Survival of the Firmest: Erectile Dysfunction & Death

Survival of the Firmest: Erectile Dysfunction & Death
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Because penile arteries are only about half the size of the coronary arteries in the heart, erectile dysfunction can be a powerful predictor of cardiac events—such as sudden death.

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Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

“Erectile dysfunction…[is] defined as the recurrent or persistent inability to attain and/or maintain an erection in order for satisfactory sexual performance.” It is “present in up to 30 million men in the U.S. and approximately 100 million men worldwide.” Wait a second. The U.S. has less than 8% of the world’s population, yet up to 30% of the impotence? We’re #1!

Who cares, though? We’ve got red, white, and blue pills, like Viagra. The problem, though, is the pills just cover up the symptoms of vascular disease, and don’t do anything for the underlying pathology. Erectile dysfunction and our #1 killer, coronary artery disease, are just two “Manifestations of the Same Disease”—inflamed, clogged, and crippled arteries—regardless of which organ.

Atherosclerosis is considered “a systemic disorder that uniformly affects all major [blood vessels in the body.]”  Hardening of the arteries can lead to softening of the penis, because stiffened arteries can’t relax normally, open wide, and let the blood flow. So, erectile dysfunction may just be the flaccid “tip of [an] iceberg,” in terms of a “systemic…disorder.” In two-thirds of men showing up to emergency rooms for the first time with crushing chest pain, their penis had been trying to warn them for years that something was wrong with their circulation.

Why does it tend to hit the penis first? Because the penile arteries in the penis are half the size of the coronary arteries in our heart—that particular artery is the so-called widowmaker. So, the same amount of plaque in the heart, that you wouldn’t even feel, could half clog the penile artery, causing a symptomatic restriction in blood flow. You may not feel chest pain until about here. That’s why erectile dysfunction has been called “penile angina.” In fact, by measuring blood flow in a man’s penis, you can predict the results of his cardiac stress test with an accuracy of 80%. “[M]ale sexual function [is like a] penile stress test…[,] a ‘window to the hearts of men.'”

“40% of men over 40” have erectile dysfunction. Men getting erection difficulties in their 40s have a 50-fold increased risk of having a cardiac event—like sudden death.

You’ve heard me say various things, you know, increase heart disease risk 20%, 30%. That’s nearly 5,000%, leading the latest review to ask: “is there any risk greater?” That’s because it’s not so much a risk factor for atherosclerosis; it is atherosclerosis.

A man with erectile dysfunction (even if he has “no cardiac symptoms) should be considered a cardiac…patient until proved otherwise.” It’s considered to be a “cardiac equivalent,” right? It’s a marker of the coronary artery disease you likely already have. “There is therefore more to treating [erectile dysfunction] than just establishing an erect penis, as [it] offers an opportunity for reducing cardiovascular risk.

The reason that even young men should care about their cholesterol is because it predicts erectile dysfunction later in life. And, that predicts heart attacks, strokes, and a shortened lifespan. Just going to keep eating crap because you can pop some pills? All the Viagra in the world may not help your sex life, after a stroke. The take-home message is a simple equation: ED stands for “early death.”

Please consider volunteering to help out on the site.

Thanks to Ellen Reid, Maxim Fetissenko, PhD, and Laurie-Marie Pisciotta for their Keynote help.

Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

“Erectile dysfunction…[is] defined as the recurrent or persistent inability to attain and/or maintain an erection in order for satisfactory sexual performance.” It is “present in up to 30 million men in the U.S. and approximately 100 million men worldwide.” Wait a second. The U.S. has less than 8% of the world’s population, yet up to 30% of the impotence? We’re #1!

Who cares, though? We’ve got red, white, and blue pills, like Viagra. The problem, though, is the pills just cover up the symptoms of vascular disease, and don’t do anything for the underlying pathology. Erectile dysfunction and our #1 killer, coronary artery disease, are just two “Manifestations of the Same Disease”—inflamed, clogged, and crippled arteries—regardless of which organ.

Atherosclerosis is considered “a systemic disorder that uniformly affects all major [blood vessels in the body.]”  Hardening of the arteries can lead to softening of the penis, because stiffened arteries can’t relax normally, open wide, and let the blood flow. So, erectile dysfunction may just be the flaccid “tip of [an] iceberg,” in terms of a “systemic…disorder.” In two-thirds of men showing up to emergency rooms for the first time with crushing chest pain, their penis had been trying to warn them for years that something was wrong with their circulation.

Why does it tend to hit the penis first? Because the penile arteries in the penis are half the size of the coronary arteries in our heart—that particular artery is the so-called widowmaker. So, the same amount of plaque in the heart, that you wouldn’t even feel, could half clog the penile artery, causing a symptomatic restriction in blood flow. You may not feel chest pain until about here. That’s why erectile dysfunction has been called “penile angina.” In fact, by measuring blood flow in a man’s penis, you can predict the results of his cardiac stress test with an accuracy of 80%. “[M]ale sexual function [is like a] penile stress test…[,] a ‘window to the hearts of men.'”

“40% of men over 40” have erectile dysfunction. Men getting erection difficulties in their 40s have a 50-fold increased risk of having a cardiac event—like sudden death.

You’ve heard me say various things, you know, increase heart disease risk 20%, 30%. That’s nearly 5,000%, leading the latest review to ask: “is there any risk greater?” That’s because it’s not so much a risk factor for atherosclerosis; it is atherosclerosis.

A man with erectile dysfunction (even if he has “no cardiac symptoms) should be considered a cardiac…patient until proved otherwise.” It’s considered to be a “cardiac equivalent,” right? It’s a marker of the coronary artery disease you likely already have. “There is therefore more to treating [erectile dysfunction] than just establishing an erect penis, as [it] offers an opportunity for reducing cardiovascular risk.

The reason that even young men should care about their cholesterol is because it predicts erectile dysfunction later in life. And, that predicts heart attacks, strokes, and a shortened lifespan. Just going to keep eating crap because you can pop some pills? All the Viagra in the world may not help your sex life, after a stroke. The take-home message is a simple equation: ED stands for “early death.”

Please consider volunteering to help out on the site.

Thanks to Ellen Reid, Maxim Fetissenko, PhD, and Laurie-Marie Pisciotta for their Keynote help.

Doctor's Note

Thankfully, Our #1 Killer Can Be Stopped. Check out my video on Eliminating the #1 Cause of Death. More background can be found in Arterial Acne and Blocking the First Step of Heart Disease.

This is the first video of a three-part series on sexual health. Stay tuned for 50 Shades of Greens, and Pistachio Nuts for Erectile Dysfunction.

Previous videos on this topic include:

A similar relationship appears to exist for female sexual function as well: Cholesterol & Female Sexual Dysfunction.

For further context, check out my associated blog posts: Top 10 Most Popular Videos of 2013, Foods for a Long Life & Love Life, Pills vs. Diet for Erectile Dysfunction, and Pistachios May Help Erectile Dysfunction.

If you haven’t yet, you can subscribe to my videos for free by clicking here.

 

114 responses to “Survival of the Firmest: Erectile Dysfunction & Death

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    1. I was perhaps too young to have full-blown ED, but will add to the anecdotal chorus: a whole plant based diet improved the tip of my iceberg, and in about the same timeframe.




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    2. Amazing that a plantbased diet helped in just 4 months! This is hard (!) evidence, that a plant based diet really cleans up the arteries. Thanks for sharing.




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      1. A diet overhaul eliminating processed sugars, cured meats, and trans fats, while sticking to healthy protein sources and being conscious of what you eat… not necessarily jumping on a vegan diet.. can also work.




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          1. There is as much anecdote supporting what Alex is asserting as there is surrounding the magical powers of the strict vegetarian diet. I don’t consume any processed foods and the only grain that I eat is rice in strict moderation. I eat meat (primarily game meats) at virtually every meal along with some form of greens or tubers. I drink raw dairy and consume raw fermented dairy products. I feel better than I did in my twenties, my joint inflammation is gone and I have lowered my cholesterol to 175 (which is very low for my family) and my last BP was 115/70. The vegan advocates have part of the answer, but I can do it too without subjecting myself to that diet – so I have part of the answer as well.




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            1. If you look elsewhere on this site, you can see hints that chickens and cows are far less healthy today than they were 100 years ago. The fact you have had good results with game meats is probably not good evidence that someone else eating factory chicken will have similar results.




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              1. If you look yet elsewhere, you can see hints that it is far easier for the average slob-turned-disciplined omnivore to acquire high-quality, responsibly raised, free-foraged beef, pork and poultry that will rival the quality of game meats than it was five years ago. I completely agree that what we Americans call “food” is actually very sad, but the reality is that it isn’t very difficult to find good foods.. I just prefer “best” to “better” or “good.”




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          2. Sometimes you just have to try it yourself. I don’t have erectile dysfunction. In my case, it was about losing weight. I was overweight and fat, and eliminating highly processed foods including refined sugars, refined carbs, and everything not whole foods, I was able to lose weight without side effects in 3 months. In less than a year, I was able to restore my ideal weight.

            As far as physical activities, there was so little, but as I gained back my ideal weight, I was able to exercise more due to increased energy.




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    3. Been vegan 8 years and am in my mid fifties. I feel like a teenager in the sack. My blood pressure is nearly identical to my 17 year old son.




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    4. I am a woman, vegan less than a month and my cheeks are red, the inside of my hands are red and the inside of my eyes are red. These used to be pale. My blood is circulating and I can’t thank enough the person who suggested this to me.




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      1. Just wondering if its just being vegan or you have been making other diet changes along with it like eating more greens (smothie,juicing). If everything else was same and you just removed dairy from your diet than its really something new that I am learning.




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        1. The only problem with nutritionfacts.org is that there is so much to learn.

          But it’s clearly worth the time and effort to learn. Nice to finally find a solid path towards healthy long life.

          You certainly won’t get this stuff from your doctor. :-/




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  1. I regret that you fail to provide more than basic options for avoidance and prevention of ED leading to early death. Is it because there has been little or nothing done in this area to lengthen the life of men or to prevent clogging men’s hearts. You stop short of saying a vegan lifestyle will do it. No evidence? Of all the issues you discuss, this is much more important than other subjects. More, please.




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    1. Are you in denial, or something? Maybe a plant-based 2X4 up the side of your head will do it? What else are you imagining Dr. Greger is saying? Maybe you’ll take it from me? Eat a vegan lifestyle and you’ll get a hard on for life, prevent ED and avoid early death from a cardiac event.




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      1. Ramon have you tried a plant based diet? I am a vegan and I know a plant based diet in general just cures. I am 45 and I have returned to my weight of when I was in my 20’s and I have the energy and stamina of when I was in my 20’s also. Stop knocking it and give it a try.




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        1. anecdotal evidence is work about zip due to the propensity remember the hits and forget the misses. Real science would be nice rather than worked for me quips.




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  2. Dr. Greger, omega-3’s have been known to aid in ED. Could you please tell me why you supplement with omega-3 instead of getting the O-3’s from flax, leafy greens, walnuts, and such? I have perused the sight and have been unable to find mention by you of why you feel it is necessary to supplement. I think the 0-3 issue is super relevant to today’s wonderful video.

    Others have asked you this question in the past but unless someone here can point me to your answer, it seems as though you have yet to give some sort of explanation to your readers/viewers/followers for your silence on this issue.




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      1. I watched the video but Dr. Greger seems to leave it vague as to specifically why he feels relying on plant based omega 3’s might not be enough, and that supplementation should be considered. Is he citing specific studies to back this up? Do you know, specifically, what he is basing this “feeling” on? Thanks, Darryl.




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        1. From that second citation:

          Short-term dietary supplementation with α-linolenic acid increases the proportion of eicosapentaenoic acid (20:5n-3) but does not increase the proportion of DHA in blood lipids. Small amounts of preformed DHA (as low as 200 mg) result in a large increase in the proportion of DHA in blood lipids in vegetarians and vegans.




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          1. Darryl, thank you. Am I to assume that this is what Dr. Greger is basing his choice to supplement with
            with omega 3’s? There seems to be some vegans on this website (as well as other sites) claiming vegans eating plenty of flax, greens, walnuts, and such have no need to supplement.




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          2. Short-term. Long-term, all available evidence indicates that people eating plant-based diets can and do produce all the DHA they need without ingesting preformed DHA. Men have very low DHA needs since they don’t gestate or lactate. Women perform the conversion approximately 200 times more efficiently than men.

            AMERICAN JOURNAL OF HUMAN BIOLOGY 19:132–141 (2007). Page 138 in particular.

            Burdge GC, Calder PC. Dietary α-linolenic acid and health-related outcomes: a metabolic perspective. Nutrition Research Reviews (2006); 19: 26–52.




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            1. The failure of so many fish-oil trials made me highly suspect the pro-DHA arguments. And there aren’t any cold-water fish within 100 miles of any hominin fossil sites older than 125,000 kya, after modern humans, so clearly dietary DHA wasn’t necessary for most of hominin evolution.

              DHA is still an important part of neural membranes, so as a male, I’ll continue taking algal DHA just to be on the safe side.




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      1. Be cautious, as most nuts have omega 3:6 ratios so bad that you wont get much omega 3 from them. Walnuts, flax seeds and chia seeds are the best sources.




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    1. It is a bit complex but we are starting to understand it a bit better. You can follow up on the links that Darryl suggested. The studies on O-3’s and 0-6’s were done in folks on standard american diet and/or consuming alot of processed oils such as corn oil. If you are following a proper whole food plant based diet with Vitamin B12 you need to exercise caution in taking isolated supplements. The current data support this approach. It has to do with ratio of O3 to O6 in the diet as they both go through the same enzymes to make the noninflammatory and anti-clotting (EPA/DHA etc.) and inflammatory and clotting substances such as (AA etc.)… your body needs both. Patients who persist in eating a diet with high O6 to O3 ration might indeed benefit from a supplement but would certainly go with a plant based option and not consume fish or fish oil… remember it is the algae that produce the O3’s not the fish. Of course the best and cheapest option is the correct diet.




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      1. Don, thank you. “The cheapest option is the correct diet.” I hope this is the case. Dr. Greger seems to differ. Hopefully he will do more research/videos/blogs on this subject in the future.




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  3. Dr. Greger,

    My husband had a heart attack at age 69 last year due to a bloodstream staph infection that attacked his heart. According to the angioplasty that was done, my husband did not and does not have atherosclerosis. He had to have emergency open heart surgery and a mitral valve replacement due to the heart attack and resulting death of his papillary muscle.

    My husband has had trouble maintaining an erection for a few years due to an injury to his penis during sex. On top of that, after the heart attack last year and with him now being on a beta blocker (generic Lopressor), it is very hard for him to get an erection much less maintain one. It was decided last year that his heart’s ejection fraction was too weak after the heart attack, so his Electrophysiologist implanted a combination Pacemaker/IED. He is on one beta blocker (Metoprolol) 25 mg twice a day, one ace inhibitor (Ramipril) 5 mg once a day and an enteric coated aspirin once a day. We would like to get him off all the meds if possible but must speak with his cardiologist first about the safety of doing this.

    Anyway, he has his yearly cardiologist appointment on Thursday and we want to ask the doctor among other things about the Metoprolol my husband is on and is it causing or exacerbating his ED among other things i.e. fatigue, weakness in the legs, short term memory loss etc. I’ve read that beta blockers are one of the top 19 most dangerous drugs and are implicated in actually making the heart weaker over time rather than stronger.

    For the record, we are not vegan but we don’t eat a lot of meat. What are your thoughts on the ED being exacerbated by the beta blocker? In your opinion, is it safe to either reduce or stop the beta blocker over time since my husband has not had another heart attack and the first one wasn’t caused by atherosclerosis? Could his ED also be caused by his age (now 70) and a reduction in testosterone?

    Please give me your insights on these questions and thanks! I’m a big fan of your videos and articles, by the way, so thanks for continuing to make your knowledge available to the rest of us.




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      1. Do you think people stop wanting to have a satisfying sex life just because they age? We have always had a good sex life up until he injured his penis during sex and even after that, the sex wasn’t bad. Obviously, he was embarrassed to go to the doctor for that and so he didn’t and scar tissue built up and made an erection difficult but not impossible. Just because people get older doesn’t mean they don’t need love and affection and yes, even sex. Good grief. Ageism is alive and well.




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    1. The beta blockers and all antihypertensive medications have erectile dysfunction as a possible side effect. The issue of arterial health is itself complex involving both blockages and the nitrous oxide system. It is impossible to know if the damage to the mitral valve was solely due to the staph infection or a “heart attack” in small vessels supplying the papillary muscles of the mitral valve or a combination. It is clear at this point that the healthiest diet for the arterial system is a whole food plant based diet with vitamin B12 and no processed oils. Drs. Esselstyn and Ornish published that work in the 1990’s. Dr. Esselstyn has a new article due out in the near future on the follow up of his patients with severe coronary arterial disease. I would encourage you to read his book on preventing and reversing heart disease. It is estimated that over 90% of patients on antihypertensive medicines can be taken off their medications if they follow the correct diet. This needs to be done with the guidance of your regular physicians. I recommend that my patients get a home blood pressure cuff and take their blood pressures in the morning and record on a run chart for each month. The Y axis has the blood pressure values both systolic and diastolic and the X axis had the day of the month. His ED could be contributed to by other factors but given his history it’s most likely arterial disease. The weakness and fatigue have many causes including medications. I would recommend that you go to John McDougall’s website and follow the hot topic link to view how he treats some of the conditions you are interested in. You might start with his November 2009 article in his monthly newsletter entitled, “How I treat patients with elevated blood pressure”. His website has alot of other supportive information including recipes by his wife Mary and his lecture on the starch solution. I have been amazed by the power of the correct diet in my patients to allow the body to stabilize, reverse and/or cure chronic conditions. Keep tuned to nutritionfacts.org as the science keeps coming. Good luck.




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      1. Thanks, Don. I checked out McDougall’s website, and I’ll probably buy his newest cookbook, The Starch Solution. I appreciate the heads up. I have heard of Dr. McDougall as well as Dr. Esselstyn and Dean Ornish. I have Dr. Esselstyn’s son’s cookbook, The Engine 2 Diet. When I cook at home, I almost always prepare vegetarian meals unless I’m cooking fish which is rare. However, when we dine out, we eat whatever we are hungry for and that sometimes includes meat.

        I would imagine years of my husband eating whatever he wanted to helped contribute to some hardening/clogging of arteries even though my husband has always been extremely active. According to two cardiologists, he doesn’t show signs of atherosclerosis, but from what I read on McDougall’s website, my husband’s hypertension was caused by a “sick” vascular system. Also, his father died of heart disease so there is a genetic factor at work, too.

        Chickens always come home to roost and I guess this eating “high on the hog” plus the staph infection probably caused the heart problems. Anyway, thanks again, Don for the information.




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        1. One thing I wanted to add is that when a cardiologist says that your husband doesn’t have signs of atherosclerosis they are only looking at a shadow image of his heart which is the angiogram. It (the angiogram) cannot see the actual arterial wall and if there is any fatty infiltration of the wall (atherosclerosis). So even though it may look “normal” on the angiogram, the wall could in fact be quite diseased.

          Also most Cardiologist’s will call an artery “normal” if there is no blockage greater than 25% because it takes a blockage of about 30% to actually be seen by the angiogram. And some of the time the significance and amount of disease is a judgement call.

          It is also now well established in the literature that if you are eating animal foods and added oils greater than 10% of the diet you are causing meta-inflammation (low level inflammation) throughout your arterial system which activates the immune system to try and repair the “damage” caused by these foods on the arterial system. It’s this “repair” process that causes atherolsclerosis.

          Also toddlers who have died suddenly and have had autopsies have shown atherosclerosis when they were eating significant animal products and processed oily foods. It starts at a very young age and more likely than not your husband has atherosclerosis even though it may appear “normal”.




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          1. And it is not the old, large plaques that are most dangerous, but the smaller and “younger” plaques, that have the highest risk for rupture, and hence occlude the artery, meaning that you can drop dead from a massive heart attack the day after your cardiologist has told you and your wife that everything is fine.




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  4. It’s not that simple. ED can result from a number of causes, not just atherosclerosis. While plaque may be the leading cause, it is by no means the only cause. I am on a plant based diet, have been for 2 years. It hasn’t reduced my symtoms in the least because they are not the result of arterial disease. (other causes can be injury, nerve damage, the inability for the penis to shunt the veins after erection, and others) I think that Dr. Gregor loses credibility when he covers a topic from such a biased point of view.




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    1. You are correct there are different causes of ED. It should be viewed as a condition and not a diagnosis. However in evaluating men for ED there are some conditions that can be checked for such as low thyroid and low testosterone but in my clinical experience you find that rarely. Even if you find something it doesn’t mean that arterial dysfunction isn’t a contributing factor. There is no good way to evaluate arterial dysfunction of the penis. The treatments are limited as well. As a primary care physician there is no downside to working to improve your arterial system. As pointed out in the PDAY study it is present by age 15 in individuals consuming a standard american diet.




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      1. So the meat eating guy not only gets heart attack, stroke, prostatecancer,fat, diabetes and impotent – he also stinks !
        I`m off to my broccoli…..




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  5. Just a question regarding the logic behind cardiac bypass surgery. As Dr. Greger mentioned, atherosclerosis affects all vascular systems in the body. That means someone needing a bypass probably has occluded arteries everywhere.
    I would imagine then that the surgeon would harvest for transplant veins and arteries (even though somewhat occluded) of a larger inherent diameter than the cardiac arteries. Is this correct?




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    1. Typical the surgeon use a vein from the lower part of the leg. The “low pressure system” (veins) are not so atherosclerotic, but they are not “built” to the “high pressure system” (arteries), so they easily get clogged efter by-pass surgery, when inserted in the “high pressure system”, and then you will get a stent, and then a new pypass, and then a stent, and then you will die, unless you are wise enough to shift to a whole foods plantbased diet…..




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    2. I know that one of my acquaintances had a major vein removed from his arm, instead of his leg. I think it was a quadruple bypass. He hurt like heck afterwards, and couldn’t sleep comfortably or get up comfortably for months. Still can’t convince him to go veg, but he was a daily meat eater (BBQ none the less). He has certainly made efforts over the past year to boost his plant intake and his exercise.




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      1. Some people never learn. My farther, first heart attack at age 46, later dilation of the coronary arteries two times and by-pass surgery at age 62 still gorge on meat, eggs, butter, dairy, “healthy” oils, white bread and all kinds of junk. His best argument is that I am the only doc telling him to go plantbased. I think it was Søren Kirkegaard who said – trust the minority, not the majority…




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        1. Plantstrongdoc: It’s so hard when our loved ones don’t listen to us. You actually help all sort of people, but one of the people you really want to help the most doesn’t pay attention. It’s a pretty common human reaction (“what does the kid know anyway”), but it still hurts the kid.

          By the way, for some reason I laughed out loud when I read your comment previously about, “So the meat eating guy not only gets heart attack, stroke, prostatecancer,fat, diabetes and impotent – he also stinks ! I`m off to my broccoli…..” Thanks for the smile. And speaking as one of the ladies, I do so appreciate the broccoli eating type of man.




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      2. Yeah, my older brother is slated for a triple bypass in a few months. I mentioned to him and his wife that a plant-based diet might allow him to bypass the bypass. Unfortunately, I only got a very lukewarm response.

        I’m reading a very interesting book called “The Great American Heart Hoax,” the author of which opines that many bypasses are performed unnecessarily. The author suggests a near plant-based diet to obviate the need for heart surgery.

        Of course, two great heart books are Dr. Esselstyn’s “Prevent and Reverse Heart Disease,” and Dr. McDougall’s “The McDougall Program for a Healthy Heart.”




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        1. And Dean Ornish`s work and book: Reversing heart disease – from 1990. The knowledge has been around for so many years, and I heard absolutely nothing about this in medschool, or when I worked in a strokeunit.




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          1. Thanks. I forgot that one. D’oh!
            1990? You think we would have clued in by now. Still, I think the word is slowly getting out there.




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  6. I am a little weary about the statistics about the US’s ED and the rest of the world. I don’t know how much of the rest of the world is up about reporting how many of their men can’t get it up.




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    1. True enough. But then, this isn’t the Olympics. If you want to conclude that one can keep eating an artery clogging diet because the numbers about ED rates aren’t internationally comparable due to sampling errors, though, I think you’re getting the wrong takeaway.




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  7. Dr’s Pulde and Lederman, in “Keep It Simple, Keep It Whole” note that while most people who eat a whole food, plant based diet and limit Omega 6, can see their omega 3’s produce EPA/DHA. However, even with a proper plant based diet (limited Omega 6, plenty of Omega 3 from flax), Diabetics might still not convert the Omega 3 to DHA. Maybe still not enough enzymes such as arachadonic acid? Might be advisable for them (especially Type 1 Diabetics) to take an algae based DHA supplement?…Mike




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  8. Thank you so much Dr Greger for the accurate infos your are giving me with each video… this is so important to know the thruth about our healt!




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    1. You shouldn’t confuse things that cause erections with the measure of erectile function. If you are concerned about your heart function and avoiding heart disease I would advise reading Dr. Esselstyn’s book on preventing and reversing heart disease. The best approach is a whole food plant based diet with adequate Vitamin B12 intake. Exercise can be helpful but it is probably more like >80% diet and <20% exercise in non smokers. Other common disorders that are associated with arterial disease are back pain, narrowed disc see video's… http://nutritionfacts.org/video/cholesterol-and-lower-back-pain/.




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  9. Two years ago, before embarking on a plant based, I had to seek a blue pill before lovemaking, or come up with an excuse.

    Now, an erection has become my morning wake-up call.




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  10. I am 75 and every year, since turning 65 I have recieved a cup with ” 65(age0 and it still works”. I will turn 76 shortly, expecting a cup again, as I EARN it throught the year. Go, plant based diet, makes my skin soft but stiffens in the right place. My wife makes the cups herself.




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  11. I’ve been vegetarian for over 20 years and vegan for five or more, including a couple as HCLF raw vegan. I’ve had ED for a few years now, almost synonymous with going vegan in fact. Since most of this time I haven’t had a partner or much desire for self-sex I didn’t really notice when it started. When I was with my last partner is become an issue after a short time in the relationship. I always got the sense it was psychosomatic and would be fine if I was with someone else, but that is speculation. The prospect of HD and arterial damage is something I’ve never considered given my avoidance of vegetable oils (occasional deep fried food when out but <1 a fortnight and many years where I had zero).

    I'm nervous about starting a relationship without investigating the cause/potential cures for my ED, I've read that it's very rarely low-Testosterone (something I had imagined might be the case). I've already gone vegan years ago so that is ruled out as a cure (could it have been a contributing cause?!). I'm 46 yo and a bit depressed about this. I meditated daily for at least two hours for many years (~10 years) and part of the end goal for that (Vipassana in S N Goenka tradition) is coming out of sexual desire so I wondered if that was behind it. I might go ask some meditators if they have any experience of it. 40% of 40-50 yo males effected by ED I guess I am one but I'm a vegan so what's the other possible causes?




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    1. Thanks for sharing such a personal story. I am unsure the underlying causes. Check with your doctor about options if problems persist.

      Best wishes,
      Joseph




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  12. Any words for the vegan men with erectile disfunction. The fellow I am worrying about eats a very simple macrobiotic diet no fats and seems very healthy.




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    1. They probably need to consult a physician who can assess their individual circumstances. However, strict macrobiotic diets have been associated with deficiencies eg B12, vitamin D, calcium etc. That may be a factor here. I am a great fan of Dr Greger’s 2003 presentation which identified some of the problems with vegetarian/vegan diets, and what we can do to address those problems:
      https://www.youtube.com/watch?v=q7KeRwdIH04

      It’s probably also worth following up the references/sources quoted by Dr Greger, eg
      “Erectile dysfunction (ED) is associated with smoking, excessive alcohol intake, physical inactivity, abdominal obesity, diabetes, hypertension, and decreased antioxidant defenses, all of which reduce NO production. Better lifestyle choices; physical exercise; improved nutrition and weight control; adequate intake of or supplementation with omega-3 fatty acids, antioxidants, calcium, and folic acid; and replacement of any testosterone deficiency will all improve vascular and erectile function and the response to phosphodiesterase-5 inhibitors, which also increase vascular NO production.”
      http://www.ajconline.org/article/S0002-9149(11)01426-3/abstract




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  13. I have been a strict vegan since 2 years and before that I was a lacto vegetarian, since the last few months I was experiencing postural hypotension ie I always feel dizzy when I get up from a standing and a sitting position.I even got my hands always feeling hot, I was eating a b12 supplement everyday. I even got insomnia where I can never go to sleep early and can’t wake up early. I was a strict vegan not a casual one who drinks a glass of milk or eats eggs out chicken occasionally. I quit vegan last week and magic, I am feeling great my insomnia is gone, hot hands are normal and dizziness is also decreasing. I am feeling more energetic now. I don’t want to discourage other vegans but I am speaking the truth that I became sick on a vegan diet.




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  14. Husband got diabetes had to give up sugars, fatty foods, etc..eating much healthier for a year now ED got worst, explain that one




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  15. replaced whey protein with soy yogurt (from home made soy milk), lost fat, same output as whey protein on muscles( of course 100gm black beans and 100 gm soaked peanuts too), men’s boob gone away as fat gone from that place. NO, flax seeds and soy HAVE NO NEGATIVE EFFECT on my menhood , not even .1%, infact soy whey improved my digestion system( 3 litre soy yogurt in 6 diets with small meals , 500ml each) , removed my chronic constipation (and whey protein powder was a contributor in constipation )




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  16. Whole foods, plant-based helped my husband complete prostate cancer treatment in 6 monrths, not 2 years. His PSA was 13 and it was aggressive. We don’t know another couple who has been through Lupron ( chemical castration / chemotherapy ) and radiation and still have a sex life.




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  17. Venus Leak is another form of erectile dysfunction or is it connected in some way. And if it is not connected, can a whole food plant base diet correct and heal it.




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  18. There are no results for “Venogenic Erectile Dysfunction, akil3200@gmail.com is my email. I have tried asking about this in comments. Not working for me. Can a plant base diet balance and cure this problem? Thanks”
    Try searching for something else.




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  19. I have ED since 2006 and my Doctor was not to worried about it because my Cholesterol Level was good. I took matters into my own hands and changed my diet to WFPB for about 4years now. It did get better but I still have it and my cholesterol is 153 , my blood pressure is very good and I workout almost everyday. I think that I better go and get checked by a specialist to check for some kind of artery disease. Oh and Im 60 years old now about to turn 61. Any suggestions from the Doctors here?




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    1. Hi there, I am a volunteer for Dr. Greger. My suggestion would be to continuously improve your lifestyle, making slight improvements wherever you can. Perhaps decreasing your oil intake and increasing physical activity. The less foods that are not whole fruits, vegetables, legumes, grains, seeds, and nuts you consume, the higher the likelihood that you can improve arterial flow and reverse ED.




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      1. Thanks Cody, I am pretty strict with my diet with whole foods and don’t use oil at all. I did try a low dose of Viagra 25mg and it did help but I hate taking pills period. I am on no medications at all because my overall health is very good. I can increase my physical activity but but like I said already I workout almost everyday.




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    2. It is great that you have changed your diet and that you’ve seen some real benefits if not all of the ones you’ve been hoping for. As with most medical conditions there can be multiple causes and various contributors to the end result. A urologist can suggest some simple tests to determine whether the problem is of a physiologic variety and go from there.




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  20. Been Vegan for 2 years now. 5′ 8″ 150 lbs. Bf around 11% +/- Cholesterol is still high. Have ED . Beans, greens,fruits. Dont eat any oil.none….I don’t get it; seriously.




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  21. At 56, I’ve been vegan since 2005. Prior to that, in my late teens and up to 2005, I was a faux vegetarian. But, given all that, I was seeing signs of ED since my early 40s. Why? Well, up until 2012 I was a vegetable shunning somewhat junk food eating vegan. To the point where, in 2012, my blood pressure was on the rise and I could feel chest pain and an erratic heart beat every now and then along with my somewhat soft nether region. So, on July 10, 2012 I began following Dr. Joel Fuhrman’s advice and became a Nutritarian. Nowadays, I eat boat loads of vegetables, fruits, legumes, fungi, nuts, and seeds and feel much better all over — if you know what I mean. Thanks Dr. Greger, as always, for shinning a light on this sensitive subject. :-)




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