Dr. Joel Kahn is a cardiologist (watch Dr. Joel Kahn’s bio video on his home page) and colleague I know, who I correspond with, talk to at conferences and actually have done a podcast with who incorporates almost everything I envision in approaching erectile dysfunction - from the need and type of vascular screening, to treating ED and your heart with diet, supplements, exercise and acoustic wave therapy for the ED part, in combination with lifestyle. I think listening to his entertaining 23:05 min podcast will be enjoyable and have a lot of good take home information.
"Eat Right For Sexual Health" with Heart Doc VIP with Dr. Joel Kahn https://apple.co/39iB6HeListen to Audio Podcast: (23:05 min) https://traffic.libsyn.com/secure/heartdocvip/heartdocvip_112020_drjoelkahn.mp3
My Podcast with Dr. Kahn in 2016: http://www.stayinghealthytoday.com/vegan-cardiologist-joel-kahn-md/
Joel Kahn, MD is a whole food plant-based cardiologist who uses diet, supplements, lifestyle, cardiopreventive testing and acoustic wave therapy (shock wave therapy) to treat erectile dysfunction (ED). He elaborates on the very clear data that most ED patients should be worked-up and treated for heart disease as well as for erectile function. (RE: Need for Cardiovascular Work-Up in ED Patients) The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc. 2012 Aug;87(8):766-78. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3498391/
Dr. Kahn notes the fact that 40% of 40 year-olds, 50% of 50 year-olds, 60% of 60 year-olds and 70% of 70 year-olds have some form of erectile dysfunction.
He has success treating ED using shock wave therapy (acoustic waves) to enhance blood flow to the penis by this treatment stimulating new blood vessels, regenerating tissue and nerves, and reducing inflammation, in addition to diet and supplements. His approach is all about increasing blood flow to the coronary arteries and arteries supplying the penis.
The health of the endothelium, the inner lining of the artery, and endothelial glycocalyx, the jelly like substance protecting the endothelium, is enhanced by the consumption of fruits, vegetables, whole grains, nuts and seeds, and legumes and a green seaweed product called Arterosil. This product helps maintain the endothelial glycocalyx which then enhances endothelial function and improves blood flow to the coronary arteries and can improve erectile function. (We carry this product at our office. It can only be purchased through health professionals)
Review of Studies on Diet, Erectile Dysfunction and Sexual Health.
Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int J Impot Res. 2006 Jul-Aug;18(4):405-10. CONCLUSION: Thirty-five men with metabolic syndrome followed a Mediterranean style diet compared to 30 similar patients on a control diet. After 2 years men on the Mediterranean diet consumed more fruits, vegetables, nuts, legumes, whole grains and olive oil. The endothelial function score and the inflammatory marker C-reactive protein improved on the Mediterranean diet and there was improvement with erectile function as well. https://pubmed.ncbi.nlm.nih.gov/16395320/
Effects of Mediterranean diet on sexual function in people with newly diagnosed type 2 diabetes: The MÈDITA trial. J Diabetes Complications. 2016 Nov-Dec;30(8):1519-1524. CONCLUSION: Over 8.1 years in 215 men and women with type 2 diabetes who consumed either a Mediterranean diet (n=108) or a low-fat diet, the Mediterranean diet reduced the deterioration of sexual function over time in both sexes and reduced inflammation (C-reactive protein was reduced). NOTE: This dietary pattern helped women’s sexual function as well, probably from increased blood flow to female sexual organs. https://pubmed.ncbi.nlm.nih.gov/27614727/
(Note: The low fat diet used in this study wasn't a healthy low fat diet. The low fat diets used in the links below are low fat whole food plant-based diets showering reversal of known coronary artery disease - http://dresselstyn.com/JFP_06307_Article1.pdf and https://www.ornish.com/wp-content/uploads/Intensive-lifestyle-changes-for-reversal-of-coronary-heart-disease1.pdf )
Mediterranean diet and erectile dysfunction: a current perspective. Cent European J Urol. 2017 Jun 30;70(2):185-187. CONCLUSION: A MedDiet approach could be an effective dietary approach to prevent ED and preserve sexual function.
The Importance of Fruit as A Source of Fiber, Vitamin C, Phytonutrients and FLAVONOIDS" (Don't be afraid of eating whole fruit full of fiber, phytonutrients and water )
Dietary flavonoid intake and incidence of erectile dysfunction. Am J Clin Nutr. 2016 Feb;103(2):534-41. CONCLUSION: In a study among 25,096 males from the Health Professionals Follow-Up Study during 10 years of follow-up 35.6% reported having ED. A higher intake of specific flavonoid-rich foods was associated with a reduced ED incidence in men less than 70 years of age. Higher total fruit intake, a major source of anthocyanins and flavanones, was associated with a 14% reduction in risk of ED. Higher habitual intake of specific flavonoid-rich foods was associated with reduced ED incidence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733263/
Flavanoid Rich Foods
Apples, berries (black, blue, cranberries, strawberries), broccoli, celery, chocolate, coco, grapefruit, grapes (purple and red), kale, lemons, lettuce, limes, oranges, onions, parsley, peaches, peppers (red), scallions, soy (organic), teas (black, chamomile, green, oolong, peppermint, white), tomatoes, wine (red).
Sexual Dysfunction Among Young Men: Overview of Dietary Components Associated With Erectile Dysfunction. J Sex Med. 2018 Feb;15(2):176-182. CONCLUSION: In men 18-40 years of age low flavonoid - in particular flavone-intake was associated with ED in young adult men. https://pubmed.ncbi.nlm.nih.gov/29325831/
Organic Diet and Intermittent Fasting are Associated With Improved Erectile Function. Urology. 2020 Oct;144:147-151. CONCLUSION: In 271 patients seen primarily for ED an organic diet and intermittent fasting was protective against ED. https://www.goldjournal.net/article /S0090-4295(20)30879-7/full text (Note: This is one of the reasons I encourage my ED patients (and really all my patients) to do the Fasting Mimicking Diet from Prolon at least 3-4 times per year (https://prolonfast.com/ ) and/or at least do a 12-16 hr fast daily. In other words eat all your food within an 8-12 hr time period daily.
Association of Diet With Erectile Dysfunction Among Men in the Health Professionals Follow-up Study. JAMA Netw Open. 2020 Nov 2;3(11):e2021701. CONCLUSION: This study found that adherence to a healthy diet pattern (Mediterranean Diet, i.e. more fruits and vegetables, nuts whole grains and fish instead of meats) was associated with a lower risk for erectile dysfunction, which implies that a healthy dietary pattern may play a role in maintaining erectile health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510347/
Sexual Health Facts (posters in Dr. Kahn's medical office)
Having sex more than 8 times per month (2 x per week) resulted in a 50% reduction in heart attacks, strokes and hospitalization. Sexual activity, erectile dysfunction, and incident cardiovascular events. Am J Cardiol. 2010 Jan 15;105(2):192-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824175/https://www.webmd.com/heart-disease/news/20100121/more-sex-could-mean-less-heart-risk
Sex (ejaculation) more than 21 times per month reduced the risk of prostate cancer by 50%. Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. Eur Urol. 2016 Dec;70(6):974-982. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040619/
In addition to the glycocalyx enhancing by Arterosil Dr. Kahn uses beet root extract (I use Berkeley Life Nitric Oxide), sometimes citruline (makes more arginine in the body) along with diet and low intensity shock wave therapy to improve endothelial function and ED.
What is good for your heart is good for your sexual health, your overall health and your chronic diseases risk reduction. If you can get your partner to do some of these lifestyle changes this is good for their heart and sexual health as well. Everything works better with increased blood flow!
If interested in our Heart - ED Program you can make a free 15-30 minute phone consult with me to see if you are a good candidate for acoustic wave (shock wave ) therapy and the lifestyle approaches mentioned above. Please call (916) 489-4400 to make an appointment.
(PROSTATE HEALTH: ALSO if you have symptoms related to an enlarged prostate, incomplete voiding, and frequent night time urination a similar whole food plant slanted diet in addition to perineal focused acoustic wave therapy as shown benefit in some patients with prostate issues.
Radial Extracorporeal Shock Wave Therapy as a Novel Agent for Benign Prostatic Hyperplasia Refractory to Current Medical Therapy. American journal of men's health, 13(1), 1557988319831899. https://doi.org/10.1177/1557988319831899 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440046/
Call Kirk Hamilton PA-C for more information 916-489-4400 or set up an office visit me.
For more information go to https://kwikermedical.com/treatments Scroll down to ERECTILE DYSFUNCTION (HEART - ED REVERSAL PROGRAM) - ACOUSTIC WAVE THERAPY (FOCUSED & RADIAL SHOCK WAVE THERAPY) - DIET - EXERCISE - NUTRITIONAL SUPPLEMENTS - MEDICATION )
Be Well,
Kirk
Kirk Hamilton PA-C
Prescription 2000, Inc.
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 716-2295 (m) / (916) 489-4400 (w)
krhammer@surewest.net
www.KwikerMedical.com
www.HealthyLivingforBusypeople.com
www.StayingHealthyToday.com