. Within the first hour, go outside, stand outside for 20 minutes and open your eyes and look straight ahead. Let the sun shine on you. Because when you have the sun that shines in your eyes, it's called photobiology. The sun will actually go to your, your retina and it actually reset your circadian rhythm again. It actually will help stimulate more testosterone and it decreases cortisol hormone, which is cortisol hormone, is the stress hormone. All right, so Mother nature just going out in the sun within the first hour will help. And you know what else will help with increased testosterone too, and would increase your metabolism. It's a cold shower. We research, recent research that just came out says if you take like a cold shower, stand a cold shower and let the, let the cold water. I'm talking about very cold. I'm talking about like 37 degrees Fahrenheit. Cold. That's cold. 37 degrees Fahrenheit. Cold. Cold. Cold water run down your, your head, down the back of your neck, the back and your upper shoulder area was only two minutes. That's two minutes. Not that long. Two minutes. Let it run for two minutes. For about total, about two minutes a day. You will actually see and improvement in increasing metabolism, healing and increasing testosterone. So a little hack like that in the morning, turn the water all the way to cold. May not be 37, but cold, whatever. That's why you hear about like cold immersion. You Know ice or like polar. Polar dip in ice, cold water for like two minutes. You can definitely do two minutes. And you hear about cold therapy. You know, that's a good way to stimulate your testosterone as well too. So I've given you a lot of tips on how to increase your hormone that you can do naturally. And it's all about what the diet. Because the penis actually, when. When the penis become erect, it increases blood vessel 40 times. 40 times. All right, so when you have an erect penis, it has 40 times the blood vessel, the blood flowing into it. So what's flowing in the blood? What you eat. Right? What you eat is what's flowing in your blood. What you ate this morning is now flown in the blood. It takes about 8 hours to about 12 hours for it to be floating in your blood, whatever you've been eating. So if you've been eating french fries and a donut followed by dessert and all that, that's inflammatory, that's floating in your blood, when you have an erection, it become toxic to the endothelium. Again, the lining of the blood vessels is what causes the leakage of the blood or that the blood vessels not being elastic. And that venous leak. Venous leak presents as you're able to get an erection, but then you lose the erection after penetration or you lose the erection when you have an erection. That's the venous leak. That's the most common. That's the most common presentation of ed, okay? And especially the one that, you know, the one that they're not able to get firm enough. But the venous sleep, fortunately, at the one that's easiest to fix with diet and exercise and stuff. And so that's why my message to you all is that, you know, there's no easy fix, no medication, it's an easy fix. And that there are six system in your. And that, that is in your body that create this beautiful erectile response. And it's not only for men, but it's also for women as well. Women have the same a reptile response as well too. It's just that they don't have a penis. So that way they can see it. They do have a penis. It's called the clitoris. The clitoris is a woman's penis. The clitoris is the only function of the clitoris is pleasure. That's it. There's no other function except for pleasure versus your penis, a man's penis. The function is you also urinate, right? It's also for your erection, but it's also a way for you to get semen as well. So to procreate, you also procreate, but you also urinate. You also have an erection. For a woman, her clitoris is her penis, and it's only for pleasure. And a lot of women don't realize that. So, you know, we're made that way. That's. That's what's made for pleasure. So. Any other questions? I appreciate you guys being here with me for the hour and a half. And we put the link on there for the document doc club for the modern man club. And it's all. Oh, my trunk rehab. That's what. For the modern man club. And if a site on there for the nitrous oxide powder. Because if you're not getting. If you're not eating, you have to eat five servings of vegetables a day to get enough nitrous oxide. And if you're not getting enough nitrous oxide, you can supplement it with the powder. And I will guarantee you, once you start doing that, doing the smoothie twice a day, Galen, you. You will actually see an improvement. And I hope that you do that. Report to me how you're doing with that and what I know, that some of the things you're doing is working for you.
Yeah. So I'm guessing that that nitrous oxide will also help, you know, with my immune system suppression, I'm catching every darn little bug going around. So it'll help me, you know, stay healthier.
It actually does. It. Does. It. It does increase immunity. Nitrous oxide, the holy grail of blood flow for your heart. It help with your heart, actually increases immunity as well. So it's not only just for ed. It's really for its longev longevity and heart health.
Okay.
Yeah.
Well, thank you so much. I'll post these out on. On the group. And so all my guys can take the ones that weren't able to make it on such short notice.
Right, Right. Yeah.
Take advantage of this because you.
Thank you.
You have given us a treasure tonight, so.
Oh, thank you. And that's my goal. My goal is to spread the message that, you know, guys, that, you know, you can restore your sex life again. You can. There are ways to do it on your own, and you don't have to live with the side effects of the ED medication. It's horrible. I've seen managers that tolerate the headache, the blurry vision, the flushing just so that they can get an erection. I go in the Facebook group, and they're all, like, asking questions about the medication and so forth. And it just kills me that, you know, there are ways that you can do it. Not easy. You got to work at it. But with anything that's worthwhile, you got to work at it. Right?
Yeah. Yeah. And my, My urologist answer. When I started getting. I was on 100 milligrams of, of sildenafil. And my. When I started having failures at that level, my urologist says, oh, you're healthy enough to take 300 milligrams. And so I dealt with the funky color vision and the headaches and.
Right. But be really careful. The higher the dosage, the higher the side effect. And I, I'm. I hear cases of men die from taking the ED medication. What, what happened is that when they take the ED medication, their blood pressure drops so much they're not getting enough oxygen to their heart brain, and they collapse. Right. But because that's. That. That's how Viagra works, is it opens up the blood vessel. But remember Viagra, ED medication was made for pulmonary hypertension or a high blood pressure in the lung. And how does that work? It works by opening up the blood vessels. So when you take too much of that, it decreases your blood pressure. When it decreases your blood pressure, you pass out. You're not getting enough oxygen to the heart. I know at least many patients who knew, who has friends, and they just told me that last week that passed away because of taking. And I don't know what they took 300 or 100 milligram or what. But when you're mixing tadalafil and you're mixing sudanfil together and PG141, what other things that are, you know, it's like, you guys got to know that you're. You're playing around with very potent medication here, all right? And you don't want to mess around with that, all right? And that's not including what other medication you have that you're taking along with that as well, too. And it's the same thing. If you have chest pain, would you, Would you try to go to Internet and try to find out what medication to take? No. Right. You should regard. Same way with ed, it's really sometimes start with the basics. Get your blood work first and start changing your diet and be realistic and do an introspection, like, what are you eating, are you sleeping, are you exercising? Go for walks. You know, sometimes little things like that work a long way. Take your partner with you, you know, and what I'll do is I'll also post the Mediterranean diet, put it in the File as well that has, you know, food choices. And the Mediterranean diet had been advocated by the American Heart Association, American Diabetic association, or the Pre as the preferred diet for reversing diabetes and for reversing cardiac disease. Now, how good is that? Right? It's not the ketogenic diet, not the ketogenic, not the paleo diet, it's the Mediterranean diet. I'll leave that information. I'll put that in the Facebook group, so that way then you can put it in the other Facebook group as well. My, my mission is to make education information like this available. You can easily access it, and hopefully it'll help as many men as possible and their partners. Not just men alone, but, you know, their partners as well.
Okay. And you'll, you'll be able to find that in the file section of my main group, guys. So kind of make that the repository for Anne's treasures.
Right. Well, thank you for being an admin in those group and donating your time because it, it takes a lot of hours to respond like the way you did.
Yeah. You asked my wife about it.
Yeah. It's not, it's, it's not easy. And thank you for being the champion in helping other men. Now I hope that you can tell them what you learned today and, and spread the good word, because it only takes a little ripple and we create a movement. And it only starts with a few of us right here, the nine of us, you know, in this room. But I'm hoping to create a movement that you have to fight against. Pharma. Right. They want you to be sick. They want you to be sick. They want you to be ill. So, you know, you can go to hospital, you can get car, you know, open heart surgery. My husband had a stent, he had a two vessel stent, and he's only 55, you know, so they want you to get sick because they want you to be a victim, you know, and be relying on medication. So having said that, thank you for being here. Thank you, Dr. Ann, staying in touch.
Thank you.
I'll give you the zoom link. You can, we can post it on there.
Okay.
Good night.
Good night. Thank you, doctor. Thanks, Roslyn.
Thank you. You're welcome. Thank you.
Hello there. What an amazing sex life. This free gift is going to give you more sex by helping you get harder and lasting longer. Let's talk about the most sensitive subject, the effect that aging has on your sex life. If you're over 40, there's about 67% chance that you have to deal with one or more of these issues. You sometimes go soft in middle of sex. You sometimes have trouble lasting long enough to climax. Your erection just doesn't feel as hard as it used to be and your penis is not as sensitive as it used to be. You cannot reach orgasm or ejaculate. You sometimes have trouble getting an erection. These things lead to frustration and embarrassment when you cannot please your partner. My name is Dr. Ann Truong and I've been treating men for issue like this for over 25 years. As a board certified medical doctor who specializes in men's health, I helped over 7,000 men reverse the effect of ED. As a way to introduce you to the ED treatment that I offer, I want to give you the most incredible free gift ever. But don't let the fact that this free gift fool you. This powerful gift will help you get harder and stay and last longer and may just revolutionize your sex life. Making sex more exciting, more more thrilling and an amazing experience again. How is that? So here's what you're going to get in this most incredible free gift. Number one A Good Morning Wood Smoothie recipe. This is my specially formulated antioxidant recipe that will help you get harder and stay and stimulating more blood flow. It is formulated to increase your nitrous oxide level which is one of the biggest keys to making you harder and firmer more often and will also help you last longer. It is filled with lots of greens that create more nitrous oxide in your blood. This smoothie will give you that morning wood effect and will also make you harder on demand when you need it most and you'll see the effect in about several weeks. Number two Nitrous Oxide Testing strip. You will also get two of these strips which you will use along with simple instructions to test your nitrous oxide level in your saliva. Nitrous oxide is a gas in your body and is required for good blood flow to the organ. The strip can determine if your nitric oxide or deficient which can help us advise you on the best way to reverse your edge. Even more important, since ED is an early warning sign of problems with circulation and heart health, this can also be a great way to prevent heart related problem such as strokes and heart attack. Number three and the best part of all, a 30 day free trial Access to the Modern Man Club as part of our mission to make men hard again, we launched the Modern Man Club as a way to provide education and support to community of men who's on the path to reversing their ED with pre recorded and live session being offered every week. I will help men regain sexual health through training support. I will be there all the way with you to hold your hand through so that way you can overcome ED and have your best sex life members rave about this sexual session and the sense of community they gain by being a member of the modern man club. And all you have to do is to say maybe to this offer and once you say maybe you will be on your way to a more fulfilling and exciting sex life. So all you have to do is fill down the form below and then I will see you on the inside.
Thanks for listening to the Sexual Health for Men podcast. If you love this episode then please please take a screenshot on your phone and post it on Facebook, Instagram or wherever you post. And be sure to tag me and let me know why you like this episode and what you like to hear in the future. That will help me know what's great for you. And I would love to give you the most incredible free gift design to help you improve performance quickly. Go to my website@sexualhealthformenpodcast.com to get the book the Five Common Costly Mistake Men Make When Facing Ed. I would appreciate if you subscribe, leave a review on Apple Podcasts or wherever you listen and just know that you can have sexual vitality for life. I appreciate you. Until next time.
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