have you ever wondered all those
ingredients and supplements which of
them actually work and what about
minerals like zinc and magnesium and
Boron do those actually help you in any
way with your sexual function well I'm
Dr Rena Malik urologist and pelvic
surgeon and today I'm going to answer
those questions if you're new here I
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Friday on things like Urologic Health
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this week I am bringing back Dr Geo
Espinosa he is a functional medicine
naturopathic doctor who focuses on
Urologic and Men's Health if you missed
our last interview make sure you check
it out we talked about what you should
know before you purchase a supplement
today we're going to talk all about what
ingredients in supplements help for
sexual function and testosterone
boosting and also what are the top five
supplements that Dr Geo recommends that
everyone should take so let's get down
to the things that I think everyone
wants to know there's supplements for
erectile dysfunction they have all these
ingredients in them right so let's talk
about some of the most common ones and
why don't you start with you know what
are the ones that you hear about most
often and and you know do they really
work fifty percent of erectile
dysfunction is in the mind so the
placebo effect even with pde5 Inhibitors
gets a significant placebo effect here
okay let's take the placebo component
out of the way and what really works
anything that can produce help the body
produce more nitric oxide will help
right so things like Arginine
particularly l-citrulline now citrulline
is a precursor to Arginine
um it and you can get more Arginine in
the body from taking citrulline than
actually consuming Arginine orally that
helps with whitening the arteries and
the blood vessels because it produces
um the production of more nitric oxide
so I like citrulline quite a bit but
this is not a replacement for a pd5
inhibitor like tonight
in fact there's a study that showed that
a few night antioxidants combined with
one of the pd5 Inhibitors I can't
remember which one was better
before erectile dysfunction than just a
pd5 inhibitor itself why I am working on
building your sexual health
so every part of what I just said every
word is important I'm building your
sexual health so this is not event
driven
and by the way if it is event driven in
other words I went to the gas station I
took it and it worked that evening two
hours before there's a pd5 inhibitor in
it from my experience and probably very
extensive
none of these things work
immediately within two hours it takes
time if it's going to work by itself
because you're building the sexual
health so what do I mean by that I mean
uh so for example I do pomegranate
extract and Resveratrol many benefits
there but these things have they seem to
help um um with arterial health and
endothelial health so that the
endothelium is the inside of the blood
vessels and the arteries it seems to
nourish the endophilia anything that
nourishes the endothelial health
anything that has good antioxidant
antioxidant properties will help with
building sexual health so that is my
focus when I prescribe supplements not
so much this versus that I don't do that
as you were saying I think that like
there are some people who will swear by
certain ingredients in supplements right
and so a lot of the comments on my
videos will be like Maca is really great
ashwagandha is excellent tribulous like
these are all different types of
supplements I've reviewed a little bit
before in my past videos but I kind of
want to hear your thought because that
enhance sexual health or build Sexual
Health as you're describing as it
releases science within the last several
decades there's been a significant
amount of Science in many other herbs
that we use specifically for erectile
function and so forth so let's go right
to it so the the Botanicals that seem to
work okay
for erectile function and by the way it
goes hand in hand with increasing
testosterone because you need
testosterone for erectile function and
certainly desire and things like that
okay so all goes hand in hand so
ashwagandha is one of my favorite and I
think you'll you know you should love it
not only because you're probably from
Indian descent as well and it comes from
India yeah but it's just a fabulous
botanical
my favorite category of Botanicals and
you have nerve beings you have this kind
of you have adaptogens adaptogens are
really your body adapting to stress and
everything that is a consequence of
stress so ashwagandha does an adaptogen
right just like it's called natural God
it's called actually Indian ginseng
right ginseng from China and Korea
Korean saying they're also adaptogens
um there are several more there's
rhodiola from Russia how does it work
well it does seem to have the ability of
increasing testosterone it seems like it
it lowers
or modulates cortisol so when you have a
lot of cortisol you have less
testosterone so cortisol is a is counter
to testosterone and cortisol comes from
like excess stress for the most part so
it seems to counter cortisol which seems
to raise testosterone and sperm quality
and things like that epidemedium seems
to where Epi medium is known as horny
goat weed out in the street that's this
kind of regular right right out on the
street is like man those horny goats I
tell you
um nothing to do with goats this I think
the the history is that 150 years ago a
group of Chinese Farmers saw these goats
chewing on this plant and it was you
know epic medium and it was like oh my
God these goats they're they're they're
they're going all over the place here
you know and I think that's the history
there that's why it's called that there
seems to be some some good activity and
some good um
it seems to work pretty well not a lot
of human research a lot a a some animal
research but here's the thing
epimedium has this chemical called
icarin
i-c-a-r-r-i-n I Karen is a pd5 inhibitor
so if you have enough eye Karen
I can see how it can potentially work
maybe there's other parts of the plants
that work as well but but if you have
enough eye Karen maybe ha it has some
mild to moderate pd5 inhibitor effect
let's touch on some vitamins and
minerals I would love to hear if there
are specific vitamins and minerals like
magnesium zinc those sorts of things
that are beneficial for erectile
dysfunction when you're taking a but a
supplement vitamin mineral or
uh herbal but botanical
it doesn't work like a pharmaceutical it
doesn't just affect one pathway
this is affecting many pathways
so you want to try to get the most bang
for your buck with everything you take
and of course all minnows macro minerals
and and micro minerals are important to
some degree so I'm just going to throw
out the ones that I think are a must
magnesium
is um is one of them magnesium is a must
to me for me it's top five
uh over 300 enzymatic Pathways it does
so much cardiovascular lowers blood
pressure I'm not getting after studies
and the links lowers blood pressure
right
um migraines
um it relaxes some is a mineral that
relaxes nerves and muscles if there's
again for prostatitis magnesium
is a good one it helps with sleep
particularly this magnesium three and it
helps with memory that's magnesium 308
if the person has some constipation then
maybe magnesium citrate or oxide right
so magnesium as it relates to
testosterone what it probably does and
there's some research again not robust
that shows that it frees up testosterone
so you have more free right so for your
audience you could have a lot of totals
but if you don't have enough free
testosterone then you're not going to
get the benefits of testosterone you
need enough free same with Boron Boron
seems to free up testosterone if you
have to choose one where you get the
most bang for your buck is magnesium
that's a macro mineral a micro mineral I
like uh zinc zinc quite a bit the
prostate is the gland that has uh either
the most of the second most zinc
concentration in it there seems to be
um activity in the latex cells of the
testicle so the late excelsis where the
cells that actually make testosterone
and produce testosterone in the
testicles there seems to be good
activity there as well so zinc I would
say magnesium and zinc if you have to
pick if you have to pick two so is there
ever a worry that you're going to take
too many minerals you're gonna have too
much if it's a water-soluble mineral or
or vitamin vitamin C right vitamin um
ABC a d e and K are all fat soluble
vitamin C is water soluble if it's uh
and most minerals are water soluble as
well
if it's a water-soluble vitamin right
because what's the other argument that I
get
oh vitamins is just expensive urine
yeah I've heard that one
the fact is that there's some truth to
that because your body is going to take
what it needs and it's going to urinate
what it doesn't need so yeah but you
want to saturate your body with the
minerals that it needs it's almost like
saying you know what I'm not going to
drink water because I'm going to pee out
the water anyway it is expensive urine
but your body takes what it needs so the
body does amazing things to keep you
well from these things still of course
there's toxicity you have to be careful
when it's mixed with Pharmaceuticals I
know you mentioned top five so I want to
before we end here I want to go through
your top five supplements minerals
vitamins whatever it is that you think
people should have for General Health it
doesn't have to be just Sexual Health
but General Health I think most of our
food is deficient and good things so
again even if you're clean clean clean
I'm a plant by the way no one I've ever
met is
okay so I've been in I've been in the
business for 25 years and I've done
every diet and I know everyone I know
the people who are talking about these
diets on stage and I see them behind
closed on no one is 100 let's just say
somebody is
there's still not a lot of these
nutrients in food because of reasons
that we spoke about before right so I
think a good multi is a good thing just
general your Basics right in addition to
that I would say you know a fish oil or
omega-3 fatty acid for the hardcore
vegan uh who don't want to consume
anything that comes from an animal
um you can take algae and there's enough
Omega-3s in algae okay so an omega-3
fatty acid
magnesium vitamin C so vitamin C is
on
all is for colds and flus again a lot of
Pathways if you don't have enough
vitamin C collagen doesn't work well so
in fact it's people you see people with
gum bleeding gums yeah you can give them
some vitamin C
that just it's it's a precursor to
collagen so then your skin your skin may
get better you know I'm here I'm 75
years old look at look at my skin all
that vitamin D that I consume yeah
um so I think vitamin C is actually
really important
um so I said multi magnesium
omega-3 fatty acid and vitamin C
men this is hard because it's probably
top ten all right the fifth one I wanna
I'm gonna choose a Botanical okay it's
probably gonna be curcumin I take quite
a bit and when I take it you know that
you know after a certain age you wake up
a little bit more stiff and plus I work
out a lot so you get tend to be more
you're not as stiff antioxidant
anti-cancer benefits I mean I use it
even with prostate cancer patients with
decent amounts so I like curcumin quite
a bit all right I'll throw a six one out
there is ashwagandha I think with
ashwagandha you get a lot of bang for
your buck a lot of anti-aging things if
you will I hope everyone learned a lot
please comment below questions you have
as always you want to take care of
yourself because you are worth it
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all right