Dr. George Papanicolaou

So this is just a little lesson to everybody listening. That's how it works. Viagra blocks the 5-phosphodiesterase, allows this... So basically it increases blood flow and makes the erection stay longer. Because you don't get the breakdown of this thing called cyclic GMP. So that doesn't break down. That maintains the...

the constriction of the small blood vessels, you can maintain, actually obtain an erection and sustain an erection for a longer period of time.

the constriction of the small blood vessels, you can maintain, actually obtain an erection and sustain an erection for a longer period of time.

the constriction of the small blood vessels, you can maintain, actually obtain an erection and sustain an erection for a longer period of time.

But that's what's going on. And so then what can affect, what are the things that affect that? So metabolic syndrome. So when you're thinking about people with ED, See, all the blue pill does is fix that end problem. It fixes that, let's just make sure we get the erection and we maintain it. But there's reasons why we get there.

But that's what's going on. And so then what can affect, what are the things that affect that? So metabolic syndrome. So when you're thinking about people with ED, See, all the blue pill does is fix that end problem. It fixes that, let's just make sure we get the erection and we maintain it. But there's reasons why we get there.

But that's what's going on. And so then what can affect, what are the things that affect that? So metabolic syndrome. So when you're thinking about people with ED, See, all the blue pill does is fix that end problem. It fixes that, let's just make sure we get the erection and we maintain it. But there's reasons why we get there.

We get there because of stress and its impact on that very, very sensitive neurovascular problem. That neurovascular, and it's not a problem, that neurovascular symphony that has to occur for you to have your erection and ejaculation. So metabolic syndrome,

We get there because of stress and its impact on that very, very sensitive neurovascular problem. That neurovascular, and it's not a problem, that neurovascular symphony that has to occur for you to have your erection and ejaculation. So metabolic syndrome,

We get there because of stress and its impact on that very, very sensitive neurovascular problem. That neurovascular, and it's not a problem, that neurovascular symphony that has to occur for you to have your erection and ejaculation. So metabolic syndrome,

Which is prediabetes, which includes, you know, to make that diagnosis, you have to have obesity, dyslipidemia, which is just abnormal. Cholesterol. Cholesterol, triglycerides, HDLs. You have to have hypertension. And one of the things is insulin resistance. And so insulin resistance is connected to endothelial dysfunction.

Which is prediabetes, which includes, you know, to make that diagnosis, you have to have obesity, dyslipidemia, which is just abnormal. Cholesterol. Cholesterol, triglycerides, HDLs. You have to have hypertension. And one of the things is insulin resistance. And so insulin resistance is connected to endothelial dysfunction.

Which is prediabetes, which includes, you know, to make that diagnosis, you have to have obesity, dyslipidemia, which is just abnormal. Cholesterol. Cholesterol, triglycerides, HDLs. You have to have hypertension. And one of the things is insulin resistance. And so insulin resistance is connected to endothelial dysfunction.

When those endothelial cells aren't working, then the NO, the nitrous oxide, is not going to have an impact, and you're not going to be able to start that erection. So what do you treat? You can give the person Viagra, but since metabolic syndrome has so many other impacts on their overall health and their health span and lifespan, it'd be better to fix that.

When those endothelial cells aren't working, then the NO, the nitrous oxide, is not going to have an impact, and you're not going to be able to start that erection. So what do you treat? You can give the person Viagra, but since metabolic syndrome has so many other impacts on their overall health and their health span and lifespan, it'd be better to fix that.

When those endothelial cells aren't working, then the NO, the nitrous oxide, is not going to have an impact, and you're not going to be able to start that erection. So what do you treat? You can give the person Viagra, but since metabolic syndrome has so many other impacts on their overall health and their health span and lifespan, it'd be better to fix that.

You're worried about your erection, but you know what? You better be worried about your heart and your brain because they're the ones that are really the target of what's going on.

You're worried about your erection, but you know what? You better be worried about your heart and your brain because they're the ones that are really the target of what's going on.

You're worried about your erection, but you know what? You better be worried about your heart and your brain because they're the ones that are really the target of what's going on.

And that's one of the points I really hoped we'd make today, because as important as erections are, it's getting those root causes that impact your overall health, and then the cherry on top of the pie is great erections.