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Doctor Explains: The Erection Gas
Episode 3322nd December 2025 • Sexual Health For Men • Dr. Anne Truong
00:00:00 00:13:12

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Could one overlooked molecule be the key to fixing erectile dysfunction?

In this episode, we dig into the science behind nitric oxide, the body's natural "on switch" for blood flow and performance. You’ll learn why this molecule is so important and how it plays a critical role in erectile health. I'm breaking down myths, exposing real causes, and pointing you in the direction of solutions that work.

Tune in to uncover what might really be behind your erectile dysfunction, and how to take control of it.

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Resources mentioned:

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Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!

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If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman

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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://truongrehab.com/boost-nitric-oxide-improve-erections

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Want to regain control of your sex life? It’s time to reverse the effects of ED on your life. Join the Modern Man Club and embark on your journey to complete recovery and community.

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Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.

https://dranne.co/ebook

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. Today we're tackling a topic that a

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lot of you have been curious about. Honestly, it's way more

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interesting than you think. We're talking about nitric oxide

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and why it's basically the biological "on switch" button

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for erection. Don't worry, this is science, not awkwardness. So

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stick around. So I'm Dr Anne Truong. I've treated over 7000

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men with ED. Before we talk about chemistry, let's

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understand a mechanic.

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An erection is essentially a hydraulic system. Think of it

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like a hydraulic press. You got two spongy cylinders running up

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and down the penis called the corpus cavernosa, which are

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these muscles right here running down both sides of the penis.

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When you're not aroused, so when you're not aroused, blood flows

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in and out normally, and everything stays relaxed. When

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arousal happens, something changes. The arteries feeding

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into the penis suddenly open up. They get much wider. Blood

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rushes and faster, at the same time, the veins that normally

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drain the blood out of the penis into the body, when blood fills

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in the vein, then get compressed. Then therefore the

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blood is trapped inside the corpus cavernosa. The pressure

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builds up inside the corpus cavanosa, the tissue become firm

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and enlarge and boom, you got an erection.

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But here's a key question, what tell these arteries to open up

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in the first place? So the answer is a tiny molecule called

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nitric oxide or NO. When you're sexually aroused, whether it's

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from physical touch, visual stimulus, or just thought, the

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nerves in the penis and the cells lining the blood vessel

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start to pump out nitric oxide. So nitric oxide is a gas. It's

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incredibly, very small, is basically just spread out and

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diffuses into the nearby muscle cells that surround the blood

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vessels and the corpus cavernosa. So once nitric oxide

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gets inside those smooth muscle cells or the corpus cavernosa,

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it triggers a chain reaction. Nitric oxide activate an enzyme

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called guanylate cyclase. Guanylate cyclase produces more

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of a molecule called CGMP or cyclic GMP. Which the cyclic GMP

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lower the amount of calcium inside the smooth muscle cell,

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so then lower calcium, smooth muscle relaxation. The cyclic

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GMP is what caused the lower calcium.

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Men, struggling to stay hard? Most of the time it comes down

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to poor blood flow. That's why I put together the Good Morning

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Wood smoothie, a nutrient packed blend designed to restore blood

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flow naturally. My patient often notice improvement in just a few

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weeks when they take this part of their daily routine. Click

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the link below to get the recipe and start boosting your blood

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flow and firmness today, or go to goodmorningwoodsmoothie.com.

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So here's the thing, when smooth muscle relaxes, arteries open

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up. When arteries open up, blood rushes in, and the rest is

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physics. So nitric oxide is basically the "on switch"

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button. Without it, the system never gets trigger. The artery

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stays narrow, the blood doesn't rush in and you don't get an

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erection. If it's not a physiological failure. That's

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just the biological default then. Okay?

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So now here's where it gets really real. Nitric oxide

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production isn't automatic and unchangeable. It can be damaged

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or reduced by a bunch of things, smoking damage the cells that

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produce nitric oxide. Diabetes interfere with nitric oxide

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signaling. High blood pressure reduces nitric oxide

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availability. High cholesterol clogs the arteries and impair

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nitric oxide function. Vascular disease or heart disease reduce

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the health of the blood vessel lining. Ageing reduces the

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production of nitric oxide, which is the enzyme. And chronic

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stress and a poor diet also decrease nitric oxide level. So

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a lot of common things that we do on an everyday basis. Now,

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what happened is that when nitric oxide production stop,

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the "on switch" button become faulty or weak, and that's when

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ED becomes more common. Study shows that men with ED often

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have lower level of nitric oxide or broken nitric oxide signaling

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pathway. But the thing is, it's not about willpower or mental

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toughness. It's really chemistry. Nitric oxide isn't

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working right, so the plumbing doesn't work right either. So

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the important thing is where, this is where pharmaceutical

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like Viagra and Cialis and Levitra come in. The drugs are

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called PDE-5 inhibitors. But here's the key. They don't

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create nitric oxide. They don't generate the "on switch".

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Instead, they preserve the nitric oxide so it will stay

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there longer. Now, remember how I say cyclic GMP is a molecule

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that tell the smooth muscle relax. Well, there's an enzyme

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called PDE-5 and that naturally break down the cyclic GMP over

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time. So the PDE-5 inhibitor, like Viagra, Cialis, block that

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enzyme. So that way nitric oxide last longer and cyclic GMP stays

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longer. So the smooth muscles, they relax longer. That's how

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blood stays trapped longer. But this is important. Pay attention

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to this. If there is very little nitric oxide in your body in the

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first place, these drugs won't help. You cannot amplify a weak

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signal indefinitely. So that's where these medication work

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better in men who still have reasonable nitric oxide

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production. But remember all those conditions that I

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mentioned earlier that decrease nitric oxide. Essentially, if

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you're 45 years old, you already lost half of the ability to make

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nitric oxide just from aging. So the older you're taking PDE-5

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inhibitors like Viagra, it may not work for you because you do

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not have nitric oxide production. So this is also why

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lifestyle changes like exercise, quitting smoking, managing

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stress and eating better can actually improve ED, because all

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those things boost nitric oxide production. So that's what I've

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been saying all these years. Focus on the root cause of your

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ED instead just bandaiding it with the medication.

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So before we wrap up, it's worth knowing that nitric oxide isn't

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just about erection. It's everywhere in the body. It

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regulate blood pressure, it reduces inflammation, it improve

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blood flow to your brain, and it support immune function.

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Athletes actually trained in ways that boost nitric oxide to

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improve performance. So when we talk about improving nitric

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oxide production through exercise, diet and avoiding

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smoking, we're not just fixing one problem. We're supporting

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your heart health, your mental clarity and even longevity. So

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ED is just one visible marker of overall vascular and metabolic

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health.

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Okay, modern man. If you're struggling with weak erection,

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low energy, the food you eat could be the big part of the

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problem. One of the best research pathways to boost

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circulation, support healthy testosterone and improve sexual

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performance is the Mediterranean diet. It's packed with food that

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open up your blood vessel, lower inflammation, and fuel your

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hormone, naturally. I've seen men notice real improvement in

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both energy and erection within weeks when they shift to this

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style of eating. So check out the Mediterranean diet link

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right here below, and get that as soon as you can. Stronger

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testosterone and better erection.

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Here's what you need to remember. Erections are

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hydraulic. Blood needs to rush in and gets trapped. Nitric

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oxide is a trigger. It tells the smooth muscle to relax, which

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open up blood vessel and allows blood to flow in. Number three,

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nitric oxide can fail. Meaning smoking, chronic stress, aging

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and poor lifestyle can really suppress nitric oxide

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production. Number four, medication amplify the signal.

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They don't create it. Viagra works better when nitric oxide

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is still functioning reasonably well. Number five, healthy

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lifestyle equal more nitric oxide equals better erection.

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Exercise, Mediterranean diet, stress management, quit smoking,

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all boost nitric oxide. And honestly, understanding the

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science remove a lot of shame and confusion. ED isn't a

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personal failure, guys. It's a sign that something is going on

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in your body, in your vascular system, your metabolic system,

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needs attention and tweaking, and it's actually fixable.

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So if you found this helpful, please like and subscribe to the

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channel. About 80% of the people watching our channel are

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non-subscribers. So do me a favor and push that subscribe

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button. And just know that ED is reversible as long as you treat

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the root cause of the problem. Okay? Because it's not just

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about erection. It's really about your health and living

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longer. Just know that you do not have to suffer in silence.

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There are alternatives to ED, Modern Man. And then I want you

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to know that we're here to help you. Check out the link below

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here on how I can help you get out of ED and all the resources

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that we have. Particularly check out our store at EDNoMore.com

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where we have all the supplements such as nitric oxide

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and the penis pump for you to start rehabbing and for you to

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start rehabbing your ED again. Just know you're not alone and

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you're not broken. See you in the next episode, Modern Man.

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Okay, Modern Man, you are not alone and you don't have to

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suffer anymore. ED can feel isolating, frustrating, and even

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defeating. The endless guessing, the quiet shame, the weight of

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not feeling like yourself is exhausting. But here's the

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truth, you are not broken. You are not alone. You don't have to

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figure this out alone anymore. The Get Wood Now Boost Program

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is your step by step, path to sexual confidence and

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restoration. No more suffering in silence, no more trial and

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error, just real solution, real result and the confidence you

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deserve. It's time to take back your power on your term. Let's

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get this journey started together. Check out the course

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at getwoodnow.com. I'll see you there.

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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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