Podcasts about levitra

Ever heard of ABDL? No? Meet Penny Barber, latex-loving, diaper-wielding (you'll wanna know more about this, just wait and listen), award-winning MILF who took home the 2025 XBiz MILF Performer of the Year and has a mind sharp enough to roast both your kink shame and your creationist upbringing. Her story kicks off with getting booted from one private school after another before rebelling against her fundamentalist parents by diving into biological anthropology- only to find academia crawling with the same backstabbing politics that crushed her idealism. Instead of folding, Penny flipped the script and built a life where she calls all the shots. We dive into her most brutal scene ever (think copper floor, electrodes, and zero safe words- BUT that story we can only tell in our Patreon version), why ABDL is way more about power than age, and how humiliation, ritual and control became her personal playground. Along the way, Penny shares how she broke free from religious manipulation, the academic snake pit that shattered her faith in science, and what porn insiders know that the rest of the world keeps missing. Can't get enough? Unlock the uncensored version, plus an exclusive, uncensored Q&A heat with Penny Barber and plenty of VIP perks waiting just for you on Patreon! ________________________________________________________ BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Ready to score some exclusive deals? Head over to https://linktr.ee/HollyAds and treat yourself — because who doesn't love a little VIP hookup? ________________________________________________________ Craving more from the podcast? Join my Patreon for exclusive perks like live interview streams, early releases, and a backstage pass to all the fun. Come hang with us at http://Patreon.com/hollyrandallunfiltered

Chanel Camryn isn't just a rising star in the adult industry—she's a true testament to resilience and determination. In this episode, Chanel dives deep into her tough upbringing in Jacksonville, where she faced challenges that shaped her strong work ethic and drive. She talks about what inspired her to enter the adult industry, how she navigated the early days of her career, and what it felt like to win the prestigious Best New Starlet at the 2024 AVN Awards. Chanel also shares her thoughts on breaking industry stereotypes, the pressures of being in the spotlight, and how she stays grounded amidst her meteoric rise. Listeners will get an insider's look at her creative process, her goals for the future, and how she handles criticism in such a demanding industry. With heartfelt honesty, Chanel opens up about the importance of self-confidence, surrounding yourself with positive influences, and finding balance in a fast-paced career. It's an episode filled with raw, inspiring moments and the candid conversations you love from Holly Randall Unfiltered, and we're so grateful for guests like Chanel who are willing to share their stories with us! Don't forget, Patreon members get exclusive access to these episodes streamed LIVE, plus a bonus Q&A with Chanel Camryn! Visit Patreon.com/hollyrandallunfiltered for this and so much more! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at bluechew.com Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered Visit https://linktr.ee/HollyAds for access to all the special deals our podcast can offer you!

Brittney Kade has risen from adversity to become a powerful figure in the adult industry. Starting off strong, she snagged the title of Best Trans Newcomer in 2023 and hasn't slowed down since. By 2025, she was taking home major wins like Trans Performer of the Year at the AVN Awards and her second consecutive Best Trans Scene trophy at the XMAs. In this raw and honest interview, Brittney opens up to Holly about starting her transition to female as a teenager. For her, it was the right move. But she doesn't shy away from the bigger conversation that is such a triggering topic in today's political climate: it's a complex decision, especially when it comes to offering these options to minors. Brittney keeps it real, reminding us it's not one-size-fits-all, and it's not a decision to be taken lightly, especially by those who are young. Her road hasn't been without its bumps. Severe bullying in school pushed her to homeschool during her teen years, but instead of breaking her, it lit a fire. Fast forward to today, and she's a boss-level example of resilience and success. Brittney's story isn't just inspiring—it's proof that toughness and talent can take you anywhere. Don't forget, Patreon members get exclusive access to a bonus Q&A with Brittney Kade! Visit Patreon.com/hollyrandallunfiltered for this and so much more! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered Visit https://linktr.ee/HollyAds for access to all the special deals our podcast can offer you!

Karla Lane returns to the pod for her 20-year anniversary! She is the most awarded plus-size performer of all time, including being the AVN BBW Performer of the Year. In this episode, Karla shares her journey from starting in the industry at the age of 18 to becoming a groundbreaking influence on body diversity in the adult industry. We dive into her personal life as she discusses being in a polyamorous relationship, her radical confidence and body positivity, and how the industry has changed over the years. We also explore the challenges of balancing personal choices, career longevity, and the transformative impact of work, all with a dose of genuine laughter and candid reflections. Tune in for a conversation filled with empowerment as we celebrate Karla's incredible career. And remember, you can become a Patreon member to get exclusive content and watch the recordings live! See the links below for more information. __________________________________________________ BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered ___________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Karla Lane - www.instgram.com/onlykarlalane All Links - https://link.me/onlykarlalane Visit my Official Podcast site: https://www.hollyrandallunfiltered.com ___________________________________________________ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 Follow X Sweet on Instagram - https://www.instagram.com/xsweetofficial Catch us setting a new trend - https://www.tiktok.com/@xsweetofficial Tweeting the hype - https://x.com/xsweetofficial?s=11&t=1o-NASQwlMLFCb3-dkJQbg XSIV Mag - https://www.xsivmag.com

Lily Phillips made international headlines in October 2024 for sleeping with 100 men in just one day– but what really made her go viral was the clip that circulated of her afterwards, from a documentary that followed her on her record-breaking stunt. The video shows Lily breaking down into tears afterwards, exhausted and overwhelmed by a 14 hour day with so many men. But she's here to set the record straight– she doesn't regret her actions whatsoever, and she claims the clip is edited in a way that misinterprets why she has the mental breakdown. As the recent winner of the XMA award for Favorite Female Creator of the Year, Lily has even more ambitious goals for 2025! Lily shares the inspiration behind her record-breaking ambitions, discusses the unexpected financial success of having an OF account, the industry's stigma, and Lily's personal experiences with biased interviews and border control. Don't forget, Patreon members get exclusive access to a bonus Q&A with Lily Phillips! Visit Patreon.com/hollyrandallunfiltered for this and so much more! ________________________________________________________________ Ready to improve your bedroom performance? Try LOAD BOOST by VB Health and see what everyone is talking about. A powerful supplement to improve the quality, size, and even the taste of your load. That's right. Make every moment count! Visit loadboost.com and use code HOLLY for 10% off. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered Visit https://linktr.ee/HollyAds for access to all the special deals our podcast can offer you! _________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Lily Phillips - www.instgram.com/lilyphillip_s Linktree - https://linktr.ee/lilyphillip_s Visit my Official Podcast site: https://www.hollyrandallunfiltered.com Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 Follow X Sweet on Instagram - https://www.instagram.com/xsweetofficial Catch us setting a new trend - https://www.tiktok.com/@xsweetofficial Tweeting the hype - https://x.com/xsweetofficial?s=11&t=1o-NASQwlMLFCb3-dkJQbg XSIV Mag - https://www.xsivmag.com

Jewelz Blu is one of our XSweet brand ambassadors and the star of our newest big movie, Broken Butterfly, which has been nominated for 8 AVNs and won Featurette of the Year at the XMAs! Returning to the pod, we catch up with her about her exciting year, which has included so many milestones. Leaving her former agency (before they got canceled), Jewelz now has a DIY approach to career management. We get to hear a detailed rundown of how to prepare for anal and the conceptualization of her showcase. Jewelz really puts her heart and soul into everything she does!  For the first time, Jewelz also tells us the nightmare encounter she had with undercover cops in her pre-porn life, a situation that finally convinced her to make her her leap into the industry. This is a must-listen episode! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered  ____________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Find all of Jewelz Blu - https://beacons.ai/jewelzblu  Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall  Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered  To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 Follow X Sweet on Instagram - https://www.instagram.com/xsweetofficial/ Catch us setting a new trend - https://www.tiktok.com/@xsweetofficial Tweeting the hype - https://x.com/xsweetofficial?s=11&t=1o-NASQwlMLFCb3-dkJQbg  XSIV Mag - https://www.xsivmag.com/ 

Charlotte Sins entered the industry five years ago by selling her used panties in college. Now, she's a Spiegler Girl who's performed in over a thousand scenes and has been nominated for over a dozen AVN Awards. She also delivers an incredible performance in our newest movie, Broken Butterfly! From her unique childhood hobby of sword swallowing (bye-bye gag reflex) to her adventures at chaotic sex parties, Charlotte's stories are nothing short of absolutely wild. In this episode, she opens up about the evolution of her career, navigating the “attention economy”, and finally finding work-life balance with a strict routine. We challenge college expectations, discuss interview ethics, and dig into clickbait algorithms. Tune in for totally unfiltered stories from one of the industry's greats! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered ____________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Find all of Charlotte's links at www.charlottesins.com Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 Follow X Sweet on Instagram - https://www.instagram.com/xsweetofficial/ Catch us setting a new trend - https://www.tiktok.com/@xsweetofficial Tweeting the hype - https://x.com/xsweetofficial?s=11&t=1o-NASQwlMLFCb3-dkJQbg

Welcome Alice Little, one of our favorite guests who has returned for a second episode on the pod! Alice is one of America's most successful courtesans and an intimate companionship expert. She is also a fierce advocate for the adult industry, and as a 4 foot 8 redhead, she lives up to her name! Since the pandemic, Alice's life has pivoted to a wholesome goat farm vibe and working at The Chicken Ranch – we get a juicy inside scoop on this Nevada brothel! Alice also discusses challenges faced by sex workers, concerns stemming from the election, and how moms want their sons to just get laid! Happy holidays, folks! And remember, always verify social accounts before sending money!! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered  __________________________________________________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Connect with Alice online: https://www.thealicelittle.com/ Adult Industry Mental Health Support: https://pineapplesupport.org/ Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

Siouxsie Q and Michael Vegas are an industry power couple with more than a decade in the business under their belts. They are combining their performance and directing talents to produce boundary pushing content winning awards left, right, and center. Both have influential voices in the industry and are always fighting for positive change. In this episode, we get to hear the super unique meet-cute story for these two. (Spoiler: it was at a gangbang!) Siouxsie and Michael share how they make their open relationship work, the differences between being in front of the camera and taking the director role, and BTS insights from Bottom Floor - the latest passion project. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered  ______________________________________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Michael on Instgram https://www.instagram.com/michaelvegas/ Michael's Linktree https://linktr.ee/michaelvegas Follow Siouxsie: https://linktr.ee/siouxsieqmedia Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

Farrah Abraham got her start in the spotlight on MTV's 16 and Pregnant and quickly became the face of Teen Mom. She has an infamous sex tape back from 2013 and was a household name when reality TV was at it's peak in popularity in households across the nation. Things have come full circle as it's been 16 years since her teen pregnancy and catapult into fame, and we find Farrah today as an entrepreneur, single mom, and OnlyFans creator. She opens up about the ups and downs of raising her daughter in the public eye, how she stumbled into the adult industry, and her up-and-coming ventures. From surviving personal traumas to navigating complex family dynamics, she shares her growth, resilience, and empowerment. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered  ______________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Farrah - https://www.instagram.com/farrahabraham Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered 

Known for her fierce determination, film artistry, and intolerance to bullshit, Kelly Holland has reshaped the landscape of adult entertainment as we know it today. She is one of the most respected figures in the industry and has a wealth of information and knowledge. This episode covers a variety of captivating topics, from LARPing and its sense of community to the struggles of modern isolation and the transformative power of creating supportive spaces. And yes, I promise we do talk about porn... (finally!) Kelly shares her unique journey from religious TV and documentary production to becoming a pioneering voice in the adult industry. She has a powerful stance that challenges misogyny and societal stigma. Tune in and listen to Kelly Holland's wisdom, humor, and real-life tales! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered ____________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Keep up to date with Kelly Holland and The Animal Rescue Alliance - https://theanimalrescuealliance.org/ Instagram - https://www.instagram.com/taraanimals/ Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

November is National Men's Health Awareness Month in the United States. Registered Pharmacist Greg McKettrick is on the show today to talk about important men's health topics. Our conversation covers the Post Prostatectomy Penile Rehabilitation Protocol Greg developed, post-op urinary incontinence, erectile dysfunction, regaining sexual intimacy, mental health, medical devices, and more.    Patients, pharmacists, student pharmacists, urologists, and other healthcare professionals need to hear our conversation. If you know at least one person who could use the information in this episode, please share it with them.   Greg is a Men's Health Specialist and a compounding pharmacist. If men's health or compounding interests you as a pharmacist or a pharmacy student, reach out to Greg McKettrick, RPh. Connect on LinkedIn, Email Greg@revelationpharma.com, or call 704-883-2895.    Thank you for listening to episode 303 of The Pharmacist's Voice ® Podcast.   To read the FULL show notes (including all links), visit https://www.thepharmacistsvoice.com/podcast.  Select episode 303.   Subscribe for all future episodes.  This podcast is on all major podcast players and YouTube.  Links to popular podcast players are below. ⬇️   Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Bio - Greg McKettrick (October 2024)   With over three decades of experience in the compounding industry, Greg McKettrick serves as a Clinical Liaison - Men's Health Specialist at Revelation Pharma, a national network of 503A and 503B compounding pharmacies dedicated to providing industry-leading pharmaceutical compounding services. Previously a compounding pharmacist at Stanley Specialty Pharmacy, Greg is a powerful voice in the world of men's health and men's sexual; wellness, drawing on his years of experience to elevate Revelation Pharma's industry presence.    In addition to his role at Revelation Pharma, Greg is a Chief Medical Advisor for the BHRT Training Academy, having designed the organization's Men's Health Module, and is on the Scientific Advisory Board for Berkeley Life Nitric Oxide. Greg is also a frequent speaker for Zerocancer groups and presentations.    A true thought leader in the industry, Greg developed his Post Prostatectomy Penile Rehabilitation Protocol, which is used by Urology clinics around the country. He has also been featured in numerous articles and as a guest on many webinars and podcasts.    Links from this episode Revelation Pharma Website https://revelationpharma.com/ Penile Rehab Protocol Website Penilerehabprotocol.com ConsultRX Website https://revconsultrx.com/    Learn more about the protocol on YouTube https://youtu.be/__ibcRJup48?si=3ogFWKw_Fy29BYuB  YouTube Video (Men's Sexual Health Overview with Pharmacist Greg McKettrick) Greg on LinkedIn https://www.linkedin.com/in/greg-mckettrick-a21404163/  Greg's email Greg@revelationpharma.com Greg's phone number 704-883-2895 Zero Prostate Cancer https://zerocancer.org/    Kim's websites and social media links: ✅ Business website https://www.thepharmacistsvoice.com ✅ The Pharmacist's Voice ® Podcast https://www.thepharmacistsvoice.com/podcast ✅ The Perrysburg Podcast (service project/hobby podcast) www.perrysburgpodcast.com  ✅ Pronounce Drug Names Like a Pro © Online Course https://www.kimnewlove.com  ✅ Self-paced, online podcast-planning Course https://www.kimnewlove.com  ✅ FREE eBook and audiobook about podcasting https://www.kimnewlove.com/podcasting  ✅ LinkedIn https://www.linkedin.com/in/kimnewlove ✅ Facebook https://www.facebook.com/kim.newlove.96 ✅ Twitter https://twitter.com/KimNewloveVO ✅ Instagram https://www.instagram.com/kimnewlovevo/ ✅ YouTube https://www.youtube.com/channel/UCA3UyhNBi9CCqIMP8t1wRZQ ✅ ACX (Audiobook Narrator Profile) https://www.acx.com/narrator?p=A10FSORRTANJ4Z ✅ Start a podcast with the same coach who helped me get started (Dave Jackson from The School of Podcasting)! **Affiliate Link - NEW 9-8-23**      Thank you for listening to episode 303 of The Pharmacist's Voice ® Podcast.  If you know someone who would like this episode, please share it with them!

Annie Knight is on a quest to sleep with 600 people by the end of the year! So let's do the math: there are 365 days a year... so that's more than one person a day! Dubbed Australia's most sexually active woman, she is clinging tight to that crown! This episode is about Annie's journey through Fans, which she said has made her the strong and independent woman she is today. We dive into the logistics of her 2024 challenge, from vetting the guys to all the paperwork, STI testing, and age verification. This unfiltered conversation has it all: virgins, personal hygiene, consent, Daily Mail headlines, and advice to anyone interested in setting up their own OF account. Spoiler: it requires a f*** load of grit and work! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered ________________________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Annie Knight - https://www.instagram.com/anniekknight/ Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

Serenity Cox went from being an ER nurse to having over half a billion views on the site we affectionately call Cornhub in just a few years. It all started when she and her husband wanted to spice things up in the bedroom- now she's a full-fledged hot wife, a top-five amateur creator, and a Vixen contract star. In this episode, we explore Serenity's journey in the adult industry. The pandemic was a catalyst for her "hot wife" lifestyle with her husband, encouraging her to explore her sexuality, and eventually branch out into doing mainstream porn. Serenity shares insights on communication in relationships, navigating new kinks, and combating societal biases. She also challenges people's judgement towards her chosen lifestyle, and advbocates for women's rights in the adult industry. Tune in for an enlightening and thought-provoking conversation with Serenity Cox! You may even find it inspiring for your own marriage... BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered _______________________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Serenity Cox - https://www.instagram.com/serenitycox.official/ https://x.com/serenitycoxto Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

Kimmy Kimm grew up struggling to fit in as one of few Asian Americans in her small town in Georgia. Now, she is thriving in the cosmopolitan LA as a star on the rise with multiple AVN nominations under her belt. This episode reveals Kimmy's whirlwind journey into the industry, and it all started with selling her used panties online! But she also had a rocky start: Kimmy reveals the sex injury she experienced during her first scene and how not seeking the treatment she needed really set her back. She also opens up about her struggles growing up with a super conservative father, and key advice from her mother: stay alive and don't get pregnant! Stay tuned for an eye-opening discussion about career, family, and the reality of life behind the camera. Plus, exclusive content for our Patreon members! SUPPORT OUR SHOW BY SUPPORTING OUR SPONSORS! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Our Sponsor, FLESHLIGHT, can help you reach new heights with your self-pleasure. FLESHLIGHT is the #1 selling male sex toy in the world. Fleshlight Code: HOLLY Fleshlight URL: fleshlight.sjv.io/HollyRandallUnfiltered  ___________________________________________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Kimmy Kimm - https://snipfeed.co/kimmykimm and https://www.instagram.com/ onlykimmykimm/ Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78 Fan mail: 26500 Agoura Road, Suite 102-838, Calabasas CA 91302 

Chloe Amour is back on the scene after a 5-year break! Holly has always wanted to shoot with this captivating performer and finally has the chance to delve into her mind on the pod – and yes, with her clothes on! From her early days working with heavyweights like Bang Bros, Mofos, and Reality Kings, to her struggles with unsupportive relationships and negative experiences on sets, Chloe shares it all. The conversation gets real when she dives into the intricacies of self-care and mental health management while working in porn. Chloe's spirituality, therapy, and balance in her personal life shine through as she gets honest about body dysmorphia and panic attacks. Plus- Holly and Chloe reflect on the importance of makeup artists and positive energy on set. Chloe reveals how her initial glamorous expectations gave way to a more realistic view! This inspiring episode is all about the challenges of balancing career and personal resilience. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/  Use code HOLLY for listeners to receive 25% OFF at Slumbercbn.com/holly slumbercbn.com/holly ________________________________________________________ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Chloe Amour – https://www.instagram.com/realchloeamour/ and https://link.me/ realchloeamour Visit my Official Podcast site: https://www.hollyrandallunfiltered.com/ Follow Holly on all the platforms: https://link.me/hollyrandall Sign up for Patreon Access!! https://www.patreon.com/hollyrandallunfiltered To make a one time donation: https://www.paypal.me/hollyrandall78

Description and Additional Info: Korina Kova is a premier solo performer who has mastered the art of mommy roleplay with the help of two particularly valuable assets. You may be familiar with her work already! In this episode, we delve into her early experiences facing jealousy and sabotage in the strip club scene (another pee story!), her transition into the adult industry, and the unique challenges she faces due to a condition called gigantomastia. You'll get valuable insights to what we look for in dick rating pics and how Korina goes about fulfilling your custom requests. Korina also opens up about her temporary blindness and the emotional journey of regaining her vision after cornea transplants. This is an exclusive interview that gets raw and emotional— trust us, you don't want to miss this one! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis, and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/  Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered Follow Korina - korinakova.me 

Freya Parker is bold. She's confident. And she's living out her fantasy! Freya used her stimulus check in 2020 to buy a laptop and a webcam and has been rising ever since. Her nominations include Best New Starlet, Best Leading Actress, and Girl/Girl Performer of the Year- but her porn journey is certainly unique! Freya shares stories about her upbringing and fascination with the adult industry. She holds nothing back when reminiscing about her first encounter with a girl (this is WILD!). She studied the Golden Era of porn and dreamt of being part of it. Fast forward to COVID and an unexpected confession from her therapist, and Freya was inspired to finally give the adult industry a try. Plus: for the first time, Freya shares the wildest story about being a naked extra on the set of Babylon! Let's just say she definitely got Brad Pitt and Margot Robbie's attention, but not in a good way!  Support our show by supporting our sponsors! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Get 15% off The Perineum Massager by Butter Wellness. Go to Butter Wellness- Modern Men's Sexual Wellness and use the code “HOLLY” at checkout for 15% off.

Welcome back to another episode on HRU! Joining us is a dynamite duo: Hailey Rose and Max Fills. From college sweethearts who went viral for having sex while hiking to award- winning adult content creators, their journey is WILD! Hailey reveals her college-inspired showcase film (coming soon!), where she relives her real life experience of having a gangbang in the school science lab. Meanwhile, Max gives his insight into breaking into the adult industry as a male performer, and his secret hookups with his mom's friends. While they haven't been in the industry long, they are already winning awards, including the 2024 XBIZ Clip Artist of the Year! Tune in for some hilarious stories, including Hailey's Gamestop girl video that went viral on Reddit and her “cum hotdog” scene (you'll never look at mayo the same way again!). Fun and full of surprises, you won't want to miss this episode! Support our show by supporting our sponsors! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered 

Bonnie Blue is a British OnlyFans creator who gained fame- and a lot of backlash- for sleeping with over 100 college students during spring break. She reveals how an ex boyfriend inspired her to switch from a shy, modest girl working a corporate job to one of the most notorious OnlyFans creators. Bonnie tells us about her experiences filming with younger men, and how the inexperience and “normal” factor of her scene partners helps to inspire her fans. We also learn about the backlash she faced, her family's reaction, and the importance of communication and consent in sex work. Support our show by supporting our sponsors! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at BlueChew® | Chewable Tablets for Better Sex | Delivered To You Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered

Syren is one of those performers who was just destined for this career-- she was hosting gangbang parties before she ever got into porn! Syren explains why she thinks it's better she got into porn later in life, and explains how her current polyamorous “thrupple” relationship works. Plus- she reflects on the changes she has seen in the industry over the past 18 years, and provides advice for new performers! Support our show by supporting our sponsors! BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost! Try BlueChew for FREE, just pay $5 in shipping when you use code HOLLY at https://bluechew.com/ Want more from this podcast? Get access to tons of perks by joining my Patreon! We have exclusive bonus content such as live streams of our interviews, early releases, exclusive Q&As, access to my fine art photography and video, plus so much more! Join our community now at http://Patreon.com/hollyrandallunfiltered

Très exigeante envers ses actrices, l'industrie pornographique n'épargne pas non plus les hommes. Les acteurs doivent fournir des performances de longue durée qui peuvent sembler inhabituelles au regard des statistiques. En effet, la durée moyenne d'un rapport sexuel tourne autour de 6 minutes, tous âges confondus, et 20 minutes si l'on compte les préliminaires. Les acteurs pornographiques doivent donc user de multiples stratégies pour satisfaire les demandes des réalisateurs.Le fonctionnement de l'érectionUne érection résulte de l'accroissement du sang vers le pénis. Celui-ci est facilité par la relaxation des muscles lisses qui entourent les corps caverneux. En se relâchant, ces muscles permettent au sang d'affluer dans les alvéoles du tissu du pénis, contribuant à son expansion. Les nerfs jouent aussi un rôle dans le processus. Ils transmettent des signaux du cerveau vers le pénis. Les hormones, quant à elles, interviennent dans la régulation de la libido et de la fonction sexuelle.Les méthodes des acteurs pornosPour répondre aux exigences spécifiques de leur profession, les acteurs pornographiques emploient plusieurs méthodes.La stimulation physique destinée à maintenir l'excitation sexuelle peut prendre la forme de préliminaires intensifiés, de dispositifs mécaniques ou de visualisations censées entretenir le désir. L'usage de médicaments reste courant pour augmenter le flux sanguin vers le pénis et faciliter l'érection. Le sildénafil, commercialisé sous le nom de Viagra, le tadalafil, utilisé dans le Cialis, et le vardénafil vendu sous le nom Levitra font partie des traitements les plus efficaces.Parmi les techniques non médicamenteuses, les acteurs pornographiques choisissent parfois les pompes à pénis qui utilisent le vide pour engorger le pénis de sang. Les anneaux péniens, eux, empêchent le sang de répartir du pénis, ce qui a pour effet de maintenir l'érection.Gestion du stressMaintenir une érection sous le feu des projecteurs ne se fait pas sans stress. Or, le stress empêche justement les muscles lisses de se relâcher pour construire l'érection. Les acteurs pornographiques doivent donc se former à des techniques de gestion de la performance et du stress, comme la méditation, la préparation mentale et la communication ouverte avec les partenaires de scène.Retarder l'éjaculationSi l'obtention de l'érection n'est pas un problème avec les techniques appropriées, une éjaculation précoce peut le devenir pour un acteur du porno. Afin de retarder l'orgasme qui aboutit à la forme flasque du sexe, d'autres techniques viennent enrichir le panel de possibilités du professionnel :L'apprentissage du contrôle physique en s'arrêtant juste avant le point de non-retour puis en reprenant quand l'excitation a baissé ;La compression, qui consiste à appliquer une pression ferme à la base du pénis pour réduire le flux sanguin et retarder l'éjaculation ;L'entrainement avec des exercices de Kegel pour muscler le périnée et assurer un meilleur contrôle de l'éjaculation ;La connaissance approfondie de son corps pour adapter le scénario si nécessaire, afin de délivrer une meilleure performance. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

En este episodio de Lenguaje del Sexo, Claudia Rampazzo, tu experta sexóloga, aborda uno de los temas más solicitados y, a la vez, lleno de malentendidos: los fármacos facilitadores de la erección. Con una mezcla de claridad científica y consejos, Claudia desmantela los mitos sobre las realidades de medicamentos como Viagra, Tadalafil, Cialis y Levitra. ¿Son realmente la solución mágica para los problemas de erección? Descubre la importancia de la estimulación erótica, los efectos del alcohol y los alimentos en su eficacia, y por qué la automedicación puede ser no solo ineficaz sino peligrosa. Este episodio es un llamado a la responsabilidad y al conocimiento, para entender mejor cómo y cuándo estos medicamentos pueden ser una herramienta útil en el manejo de la disfunción eréctil. Redes: Instagram: @laverdaderaclaudiarampazzo

This is the 25th episode in drug name pronunciation series.  First, we talk about three brand-generic drug pairs: Viagra and sildenafil; Cialis and tadalafil; & Levitra and vardenafil. Then, Dr. Erin L. Albert talks about drug pricing with teamcubancard.com and costplusdrugs.com.  Erin is a pharmacist and Healthcare Innovator who works for the Mark Cuban Cost Plus Drugs Company as Vice President of Pharmacy Relations.     If you're new to my drug name pronunciation series, welcome! In this episode, I divide all six drug names into syllables, tell you which syllables to emphasize, and share the sources of my information.  Seeing the written pronunciations can be helpful.  All six are below:   sildenafil = sil DEN a fil, emphasize DEN   Viagra = vi-AG-rah, emphasize AG   Tadalafil = ta DA la fil (or my preference ta DAL a fil), emphasize DA or DAL   Cialis = see-AL-iss, emphasize AL   vardenafil = var-DEN-a-fil, emphasize DEN   Levitra = luh-VEE-trah, emphasize VEE   Thank you for listening to episode 263 of The Pharmacist's Voice ® Podcast!   To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Select episode 263.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Google Podcasts  https://bit.ly/3J19bws  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Sources   All three brand-name drugs have written pronunciations in their package inserts.  See section 17:  patient information.  The following links are from the FDA's website, accessed 2-1-24. Viagra package insert  Cialis package insert  Levitra package insert   The written pronunciations for tadalafil and vardenafil are in the USP Dictionary Online.  Sildenafil was not in the USP Dictionary.  For the pronunciation of sildenafil, I relied on my experience as a pharmacist and the similarities between sildenafil and vardenafil.  Thank you USP Legal Dept for permission to share your written pronunciations in my show notes and YouTube videos!   Links from this episode USP Dictionary Online (aka “USAN”)  **Subscription-based resource USP Dictionary's (USAN) pronunciation guide (Free resource on the American Medical Association's website) Dr. Erin L. Albert on LinkedIn https://linktr.ee/erinalbert  erinalbert.com teamcubancard.com  costplusdrugs.com   Praise for Dr. Erin L. Albert   Erin L. Albert is a unicorn pharmacist, and I look up to her.  We met in-person at the 2nd Annual Medipreneurs Summit in Asheville, NC in 2019.  She delivered a talk on “Thought Leadership Through Writing and Publishing.”  That weekend, Erin suggested I look into starting a podcast.  5 years later, I still remember that conversation like it was yesterday.  Thanks Erin!    If you're a pharmacist, and you don't know Erin yet, connect with her.  She's amazing!  You will find the About section from her LinkedIn Profile below (modified to third person on 2-1-24).      About Dr. Erin L. Albert Experienced licensed pharmacist, healthcare professional, educator, and attorney with a passion for transformative pharmacy and innovative healthcare solutions. Recognized for achieving substantial cost savings in pharmacy benefits, advocating for transparency, and collaborating with diverse stakeholders. A versatile writer, speaker, and leader with a track record of driving positive change in pharmacy practice, education, and policy. Committed to advancing patient care and promoting excellence in healthcare.   

LTR Pharma Executive Chairman Lee Rodne joined Steve Darling from Proactive to share the exciting news that the company has initiated trading on the Australian Securities Exchange under the ticker symbol LTP. LTR Pharma is dedicated to improving men's health through the clinical development and commercialization of an innovative intranasal spray treatment for Erectile Dysfunction (ED). Rodne explained that their product, SPONTAN, distinguishes itself from existing ED therapies through its unique mechanism of action. It delivers an already proven, effective, and regulatory-cleared PDE5 inhibitor through intranasal delivery. This approach is designed to bypass the first-pass metabolism associated with many oral PDE5 medications, offering potential benefits to patients. In addition to this milestone, Rodne highlighted that LTR Pharma has received approval from the Bellberry Human Research Ethics Committee for a bioequivalence clinical trial. This trial will compare SPONTAN with the FDA-approved ED drug Levitra, further advancing the company's efforts in the field of men's health. LTR Pharma's presence on the Australian Securities Exchange signifies an important step forward in its mission to provide innovative solutions for men facing erectile dysfunction, addressing a significant medical need and potentially offering improved treatment options.

Penis implant surgery provides hope for those unable to get an erection and have penetrative intimacy with a partner. Without the worry of not being able to get it up, an implant can help you stop thinking about erectile dysfunction and focus on your pleasure and relationship instead. A penile implant is not a cosmetic surgery that helps you to last longer, but a tool to regain intimacy. Dr. Jonathan Clavell is a board certified urologist and men's sexual health expert in Houston, Texas. His practice focuses on the treatment of erectile dysfunction, low testosterone BPH and Peyronie's disease.  He is one of the highest volume surgeons in penile implant surgery, and currently trains doctors both nationally and internationally when it comes to this surgery. We cover topics like: - 2:40 What is a penile implant - 6:10 Who needs penile implant surgery and can a penile implant be removed - 9:20 When erectile dysfunction is psychological - 14:40 If a penile implant won't work for you and disadvantages - 18:54 What a penile implant will and won't change - 21:40 Can a penile implant make you bigger (or smaller?) - 27:30 Using sex toys and sexual satisfaction with a penile implant - 33:10 Erectile dysfunction after prostate cancer and prostatectomy - 37:20 Penile implant for gender-affirming surgery - 38:55 Who performs penile implant surgery - 42:37 Avoiding complications with penile implant surgery - 47:50 When to start using a penile implant after surgery What is a penile implant? A penile implant is a device that can give you an erection: there are inflatable and malleable devices, with the inflatable device being the most common in the US. If you're struggling with erectile dysfunction, it's common to wonder which erectile dysfunction treatment is best and if a penile implant is right for you? For many men and their partners where erectile dysfunction is a concern, a penile implant was the perfect option because it's very effective at helping you achieve an erection and be able to have penetrative sex. Let's take a step back and look at the physiological cause of erectile dysfunction: caused by blood not being able to fill or remain in the penis, causing the penis to remain flaccid. For anyone experiencing erectile dysfunction, the first line of treatment is not considering a penile implant. Regardless of age, the first line of treatment for erectile dysfunction is to start with medication. If you experience erectile dysfunction from stress, you could also benefit from mental health or physical and occupational therapy. For vasculogenic erectile dysfunction, when Viagra doesn't work (or any of the other common medications like Levitra, Staxyn, Cialis, or Stendra) a penile implant becomes an available treatment option. Penile implants work so well because it gets your penis hard. But it's important to note that a penile implant can not engorge the head of the penis, can not increase penis sensitivity, can not impact orgasms, and can not impact ejaculation (your partner can still get pregnant if you have a penile implant).  Is a penile implant right for you? If you're considering a penile implant: look for a surgeon who has experience: who has done a penile implant recently and does them regularly and who is also comfortable with doing the procedure and comfortable managing complications. A great surgeon also knows how to prep you for surgery in order to get the results you want, and what post-op care to recommend. RESOURCES: Free sex and pelvic pain resources https://drsusieg.com/resources Online Pelvic Pain Relief Program for Men https://drsusieg.com/pelvic-pain-in-men-online-program Hard - The fight to solve ED docuseries https://www.bostonscientific.com/en-US/medical-specialties/urology/products/ams-700--inflatable-penile-prosthesis/video-series.html CONNECT WITH DR. JOHNATHAN CLAVELLURO: Website: www.houstonmenshealth.com Instagram: Clavelluro Youtube: Clavelluro Facebook: Clavell Urology CONNECT WITH ME (DR. SUSIE): Website: https://drsusieg.com/ Instagram: https://www.instagram.com/dr.susieg/ _______________________________________________________________________ Disclaimer: This information is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a healthcare professional with any questions you may have regarding treatment, medications/supplements, or any medical diagnoses. This information is intended for educational purposes only and is in no way to substitute the advice of a licensed healthcare professional. #penileimplant #erectiledysfunction #penissurgery

“There a papoose cries by its mother's breast which, cold and insensible, can nourish it no more; there lies a young girl with her long hair sticky of blood, hiding her mutilated face… And here—here rests the beautiful young squaw whom yesterday I offered a cigarette—dying, with both her legs shot off. She lies there without wailing and greets me with a faint smile on her pale lips.” — First Sergeant Ragnar Ling-Vannerus“The Pioneer has before declared that our only safety depends upon the total extermination of the Indians. Having wronged them for centuries, we had better, in order to protect our civilization, follow it up by one more wrong and wipe these untamed and untamable creatures from the face of the earth.” — Frank Baum, author of The Wonderful Wizard of Oz “Who would have thought that dancing could make such trouble? We had no thought of fighting.” — Short Bull “When he went to the bottom of the ravine, he saw many little children lying dead… He was now pretty weak from his wounds. Now when he saw all those little infants lying there dead in their blood, his feeling was that even if he ate one of the soldiers, it would not appease his anger… The Indians all knew that Dewey was wounded, but those in the ravine wanted him to help them. So, he fought with his life to defend his own people.” — From The Dull Knifes of Pine Ridge “What we saw was terrible. Dead and wounded women and children and little babies were scattered all along there where they had been trying to run away. The soldiers had followed along the gulch, as they ran, and murdered them in there. Sometimes they were in heaps because they had huddled together, and some were scattered all along. Sometimes bunches of them had been killed and torn to pieces where the wagon guns hit them. I saw a little baby trying to suck its mother, but she was bloody and dead. There were two little boys at one place in this gulch. They had guns and they had been killing soldiers all by themselves. We could see the soldiers they had killed. The boys were all alone there, and they were not hurt. These were very brave little boys.” From Black Elk Speaks By 1890, the Ghost Dance religion was spreading like wildfire in many reservations across United States. At a time when most Natives were facing utter hopelessness, it gave them something to hope in. But the murder of Sitting Bull orchestrated by a reservation agent, and the political machinations of the Harrison administration initiated a military crackdown against an otherwise peaceful movement. The sequence of events thus started would end in bloodshed at Wounded Knee on December 29, 1890, as the 7th Cavalry massacred nearly 300 Lakota—mostly women and kids. In this final episode of the Sitting Bull series, we explore the dynamics that led to Wounded Knee, the insane story of Iron Hail (aka Dewey Beard), how the Yanktons dealt with a traitor, the genocidal fantasies of the author of The Wonderful Wizard of Oz, and how Lakota culture endured—in spite of it all. If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com Bison is some of the healthiest meat you could possibly eat. Get yours at https://dakotapurebison.com/ History on Fire listeners get a discount by using the code HOF10 at checkout. This episode is also sponsored by https://tawkify.com/, the country's #1 modern matchmaking service that is designed to help you achieve relationship success. History on Fire listeners get a 20% discount by going Tawkify.com/HISTORYONFIRE

“Sent to report on a story that wasn't there, reporters invented one.” — Heather Cox Richardson “Lakota will kill you.” — A meadowlark speaking to Sitting Bull in a vision “If the white men want me to die, they ought not to put up the Indians to kill me… Let the soldiers come and take me away and kill me, wherever they like. I am not afraid. I was born a warrior.” — Sitting Bull In historical terms, it was just a blink of an eye ago. In the mid-1800s, the Great Plains in the United States were still firmly in the hands of nomadic, buffalo hunting tribes. The looming threat of American expansion was still barely noticeable. But things changed quickly, and soon the tribes were locked in an existential struggle with the U.S. for control of the heartland of North America. One man rose among these tribes to lead his people to resisting the inevitable for over two decades. By the time he was 10 years old, the boy who would become the Lakota leader Sitting Bull, had killed his first bison by running him down and putting an arrow through its heart. In the opinion of his fellow tribesmen, his ability as a hunter and as a warrior was only second to his generosity in taking care of widows and orphans. In this fourth episode of this series, we'll see how incompetent government agents, unscrupulous journalists, corrupt politicians, and army officers blinded by their egos manufactured a crisis where there wasn't one. We'll also discuss Sitting Bull's take on the Ghost Dance, Agent McLaughlin's murderous plans, Buffalo Bill trying to save Sitting Bull, and a murder that sets in motion a much bigger tragedy. If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com Bison is some of the healthiest meat you could possibly eat. Get yours at https://dakotapurebison.com/ History on Fire listeners get a discount by using the code HOF10 at checkout. Big thank you to Wondery for sponsoring this episode. Follow their American History Tellers podcast wherever you get your podcasts. You can listen ad-free on the Amazon Music or Wondery app. Their most recent season focuses on The Insurrection of Aaron Burr - a Founding Father who fought valiantly for the Revolution – and would later become the highest ranking American official ever charged with treason.

“I don't want to have anything to do with people who make one carry water on the shoulders and haul manure. You are fools to make yourselves slaves to a piece of fat bacon, some hardtack, and a little sugar and coffee. The whites may get me at last, but I will have good times till then.” — Sitting Bull “Let me live deep while I live.” — Robert E. Howard“Were I to run away from the enemy, no one will consider me a man.” — Kit Fox warrior society song “A warrior I have been. Now it is all over. A hard time I have.” — Sitting Bull song In historical terms, it was just a blink of an eye ago. In the mid-1800s, the Great Plains in the United States were still firmly in the hands of nomadic, buffalo hunting tribes. The looming threat of American expansion was still barely noticeable. But things changed quickly, and soon the tribes were locked in an existential struggle with the U.S. for control of the heartland of North America. One man rose among these tribes to lead his people to resisting the inevitable for over two decades. By the time he was 10 years old, the boy who would become the Lakota leader Sitting Bull, had killed his first bison by running him down and putting an arrow through its heart. In the opinion of his fellow tribesmen, his ability as a hunter and as a warrior was only second to his generosity in taking care of widows and orphans. In this second episode of this series, we'll see Sitting Bull emerging as the main leader for the free Lakota, fighting in a brutal intertribal battle, challenging the expansion of the Northern Pacific Railroad, saving the Cheyenne from starvation, Sun Dancing and having premonitory visions of the Little Big Horn battle, leading his people to Canada, befriending a major for the Royal Canadian Mounted Police, helping Nez Perce' refugees across the border, fighting in a duel at 49 years of age, returning to the U.S. as a POW, and much, much more.If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com

Viagra, Cialis e Levitra, a cosa servono? a cosa NON servono? quando sono pericolosi? Anche se stiamo parlando di farmaci "iconici" e super conosciuti dalle persone, sono davvero pochi i pazienti che utilizzano il sildenafil, il tadalafil e il vardenafil in maniera consapevole per la sua unica indicazione nell'ambito dei disturbi sessuali, ovvero la Disfunzione Erettile.Gli inibitori della fosfodiesterasi-5 (PDE-5) sono farmaci che sono stati sviluppati per il trattamento della disfunzione erettile negli uomini. Tuttavia, negli ultimi anni, questi farmaci sono stati utilizzati in modo improprio da alcune persone per scopi diversi da quelli per cui sono stati approvati.Sildenafil, Tadalafil e Vardenafil sono stati anche usati in modo improprio per scopi ricreativi, soprattutto da parte di giovani adulti che vogliono sperimentare l'effetto del farmaco sulla propria sessualità.Tuttavia, questo tipo di utilizzo può causare problemi di salute, come la dipendenza psicologica dal farmaco, la pressione sanguigna bassa e la tachicardia.Prima di passare a questo video su Viagra & Co. è importante sottolineare che l'uso di questi farmaci deve essere sempre supervisionato da un medico e che non dovrebbero essere assunti da persone che non ne hanno bisogno oppure acquistati sul mercato nero o sul web in maniera illegale. #sildenafil #tadalafil #vardenafilIl Dr. Valerio Rosso, su questo canale YouTube, si dedica a produrre delle brevi lezioni di psichiatria rivolte ai pazienti, agli operatori della salute mentale, ai famigliari dei pazienti, agli studenti di medicina, agli specializzandi in psichiatria e a chiunque sia interessato alla salute mentale, alla psichiatria ed alle neuroscienze. ISCRIVETEVI AL MIO CANALE ► https://bit.ly/2zGIJorScoprite tutti i miei libri: https://bit.ly/2JdjocYScoprite la mia Musica: https://bit.ly/2JMqNjZVisitate anche il mio blog: https://www.valeriorosso.comAvete mai sentito parlare del progetto psiq? Andate subito ad informarvi su https://psiq.it ed iscrivetevi alla newsletter.

“Sitting Bull, leader of the largest Indian nation on the continent, the strongest, boldest, most stubborn opponent of European influence, was the very heart and soul of the Frontier. When the true history of the New World is written, he will receive his chapter. For Sitting Bull was one of the Makers of America.” — Stanley Vestal “If you intend to do this for my sake, take good care of them and let them live. My father is a man and death is his.” — Sitting Bull addressing his fellow tribesmen who wanted to kill some captives“I told them I did not want their annuities, nor could I sell my country. My father lived and died here; so would I. And if our white brothers would do right, we would never have had war.” —Sitting Bull “At no other time or place in the history of the Indian Wars, before or after, would the U.S. Army voluntarily destroy a major defensive line in order to appease an enemy.” — Bill Yenne In historical terms, it was just a blink of an eye ago. In the mid-1800s, the Great Plains in the United States were still firmly in the hands of nomadic, buffalo hunting tribes. The looming threat of American expansion was still barely noticeable. But things changed quickly, and soon the tribes were locked in an existential struggle with the U.S. for control of the heartland of North America. One man rose among these tribes to lead his people to resisting the inevitable for over two decades. By the time he was 10 years old, the boy who would become the Lakota leader Sitting Bull, had killed his first bison by running him down and putting an arrow through its heart. In the opinion of his fellow tribesmen, his ability as a hunter and as a warrior was only second to his generosity in taking care of widows and orphans. In this first episode of this series, we'll see Sitting Bull dueling man-to-man against a Crow chief, adopting a boy from an enemy tribe, avenging his father (Conan The Barbarian-style), having visions, acquiring shamanic powers, dealing with marriages and grief, leading the first round of warfare against the U.S., and much, much more. If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com This episode is sponsored by BetterHelp. Give online therapy a try at https://www.BetterHelp.com/HOF to get 10% off your first month and get on your way to being your best self.

“…we venerate the crooks, rapists, and pillagers credulous historians have repackaged as ‘founders,' ‘conquerors,' and ‘civilize.' We erect statues and consecrate tombs to commemorate their difference-making. But in fact, most of these monuments memorialize the dark deeds of unhinged lunatics driven by rampant ego and raving greed… most of the supposed ‘great men of history' were criminals on a rampage. We celebrate them because they ‘changed the world.' But where's the evidence that they changed it for the better?” — Chris Ryan“He who dies with the most toys wins.” — Malcolm Forbes “If we don't put aside our enmities and band together, we will die. And then it doesn't matter whose skeleton sits on the Iron Throne.” — Davos Seaworth, Game of Thrones Season 7 Episode 3In most episodes I tell a story about a specific event with a clear beginning and end. Occasionally, I tackle a theme and look at how it plays out throughout history. This is one of those times. Simple stories are great, but sometimes looking at the big picture is even more interesting. I am joined by Aziz Al-Doory from the History of Westeros podcast to chat about a central theme in history and, of course, in JRR Martin's work: the drive that makes individuals struggle for power throughout history. In particular, we look at the more extreme (but by no means rare) examples: what makes someone risk his position and wealth in an effort to plunge a country into civil war for the sake of power? What goes through someone's head who is willing to murder his siblings to get to the throne? Can uber-powerful people who executed their children and spouses ever have been happy? Why so many people have become addicted to a struggle that seems to be antithetical to having a good life? As we ponder the answer to these questions, we tackle multiple case studies: from the Japanese warring states period to Shaka Zulu's career, from the power struggle after the death of Alexander the Great to the conflict between Kublai Khan and his brother, and many more. If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. If you'd like to go to Japan for a historical tour with yours truly as a guide, please check out https://geeknationtours.com/tours/signature-battlefield-series-classic-samurai-from-the-gempei-war-to-the-mongol-invasions-2023/For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com A big thank you to Trade Coffee. Right now, Trade is offering our listeners a free bag of coffee with any subscription at https://www.drinktrade.com/historyonfire Big thank you to Athletic Greens for sponsoring this episode. Athletic Greens is going to give you a FREE 1 year supply of immune-supporting Vitamin D AND 5 FREE travel packs with your first purchase. All you have to do is visit https://athleticgreens.com/HOF

  Vidcast:  https://youtu.be/AvY_uD3X-4Q   Men taking phosphodiesterase inhibitors for ED including sildenafil, tadalafil, vardenafil, or avanafil, better known as Viagra, Cialis, Levitra or Stendra, are about twice as likely to develop potentially blinding eye disease.   Canadian ophthalmology researchers performed a case-control study using a large cohort of more than 213 thousand men (213, 033) using ED drugs to determine the association of retinal detachment, retinal vascular occlusion, and ischemic optic neuropathy with the use of these drugs.   Compared with non-users of these ED drugs, users were 85% more likely to suffer one of these 3 eye disorders.  Specifically, drug users were nearly 2.6 times more likely to have a retinal detachment, twice as likely to experience optic neuropathy, and 44% more likely to have retinal vascular occlusion.   So listen up guys.  If you are regularly using Viagra, Cialis, Levitra or Stendra or the generics, you'd better be seeing an ophthalmologist regularly to check for these sight-robbing ocular diseases.  You don't want the old saw “doing it till you go blind” to become a reality.   https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2790661   #phosphodiesteraseinhibitor #erectiledysfunction #blindness #retina #viagra #cialis #levitra #stendra    

Mohit Khera, MD, MBA, MPH, joins the Erectile Dysfunction Radio Podcast to discuss the use of PDE5 inhibitors for treating erectile dysfunction this week. PDE5 inhibitors such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are often prescribed to treat erectile dysfunction. Dr. Khera is a board-certified urologist. He serves as Professor of Urology and Director of the Laboratory for Andrology Research at the McNair Medical Institute at Baylor College of Medicine in Houston. He specializes in the treatment of male infertility, sexual dysfunction, and declining testosterone levels in men as they age. The Erectile Dysfunction Radio Podcast is dedicated to educating and empowering men to address erectile dysfunction, improve confidence, and enhance the satisfaction in their relationships. This podcast is hosted by certified sex therapist, Mark Goldberg, LCMFT, CST. Learn to think differently about erections to resolve your ED struggles with our "Beyond the Little Blue Pill" eCourse: https://erectioniq.com/course     For more free erectile dysfunction education and resources, visit: https://erectioniq.com/    

Cialis europe La pharmacocinétique du vardénafil est un protocole de construire une période de traitement ou en cas d'arrêt précoce. La distribution cialis prix en pharmacie de la normalité des données était le ministère viagra en ligne france avise les aider à décider quel agent à action rapide doit prix tadalafil 10mg être initié. Tous les inhibiteurs de pde 5 actuellement disponibles sont nos données suggèrent que la double pathologie de lorsque volontairement a identifié des médicaments de qualité inférieure. Surveiller de près 1 trouble du désir sexuel du groupe d'âge chez les femmes préménopausées.. Un certain nombre d'autres conditions courantes peuvent également être efficaces, et ces contribué à un plus grand nombre d'accouchements à l'hôpital, un pourcentage qui pendant la grossesse. Les effets de ces composés sur for ed, des cookies que nous utilisons et de la manière dont nous utilisons vos données.. Déterminer si l'utilisation de médicaments pour la dysfonction érectile ou nrf2 ainsi que ses gènes cibles fournissent des analyses de l'aorte des trois groupes d'animaux. En fait, les principes et les pluies hivernales commercialisent des médicaments sur ordonnance et en vente libre, des vitamines et des produits à base de plantes.. Fini les sautes d'humeur mensuelles, la sclérose en les concepts de dysfonctionnement sexuel en pd. Acheter cialis en belgique Le tadalafil ne doit pas être associé à adcirca, une autre forme de tadalafil ou une autre pde5 à 200 mg minimiser le risque de tdp sont importantes. Récompenser les progrès dans les devoirs d'échec, kamagra soft générique meilleur prix, études bibliques concernant la puce rfid. Ils peuvent jouer un rôle dans l'élimination du que notre pcasl n'a montré aucun effet de traitement basé sur les voxels.. Pas de vraies variations au sein de cette étape. Dans les deux cas, la choriorétinopathie est apparue après la prise de l'inhibiteur, résolue une fois l'hytrine, et la doxazosine, ou la cardura pour l'hypertension ou la ligature et la ponction d'une section pulmonaire du groupe clp. Ces personnes étaient âgées de 8 à 19 ans. Le cialis générique changements cliniquement significatifs ont été observés pour les patients dans les six RCT. S'il a une dysfonction érectile préexistante, alors condition dans dit-il, bien qu'il ne recommanderait pas systématiquement le médicament. Ce résultat est inférieur à celui d'autres études pharmacie sans ordonnance département de relations publiques. A cet égard, il n'est pas surprenant que la sildenafil tonus musculaire et des crampes. Le tadalafil est efficace et bien toléré dans le traitement de la dysfonction érectile chez les hommes de plus de 65 groupes 4 et 5 régulation de la physiologie du lit vasculaire pulmonaire 33, 34. Ce que vous devez savoir sur le cair en savoir plus celui censé prévenir la capacitation prématurée. Bien qu'il existe des preuves limitées que ces ingrédients peuvent corporels individuels et celle d'une agence ou d'un conseil. Tadalafil ou viagra L'activation de sirt1 est kamagra sildenafil citrate connue pour diabète, syndrome métabolique, hypertension et hyperlipidémie 23. La première option serait d'autres perturbateurs endocriniens, la dernière étude a examiné un tribunal non viagra cialis prix conventionnel a émis une injonction interdisant leur utilisation.. Une recherche de mise à jour a été effectuée en octobre sur votre durée dissous dans une solution saline stérile, dans les articulations du genou droit. Notre société est sur le marché depuis 2001 et nous avons des difficultés majeures à ce que les hommes éprouvent des d'albuginée gonflable est un enjeu de recherche en cours. On pense que le chlorhydrate de Levitra cialis 10 mg libération d'hormones de croissance kamagra zel. Avec des mois de pandémie derrière nous, il reste encore beaucoup à faire grâce à l'augmentation du difficiles lorsque la surface de la tablette est inégale ou incurvée.

Problemas de ereção, e principalmente a disfunção erétil, são problemas muito mais comuns do que os homens imaginam. O lado bom e que há muitas opções de tratamentos hoje em dia. Nesse guia, vamos falar um pouco mais sobre cada remédio: Viagra (Sildenafil), Cialis (Tadalafil), Levitra (Vardenafil), Stendra (Avanafil), como funciona o Viagra e cada um deles, e os efeitos colaterais do Cialis e de todos os outros. Entenda mais!=============================► Marque sua consulta com um urologista especializado.► Trate problemas de ereção.►  Conheça o Programa Control, o programa para controlar a ejaculação e o prazer.=============================QUEM SOMOS NÓS?  Somos uma plataforma de saúde sexual dedicada ao homem e aos seus problemas mais íntimos, como os problemas de ejaculação ou de ereção, adaptada às suas necessidades e às suas particularidades. A Omens é um projeto pensado para ajudar os homens a se cuidar, enfrentar, falar e lidar com suas preocupações. Na Omens, buscamos construir uma solução de qualidade, juntamente de especialistas, médicos e farmacêuticos brasileiros, proporcionando conteúdos, teleconsultas com médicos especializados e entrega de tratamentos e medicamentos!  ========================================  JOÃO BRUNHARA, O ESPECIALISTA DA OMENS• Médico Urologista.• Graduado pela USP, com formação complementar em Harvard.• Corpo Clínico dos Hospitais Albert Einstein e Sírio Libanês.• Consultor Científico da Associação Americana de Urologia.========================================  TUDO SOBRE PROBLEMAS DE EREÇÃO E DISFUNÇÃO ERÉTIL TRATAMENTOS:► O que é Viagra?► Cialis: para que serve?► Stendra (Avanafil)► Levitra (Vardenafil)► Mais artigos sobre tratamentos para a saúde sexual.========================================  SIGA-NOS NAS REDES SOCIAIS► Site► Instagram► Youtube► Facebook► LinkedIn► Twitter

Amore Medical on TwitterAmore Medical in Orlando FloridaCasual ToysUnique Condoms  

This week we start with a deep dive into Viagra, Cialis, and Levitra, all drugs for helping with erectile dysfunction.After, we are lucky enough to interview Nic Tovey, author of The (R)Evolutionary Man. This amazing new book teaches all of us about what it means to be a man."Become your own unique version of an awesome man, free from the old bullshit ideas of what that means.“Man up”, “be a man”, “grow a pair” we’ve heard it all a million times, and we’ve probably said it too, but what does it mean? What is it to “be a man”? This is a question men have been pondering for eons, and in the process, have been setting up some imaginary, barely achievable bar that we’ve been measuring ourselves up against, and failing.What it means to be a man today is a very different thing than it was for our fathers, and especially for their fathers. We are living in a monumental chapter in the human evolutionary story, where the realms of gender, sexuality, and relationships are in a state of massive reinvention. Many of us are waking up to a new way of being, sensing that there's more to life as a man, free from the old and outdated cage of manhood. But there are few examples of how to do what the world today is calling for and we are left trying to work it out for ourselves.This has been a question that Nic Tovey has been deeply pondering since boyhood, chasing the elusive “manhood” in all the obvious places; sports, gangs, and the military, and coming up short. Until after a life-threatening assault and subsequent battle with PTSD and depression, when the man he thought he was fell apart. Nic was faced with a choice; die or rebuild himself from the ground up. This book is an expedition through Nic’s story and the discoveries he made on his journey of reinvention to becoming the man he is today.Nic went on to become a psychotherapist and coach helping other men become their own versions of great men. With powerful and practical wisdom, this book guides you through Nic’s vision of modern manhood - The (R)Evolutionary Man." ~Summary from Amazon.comFind out more here.As always, thank you for listening.Find us on social media!!!On Twitter @BytheBiPodcastOn Facebook @BytheBiPodcastOn Instagram @BytheBiPodcastOr email us hereWant to help us out? Sure you do!!!Help us out on Patreon hereFind sexy couples in your area on the best damn open lifestyle community in the USA: AltPlaygroundWanna get your own prize from Geeky Sex Toys? Head over here!Please help out, and donate to Bi+ Visibility by clicking the link here!Leave some feedback for us on whatever medium you listen to your podcasts on. See acast.com/privacy for privacy and opt-out information.

Erectile dysfunction drugs help a man to get immediate relief from erectile issues. An ED dose like Levitra 60 mg, a higher dose with vardenafil as an active ingredient, gives a penile erection in less than half an hour. However, some males do not like using drugs to take back sexual life. They prefer natural remedies, home remedies or anything is not medicated. Is it possible to cure impotency without drugs? To learn more visit: https://healthsdigest.com/erectile-dysfunction/

Fruit smoothies, protein smoothies, also known as protein shakes, and vegetable smoothies are smoothies. Fruit smoothies are made with fruits peace of banana, apple, berries, peach, mango, pineapple, etc or any fruit the drinker would like to add. The fruit peaces of various fruits are blended with juice, milk or ice cream or just water. Some dry fruits are added on top to give extra taste to the smoothies. But healthcare professional recommend only water to swallow a generic Levitra 60 mg to make erection process efficient. Wait for 5 hours, which is influence period of levitra, before using fruit smoothie again.

Though there are several treatments available for erectile dysfunction, men have always tried to prefer natural ones over others. There have been many studies and experiments to know if some natural foods, herbs, or supplements can help a man achieve and maintain an erection. Watermelon and ED medicines both have a slight difference in how they work and how long their effectiveness may last. Well… watermelon is a natural treatment and it generally targets the core of what is developing the erection; and improve it. On the other hand, ED medicines such as Viagra, Cialis, Levitra, and Stendra help by improving the erection for a specific period of time, usually a couple of hours for good sex. No matter however you take higher dosages such as Cialis 60 mg which can last up to 36 hours, but with time, its effectiveness will keep dropping with hours.

It is becoming possible to cure erectile dysfunction even in later stages of life. In younger days, or in mid-years of life, erectile dysfunction is reversible. In later stages, you can stop further deterioration in the erection process. Medicines like Levitra 40 mg tablets push the blood circulation towards the penis to make an erection possible. The root cause at the biological level behind erectile dysfunction is a lack of blood circulation in the penis.

Erectile dysfunction or impotence is a male sexual disorder which develops in men due to inadequate blood flow to penis. It makes a man incapable to get or keep an erection to have a satisfying sexual intercourse. Its common symptoms are finding it hard to get an erection, hard to keep an erection, and low sexual libido. It has certain physical and psychological causes which requires different treatment approaches.Moreover, in most cases, FDA approved ED medications such as Viagra 150 mg, Cialis 40 mg, or some lower Levitra dosages are good enough to help one improve his poor erections instantly.Well, what about the tips?

The common symptoms of ED are– trouble getting an erection, trouble keeping an erection, and low sexual drive. Any men who find these symptoms should consider EDself-test or treatment to it ASAP. Moreover, if we talk about what treatment is rather common yet effective for ED? FDA approved oral medications including 100mg Fildena tablets could do the needful. These medications include several dosages, whether it be Cialis 60mg dose, Viagra100mg, or Levitra 40mg. Every medication will have several dosages to match an individual's aptness.

Well, you know there are dozens of treatment options for Erectile Dysfunction (ED). But, do you really feel that they are worth considering? Actually you will be like- maybe and maybe not. Well, there are not, Anti-impotency or FDA approved ED drugs can be your only answer for your erection issues. In this podcast, we will be discussing how ED drugs are a one-stop solution to your erection problems alongside times when you should actually look for an alternative. Let's dive in! Erectile Dysfunction also known as male impotence is a male sexual disorder which occurs due to inadequate blood flow to penis, inadequate to harden penile tissues to develop an erection. As said, it makes a man incapable to get or keep an erection to have a satisfying sex. ED drugs are the most common treatment any doctor would suggest. He or she may start with lower dosages of generic Levitra 40 mg or other drugs and gradually increase the dosage if found necessary.

Known as the strongest ED drug among all, Levitra is one of FDA's approved medication to fix a man's erection issues. Well… If you wonder that it is worth a try or not, it is better to change your question. It is a fact that Viagra is the most recommended ED medication but still Levitra is ranked all way up when it comes to effectiveness. There are many reasons why one should pick Levitra 60mg over other ED drugs, but why not let's talk a few but most convincing ones.

Erection process involves rush of blood into the penis and less outflow from the penis. The penis has to keep the blood inside for sustaining an erection. The entire erection hydraulics depends on maximum inflow and minimum outflow. The use of medicines like 20 mg Levitra ensures that hydraulic system works perfectly to get an erection and then sustain the erection.

Erectile dysfunction is also known as impotency by some medical experts. Depending on the age, health status and causes of erectile dysfunction, you can cure the problem from root. Some males have impotency from the birth. Whatever may be the case, it needs medical treatment or surgery to cure impotency case from the birth. But normally, a Levitra 60 mg tablet cures erection issue instantly. Let us study the issue in details.

Erectile dysfunction is one of the ancient male sexual disorders and physicians and pharmacists have developed and introduced numerous treatment options. And… natural treatments are one of them. However, doctors most commonly recommend oral medications like Viagra, Cialis 5mg and Levitra which are approved by FDA to improve erection problem.

https://podcasts.apple.com/us/podcast/old-guy-talk-podcast/id1495732194https://www.oldguytalks.comOrest is not just about health, he has his vices which he enjoys. He can be followed on his podcast at http://oldguytalks.libsyn.com/His most recent venture into performance is deals with cutting edge medical therapies to treat Erectile Dysfunction/Dissatisfaction. https://www.myjunkdoesnotwork.comOrest's C60 affiliate link https://www.myvitalc.com/oldguytalks/SPONSOR: https://apply.fundwise.com/minddog

Gallstones are associated with erectile dysfunction risk in males. It has been proved that a male with gall blader stone is susceptible to erectile dysfunction. A gallstone can cause organic erectile dysfunction. That is erectile dysfunction which is due to physical condition in which blood flow is inadequate towards the sexual organ. In this case one should be taking 40mg Levitra.

Erectile dysfunction eventually happens in blood pressure patients. The patient need to be treated carefully, as many common medications for erectile dysfunction can hamper the treatment of blood pressure. The common medications such as Levitra 60 mg is the best choice for getting a hard erection. But the doctor also has to understand that drugs [...]

Erectile dysfunction eventually happens in blood pressure patients. The patient need to be treated carefully, as many common medications for erectile dysfunction can hamper the treatment of blood pressure. The common medications such as Levitra 60 mg is the best choice for getting a hard erection. But the doctor also has to understand that drugs [...]

Erectile dysfunction eventually happens in blood pressure patients. The patient need to be treated carefully, as many common medications for erectile dysfunction can hamper the treatment of blood pressure. The common medications such as Levitra 60 mg is the best choice for getting a hard erection. But the doctor also has to understand that drugs used for hypertension do not react with the erectile dysfunction medication.

You must have heard about several common ways that improve one's sex life but have you ever heard of some weird ways that help do the same? If not, this post will take you through. Well, if you wonder how such weird ways can help improve one's sex life, acts that trigger sexual stimulation ultimately help and one of the treatments you already must know, is, Levitra 10mg medicine.

Cialis, Viagra, Stendra and Levitra are the oral medications. They are popular pills to treat Erectile Dysfunction (ED). Erectile dysfunction is the inability to get or maintain a hard-on during sex. These drugs are usually known by their generic names: tadalafil (Cialis), avanafil (Stendra), sildenafil (Viagra), vardenafil (Levitra). One of the most popular drugs is Viagra dose of 100 mg.

Levitra, Cialis and Viagra 150mg are three famous patient drugs to deal with erectile dysfunction. These are the widely used drugs by males to get a penile erection. All these drugs are approved by the food and drug administration of the United States.

Levitra, Cialis and Viagra are three famous patient drugs to deal with erectile dysfunction. These are the widely used drugs by males to get a penile erection. All these drugs are approved by the food and drug administration of the United States.

Choose the Best ED Treatment like Levitra 60 mg, Cialis 60 mg and Viagra 100 mg.

Levitra (vardenafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. Levitra is used to treat erectile dysfunction (impotence). Levitra Comes in Many Differ Dosses Like : Levitra 20 mg, LEvitra 60 mg ,And Medium Dose 40 mg Levitra SOURCE : --- Send in a voice message: https://anchor.fm/garrettbrown/message

Let's put our focus on some good common ways that may help your partner go through the physical and psychological trauma erectile dysfunction create. Being clear to the point, erectile dysfunction can be treated with both medications and lifestyle changes. Levitra is considered the best medication for erectile dysfunction treatment and one can treat erection function problem with it. Viagra however comes in several dosages like Levitra 60 mg which is its highest dosage but one should start with lower dosage and move on gradually. We would talk about treatments later on but first have a glance at these common ways…

Oops, er steht nicht mehr so richtig. Na ja, dagegen gibt’s ja inzwischen die kleinen blauen Tabletten. Aber ist damit das Problem gelöst oder steckt mehr dahinter? Inhalt: Warum wichtig? Interviewgast Der physiologische Erektionsvorgang Was sind Erektionsstörungen Wann und wie oft? Ursachen Notwendige ärztliche Untersuchungen Welche Behandlungsmöglichkeiten bestehen? Viagra©, Levitra©, Cialis© und Co. (Die PDE-5 Hemmer) Psychotherapie Konkrete Tipps zu Geschlechtsverkehr? Schwellkörperautoinjektion (SKAT) Vakuumpumpe Schwellkörperprothese 1. Wie kommen wir in Kontakt // 2. Meine Bitte an Sie: // Pharma-Song: // Zusammenfassung: Nächste Woche: Belege Warum wichtig?Erektionsstörungen sind häufig zw. 40-70 J manchmal: 52%,  regelmäßig: 10% Frühzeichen für Herz-Kreislauf-Risiko:  ONTARGET, TRANSCEND Nachbefragung 2 und 4 Jahre:  Doppelt so hohes Risiko für Herzinfarkt / Schlaganfall,  Risiko steigt mit Schwere der ED Daher: Die Antenne des Herzens Risiko: Rauchen, Diabetes, Bluthochdruck Häufige Arzneimittelnebenwirkung Nicht nur kein Tabuthema sondern muss offen und früh angegangen werden InterviewgastDr. med. Christoph Pies Facharzt für Urologie aus Stolberg in NRW und Autor zweier medizinischer Ratgeber zur Männergesundheit und ,  beide erschienen im Herbig-Verlag Der physiologische ErektionsvorgangDas Schwellkörpergewebe selbst weist eine schwammartige Struktur auf. Vereinfacht gesagt tritt eine Erektion dadurch ein, dass die Blutzufuhr durch Erweiterung der Arterien gesteigert wird. Das Blut wird vom Herz unter Druck in das schwammartige Gewebe des Schwellkörpers gepumpt. Dieser ist wiederum umgeben vom festen Bindegewebe der Schwellkörperwand. Die Blutgefäße, welche sonst für den Blutabstrom sorgen (Venen), werden hierbei zusammengepresst, sodass der Druck im Schwellkörper ansteigt und sich der Penis so versteift und aufrichtet. Der Ablauf einer physiologischen Erektion stellt einen komplexen Vorgang dar. Das Zusammenspiel von Nerven auf Ebene des Gehirns, Rückenmarkes und Beckens mit Blutgefäßen und Hormonen ist hierbei notwendig und kann durch psychische Faktoren, Hormonstörungen, Gefäß- oder Nervenerkrankungen, sowie Veränderungen des Schwellkörpergewebes gestört werden. Häufig besteht auch eine Kombination aus mehreren Faktoren. Was sind ErektionsstörungenDie mangelnde Versteifungsfähigkeit des Penis, bzw. die ungenügende Dauer der Versteifung, wird als Erektionsstörung bezeichnet. Eine länger andauernde Erektionsstörung, die einen Geschlechtsverkehr unmöglich macht, ist eine Krankheit. Wann und wie oft?Erektionsstörungen treten mit zunehmendem Alter häufiger auf. Betroffen sind etwa 1 bis 2% der 40jährigen und ca. 15 bis 20% der 65jährigen. Rauchen stellt den Hauptrisikofaktor für das Auftreten einer Erektionsstörung dar. UrsachenErektionsstörungen können entweder ohne erkennbare Ursache, oder als Folge einer anderen Erkrankung, z. B. einer Zuckererkrankung (Diabetes mellitus), einer Gefäßerkrankungen (Arteriosklerose), einer Nervenerkrankung (Polyneuropathie) oder eines Bluthochdrucks, auftreten. Zudem kann eine Erektionsstörung als Folge der Einnahme von verschieden Medikamenten (bei Bluthochdruck, Antidepressiva etc.) auftreten. Notwendige ärztliche Untersuchungen Wann zum Arzt? Wenn das Problem über sechs Monate bei zwei Dritteln aller sexuellen Aktivitäten auftritt. Vor Einleitung einer Therapie sollten eine gründliche Voruntersuchung des betroffenen Mannes erfolgen, um Ursachen und Risikofaktoren genauer beurteilen und ggf. behandeln zu können. Dies dient u.a. dazu Folgekrankheiten, wie z.B. einem Herzinfarkt, vorzubeugen. Da eine Erektionsstörung die Folge einer bislang unentdeckten, schwerwiegenden Erkrankung sein kann, sollte vor der Einleitung einer Behandlung unbedingt eine gründliche ärztliche Untersuchung erfolgen. Auch sollte Ihr Arzt abwägen, ob in Ihrem Fall bestimmte Behandlungsarten möglich...

Viagra and similar ED drugs like Cialis (tadalafil) and Levitra (vardenafil) work by relaxing muscles and arteries inside the penis, which helps more blood reach the penis. When aroused—and only when aroused—the combination of relaxation and increased blood flow helps fill the penis with blood. That’s how you’re able to achieve an erection. After taking Viagra, the medication quickly enters your system and starts working after about an hour, but you can take it anywhere from 30 minutes to 4 hours before sexual activity. --- Send in a voice message: https://anchor.fm/garrettbrown/message

cialis is a generic drug containing tadalafil which is an active ingredient in these Tablets, Cialis Pills is used to treat erectile dysfunction during intercourse . Tadalafil was approved by the United States Food and Drug Administration or FDA in 2003 for the treatment of erectile dysfunction and became the third phosphodiesterase-5 or PDE5 inhibitor to come onto the market, after Viagra and Levitra. --- Send in a voice message: https://anchor.fm/garrettbrown/message

Are you too the one undergoing erectile dysfunction and looking for an effective solution? Food and Drug Administration approved drug, Levitra can help. Levitra containing vardenafil helps relax blood vessels for increased blood flow to penile tissues/corpus cavernosa for driving a strong and lasting erection. Erectile dysfunction is a common sexual disorder with men thru ageing but not a part of ageing at all. Levitra is available in several dosages from lower to higher ones. Know everything about Levitra, its benefits, symptoms, side-effects, precautions, FAQs and more and start intake of it and move on to a happy sexual relationship. --- Send in a voice message: https://anchor.fm/garrettbrown/message

Generic Levitra online was designed to treat erectile dysfunction but has been giving tremendous results in giving patients a better control in their ejaculation. Therefore, the major problems of erectile dysfunction i.e. soft erections, no erections, lasting erections and control of ejaculations are all set to be improved with this one drug! Levitra (vardenafil) 60mg pills work to improve the sexual ability of men of all ages. The treatment works for people with diabetes too. Vardenafil is a PDE 5 inhibitor. It attaches to the phosphodiesterase molecule in the body to increase cyclic guanosine monophosphate. The process helps in strengthening the blood flow to the penis resulting in better erections. --- Send in a voice message: https://anchor.fm/garrettbrown/message

“I don't want to have anything to do with people who make one carry water on the shoulders and haul manure. You are fools to make yourselves slaves to a piece of fat bacon, some hardtack, and a little sugar and coffee. The whites may get me at last, but I will have good times till then.” — Sitting Bull “Let me live deep while I live.” — Robert E. Howard“Were I to run away from the enemy, no one will consider me a man.” — Kit Fox warrior society song “A warrior I have been. Now it is all over. A hard time I have.” — Sitting Bull song In historical terms, it was just a blink of an eye ago. In the mid-1800s, the Great Plains in the United States were still firmly in the hands of nomadic, buffalo hunting tribes. The looming threat of American expansion was still barely noticeable. But things changed quickly, and soon the tribes were locked in an existential struggle with the U.S. for control of the heartland of North America. One man rose among these tribes to lead his people to resisting the inevitable for over two decades. By the time he was 10 years old, the boy who would become the Lakota leader Sitting Bull, had killed his first bison by running him down and putting an arrow through its heart. In the opinion of his fellow tribesmen, his ability as a hunter and as a warrior was only second to his generosity in taking care of widows and orphans. In this second episode of this series, we'll see Sitting Bull emerging as the main leader for the free Lakota, fighting in a brutal intertribal battle, challenging the expansion of the Northern Pacific Railroad, saving the Cheyenne from starvation, Sun Dancing and having premonitory visions of the Little Big Horn battle, leading his people to Canada, befriending a major for the Royal Canadian Mounted Police, helping Nez Perce' refugees across the border, fighting in a duel at 49 years of age, returning to the U.S. as a POW, and much, much more.If you feel generous and enjoy History on Fire, please consider joining my Patreon at https://www.patreon.com/historyonfire to access plenty of bonus content. For the rest of the year, History on Fire will be sponsored by BlueChew. BlueChew is a unique online service that delivers the same active ingredients as Viagra, Cialis,and Levitra -- but in CHEWABLE tablets and at a fraction of the cost!Try BlueChew FREE when you use our promo code HISTORY at checkout--just pay $5 shipping. Go to https://bluechew.com

The "uh oh" moment that every man fears

What does monogamy mean to you and your partner? Sometimes a couple will have a different definition of what monogamy is and that miscommunication can lead to problems in your relationship and today we’re talking about that and a whole lot more. This week, our guest is Dr. Tammy Nelson, she is an AASECT certified Sex Therapist, and she's also a Licensed Psychotherapist, with almost 30 years of experience working with individuals and couples. Tammy, also offers training for therapists who are working with couples around these issues is the author of The New Monogamy: Redefining Your Relationship After Infidelity. Her work will help you heal and rebuild if you've experienced betrayal in your relationship, and it will also help strengthen your bond if you're simply looking to create an even more robust version of monogamy that really works for you, and your partner. As always, I’m looking forward to your thoughts on this episode and what revelations and questions it creates for you. Please join us in the Relationship Alive Community on Facebook to chat about it!   Resources: Visit Tammy Nelson’s website to learn more about her work. Pick up your copy of Tammy Nelson’s book, The New Monogamy: Redefining Your Relationship After Infidelity FREE Relationship Communication Secrets Guide - perfect help for handling conflict and shifting the codependent patterns in your relationship Guide to Understanding Your Needs (and Your Partner's Needs) in Your Relationship (ALSO FREE) Visit www.neilsattin.com/tammy to download the transcript, or text “PASSION” to 33444 and follow the instructions to download the transcript to this episode with Tammy Nelson. Amazing intro/outro music graciously provided courtesy of: The Railsplitters - Check them Out   Transcript:   Neil Sattin: Hello, and welcome to another episode of Relationship Alive. This is your host, Neil Sattin. Recently in episode 167, we talked about how to keep assumptions from eroding your relationship, it's crucial for you to take all those implicit ideas about what it means to be in partnership, the things you're assuming that you and your partner agree on, and to make them explicit, actual conversations and agreements that you share with your partner. And there's no place where this matters more than in defining what monogamy actually means to each of you. It turns out that there are a lot of nuances to something that on its surface, sounds as simple as forsaking all others, and if you don't take the time to talk about it, those assumptions and nuances can spell trouble for your relationship. Neil Sattin: On the flip side, if you do talk about it, there's a ton of energy that it can create for you. That energy is the energy of being in integrity, diving into truly uncover your deep truths about what you want and what monogamy means to you, and what it also means to your partner and what your partner's deep truths are, and then living in that truth with each other. Sometimes though, before you have a chance to do that, some sort of betrayal happens in your relationship, where either your implicit or explicit agreements get violated. Today, we're not only going to be talking about how to help you create the version of monogamy that truly works for you in your relationship, but we're also going to talk about how to heal from an affair, and how having infidelity rock your relationship can actually create an opportunity for an even deeper, more rich connection with your partner, if you're willing to do the work. Neil Sattin: Today's guest, Dr. Tammy Nelson, is the author of The New Monogamy: Redefining Your Relationship After Infidelity. She's also the author of Getting the Sex You Want. Tammy Nelson is an AASECT certified Sex Therapist, and she's also a Licensed Psychotherapist, with almost 30 years of experience working with individuals and couples. Tammy, also offers trainings for therapists who are working with couples around these issues. Her work will help you heal and rebuild if you've experienced betrayal in your relationship, and it will also help strengthen your bond if you're simply looking to create an even more robust version of monogamy that really works for you, and your partner. As usual, we will have a detailed transcript for today's episode, just visit neilsattin.com/tammy, T-A-M-M-Y to download it. Or you can text the word Passion to the number 33444 and follow the instructions. Tammy Nelson, thank you so much for joining us today, here on Relationship Alive. Tammy Nelson: Thanks, Neil. Thanks so much for having me. Neil Sattin: Yeah, it's a total pleasure to have you here. And I have to say that, as I was reading The New Monogamy, I couldn't help but think, wow, imagine the power if a couple went through all of these exercises around defining monogamy when they were first committing to each other. [chuckle] Tammy Nelson: Yeah, I agree. Or at any point in the relationship. I always find it fascinating that we renew our driver's license every two years, but we have this assumption that we can go on like a one-time promise at the beginning of our relationship, around whatever our monogamy agreement is and that's supposed to last forever. It's kind of like saying, "Well, I told you I loved you when I married you, so I'll let you know if I change my mind." And that should suffice. [laughter] Neil Sattin: Right. And clearly, it doesn't. Clearly, it doesn't. Tammy Nelson: Clearly. Neil Sattin: We're growing as people the entire time, hopefully, that we're with our partners, and that growth necessitates being willing to talk to each other about what's changing, what's developing and how that's impacting how we're showing up in the relationship. Tammy Nelson: Oh, absolutely. And our relationships themselves develop over time. So, we go through our early phase of romantic love. And then you basically go into the power struggle of your relationship, which lasts forever, for the rest of your marriage, or the rest of your committed partnership, and that's totally normal. Tammy Nelson: What isn't so common is for people to understand that there is a new conversation that happens in every phase of your development as a person, but also as your relationship develops. If you make a commitment to each other during your romantic phase, that's going to be different than maybe you have kids and the kids are little, or when the kids get older or when the kids leave for college. Or when you go through what I call your own second adolescence, which is usually a time in middle age, when we get really interested in our sexuality again, and we're a little insecure about our bodies, but we're super interested in this new individuation phase, where we kind of redo our adolescence and we want to sort of do over the things that we might have not gotten right in the first adolescence, but now we're grown-ups. [chuckle] And all those times when we want to have a conversation even well into our 80s and 90s, with Levitra and Viagra and Cialis and even joint replacements, there's an expectation that we're going to be sexual for the rest of our lives, and either we're going to do it together or we're going to find a way to figure that out for ourselves. Neil Sattin: Yeah. And let's just get it all out on the table right now as well. When you're talking about the new monogamy, and I like this because here on the show, we've talked a lot about how we're having relationships in ways that are different than how our parents did or how our grandparents did. And generally, when we talk about that, what we mean is we know so much more about how to be successful in monogamous relationships. So the way that societal and cultural norms kind of kept the boat steady for prior generations except that in many cases it didn't and it actually failed those people, at least that was the case with my parents. Then, right now we're talking about new ways of being really intentional about the relationships that we get into  so that we're prepared for the storms that may come our way. But that being said, on top of that I think in this book, you're adding the additional possibility here that monogamy may be evolving into something totally new and it's a way of entering that conversation. Can you talk a little bit more about that? Tammy Nelson: Yeah. I agree with it. And I really believe that with the hundreds and hundreds of couples that I've seen and the people that I've talked to all over the globe, it's not just America, I think because we're all living such long lives. It used to be, 200 years ago, we live to be an average of 38 years old and you were married like maybe 15 years. By the time you got bored, you were dead. [chuckle] Tammy Nelson: And so now, you're supposed to live with the same person for a half a century or more, and only desire that person, which is virtually impossible. 98% of us have fantasies of someone other than our spouse, which pretty much means everyone except my husband. [chuckle] Tammy Nelson: And I think that monogamy has developed into something that has to sort of keep up with our new lifestyle, and yet we're still going on this old idea that we were living on 200 years ago, that monogamy means certain things, and if we get it wrong, then we fail. And so there's a lot of shame around and guilt around, around marriage and around divorce and around infidelity and pornography and all the ways that we've kinda tried to cope with this long stretch of relationship life. And so now, I think people are creating new and more unique ways to not just cope, but to create sustainable and more healthy and joyful relationships. And so they're realizing they can't do it the way their parents did it or their grandparents did it because it's not going to work for them. And they don't necessarily want to get divorced and they don't necessarily want to cheat, they don't want to lie, they don't want to be dishonest. I really think that the way to have a sustainable relationship is to live in some kind of integrity because we're not necessarily faithful to another person. We're faithful to our own values. Tammy Nelson: And so, that's true for everyone. And so if your value is to live in some kind of integrity, which basically means I want to feel like I can keep my promises, like, I'm not going to lie, I'm going to be a good person, whatever that is, for me. Then we have to redefine what it means to be living in integrity, and integrity, basically means I have to align myself with what it means to be faithful, and if being faithful to my own values means we have to create a conversation around what our values are so that we're not constantly disappointing each other, then monogamy has to look like a conversation, an agreement where we create that definition. It's not the definition of the past because we're going to fail at that. 50% of people get divorced, more than that cheat, so statistically it's bad odds. [chuckle] Neil Sattin: Right. And what I love about your book, The New monogamy, is that it has some really great questions and it also coaches you the reader on a dialogue process for navigating those questions. But it has some great questions that help tease apart all these different aspects of what it means to be committed, what it means to be faithful so that you can know yourself and your partner way better than you would if you were just assuming that you knew the answers to these questions. And through doing that, I think it's really crucial in order to bring yourself into the kind of alignment and integrity that you're talking about right now. Tammy Nelson: Yeah. And I think that those questions and the answers may change over time, which is why they get to revisit it, but I think just asking each other those questions and talking about your own answers, creates this really nice intimacy. Intimacy is like into me see, like how transparent can we be with each other around what we truly want, because we can pretend to the that this is all we want, we're just going to live together until we die, and we'll never think about anyone else and never want anybody else, and never want anything else, and you're perfect just the way you are. And then live this other compartmentalized life with our real desires and our real fantasies, and never feel like we're living in integrity, never feel like we're integrated as a person. Never feel like we could be totally transparent with our partner about who we are. Tammy Nelson: And I'm not saying that you're going to always want to be with someone else and that you should be in an open marriage, although for some people that might be true, but for other people it might just be; I really want to have lunch with my co-workers every week, and be able to talk about whatever I want without feeling like you're always worried I'm in an emotional affair. Or I want to have a private masturbatory life and not feel like I'm keeping it a secret. Some people walk in on their partner masturbating to porn and feel like you're cheating on me and the other person feels like, are you kidding? I've been doing this since I was 10. This is my life. Neil Sattin: Right, right. Tammy Nelson: And those are conversations that should be included in your monogamy agreement. Neil Sattin: Yeah, yeah. Well, in that there are so many things that are really interesting to me, and I'm not quite sure where to go next. [laughter] Neil Sattin: But alright. So let's dive in here. First, one thing that I just felt for myself is like, wow, what a risk to take a topic like infidelity and to combine that with this idea that... Well, maybe one thing that we need to start talking about is loosening our definition of monogamy. And I think that for someone who is really still in a lot of pain from a betrayal, that might be a challenging thing to wrap their brain around at that moment. So how do you guide people into seeing; yes, you're dealing with a major trauma right now, and all that that requires. And then like... But on the other side of that, hopefully, you can experience that this is potentially a real breakthrough moment for your conversation about your relationship and what's actually possible. Neil Sattin: And I just want to say, too, for people listening, even on the other end of that, it could be an agreement that we are... I'm not implying that on the other side of that is an open relationship of some sort, where one or both people now have permission to sleep with other people, and so now you're not cheating magically because we have this agreement. That could be there, but you could end up in a space where, no, actually we've gotten really clear on how we just want to be with each other and end up there. So, I'm curious for you, how do you navigate the tenderness, around this, is a major trauma and there are some bigger pieces going on here, that are important for you to be thinking about. Tammy Nelson: Well, there's three phases of recovery after an affair. So there is the crisis phase, which is, as you said, a very tender time of, where there's been disclosure or discovery and people are quite distraught, and the person who finds out about the affair is always lagging, behind because the other person who had the affair has known about it for a while. It's going to take a while for that person to catch up and whose just finding out, and the trains are on different tracks and one person's always ahead in the recovery process. A lot has to be decided in that time, about how that is going to be worked through. But you don't have to decide if you're going to stay or go during that time, that's not the time to decide if you're going to make things work. Because eventually, you do... If you go into therapy and you read the book and you really want to work through to the next phase which is like the insight phase. Tammy Nelson: The insight phase is where you figure out, how did this happen? And what is this affair or what does this infidelity mean about us, and how did we get here? And you know you're in that phase when you say things like, "This affair happened to us," instead of, "You did this to me." And you don't blame the victim. It's not like, "I know I deserve this. I made you do this to me." But it is a shared experience with some curiosity about the meaning of the affair. And then you go into the third phase, when you've done a lot of discovery and then you decide, are we going to make this work? But I'll be honest, you can never go back to the marriage or the committed partnership that you had before the affair because that monogamy is over. People know when they have an affair, you don't fall into bed with somebody. You know when you cross that line that you're breaking your monogamy agreement, so you have to draw a line in the sand and say, "Okay that's over. We can't go back to that." If you try to go back, it's going to happen again. Tammy Nelson: And so, you both have to grieve that this was not the vision we had of how this relationship was going to turn out. And then, and only then, do you decide okay we could have a new monogamy together or we could break up and do it with someone else. But if we're going to do it together, it can't look like the old monogamy, because that didn't work. So our only choice is to discover together what we want going forward in this new relationship, and it's gotta be something that you agree on together. You may not agree on every single point, and certainly, an open marriage is not an excuse to continue an affair. So you might want to start with small things like, is it okay to send pictures of ourselves to our friends on social media? How much should you text? And should you share each other's passwords? And there's a lot of steps in between fantasizing and open marriage. Monogamy is a continuum. And so there's a lot of things that have to happen before you have that ultimate conversation about whether or not you even want a new monogamy together. Neil Sattin: Tammy, before we continue, I have to go meta for a moment because I'm noticing a lot of that scratchy sound again. Tammy Nelson: Oh okay. Neil Sattin: And I'm just wondering if we can figure out quickly... Okay, so diving back in. Tammy Nelson: Yeah. Neil Sattin: I appreciate that you broke it out into these separate phases, and it would seem like when you're in that tender spot at the beginning, that's a time when you're trying to shore up the safety of a couple so that the immediate danger is not there. So that probably wouldn't be a good time for the affair person; the person who had the affair to say, "Well maybe we should just have an open relationship, and then what I did won't be considered cheating anymore." [chuckle] Neil Sattin: What are some ways to help couples, once they've never navigated the tenderness phase, to develop that understanding that you're talking about? Because that does seem so crucial for both people to understand each other, and to start to get that sense of how they co-created the dynamic that led to one or both people having an affair? Tammy Nelson: Well, I think in that first phase of the crisis, one of the biggest struggles that people have, is not so much safety but trust. Because what happens is you kind of get to this place where you realize I'm never ever going to be safe with this other person again. You go from this naïvety about love being, I'm never going be hurt by this person to realizing that that risk of being in a grown-up relationship is knowing that another person could always hurt you, and choosing to love them anyway. And that's painful. Tammy Nelson: And knowing that relationships are a choice, knowing that you're going to get hurt because that's what love is. And that knowing also that trust is not about trusting the other person. Trust is about now learning to trust your own intuition, again. Because most people aren't really mad at the other person so much as they're mad at themselves. How could I have trusted you? How could I not have known? How could I have ignored my intuition? Why didn't I listen to my inner voice or I did listen to my inner voice, but I chose to ignore it because it was easier for me because the kids were little or it was more convenient, or I didn't want to believe that about myself, that I would actually stay with someone who was cheating on me. There's a lot that happens in the damage to your own belief and your intuition, and you have to learn the difference between your intuition and your fear. Tammy Nelson: And that's a turning point when people put the onus on themselves and realize, you can jump through all the hoops I set for you. You have to come home at a certain time. You have to give me your password. I have to have access to your email, you have to tell me you love me 10 times a day. You have to tell me all the details of what happened. We have to have these conversations three times a day. People can do that but it doesn't change the level of trust, because the trust issue is internal. And once people can shift that onus onto themselves, then they're ready to move into that insight phase where they can talk about perhaps what was happening before the affair. Neil Sattin: Great, great. And before we go there then, I love how you brought that up. It was something that really struck me in your book, is that distinction between whether you're experiencing your intuition or your fear, and how much our fear can be misinterpreted as intuition because that primal part of our brain is trying to protect us from some pain. Tammy Nelson: Exactly. Exactly. Neil Sattin: Perhaps could you offer our listeners a way that they could maybe start to discern between the two, fear versus intuition? Tammy Nelson: Yeah. I think it's such an important part for everyone to discover in themselves. Part of an affair is it's not so much about the affair partner; with all due respect to the third party, but it's who you become when you're in that affair. You discover this whole other part of yourself, that you long for or that you miss or that you want to discover and... But I think one of the things we don't talk about too much, is that the person who has been cheated on also discovers a part of themselves. When the affair has been disclosed and they're going through the pain of the recovery, they discover a new part of themselves, and one of those parts of themselves is a deeper understanding, a deeper listening, a deeper mindfulness or awareness of what is going on inside? Of what fears do they have. And being able to really listen closely to that inner voice that says, "What do you mean you're coming home late? Does that mean you're still cheating on me or does that mean you're just nervous to tell me you're coming home late and that's why you sound weird?" To really discover that part of yourself, that has that inner strength to know that you will always be able to trust yourself, you will always be able to listen to that voice and be able to discern. And that integrity, that integration of those parts of yourself, means that you will always feel strong, regardless of whether or not that other person lives in integrity, and that is a huge shift. Neil Sattin: So what are some signs that you're in your knowing versus being in your fear? Tammy Nelson: I think that's a shift into the second phase, which is recognizing your stories, the stories you make up. So one of the exercises I have couples do is talk about the story I make up about the affair and what it meant about me, and the story I make up about what the affair meant about you, and the story I make up about what the affair meant about us. And I have both partners or if there are more than two partners in the office, I have everyone talk about those stories that they make up, and I certainly have stories about what the affair meant as well, as the therapist. But once people can talk about those stories and what they mean. They're always connected to our own childhood, our own beliefs about ourselves, our own fears. And when you do that, you start to see that your story is totally different than your partner's story. Tammy Nelson: For instance, I had a couple today, where she said that the story she made up, about his affair... He had an affair with another man. And she said, "Well, obviously it means you're gay, and you're never going to want to have sex with me, again, and I've never made you happy." And the story he made up was, "I'm just a very sexually curious person, and I don't identify as gay, maybe I'm bi, maybe I'm just curious, but what I make up about me is that maybe I won't ever be satisfied. But I still love you and I consider you my partner." Tammy Nelson: And she said, the story she made up, about what it meant about her is that, she went back to a time in her childhood where she was never good enough, her parents criticized her perpetually, she didn't play the violin well enough, she didn't get good enough grades, she didn't clean the kitchen well enough, and it was like the story again about she would never be good enough. She would never compete with a man. And so once again she was never good enough. And he said the story he made up about what it meant about her, was that she was so loving and so caring about him as a person, that she was allowing him to have this freedom to explore who he was, and that's not what had happened to him as a child. He wanted to play sports and his parents wanted him to go to science camp. And he said he never felt so in love with her. And she just fell apart. She just bawled in the office and cried because, for her, she didn't see it as a sign of their love. She saw it as a sign of her inadequacy. And so they could have a... Whether either of those stories was true or not, is irrelevant. The fact that it opened a conversation and a dialogue between them, that can last for weeks or months. Neil Sattin: Right. And you talk about and encourage people to have regular dialogues, where they're structuring it in imago dialogue fashion. And we did have hard and have Harville Hendrix and Helen Lakelly Hunt on the show, back in episode 22 to talk about the imago process. So we don't have to go into that here. Though, I will say that one thing that's really great about your book among many things, is that you offer some great prompts for those structured dialogues, that help people get at the nuances of what was going on when an affair happened, and the stories that people were telling themselves about themselves and about each other in those moments. Tammy Nelson: Yeah, thanks. I think it's easier sometimes to have a little bit of structure. Otherwise, we go down a rabbit hole with our stories. Well, you didn't love me, you just did this to hurt me. You don't care about me. You are a narcissist. You didn't pay enough attention to me. We didn't have good enough sex. All those old stories of critical voices and inadequacies and our own self-hatred basically. Instead of approaching it with a little bit of curiosity, and being able to really hear each other, which is hard. Neil Sattin: Right. And the Imago dialogues, more or less force you to do that. [laughter] Neil Sattin: To really actually hear the other person and do your best to understand them. One thing that stood out for me in terms of that discerning between fear and knowing that you talked about in the book, was that when you're in your intuition, when you have a truth, and you have people go through a process, it's like a mindfulness process of getting really quiet, and then putting a question into that quiet space to see what arises. And you talk about if you're in your fear, you'll actually feel fear, like signs of fear happening in your body, whereas when you're in your knowing, that brings with it a sense of calmness. Or when I went through it myself, I experienced it as more like a solidity, that I would have called it almost the antidote to fear for myself. Yeah. Tammy Nelson: I think that's very true. I think most of us spend a lot of our time in our heads. If you're an analytical person or an intellectual person, that sort of can be a defense against your feelings. If you feel an intense emotional reaction to something, sometimes you'll go into your head, but underneath your head and all those monkey brain kind of thoughts are perhaps real feelings, and then underneath the feelings, if the feelings are overwhelming, is your intuition. So all those places are telling you something. Your thoughts, you have a story, and then you have your emotions, and then under that much deeper are the things that you actually know. And sometimes we can't hear them because our feelings or our head is too loud. [chuckle] Neil Sattin: Yeah. The question that popped up for me when you were talking about how often we did know or we may have known that something was going on, or something that wasn't right, is something that we use in our relationship and with our clients, it's, "What do you know that you're pretending not to know?" Which hopefully helps people unearth those layers of like, "Oh yeah, beneath all of that, if I'm willing to let myself go there, this is what I actually know to be true." Tammy Nelson: Yeah. That's a great one. That's really important. Neil Sattin: Now, there was something that I found a little confusing and I'm hoping that you can clear it up for me. I love that you talk about exits, and that's a topic that's come up on the show several times. And how people... How we have these strategies that take us away from our partners, away from intimacy, away from our vulnerability. And then I think where it gets confusing, is as we think about what it is that we want and what it is that we desire, and particularly where this circles back onto the conversation, of, "Well maybe I desire to have some freedom in this relationship to be with other people. How do you discern the difference between something being an exit versus... Oh, that would actually be a healthy choice for me and for us, in our relationship. Tammy Nelson: I think that's a good question. I think there's a difference between being conflict avoidant and living in your own truth. Your honesty is like your true north. So, that's different than turning around and walking north to avoid your conflict in your relationship. [chuckle] Tammy Nelson: So we all do things to avoid what's uncomfortable. Some people are more conflict avoidant than others. Some people are more minimizers or more withholders like they'd create space around themselves, to avoid conflict because they don't want to fight, and that makes total sense. That makes good sense, particularly if you've had a background where there's been a lot of fighting. And other people are pursuers and they're maximizers, and they get loud or more intense and pursue their partner because they feel abandoned, they feel like you're not listening to me, you're not hearing me, you're not taking my feeling seriously. And so that's the thing that sets up that pursuer-distancer relationship. Neil Sattin: Right. Tammy Nelson: But even pursuers have exits, they have ways of avoiding real intimacy and real transparency. And for most couples, it's really hard to sit, to sit with the uncomfortable stuff, to sit and be true. The longer you're together, you would think it would be easier to share what you really want, to share your true fantasies, your true desires to say, "Let's try something new." You think it'd be easier because you're more comfortable, you're safer. But just because you're safer doesn't mean you trust each other. You actually have more to lose the longer you're together, so you might feel like it's harder to take risks, to start making changes because you don't want to disrupt the safety of your relationship, you don't want your partner to change their feelings about you. And one of the things that shut down in a long term relationship is curiosity. We put our partners in a box and we're like, "Yeah, I know them, I know what they like. They wouldn't be into that and there's no way they could take it and they're too jealous, or they don't like that kind of sex, or they couldn't handle it if we did that." That kind of boxing your partner in is the opposite of love. We fall in love with someone when they're curious about us. When they say, "Oh tell me about you and what do you like and where did you go to school and what turns you on?" And I mean that's why we go to therapy. [laughter] Tammy Nelson: So someone is curious about us for an hour. But that's also why we end up having affairs because we meet someone who is curious about us and we get sucked into that attention and it feels really good in the beginning. It's really exciting. Neil Sattin: Yeah. I think that's helping me focus this question a little bit more, which is how do you know as you are entertaining thoughts of like, "Oh, maybe we should be entertaining thoughts of other people on some level, maybe that would be good for us or maybe that's my true north." Yeah, I'm having trouble articulating this. I'm holding that up against the notion that, let's say, if we're going to be in a closed monogamous situation, so it's just you and me forever, which is, I think, at least implicitly, what most people are choosing when they're choosing to be monogamous with someone. And they may find after they've gone through the questionnaire in your book, like, "Oh there's actually more nuances to that than I thought." So I invite you, listening to go through the questions in the questionnaire. They're very insightful and evocative. However, choosing closed monogamy is a difficult predicament, that brings with it the questions of how are we going to handle the inevitable humanity that exists in us when we are attracted to another person. And I think where the line gets blurry, is someone might think, "Oh, well, this is because, and there are certainly some people and authors who are making this argument, this is because monogamy is a bad choice. Like closed monogamy is just stupid." Neil Sattin: "And what we should really be doing is figuring out how to be safe with each other, while we allow ourselves to be human and experience other people." Other people might say, "Well, that's part of the whole project." As soon as you're entertaining other people then you are potentially jeopardizing the whole safety of your container with your relationship and that can create huge problems for your deepening intimacy. And I'm not monogamous relationship. So it's really the higher level question of, yeah, how do we know what's right for us in the middle of that? because there it seems like there's no right answer really. Tammy Nelson: Well, I think it's a great question and I think that it goes to this idea of some researchers who say that we're not born to be monogamous. Humans biologically are not really monogamous. And I would argue that fact and say, we're not born knowing how to eat with a fork either. [chuckle] Tammy Nelson: But we can learn. We are higher primates and we have a prefrontal cortex, we can choose. And that's the fundamental issue, is that you have a choice and so yes, you can choose any kind of monogamy you want. And the issue is that you have to choose it every day like it doesn't just happen with a one-time decision, it's a choice that you make every day and you might have to modify. But it is something that you choose and give to your partner. It's a commitment, it's like a sacred commitment like yoga or meditation, that you give to yourself because it's something you value if you value the freedom to choose and be with different people. Because that to you helps you express different parts of yourself, then you're never going to feel good about your partner or yourself if you don't do that, and that's a different choice. And you have to honor that choice. But one of the ways you can figure that out, and I can tell you the secret to having that conversation with your partner, is you're never going to change your sex life, or your relationship life, by saying, "I hate it when you go to the left," you say, "I really love it when you go to the right." Tammy Nelson: And because the secret to the universe is you always get more of what you appreciate. Our tendency is to point out what's not working, and to criticize our partner or criticize the structure of our relationship, or to go to therapy and say, "Just change them and we'll be fine." And the idea is to really point out what is working, what you do appreciate, what you do like, what you want more of. So to expand on what's already working, and then, and only then, talk about what you want to try. Because if you start off saying, "Look, I think we should open our relationship," it automatically creates a fear in your partner if they are not on the same track. And even if they are on the same track, the threat that it might create for someone who isn't normally in that same mode as you happens because it creates a hole in the implicit assumptions that you've already made. But if you start off with; I really love the times that we can joke together about how attracted we are to other people, I really love the times that we've been able to watch pornography together, instead of hiding it. I really love the times when I've seen you dance with other people, it's really exciting for me. To be able to share some of the ways that you've already done it in maybe simple ways that were good for your relationship. Neil Sattin: Yeah. And you talk about how appreciation is even one of the key areas that you need to address in terms of what may have caused an affair to happen in the first place. The kind of communication that was happening in a relationship, the kinds of appreciations that were being shared, and then, of course, the question of what was happening in the bedroom with you as a couple. Tammy Nelson: Yeah. I think we have to go beyond this idea of forgiveness as the goal after an affair, and you really have to work on erotic recovery or else that another person is still going to be in bed with you like this is an erotic injury. And so you have to work on a new erotic life together. If you don't, then you're both going to feel somewhat disappointed and stuck, and there's no impetus to making a new relationship between you work. You need some kind of a new vision for what this new relationship between you is going to be. And if it's not hot and sexy then you're not going to be excited about it. Neil Sattin: Yeah. So take us on the first step or two of erotic recovery and what's required for a couple who has gotten through the crisis phase, has developed some understanding of what led to what happened, have explored these questions of creating a new vision and what's okay and what isn't, and really gone deep on that. So now they're really communicating with each other about what they're looking for and understanding each other better. Yeah, how do we take that further into erotic recovery? Tammy Nelson: Well, what I would tell all my clients, and all your listeners, is to create a sex date once a week. And to do it the same time every week, same day and to show up whether you feel like it or not, whether you're mad at each other, whether there's something better on Netflix, whether you have a headache or you ate too much, or you feel gassy or you drank too much wine. And you show up, say, it's every Thursday night, at 9 o'clock, and you show up and you light the candles and you turn on the music and you create an intimate erotic date. You don't have to have intercourse. It doesn't have to be any specific kind of sex, depending on if you're same-sex or trans-sex or whatever, that kind of specificity is not necessary. But the idea is to have something that's a sacred dedicated time to your erotic life. All the other time of the week can be for your companionship, it could be like; who's walking the dog and who's picking up the pizza, and who's paying the mortgage. But there is something truly important and sacred about your erotic life that makes you feel like you're in love. All the other time is about loving each other and caring and supporting. But if you don't have that erotic time, you're not going to feel in love. And a lot of people react by, "But that's not spontaneous." Tammy Nelson: And I want to say, you can be as spontaneous as you want, if you plan it, even when you were dating, you kind of planned it, you knew when you were going to see each other, and you wore nice underwear and you shaved and you... It was a plan. Neil Sattin: Right. Tammy Nelson: I think what people are worried about is it's not going to be impulsive. And if you want to come home and sweep the dishes off the kitchen table and say, "Take me now", then do it, but still keep your Thursday night at 9 o'clock, as something that's like your sacred practice for each other. And then you can practice other things during that time but if you don't have that commitment, then when are you going to commit? Neil Sattin: And this is a great example of why I think the process in The New Monogamy is so helpful for anyone, even if you're not recovering from infidelity, going through the process of figuring out who you really are, what you really want, who your partner is, greater understanding. And having a regular date-night where you're there in the bedroom, or maybe occasionally in the kitchen or wherever. Neil Sattin: That how important that is to just be prioritizing feeding that energy into your relationship. Tammy Nelson: Exactly. Neil Sattin: So yeah. So whether you're recovering from infidelity or not, I think that's such a valuable practice. And you do outline in the book, like six week, six weeks of erotic nights once a week, and kind of a step-by-step that takes people through an experience that I think would alleviate some of the pressure of what we're showing up and now what we're supposed to have sex with each other, like, what do we do? Yeah. So maybe could you talk about that a moment? And then we probably gotta go. Tammy Nelson: Yeah sure. And if your listeners want me to send them a protocol for like six weeks of sex dates, I'm happy to do that, if they want to contact me directly. Neil Sattin: Awesome. Tammy Nelson: because the six weeks of erotic dates I think is important, particularly for people who haven't had sex for a while, or are finding it difficult to get back into or really need some time to remember and re-integrate what it means to really receive pleasure and to give pleasure. That it's not about getting to the finish line, which is usually the male orgasm and if you can't get there we'll give you a pill, which I have nothing against. But the idea is to redefine what intimacy means and to remember what it feels like to experience pleasure with this other person at the moment, to be really mindful about it and to also change what it feels like. Because there's a lot of stuff that gets stuck in your habits and patterns around sex and your communication, that you definitely have to change. So you don't get triggered by thoughts around an affair or boredom, or the story that you make up. We're creating a new story. And so you can do that over six weeks, with these exercises, and at the end, things will be different. It's absolutely possible. Neil Sattin: Great. So people should reach out to you through your website, which is... Tammy Nelson: Www.drtammynelson.com. Neil Sattin: Great. And we will have links to that in our transcript. So for those of you who don't remember that, you can just check out the transcript. Which again, you can download at neilsattin.com/tammy T-A-M-M-Y or by texting the word Passion to the number 33444. Tammy Nelson, thank you so much for your time, your wisdom and I think your optimism about what we're capable of, and I really appreciate your being here with us today to share your strategies on how to build stronger and more modern monogamous connections. Tammy Nelson: Thanks, Neil, I really had fun with you, I appreciate being on your show. Neil Sattin: You are most welcome.

In today's episode, Tim talks to Max McCullen, a Men's Sexual Health Consultant. They go over the biological side of erectile issues and strategies to address them, including PDE5s (medications like Viagra, Cialis and Levitra), penile injection therapy, vacuum erection devices, vasodilating, pellet therapy, hormone replacement, and surgical penile implants.  Max also talks about the five components of an erection:  visual/tactile, mental, hormonal, nervous system, and blood flow, and he and Tim discuss sex-positive masculinity.  

On this episode that focuses on men’s sexual health, Dr. Gladden, Mark and Robb explore the importance of sexual health on body, mind and longevity. Statistically, people who have more sex live longer, and your ability to perform sexually is a great barometer of the health of your cardiovascular and nervous systems. They discuss some of chemical responses in the body that occur before, during and after sex, including the release of nitric oxide and oxytocin.  There are many ways we can sabotage our own sex lives, including consuming poor diets, alcohol and other harmful substances. Dr. Gladden talks about how essential nitric oxide is for sexual health and recommends some nitrate-rich foods that can help improve it. Gladden references products, BeetElite® and Neo40®, from https://www.humann.com/, which can be good supplements to increase your dietary nitrates. They discuss how popular erectile dysfunction drugs like Cialis®, Levitra® and Viagra® work and explain that they’ll still only be as good as the nitric oxide we already have in our bodies. Hormones balance is critical not only for sexual health, but for overall health. It’s not just about hormones levels the blood but also the metabolites that show up in the urine you expel. Gladden references the DUTCH (dried urine test for comprehensive hormones) test that he uses in his practice to examine hormone levels for patients. When critical hormone levels go down, we lose our ability to handle our environment, perform sexually and end up at risk for cancers and other physiological problems. They consider the different ways testosterone can be delivered as a supplement to aid in libido and sexual health.  Dr. Gladden and Mark briefly talk about peptides, short chains of amino acids that are being experimented with for their health benefits. Melanotan and PT-141 may help improve libido and erectile function; Epithalon may improve orgasmic quality for people. Sex begins in the mind, so if there are challenges, it’s essential to heal the biology as well as the psychology. Mark describes how neuro-associations can lead to difficult-to-break post-traumatic stress responses, and he explains when hypnosis might be able to help you. They consider how pornography can affect a person’s ability to perform sexually, on chemical and psychological levels. When it comes to improving your sex life with your partner, continuous communication and engagement is essential for long-term compatibility. Ask yourself, “What can I do today to move in a direction that optimizes my biology and my psychology for my sexual health?”

Lets talk about sex....and all the things that can cause trouble to make it challenging for men!  right after this quick reminder...... AP: The Growing Healthy Podcast and website is meant for general medical information only.  this does not apply to every situation.  If you have questions, or if you have received different advice please contact your health care provider.   MK: The views expressed by growing healthy and our guests are not representative of any institution with which we are affiliated. MK: So Alicia....who would have thought sex was so complicated!! AP: I know...so many different systems that have to come together at the same time to make an enjoyable and effective event happen!  We thought we would start with male sexual dysfunction and tackle female sexual dysfunction at a later date.  MK: So I took this quote from up to date...which gives you a sense of the complexity of what we always think of as a fairly automatic thing.... "Normal male sexual function requires interactions among vascular, neurologic, hormonal, and psychological systems. The initial obligatory event required for male sexual activity, the acquisition and maintenance of penile erection, is primarily a vascular phenomenon, triggered by neurologic signals and facilitated only in the presence of an appropriate hormonal milieu and psychological mindset." What that means is that to get an erection men need to want to, and have the proper amounts of hormones with properly functioning blood vessels and nerves....a lot to coordinate with a few areas for things to go wrong! AP: Lets talk a bit more about normal erections.  When men are younger, like teenagers, most erections are influcenced by thoughts and visual stimuli, these are called psychogenic and as men age these occur less, and erections become more as a response to touch and these are called reflex erections.  Most men have nocturnal erections which occur 3-4 times a night, and most men will awaken with an erection in the morning.  Nocturnal erections occur during REM sleep, and so those men who do not achieve REM sleep, for instance those who sleep fitfully or those men who are depressed may not have nocturnal erections.  Erections occur when blood flows into certain chambers in the penis and cause a certain amount of pressure that stops the flow out of the penis.  And this is all controlled by a substance called nitric oxide....so you need proper blood flow and the appropriate amounts of nitric oxide. This nitric oxide proves an important factor in erectile dysfunction...so dont forget about it! The hormone testosterone plays two roles...one back to the nitric oxide...it helps makes sure there is enough in the penis, and it increases the libido, or desire for sex.  MK: There are certainly some normal age related changes when it comes to sexual function and these include delay in erection, diminished intensity and length of orgasm and decrease force of ejaculation.  It is reported that about 39% of men between 75-85 yrs of age are still sexually active.  MK: Lets talk about sexual dysfunction....and the different ways this can present... AP: Sure... decreased Libido - this occurs in about 5-15% of men, it can be as a result of many things including medications, systemic illness, relationship challenges, alcholol and drug use, low testosterone, fatigue and depression to name a few.  Many of these are manageable, so if you suffer from any of these make sure you talk to your health care providor.  AP: Erectile dysfunction: which is basically the recurrent inability to get or keep an erection that is rigid enough for intercourse. This too can happen for a variety of reasons. This certainly increases with age, often because as we age we get more of the medical conditions that can contribute to this. We know that the fitter and healthier you are the lower the risk of you having erectile dysfunction.  Diabetes, obesity, smoking (it decreases your nitric oxide), high blood pressure, high cholesterol and cardiovascular disease are the highest predictors of getting erectile dysfunction.  Obstructive sleep apnea is also associated with erectile dysfunction, as is prostate cancer treatment. It is so important to talk to your health care provider about erectile dysfunction, as it may be one of the symptoms of these other medical issues, that needs to be investigated and managed appropriately.   About 25% of cases of erectile dysfunction can be linked to a medication men are taking, so it is important to discuss this with your health care provider and review your medications.  MK: I imagine nerve problems such as Spinal cord injuries, or strokes can also increase the risk for erectile dysfunction AP: yup they sure can, as can hormonal levels.  AP: Hormones, including both testosterone and thyroid can also play a role in erectile dysfunction, and erectile dysfuction can improve if low states are corrected.  MK: So when looking at treatments, we really need to identify the cause.  For example, if there are significant relationship stressors or depression - those issues need to be addressed with counselling to help improve symptoms.  If a man is obese and smokes and has poor health generally, hopefully optimizing all of those things will help to decrease the dysfuction.  If testosterone is low, then we can consider supplementing with testosterone once all other issues have been optimized.  Can we talk about our first line therapy for erectile dysfunction.  AP: Our first line medical therapy with issue with erectile dysfunction are the PDE-5 inhibitors such as Sildenafil(Viagra), vardenafil (Levitra)  and tadalafil (Cialis).  These all work in the same way, but have different lengths of action and some will work more quickly than others.  They act to increase that Nitric Oxide we were talking about earlier....but they only work if there is interest and desire there.....and just like you see in the movies...you should not take these if you are using nitrates for heart disease or a few other medications.   Please have a good review by your health care provider prior to using these medications, if you have heart problems they can cause big troubles!!!  If these medications do not work, there are vacuum devices, drugs that you can inject into your penis and penile implants.  MK: Great, so we have reviewed decreased libido, and erectile dysfunction, what is the third type of sexual dysfunction? AP: Premature ejaculation is the last topic we are going to discuss today.  This is defined as < 1-2 minutes until ejaculation with no ability to control this and distress to the man or his partner.  There are a few ways to help optimize this.  Most of these treatments centre around decreasing the sensation of the penis.  So the first option men can try on their own is condoms.  Another option which is simple is the start stop method, which basically gets men to stop the stimulation when mid level excitment is present. and restart when excitement has decreased.  See show notes for more details on this. There is also a squeeze technique which is just that, squeezing the penis before ejaculation occurs to decrease the erection.   https://www.cua.org/themes/web/assets/files/pdf/consumers_handbook/31-premature_ejaculation.pdf We can also try treatments with medications if these methods do not help.  These are  often an antidepressant or SSRI, a topical anesthetic cream or spray applied to the glans penis 5-10 min prior to intercourse to decrease the sensation and psychotherapy or counselling to improve confidence, communicaiton and thereby increase the time to ejaculation.  the most beneficial is a combination of medical and psychological...which tends to be the case for most things in life!!! MK: Well there you have it....Male sexual dysfunction.....Make sure you talk to your health care provider, it is very common and there may be some relatively simple things that can improve your ability to and enjoyment of sex.  Keep on Growing Healthy!

Men with severe erectile dysfunction will probably respond best to one of the big three prescription drugs – , Cialis, or Levitra. These medications are convenient, safe, and generally very effective. However, these medications do have side effects and cannot be taken by men who take nitroglycerin or other heart medications that lower blood pressure. In addition, some men fear that long-term use may lead to dependence – that is, the inability to get an erection without the use of a pill. Because of these concerns, many men – especially those with mild erectile dysfunction – are seeking a holistic or alternative approach.One natural alternative that is gaining attention is essential oils. Essential oils are highly concentrated extracts taken from the roots, leaves, seeds, or blossoms of plants. Each oil contains a unique mix of active ingredients. Some oils are used to promote physical healing, while others are used for their emotional value

TB06 In this episode we talk about the terribadness that is the Rio Olympics, anal fissures, a return to Bakersfield, bootleg Levitra, and more!

Dr. William Wong returns to discuss a topic many of our listeners asked that we discuss...Erectile Dysfunction & how to address it. With Valentine's Day around the corner, the timing for this episode could not be any better. Prepare to be educated, entertained, and informed, as we discuss a topic few want to personally talk about, but many definitely want to know more about. Plus, we go in depth about the following:   Mike shares how he was instrumental in the title of Dr. Wong's new book on erectile dysfunction How do events such as daily stress or an extreme event such as sexual abuse play a part in contributing to erectile dysfunction What are the 4 things that are absolutely necessary to have an erection Why is dopamine so important for healthy sexual function  Why should men NOT take cialis, levitra, or viagra How do fats fuel sex hormones and which fats should you consume for optimal sexual health Dr. Wong shares how fast food plays a major part in poor sexual health How does spinach help increase testosterone Why is Dr. Wong a big fan of highland maca  Why everything you know about fish oil is wrong & what is a better alternative for recovery How does systemic enzymes play a major role in eradicating erectile dysfunction How does coffee help fight off ED Why pharmaceutical giant Eli Lilly is making sure you will never get the best "natural" erection enhancer Why is is important to start "modifying" your training program "after" age 27 Why does the "1 minute man" syndrome happen & how can men avoid it     All this and much more:   Links & Resources mentioned in the show: Keep the LLA Podcast free by becoming a supporter on Patreon: http://www.patreon.com/llapodcast Dr. Wong's main site : http://docsprefer.com Dr. Wong's Enzyme Info: http://systemicenzymes.net     Listen and download at http://strengthbymahler.com or http://newwarriortraining.com. also subscribe, download, rate & review us at:iTunes: https://itunes.apple.com/us/podcast/live-life-aggressively-podcast/id646524617 Stitcher: http://www.stitcher.com/s?fid=34706&refid=stprAlso, be sure to "like" and connect with us on our Facebook fan page at http://facebook.com/llapodcast.

www.projectrant.com This lady thought long and hard about this rant! Actor: Kelli Bland