Speaker 1: 1:25

Welcome to the show everybody. I'm your host, dr Jay Tita. This is the Next Level Human Podcast and today I have Dr Judson Brandeis, who is an exciting person for me to have on the show. He and I were just touching base just before we went live talking about how the male community, and especially with my podcast is kind of underserved. And I'm going to set this up, judson, tell you a little bit about why I'm interested in this.

Speaker 1: 1:51

A couple of years ago I did a talk at what was called man Camp and they asked me to come and speak and I said, well, what am I speaking on? And they said, well, we want you to speak on everything penis erections, function, all of that stuff. And so I was like, all right, interesting, I'm going to do this. And so one of the things I did to start out and I want to just give you this sort of aspect of things, because I know what you're doing and we'll get into that but one of the things I did is I basically showed David, the famous statue by Michelangelo, and then I showed a porn star and I basically pointed out that the average porn star is probably seven to nine inches in length, right, and the average male is probably about five inches in length, so the average porn star is almost double the average man. Most of you are probably been feeling inferior your whole life because you think you're supposed to be looking like this, when this is actually what most men look like. And after that talk I had so many men come up to me and men you and I both know they don't normally talk about this stuff, but they're like.

Speaker 1: 3:03

I really wish someone had had this conversation with me when I was a teenager, because I've never actually understood this and I think perhaps men like you and me I mean I certainly I'm in the medical field.

Speaker 1: 3:15

I had to do a ton of genital exams and gyne exams to graduate from medical school. I was a jock, so I was in locker rooms a lot, so this was not necessarily a surprise to me, but I think a lot of people who don't have our background, this is something that they don't know a lot about, and you are interesting to me because you are the first person who has actually developed a method that can do this for men increase penis size for men in natural ways and I was fascinated by this because this is something that I had not heard about yet, and you're at the forefront of this space. So, first of all, I want to say thank you for your work. What a space to be in. Yeah, thank you for your work and thank you for being here, and I think it's an important discussion, and so I'm just going to let you start from there and let me know what your thoughts are about that. And, by the way, did I get those statistics right?

Speaker 2: 4:13

Do you what your thoughts are about that? And, by the way, did I get those statistics right and do you want to correct them? Yeah, absolutely. You know the average size of a healthy guy's penis in the United States is 5.1 inches. You know it varies. So North Korea like statistically? If you look at North Korea, I think it's 3.8 inches. I think that's why they're always fighting other countries and I think the Congo at 7.1 inches. You know, if you're the average American guy, you probably don't want to travel over to the Congo and you know, honestly, like I could care less, how big guys' penises are.

Speaker 2: 4:37

I, just as a urologist, as a surgeon, as a sexual medicine expert, I would see a lot of guys come in who did things to increase the length or the girth of their penis that were catastrophic, and so things that guys have done in the past are fillers, which are expensive, they don't last very long and they deform the penis over time, or fat transfers, which gives guys kind of a squishy penis, and when you basically increase girth without increasing length or the head of the penis, you get what I call a pig in a blanket penis right. So a pig in the blanket is great at cocktail parties, but it's not great in the bedroom. And then there are surgical procedures like cutting a suspensory ligament or putting a silicone implant just for size, and I've seen really tremendous, catastrophic complications from that where a guy had a perfectly normal penis right. The function of the penis is to urinate and to procreate, and so if you have a penis where you can urinate and procreate, you're fine. But 300,000 American women each year get breast implants and not all of them have breast cancer.

Speaker 2: 5:46

Guys want a bigger penis. You know, when they survey people, survey men, 50% of men say that Guys want a bigger penis. You know, when they survey people, survey men, 50% of men say that they want a bigger penis, and then 50% of men are lying, 100%. Yeah. So you know, as I have a background in research, I did research at American Red Cross, I did research at Harvard Medical School, I did research at UCLA, and so you know, with my background in research, I decided listen, let's try to figure out a way that we can increase the length and the girth and the function of a healthy guy's penis in a way that is not destructive.

Speaker 2: 6:21

And so I created what's called the P-LONG study. P-long is a combination of a traction device developed at the Mayo Clinic, a suction device from Dr Joel Kaplan, the Affirm nitric oxide boosting supplement that I created, and the use of PRP, or platelet-rich plasma, injections into the penis once a month for six months and over that six month period in my study of 30 men we increased the length of a penis about 0.8 inches, the girth about a half an inch and increased the function of every guy's penis in the study and, most importantly, there wasn't a single adverse or negative side effect. It was totally safe.

Speaker 1: 7:04

Yeah. So when I hear this, the first thing a guy's going to say is like okay, did I just hear injection into my penis? And so I know that a lot of people don't necessarily understand this. This might scare people off, but let's break down this part first, because it's probably the most controversial aspect of this. What exactly is PRP? How is this injection actually working? It's platelet-rich plasma. But what exactly is it doing?

Speaker 2: 7:31

Yeah, so you know off the bat. Most folks after the injection say that it was a 10 out of 10 on the anxiety scale and a 1 out of 10 on the pain scale. So platelets in your body have two functions. One function is to stop bleeding, but the second function is to start the regenerative or rebuilding process right. So say, you're out in the gym and you bump into something and you cut yourself, and then all of a sudden you start to bleed a little bit.

Speaker 2: 7:58

There's a tissue, when it's injured, sends out what we call inflammatory cytokines, so signals to the body to stop bleeding and also start healing. And so what happens is those signals are recognized by platelets. Platelets hone to the area of injury and they open up the platelet and they release clotting factors which create a clot. But they also release growth factors, which is the reason that when you cut yourself you form a clot, you form a scab. The scab falls off and then that tissue regrows. And so we can take advantage of the healing factors and the growth factors inside platelets.

Speaker 2: 8:39

And so we use it in orthopedics to heal joints, to heal knees, to heal hips. We use it in dental surgery to accelerate the growth of gum tissue. We use it in aesthetics. You can use it for hair growth, but also a guy named Charles Ronalds, a friend of mine, started injecting it into the penis and you can increase erectile function with that. And you can inject it into the clitoris, called the O-shot, and you can increase orgasmic function and sensitivity in women. So I use this as part of the protocol. Right, so you can. Biologic systems are pliable, meaning they stretchable, and you can grow them. By using PRP you accelerate that growth process.

Speaker 1: 9:20

Yeah, you know, and it's interesting, right, you know, of course, from my perspective, I hear I think a lot of people are going to hear okay, I can increase the size of my penis. What I'm most interested in, you said everybody in this particular study that you put together had better function. So erectile function was better. To what degree? And is this? What do you attribute this to? Do you think this is mostly to the PRP and I know we'll probably get into unpacking which parts of this procedure are most effective, but I am very interested in that.

Speaker 2: 12:33

Yeah, so it's mostly the PRP, right? So what you're doing is you're releasing 140 different growth factors, including, most importantly, what's called VEGF, or vascular endothelial growth factor, and so your body releases VEGF when it wants to grow new blood vessels, and so there's no scale for assessing the improvement in erectile function in otherwise healthy men, right? So we have scales for assessing improvement in erections in men that don't have good erections, but if you already have good erections, which, by definition, you need in order to improve the size of the penis. But what we did is what's called the Likert question, which is, basically, are you the same, better, much better, worse or much worse? And everyone in the study said they were better Not much better, but better, and guys in general they know if their erections are.

Speaker 1: 13:24

And I guess we could classify this right Like how responsive are my erections and how much endurance do I have in my erections?

Speaker 2: 13:31

Yeah, and you know, as a guy you can feel rigidity. Now the other thing that guys were taking in the study is a supplement that I created called Affirm, and Affirm is a nitric oxide booster, and when I was at UCLA one of my professors, lou Ignaro, won the Nobel Prize for discovering how nitric oxide opens up blood vessels. And I just did a recent study that we published at the Sexual Medicine Society of North America which showed that taking two Affirm tablets which contain citrulline and beets beets contain nitrates and that's the two ways that you generate nitric oxide in the body. So taking just two of those tablets before you go to sleep increased nighttime erections 33%.

Speaker 1: 14:12

That's fantastic. It's a fantastic improvement. Obviously, from my perspective and I'm sure from your perspective too, most of the things that we see as medical professionals are people worried about erectile function. You alluded to this, but from my perspective, it's like what would you rather have A bigger penis that doesn't work, or a penis that works, that maybe, perhaps, is not bigger? And I think most men are going to choose okay, well, I want that erectile function, and this is a very simple thing.

Speaker 2: 14:35

Well, you know, with P-Long you get both.

Speaker 1: 14:37

Yeah with P-Long you get both.

Speaker 2: 14:38

You don't have to choose.

Speaker 1: 14:39

Yeah, 100%.

Speaker 2: 14:41

You get the best of both worlds and it's better.

Speaker 1: 14:49

Yeah, and you alluded to something here that I did want to ask you about, since you're the expert, just for my own education.

Speaker 1: 14:54

One of the things that I tend to think about but I wanted to talk to you about is I tend to think about the penis being like a muscle If it's not getting perfused with blood, if it's not exercising in that way, then how can you actually get it to grow in size? And so it seemed like you alluded to that, but that's one of the things I wanted to ask you about. When your people first got in touch and put us together, I was like, oh, this is interesting, because from my perspective, I want to see how he's doing this, because I have seen talk about erectile function versus size and things like devices that are traction devices and penis hanging devices and things like that, and I've always wondered well, if the penis is not getting adequate blood flow to it on a regular basis, how are any of these things working? And you seem to allude that that's a big piece, which I guess is why you developed this particular product.

Speaker 2: 15:48

Well, so this is specifically for men without erectile dysfunction, right If? You can't fill the penis that you have up with blood adequately, then getting a bigger penis is just going to make things worse. And so you know, we've had some patients who are interested in a bigger penis but had erectile issues, and so we correct those erectile issues first before we would ever consider trying to increase the length, girth and function of a healthy gas penis.

Speaker 1: 16:15

Yeah, that's what I really wanted to ask you about, and are you using things like Tadalafil and Sedanafil and some of these other medications to do that, or is it?

Speaker 2: 16:24

Yeah, I mean, I have a whole algorithm of what we do in my office, which is start with a nitric oxide booster because you want to amplify the signal to open up blood in the penis, and then use a PDE5 inhibitor like Cialis, which is Tadalafil, or Viagra, which is Sildenafil, which blocks the breakdown. So I'll go biochemical for just a sec, because it sounds like your listeners are pretty smart. So nitric oxide increases something called cyclic GMP, and cyclic GMP creates a cascade that eventually opens up blood vessels, and so PDE5 inhibitors like Viagra and Cialis prevent the breakdown of cyclic GMP. The more cyclic GMP you have in the penis, the more that the blood flow in the penis increases. And we're actually doing a study with Affirm right now that looks at the synergistic effects of a nitric oxide booster like Affirm and a PDE5 inhibitor like Viagra and Cialis, and we're getting amazing data on combining the two. Because the thing is, a lot of guys can't take full doses of Viagra and Cialis because of side effects right, they get headaches, they get facial flushing, they get reflux, they get stuffy nose, and so if you can increase the effectiveness of a PDE5 inhibitor like Viagra and Cialis by supplementing it with a nitric oxide booster which is totally safe and doesn't have any side effects. That's going to be a real benefit and the data on that should be mature in probably another month or two and then we'll publish that.

Speaker 2: 17:59

So, but that's to increase the signal. Now the other thing is you want to increase the vascularity, you want to increase the pipes, and we do that through focused shockwave therapy, which is a totally safe local treatment of the penis that stimulates your body to grow new blood vessels. Also injections of PRP. We also use penis pumps to help guys bring blood flow oxygenated blood flow into the penis and stretch the penis. We also can use botulism neurotoxin to help open up blood vessels in the penis. So there's a whole host of things that we do to increase the signal and the condition of the penis and the vascularity of the penis.

Speaker 1: 18:39

Yeah, so once you get it working appropriately, then we get more into this method that you've developed. So we talked a little bit about the PRP. What are the other elements of this treatment and how effective are they? And I assume you know the reason you put them together is because they're more effective together, but I'm wondering if they have efficacy separate as well.

Speaker 2: 19:01

Yeah, they do have efficacy separately, but I believe in multimodal therapies, right? So if you want to attack a problem, you attack it from multiple different ways. And so the Restorex device is an attraction device developed by a friend of mine who is at the Mayo Clinic and that increases length. And then the penis pump from Dr Joel Kaplan increases girth, and then the nitric oxide boosting supplement increases blood flow to the penis, especially at night when you want to get some good stretching of the penis. So at night you should get 30 to 60 minutes of erectile function every night.

Speaker 2: 19:35

And there's a device out there called the FirmTech Ring, which is a ring that has a pressure sensor on there and you can actually monitor your nighttime erections. And nighttime erections are really a good indicator of circulatory health, right? So if you're beginning to lose your nighttime erections, you're going to begin to lose your ability to get daytime erections. And if you're losing daytime erections 10 years down the road, you're going to end up with heart disease. Right, it's happening now, but it's going to show up in about 10 years.

Speaker 1: 20:07

Right, it's gonna it's happening now but it's gonna show up in about 10 years. And how easily? How easily, because you talk to a lot of guys I certainly have that, you know feel sort of um a dread with this and just like they're kind of done. How easily is the turnaround here? And how important is you know, lifestyle stuff that other people might talk about. So how fast can people turn this function around? I do want to get into the size increases in a minute, but how fast can people turn this function around? I do want to get into the size increases in a minute, but how fast can this happen when you're using all these techniques, this multimodal treatment as you're talking about?

Speaker 2: 20:35

You mean in terms of improving size?

Speaker 1: 20:38

Size and function. How fast does it happen? I assume the function comes back sooner.

Speaker 2: 20:44

So you know, the P-Long study was six months, so in the study the guys increased the size of their penis about 15% over a six-month period. But erectile function is a very complicated issue and a lot of it is from circulatory issues and so if you're sedentary, if you're overweight, if you don't eat well, if your cholesterol is high, if you're blocking arteries because you're diabetic, those can be very, very difficult things to turn around. And something like Viagra it's a band-aid, but you're really not addressing the underlying issue. And I know that you're really passionate about addressing the underlying issues which are how to take better care of yourself, the underlying issues which are how to take better care of yourself. And you know I wrote a book called the 21st Century man which in the end had 101 chapters and was over 900 pages, and it started out as like a 200-page book on a sexual function that I was writing during COVID because I had to shut my office during COVID.

Speaker 2: 21:45

But as I got deeper and deeper into sexual function and erectile function, I realized that so many different things affect the performance in the bedroom. Right, if your heart isn't in good shape, or if you have diabetes, or if you smoke, or if you drink too much, or if your relationships are bad, or if your mental health isn't good. Or if you drink too much, or if your relationships are bad, or if your mental health isn't good, or if you don't feel good about how you look, or if you're not enjoying life, all of those things contribute to erectile function. Not when you're 20, right, when you're 20, the wind blows and you get a stiff dick. But when you're 50 or 60, all of the decisions that you made in your 20s and 30s and 40s really affect your performance sexually, and you know as a partner.

Speaker 1: 22:34

Yeah, and the reason I'm trying to distinguish between these two is because I get what you're saying. The P-Long, you know, sort of study is for healthy men with good erections, and so I do, because this is going to come up over and over again. I know I'm going to get questions like this Well, what about erectile dysfunction, what about erection function? So you made a clear distinction there to say, okay, that's something that needs to be taken care of prior to this P-LONG study, and I do think people are going to get that confused, and so I really wanted to make a distinction between the two. Let's continue, though, with the P-Long healthy penises that are being studied, and you are using this technique of traction PRP pumps to increase length and girth, and I think you said 0.8 on average for the length, and what?

Speaker 2: 23:26

half an inch for the girth, so almost an inch in length and a half an inch in girth. And you know, the other thing is there have been studies. There was a study out 20 years ago on a traction device that increased the length almost an inch. But the problem is you had to wear the thing eight to 10 hours a day for about six to nine months. Right, most of us don't have jobs Like if you're a mailman, you can't wear a penis extending device eight to 10 hours a day. You know, maybe these days when people work at home you can do that. But so with the P long it's a half an hour in the morning and a half an hour in the evening. So I really tried to make it into something that is doable by normal folks with normal jobs.

Speaker 1: 24:06

Yeah, that doesn't seem like a lot actually. And let me ask you, since we're talking about I assume you're talking now about the traction devices. So I have not seen this traction device. I've certainly seen people doing hangers and things like that what makes this particular traction device different? Are they all the same? What makes this one?

Speaker 2: 24:26

I think what makes it different is the way that it grabs the head of the penis. So it doesn't use suction, it uses, you know, compression. And I think because it uses compression it's able to grab the head of the penis more firmly and stretch it more vigorously.

Speaker 1: 24:42

And is this something that you this is something that you know people might? If they wear it longer, do they get better results? Just 30, 30 minutes morning and evening is very doable to me. Do you get better results with longer traction?

Speaker 2: 24:55

Yeah, I mean that's a great question. People ask me all the time. Well, you know, if I added stem cells, if I added exosomes, if I, if I stretch longer, it's an. You know the thing is. I baked a cake with a certain recipe. It's an. You know the thing is, I baked a cake with a certain recipe and I can tell you, if you do, if you follow this recipe, these are the results you're going to get. If you do more, you'll probably get more, but I can't tell. I can't say that for sure. You know, if you use stem cells, if you use exosomes, you know you'll probably get better results, but I don't know. You know you have to do a study to actually determine it and results, but I don't know. You have to do a study to actually determine it. And sometimes you get surprised. Sometimes things don't turn out quite as you expected, and that's why you actually do experiments, because if everything turned out as you expected, there'd be no reason for experiments.

Speaker 2: 25:40

Now I will say that guys continue to grow if they continue past the six-month period. So we had to stop at some point. Right, and when we had statistically significant numbers, I felt okay, it's safe to stop, we can publish this, but I've had plenty of my patients continue seven, you know, month seven, month eight, month nine, month 10. In fact, I had a patient a couple months ago who said you know, doc, I love you, but this is my last treatment and I'm like you know how come you're doing so great? He's like well, you know, my wife told me that I'm I'm too big for oral and I'm too big for anal and I need to leave at least one orifice open.

Speaker 1: 26:14

That's great. Needless to say, he got great results he got really good results. Maybe not from his wife's perspective, but his perspective, that's. That is hilarious.

Speaker 2: 26:25

You know, and that's the interesting thing is, I think guys do this more for themselves and sort of being around other guys. If you ask women, I think women are less concerned about the size of the penis than guys are. That come in for penile enhancement in my office aren't necessarily ones with small penises. In the study it was about a third of the guys had below average. A third of the guys had well, it's considered normal size and a third of the guys had above average.

Speaker 2: 26:59

So beauty is in the eye of the beholder and, like I said, I'm not encouraging people to increase the size of their penis. I'm encouraging people that if you're going to do it, do it in a way that's safe and natural right. So if you're in bed with a partner, especially a woman, I think they're looking more for confidence than they are for the size of the penis. And so if they feel around and they're like what's this, what do you have in your penis, and you say, oh, I put something in there to be bigger, I don't think that's really going to resonate, whereas if you do P-Long, it's naturally bigger and works better and I think that's going to give you more confidence. And when a partner's feeling around down there. They're not going to feel for an object.

Speaker 1: 27:50

Yeah, and honestly, one of the reasons that I wanted to have you on is because I had a friend who, when I was out in Los Angeles, who was into some of this stuff, and he got the sleeve and had some pretty bad results from that and it's tragic for that kind of thing to happen.

Speaker 2: 28:08

So I know that a lot of men are doing this kind of stuff.

Speaker 2: 28:09

I had this guy, 25-year-old nurse, perfectly normal penis had the implant or the E-list implant or PNUMA you call it a bunch of different things and he got an infection. He had to be in the hospital for a week on intravenous antibiotics and then had to get it taken out and then he had two additional operations to try to fix the scar tissue and then finally came to me and we did some shockwave and some PRP and some traction and he sort of got back to where he started from.

Speaker 2: 28:40

But that's a hell of a miserable lesson when things were normal. Remember normal penis urination and procreation. That's it so.

Speaker 1: 28:53

Yeah, and let's just make sure, just so men understand, and the women listening to this, for the men that they're with, just so everyone's clear, when Judson is talking about normal penis size, those numbers were for erect penises, not flaccid penises, right? So those numbers of whatever it was five inches for the average American male is an erect penis. And how are you measuring that in your office? Are you doing the stretch, or I know that there's a correlation between being able to stretch the penis and measuring it that way versus an actual erection.

Speaker 2: 29:27

You know, in the study we actually asked people to get erections at home and then we gave them a standardized ruler. Because the thing is like I could cheat, right, if I really wanted to show that there was growth. On day one I would pull kind of weakly on the penis and in month six I would pull really hard and say, wow, you know, look, it's grown an inch. And so I thought it was a better way of doing. It was to have guys get erections and guys will tell you. You know, like this is not working.

Speaker 1: 29:57

Yeah, they'll know.

Speaker 2: 29:58

Yeah, I mean they're like well, you know, I spent all this time stretching and traction and getting PRP and it's not working. You know, that was the really gratifying thing about doing the P-Long study because I did all the injections and interfaced with all the patients was that patients were happy. You know I was giving them a gift that keeps giving.

Speaker 1: 30:21

Yeah, and by the way, how do they measure this? By the way, how are you measuring? Are you measuring at the top of the shaft to the pubic bone, or off to the side of the penis to the pubic bone? How is it being measured?

Speaker 2: 30:32

You know that is believe it or not like a point of controversy. Some people think that you should do a bone press, so you basically push the measuring device into the pubic bone and measure. And some people measure just like loosely putting it up against the skin. And I just told patients do it. However you measure, but make sure it's consistent.

Speaker 1: 30:53

Yeah, Makes sense, Makes sense. Okay, A couple more things I would love to just talk to you about. So you mentioned this shockwave device, but if I heard you right the shockwave therapy you're not using it in the P-Long study. That that was just traction pumps and PRP, or was that also included in the P-Long?

Speaker 2: 31:11

study that that was just traction pumps and PRP, or was that also included in the P-Long study? No, that wasn't. That was not included. Okay, so that's mainly used for.

Speaker 1: 31:15

if we heard you right, you said that increases the pipes vascular tissue.

Speaker 2: 31:22

Yeah, so that's focused shockwave therapy is used really to increase the vascularity of the penis and not to increase the size of the penis.

Speaker 1: 31:31

And have you seen good results with that for penile function?

Speaker 2: 31:34

Yeah, I mean you have to select your patients properly. So if you have a patient who's had prostate cancer surgery, or if you had a patient who's been a diabetic for 20 years, it's not going to work all that well. But for guys that have mild to moderate erectile dysfunction, it works really well. So say, you have a guy in his early 50s with some erectile dysfunction and needs some Viagra, but you can get that person to the point where he doesn't need Viagra anymore. If you have someone who's 65, that Viagra is not working so well anymore, you can get them to the point where Viagra is actually working really well. Or if you have someone in their 70s where things aren't working at all with Viagra, now all of a sudden you can get them to the point where things work fairly well with Viagra. So you basically turn the clock back about five or 10 years. But you're not going to take someone who's 65 and turn them into a 20-year-old.

Speaker 1: 32:22

Okay, and just a few questions that I know some of my bros and my guy friends are going to want me to ask you. So to what degree do you feel like in your clinical practice that just and we'll talk. Let's talk about penile function first, erectile function. That somebody who's, you know, slightly overweight, doesn't work out, cleans up their diet, begins to lose weight. What do you see? How fast do you typically notice penile function to improve and what are the things that you might recommend? And obviously I want to ask, in conjunction with that, how important are the supplements?

Speaker 2: 32:57

Yeah, so when I see a patient for erectile dysfunction, I spend an hour with the patient, even though it seems like a relatively not minor is not the right word, but like not minor is not the right word, but like. Erectile function is really a very complex issue. And circulation, general health, mental health, emotional health, relationship health, hormonal health, all those things kind of combine to get to the point where you have adequate erections for and I'm talking about, you know, 50-year-olds, 60-year-olds, I'm not talking about 20-year-olds 20-year-olds you can do anything you want, you can go out drinking all night and then get an erection, no problem. I'm talking about when life begins to catch up to you, right? You're overweight because you have a sedentary job and you have kids and you have a wife and you have stress and pressures and you're smoking or you're depressed, all that kind of stuff. Those things catch up to people and in order to really treat erectile function not just do shockwave and give someone pills, but in order to turn their life around so that they're able to have a satisfying sex life you have to help unwind all of those things for men. And we all have gifts and I find that that really is my personal gift as a physician is I'm able to motivate men in a way that they finally understand a little bell goes off for them that they need to start turning around their life in the way that they take care of themselves. Otherwise life's going to stop.

Speaker 2: 34:36

I had a patient the other day. He's been drinking eight beers a day for 25 years. He's 80 pounds overweight, six years old. I looked the guy in the eye and said listen, dude, you're going to fucking die a miserable death in less than five years. And he just started crying. He's like. You know, no one's ever talked to me like that before. And I said sometimes people need tough love. And you know what that guy called Turkey stopped drinking, yeah.

Speaker 1: 35:04

And what's really beautiful about that is he's still.

Speaker 2: 35:06

He's lost like 20 or 30 pounds. He's starting to take care of himself.

Speaker 1: 35:10

Yeah, a lot of people would say that's cruel, but in that case it's the most compassionate thing that can be done for someone, and I think some men really need that, and I think that does really seem like it's your gift. That's why I think it's really, really, really cool what you're doing. You're doing and you know one. One thing I'll say too, and just get your thought on this, is that you know, you and I, before we came on live, we were talking about the mental, emotional sphere. I mean, I've seen men you know that I work with who go through heartbreak or betrayal and things like that. These are young men, men in their thirties, maybe late twenties, who completely lose erectile function just because they've lost all confidence. It's one of these things. It's like they're heartbroken so their penis is not working. There is a whole thing here that I love that you say that is very complicated. It's not just about biochemistry.

Speaker 2: 35:58

Yeah, it's a stress component. People think it's all in your head or it's psychological or whatever, but really it's a stress. It's psychological or whatever, but really it's a stress response. And so, if you think about it this way, if you're a caveman and you're in your cave with your cavewoman and there's a saber-toothed tiger out front pacing back and forth, you're producing stress hormones. You're producing adrenaline and cortisol. Right, you're producing them because you want blood flow to go to your muscles, to go to your eyes, to go to your brain, to go to your heart. And the last place you want blood flow is your intestines, because who cares if you're digesting your meal? Your kidneys, because who cares if you're making urine? And your penis, because it's not a good time to have a family, right? So a couple of days go by and your cavewoman's starting to complain and she's like no-transcript, a spear. You're all pissed off. You charge out of the cave and you kill the Sabertooth tiger. Right, you get full sympathetic outflow, adrenaline, cortisol everything is coursing through your body. You drag the tiger back into the cave, you skin it. You got a Sabertooth tiger steaks on the grill. You got the Sabertooth tigeraks on the grill. You got the saber tooth tiger rug on the floor. You have a great meal, you know your body's removing waste.

Speaker 2: 37:35

Now you're making urine and then pretty soon you start procreating, right? So you start having intercourse with your cavewoman and then you ejaculate, which then now is a sympathetic outflow. Right, because now you got to protect yourself again. When you're having intercourse, you're in a very vulnerable position. If you're an animal, ejaculation or orgasm is a sympathetic outflow, and so the thing is, there's only one system, right? So whether you're being chased by a saber-toothed tiger, or your spouse is pissed off at you, or you're lacking confidence, or your boss is chewing you out, you produce the same stress hormones, and so the key is to get yourself into a parasympathetic or a relaxation state, and that will bring blood flow to the penis. If, all of a sudden, you're like, oh God, here I go again. Things aren't going to work, this girl's going to be pissed off at me, I'm going to be so embarrassed, guess what? Blood flow is not going to go to the penis.

Speaker 1: 38:34

Yeah, that's the catch 22, isn't it? It's a thank you for that. I love that. I think that'll be very useful for a lot of men to understand. It's a perfect way to kind of internalize it. So all right. Next question, final question, let's wrap up. People are going to want to get this treatment. You've developed this treatment. They're obviously going to be like Jade. Where do I go for this treatment? I do have normal penile function. I would love you know an inch you know on my penis. I want to understand how to get access to this P-Long. How do they get access to this?

Speaker 2: 39:05

Yeah, so we have a network of doctors around the country. So if you go to p-longcom and then put your zip code in, there's a doctor finder and you'll be able to find a physician close to you that provides that service. The other thing you can do is you can put the size of your penis in and then it will tell you after six months this is what you can expect. And then there's an aspirational part, so you can put the size of the penis in and then how big you want your penis, because on average in the study guys grew about two and a half percent per month. So if you're four inches and you want to get to eight inches, it tells you it's going to take you two years or three years, whatever, to get to the point where you're eight inches.

Speaker 1: 39:50

Nice, I love that. And then, finally, your book, the 21st Century man. Where is that available? Is that on Amazon and all the places we would expect?

Speaker 2: 39:59

Yeah, well, I mean you can go to the21stcenturymancom all written out in letters or you can go to Affirm Science A-F-F-I-R-M sciencecom and purchase the book either of those two places, or it's even now on Spotify. So if you're a Spotify Premier customer, just put in my name or put in the 21st Century man and you can listen to it.

Speaker 1: 40:20

So it's an audio book.

Speaker 2: 40:22

It's an e-book, but I think the best is the hardcover book. I like the fact that it's a good song.

Speaker 1: 40:31

I normally like to get the hardcover plus the audio, so I'm definitely going to get that and I just appreciate you so much, dr Judson Brandeis. Thank you for your work, thank you for what you're doing for men. Thank you for taking your time today. Do me a favor, just hang on the line so I can make sure everything uploads. No-transcript.