The Modern Man Live Q&A Webinar

All right, so people are actually still the View. We're not admitting them in yet. All right, so this is gonna be live stream to YouTube sooner. All right, gonna live stream to YouTube and. And then record it on Zoom for the. My membership for your show. Yep, yep. Yeah. So the people that are in my membership are in the audience, but we're also, you know, like you said, you posted it on social media, so people join with the YouTube channel as well. So. Yeah, the top. Yeah, so the. Those are the top three to five questions. And then, and then I'll pop in. You know, why. You know, most of the thing is, why do I have ed? Is ED reversible or not? Why do I have ED? Most of the time is why. And what is ed? Most guys go, I don't have Ed tech. Oh, yeah, you have ed. Yeah, I don't have ED to take me an hour to get an erection. Yeah. Oh, oh, yeah. And white. You know, ED is common. Okay. You know, I'm going to reiterate the. The data from the Massachusetts study. You know, like 40% with 40, 50% 50 year old. Okay. Yeah, right. And that, that Ed, it's actually a. Oh, guess, guess, guess who has heart problem. Bao Bao has heart problem.

Oh, Bow, what's going on?

Yeah, he's actually nap. Kind of lost it. Frozen right now.

There you go.

Okay. Was I frozen?

Yeah. All right.

Can you hear me now?

Yeah.

Okay. Isn't that weird? Okay. Okay, Franz, let me admit the people in. All right, we're getting audience joining in. All right, let me know. We are live on. On Zoom. Fran, Let me know where. When we are live on. We are live on YouTube, everyone. Okay. Hello, everyone. Welcome. Welcome to our session of the Q A with myself.

Stream.

Apologize if doesn't go well. We have some tech glitches. We already did when we first started and I was kicked out of Zoom and now I'm back in again. But Susan, can you introduce yourself now? Yeah.

Hi, everyone. It's great to be here. And I love to do things with Ann. She's such a doll. My name is Susan Bratton. I'm an intimacy expert to millions and I essentially run two companies. The first company is a company called Personal Life Media and I publish my own and others passionate lovemaking techniques, bedroom communication skills and sexual health and regenerative therapy information. And the second company that I am the CEO of is called the 20. And the 20, it's kind of named after the 80. 20 ruled it. 20% of what you're doing is what's really getting the results. And the other 80% is wasted effort. And it's a supplement company for sexual vitality supplements. We have a nitric oxide supplement which is called Flow, which helps with erectile function. And we have a daily vitamin mineral complex called Desire that is a daily kind of a one a day with libido botanicals built right in. And Ann and I have done her podcast together in the past and some of my areas of expertise are sexual regenerative treatments to reverse atrophy and the shrinkage of age, erectile dysfunction, penis enlargement and how to do that as well. Also reversing vaginal atrophy for your wives and girlfriends. And I'm looking forward today to talk about that as well as some new information about the clitoris that's just come out that's quite interesting because obviously we're here to talk about men's health, but it's also good to understand our women's anatomy so that you can find your way around and pleasure it even better. So I'm happy to be here and looking forward to taking your questions and filling you in on some things that.

I've been doing wonderful. Well, thank you for being here. I love collaborating with Susan because, you know, she comes from the other side, I come from the medical side. And we just merge together and give you guys just, you know, full of good information. And so feel free to those that are on Zoom, feel free to put your question in the chat only we will see it. And if you're watching on YouTube, please put some comment and we'll address that as well. We have somebody that's monitoring the comment and that will be relayed to me through Fran. So today we may we're going to do a little bit of education and we're going to be answering the most common question that she and I get because I treat men with ED from the medical side and how to address the medical issue that contribute to ED so that way they can have functional restoration again. And that's a passion of mine because I feel that simple little things can actually go a long way instead of complex things. Sometimes it's not a gadget, sometimes it's just not a one answer treatment or gadget that you're looking for that will bring your performance back again is really a journey. And what I see at erectile when you start seeing that you not as performing as well as you're used to, it's actually ed. Could ED expand the whole spectrum of taking longer to get firm all the way to not getting firm enough and all the way to not getting erection at all. And that consider ed because ED definition is not be able to form to your satisfaction. And most people think, well, if I have erection, I don't have ed. No, that's not quite the case. But also when you start noticing that you're not having the usual normal amount of erection at night or morning like you, like you normally do, or you're not as firm, do something about it then and do the right thing, not just popping a medication like a Viagra or Cialis, because that just covering up the problem, making the problem worse. Because ED for a man is a reflection of your general health and it's a reflection of your heart health because it works almost the same way as in your heart. Because when you have ED, it's due to decreased blood flow. And when you have decreased blood flow, it's because you're having inflammation that's affecting your blood vessels that is preventing adequate blood flow down there. And then the reason why it affects the penis first is because the penis blood vessels are small, the smallest in the body. And it's about 1 to 2 millimeter. And then once it affect your penis, it's going to go to your heart because Your heart is 3 to 4 millimeter in size to affect the smallest blood vessel first and the one that's farthest away from your heart. Believe it or not, when your heart pumps the blood, it gives itself and it gives the brain. You get blood and then it gives the lungs, and then it gives the liver, the kidneys and your intestine. And guess what's last. You know, your, your manhood is the last one that gets the blood flow. So it, it's farther away from the heart. And so therefore it's not getting the first, you know, oxygenation or oxygen per se. And that's what, what, you know, you know, Susan was talking about earlier when she was showing you the nitrous oxide supplement. Nitrous oxide is important because nitrous oxide really come from L citrulline, which needs oxygen, by the way, to convert to nitrous oxide. Then nitrous oxide relaxes smooth muscle. And when the smooth muscle is relaxed and that's what the penis muscle is, the penis muscle is made out of smooth muscle. It's not skeletal muscle like your biceps or your tricep. Those are voluntary muscle. So the, the muscle and down penis is actually made out of smooth muscle which involuntary. But it's controlled by the nervous system that is either the parasympathetic or the sympathetic to the point I'm trying to get at. Not a lot of men know that in order for you to get an erection, the muscle and your penis has to be relaxed. It has to be relaxed first in order for you. In order for you to fill it up. But if the muscle is not relaxed, let's say if you're stressed or you're not sleeping well or you're distracted, it's not relaxed, it's not going to be able to fill up. So that and being relaxed, it's being in the parasympathetic state. And the parasympathetic state is what they call the breed, the breed and relax state, where you're only in that state when you're not in an emergency, when you're not stressed. The sympathetic state is the other state that you're stress and you're in an emergency trying to get away from a threat. So having said that, the preface about, hey, we're talking about ED and what did involve. And so some of the questions that we get, you know, commonly is what I addressed earlier was, what, what is ed? You know, we all think we know what ED is. What ed? It's a whole spectrum. You can still get an erection to have ed. And so, Susan, what. What are the ones a common question you normally get from men?

Well, interestingly, the most common questions that I get are, is Shockwave a safe modality to use? And how does it compare to the handheld home devices that you see on ebay or the Phoenix or what have you? That's number one. And the answer is Shockwave is very safe to use. Really excellent. I recommend it much more than I recommend home devices which are much more low power. They take a lot of time, where the shockwave treatments can really knock the plaque off of the blood supply system and stimulate new tissue growth. So I'm a real proponent of them and I encourage men to get them, not just. Not even when they have erectile dysfunction, but even as they're aging in their 40s and 50s, if they're just. What I've noticed is that losing your firmness is kind of this slow decline for a lot of men where when they. When you see their penis, you look at it and think, that's not a very hard penis. And he's still thinking he's getting hard, but he's not getting as hard as he used to. He just forgets how hard he used to be. And so some preventative shockwave therapy is very beneficial for men in their late 40s. And early 50s, because at that point, your penile tissue is already starting to atrophy with age. I mean, if you have wrinkles on your face, that's atrophy, that's desiccation. You're drying out, you're shrinking. Your mitochondria aren't working as well. Your systems of function in your body aren't working as well. Your penis is on that same trajectory. The other thing that's happening is that men who are in their 50s, like, if by the time you're 50, you're making half the nitric oxide production you did when you were in your 20s. And that's if you're eating leafy green vegetables multiple times a day, eating beetroot every day or a few times a week, eating things like dill and cabbage and romaine and arugula and spinach and kale and chicory and shar. And most people are not eating a high leafy green vegetable diet. Not only that, but many people are using a antibacterial mouthwash, which is killing off the. Oh, and.

Yeah, yeah.

Oh, nitric oxide.

Yeah, that's right. I wanted to show this. I wanted to show this. Are you guys seeing the screen here, the nitrous oxide? We're seeing it, yeah. Right. As you were talking, I wanted to kind of, you know, visually show the decline. Yeah, show the decline as you were talking about that, you know, at the age of 50, if. If you're an average person, which is the red line here, you're about. Around 50% of nitrous oxide decline. It actually start to decline after the age of 30. However, what is good on here is that with poor diet and inactivity mean you're not exercising. You're. You're eating for diet, you know, a hamburger every day along with chips and French fries and. And a Coke. You actually, your. Your decline, actually, the slope of decline starts as early as in your 20s. And you start. You start out low and you keep on going low. By the time you're 50, you're at about 20 percentile. And the slope. So just to kind of show what you were saying, that, you know, even if you're on average, you. You can still have decreased, but if you exercise and have a good diet, like the Mediterranean diet, it actually really doesn't start to decline until probably around 50. You'd say 50, about 85 percentile there. And this is the study that was in the Journal of geriatric cardiology in 2011.

Yeah. The other things that accelerate the decline of your own nitric oxide production are using antibacterial mouthwash, which kills off the bacteria in the crypts of your tongue that transform the leafy greens from nitrites to nitrates. And then your stomach acid needs to turn the nitrates into nitric oxide. And if you're taking a proton pump inhibitor, an acid blocker, et cetera, then that system's not working either. And essentially you have nitric oxide stores so that when you get aroused and you want to send blood flow to your pelvic bowl to fill your penis up with blood, you don't have enough for that smooth muscle tissue to relax, enough to fill up with blood to lock off to give you a firm erection. So a lot of guys are thinking they're doing a great job cleaning their mouth. They're thinking they're, you know, keeping their acid down when it's. Both of those are the opposite. You don't want bad bacteria in your mouth, of course, and I know Ann wants to say something about that, but you need high stomach acid. Actually, most of the issues with these proton pump inhibitors and acids, acid blockers, are from H. Pylori, a bacterial overgrowth that needs to be dealt with. And that's often where acid reflux comes from, as well as eating things like sugar, white flour and alcohol that really depress the acid production in your stomach. So there's a lot of misinformation out there. And we just. Ann and I really try to get guys to understand that you don't want to. You can use a good mouthwash, but not an antibacterial mouthwash. You, you need high stomach acid, not low stomach acid. You need to deal with this, the small intestinal bacterial overgrowth, rather than just trying to suppress it with an acid blocker, because all of these things are contributing to the natural decline of your nitric oxide. So you can take supplementation if you're over 40. As AM said, Citrulline based nitric oxide booster, which is what my product is. And actually, friends, if you'd put in the chat window a link for me, it's buy flow now, B, U, Y, F, L, O, W and ow. That's the link I give out for my friends of friends, like friends of Dr. Anne's, because that's the place where you can get the flow nitric oxide booster at the lowest price I sell it for. It's a very good product and often men have found that it's best to take it at night, but it's also great to take a couple of capsules before lovemaking. And many men who are currently. Can you put.com on that please Fran? So it's clickable. Many men who begin to do nitric oxide supplementation, who have been reliant on sildenafil or other viagra type of PDE5 inhibitors, who are taking the standard dose of 60mg can often begin to cut down that dosage because they've topped up their own nitric oxide systems. Many men can go off of Viagra, especially if you go to Ann and you get shockwave and you get a pee shot. You do things like that. But when you, when you take flow, you increase your nitric oxide storage. You need a lot less Viagra, if you even need it at all. And you could take, maybe you can get down to like 10 milligrams, you can do micro dosing sublingually. You can chew the pill up under your tongue and it's much more fast acting and it has less side effects. So the stuffy nose, the blurry vision, the flushing, the migraines, the post Viagra day malaise, all of those things can be circumvented or gotten rid of with boosting your nitric oxide. So it's literally one of the most. When people are like, how do I get rid of my ed? I'm like, yes, start with nitric oxide. And then you go for your shockwaves, your pee shots, your penis pumps. And I do have a pump here and I do want to talk about pumping because I am a real proponent of that as well.

But I toast. Yeah, so, so am I. I'm, I'm a big proponent of P. But I'm going to actually share my screen because I wanted to show people the difference between, the difference between the shockwave. So as you can see on here. Can you all see that? Okay, so the machine that is on the top, the top with the screen is actually what they call the focus shockwave. And what it means is that it deliver sound and deliver weight that actually goes in like a laser. So deep is high intensity and it penetrate deeper. It works more on a cellular level. The machine that is on the bottom, on the bottom with the blue light is the radio, kind of like radio tires. And it uses post energy to deliver to the tissue, but it's a different type of energy. The energy from the radio machine just goes into the tissue and kind of spread out like an umbrella, like wide and spread out. It doesn't go as deep as the focus, it goes to about 4 centimeters. The focus can actually go to as much as 6 inches. And the energy is different. It is less energy with the radio as compared to the focus. And so just know the difference between the focus and the radio. Now, I want to, I want to say that most all the literature actually that has been put out, the shockwave that has been helpful is really on the focus machine, which is the machine on top. And that's what the literature has been focusing on. But I know there's literature that will be coming out from the radio machine as well. There's one that I know that came out in April. However, it wasn't as favorable using the radial machine for the ed. But and so just know that if you're spending a lot of money on going to a clinic for Shockwave, that you should get the one that it's been written a lot about, which is the focus shockwave. And that is what's written in the literature. And I wanted to show the difference between the two. And I on my YouTube channel, I also did a video on this between the difference between the two and what's been researched about and what is still out there as well. But having said that, I'm a big proponent of pumping as well. As I was talking about earlier was that you need oxygen to generate nitric oxide and coming from L citrulline and without oxygen, you're not going to be able to generate that nitrous oxide. And the penis muscle need the nitric oxide be produced from the nerve that actually controls the smooth muscle. So you get the parasympathetic nerve, you get the sympathetic nerve. The nerve is what releases the nitric oxide that affect the smooth muscle. The endothelium actually is involved, but it's involved in producing a nitrous oxide. But the nerve is also involved in it as well. I wanted to kind of show that because it's one of the reasons why I stress lifestyle modification and involved in this because it's not just one component alone. So I'm going to share this because I, I, this is how I look at treating Shockwave and the treating ED in that. If you look at the diagram, I hope you can see it kind of small, but it's actually a picture of a smooth muscle. It's a smooth muscle actually of the penis. And you can see the purple dot right here. That's the nerve. That's a sympathetic, that's the nerve. And you can see that the nerve, it's acting on the nitrous oxide and that this is the endothelial cell and that's Actually, the cell that line the blood vessels, and it needs L, arginine and oxygen, and then it generates the nitric oxide, and then the nitric oxide act with the nerve ending called the neurogene, the cholinergic and the non cholinergic, to act on the smooth muscle, to.

Create.

Of smooth muscle relaxation. So there's a lot going on in that picture. But when I look at that picture is what I look at things that need to occur in order to physiologically treat erectile dysfunction. So oxygen. So you need the oxygen. And by pumping is how you take the penis to the gym, right? When you pump, you create this negative pressure and then negative suction, really, that help with giving you an erection. But by you just exercising the penis muscle, you're giving it more oxygen. You're exercising the muscle as if you're going to the gym and doing bicep curls. And I'll let Susan demonstrate the pump that she has and how it worked. But to me, it's like taking your penis to the gym because you can't voluntarily do this to your biceps. But you can use the pump as an adjunct and exercise at least three to four times a week or even daily. This is what I recommend after I treat a patient with ed, after they get the P shot, which is injection of their own blood into the penis to help with more increasing blood flow and rejuvenating the tissue again along with the shock wave, which then also help. Really the overall thing is increasing blood flow. But then the pump is an adjunct to that because it helps, you know, exercising the muscle and bringing in more oxygen. Do you want to show your. The pump that you have there?

Sure, yeah. This is the pump system that I recommend, and it's something that's used for both reversing the atrophy of erectile dysfunction and stimulating new tissue growth, doing a small bit of micro damage like you would when you're pumping your bicep, and then it heals and recovers. And these cylinders, it's. It's a. It's a metal hand pump with a gauge on it so you can see the vacuum pressure. That's very important. And these cylinders come in a wide range of sizes, so they come in all kinds of different sizes. Include including something this large, because this particular whopper system, most of the guys that I work with, they're. They're using it for penis enlargement. There's a lot more men that are pumping for penis enlargement than for ED because it spans such a wide age range. And Men, men who are. It's interesting. It's all over the map. Some men who are, you know, 2, 3, 4 inches in length, penile size, they. They want to make themselves bigger. Six inches. They want to get to seven. And then there's a whole category of guys with very large penises, 7, 8 inch penises, sometimes even larger, who want to get even bigger. Then there's guys who are pretty happy with the length, but they want more girth. There are guys who have used a constriction device and compressed the tissue and they want to repair it. There are guys who have a very, very loose and small base to their penis, and the rest of their penis is larger. And they're worried about, you know, having injury to it because it's not strong enough at the base, which pumps are very good at. This particular large cylinder. The reason this pump is called the Whopper is that it's actually a two cylinder system. And this is the, this is the pump. This is the cylinder for your penis. And so there's different sizes depending on the girth of your penis, as not really the length, because they're long enough, but it's really about the girth and overall dimension of your penis. And then there's this one, which is the larger cylinder. This happens to be a three and a half. There's a three that comes as the standard. Your penis and your testicles both go inside here. So you're putting this under your testicles, around your perineum and around your abdomen. And what that does is it pulls on what's called the suspensory ligament. Let me show you what I mean here. So this is a picture of the urogenital system, the male urogenital system. Here's the bladder, the prostate. Prostate. Here's the penis with the three erectile tissue chambers, the two corpus cavernosum, and the single corpus spongiosum tissue chambers. And of course, about 50% of your penis, approximately everyone's different, is out of your body. But 50% of your penis goes in and down. I call it the buried shaft. And all of this needs to be strong and have good blood flow. And then there's, of course, the testicles. And this yellow piece right here is called the suspensory ligament. And when you put your penis and your testicles in the larger tube, it actually allows that suspensory ligament to. It tugs on it and it lengthens it very slowly over time. It's kind of like yoga for that, for that ligament. It becomes more flexible and it Stretches, which gives your penis more drops. A lot of penis enlargement surgeries cut that ligament and then you're, you're down. But you need that ligament because that ligament is the thing that gives you the, the erection. It's the, it's the erector, if you will. It lifts you up so slowly over time. Putting it at a pump and pulling on it gives you more length. And then the vacuum in these pumps gives you more girth. It's, it's a lot easier to increase the girth of your penis than the length. But the Whopper system does the combination of both then there and I don't have.

How do you spell that? Whopper. Like W, H, O, O, O, P, P, R. Yeah.

If you. Yeah, Franz. If you want to put in pumpswork.com P-U-M-P-S W-O-R-K.com that that'll help guys find it. And I was looking for my penile extender. Hang on. This is another product that is a penile extender that you can add on when you're pumping if you want more length. This is a traction device. It comes with different length rods. It's silicone. It's very comfortable. You wear it about a half an hour and then you have to take it off. You can't keep it on for long periods of time, but you can wear it more than 1/2 hour segment A. And this combined with the pumping increases the length even more. And the basic pumping routine is every other day or as best you can do. And the first thing that you do is you, you don't need an erection. You put your penis in the small pump, you pump it up for, to leave it for 10 minutes at the specific vacuum settings that you're given in the protocol. And the protocols for the pumping are at. If you could put this frowns. Pumpingguide.com pumpingguide.com that's where I have the protocols for ED pumping, for enlargement, pumping for extra length, for pumping when you're getting shockwave, for pumping when you're getting prp, et cetera. So there's all different pumping strategies. So the pump definitely helps with erectile dysfunction, reversing erectile dysfunction. It works in concert with the shockwave and the prp. And that is very, very helpful. And then the pumping can also be used with enlargement. It's basically a 10 minute pump. Massage your penis 10 minute pump with the other cylinder and then use a lasso or a constriction ring or a leather strap to Trap the blood in. After pumping, you pump it up and you trap the blood in at the end for about a half an hour and then let it out. And it's recommended not to ejaculate for at least a couple of hours afterward because remember, what you're doing is you're, you're increasing the blood carrying capacity of this erectile tissue. You're pumping it fuller than it can get on its own. So when you pump it fuller, you want to hold that pump for a half an hour. If you ejaculate, it goes whoosh and all the blood comes out. So you're reversing the benefits you just created if you ejaculate. So though I can answer other questions, but really everything is in the pumping guide, including the traction device, a red light sleeve, which cylinders, how to measure your penis, the pumping protocols, it's all in there. So, and it's in my second edition, which I've just released. I've had over 30,000 copies that guide downloaded. So it's, I've really helped thousands and thousands and thousands and thousands of men have excellent effect with the penis pump. The vacuum erection device is what it's called, right?

I mean I'm, I, I recommend it as an adjunct to what I do almost every day. And my patient hears me saying that you know, are you, are you doing your pumping? Because that it bring oxygen and oxygen is important, oxygen important for repair. Oxygen is in your blood, it's a river of life. And, and that you know, if you can't get an erection, if you do pumping your muscles gonna be able to get the feeling what it's like to get an erection, right? And the thing that you don't use it, you lose it. And, and if you're not able to get an erection and if you're not getting a morning erection or nighttime erection, the average, the average number of time a man normally get an erect to six times a night, three to six times a night. And the average duration of a nighttime or morning erection is about 10 minutes to sometimes even 30 minutes. So you're thinking about this, let's say you're getting six times in a 10 minute is an hour exercises that you get naturally when you're sleeping, when you're younger, when you're there are, and when you're healthy, you're getting about an hour of exercise in your peanuts go up, up, down, up, down, up and down. And when you're not getting that, you're losing that, that exercise which is bringing in the blood flow to Your penis muscle? Yeah, stretching the penis muscle, making it more elastic and, and making it, you know, get used to what the filling pressure. And so when you, when you don't have that, what happened? The muscle become more, more fibrous, meaning not as elastic and, and the muscle cells shrink. So a lot of men I treat with ed, they said that, you know, their reaction is not as good as you're not, not as long or as the girth as it used to be. Probably maybe an inch, inch and a half, even less because they're not, they're not filling it up like it used to be. And also maybe there's some atrophy, the muscles itself. So that's why doing the, the shockwave, mainly the focus and also the, the P shot, which is, you know, injecting with your own blood, addresses that issue of muscle atrophy. The, the, the fibrous, you know, with the muscle being not as flexible and also bringing in more blood flow to the tissue area. So it's addressing that. But then along with pumping it, it, you know, allowed the penis to do. Going to the gym as well. And I, and I recommend the lasso. I'm a big proponent of the lasso as well too. And so that, that's good. I, I didn't know about the big, the big thing where you can do the, you can add in the scrotum into there as well too, for elongation as well. So you're always learning for sure. And so type in any questions that you may have. And I can think of the more common question that we get. Why do you get ed? That's a million dollar question, right? I mean, why, why does ED happen and why is ED so common? You know, a study that have looked at the incidence of ED, but this study was done in like 2000, you know, 22 years ago, and it predicted about 30 million men at that time in the US have ED. And that's 22 years ago. So we're now, you know, it's going to be more than 30 million men with ED. And then with COVID I'm almost predicting probably even double that amount as well. That's why ED is very common. If you're 50 years old, 50% of men have ED. And if you're 40, 40% of men have ED. And the same goes to be 60% if you're 60 years old and 70% if you're 70 years old. Why is ED so common?

It doesn't have to be that way though.

No, it doesn't have to be that way. No, you have to.

Doctors like Ann reversing erectile dysfunction. Men can go right into their 8, 80s and even 90s with firm erections, with good lifestyle, which, of course, she's also a big proponent of.

Right, right. Yeah, it's. Actually, there's a question here. Should I do anything, Should I do anything else while pump. Should I do anything else while pump, like trying to constrict the muscle? No, I, I think that pumping is good. And if you can use the, the, the constrictor ring, like the lasso, to hold the blood in there as well, that is good as well. And I also tell men if you can add the lasso and hold the blood in there, you can, you know, use it for, you know, intimacy as well, too. And so that's a good question there.

I'd like to add something to that.

Sure.

When you're pumping, you can do Kegels, and that's just giving you extra exercise, more blood flow. And there's another product, it's called the cooch ball or the gooch ball. Just a small ball. Like, you know how when you can roll a tennis ball on your, on your back muscles or you use a foam roller on your muscles, the gooch ball is a small ball that you roll on. You sit on it and roll on it. That's pumping because it gets pelvic blood flow going. I also recommend taking nitric oxide before you pump, 20 minutes before you pump, take flow, and that will increase how much blood you can get into your penis. So you can do Kegels, you can do the Kuchball or gooch ball beforehand. You can take flow. A lot of men also add Jelqing. And I do not recommend twisting or wringing or pulling of the penis. You have to be careful with the tunica albuginea, which is the, the tissue that holds the erectile tissue in. It's the, it's kind of this hard fibrous covering and you do not want to rip or tear that. Which is why it's also very important to keep your vacuum at the level of the protocols in the pumping guide. Because you guys, you're like, I can take it, I can do more. But you do more and then you give yourself a hematoma on the actual penile skin, or you pull on the tunica albuginea, which could lead to Peyronis later. So you know this, these systems, these pumps are medical grade, FDA class two devices. And they, they can go very high in vacuum pressure. But you have to build yourself up to that. Rome wasn't built in a day. You want to. It's like making a stew. If you boil the with stew, the meat gets tough. It's the same with pumping. If you go slow and keep it on low, you get more results than if you try to like manipulate and push it hard. That can backfire on you. So just be very careful with this. This is not a toy. Although what you buy in adult stores are Chinese novelty items. What you see on Amazon, Chinese novelty items, you don't want them. They don't have good gauges. They're not made of the polyacrylic. You drop them, they break. They don't have good release VAL valves. Sometimes you need to release quickly for one reason or another. You've got to be able to do that.

So.

And in this particular system, you. As you grow, if you are trying for enlargement, you can get. You don't have to replace the hand pump. You can just get new cylinders. There's even a head cylinder, a head enlarger that. There's a lot of guys that have a fairly thick penile shaft, but they've got a tiny little head and they want to make their head bigger so it's more proportionate with the overall penis. And so there are different pieces that you can add to the pumping system that give. That kind of allow you to sculpt the penis that you want. And you might think about that as like, oh, my God, why would I do that? There are a lot of men out there, especially, interestingly enough, in the bodybuilding community, because they understand how they can create the body that they want. And they're like, I want the penis that I want too. And so, you know, women get breast augmentation all the time. And they're, you know, they've got these giant fake boobs and they're happy with it because it makes them happy and they want big boobs. Breast implants are very dangerous. The silicone is bad for you. There's a lot of explantation surgery happening now. They leak. They give women autoimmune diseases. Men don't have to do that because the breast is different type of tissue than the penis. The penis takes to pumping really well.

It's just like Dr. Ann said, it's.

Just like going to the gym. And so you're very lucky. You don't have to have surgery to make your penis bigger, firmer, harder, veinier, last longer. Your erections will be better and also your orgasms, because as you age and as you atrophy, you're also losing orgasmic sensation, you might be having delayed ejaculation, you might be having sensation loss. And all of these things can be reversed with these regenerative therapies, which pumping, PRP and the Shockwave technologies, they all are regenerative therapies that are synergistic and work really well together. So you can have what you want as. For as long as you're alive, if.

As long as you know what to do, you know what to do and do it correctly and not try to go down the straight paths of what people are trying to tell you on the, on the Internet. Now, there's a question here.

Yeah.

What level of erection? Yes. So what? Yeah, so I mean, I normally say, you know, that to pump it up around 75 percentile and then go slow and don't try to push it, you know, too much. The pump that they have is actually an electric pump. He had an electric pump that doesn't have the gauge on there. But the pressure on that electric pump, it's not going to go over more than 10 millimeter of mercury, which is what we recommend. You don't go over 10 millimeter of mercury, so that's that that pump is gonna stop at around 8 millimeter of mercury. So you go up, you know, as much at, you know, around 75 to 80% and just go slow. So what, what, what would you recommend?

Oh, I'm not going to answer for any pump other than the one that I know and recommend because I only talk about the things I know.

Right. And so that there's a question, and what timeline should I expect? Check for regeneration? That's, that's a good question. So it depends on what type of treatment you're getting. You know, if you're doing it as with the, the prp, the P shot and the shockwave and the pumping and taking the supplement along with the lifestyle recommendation that I recommend with my protocol treatment, you start seeing that around six weeks to three months. Again, every man is different. Every man is individualized. It depends on what your medical conditions are that you have when you do seek the treatment. If you have high blood pressure, if you have high cholesterol, you have diabetes, and if you are overweight and you smoke or you drink a lot of alcohol, all that, you know, contribute to the severity of the problem. And so, like, you didn't get ED overnight, you didn't get ed. You didn't get ED over months, you got ED over probably years until you start seeking treatment. And most of the time when I see patients, because they fail Viagra or Cialis and you know, by that time it's been, you know, sometime five years to a decade. And so to reverse the damage that's been done over a decade, it's going to take time. No, you're not going to take a whole decade to get there. But it takes your body time to lay down the foundation, take your body time to lay down the cell to, to restore the, the more blood flow. It take your body time to get rid of the dead cells and put in new cell to rebuild. And it's like building a house. You know, it doesn't occur overnight. Sometimes you see that in six weeks, sometimes you see that around three months and around four months. And so it, it all depends on how your body get rid of dead cells, lay down new cells, and then as the new cells are laid down, it start to lay the foundation and it starts to get bigger and then it start to build new function. So that takes around, you know, six weeks to three months. Kind of like getting surgery. When you get surgery, your, your, the scar, you know, the cut that you have, it takes about six weeks for, for it to kind of get healed together, but it's still not quite strong enough. Three months for it takes for that incision to be strong enough in order for you to do, to have full return of function. And the same way with the penis muscle, take six weeks to three months. Some of my patients, you know, will get a treatment and you know, one or two weeks later and say, well, you know, I'm not seeing any improvement. You know, I say, well, you have to have your, have your body start healing. Your body has to heal. It has to. It had to get rid of the bad tissue and start having the new tissue do its work. And it does take time. So be patient and do the work. It will come. But I want to add on there too, that once you are performing and it's working well, you still need to maintain. You can't go back to what you were doing before that caused you to have ED in the first place. It's like losing weight. You know, you work hard to lose the weight weight and then once you lose the weight, you can't go back to eating cake and, you know, candy because you're going to gain the weight again. Same thing for ed, you know, once you start getting result and performance with the treatment, you know, you still have to maintain it and you have to maintain it with your lifestyle. I'm big on advocating the Right. Diet, as you can see in the picture I showed earlier, you know, diet affect your nitrous oxide production. So a poor diet will decrease your nitrous oxide. So I'm, I'm big on, on, on you being on a healthy diet, such as a Mediterranean diet and exercise, you know, even just walking three times a week. But, you know, the best is doing high interval intensity exercise about, you know, three hours in, in a week, so not a lot of time or even going to the gym and, and working out in the gym, because when you build more muscle, you build more testosterone and when you build more testosterone hormone, which is also good, contributing to the erection as well. And of course, stop smoking if you are smoking, because smoking actually does a lot, a lot of bad stuff, but decreases nitrous oxide and decreases it damage the, the, the blood vessel, which is the endothelial lining. And sleep, Sleep is important, you know, at least seven hours of sleep. Because as I was talking to earlier, when you sleep, you, your, your body heals. And when you, when you have good REM sleep, it, your, your, your body heals and it start to kind of make more hormone. That's why you start getting nighttime erection or morning erection. Your, your hormone, your testosterone hormone, the highest in the morning between, you know, 6 to 8am and so I see a question here. It's helpful to see at least some result in order to stick with the program. Just like dieting, if you do the work and don't see the results, hard to stick with it. I, I, I get you. I get you. And that's when, yeah, you will see results. Yeah, just, you will see result. You know, you will see result. And just, you know, you will see result. And that's why we have you do several treatment and can always contact my office if you have any questions with that. But you will see results. But you got to do the work. You know, you got to do the work. You, it's just not. And do all the work, all the steps. Okay, so, Susan, what other comment do you have? Yes, I love to hear your story.

It was funny. I, after I recovered from my long haul Covid, I was really in bad shape. I had a lot of balance issues. I was very weak. I had muscle loss.

I'd put on, oh, sorry about that.

You know, I was super sick and I got better and I said, okay, I'm gonna hire a trainer and I'm gonna have to start small. I'm gonna have to start with my balance. I'm gonna start with my flexibility again because I Was laying in bed for over a year. And I remember I hired him to come to my house every single day because I wasn't doing that hard of work. It wasn't like I needed a ton of recovery, but I had him come every day. And I remember about nine and a half weeks into it, I said, I cannot believe how much different I look. I mean, I never would have imagined we could have made this much progress in this short of time. And he goes, yeah, babe. That's why they call them 12 week transformations. You basically, it takes 12 weeks to really do any program and see the big benefits of it. So I think that that's a very important thing to know, is that it takes your body some time to begin the repair processes and to build the new tissue and to see the results. But. But know that it's going to work. Know that these things have worked for thousands and thousands and thousands and thousands of men. I mean, the pump that I recommend, the Whopper, that company was 30 years old last year. They've been helping people reverse ED and enlarge their penises and regain their sensitivity and all kinds of things for 30 years. The problem is that it hasn't been something that people have talked a lot about. Men don't talk about their sexual health with each other. We have difficulty advertising or posting anything about this online because people think there's something weird about it. All it is is self care. All it is is anti aging and longevity. That's what it is. It's called sexual regenerative treatments because you're literally turning back the clock on aging. And when you do that, you keep aging. So you have to stay with. It's not like, oh, I've got wrinkles, I'll put cream on my face one night. It's okay. I need to have a skincare regimen now. These are the things that you have to do as you age. So you will hit plateaus and then you will have breakthroughs. This is how the body works. And I just really want to encourage you if you're thinking about doing any or all of these things. The more of them you can afford to do, the more synergistic and more accelerated your gains and results will be. But even things as simple as pumping, pumping is like the ghetto style, super budget way to get started reversing the atrophy. If you can afford the shockwave, do it. It's fantastic. If you can afford to add PRP onto it, that's the cherry on the sundae. Do it. It's an Accelerator, a turbo booster to your healing, because it's concentrated healing factors and growth factors from your own body injected directly into the tissue that's growing and healing. And because it's all erectile, it soaks it up like a sponge. It stays there, and it helps everything else that you're doing. So I just really want to encourage you that these things work. Men all over the world are doing them, and you couldn't be in better hands than with Dr. Antrong.

Well, thank you about that. And I know that you understand that as well, and I've always advocate that it's just not the treatment alone. It's a whole comprehensive protocol that we're a team. When I'm working with my patient, ward team, I'm your guide. But you have to do the work. Like you said, when you had to, to get back into shape again, you do the work. You had a trainer, but he was showing you what to do. But you were doing all the hard work and the persistent and, you know, the determination to get there. And with my patient, you know, is we're a team together, and we're working together. It is. It is a journey back to health. Yes, it's a journey back to health. And it is possible. I actually took a picture of one of my patients. He's 77 years old, and he has a testosterone level. Without any intervention from me. He had. His testosterone level is about 770. Yeah, it's a scale of 300 to 900. So he's on the top, you know, 20th percentile. The top 20th percentile. And I'm not even giving him any additional stuff or anything at all. He's 77. He, you know, everything is working well. He has a girlfriend. But. But the thing is. Yeah, the thing is, you know, he able to maintain that testosterone level because he eats well, he walk every day. He had a good mindset. He doesn't smoke, and, you know, he have a glass of wine, you know, here and there, but not. Not taking excessive alcohol. A simple thing such as that it can be done. It's not like he has good genetics or anything. He, you know, just kind of do those simple things. So that. That is a metric that I know that you and I want to credit, that it's possible to have sex to the day you die.

Great sex. You get better at sex. The older you get, you have more experience, more mastery, more ability to slow down and enjoy the pleasure. So sex is a lifelong gift that keeps on giving. And women are out there who want to have great experiences. At all ages. And they're looking for partners who are in great shape and want to have a great sex life. They are out there in droves if you don't think so. It's a limiting belief. So I really encourage you to take good care of yourself so that you can give all the love in your heart that you have and all the sexiness that you want to co create to someone because they are there, there. And thank you so much for having me. I'm going to have to dash now. I would like to tell everyone how to find me if you don't mind.

Sure.

Great. I. I have a newsletter, a sex tips newsletter. You can go to Personal Life Media Friends. Will you put these in personal life media.com I also am on Instagram with my name which is at Susan Bratton. And I am also on Only Fans. I have an Only Fans fan site where I post more, I would say more tips and techniques than I can post on Instagram. Instagram is very strict about what I can post. But one of the things that I, I didn't get a chance to talk about today, but that's just on fire right now, are my yoni massage tips. That's how to touch a woman's genitals and what all the parts are and how all the parts like to be touched so that you can fil her erectile tissue up with blood so she gets a clitoral erection. Just like you need a penile erection to feel the most pleasure possible from the stimulation that you get. So that's@onlyfans.com Susan Bratton and you're welcome to join me over there as well. It's a free membership. Some things are paid, but there's a lot of free content in there and I look forward to connecting with anyone who wants to reach out to me. You can can slide into my DMS on Only Fans and connect with me there. Thank you so much, Anne. All right, thanks Bao. Thanks friends. Thank you Tom for the great questions and all the best to everyone. Have a great day. Much love.

All right, thanks for being here everyone. Make sure you follow Susan as well. And with that, we are closing today. Q and A. Don't forget, I want to add Anya. Don't forget that the brain is the largest sexual organ. All right? And don't put too much pressure on yourself because you got to start with here first. And having said that, I want to put down. Frank, can you put down my, my membership? If you haven't. If you're not already on My Modern man membership where I coach my my members on how to restore sexual performance again. In fact, if you are my patient, you get it for one month for complimentary and then thereafter. Like I said, that's how we maintain maintenance, maintenance, continuation and be patient. You will get result. You don't get result. Contact our office and we will make it happen. And on the link down below is the site to join my membership at mensexualityclub.com/sales page to join the club. I hope to see you there. Thank you for your time today. Take care. All right. All right. Franz, are we.