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In this video Dr. Mata aka Dr. Scottsdale is performing the OH-SHOT, a non-invasive treatment that aims to improve female sexual dysfunction and urinary incontinence by extracting platelet-rich plasma from a woman's own blood and injecting it directly into the vaginal area. Because everyone is different, the risk and pricing can vary depending on weight and overall goals, I always recommend that you try my price estimator. The link is down below: https://naturalresultsaz.com/BMB-Price-Estimator Follow us on our social media accounts for daily content: -Snapchat: @Dr.Scottsdale -Instagram: @DrScottsdale -Facebook: @realDrScottsdale Office Info: Natural Results Plastic Surgery Scottsdale, Az (480) 418-5300

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Full episode and show notes: https://bit.ly/3Pu6LL0 Become a member for exclusive content: https://peterattiamd.com/subscribe/ Peter's email newsletter: https://peterattiamd.com/newsletter/ Mohit Khera is a urologist with expertise in sexual medicine. In this episode, he provides an overview of male sexual health. He first goes in-depth on erectile dysfunction, shedding light on its prevalence across different age groups, diagnostic methods, and its intriguing connection to cardiovascular disease. He then ventures into Peyronie's disease, penile fractures, penile enlargement treatments, prolonged erections, premature ejaculation, and anorgasmia. Mohit then delves into the intricate workings of testosterone, DHT, and estrogen, emphasizing their physiological significance and interplay. He explains blood tests for diagnosing low T, the correlation between symptoms and blood levels in cases of low T, and the various methods for increasing testosterone. He concludes with a conversation about the role of testosterone in patients with prostate cancer and addresses concerns surrounding DHT, finasteride, and post-finasteride syndrome. We discuss: 0:00:00 - Intro 0:01:18 - Mohit’s career path and interest in sexual medicine 0:03:25 - The anatomy of the male genitalia 0:05:06 - The prevalence of sexual dysfunction & impact on quality of life 0:08:58 - Erectile dysfunction (ED): definition, diagnosis, pathophysiology 0:13:41 - The history of medications to treat ED and the mechanisms of how they work 0:18:21 - Relationship between aging & erectile dysfunction and Mohit's approach to treating patients 0:29:14 - The impact of lifestyle on sexual health & the association between ED and cardiovascular disease 0:37:52 - Causes and treatments for Peyronie’s Disease & penile fracture 0:48:32 - The value of ultrasound for ED diagnosis and management strategies 0:51:55 - Various treatment options for ED: injections, penile prosthesis 0:59:38 - Priapism (prolonged erection) 1:05:40 - Shockwave therapy as a treatment for ED 1:11:46 - Stem cell therapy for ED 1:15:48 - Platelet-rich plasma (PRP) injections as a treatment for ED 1:18:36 - Premature ejaculation (PE): prevalence, pathophysiology, and treatment 1:26:34 - Anorgasmia: causes and treatment 1:31:52 - Sex hormones, impact of aging, symptoms of low T, & considerations for testosterone replacement therapy (TRT) 1:44:49 - Methods for increasing endogenous testosterone 2:00:03 - Testosterone replacement therapy: various forms of exogenous testosterone & weighing risk vs. reward 2:11:03 - The physiology and purpose of testosterone and DHT, why some men feel fine even with “low” testosterone, personalized approaches to treating low T 2:18:25 - Post-finasteride syndrome 2:26:42 - The role of testosterone in prostate cancer and addressing the notion that TRT could increase risk 2:38:29 - The effects of testosterone as an adjunct to therapy for estrogen-sensitive breast cancer in women 2:40:08 - Resources for those looking for healthcare providers - About: The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health & more. Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: https://peterattiamd.com/terms-of-use/

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Please Subscribe for 3x Videos Per Week + Live Broadcasts https://www.youtube.com/user/TheTdelauer?sub_confirmation=1 Get more Nutrition Tips and Coaching here: http://www.ThomasDeLauer.com Testosterone | What Causes Low T | Cortisol Effects- Thomas DeLauer… In this video, Fitness & Nutrition Expert, Thomas DeLauer explains what causes testosterone levels to drop and how cortisol plays a role in this. Testosterone vs. Cortisol: With regards to muscle mass – we can organize each of our hormones into either catabolic– your muscle mass breaks down, or anabolic– your muscle mass increases. Our anabolic hormones include T-Levels, insulin and growth hormone, with the former being our most anabolic hormone – whenever we are in an anabolic state we increase protein synthesis. Our catabolic hormones include cortisol, adrenaline and glucagon. Whenever we go catabolic our muscle protein synthesis decreases. The role of T within the body is to maintain anabolism through the process of protein synthesis. By contrast, cortisol plays a catabolic function and is involved in the response of stress. Think of testosterone and cortisol as being exact opposites- in the context of muscle building if T was the accelerator of muscle mass, C is most definitely the brake. Cortisol is your body’s stress hormone, which can be secreted during physical or mental tension. When you produce more of it, your body lowers your T levels to keep a hormonal balance – this is known as homeostasis. (1) Cortisol and Exercise: Exercise is a stress on the body which means exercise causes cortisol to be released. Cortisol's main purpose during exercise is to raise your blood sugar level to make glucose available to parts of the body, such as your heart, lungs and muscles, where it is needed most. However, intense, long-duration training can lead to large elevations of cortisol, which can lead to adrenal gland enlargement due to high cortisol output. Elevated levels of cortisol as a result of training can lead to impaired stress levels, which results in low testosterone levels. High cortisol also suppresses immune functions and slows the fat burning process (2) Exercise Duration and Intensity: Longer sessions of exercise, such as increased sets in weight training, or endurance activities, such as jogging, may increase cortisol levels more than brief sessions of exercise. A study published in the May 2012 issue of the "Journal of Strength and Conditioning Research" found that high-intensity exercise causes greater elevations of cortisol than moderate-intensity exercise. Frequent and continuous high-intensity exercise may also result in overtraining, a condition characterized by decreased performance, fatigue and constant soreness. In the study, trained men and women performed high-intensity bouts of weight training and results showed considerably higher cortisol values than for more moderate strength training routines. Researchers concluded that a combination of high-intensity exercise and moderate to low - intensity exercise is best to avoid injury and to keep cortisol levels healthy (3) Case Study: A 2009 study had 286 men run for 2 hours on a treadmill, 5 times per week, for 60 weeks. Half of the men ran at moderate intensity (60% VO2 Max) and the other half ran at high intensity (80% VO2 Max) Testosterone was significantly reduced in both groups, but much more so in the high-intensity group – high-intensity group also experienced decreased sperm counts. The study included a 36 week recovery phase in which the men reduced their exercise intensity to 30% VO2 Max and their testosterone rebounded to normal levels (4) References: 1) What is the Cortisol and Testosterone Relationship? - TestoFuel Blog. (n.d.). Retrieved from http://www.testofuel.com/tf/cortisol-and-testosterone-relationship/ 2) How Endurance Exercise Lowers Testosterone & What To Do About It | Poliquin Article. (n.d.). Retrieved from http://main.poliquingroup.com/ArticlesMultimedia/Articles/Article/1340/How_Endurance_Exercise_Lowers_Testosterone_What_To.aspx 3) Exercise & Cortisol Levels | Healthy Living. (n.d.). Retrieved from http://healthyliving.azcentral.com/exercise-cortisol-levels-2904.html 4) The effects of intensive, long-term treadmill running on reproductive hormones, hypothalamus–pituitary–testis axis: a randomized controlled study. (n.d.). Retrieved from http://joe.endocrinology-journals.org/content/200/3/259.full

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Is Low Testosterone Affecting Your Sexual Life? Discover 4 Key Reasons Behind It and How to Improve Your Performance. Free Personalized Treatment Plan To Improve Your Sexual Performance: →https://getmyprotocol.com/​ The Novus Center is a Sexual Wellness Clinic based in Studio City, Los Angeles. Learn if we can help you with a Free Phone Consultation - 818-492-1401 Learn more about The Novus Center: →https://www.thenovuscenter.com/ Subscribe for more sexual wellness tips: →https://www.youtube.com/channel/UCbspWZlciV6cLZIlv7Mjw_A?sub_confirmation=1 Low Testosterone? Take our 1 minute assessment: →https://www.novomale.com/ Erectile Enhancement? →https://www.thegalaxyshot.com/ ___________________________ FDA DISCLAIMER: THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE UNITED STATES FOOD AND DRUG ADMINISTRATION (FDA). EXOSOME THERAPY, STEM CELL THERAPY, SHOCKWAVE THERAPY, PRP THERAPY OR REGENERATIVE MEDICINE THERAPY IS NOT FDA APPROVED TO PREVENT, CURE OR TREAT DISEASES OR CONDITIONS. PLEASE VISIT THE FDA WEBSITE (WWW.FDA.GOV) FOR ADDITIONAL INFORMATION, INCLUDING CONSUMER ALERTS REGARDING EXOSOME THERAPY, STEM CELL THERAPY, SHOCKWAVE THERAPY, PRP THERAPY OR REGENERATIVE MEDICINE THERAPY. MEDICAL DISCLAIMER: These videos or any videos on "The Novus Center" YouTube channel does not provide medical advice. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this channel is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this channel.

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