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Did you know that erectile dysfunction can be an early warning sign of more serious cardiovascular issues? Have you heard the saying "ED= ED= ED" (erectile dysfunction=endothelial dysfunction= early death)?

Erectile dysfunction can be an embarrassing subject for men to bring up with their healthcare provider. Many men equate penile function with masculinity and strength, and may see the issue as a sign of "weakness." There are many reasons why, at some point, men may experience problems maintaining an erection firm and long enough for satisfactory penetration (the actual definition of ED): psychological stressors, medications, and nerve damage can all be contributing factors..

However, a more concerning cause for ED is endothelial dysfunction - a problem with the inner lining of blood vessels. This can cause poor blood flow to the heart and penis and contribute to atherosclerosis. While ED doesn't always indicate a heart problem, it is advisable that men without an explicit cause for ED and no heart disease symptoms be screened for heart disease and risk factors.

For those science nerds out there, we have included a slide from Professor Geoffrey Hackett's presentation at this year's PRISM (Post Graduate International School of Men's Health) conference outlining the pathways linking endothelial dysfunction and ED.

Hackett, Geoffrey, Diabetes mellitus and sex in ageing men: what are the links and how to approach them. Nov 2023. PowerPoint Presentation.

Risk factors for concomitant endothelial dysfunction and erectile dysfunction include:

• Low Testosterone
• Obesity
• Smoking and Alcohol Abuse
• Age
• Diabetes
• High Blood Pressure
• High Cholesterol
• Anabolic Steroid Abuse

If you've determined with your healthcare provider that your erectile dysfunction is not due to other causes, there are several lifestyle modifications that can help. These include not smoking, limiting alcohol intake, maintaining a healthy weight through good diet and exercise and considering prescribed supplements or medications. Regular check-ups with your healthcare professional are also recommended.

If you have ED and one or more risk factors, do not ignore the problem and hope it will improve on its own. Without investigating further, you may be putting yourself at risk for an early death.

Important Notice: After March 1st, 2024, we will no longer be accepting NEW Weight Loss only clients

Starting March 1st, our focus will be on our Men's Health Optimization concierge service. We will continue to accept refill appointments for those already on weight loss medications through the end of 2024. However, no new patients for weight loss will be accepted after February 29th. Rest assured, ten months is plenty of time to build the habit of better eating and exercise (which should be the goal of taking any weight loss medication). If you have been struggling with improving your diet and exercise habits, we partnered with a dietician and fitness coach who can help guide you to where you need to be. If you are interested in these services, please reach out to us so that we may give you more information. We know you got this!

Have a fabulous day,

Patricia & Paula

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