Dr. George Shapiro

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30 appearances 1 recordings 1 series first heard Nov 2024 last heard Nov 2024

Dr. George Shapiro’s voice in public audio — every appearance, attributed to the second.

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The Dr. Hyman Show · Erectile Dysfunction: The Warning Signs You Shouldn’t Ignore · 11 Nov 2024 podcast
Scope of the problem is significant, and it just is not in the older population. We're seeing problems age 30. Age 30, 40, 50, men and women. 80% of erections in men is vasculogenic. It's due to blood flow. 20% is hormones. So a lot of the younger patients come in and say, listen, my testosterone must be low because I can't get an erection. But that's not the case.
It's other things that are involved. Vessels, blood vessel flow. Blood flow is a big problem. Now, why do people have lack of blood flow? It turns out that, you know, atherosclerosis starts at age five. You can start having plaque in your blood vessels. Yeah. And the first sign of of erectile dysfunction is endothelial dysfunction. The endothelium is the inside lining of blood vessels.
We have 60,000 miles of blood vessels in our body.
Well, so it turns out that it's one organ, not multiple organs, the endothelial system. So people often ask, as a cardiologist, why are you dealing with erectile dysfunction? Because the first sign of endothelial dysfunction is erectile dysfunction. The first presentation that someone has a blockage in an artery is lack of early morning erections or erectile dysfunction.
So when we see that- Can be a sign of heart disease, diabetes, right?
Diabetes is a big thing. Hypertension is a big problem.
alcohol is a huge problem when you have alcohol you have an acute inflammatory reaction in the blood vessel wall but the most the most that we see is sugar sugar sugar is extremely inflammatory if you have a coca-cola with basically the donut or a coke or an erection you gotta choose right within two hours right within two hours of having sugar we can actually measure in the urine an inflammatory mediator
We can actually measure your blood vessel by looking at endothelial function testing to see that it's vasoconstricted after sugar. Sugar could precipitate a heart attack. There was a good video. So basically you don't have dessert if you wanna have sex, is that the idea? You gotta pick what you want.
So sugar's a big problem, but what we're finding out is blood flow is huge, and like you said, to see the diseases or what we're eating, and that can affect us a lot. I want people to really get that.
Well, sugar is the biggest cause of inflammation inside the blood vessel lining, which is a big factor, the reducer of blood flow. It's all about blood flow. So what are some of the things that we can do to increase blood flow? A technology that I recently started using about a year ago is called Gaines Wave.
GainsWave uses low-intensity extracorporeal shockwave therapy, and it basically can optimize men's health. It can optimize performance. What it does is it creates a small injury. Injury then sends a message to the brain. The brain releases mediators, mesenchymal stem cells, to go to that site and increase blood flow by causing what's called angiogenesis.
Actually, the Gaines Wave treatment, which has been very popular lately, and it's available all over the U.S. We do it in New York City and my Westchester location, but it's involved everywhere. But it's for two things. It basically helps increase blood flow. And it does that by angiogenesis.
Correct. So anytime you have an injury, your body's trying to repair that injury. And our natural repair mechanism is stem cells. So you have a cut on your finger or a shave, you're shaving and you have a cut. What happens in two days? It's healed. Why does it heal so fast? We have a self-repairing mechanism.
So this low intensity shockwave therapy, GAINS Wave, basically gives you this small injury And we're all familiar with shockwave therapy for lithotripsy, right? Lithotripsy is higher intensity for kidney stones. So this is low intensity. So the GAINS wave therapy basically works by angiogenesis, new blood vessel growth, and growth factors, bringing new growth factors to the area.
Usually we do a treatment once a week. or twice a week, it's about six sessions. It doesn't hurt, it's not painful, it's non-surgical, it's not invasive. Patients see results, you know, significant, we're getting great responses. And usually we do six treatments or 12. Some people have Peyronie's disease, which is a plaque. of fibrous plaque and injury to the penis.
This has been curing it in patients.
That's incredible. And these are young patients that we're seeing, you know, 30s and 40s, some 50s and 60s. But, you know, we're seeing some great results with Gaines Wave therapy.
Well, yeah, not exactly. I mean, that's the mechanism of it. Let's say you exercised your whole life compared to someone who was sedentary their whole life, and you both had a heart attack. From the books, remember some of these studies, the person who exercises is going to have a smaller heart attack. The person who doesn't exercise will have a larger heart attack. What does exercise do?
Grows new blood vessels. So if someone who exercises a lot, who has some blood vessel growth, but sort of like is having a lot of ED issues because they changed their diet, they have some inflammation, and their blood vessels are kind of like constricted, this will help knock off some of the calcium inside the vessel wall.
It'll increase dilation of blood flow, bring in more growth factors, and basically- So it's like regenerative medicine for the penis, basically.
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