Enhancing Sexual Health Through Neurostimulation and Lifestyle: A Conversation with Dr. Anne Truong
In this episode of the Neurostimulation Podcast, host Dr. Michael Passmore speaks with Dr. Anne Truong, a physician specializing in pain management, sexual health, and longevity. The conversation delves into the importance of sexual health, the societal taboos surrounding it, and how it is intertwined with overall health and wellness. Dr. Truong shares personal insights and professional experiences, emphasizing the role of lifestyle factors such as diet, exercise, sleep, and stress management in improving sexual function. She also explains the concept of biologics and how they can be used to heal and rejuvenate the body. The discussion aims to destigmatize sexual dysfunction and highlight practical ways to optimize health.
00:00 Introduction to the Neurostimulation Podcast
01:25 Meet Dr. Anne Truong: Expertise and Background
02:36 The Importance of Sexual Health
03:06 Dr. Truong's Personal Journey and Approach
08:52 Four Pillars of Sexual Health
24:48 The Role of Biologics in Healing
27:41 Conclusion and Final Thoughts
Welcome to the Neurostimulation Podcast.
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:I'm Michael Passmore, clinical
Associate professor in the Department
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:of Psychiatry at the University of
British Columbia in Vancouver, Canada.
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:The Neurostimulation podcast is all about
exploring the world of neuroscience and
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:clinical neurostimulation, how it works.
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:What are the latest
research breakthroughs?
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:And importantly, how those
breakthroughs are being translated
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:into real world treatments to
help improve health and wellness.
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:This podcast is separate from my
clinical and academic roles and
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:is part of my personal effort to
bring neuroscience education to
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:the general public free of charge.
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:Accordingly.
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:I would like to emphasize that the
information shared in this podcast is
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:for educational purposes only and not
intended as medical advice or a substitute
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:for professional medical guidance.
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:This episode is presented by
ZIP stem Neurostimulation.
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:Zips STEM is the neurostimulation
clinic that I operate.
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:You can find out more about our clinical
neurostimulation programs at zipstim.com.
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:That's Z-I-P-S-T-I M.com.
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:Today I'm really looking
forward to a discussion with Dr.
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:Anne Truong.
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:Dr.
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:Truong is a physician with expertise
in pain management, intimacy
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:& sexual health and longevity.
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:Welcome back to the
Neurostimulation Podcast.
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:I'm really excited today to speak with Dr.
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:Anne Truong.
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:Dr.
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:Truong is a physician with over 20 years
of experience in various domains of
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:medicine, including anti-aging, biologic,
cellular medicine, and intimate health.
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:Dr.
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:Truong is a bestselling author and
international keynote speaker on these
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:topics, and she really has earned a
reputation as an innovative, engaging
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:influencer who uses her global platform to
teach healthcare professionals worldwide.
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:Dr.
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:Truong, thank you so much for
joining us on the podcast today.
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:Anne: Thank you for
having me here, Michael.
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:I'm looking forward to some good
discussions about, sexual health
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:and general health and overall.
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:That's great.
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:Yeah.
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:I'm really interested in hearing about
your practice and particularly as you
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:just mentioned, your expertise around
sexual health, intimate health, because
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:it's such an important topic and
unfortunately it's often overlooked,
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:when you go to your physician, it's often
not something that the physician maybe
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:even feels comfortable asking about.
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:And so I'm really interested to hear from
you in terms of your thoughts regarding
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:that particular point and some other
aspects of your expertise in that area.
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:Anne: So the reason why I
specialize in sexual health is
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:really more of self-interest.
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:We're only interested in something.
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:Is it helpful to us?
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:So when I was about mid forties myself,
I was, feel like I was older than my
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:age and was not in my tip top shape.
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:And at the same time, my husband's
also at the same age and he had a
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:heart condition that he required to,
to take medi heart medication for.
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:And unfortunately, heart medication
is one of the main culprit.
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:Affecting sexual function and he
cannot take any type of ed medication
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:such as Viagra because it counteract.
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:And I wanted to help him in
finding alternative ways to treat.
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:Sexual dysfunction because I'm
a, I'm personally affected by it.
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:That's why I said self-interest.
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:It started out as self-interest and I
dive deep into it in finding out how do
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:you treat the root cause of a problem.
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:And I I'm an allopathic doctor, so
the way I was trained was medication.
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:In steroid and then surgery.
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:And, but I realized over the years that
I was really not helping my patient.
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:I was just band-aiding the problem
and not treating the root cause.
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:And then I started
learning about acupuncture.
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:Prior to me.
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:Discovering about alternative
to sexual health treatment.
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:I learned about acupuncture and
acupuncture really opened up
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:my eyes on the body healing and
how the body's interconnected.
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:Our organs are interconnected as one.
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:And with that knowledge, and I was
already doing stem cell therapy.
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:It was a really, a natural progression to
dive into the root cause of sexual health.
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:So that's how I got involved into it.
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:And my pa, my husband with my first
patient, I was my first patient.
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:And I, and we saw the benefits
of of what using, a lot lifestyle
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:modification and also using stem cell
therapy to restore sexual health.
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:And that's how we started
our journey on that.
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:And that's I do this for a long time.
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:We've been doing this for over 13 years.
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:Have treated over 7,000 men
with Ed and women too and
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:women with sexual dysfunction.
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:But we've treated over 37,000
patients over 27 years span with that.
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:Education is very important.
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:Education is knowledge
because if you know why you do
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:something to prevent or to help.
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:It will actually motivate you to stay
to to continue the course, right?
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:Yeah.
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:And I feel that sexual health the most,
most widely understood subject because,
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:it's embarrassing to talk about, it's
a shame to it, it's dirty and doctors
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:don't talk about it as well because
of how they feel about it themselves.
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:And it's a psychosocial problem.
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:It's not just a physical problem.
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:And so oftentimes, when you have
a sexual dysfunction, it's almost
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:like shameful to talk about it.
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:So you just try to find information
on your own through the internet.
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:And as you and I both know that the
internet is not the most reliable
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:source of information, even ai, right?
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:Yeah.
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:Even AI as well.
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:You can ask.
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:Catch g, PT or everything else.
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:But AI will spit out some
generic answers for you.
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:But more than anything is really
getting signs proven research
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:based treatment that work.
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:And believe it or not,
restoring your sexual health.
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:It's pretty straightforward.
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:You just need to do the hard work.
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:You just need to do the work and
be focused and be consistent.
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:Yeah, that's great.
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:No, I am, that's super
interesting because you're right.
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:There's such a stigma around discussion
of sexual health and it's really
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:unfortunate because, I think that
a lot of people are embarrassed to
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:bring it up with their doctor, or as
you say, they're not too sure, how
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:to go about getting help and then
relationships start to become affected.
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:I think, I see a lot of elderly people in
my own practice, and I think there's a.
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:An unnecessary kind of assumption
that sexuality naturally declines,
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:after midlife, which is really
unfortunate because I think that's
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:one reason why a lot of relationships
end up becoming more distant because
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:people do have these challenges and
they're not sure where to go for help.
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:So I'm interested, you mentioned a couple
of things there in terms of approaches.
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:There were the lifestyle
factors and then the biologics.
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:Do you mind explaining a little
bit, and I imagine that this is all
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:spelled out in detail in your book.
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:Key erectile dysfunction fix.
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:And so just for viewers and listeners,
we're gonna put links to all of Dr.
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:Chung's content in the show notes,
and I'd encourage people to read
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:those or at least, access those
links and read the book for sure.
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:It looks very interesting.
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:But yeah.
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:What would be some some key
points in terms of the lifestyle
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:factors in the biologics, Dr.
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:Chung?
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:Anne: Honestly, like I was talking
earlier, that restoring your sexual
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:function is quite straightforward.
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:All you is three is four
things you need to do.
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:Four things, all right?
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:And and I'm not talking about just sexual
function because good sexual health.
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:Equate to it equals good general health.
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:'cause everything that you are doing
that will help with your sexual
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:functioning is all the same thing.
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:It's the same thing for your heart.
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:It's all the same thing
to control your diabetes.
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:So when you do these things, it's also
for heart health, also for diabetic
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:health, and also for longevity.
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:So you live longer, you actually pre
will prevent cancer, will prevent
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:Alzheimer's, and you'll lose weight.
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:So it's just not about Seth.
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:So the four pillars to
restore, to maintain or restore
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:sexual function is diet.
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:So focusing on eating a clean
diet, and I'm not talking
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:about keto, anything like that.
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:We usually recommend a Mediterranean diet.
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:All that is that let less
processed food, focusing on
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:vegetables, fruit and lean meat.
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:Lean meat is chicken, fish,
and pork, less red meat.
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:That's it.
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:I tell my patient, essentially,
eat what the earth grows for you.
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:Whatever the earth grows for you, eat it.
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:Don't eat anything in a
box, in a can or in a bag.
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:In a plastic bag.
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:Eat what the earth grows for you.
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:Eat what or ancestors ate.
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:Right?
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:But before the industrialized era, before
we start boxing it in boxes and so forth.
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:And so eat what the earth grows for you.
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:And then number two you'll be
surprised when you eat what the earth,
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:the food that the earth grows for,
you actually end up eating less.
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:Yeah.
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:When you, you eat less when you eat the
food in its natural form, it's amazing.
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:And then you don't have any
cravings on top of that.
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:Yeah.
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:You don't have craving for
sweet, you don't have craving
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:for cookies or anything.
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:It's funny.
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:Your body will say your
body's like a sponge.
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:When you be, when you give it what
it needs, it just say, oh, I'm good.
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:I don't need to eat a
cookie late at night.
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:I don't need to, I don't need to
eat a bag of chips late at night.
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:And the body just say, thank you.
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:I'm I feel good.
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:And then.
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:Number two is exercise.
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:I know it sounds like a, exercise, eat,
but it's really moving your body, right?
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:It's, and to simplify things just moving
your body, whether that'll be walking up
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:and down the stairs or walking outside
or or rowing or biking or something.
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:Move your body and always takes about
30 minutes four times a week, or
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:equivalent about 150 minutes a week.
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:Because research has shown that
movement that about 150 times a week
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:is good for the heart, but the what?
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:Every time you exercise your heart pump.
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:Better.
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:And when it pump, it also
expand your blood vessels.
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:And when your blood vessel expand,
that's also good for blood flow.
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:Okay.
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:And you should exercise at a level
where if you are moving it's a
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:little hard to count one to 10.
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:You should be like that.
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:So you shouldn't be comfortable
and just counting one to 10.
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:What I tell my patient
is go outside walking.
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:You don't need to belong
to a gym or anything.
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:And shoot for about an 18, 20 minute
mile, and go for a mile, and then go
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:for three miles, whatever suit you.
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:So that exercise.
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:And then number three is sleep.
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:Making sure that you have adequate sleep,
at least seven hours of good sleep.
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:Sleep is important for the body
to heal physically and mentally.
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:We take sleep for granted because you know
that, we never have to think about it.
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:But when you don't sleep as
well, you are just not in tip
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:top shape the following day.
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:Yeah.
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:So because your body needs to
heal that's when your body start
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:to get rid of the toxic stuff.
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:You have in your body and it start
to heal the the remaining tissue.
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:And then the fourth pillar is
decreased stress or stress management.
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:So what that mean is I'm not talking
about going to yoga studio and doing
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:all this and that, I'm just really
talking about decreased distraction.
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:Decrease negative stuff
in your life, yeah.
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:Because we live in a world of, smartphone
and multitasking and all that, where
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:it's really down making down to the
basic stuff of even the morning, maybe
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:don't grapple your phone right away.
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:And, meditate about 10 minutes a day.
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:And not that just mean when I say
meditation just closing your eyes
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:using an eye mask to cover your
eyes, because when you put an eye
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:mask on, it actually decreased 30%.
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:Of the input that goes through
your brain and when you decrease
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:your eye, it's 30% of the input.
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:It literally will slow
down your brain right away.
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:Just try it.
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:Anyone that I never tried meditation
or have a trouble sleeping, put an
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:eye mask on and you'll be amazed how.
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:How your brain slows down immediately.
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:I do that every time I take a nap.
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:In the daytime, if I feel like
my brain is slowing down, I will
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:put an eye mask on and literally
within five minutes I'm asleep.
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:And even in just like a 10.
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:15 minute nap.
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:I wake up, refresh, I wake up, like I
just like exercise for a whole hour.
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:So sleep is important and that,
but then the eye mass will
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:also help with the meditation.
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:And the other thing is breathing.
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:Slowing.
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:Slowing down.
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:Oftentimes when we're, when we
breathe, we're mouth breathers.
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:We're stressed, we're mouth
breathers and we take shallow breath.
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:To, in order to give your body peace
and not put it in a stressful state,
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:is to breathe through your nose.
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:Like for a count of four, hold it
for a count of four, and breathe out
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:to your nose to the count of four.
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:And then.
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:And then hold it for account
for, and then breathe in.
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:So it's called the box
breathing technique.
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:What that does is essentially slowing
down your breathing, helping ensure
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:that you take deeper breath in your
lungs and so that when you take
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:deeper breath in your lungs, you get
more oxygen exchange, and then the
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:carbon dioxide leave you the lungs.
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:Go out to your nose.
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:And the reason why I say nose is
because the nasal passages here have
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:a lot of the nerve ending and a lot
of the circulation that will actually
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:help you make more nitric oxide.
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:And nitrous oxide open up blood vessels.
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:So that's why nose breathing is important.
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:Now you can do mouth breathing too.
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:It's just that you get more
nitrous oxide production.
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:To your nose.
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:And I don't know you notice, but if you're
stressed or you're focused or you're
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:something, you don't take deep breath.
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:Yeah we don't take deep breath.
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:We're mouth breather No.
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:Than we ever been.
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:Yeah.
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:As well.
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:So nose breathing is important
and slowing down your breathing.
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:Just taking deep breath and just
slowing down your breathing.
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:I.
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:Goes a long way, as in lowering stress.
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:And that's really all it, that's
all really all it is about the
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:things that you need to do.
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:It's not, you don't need to join a yoga
studio, you don't need to travel to
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:India to go to some retreat, you hear
about this all the time, but it's really
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:actually more simple than we think it is.
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:No, that's great.
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:I appreciate hearing that summary.
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:The breathing and the nose breathing
in particular is quite interesting.
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:It's easy to it's easy to just try
and, implement these lifestyle hacks.
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:And I read James Nestor's book Breath a
few years ago and I've started yeah, doing
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:mouth taping at night and initially it
was a bit difficult to get used to and
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:then, but now I do it almost all the time
and so I force myself to nose, breathe.
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:During sleep, my sleep has really
improved and now, even if I don't put
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:the tape on my tendency is to just
nose breathe at least, it feels like
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:when I'm falling asleep and when I,
who knows when I'm actually asleep.
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:But yeah, and the nose nose breathing
I think, is a really key point.
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:And I really appreciate how
you explained the importance in
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:terms of the nitric oxide and
how that opens the blood vessels.
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:It sounds like.
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:Just paying attention to vascular blood.
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:Vessel health is a really key unifying
principle in terms of all those lifestyle
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:factors, and it makes sense because,
healthy sexuality in terms of the
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:physiology is really dependent on healthy
vascular blood vessel system health.
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:Anne: Absolutely.
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:So it's just not about sex.
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:It's really about general
health and longevity.
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:And I wanna bring up this point that
in the end, it's about sex because
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:the sexual center in the brain
is deep in our brain, in the most
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:primitive brain center of our brain.
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:The sexual function, and it's the
most protected area because it's deep
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:in our brain and we shared that same
brain function and there as salamanders
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:who are millions of years old.
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:Because it, it is an integral part of
who we are as human being because you
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:have to think about it as human being.
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:It is our job.
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:What is our job?
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:Our job is to continue the human line.
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:Our job is to carry the DNA so
the human line can continue.
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:So that is an integral part of us
as a driver of us, as a human being.
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:And be, before we started, recording,
we were talking about, why I.
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:Sexual activity is dirty and the term,
the sexual connotation of the anatomical
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:part of the sexual organ is dirty and it's
bited even on social media in:
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:You can't even say that word
on Google or even on YouTube.
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:Sometimes I get censored to,
to talk about certain terms.
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:But I'm not talking about the
actual part of love making.
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:I'm talking about the
medical benefit and that.
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:I have to name the term,
but still I'm censored.
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:So the point I'm trying to make
is that it shouldn't be dirty.
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:It's an integral part of who we
are because it is an integral
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:part of us as human being to.
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:To have sexual relations.
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:That's, it's built in our DNA.
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:It's built in the deepest part
of our brain to do that and to
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:suppress it and to not talk about it.
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:It really gonna affect
who we are as a person.
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:But, unfortunately, that's where we
are now, and that's one of my job
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:is to my, my passion is to bring
it out of the closet to make it.
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:From being shameful, dirty and bad
to bring it out into mainstream.
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:And let's talk about it.
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:What we did with mental health.
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:Yeah.
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:Anne: For sure.
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:And people with mental health.
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:Because all of us, you, I, everyone, we
will have sexual decline as we get older.
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:It's but we don't have to live with
it if we know what we need to do.
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:But how do we know we need to
do, unless we talk about it?
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:Unless it becomes nons shameful
to talk about it, right?
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:And it, and doctors are not even
comfortable in talking about,
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:and they're not trained on it.
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:And so it, it becomes a double
negative where the patient.
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:You is afraid to bring it up
because it's uncomfortable.
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:Yeah, it's shameful.
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:And then the doctor's uncomfortable in
discussing it, so nobody's discussing it.
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:And then you're just left on your own
and sometime you're just like, live with
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:it or end up taking an ED medication.
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:So I wanna kind yeah.
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:What we need to do is to bring
it to mainstream and just
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:have open discussion about it.
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:And not shameful because we will
have sexual dysfunction because
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:as we get older, why is that?
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:Sexual, dis sexual dysfunction
is de is related to high blood
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:pressure, high cholesterol,
diabetes, stress, obesity, sleep.
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:Smoking porn, all those bad
lifestyle, it's related to that.
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:So what happened when we get
older, we don't exercise like much.
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:We gain weight, we have more
stress, and we get older.
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:Family life, finance,
a lot of stuff, right?
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:And then we may not sleep as well.
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:We may not eat as well because
maybe we're traveling a lot.
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:We're, we're not able
to control what we eat.
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:So you get all these factors that play
with life as you get older that predispose
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:you to having sexual dysfunction, right?
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:Because sexual dysfunction doesn't
happen in it, in on its own.
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:It's happened because of like I
said earlier, high blood pressure,
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:high cholesterol, diabetes, obesity,
stress, sleep horn and all that
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:plays a big role into a trauma.
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:A trauma is part of stress,
trauma, any type of trauma
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:plays a role into that as well.
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:So we should treat the root cause.
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:Of that rather than treating the
symptoms of sexual dysfunction.
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:But sexual dysfunction
will happen to all of us.
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:It happened to me, it happened
to my husband, it happened
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:to a lot of my friends.
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:But we don't talk about it.
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:And when I do talk about it
it's uncomfortable and nobody
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:wants to talk about it.
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:Because, you know it is personal, right?
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:It is.
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:It becomes personal thinking.
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:Because somebody will think that you
are less of a person and you're less.
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:You are dirty and that you're I have been
I have had friends that had distanced
390
:themselves for me because of what I
do, because they think it is shameful.
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:To talk about it.
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:Yeah, that's that's unfortunate.
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:And it, and, good for you
for, advocating and educating.
394
:I think that's the key issue.
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:It's really important when you mentioned
the connection with these deep ancient
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:brain areas like the hypothalamus that
are really involved with these primal
397
:drives, like hunger and sexuality, because
I think that, it makes a lot of sense
398
:that because it's such a foundational.
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:Kind of instinct from an evolutionary
perspective that the more that people can
400
:have a healthy integration of these kinds
of drives, then probably the more healthy
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:that's gonna be for their psychology and
also for their relationships as well.
402
:At least their intimate relationship.
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:I.
404
:And so I think it really makes sense
from the perspective of general wellness
405
:that people have the opportunity
to just understand as much as they
406
:can about this and to try and have
optimal health in terms of their
407
:sexuality and their relationships.
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:So yeah, I really think it's so important.
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:Anne: Yeah.
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:And thank you for giving me the
opportunity on your show to discuss about
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:this openly and also to let people know
that it's not shameful, it's not you.
412
:And if you do have it, there are
solutions and all of us will have it.
413
:Doing well happen.
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:And it's not shameful.
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:There's nothing you did wrong.
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:You just didn't know
what you needed to do.
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:But now you know what you need
to do, then you will do it.
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:Because when we know why we do
certain things, then we were
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:more motivated to stick with it.
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:So I think that my, my goal is to.
421
:To have an open discussion about it
and to share the knowledge and like
422
:I said, everything that I mentioned,
diet, the exercise, and sleep and stress
423
:doesn't cost you any more money than
you are spending now because you're
424
:paying money for your food anyway.
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:Yeah.
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:Might as well, make
good choices with that.
427
:Are you gonna exercise?
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:You don't have to join
a gym, you go outside.
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:My kids said the air is free, the
earth is free and no one's gonna
430
:stop you from going, walking outside.
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:And when you're walking outside,
you can practice nose breathing.
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:You can practice box breathing right.
433
:You when, and in fact, studies have
shown that when you go exercise
434
:outside in nature, it's actually
very beneficial for stress reduction.
435
:As well.
436
:It's like almost like connecting
with Mother Nature, right?
437
:Because we, we are, mother
Nature are connected.
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:And so you do a double check box and
okay, my exercise and my meditation,
439
:my, my stress reduction box is check
because, I'm doing outside during covid.
440
:That's what I did a lot.
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:I walked outside a lot.
442
:I walked three miles,
five miles at a time.
443
:And and I listened to to podcasts.
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:That's how I got into podcasts as well.
445
:And it was very therapeutic for me.
446
:It was a stressful time for all of us.
447
:I.
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:Yeah.
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:Anne: As well.
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:It, and it's really quite simple.
451
:In fact, the more I talk about
it, the more I was like, all
452
:of us can do it, but we didn't.
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:I love this phrase.
454
:It says, you don't know
what you don't know.
455
:Yeah.
456
:Anne: You don't know what you
don't know until somebody.
457
:It tells you otherwise, and then
you go, yeah, that makes sense.
458
:Exactly.
459
:Yeah.
460
:Yeah, for sure.
461
:I'm interested in the connection
between the sexual health and
462
:the anti-aging in the longevity,
because obviously with, attention to
463
:vascular blood, vessel health, I can
see how that connection is there.
464
:But in particular, I think,
myself and many people are.
465
:I'm not entirely familiar with the term
biologics, so do you mind breaking it
466
:down for us and explaining how biologics
relate to sexual health and other things
467
:that you have expertise in, like pain
management and aesthetics and longevity.
468
:Anne: So essentially biologic
is you using your own cells
469
:in your body to help you heal.
470
:And believe it or not, we have
stem cells in our body that is
471
:readily there to help us heal.
472
:For instance, you cut your cell.
473
:The other day I was slicing
some carrot and I cut my finger.
474
:And so when you cut
yourself, what happens?
475
:Blood goes to the area, right?
476
:And then it gets clotted up.
477
:The cells in your body that help with
clottings called platelets, those
478
:are the cells that help clot it up.
479
:And when it's clotted up what happens?
480
:Other cells in your body come and repair
that cut, and it looks like a scar.
481
:And then over time, that scar disappears.
482
:That's healing.
483
:That's stem cell working right there.
484
:You have those stem cell in your body
and they're made in the bone marrow.
485
:They your blood cell, your white
blood cells and your platelets
486
:are all made in the bone marrow.
487
:So the, what we do, the biologic
is essentially using your
488
:own cell to help you heal.
489
:That's what biologic is.
490
:And the biologic could be the material
could be the bone marrow and like
491
:the stem cell from the bone marrow
or the stem cell from your fat.
492
:Your fat also have healing cells called
and then the platelets is what in.
493
:Your blood that's circulating
around, all right.
494
:Five liters of your blood.
495
:And how we do it is that we extract
out the platelet and from your blood.
496
:It's essentially going to as if
you do a blood work, you go to
497
:the lab and they draw a blood
to check your cholesterol level.
498
:We draw out a much higher, more
a larger amount, like from 60
499
:cc to about 240 cc of blood.
500
:And we would isolate
out only the platelets.
501
:The platelets comprises about
1% of your blood, only 1%.
502
:So we would throw away
the red blood cells.
503
:We keep a little bit of the white
blood cell and we keep the platelet,
504
:and then that, injected into the
organ that is not functioning well.
505
:So for for men with Ed.
506
:That will be the penis for women.
507
:That will be the vulva.
508
:And for but we can do the same thing
to, for pain, like a knee pain, like
509
:you have knee pain or when you have hip
pain or ankle pain, you can do that.
510
:We can even put that in the hair.
511
:To help hair regrow.
512
:Put that in your skin and your
face to help with wrinkles
513
:and to help rejuvenate skin.
514
:That's what I get on my face every year.
515
:And I get the platelets
in on my face every year.
516
:And so you can put it anywhere.
517
:That has a dysfunction.
518
:And so that's how we use the
biologic to boost the healing.
519
:It's almost that we push the reset button.
520
:Thank you very much, Dr.
521
:Chong, for a very interesting discussion.
522
:I really appreciate you sharing your
expertise and in particular, the lifestyle
523
:factors that I think viewers and listeners
will really be able to easily implement
524
:into their daily routine in order to
help optimize their sexual health.
525
:Their blood vessel health in
the interest of general health
526
:and wellness and longevity.
527
:So thank you very much once again.
528
:Again, viewers and listeners, I really
would encourage you to check out Dr.
529
:Truong's content.
530
:I'm gonna put links in the show notes.
531
:And I think it's gonna be very
valuable for you to increase your
532
:understanding and awareness of these very
important areas and have a look at Dr.
533
:Truong's book, and it'll give you an
opportunity to really take advantage of
534
:her expertise in order to improve your
understanding and awareness of these
535
:important health and wellness factors.
536
:So thanks again.