Make lifestyle choices to enhance your well-being? This is natural inspirations. You are listening to natural inspirations, podcast the show where we have conversations with local natural health experts on the space and treasure coast. Welcome to episode 43, I’m chris arcart today we’re talking to dr yale smith about what causes erectile dysfunction and the good news natural approaches to resolve it. So when it comes to medical care, men are less likely to seek care than women, and, while men may avoid typically seeing their health care provider, there are some problems that may prompt men to take action, and one complaint that can bring a man to a doctor’s office is erectile dysfunction. So here today to discuss this with me is dr yale smith from the center of anti-aging, aesthetic and rejuvenation medicine. Thank you so much for joining me today, dr smith. Thanks for having me again in your podcast glad to have you so, let’s just jump right in and let you explain to us what exactly is erectile dysfunction. Erectile dysfunction is when a man has the inability to obtain or maintain an erection for penetration and enjoying normal psychoactivity and also for having the satisfying sexual experiences. Most men are very shy about discussing this about landlords and they won’t seek medical help. They rather take a pill or just avoid it. Understandable, so is loss of erectile function, a normal process of aging. It is, as men get older, the hormones drop or testosterone drops, but that is not the main reason for eating. The main reason is poor blood flow. As we get older, we find that we from various things in our list, those that men have decreased blood flow in the female tissue, one of the earliest indications of cardiovascular disease. Some of the it is a normal process of aging, but there are various risk factors that men should be aware of, and these include a low, nitric oxide level, low testosterone, cardiovascular disease. Diabetes is a big big problem. Poor diet for sleep, a lot of stress that their hormones are are off that they have peyronie’s disease, and you see that on tv it says that the penis is bent men that have caught hypertension, blood pressure, medications, men that unfortunately, are using drugs, either prescribed or unprescribed abnormal lipids stressors, if they’re they’re, with of what’s going on, losing their job or can’t pay the bills. These all impact the man’s performance in the bedroom. Patients that are hypothyroid is the big thing. That’s not checked. These are some of the big things that we need to check for patients, so you’ve listed quite a number of things there, so this sounds like it might be. A fairly common condition is that true, one-third of men now suffer from uv yeah, that’s a significant number, and so with all of those underlying health conditions that can be related. Are there things that can be done to preventatively for ed or that other recommendations? Well, any patient that comes in with that. We have to do a deep dive on their physiology a lot of times. It’s not just low g, that’s only 20. It’s flow. They need flow, and so we need to do elaborate testing on them between the lipids, the blood, sugar, testosterone and the thyroid. All these things impact this. It’s not just one thing, and once we find out what the initial thing is and we start treating it, they start feeling better, and then there are treatments that it will can be done. You can increase nitric oxide by checking a lab value on them to see how much admin and sdma in the bloodstream this is for causing blood vessels to relax. Inflammation is a big thing. If we diabetic, we have to get that under control, but with these patients not only develop plaque in their vessels, they have problems with sensation, patients and, as a side note, diabetics who have cardiovascular events may not have chastity. It was the nervous advantage to send that pain, receptor. They may become diaphoretic, they sweat or they just don’t feel well. So all these things need to be looked at before you start treating them with. Indeed, as a functional medicine doctor you have, this approach is not just for ed. I mean this is something that you work with every day, so you have a lot of tools in your toolbox. Don’t you two for recommendations to not just help with ed, but also all of these other health conditions? Yes, we do. We look at everything from sleep problems to patients can be exposed to a toxic mold and don’t need to know it or what they call marcon’s, which is bacterial viruses that release toxins into your body into your brain and just with mold. It can mess up their their neurotransmitters and their hormones, and they don’t even realize it right. So we look at all these different things and most men will see someone and just they’re just giving testosterone about finding the root cause. We look at everything in their testosterone as well. We look at. Why is it right and we try to fix that problem, so the testosterone normalizes on its own? It’s not just giving testosterone, because once you get that it tells your brain, we don’t you don’t need to make any more. We rather the body make its own and finally right right. You don’t want to shut off the production of testosterone, so we know there’s pills for ed. So what are some of the common treatments? I mean you’ve already acknowledged that you’re going to look at the overall health and the underlying conditions to help with the blood flow and the other supportive functions that you need to turn ed around but pills and what are some of the common treatments for ed. So the most common is that a phosphorus dies raised type 5 inhibitor, which causes your blood pressure. The drop it’s not really good in older men who have cardiovascular issues where it’s like taking a they’ll, dilate them and proper blood pressure, and they can have a cardiac event and that’s why cardiologists have been very careful of taking this medicine when you want to move in there’s another thing called foster joining e-injections, which I don’t know a lot of men that want to take apostle, paul and inject enlarge it. But you have been doing blood sugar blood thinners. You have to be very careful concentrating because of cause trauma and hemoglobin, so you can end up in the emergency room and after the surgery there’s something new called acoustic pressure wave therapy. It’s it’s been around in europe and recently going over to the rest. What it uses is sound waves and pressure, that’s applied to the penile tissue and what it does is it sends these sound waves, high frequency, sound waves into the female tissue and surrounding tissue, and it’s had amazing results in about 70 to 80 percent of the patients. What it does is it increases angiogenesis or neovascularization. That’s new blood flow into the penile tissue. It breaks up plaque micro, fat in the blood vessels, so you have more blood. It creates new nerve growth factors in the canal tissue, so there’s more sensation. It prolongs a man’s erection, it increases the strength of the orgasm and from what I understand from the speaking patients, it takes that from more pronounced sensation going like acid. So it’s it’s! It’s non-invasive. The procedure takes about 20 minutes twice a week for anywhere from three weeks to six weeks and a patient comes in and we give them a cream, a local anesthetic cream that they apply about 30 minutes before the procedure they come in. They go into the procedure room and then this machine is used and it sends pulse waves through. They may feel some discomfort, but that’s okay, because then it’s working and and but virtually no pain and then after the procedure they don’t normally tell them to use it because you want to have an erection and get blood flow in there and help break a plaque, and this procedure works so well that when I was in screening to do this, I was told that a lot of the performers use this. They come in routinely for this, and I looked at the nurse and I said: listen, I don’t look down here. I don’t know what the hell goes on down here, but I don’t live down here. What are you talking about? And she said
what I mean I said: no, I didn’t believe the point starts. They come in on a routine basis, because this is their business right. So apparently, that’s pretty good recommendation or testimonial yeah, and this is done now, it’s very, very common. So if, if a man undergoes these treatments- and you said it could be three to six weeks, do you expect? I guess if they don’t change, their lifestyle plaque could re-accumulate and they may have to come back or what’s the opinion, what we try to do is we follow them? So if your blood sugar is very high, we want to get that under control and look at that normally generally natural treatments, and we wanted to be easy to get their blood sugar under control. It’s less likely of cracking and less damage to the blood vessels and more sensations with the nerves are not being damaged. So it’s all it’s a complete thing. It’s just not one of like what you see on tv, okay, here’s one two, that’s not accurate! Only twenty percent of men have growth and there’s ways to treat that and the ways are you can change their diet. Exercising excuse me. Existence and aerobics will increase testosterone, but everybody goes to this. Given t given t well, most men don’t need that especially younger men in their 30s. You can give them a drug called cloning which tells the brain to make their own testosterone. We trial that for about eight weeks to see what their testosterone levels are and how they’re feeling and then you need people at work and if it’s going off and continue, if that doesn’t work, then you would go to other things like a cream or an injection. I don’t do these all these things for their own individual physiology. Well, it sounds like a win-win. Then I mean if, if a man- that’s maybe his first sign that something’s wrong is symptoms of ed, but there’s you, you have a whole health way of approaching it and getting them back on track, as well as a strategy for some immediate support with the apwt, the the pressure wave therapy. So I think it’s all good news. I think everything you’ve had to say is really good news for for men who maybe aren’t concerned about about ed as a problem for them. They just need to realize it and fight the bullet and accept it and realize that there’s an issue and then come in and fix it, yeah come in and fix it well. Thank you so much for sharing your expertise with us today. I really appreciate your time. Thank you. So much everyone be well stay connected. You.