Latest / Do Hard Things™ with Siegfried Tiegs / The Canary in the Coal Mine: What Your Nighttime Erections Say About Your Heart Health | Dr. Elliot Justin

Transcript

The Canary in the Coal Mine: What Your Nighttime Erections Say About Your Heart Health | Dr. Elliot Justin · Do Hard Things™ with Siegfried Tiegs

• 0:43
  SPEAKER_00: You track your miles, you track your heart rate, you track your sleep score, your macros, but there's one number that many men never really check.
• 0:52
  SPEAKER_00: And it can warn you about heart trouble way before you feel a thing.
• 0:56
  SPEAKER_00: Doctors call it the canary and the coal mined, but today we're talking about erections.
• 1:01
  SPEAKER_00: Yep.
• 1:02
  SPEAKER_00: That's what this episode is all about.
• 1:03
  SPEAKER_00: Do hard things.
• 1:04
  SPEAKER_00: We're talking about erections today, your nighttime erections, how many you get, how long they last, how firm they are.
• 1:10
  SPEAKER_00: And there's a reason for this.
• 1:11
  SPEAKER_00: The guest I'm bringing on today, this is crucial to your overall health, which is why we're talking about it.
• 1:17
  SPEAKER_00: And if you're a woman, you need to know about this directly impacts the health of the man in your life, right?
• 1:22
  SPEAKER_00: So today we are talking to Dr.
• 1:26
  SPEAKER_00: Elliot Justin.
• 1:27
  SPEAKER_00: He is the founder and inventor and the CEO of FirmTech.
• 1:31
  SPEAKER_00: And Firm Tech is advancing sexual and cardiovascular health through smart wearable technology.
• 1:37
  SPEAKER_00: And their mission is to bring sexual health into the 21st century with data-driven personalized care.
• 1:44
  SPEAKER_00: We want to be preventative and not reactive, which is a lot of what healthcare is.
• 1:48
  SPEAKER_00: It's very reactive.
• 1:49
  SPEAKER_00: This is this is in the realm of preventative health.
• 1:52
  SPEAKER_00: And so, Elliot, welcome to the show.
• 1:54
  SPEAKER_00: We appreciate you being here.
• 1:55
  SPEAKER_02: It's great to be here.
• 1:57
  SPEAKER_00: Yeah.
• 1:57
  SPEAKER_00: So you spent 25 years in the ER.
• 2:00
  SPEAKER_00: What did you see there that pointed you to the work that you're doing today?
• 2:06
  SPEAKER_02: Well, sure of a heart attack or stroke.
• 2:09
  SPEAKER_02: There are a few emergencies that can concern them out as much as they consistently limp penis.
• 2:14
  SPEAKER_02: So, but that's not what got me into this.
• 2:16
  SPEAKER_02: I went emergency medicine got me interested in remote patient management technologies, meaning what wearables could people have at home to get early signals of health or to manage their health.
• 2:27
  SPEAKER_02: So ideally, they rarely have to go to the hospital.
• 2:29
  SPEAKER_02: They don't, so they they no longer have emergencies.
• 2:32
  SPEAKER_02: And in addition to which, I live in Montana and I ride, I own horses, ride horses.
• 2:39
  SPEAKER_02: And several years ago I broke six vertebrae.
• 2:43
  SPEAKER_02: Unfortunately, did not damage my spinal cord, but that got me interested in what's been done to rehabilitate sexual function in men and women who have damaged the spinal cord.
• 2:52
  SPEAKER_02: There's something I I'd read in the medical literature that that there were six papers where the urologists claim they're able to neuromodulate human sexual response after odd multiple sclerosis or spinal injury.
• 3:05
  SPEAKER_02: So most people know more neuromodulation in the form of cardiac pacemaking.
• 3:10
  SPEAKER_02: So imagine if you can implant electrode and can control human sexual response.
• 3:15
  SPEAKER_02: That would be profoundly valuable in an aging population.
• 3:19
  SPEAKER_02: So I tried it out on two rams, two male sheep, implanted electrode by their pudendal and caffeinous nerves.
• 3:24
  SPEAKER_02: Everyone's two favorite nerves that no one has ever heard about, no one talks about, and got erection ejaculation, but also got defecation and urination, so it wasn't quite bedroom-friendly.
• 3:35
  SPEAKER_02: Uh I then had a friendly urologist at the University of California, San Francisco, implant electrode by my pudendal and cavernous nerves.
• 3:41
  SPEAKER_02: And we tried off different voltages, frequencies, amplitudes, and I felt nothing other than some tingling from the electric from electricity.
• 3:49
  SPEAKER_02: I don't actually think we understand the neurophysiological physiology of human sexual arousal, but I called the project O for obvious reasons, and came a story that that people, doctors special, would kick around because who kind of who's this wacky emergency doctor who actually implanted electrode and try to produce an erection?
• 4:06
  SPEAKER_02: So about four years ago, a urology professor at the University of Utah heard about this.
• 4:09
  SPEAKER_02: And he said he wanted to count the number of nocturnal erections that men have.
• 4:13
  SPEAKER_02: And I said, What the heck for?
• 4:15
  SPEAKER_02: Why do we care?
• 4:16
  SPEAKER_02: We know about morning wood, we laugh about morning wood, why should we care?
• 4:19
  SPEAKER_02: He said the penis of the canary in the coal mine of cardiovascular and sexual health.
• 4:24
  SPEAKER_02: It's a leading man's nocturnal erections are a leading indicator of his cardiovascular and sexual health.
• 4:29
  SPEAKER_02: Well, in medicine, we don't have a lot of leading indicators.
• 4:32
  SPEAKER_02: In medicine, we treat as we treat associations.
• 4:34
  SPEAKER_02: High blood pressures associated with stroke, LVL proteins associated with atherosclerosis, but they're not predictive.
• 4:42
  SPEAKER_02: So when it comes to nocturnal erections, though, if the number duration and firmness of man's nocturnal erections come down by 50%, that man's close to a 50% chance of having a heart attack or angina in the next two or three years.
• 4:56
  SPEAKER_02: So that would be, when I heard this, I thought I've got to figure this out because that would be another vital sign.
• 5:01
  SPEAKER_02: And a vital sign a lot more interesting to man than some fluctuation in his pulse or his blood pressure.
• 5:06
  SPEAKER_02: So that's the backstory.
• 5:07
  SPEAKER_02: So I, you know, four years ago, this doctor said he wanted to count and count, assess nocturnal erections.
• 5:12
  SPEAKER_02: And I, my thought was, well, why limit ourselves to nocturnal erections?
• 5:16
  SPEAKER_02: They might be more significant than sex erections.
• 5:19
  SPEAKER_02: But Sig, let's be honest, what do man care more about?
• 5:22
  SPEAKER_02: What's happening on the night shift?
• 5:23
  SPEAKER_02: What's happening when they try to have sex?
• 5:26
  SPEAKER_02: So in the ideal world, SIG, maybe you're living this world, but I'd get to have anyone who says it's true for them.
• 5:32
  SPEAKER_02: In ideal world, of course, you have some attractive night nurse comes by and every hour lifts the blankets back and says, hmm, Sig, I'm counting.
• 5:39
  SPEAKER_02: Well, you're still asleep.
• 5:40
  SPEAKER_02: Okay, well, let's just see what's going on here.
• 5:42
  SPEAKER_02: But that's not the that's not the ideal world.
• 5:44
  SPEAKER_02: So the challenge was to how can we develop something with sensors, a wearable, that men could comfortably and safely wear overnight to sex or sexual health that would also stay stay in not not to fear or ideally optimize their sexual performance as well, too.
• 6:01
  SPEAKER_02: So that's that's the background story.
• 6:03
  SPEAKER_00: Interesting.
• 6:05
  SPEAKER_00: So to be clear, for for a guy who skipped biology, they call this the canary in the coal mine.
• 6:12
  SPEAKER_00: And it's you're you it's specifically the erections matter for heart health.
• 6:17
  SPEAKER_00: That's the most significant indicator.
• 6:19
  SPEAKER_00: Yes.
• 6:19
  SPEAKER_00: Okay.
• 6:20
  SPEAKER_00: What is a healthy amount?
• 6:22
  SPEAKER_00: Okay, go ahead.
• 6:22
  SPEAKER_00: Yeah.
• 6:23
  SPEAKER_02: Yeah.
• 6:23
  SPEAKER_02: A healthy man has three to five nocturnal erections per night.
• 6:26
  SPEAKER_00: They last three to five, okay.
• 6:28
  SPEAKER_02: Three to five.
• 6:29
  SPEAKER_02: How many have last night, Sig?
• 6:31
  SPEAKER_00: I don't know.
• 6:31
  SPEAKER_00: I've I need to get I need to get a counter.
• 6:34
  SPEAKER_00: I don't know.
• 6:35
  SPEAKER_02: You're not checking your data.
• 6:38
  SPEAKER_02: Um so and my my experience is that most wives don't like the idea of the night shift nurse.
• 6:42
  SPEAKER_02: I don't know what's wrong.
• 6:43
  SPEAKER_02: You think that much?
• 6:45
  SPEAKER_02: My wife would care about my health and your wife care about your health.
• 6:47
  SPEAKER_02: But I raise the possibility, hey, let's hey honey, let's figure out what my baseline is, and then maybe have her come by once a month.
• 6:53
  SPEAKER_02: No.
• 6:53
  SPEAKER_02: So um the yeah, a healthy mash has three to five doctrine reactions per night.
• 6:59
  SPEAKER_02: They last to last about 45 minutes a piece.
• 7:02
  SPEAKER_02: And they they should be about a six out of ten on a 110 firmness scale that that our computer uses.
• 7:09
  SPEAKER_00: And that seems like a lot, though, when you think about like getting an eight-hour, I mean that's uh 45 minutes each.
• 7:16
  SPEAKER_00: That's right.
• 7:16
  SPEAKER_02: You're spending so you're spending about an hour, you know, let's say over two hours every night with an erection.
• 7:22
  SPEAKER_02: Now, it might not be as hard as a sex erection, but it's an erection.
• 7:27
  SPEAKER_02: And why do they happen?
• 7:30
  SPEAKER_02: Well, at the most basic neurological level, there are two components of the nervous system.
• 7:34
  SPEAKER_02: There's the sympathetic five-flight adrenaline called the nervous system, and then there's this parasympathetic nervous system that takes care of things like digestion.
• 7:43
  SPEAKER_02: Well, for some reason, and we don't really understand why, the sympathetic nervous system turns off during the night and allows the parasympathetic system to be unopposed, and you get an erection.
• 7:56
  SPEAKER_02: And they're not associated, you know from studies done on men, they're not sometimes they are associated with sex in your dreams, but they're often not associated with sex dreams.
• 8:04
  SPEAKER_02: And they tend to occur during rapid eye movement sleep, below not always, sometimes they're outside of them, but almost most of the time, almost invariably they occur.
• 8:13
  SPEAKER_02: Something active, some erection activity occurs during during uh rapid eye movement sleep.
• 8:17
  SPEAKER_02: They're also monitored of your sleep.
• 8:19
  SPEAKER_02: And the conventional explanation from the doctors is kind of made up, which is well, the body needs to provide nutrition to the penis at night.
• 8:28
  SPEAKER_02: We don't really know if that's true or not.
• 8:30
  SPEAKER_02: It sounds good.
• 8:31
  SPEAKER_02: You gotta get blood in there, so it's so much-that's must must be what's happening.
• 8:34
  SPEAKER_02: We don't really know what's going on.
• 8:35
  SPEAKER_02: Whether there's some sort of some reset that's going on in the brain that has as a side of secondary effect, you know, erections, we don't know.
• 8:42
  SPEAKER_02: And it and it certainly warrants more study.
• 8:46
  SPEAKER_02: And the problem with studying the nature of these things is that medical research is basically corporate corporation funded.
• 8:54
  SPEAKER_02: And if there's no way for someone to make money, it it doesn't happen.
• 8:59
  SPEAKER_02: Or it doesn't happen with significant enough numbers for us to really figure out figure out the phenomena.
• 9:03
  SPEAKER_02: So but I digress in attacking pharma.
• 9:06
  SPEAKER_02: I probably will again do that again, the kind of course this conversation.
• 9:09
  SPEAKER_00: Yeah, this is we've got a beef with big pharma here, so it's all good.
• 9:13
  SPEAKER_02: Um so so we don't know why they occur, but we know that they're significant.
• 9:16
  SPEAKER_02: And we know that that if the number decreases by by 50%, that's is indication of a poor cardiovascular health.
• 9:23
  SPEAKER_02: And and and and we we have, as I said to you in the intro, before the intro, we've documented 275,000, 28,000 erections on 4,000 men.
• 9:31
  SPEAKER_02: This is the world's largest dick database, if you will.
• 9:36
  SPEAKER_02: And what most of the men who have poor nocturnal erections have significant diabetes or hypertension, which isn't surprising.
• 9:47
  SPEAKER_02: If it isn't indicated, if it is a leading indicator of a man's cardiovascular health, technically that's that's what we would expect because hypertension and diabetes are two of the leading causes of cardiovascular disease and cardiovascular death.
• 9:59
  SPEAKER_02: So the, I mean, the our database basically can you know confirms that.
• 10:03
  SPEAKER_02: And we all of us are on the road from erectile fitness to erectile dysfunction.
• 10:11
  SPEAKER_02: And we don't know where we are on that road because we don't have a dashboard.
• 10:15
  SPEAKER_02: So what this device is doing is giving men data, a dashboard for their sexual and cardiovascular health that ideally will give them early signals.
• 10:22
  SPEAKER_02: I mean, with you know, I I don't want to wait till we're running out of, if I'm driving my car, I don't want to wait till I run out of gas or my oil is empty.
• 10:29
  SPEAKER_02: I want to I want I want to get signals beforehand.
• 10:32
  SPEAKER_02: I like it, you know, when the engine light comes on, it's usually nothing, but it's worth it's worth paying, sometimes it's worth paying attention to.
• 10:38
  SPEAKER_02: So that's what gives me men.
• 10:39
  SPEAKER_02: That's if you were following your nocturnal erections, you can get really early signals of of uh of changes that are significant.
• 10:44
  SPEAKER_02: And I've received a couple, not just a couple years ago, but my blood pressure started to go up, probably because I started this business and I have a lot of money at stake.
• 10:53
  SPEAKER_02: And and I went from my nocturnal erections became less firm, along with my blood pressure going from like 120 to 150.
• 11:03
  SPEAKER_02: And now that it's uh for variety of reasons, is uh my blood pressure is much better right now, and and I've returned to to it to different readings.
• 11:11
  SPEAKER_02: The you know, my doctor put me on on lysinapril, and my sex erections went from a 10 to an 8.5 in firmness.
• 11:18
  SPEAKER_02: Now, in fact, there's no way my my wife or I can actually detect that difference, only the machine can.
• 11:24
  SPEAKER_02: And I I changed medications.
• 11:25
  SPEAKER_02: So why would I take why would I take a medication that's interfering with the with the blood with you know with blood flow?
• 11:30
  SPEAKER_00: So why take lysinapril?
• 11:32
  SPEAKER_00: So maybe that's something I should talk to my doctor.
• 11:34
  SPEAKER_02: Maybe that's a problem.
• 11:35
  SPEAKER_02: I switched to Lazartan and the problem and a problem in a way.
• 11:39
  SPEAKER_02: But on, you know, briefly digress the subject of blood pressure.
• 11:43
  SPEAKER_02: The way wearable wearables are profoundly valuable and they're underutilized by doctors.
• 11:49
  SPEAKER_02: So let's just Why do you think that is?
• 11:52
  SPEAKER_02: Let's let's go let's let's go to blood pressure.
• 11:54
  SPEAKER_02: Because I, you know, I obviously of course I'm here to promote my technology, but let's just talk about blood pressure.
• 11:59
  SPEAKER_02: It's such a such a common problem.
• 12:02
  SPEAKER_02: Why do why do doctors just stalk people on the same pill, regardless of their age, their gender, their physical condition?
• 12:11
  SPEAKER_02: And lysenterl is a common common one because guidelines say start someone and lysinerpril.
• 12:16
  SPEAKER_02: Well, a more intelligent response would be, oh, Elliot, you have your blood pressure's going up.
• 12:22
  SPEAKER_02: Get a blood pressure cuff.
• 12:24
  SPEAKER_02: Take a blood pressure morning and evening, twice a day.
• 12:27
  SPEAKER_02: Come back here in two weeks and let's go do a telehealth visit and let's let's review your data.
• 12:31
  SPEAKER_02: Let's decide is is this pill the right pill for you?
• 12:35
  SPEAKER_02: Is this the right dose for you?
• 12:37
  SPEAKER_02: Do we need to make a change?
• 12:38
  SPEAKER_02: But instead it's, hey, Elliot, your blood pressure's elevated, take this pill, come back in six months.
• 12:42
  SPEAKER_02: And that's kind of stupid.
• 12:44
  SPEAKER_02: That's treating us as if we're it was if one of the one of the common mistakes that we make in medicine is we treat everyone as if they're one size fits all.
• 12:51
  SPEAKER_02: Doctors like it, it makes it easy.
• 12:53
  SPEAKER_02: Computers love it because it's just one option.
• 12:55
  SPEAKER_02: But it's not what we should be doing because we are all different.
• 12:59
  SPEAKER_02: And the same thing applies, for example, in in sexual health as well, too, or with testosterone replacement therapy.
• 13:06
  SPEAKER_02: It's important to get as much objective data, personal data as possible.
• 13:10
  SPEAKER_02: And that's what's so great about wearables, not just our technology, but but all wearable, all wearables, is that you become an N of one.
• 13:17
  SPEAKER_02: And say, can I just talk briefly about testosterone therapy?
• 13:21
  SPEAKER_02: Yeah, absolutely.
• 13:22
  SPEAKER_02: Sure.
• 13:22
  SPEAKER_02: So testosterone therapy is really common.
• 13:24
  SPEAKER_02: And every man, before he goes, every man should know what his baseline is.
• 13:29
  SPEAKER_02: So every man is 40 should know what his baseline is.
• 13:31
  SPEAKER_02: Because when you're 70, I'm 73, you'd like to know, hey, what that was my total tea in my free tea, and the free tea is more important because that's the tea that's available.
• 13:40
  SPEAKER_02: What was it when I was 40?
• 13:42
  SPEAKER_02: Because then I and so get if you if you if you're under the age of 50 right now, get it.
• 13:47
  SPEAKER_02: It's not part of the standard medical exam.
• 13:49
  SPEAKER_02: It should be.
• 13:49
  SPEAKER_02: It's a it's a vital hormone for every part of your health, your mental health, your heart health, your muscle, healthy muscles, bone metabolism, etc.
• 13:56
  SPEAKER_02: And there's there's there's there's not a system in the body that's not impacted positively by testosterone and negatively if it if it's deficient.
• 14:03
  SPEAKER_02: So well uh about three years ago, because I got involved in this, or I said, I sp I speak to my friends, see, everyone's taking testosterone and I'm not.
• 14:13
  SPEAKER_02: I must be ignorant, or my doctor's ignorant.
• 14:15
  SPEAKER_02: So off I go to my Medicare internist.
• 14:20
  SPEAKER_02: Uh and you know, my my testosterone, I'll make it up.
• 14:24
  SPEAKER_02: I think it was like 380 then.
• 14:25
  SPEAKER_02: Well, you know, borderline low for a man my age.
• 14:28
  SPEAKER_02: But remember the numbers, that's just the total T number.
• 14:31
  SPEAKER_02: He didn't even check a free T, which is the important number.
• 14:34
  SPEAKER_02: So he says, he asks three questions.
• 14:37
  SPEAKER_02: Alec, you're you're you're you're not really qualified for testosterone, but to answer one of these three questions, and I'm gonna answer them for you, he said.
• 14:44
  SPEAKER_02: Uh, you might be able to qualify to have Medicare pay for testosterone.
• 14:47
  SPEAKER_02: So here are the three questions.
• 14:48
  SPEAKER_02: How's your energy?
• 14:49
  SPEAKER_02: How's your sleep?
• 14:50
  SPEAKER_02: How's your libido?
• 14:52
  SPEAKER_02: Well, he rebut he responds to me, you're a high-energy guy, Elliot.
• 14:56
  SPEAKER_02: Your libido, I know in your wife, she's a patient.
• 14:59
  SPEAKER_02: She says patient also, I know you guys make a lot of fair amount.
• 15:01
  SPEAKER_02: You know, you you know, yes, that's not a problem with you.
• 15:03
  SPEAKER_02: Well, so what about my sleep?
• 15:05
  SPEAKER_02: But I can like sleep a little more.
• 15:06
  SPEAKER_02: He says, Elliot, you don't need testosterone.
• 15:08
  SPEAKER_02: Well, you know, ordinarily most people back off at that point, but I want I want Medicare to pay for my testosterone, pay for my blood treatment.
• 15:18
  SPEAKER_02: So if I go to a doctor who doesn't know me, my look my Medicare urologist here, and his response is different.
• 15:24
  SPEAKER_02: He said, He doesn't know me.
• 15:25
  SPEAKER_02: So, hey Elliot, how's your energy?
• 15:27
  SPEAKER_02: Not what it was 10 years ago.
• 15:29
  SPEAKER_02: How's your sleep?
• 15:30
  SPEAKER_02: Like sleep better.
• 15:31
  SPEAKER_02: Uh, how's your libido?
• 15:32
  SPEAKER_02: Just not what it was 15, 20 years ago, and whose is?
• 15:35
  SPEAKER_02: And I so he says, okay, well, now we'll put you on testosterone.
• 15:40
  SPEAKER_02: But what does he do?
• 15:41
  SPEAKER_02: He targets a number.
• 15:43
  SPEAKER_02: He says, Okay, well, you know, once let's let's double your total T.
• 15:47
  SPEAKER_02: But that's not how this should be approached.
• 15:49
  SPEAKER_02: This is the way testosterone, if any men listen to this are considering testosterone therapy or doing it, this is how it should be done.
• 15:57
  SPEAKER_02: This is how I do it.
• 15:58
  SPEAKER_02: Not necessarily my way is the very best, at least my way is uh is objective.
• 16:01
  SPEAKER_02: So here are my questions.
• 16:03
  SPEAKER_02: I want to want to get a man's free tea up above 20, ideally the 20 to 35 range.
• 16:09
  SPEAKER_02: Why?
• 16:09
  SPEAKER_02: Because that's the range of of men in the mid-20s through their through their early 40s.
• 16:15
  SPEAKER_02: I want and I want to be optimized.
• 16:17
  SPEAKER_02: Who wants to be in the normal range?
• 16:18
  SPEAKER_02: I want to be off, I want, who wants to be, you know, a C plus student?
• 16:22
  SPEAKER_02: I want to be an Any certain student.
• 16:23
  SPEAKER_00: Yeah, he wants to be average.
• 16:25
  SPEAKER_02: Right.
• 16:25
  SPEAKER_02: So I want so I want, if you're listening, get your free tea and Medicare doesn't pay free tea, you have to pay for it.
• 16:31
  SPEAKER_02: And well, well, they they will pay for it, but my doctor diagnoses me, how does how does he get how do I get it paid?
• 16:38
  SPEAKER_02: He diagnoses me as being hypogonatal.
• 16:40
  SPEAKER_02: Well, now there's a CPT code to check.
• 16:43
  SPEAKER_02: He gets he can he he gets paid four times a year.
• 16:45
  SPEAKER_02: And I get Medicare to pay 80% of my my lab, pay for my labs and pay 80% of my medications.
• 16:50
  SPEAKER_02: It's too ridiculous.
• 16:51
  SPEAKER_02: But getting back to it, you want traffic free tea.
• 16:54
  SPEAKER_02: I expect a man starting testosterone to gain 10 to 15% of body strength doing resistance training.
• 17:00
  SPEAKER_02: And then you plateau.
• 17:02
  SPEAKER_02: So what what can you do as a man?
• 17:04
  SPEAKER_02: Put a tape measure around your biceps and around your pecs.
• 17:06
  SPEAKER_02: You don't need to have a fancy, expensive bioimpedance analysis.
• 17:09
  SPEAKER_02: And you can measure, you can measure, you can measure, measure your gain is gaining strength just that way with a tape measure.
• 17:16
  SPEAKER_02: When it comes to the libido question, my question to men is how often a week I'm initiating sex and what's your goal?
• 17:23
  SPEAKER_02: So the men I'm taking care of who are low-T, and I've got like a half dozen of them in their late 30s to mid-40s, these guys will tell me, I am initiating sex, you know, maybe once a week now, maybe less than once a week.
• 17:36
  SPEAKER_02: And I used to, a couple years ago, I was initiating sex several times a week.
• 17:39
  SPEAKER_02: Well, now you can set a target.
• 17:42
  SPEAKER_02: So now when you're right dosing testosterone, as opposed to just chasing a number, doubling someone's total T, I'm now trying to, I'm following the sexual initiative sexual initiative, I'm following the muscle strength, and I'm following their nocturnal parameters.
• 17:55
  SPEAKER_02: That's the last factor, which is that with it with our ring, the tech ring, we can then watch men go from two nocturnal erections to three nocturnal erections, from a firmness of their sex erections of seven to affirmness of the sex erections of nine.
• 18:07
  SPEAKER_02: So we can actually we have functional outcomes, we're not just not just chasing a number.
• 18:11
  SPEAKER_02: And that's the power of of wearables.
• 18:16
  SPEAKER_00: So when it comes to does the does uh sexual health, like the amount you initiate is that is that an indicator other than I guess a number of health.
• 18:33
  SPEAKER_00: Okay.
• 18:34
  SPEAKER_02: Uh I I think it's important for people to understand and pe people, you know, guys will tell me he can write me a prescription for my wife, but the people have need to understand that that frequency of sex is really important.
• 18:46
  SPEAKER_02: It's really is use it or lose it.
• 18:48
  SPEAKER_02: And I mean here's some here's some of the benefits of frequent sex.
• 18:50
  SPEAKER_02: Um if a man has an orgasm once a week, he cuts his chance of having prostate cancer by 50%.
• 18:56
  SPEAKER_02: If a m at at you know, at if a men over the age of 70 who have sex three times a week, versus less than three times a month, cut the risk of sudden cardiovascular death by close to 50%.
• 19:06
  SPEAKER_02: Well, you're gonna die anyway.
• 19:08
  SPEAKER_02: But that's you know, doctors should be should be doctors, especially doctors with patients who have cardiac disease, they should be prescribing sex to men as being something not just beneficial for your mental health and your happiness, but beneficial for for you know for the health of your heart.
• 19:22
  SPEAKER_02: We know that men and women who have five to seven orgasms a week, basically like sex once a day, cut their cortisol levels, the stress hormone, by 30 to 50 percent.
• 19:35
  SPEAKER_02: Well, there's no exercise program, meditation program, pill, antidepressant that's gonna cut your cortisol level like sex.
• 19:45
  SPEAKER_02: But yet we doctors don't recommend it.
• 19:46
  SPEAKER_02: If we just it's kind of absurd in a way.
• 19:49
  SPEAKER_02: And then there's the impact upon frequent sex upon the health of relationships.
• 19:54
  SPEAKER_02: We know that couples in a committed relationship, married or committed, meaning that they they're living with living with someone who has sex more three or more times a week versus less than three times a month, have half the separation of divorce rate.
• 20:07
  SPEAKER_02: Well, the impact of separation divorce upon a man's or woman's mental health and their physical health is profound.
• 20:15
  SPEAKER_02: People who get divorced cut their lifespan by two to three years.
• 20:18
  SPEAKER_02: And then there's the impact upon the children.
• 20:20
  SPEAKER_02: We know that the children are divorced, I mean people can't success with a single parent, but the risk goes up for their kids of being alcoholics, drug abusers, criminals, not finishing high school, not finishing college.
• 20:32
  SPEAKER_02: Uh, you know, if we had a rational government, SIG, they could say, hey, here's something that every American can do to cut down on prison time and cut down on Medicaid expenses, make love frequently.
• 20:44
  SPEAKER_02: But I don't think even President Trump or Ravkade Jr.
• 20:48
  SPEAKER_02: would dare to dare come out and say it.
• 20:49
  SPEAKER_02: They should.
• 20:51
  SPEAKER_00: Make love, not war.
• 20:52
  SPEAKER_00: We need more of that.
• 20:54
  SPEAKER_00: Right?
• 20:56
  SPEAKER_00: The okay, if someone isn't married, if they are by themselves ejaculating, is that the same?
• 21:04
  SPEAKER_02: Yeah.
• 21:05
  unknown: Yeah.
• 21:05
  SPEAKER_02: Okay.
• 21:06
  SPEAKER_02: Well, it's if you're by yourself, it's not helping the relationship.
• 21:10
  SPEAKER_00: No, no, I'm saying if you're not in a relationship, for those that divorce masturbation is beneficial.
• 21:16
  SPEAKER_00: Yeah.
• 21:16
  SPEAKER_00: Okay, interesting.
• 21:19
  SPEAKER_00: You mentioned earlier the your device measures nocturnal erections.
• 21:23
  SPEAKER_00: Is there any data that you're doing?
• 21:26
  SPEAKER_02: So when people use we want people to uh ideally to assess both.
• 21:33
  SPEAKER_02: And and and you know, and we want we want to follow trends.
• 21:36
  SPEAKER_02: So people should people who get our technology, we really encourage them to have at least three overnight recordings and one or two uh the recordings with a partner and or or or solo recordings in order to assess the status of their sexual health.
• 21:53
  SPEAKER_02: Here's an interesting thing that was discovered with our technology, which is also a big change for how we can how we think about sexual health.
• 22:01
  SPEAKER_02: The conventional wisdom is that the incidence of rectile dysfunction is 40% by age 40 and goes up 10% per decade thereafter.
• 22:09
  SPEAKER_02: I'm 73, but my age is a little bit over 70%.
• 22:13
  SPEAKER_02: But then it turned out that's not true.
• 22:17
  SPEAKER_02: And this is a big finding because we most men who are diagnosed or by themselves or by physicians as having erectile dysfunction actually don't have it.
• 22:28
  SPEAKER_02: They're just getting older.
• 22:30
  SPEAKER_02: And we've pathologized the aging process.
• 22:32
  SPEAKER_02: And that there are negative, obviously negative self esteem effects to saying, hey, I got erectile dysfunction.
• 22:37
  SPEAKER_02: That sounds that sounds horrible.
• 22:38
  SPEAKER_02: And the end, what and what do guys do?
• 22:40
  SPEAKER_02: They're embarrassed, they don't talk discuss it with their doctors.
• 22:42
  SPEAKER_02: They go online, they get pills.
• 22:44
  SPEAKER_02: And that's dangerous for two reasons.
• 22:46
  SPEAKER_02: Really, part of my day, big the big danger is as you know, this is that they could be could be masking a significant or the signals of a significant cardiovascular or diabetic problem.
• 22:57
  SPEAKER_02: Dr.
• 22:57
  SPEAKER_02: Moe Carros at the University of Baylor, maybe the most famous andrologist, serologist in the United States, certainly famous in the world as well, too.
• 23:05
  SPEAKER_02: He says that Viagra is Vicodin.
• 23:07
  SPEAKER_02: But what do you mean by that?
• 23:08
  SPEAKER_02: He doesn't know he's I mean, Vicodin's a pain pill.
• 23:11
  SPEAKER_02: He means that if you have a problem, especially if you're over the age of 45-50, especially if you have a family history or personal history of heart disease, diabetes, don't just go.
• 23:21
  SPEAKER_02: The pills could be masking the significance of that problem.
• 23:24
  SPEAKER_02: You need to, you need to get your data.
• 23:27
  SPEAKER_02: And the only device right now in the world where you can get that data during sex or overnight is with our device.
• 23:34
  SPEAKER_02: There is a machine made by a company in the United Kingdom called Atom.
• 23:37
  SPEAKER_02: It's a perfectly good machine for recording nocturnal erections.
• 23:40
  SPEAKER_02: It just can't be used during sex.
• 23:42
  SPEAKER_02: And also, it doesn't address the most common cause of erectile dysfunction.
• 23:50
  SPEAKER_02: But the problem is with the problem is with the definition of Sigfree.
• 23:54
  SPEAKER_02: And it's it's a definition that really suits pharma, but does men a disservice.
• 24:00
  SPEAKER_02: So here's the official International Society for Sexual Medicine definition of erectile dysfunction.
• 24:04
  SPEAKER_02: Now bear in mind, as I as I say this definition, this is very different than most diagnoses in medicine.
• 24:11
  SPEAKER_02: So for example, we don't have a diagnosis of medicine called heart disease.
• 24:30
  SPEAKER_02: In the rest of medicine, we look for signs.
• 24:33
  SPEAKER_02: Signs meaning a heart are like a hard physical fact.
• 24:36
  SPEAKER_02: Like, hey, you might have chest pain, but your enzymes are negative, and your EKG is negative, you don't have a heart attack.
• 24:42
  SPEAKER_02: So here's the definition, definitely erectile dysfunction.
• 24:47
  SPEAKER_02: First part of the phrase, difficulty getting an erection.
• 24:51
  SPEAKER_02: Okay, that kind of sounds reasonable, although it doesn't define how difficult.
• 24:57
  SPEAKER_02: But if you're not getting, if you have struggle, if you have, assuming that you're not drunk, but um if you have a recurrent ability struggling to get an erection or can't get an erection, you're not getting blood into your penis.
• 25:06
  SPEAKER_02: That is a problem with your heart and more likely your arteries.
• 25:11
  SPEAKER_02: You're just if you're not getting enough blood in.
• 25:13
  SPEAKER_02: And if any men listen to this to this podcast have that problem, you need to see a doctor.
• 25:18
  SPEAKER_02: That is a cardiovascular diabetic problem until proven otherwise.
• 25:21
  SPEAKER_02: There are other causes, but those are the big ones, and those are the things that you want to rule out.
• 25:27
  SPEAKER_02: Thinking with doctors, though, was that that's half the men who have erectile dysfunction, and it's not.
• 25:32
  SPEAKER_02: Second clause, this is the vast majority of men.
• 25:35
  SPEAKER_02: Difficulty, you get an erection and you lose it.
• 25:39
  SPEAKER_02: Well, that's all men as we get older.
• 25:42
  SPEAKER_02: And why do men lose their erections?
• 25:45
  SPEAKER_02: Could be a whole variety of reasons.
• 25:48
  SPEAKER_02: Could be you're worried about paying the mortgage, you and your wife had a fight early in the day, someone's cheating on someone.
• 25:54
  SPEAKER_02: Maybe having that fourth cocktail, Elliot, was a mistake.
• 25:56
  SPEAKER_02: Maybe uh, Elliot's, you know, thinking that you could dance at your daughter's wedding until 3 o'clock in the morning and then make love, probably that that was probably an illusion, the delusion.
• 26:06
  SPEAKER_02: Uh it could be, it could be, you know, it could be that you're taking medications that we doctors prescribe that make it harder for you.
• 26:12
  SPEAKER_02: These are anti-hypertensives, and they're the anti- the SR antidepressants are just horrible for sexual health.
• 26:18
  SPEAKER_02: Could be doing those things in combination.
• 26:20
  SPEAKER_02: But if you're getting hard, any man, you're getting hard and then losing it, the primary goal of therapy, um, there are things to figure out, but the primary goal of therapy is to keep blood in.
• 26:30
  SPEAKER_02: Excuse me, and only a ring will do that.
• 26:33
  SPEAKER_02: And that's this is the game change, this is the big thing that our big data shows.
• 26:37
  SPEAKER_02: And I'm not saying this because I sold rings.
• 26:40
  SPEAKER_02: I got into this for the data because I was challenged come up with count of counting and objectively nocturnal and sex erections, but then realized that we'd also come up with the major solution for men, which is use a ring.
• 26:54
  SPEAKER_02: So there are two there are two papers comparing erection rings to to Dalafil, Sialis, the most commonly prescribed erection pill.
• 27:04
  SPEAKER_02: And the ring is twice as effective as the Dalafil in sustaining erections.
• 27:09
  SPEAKER_02: Both were both work best in combination.
• 27:11
  SPEAKER_02: But I certainly wasn't expecting that SIG when I got into this.
• 27:14
  SPEAKER_02: When I got into this SIG four years ago, I was interested in data, and my attitude towards erection rings were I don't need it, I'm good, I don't have a problem.
• 27:23
  SPEAKER_02: But now I realize it's not about having a problem.
• 27:26
  SPEAKER_02: This is this is the this is the dumb way of thinking about it.
• 27:28
  SPEAKER_02: Get over your pride.
• 27:29
  SPEAKER_02: It's about do you want to optimize your performance?
• 27:31
  SPEAKER_02: And the rest of life, we use things that are artificial to optimize performance.
• 27:37
  SPEAKER_02: You know, I don't I don't go for run barefoot.
• 27:39
  SPEAKER_02: I don't I don't get on my horse without without a bridle and gallop.
• 27:45
  SPEAKER_02: I don't I don't cook in my kitchen on on on wood that I get that and straw that I gather in the field and start a fire.
• 27:52
  SPEAKER_02: But for some reason, men are obsessed with being natural in this area.
• 27:57
  SPEAKER_02: And interestingly, women are not.
• 28:00
  SPEAKER_02: So what you know, I'll draw an I'll draw an analogy.
• 28:06
  SPEAKER_02: You're younger than me.
• 28:07
  SPEAKER_02: I'm 73.
• 28:07
  SPEAKER_02: I'm not gonna guess how old you are.
• 28:09
  SPEAKER_02: But back back when I was dating in medical school and the early 80s, when I was got out of training and I was dating, vibrators are being commercialized.
• 28:19
  SPEAKER_02: They've been around for a long time, they've been around for over 100 years for quote, female problems, close quote.
• 28:23
  SPEAKER_02: And my mother's vibrator, when I found it in the probably like 1959, 1960, was this massive thing in the bottom drawer of a supply closet.
• 28:31
  SPEAKER_02: And there was a concern when vibrators being commercialized that they were going to interfere with figuring out what a woman's problems are, mental or physical, that they'd be numbing, addicting, etc., etc.
• 28:42
  SPEAKER_02: And at that time, women being characterized commonly as being frigid, anorgasmic, hysteric, cold.
• 28:48
  SPEAKER_02: And then now, you know, 50, 40, 50 years later, they're not they're mainstreamed and frigidity has almost disappeared.
• 28:56
  SPEAKER_02: I think that if men would open up their minds about rings, most erectile dysfunction disappeared because the most common problem for man has is not getting it up.
• 29:04
  SPEAKER_02: Well, that's a problem for men, diabetics, hypertensis, but you but keeping it up.
• 29:09
  SPEAKER_02: Let me just let me just two more analogies.
• 29:12
  SPEAKER_00: No, go for it, yeah.
• 29:13
  SPEAKER_02: Sig, do you run as fast now as you did when you were 20?
• 29:17
  SPEAKER_02: I do not.
• 29:17
  SPEAKER_02: You do not, and I don't either.
• 29:19
  SPEAKER_02: You know, I I think we both have RD, run dysfunction.
• 29:23
  SPEAKER_02: And I have a whole series of supplements, exercises.
• 29:26
  SPEAKER_02: But, you know, if if if if we can get a CPT code, a billing code for RD, that it would be diagnosed a lot.
• 29:32
  SPEAKER_02: But of course, you know, run dysfunction, hey, I don't run as well for a whole variety of reasons.
• 29:35
  SPEAKER_02: There are muscle issues, there are ligament issues and tendon issues, arthritis in one of my knees, I'm missing an AC ACL in the other one.
• 29:42
  SPEAKER_02: But I would never call it running dysfunction.
• 29:45
  SPEAKER_02: I would look, I would identify a specific physical pro aspect of the problem and say, oh, well, I tore my quadricept tendon, so therefore I need to do XY exercise, or I tore my ACL, it needs to be surgically replaced.
• 29:57
  SPEAKER_02: Plumbers, when it comes to men's sexual health, plumbers are smarter than doctors.
• 30:03
  SPEAKER_02: If I go to my plumber and say, you know, my sink leaks, the plumber would say, Hey, Elliot, it's probably the O gasket underneath the outflow.
• 30:15
  SPEAKER_02: Simple fix, you know, just replace the O gasket.
• 30:18
  SPEAKER_02: If I go to my doctor and tell them, you know, I get erections and then I lose them, the doctor says, Take, you know, take Viagra, take Sialis.
• 30:25
  SPEAKER_02: Well, they put a little more blood in, but that's the electric equivalent of saying, hey, Elliot, if my plumber told me, hey, Elliot, your sink leaks, just turn the tap up.
• 30:34
  SPEAKER_02: I would think that's really stupid.
• 30:35
  SPEAKER_02: But that's essentially what doctors are doing, doing when they or men are doing to themselves when they take pills, when the problem is they get erections and they lose it.
• 30:43
  SPEAKER_00: A lot of my audience, they they're running, they're rucking, they're very physically active, pushing really hard, meaning probably overtraining.
• 30:51
  SPEAKER_00: Does does that overtraining show up in the data?
• 30:55
  SPEAKER_02: That's a great question.
• 30:58
  SPEAKER_02: I'll answer personally, and then I'll give it to a general response.
• 31:03
  SPEAKER_02: So I I I ride horses.
• 31:07
  SPEAKER_02: That's how I got involved in this, actually.
• 31:09
  SPEAKER_02: I sometimes have the illusion, say that I'm a centaur, that I'm one with my horse.
• 31:13
  SPEAKER_02: And that's that's how I ended up breaking a whole bunch of vertebrae.
• 31:15
  SPEAKER_02: And but I I I'll go out and I'll ride 20, 20, 20, 25 miles aggressively.
• 31:21
  SPEAKER_02: I'm not walking along I'm I'm with I'm riding hard.
• 31:26
  SPEAKER_02: And I often weigh three or four pounds less when I come back.
• 31:29
  SPEAKER_02: Because I'm even though we associate horseback riding as a pat is kind of a passive activity.
• 31:33
  SPEAKER_02: That's because most people just go to dude ranches and you know and and walk the horses.
• 31:37
  SPEAKER_02: When when I exercise, when I exercise that vigorously, my nocturnal erections are weaker.
• 31:42
  SPEAKER_02: And I suspect that has to do with it actually has to do with cat with cat with catecholamine depletion.
• 31:50
  SPEAKER_02: As far as men running marathons, marathons seem to have we have several men who who extreme athletes who report much more extreme, me too, what what I what I what I've experienced which is that they they're nocturnal, they get l they are getting less blood flow to their penis when when they are recovering from a an uh you know an event.
• 32:16
  SPEAKER_02: Other hand, you want cardiovascular fitness is important for sexual performance.
• 32:20
  SPEAKER_02: It's really embarrassing if after a few thrusts you you're out of breath and you've got a lie on your back.
• 32:25
  SPEAKER_02: So I I'm not saying but but you can but you can actually, you know, I mean I've I've I know actually I've I've used uh an aura ring while horseback riding too, and it you know it indicates that that I'm really you know exhausted myself.
• 32:40
  SPEAKER_02: So yeah, so but so you're not gonna I would expect that men who are extreme athletes would see a deterioration in the not in the nocturnal directions.
• 32:49
  SPEAKER_02: And this extra probably too.
• 32:50
  SPEAKER_02: So the one thing I noticed is that if I if I'm if I spend uh five or six hours in the saddle riding hard, I'm I'm less likely to initiate sex.
• 32:59
  SPEAKER_02: I kind of looked at my wife take the initiative on on those nights.
• 33:03
  SPEAKER_00: There you go.
• 33:04
  SPEAKER_00: There you go.
• 33:05
  SPEAKER_00: So that would that would make a lot of sense.
• 33:08
  SPEAKER_00: What about alcohol and maybe use of like cannabis or other you know recreational drugs?
• 33:13
  SPEAKER_02: Yeah, we have we have significant data on on both those because we well, people all the days anonymous.
• 33:20
  SPEAKER_02: I can't access anyone's data without their permission.
• 33:22
  SPEAKER_02: But but once the day is anonymitized, we do ask people about alcohol and and marijuana consumption, both on uh overnight and when they're having sex.
• 33:31
  SPEAKER_02: And it's alcohol is both the both of them are negative and it's probably dose related.
• 33:37
  SPEAKER_02: I mean it's hard.
• 33:38
  SPEAKER_02: So I I also I'll just talk about myself and how it how it addressed what was probably I won't call it a vice, but uh but I got close to it, maybe.
• 33:46
  SPEAKER_02: So you know, I I I tend my wife and I tend to make love at night, and then she goes to bed, and then I stay awake and I like to read because I I work hard and that's I I I do enjoy reading history and fiction.
• 34:00
  SPEAKER_02: But I also in the past would drink, you know, maybe four ounces plus of really good liquor over about an hour, an hour and a half.
• 34:08
  SPEAKER_02: I wouldn't guzzle it, I'd be sipping it, and it also helped me get to sleep, I thought.
• 34:11
  SPEAKER_02: Uh and I'm aware of the rebound effect and the negative impact of alcohol sleep, but nevertheless, I enjoy it.
• 34:17
  SPEAKER_02: So it was hard to give up.
• 34:18
  SPEAKER_02: But then I noticed that it was having a negative impact upon my nocturnal reactions.
• 34:22
  SPEAKER_02: And I why would I do something that's have a negative impact on my blood flow to my penis?
• 34:26
  SPEAKER_02: Because I've impact the blood flow of my penis.
• 34:28
  SPEAKER_02: I've impacted the blood flow of my brain, my heart, my kidneys, and other you know, other vital organs.
• 34:32
  SPEAKER_02: So I've cut back to two ounces of alcohol, diluted, because I really part of it's just I want somebody to drink something, you know, and my nocturnal reactions are stronger on average, you know, since since I've done that.
• 34:45
  SPEAKER_02: We certainly have had men who have gone off alcohol completely and have recovered sexual both nocturnal erections significantly as well as the sex erections.
• 34:57
  SPEAKER_02: Men using all that technology can directly see the impact of.
• 35:00
  SPEAKER_02: I mean, I've got guys that tell me that they have determined what their threshold is for alcohol by the impact upon their erections.
• 35:07
  SPEAKER_02: You have to have at least a seven out of ten to penetrate.
• 35:09
  SPEAKER_02: You really have to really need an eight plus in order to enjoy sex.
• 35:13
  SPEAKER_02: And guys will email me saying, Yeah, I now realize that uh, you know, drinking half a bottle of wine is probably a mistake.
• 35:17
  SPEAKER_02: I cut back to four ounces and my I can I can I can I can see that you know you know upon my data and upon my performance.
• 35:25
  SPEAKER_00: Well if that's the motivation someone needs to cut back, then there you go.
• 35:29
  SPEAKER_00: Yeah.
• 35:30
  SPEAKER_02: I mean marijuana is hard to assess because it's it's most people are still smoking today, so he you can't really quantify quantify the dose.
• 35:38
  SPEAKER_00: Interesting.
• 35:40
  SPEAKER_00: So the technology itself, like can you describe what it is?
• 35:44
  SPEAKER_00: Where does someone get it?
• 35:46
  SPEAKER_00: Like, tell us about the product itself.
• 35:49
  SPEAKER_02: Yeah, I I can show you one here.
• 35:52
  SPEAKER_02: Always have to have one of these on the desk, you know.
• 35:58
  SPEAKER_02: There's a sensor here called a pressure sensor.
• 36:02
  SPEAKER_02: There's another sensor here in the strain gauge.
• 36:06
  SPEAKER_02: As the penis expands in size, it presses on a pressure sensor, pulls on the strain the strain gauge and the hook, and gives the computer two data points to translate into one to ten Burner scale.
• 36:17
  SPEAKER_02: The device itself has been it it's it's embedded in in a elastomer.
• 36:23
  SPEAKER_02: This is not like this is a very soft stretching.
• 36:29
  SPEAKER_02: We estimate that our our erection rings have been used over 1.5 million times or other overnight or during sex, probably more times.
• 36:38
  SPEAKER_02: And to our pleasure, there have been zero complications.
• 36:42
  SPEAKER_02: I mean, we haven't even seen a yeast infection or an infected hair follicle.
• 36:48
  SPEAKER_00: That's fantastic.
• 36:50
  SPEAKER_00: And so that divide you wear that 24 hours a day or just when you sleep at night?
• 36:55
  SPEAKER_02: The only people who wear these things 24 hours a day are gay guys, uh, because they're getting they're getting more sex than we get.
• 37:00
  SPEAKER_02: The uh no, we recommend wearing wearing it overnight and then wearing it during sex several times in order to get you know, get the readings.
• 37:09
  SPEAKER_02: But it's uh but you know, but again, us circling back, the big discovery is that all men would benefit from erection rings.
• 37:16
  SPEAKER_02: One of the one of the things that that jokes we have about doctors is how do you tell from going to conventions like the American Rology Association, is how do you tell the difference between a gay doctor and a straight doctor?
• 37:28
  SPEAKER_02: With one question.
• 37:29
  SPEAKER_02: Can you guess?
• 37:32
  SPEAKER_00: No.
• 37:33
  SPEAKER_02: Do you use an erection ring?
• 37:35
  SPEAKER_02: Gay doctor.
• 37:36
  SPEAKER_02: Like it they roll their eyes, like are you an are you an idiot?
• 37:39
  SPEAKER_02: Of course I do.
• 37:39
  SPEAKER_02: Last night, you like you got a better one.
• 37:41
  SPEAKER_02: Straight doctor.
• 37:43
  SPEAKER_02: I don't need that.
• 37:43
  SPEAKER_02: They personalize it right away.
• 37:45
  SPEAKER_02: I I might have some patients who have problems who might need benefit from that.
• 37:48
  SPEAKER_02: It's like also like super men crypton, like, whoa, not me.
• 37:51
  SPEAKER_02: But it's the reality is that all men, like all women, all benefit from vibrators.
• 37:58
  SPEAKER_02: All men would benefit sexually in terms of their pleasure, because the rings are designed to produce a more intense orgasm by holding more blood in the penis.
• 38:07
  SPEAKER_02: That's it's mechanical.
• 38:09
  SPEAKER_02: It's plumbing.
• 38:10
  SPEAKER_02: Again, we compress the superficial veins, holds more blood in the penis during erection.
• 38:14
  SPEAKER_02: The more blood is held in the penis, the more sensitive it is.
• 38:17
  SPEAKER_02: And then by also putting a little bit of pressure over the urethra, we're also drawing off the ejaculatory phase, which produces a more intense orgasm as well.
• 38:24
  SPEAKER_02: And and Sig, I wasn't thinking about any of this stuff four years ago.
• 38:26
  SPEAKER_02: Four years ago, when when Dr.
• 38:28
  SPEAKER_02: Hotelling told me, the urology professor, I want to count the number of nocturnal erections because they're a leading indicator of a man's cardiovascular health, because the penis of the canary and the coal mine of cardiovascular disease, that was my goal.
• 38:39
  SPEAKER_02: I want to give men the vital signs of their most vital organ because it's also because it's a reflection of their sexual and cardiovascular health, and then realized two years into it, oh, uh I've helped, I've given men the equivalent of a vibrator, if they will open their minds to it.
• 38:56
  SPEAKER_00: If they'll open their minds to it.
• 38:57
  SPEAKER_00: How can you open up the minds of more men to this idea and what is the leading cause of the resistance?
• 39:06
  SPEAKER_02: Well, the way to open minds, unfortunately, is the biggest best way is money.
• 39:11
  SPEAKER_02: So and and and the success of Viagra epitomizes it.
• 39:15
  SPEAKER_02: So if you go back to the original Viagra research or submitted to the FDA by Pfizer, it was rigged to so that they would get this.
• 39:26
  SPEAKER_02: They spent a lot of money developing an antihypertensive drug, and some nurses and some noticed that men who had significant hypertension diabetes were reporting better reactions if they if they took syldanophil.
• 39:39
  SPEAKER_02: And that's true, and our data confirms that.
• 39:41
  SPEAKER_02: If you got real disease, you got you got hypertension diabetes, the pills will benefit you.
• 39:46
  SPEAKER_02: So how do they sell the pills on to everyone?
• 39:49
  SPEAKER_02: Well, there were so there was there were seven papers.
• 39:53
  SPEAKER_02: One paper showed 70% benefit, and but that was in men who had prostate surgery, which not most men.
• 40:00
  SPEAKER_02: And and I when I say 70%, I mean with a subjective score.
• 40:05
  SPEAKER_02: Men reporting, yeah, overall things are better.
• 40:08
  SPEAKER_02: You know, over the last six months.
• 40:10
  SPEAKER_02: Something as soft as that.
• 40:11
  SPEAKER_02: Doesn't prove, you know, not not with using technology like ours, when you know, we're measuring furnace or erections.
• 40:17
  SPEAKER_02: There were two papers that showed no benefit in comparison to placebo.
• 40:21
  SPEAKER_02: Well, that should be to make you suspicious.
• 40:23
  SPEAKER_02: And then there were four papers that showed benefit in the 35 to 40 percent range, but they were poorly controlled, and the and and the 30, and people need to bear in mind that placebo effect is 30%.
• 40:37
  SPEAKER_02: So it's they're minimally beneficial.
• 40:40
  SPEAKER_02: So in our in our in our large data set, the vast majority of men, and by vast I mean like 90% of the men who've been diagnosed as having erectile dysfunction are getting just as hard, almost as hard as guys have not been diagnosed as having erectile dysfunction, men of the same age.
• 40:58
  SPEAKER_02: You know, I'll I'll make it I'll make it simple.
• 41:00
  SPEAKER_02: Bows men diagnosed with ED, thousand men not diagnosed with ED, between the ages of 50 and 70, these guys' erection, the non-ED guys' erections on average are 9.5.
• 41:11
  SPEAKER_02: The ED guys' erections are a 9.2 on average.
• 41:15
  SPEAKER_02: Only the machine can tell that difference.
• 41:17
  SPEAKER_02: There's no hand, mouth, nothing, nothing can detect that other you know, other than and and and need an A and A plus is rock, an A plus is rock hard.
• 41:25
  SPEAKER_02: So the vast majority of men who are taking pills are getting, are they getting benefit?
• 41:29
  SPEAKER_02: They're getting the benefit of the placebo effect.
• 41:31
  SPEAKER_02: It's a confidence builder.
• 41:32
  SPEAKER_02: And I've got men to my prescribe silos or to Dallofil too, who say it works if it's in their wallet or if it's in their night table on the night table.
• 41:42
  SPEAKER_02: Well, that's a powerful medicine.
• 41:43
  SPEAKER_02: And I understand the placebo effect.
• 41:45
  SPEAKER_02: I mean, I I don't know about you, Sig, but I'm you know, I'm into my health.
• 41:48
  SPEAKER_02: And if I went to my bathroom right now, probably yours too, I'd see a whole bunch of supplements.
• 41:53
  SPEAKER_02: Do they really work?
• 41:55
  SPEAKER_02: I hope so.
• 41:56
  SPEAKER_02: But no, I wouldn't, but I'm not gonna sit here and tell someone, yes, objectively, if I take PT-157, my and I pull my trapezius muscle, it's gonna hurt for three days less because it's you know, one, these studies are hard to do.
• 42:09
  SPEAKER_02: And two, as you and I both know, the people pushing these things are very seductive with their claims, very powerful with their claims.
• 42:16
  SPEAKER_02: And so and so most guys today, if they have sexual issues, they get a pill.
• 42:20
  SPEAKER_02: They should be thinking, I might have a diabetic or eye potential problem, and maybe I need to look at my data.
• 42:26
  SPEAKER_02: And they should also, they don't know yet that rings are better than pills.
• 42:30
  SPEAKER_02: So, how do we change men's minds?
• 42:33
  SPEAKER_02: You know, do you remember Dr.
• 42:34
  SPEAKER_02: Ruth?
• 42:35
  SPEAKER_02: I remember Dr.
• 42:36
  SPEAKER_02: Ruth, yeah.
• 42:37
  SPEAKER_02: Dr.
• 42:37
  SPEAKER_02: Ruth, Dr.
• 42:38
  SPEAKER_02: Ruth is probably singly responsible for popularizing the vibrator for women.
• 42:41
  SPEAKER_02: She went, she went on Johnny Carson and these shows back in the day talking about vibrators.
• 42:47
  SPEAKER_02: And you know, I I you know, so I think things will change for men when there's some aggressive influencer, and I can't afford them because I don't have the money, but when some aggressive influencer, I mean you I mean if Bob Dole did not volunteer to do the to do the Viagra ads for Pfizer, they paid him$12 million, and they probably got they probably got you know some sort of commission as well, too.
• 43:07
  SPEAKER_00: Of all people.
• 43:08
  SPEAKER_02: I'm confident if I could if I could pay Bella Pliny$10 million, uh talking about how uh how how copperings are better than pills.
• 43:17
  SPEAKER_02: If guys would guys you know, let guys that open their minds to it.
• 43:21
  SPEAKER_00: Uh well, I mean, it seems to make sense.
• 43:24
  SPEAKER_00: And you know, I'd like to use the idea of data.
• 43:26
  SPEAKER_00: And if you understand what you're what you're measuring and and for, I mean, it sounds like there's a lot of science behind this.
• 43:31
  SPEAKER_00: I'd love to see the literature on this and just kind of read more about it.
• 43:35
  SPEAKER_02: There are seven published papers utilizing our technology.
• 43:37
  SPEAKER_02: There are another 21 studies underway.
• 43:41
  SPEAKER_00: Yeah, well, that's that's amazing.
• 43:43
  SPEAKER_00: It sounds like it's better all around.
• 43:45
  SPEAKER_00: So where where can people find your product?
• 43:47
  SPEAKER_02: Sure.
• 43:47
  SPEAKER_02: You can find us at my firm tech, M Y-F-I-R-M-T-C-H, myfirmtech.com.
• 43:54
  SPEAKER_02: You can reach me personally at Elliot L L I O T at MyFirmTech.com.
• 43:59
  SPEAKER_00: Okay.
• 44:01
  SPEAKER_00: What what should I ask you that I haven't asked you about this topic?
• 44:05
  SPEAKER_02: Women.
• 44:05
  SPEAKER_02: What's coming for women?
• 44:07
  SPEAKER_00: Okay.
• 44:08
  SPEAKER_02: Yeah, we're working on a product called the Clitique, C L I T I Q E.
• 44:14
  SPEAKER_02: It's the world's first monitor for the health of the clitoris.
• 44:19
  SPEAKER_02: And it's going to be transformational for women.
• 44:21
  SPEAKER_02: And why is that?
• 44:22
  SPEAKER_02: Because there is no, as with men, there's no data about a woman's sexual health, objective data.
• 44:27
  SPEAKER_02: People just follow opinions based upon upon subjective studies or influencers.
• 44:33
  SPEAKER_02: And women have more blood flow issues, which we're really measuring.
• 44:38
  SPEAKER_02: I'm measuring pulse and temperature and other things, but predominantly measuring blood flow and the flitoris.
• 44:42
  SPEAKER_02: Women have more problems than men do.
• 44:44
  SPEAKER_02: And why is that?
• 44:45
  SPEAKER_02: It's because of pharma.
• 44:48
  SPEAKER_02: Premenopausal women take hormones birth control, and they take SRI antidepressants way, like eight times as much as as men do.
• 44:57
  SPEAKER_02: And both those, both those things, the hormones, the hormones and the SRIs, have a negative impact upon blood flow and the clitoris.
• 45:03
  SPEAKER_02: And they're also prescribed in a one-size-fits-all way.
• 45:06
  SPEAKER_02: Well, the women are different, just the way men are different.
• 45:10
  SPEAKER_02: It should, you know, the dose, the doses have an impact.
• 45:14
  SPEAKER_02: And it could well be that people utilize this technology or realize, A, they don't want to take the medications at all, or B, they're they're taking the doses, the dose is too strong and having a negative impact upon their sexual health.
• 45:26
  SPEAKER_02: The clitoris is also, I we think is going to be a profound reflector of cardiovascular disease as well, too.
• 45:31
  SPEAKER_02: And post-menopausal women have all the same problems that men do with diabetes, hypertension, atherosclerosis, medication side effects.
• 45:38
  SPEAKER_02: And my guess is they're going to get, so the clitoris is going to turn out to be the canary in the coal mine, a cardiovascular disease for women.
• 45:47
  SPEAKER_02: So that's the future for women, sexual health, is going to be, as with men, care based upon objective personal data, as opposed to one size fits all guesses.
• 46:00
  unknown: Yeah.
• 46:01
  SPEAKER_00: When do you think that product will be out?
• 46:03
  SPEAKER_02: February.
• 46:04
  SPEAKER_00: February.
• 46:04
  SPEAKER_00: Okay, so not too right around the corner.
• 46:07
  unknown: Yeah.
• 46:09
  SPEAKER_00: Yeah, it's a minute.
• 46:10
  SPEAKER_00: That's fantastic.
• 46:11
  SPEAKER_00: What else?
• 46:11
  SPEAKER_00: Is there anything else we should know?
• 46:14
  SPEAKER_02: No, I would summarize it by saying, men, put a ring.
• 46:17
  SPEAKER_02: Oh, that's my dog, sorry.
• 46:19
  SPEAKER_02: Put a ring, put a ring on it for your sexual health and your data about your heart health as well.
• 46:24
  SPEAKER_02: Put a ring on it to optimize your performance.
• 46:27
  SPEAKER_00: Yeah, it makes a lot of sense.
• 46:29
  SPEAKER_00: Stop being so reactive, be preventative.
• 46:31
  SPEAKER_00: And this is a way, another data set, and a thing that we should be measuring and monitoring for our own health.
• 46:36
  SPEAKER_00: In addition to you get the extra benefits of, you know, just improving your sex life in general optimization.
• 46:42
  SPEAKER_00: There we go.
• 46:43
  SPEAKER_00: So no, fascinating topic.
• 46:44
  SPEAKER_00: I didn't really know what we're going to get into today, but when we decided to have you on today, but really, really interesting topic and very informative.
• 46:53
  SPEAKER_00: And I I just think about my own experience with the VA, you know, being prescribed various medications.
• 46:59
  SPEAKER_00: We there's got to be alternative means and methods.
• 47:01
  SPEAKER_00: And I and I love that you have this product specifically for men in this realm.
• 47:06
  SPEAKER_00: And I think uh yeah, I just encourage uh we'll drop all the links to uh connect with you in the show notes.
• 47:13
  SPEAKER_00: And so anything else before we call it a day?
• 47:15
  SPEAKER_02: No, thanks for the opportunity.
• 47:17
  SPEAKER_00: Yeah, I appreciate your time today, appreciate the information.
• 47:20
  SPEAKER_00: And uh for those that are interested, you know, go to myfirmtech.com, look up Dr.
• 47:24
  SPEAKER_00: Elliot Justin's work, all the links will be in the show notes.
• 47:27
  SPEAKER_00: And Dr.
• 47:28
  SPEAKER_00: Elliot, we uh we uh appreciate you being here today.
• 47:31
  SPEAKER_02: Thank you.
• 47:32
  SPEAKER_00: Yeah, thank you so much.
• 47:33
  SPEAKER_00: And in the meantime, keep doing hard things.
• 47:35
  SPEAKER_00: We'll see you guys in the next episode.