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Viagra Or Cialis: Which ED Pill is Right for You?
Episode 24813th February 2025 • Sexual Health For Men • Dr. Anne Truong
00:00:00 00:13:14

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Tired of the same old erectile dysfunction solutions? Viagra and Cialis might be the go-to medications, but are they really the best option for you?

In this episode, we dive deep into the world of ED medications, uncovering hidden side effects, key differences between these medications. We'll also explore natural alternatives that could be just as effective, if not better. Discover how to regain your confidence and performance without relying on a pill.

Tune in now before you make your next move!

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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/viagra-cialis-side-effects-alternatives

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Transcripts

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This podcast is for you, the Modern Man. I'm Dr Anne Truong,

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your host. I'm an intimate health medical doctor and best

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selling author of the book, Erectile Dysfunction Fix. I'll

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do a deep dive into sexual health and performance and how

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it affects men of all ages and backgrounds. So let's get

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started, and be sure to visit my website at

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sexualhealthformenpodcast.com for more information and

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resources from the show. See you on the inside.

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Hello there, Modern Man. I'm Dr Anne Truong, a sexual health

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medical doctor. In today's episode, I'm just going to talk

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about something that I usually don't want you to do, but I want

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to give you the facts so you are aware of what you're getting

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into if you are taking either Viagra or tadalafil or generic

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name for Viagra is sildenafil and generic name for Cialis is

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tadalafil.

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Now, as you know, I always want you to do natural approach to

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sexual function, but sometimes you are taking this medication,

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you want to know the difference between the two, and when to use

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it. What's the difference and what are the potential side

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effects that are not talked about. So Viagra is the brand

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name and the generic name is called sildenafil, and Cialis is

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the brand name and the generic name is tadalafil. They both are

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what is called PDE-5 inhibitors, so they help in increasing

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nitric oxide in penis, which then increases blood flow. But

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it doesn't just work on the penis alone. It works in other

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tissues, other organs as well, and that's why you have more

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side effects as well, which we will discuss about and one of

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the most common side effects is a blue haze in eyes for

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sildenafil, for tadalafil or Cialis is muscle aches. But I

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will talk about the common side effects later.

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So for Cialis, which is the brand name, it lasts longer than

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Viagra. Cialis remains effective for 36 hours, and Viagra

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typically lasts between four to six hours. It starts to work or

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the onset of action for Viagra is between 30 minutes to an hour

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And Cialis 30 minutes to two hours. So what that means is

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that if you take Viagra, you should think about having sexual

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activity between 30 minutes to an hour, and Cialis, you have a

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little bit more leeway between 30 minutes to two hours. So I

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hear, commonly, my patient say, "Well, I take Cialis and it

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didn't really work." Or sometimes it may just be that

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you may be getting ready for a sexual activity too early, or

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you didn't wait long enough, and in some men, it may take up to

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two hours. That's why Cialis sometimes is recommended as

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daily use. Now the dosage of daily use is a lot lower than on

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demand use. The sildenafil or Viagra is usually not used as a

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daily dose, but more used as an on demand dose at this time. And

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the dosage combination options are that low dose for Cialis,

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about 2.5 to 5 milligrams, while Viagra is often as needed, like

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I said before. Now, one thing about Viagra is that it is

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dependent upon what you eat. So if you eat a fatty meal right

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before you take it, then absorption will be less versus

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tadalafil is not really dependent upon what you eat, and

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both these medications can cause headaches and flushing, but

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particularly with Cialis, you'll start having like muscle aches

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versus Viagra is more vision changes and dizziness. So due to

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the longer duration, Cialis allow you to be a little bit

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more spontaneous. That's why you take it daily. Now, the dosage

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for daily Cialis between 2.5 to 5, sometimes 10 milligrams. You

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can take it daily. It's also been helpful for also prostate.

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And then Viagra usually is taken as needed, between 20

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milligrams, 50 milligrams, up to 100 milligrams. And if you're

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taking more than 100 milligrams, you shouldn't be taking Viagra

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that much. Okay? And that's number two.

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Let's talk about the side effects. Now, of course, if you

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take the medication brand name, then it'll be more costly versus

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if you're going to take a generic. Okay, let's talk about

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side effects. One of the most common side effects, or Viagra,

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is headache and flushing, and that's more common than Cialis.

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And then you also have upset stomach, which is common for

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both, nasal congestion or stuffy nose is very common for both as

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well. Now versus Cialis, you have more muscle aches,

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particularly in the shoulder, back, arms and legs, less common

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with Viagra, but you can have that. Dizziness is more common

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with Cialis than what Viagra. Vision changes is more common

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with Viagra and less common with Cialis. Viagra more common with

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priapism, or prolonged erection that is lasting more than four

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hours. Now this is an emergency. If you have that you got to go

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to the emergency room to get an injection to bring it down. It's

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less common for Cialis. And then sudden vision loss is rare, but

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it can be reported as a permanent in some cases as well,

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in both Viagra and Cialis, hearing loss or decreased loss

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of hearing, sometimes with tinnitus, which is ringing in

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the ears, is prevalent in both cases. Uncommon, but it is

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prevalent. Low blood pressure can happen in both Viagra and

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Cialis. The low blood pressure, which then lead to dizziness,

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fainting spells, and especially it doesn't mix well with

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alcohol, and you can have chest pain, even heart attack and

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irregular heartbeat with Viagra and Cialis, though it is rare,

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but it could happen. You can even have swelling of the face,

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lips and tongue, both these medication due to allergies.

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So to summarize, there are some serious side effects, and there

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are common side effects, but Viagra has side effects of

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blurred vision and headache versus Cialis more muscle pain,

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but you could have low blood pressure will cause you fainting

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spells, which then lead to irregular heart rhythm as well.

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I know that lot of men are on these medications. I want you to

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know what medication does what, when to use it. There's another

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question, can you take both of it at the same time? Shouldn't.

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Try to be very cautious with it, because if you take both of it

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at the same time, it's a double effect in lowering the blood

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pressure, because while it increases blood flow to the

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penis, it also lower blood pressure as well, and that's how

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you have fainting spells and heart attacks. And if you are

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taking it together, it should be compounded, and you should

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follow seeing a doctor for monitoring, because usually we

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can compound and put a little bit of sildenafil and a little

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bit of tadalafil, along with some oxytocin together. And then

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oxytocin help with getting you in the mood and also help with

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the feeling of love.

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Now we really want to point out something very, very important,

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is that the Cialis and Viagra does not get you in the mood, it

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does not increase arousal, it does not increase your libido at

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all. All all it does is just increase blood flow, but you've

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got to do the work in libido and arousal. If you don't, no

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erection is going to happen. You can't just pop up here and go,

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Okay, I'm ready. No, you've got to get in the mood. You've got

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to get aroused. You got to start in the brain. I've always said

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that erection starts in the brain, not in the penis. So

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that's one thing to consider. You're taking the medication,

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just know that it's not going to help you with arousal, which you

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have to initiate in your brain, as in using the five senses that

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you are given, your vision, your nose, your mouth, sound and

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touch to get you aroused, and get you in the mood to get

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things started. If nothing starts up here, guys, nothing

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gonna go down below your belt, even with Viagra and Cialis.

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Now, of course, if you have ED, the first thing you should do is

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one, go get some blood work, find out whether you may have

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diabetes, which is high blood sugar, high cholesterol, or even

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high blood pressure, and also, how's your testosterone level?

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Is there any type of inflammation going on? Number

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two, look at your diet. What are you eating? You should be eating

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clean food, like follow Mediterranean diet. Clean food

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is just vegetables and less processed food. Don't eat

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anything in a box or a bag. Eat what the earth gives you. Eat

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less red meat. Once a week is okay, but eat more chicken,

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pork, fish. That's it. It's not that complicated. And if you're

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smoking, stop smoking, because smoking will just kill your

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erection, period. And make sure you get at least seven hours of

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sleep and make sure that you keep your weight under control,

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keep your BMI less than 30. You can look up in Google what your

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BMI by entering your height and your weight, and most

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importantly, keep your mind active and know that the

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erection starts in the brain. Now there are alternatives to

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taking medication. There is a research article that came out

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that says that diet and exercise, diets such as taking a

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Mediterranean diet, and also doing exercise, just like

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walking 30 minutes four times a week, is as effective, or more

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effective than taking Viagra or Cialis. Just know that it is

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more effective. So instead of popping that pill and having to

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endure the side effects and then, because you take the pill,

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you can really going to ignore why you have ED in the first

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place. It's just a band aid. Because if you take the pill, it

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may work out a few years, it may not work. Where will you be?

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Because you can just quickly change it with your diet and

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your exercise, and know that need to stop smoking. You need

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to stop porn, you probably need to stop masturbating frequently

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as well. Frequently, what I mean is more than probably twice a

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day for masturbation.

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Having said that, just know that there are alternative to

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medication. I wanted to kind of bring this up because I got a

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lot of questions regarding medication at this point and

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that just know that diet and exercise is as effective as

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Viagra and Cialis, and just know that you are not alone. We are

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here to help you. The Modern Man Club is a safe and discreet

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space for men to find solution out of ED, towards more sexual

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confidence and performance. And you will be in there with me,

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along with a community of men going to the same thing,

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supporting one another. So check it out at noedman.com which is

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our Modern Man Club. Also check down below for the link to the

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Mediterranean diet as well as Kegel exercises. And check out

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my video where I talk about Kegel and the benefits of doing

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Kegel and our innovative, high intensity frequency

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electromagnetic chair. And having said that, guys, let's

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create a sexual revolution. Let's regain our sexual power,

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sexual confidence, and know that you can do it. I will see you in

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the next episode.

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Thanks for listening to the Sexual Health for Men Podcast.

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If you love this episode, then please take a screenshot on your

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phone and post it on Facebook, Instagram, or wherever you post,

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and be sure to tag me and let me know why you like this episode

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and what you like to hear in the future. That will help me know

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what's great for you and I would love to give you the most

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incredible free gift designed to help you improve performance

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quickly. Go to my website at sexualhealthformenpodcast.com to

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get the book, The Five Common Costly Mistakes Men Make When

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Facing ED. I would appreciate if you subscribe, leave a review on

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Apple podcasts or wherever you listen. And just know that you

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can have sexual vitality for life. I appreciate you until

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next time.

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