Teeth and How to Treat Them

Root Canal Teeth and How to Treat Them

The above link is from a Dr. Mercola fact checked article and it includes other links with excellent educational information about root canals.

I was first introduced to Biological Dentistry back in 1984 when I traveled to Baden Baden Germany to study homeopathic treatments using computer programs. I was amazed such a field existed to begin with and even more amazed the Germans and Russians knew about the connection teeth had to the biological health of the entire body since the late 1800’s yet I never knew of its existence here in the states.

My studies continued way past 1984 and I had and have been fortunate enough to associate with some of the world’s top Biological Dentists including the Father of Biological Dentistry which was the late Hal Huggins and with Dr. Javier Morales here in Tijuana who was considered by Dr. Huggins to be his #1 protege

In 1939 Weston Price DDS one of the most famous dentist in history (that many dentist today never heard of) published Nutrition and Physical Degeneration . The book concludes that aspects of a modern Western diet (particularly flour, sugar, and modern processed vegetable fats) cause nutritional deficiencies that are a cause of many dental issues and health problems. The dental issues he observed include the proper development of the facial structure (to avoid overcrowding of the teeth) in addition to dental caries. This work received mixed reviews, and continues to be cited today by proponents of many different theories, including controversial dental and nutritional theories. Historically, our diets support healthy bacteria—that changed with the introduction grains, refined sugars, and processed foods.

New Root Canal Procedures:

  • Cone Beam CT scan used to rule out root canal failures with100% success
  • Bite Wing X-Rays do not show root tips
  • Cone Beam CT verifies there are over three miles of canals per tooth–making root canals 80-90% ineffective because there are so many canals making it impossible to fill all of them
  • LightWalker Laser in two wavelengths now being used by educated Endodontists to do root canal procedures
  • New methods to disinfect the numerous canals in a tooth such as flushing canals with Ozonated Water

New Root Canal Facts:

  • Failed root canals associated with Rheumatoid Arthritis
  • Due to Strep Mutans, Rheumatoid Arthritis is synonymous with dental issues, dental infections, periodontal disease
  • Lyme Disease microbes hide in the canals of tooth root
  • Failed Root Canal cannot be saved–must be extracted

In this post, I am going to use bullet points as there is so much to consider when it comes to our teeth

  • In 1839 dentistry and medicine officially split went separate ways
  • Charles Mayo was first to talk about Oral health in 1916
  • Once there is pain in the mouth you are in trouble
  • Silver fillings are 52% mercury; 26% silver; 22% other
  • Amalgams are antimicrobial because of the silver and zinc-
  • The oral cavity is the first place the outside world is being sampled by our immune system
  • 800 species of organisms are in the mouth
  • We swallow 1 trillion bacteria per day
  • Mouth is gateway to inflammation
  • Focal Infection theory from mouth is 100 years old
  • 7 out of 10 Inflammatory Chronic diseases are cause by oral microbes
  • Time Magazine 2004—Inflammation caused by mouth
  • Bad bacteria only make up 1% of the total population of the mouth—but when out of balance can wreak havoc
  • A healthy heart is not bacteria free
  • Heart Disease caused by gum disease has been known for over 3-4 decades
  • Oral Microbes Heart Valve Infection —there are few defense mechanisms in heart
  • Plaque in coronary arteries is loaded with Strep Mutans
  • Infection in Jaw due to failed root canals cause 80% of Coronary Artery Disease
  • Strep Mutans #1 cause of cavities because it makes lactic acid which breaks down enamel by turning sugar into acid
  • Bad bacteria thrive in an acid environment
  • Stomach acid (HCL) neutralizes bad bugs—low stomach acid causes bad bugs to proliferate into the GI tract
  • Fusarium in mouth is found in colon-rectal cancer whereas it should have been killed by stomach acid
  • Many oral bacteria are in Gut & Stool all stemming from inflammation
  • Diabetes begins in the mouth
  • Oral Microbiome is responsible for our teeth and gums
  • Oral microbiome imbalance linked to diabetes, cancer & Alzheimer’s
  • Dysbiosis in mouth—Microbiome out of balance
  • Most oral cancers are discovered at Stage 3
  • Salivary diagnosis
  • Bacteria runs us—we do not run them
  • Good commensurable bacteria is there to help us—make neurotransmitter
  • Bacteria in back of mouth controls Nitric Oxide—Nitrates in food
  • Biofilm is protective plaque on tooth; slimy layer —first in line to protect tooth Gram +
  • Gram – (Anaerobic Plaque = cavities
  • Bacteria in plaque excrete toxins that travel throughout the body getting into heart and brain
  • Large Tongue = Enlarged Thyroid
  • APOE 4 + MTHFR are poor detoxifies
  • Bacteria Adapt
  • Periodontal ligament provides 70% of blood flow to jaw bone
  • With age, we get what they call “long in the tooth” meaning exposed gums
  • Xerostomia (Dry mouth) is the # 1 cause of cavities
  • Saliva which contains protein & enzymes making it the “Guardians At the Gate
  • Dry mouth is an acidic mouth
  • Saliva is neutral but leans slightly alkaline
  • 600 ml saliva a day (can of soda)
  • Antibodies meaning a lot of Mutans present requiring antibiotic
  • Peri-Implantitis prevented by Osteo-integrative implants Zirconia
  • Sealor soft tissue pockets around implant post are most damp and dark (Dr. Curatola)
  • Our lifestyles kill off good bacteria
  • Gum Disease has 3 culprits: Prevotella Intermedia; Treponema Denticola & Porphymonas Gingivalis
  • Strep Mutans caused by dysbiosis imbalance
  • Floss good to make gram + positive bacteria
  • Vitamin D deficiency partners w Vitamin D is K2  (Osteocalcin)
  • Gingivitis = bleeding gums
  • Deep pockets, low oxygen, inflammatory sites
  • Warm moist low O2
  • Type II Diabetes
  • Gingivitis—Periodontitis—Xerostomia
  • Saliva cleanses teeth feeds & brings food to the good bacteria
  • Mouth breathing dries up Saliva
  • Platelet Rich Fibrin tricks the body into healing itself
  • The European model of Biologic Dentistry includes materials  for root cause
  • Laser technology replacing drilling
  • Tooth decay caused by bad bacteria
  • Endodontics—inside of tooth
  • Anaerobic Gram Negative bacteria are a problem
  • Dental Pulp is like a sponge
  • Cold indicates pulp is still alive and vital—but not how healthy it is
  • Remove infected dentin—big on tiny exposure
  • Periodontal Ligament holds tooth in place
  • Apicoectomy removes bone infection
  • Bio ceramic materials
  • PRF Platelet Rich Fibrin or Plasma (Dr. Rick Meiron)
  • Gum & Bone have high blood flow
  • The biofilm bacteria above and below gum line
  • Strep Mutans Porophymorphic gingivitis
  • Intra Oral Transfers—optical impressions that are perfect
  • New implant technology
  • Blood test for heavy metal toxicity are only accurate in acute cases while hair analysis only shows the last two months
  • Provocative Challenge is EDTA/Urine
  • Bite Wing X-Rays do not show root tips
  • Rheumatoid  Arthritis synonymous w dental issues, dental infections, periodontal

Allicin the Power Behind Garlic

Allicin: The Power Behind Garlic

ALLICIN
1-2 CAPS DAILY WITH FOOD

First isolated and studied in the laboratory by Chester J. Cavallito and John Hays Bailey in 1944., Allicin is an organosulfur compound obtained from garlic, a species in the family Alliaceae.The power of raw garlic derives from an enzyme called Alliinase, which is released when the structural integrity of fresh garlic is altered (e.g., cut or crushed).  Alliinase catalyzes the formation of sulfenic acids from cysteine sulfoxides. Once formed, sulfenic acids begin transmuting into thiosulfinate compounds. In the case of alliin, the resultant compound is allicin. Allicin is an incredibly potent antioxidant and induces metabolic stress on invasive pathogens by disrupting their defenses and starving them of metabolic elements and compounds.  

Allicin is physiologically active in microbial, plant and mammalian cells. In a dose-dependent manner allicin can inhibit the proliferation of both bacteria and fungi or kill cells outright, including antibiotic-resistant strains like methicillin-resistant Staphylococcus aureus (MRSA).

Recent research points to several therapeutic effects of allicin, such as promoting insulin sensitivity (1,2), decreasing blood glucose levels (3,4), regulating lipid metabolism (5,6), reducing homocysteine levels (7), attenuating superoxide production and limiting inflammation and fibrogenesis (8), and limiting atherosclerotic plaque buildup (9).
Stable Allicin is a lab-certified allicin product delivering high potency allicin enhanced with Bioperine (black pepper extract) to increase bioabsorbability. Our product contains high levels of stabilized allicin that provides broad-spectrum immune support and immunomodulating properties.

Recommended dosage is 1-2 capsules per day with food.  An additional capsule can be taken when fighting off an illness.  The product can be taken on an empty stomach, but one may feel discomfort as the high strength allicin is released.

Fresh garlic must be crushed in order to release the compounds and two garlic cloves may do the job. However, although all garlic may look the same, there are dozens of varieties many of which have very little allicin. Hence to play it safe, take the capsule or take both.

Men Urinary Bladder Flow- Prostate Health

Men’s Urinary Bladder Flow and Prostate Health

As we get get older our flow from the bladder seems to lessen quite a bit. Most men will say when younger, their stream could put out a fire a mile away. Often when a patient uses the rest room in my office, I noticed two things:

  • it takes a few minutes to “start the flow”
  • Once started, the flow does not sound strong

This immediately causes me to mention bladder, urinary tract and prostate health to these men and at times force a conversation about the bladder, bladder stones, Candida/Yeast and Prostate Health & Cancer

Many guys have already been prescribed Flomax, also known by its generic name Tamsulosin, (an alpha-adrenergic blocker). It’s approved by the U.S. Food and Drug Administration (FDA) to help improve urine flow in men who have benign prostatic hyperplasia (BPH).

I have been in practice for 43 years and probably for about 40 of those years, I recommend Small Flowered Willow Herb Tea to help with the urinary flow in males and even at times females. I ask the patient to brew the tea and drink 1-2 cups daily on an on/off basis for the rest of their lives. Usually but not always, I start this request around the age of 45 and very rarely do I encounter resistance. One would think a man would be hesitant to brew a tea but surprisingly, they do it without issue. Why? Because they can tell the difference once they start using it!

Over the past few years the tea is available in concentrated drop form and here I recommend one dropperful morning and evening. Some men do both.

I have a fairly good record using Willow Flower. Does it work with every single male? Probably not as we all have our own unique extenuating circumstances. BUT it certainly cannot hurt to use it

Yeast/Candida

We will now broach the subject of Yeast/Candida that can be transmitted in various ways most commonly from sexual relations. Yeast likes to grow in dark damp places such as the area where the prostate gland and bladder are “hiding” I believe it to be a major player in causing but not the cause of Prostate Cancer. A male can smell candida the minute he makes his move to urinate “it stinks down there”. There are women whom have said they can smell their husbands genitals as soon as they walk in the door—this “fishy” odor in both sexes is attributed to Yeast/Candida

I

I treat this issue using Bicarbonate of Soda aka Baking Soda. Usually but not always 1/4 to 1/2 teaspoon diluted in 8-10 ounces of water 1-3 x daily depending on the uniqueness of the situation.

The Tiny Prostate Gland:

The prostate’s most important function is the production of a fluid that, together with sperm cells from the testicles and fluids from other glands, makes up semen. The muscles of the prostate also ensure that the semen is forcefully pressed into the urethra and then expelled outwards during ejaculation.

As we get older, all this sperm cells, fluid, semen etc. does lose some of its importance but should still function somewhat.

What is Benign Prostactic Hyperplasia?

Benign Prostactic Hyperplasia (BPH) is the enlargement of the prostate gland and is common as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause urinary tract infections and or kidney problems or both. In some instances men will sit on the toilet for a very long time trying to urinate but to no avail.

In very bad cases TURP Surgery which is a Trans Urethral Resection of the Prostate will be recommended. There is a 50/50 chance of working; it may not work forever; but in most cases worth the try. TURP surgery is considered major surgery.

Prostate Cancer:

When doing autopsies on young men killed during the Vietnam War, doctors noticed that many of them had prostate cancer cells in their prostate at a very young age. However, prostate cancer is very slow moving and had they not died during the war, they would not know they had prostate cancer until much later on in life.

This tiny gland the size of a walnut can reap havoc for men as they enter their golden years of life. Science does not yet know the cause.

Best Medical Treatment Today:

The best medical treatment so far and depending on the often inaccurate PSA and Gleason score is the PSMA-PET-CT Scan that can detect prostate cancer metastases with high sensitivity and specificity. For actual treatment, the External Beam Radiation Therapy (EBRT) with high dose rate (HDR) Brachytherapy boost procedure seems to be the best science has to offer at this time. This is a different treatment than low-dose rate Brachytherapy (with radioactive seeds). The challenge is finding the right doctors who know how to apply these advanced therapies.

This leads us to the question and the purpose of this post which is “what can we do NOW to avoid this in the future?

Amygdalin:

Amygdalin is a compound found in the pits or seeds of apricots, apples, peaches, plums, red cherries, and other fruits. It’s also in bitter almonds. A partly man-made, purified form of amygdalin, known as Laetrile, was patented in the 1950s and became a popular alternative cancer treatment during the 1960s and ’70s. It’s now banned by the FDA and hasn’t been available in the U.S. since 1980.

I use 1-3 products formulated by Apricot Power to support prostate health without or with cancer. And this is another product whose usage varies dependent on the condition but as far a I am concerned there is enough data out there to warrant the use of them

This leads us to the question and the purpose of this post which is “what can we do NOW to avoid this in the future?

  • Willow Flower Tea especially beginning after age 45
  • Keep an eye on the Yeast/Candida Overgrowth by taking the Bicarbonate 2 months on 3 months off
  • Apricot seeds in the form of the seeds themselves or in Apricot Power Amygdalin B17 100/500mg; and Apricot Power TMG B15 (also known as non-toxic pangamic acid)
  • Plenty of Good Quality Alkaline Water or Slightly Alkaline Water
  • Avoid Coffee, Tea even decaffeinated
  • Be very careful with ALCOHOL
  • Limit Spicy Foods

Will these things work? Let’s hope so. If we do get or succumb to Prostate Cancer, at least we did our best to avoid it!!!

Please contact me for information on how to order these products and for the ton of other information I have on this subject.

Astaxanthin–Powerhouse Antioxidant

Astaxanthin–Powerhouse Antioxidant

Astaxanthin-The Powerhouse Antioxidant

19 Known Medical Benefits of Astaxanthin

Astaxanthin Shown to Slow Brain Aging

I have recommended Astaxanthin for many years before it gained its notoriety as it has now. Natural astaxanthin is the most powerful antioxidant known to science, and has the ability to optimize the health and radiance of the skin by providing protection and support to all layers.

Astaxanthin is the most powerful of over 600 different types of Carotenoids which are pigments in plants, algae, and photosynthetic bacteria. These pigments produce the bright yellow, red, and orange colors in plants, vegetables, and fruits; and are responsible for the “pinkish” color of both shrimp and salmon

I initially recommended it for brain health in my effort to ward off Alzheimer Dementia years before the symptoms may appear. Now it is recommended for a host of other health issues including reducing the cytokine storm that had once resulted from COVID,

There are over 114,000 articles about Astaxanthin on PubMed–the go to site comprising of more than 32 million citations for biomedical literature life science journals, and online books.

I do not use Mercola’s brand of Astaxanthin but have nothing against it. I use a brand from Allergy Research mostly because of the source of the ingredients(AstaZine), the delivery system and the cost of the product itself. Either way, Astaxanthin should be on your list of what I call the “dailies”—supplements you should consider taking every day

I am currently doing a study on Ascorbate Acids role in balancing the neurotransmitters in the brain which I will pass over to you once it is done and I am satisfied with the results. This will be a part of a new website titled Strategic Supplementation which God willing,  I  plan to launch in 2021.

My Pathway to Healing

My Pathway to Healing

My practice is about healing the human mainframe using a variety of techniques learned over the years. One of my greatest gifts is to work with a patient on their level and gradually groom them to a position of “empowered self-healthcare” that is not only comfortable but also easy to maintain.

As a teenager, my interest in health began with food. I studied  raw foods at the Hippocrates Institute in Boston, then moving onto Macrobiotic studies also in Boston and New York.  I was then and still am a believer in “Let food be thy medicine and medicine be thy food”

While attending Chiropractic school in  Georgia, I was a founding member of Life Grocery Co-Op in Marietta then moving onto being a silent partner in one of the first health food stores in Atlanta. I  resigned because one partner wanted to sell vitamins & I wanted to promote food not supplements.

What led me to Chiropractic was the actual ART of the profession. Adjusting the spine which is a continuation of the brain creates a change in the patients unique vibrational tone always for the better.  The higher the vibration or resonance the less likely it is to attract sickness and disease.  Does the word Disease really mean Dis-Ease?

Chiropractic was never intended to “fix” sore backs. In the early days, patients went to see their Chiropractor when they felt better than ever and wanted to keep it that way—not because they had a backache.  The “old timey” Doctors of Chiropractic felt it was a failure on their part if a patient was sick as it meant they were not doing their job appropriately.

In the “early days” Chiropractors gave a weekly “lay lecture” educating  patients on diet and lifestyle often requiring mandatory attendance.  They knew education was essential as do I.

During school and with a little bit of  NASA insight,  I was exposed to the piezoelectric effect of crystals, angstrom frequencies hard drive, memory, color, sound, music, and a host of other factors that can affect vibrational tone. This was pioneering work for its time (1976).  I also studied the spiritual and mental aspects of healing and how they had an enormous  impact on well-being.  Hence the 12 Positive Volitions were born, and  the Secret to Healing is the Power of Belief became one of my theorems.

Without a doubt, food is indeed the best medicine, however, there are those who do require additional support by way of supplements and pharmaceuticals to put them on the correct path to health.  

This led me to become an astute and outstanding researcher into supplementation. I wanted to know everything about a product  from its’ origins to its bottling-thus enabling me to feel  comfortable recommending them to my patients.  In my practice, strategic supplementation is the name of the game. There are no two people alike and one supplement does not fit all. Supplements when needed, are just one of the many tools I use to get the job done.

In today’s healthcare market, it seems Functional Medicine is the new buzz word. I have been practicing Functional Medicine  43 years before there was terminology to describe what it is that I do. 

We are vibrational beings with a unique vibrational tone. In closing, my work is about providing a framework of  healing using  all available tools to expound and enhance the human  capability to heal with respect, dignity and grace.

Dr. Philip Peter Princetta

Juice Your Way to Health

After 43 years in practice, it is part of my intention to return to some of the basics I originally used at the beginning. This includes Bitters for digestion, the Alphabet of Vitamins ( A, B, C, D, E, F ); Cod Liver Oil; and JUICING

This post is about the latter and in it I will introduce the benefits in a nutshell as to why this should be part of your life

We will begin with a caveat or two:

  • Juicing is a concentrated form of eating. An example would be that it takes a number of carrots, apples, or whatever, to make a glass juice; and we normally would not eat that amount at a single seating.

So , I highly, highly, highly you get a good book that is easy to follow and your are comfortable with. You may have to try a few books before you find the book(s) that is right for you.

  • Until you get it down to an art and science, juicing can me be a bit on the messy side and time consuming. You not only have to prep the veggies by washing them , you have to clean the juicer when you are finished. But it is well worth it.

To get around this issue, I recommend

  • Investing in a good quality Juicer
  • Stage a “juicing area” in your kitchen or workspace if at all possible
  • Although forbidden by the strictest of juicing gurus, make extra juice ahead of time; store it in Ball jars; and in the fridge it goes. When I make Dr.P’s Magic Green Drink, I make 2-3 extra quarts to last 2-3 extra days.

Why Juice?

There are so many reasons for juicing. Here are just a few:

  • Supports the Liver is Your Lifeline
  • Restores a better health perspective especially if cancer or other serious diseases are present
  • Allows the entire digestive system to revamp itself by not having to constantly process food
  • Loaded with alkaline nutrients!
  • Totally unprocessed!
  • Absorbed immediately!
  • Contains loads of protein! Yes, protein!
  • Loaded with live food enzymes!
  • Provides energy!

I do believe that juicing should be a part of your life. Unless health issues warrant, I do not believe your diet should be only juice. Mix it up. Perhaps some days it’s only juice; while other days, juice just once a day; and yet other days no juice. You will know what is right for you because you will know how you feel

NOTE: Specific conditions have specific juices. An example of this would be cabbage juice for GERD and a host of other GI issues.

Here are my suggestions for two of the thousands of juicers out there

And as you may know or soon will find out, there are a million books on juicing. The one above works for most people but again as stated above, you may have to go through a few books before finding one that works for you. This one is a good overall publication

And as you may know or soon will find out, there are a million books on juicing. The one above works for most people but again as stated above, you may have to go through a few books before finding one that works for you. This one is a good overall publication

Vitamin-D and ImmuneFunction

Vitamin-D and Immune Function

By: Cat Ebeling, RN, MSN-PHN, co-author of the best-sellers:  The Fat Burning KitchenThe Top 101 Foods that Fight Aging & The Diabetes Fix

Vitamin D from the sun has existed for a long time as an immune booster. In the 1800’s when many people had tuberculosis, sunshine was known to have curative powers, and sick patients flocked to sanitariums in sunny places to soak up the healing sunshine. Cod liver oil, also a rich source of vitamin D, has also been around for decades as a preventative for infections, colds and flu.

Studies show that vitamin D regulates many functions in the body, including hormone balance, metabolism, blood pressure, bone density, fighting cancer, and immune function (ever notice that people tend to get colds and flu in the winter when the sun is low?).

Vitamin D is critical for our health. We know that vitamin D is essential for healing and protecting against many contagious diseases and chronic diseases. Low levels of vitamin D are associated with upper and lower respiratory infections, heart disease, asthma, cancers, diabetes, multiple sclerosis, HIV, hypertension, inflammatory bowel disease, Alzheimer’s disease and other autoimmune diseases. Vitamin D deficiency is a worldwide public health problem in both developed and developing countries.

Did you know that our bodies contain cell receptors for vitamin D in virtually every system of the body? That tells us that vitamin D is necessary for virtually all body functions. Vitamin D actually influences the expression of over 200 health-supporting genes in our bodies.

There’s a lot of buzz about vitamin D boosting immune function to fight off colds, seasonal influenza, and other viruses. Research suggests that vitamin-D deficiency may one of the primary reasons people get more colds and flu in the winter when sunshine is less available.

As many as 70 percent of Americans are considered deficient in vitamin D. The elderly, females more than males, those who live the far north or south of the equator, people with darker skin pigmentation, those who work and stay inside during the day, and people with poor dietary habits generally have the lowest levels of vitamin D.

How does vitamin D boost immune function?

The immune system is an incredibly complex protective mechanism, but to simplify, we can divide the immune system into two main categories: innate immunity, and adaptive immunity.

Innate immunity is our nonspecific defense mechanism that activates in the presence of an invading pathogen. So, even if you have never been exposed to a virus or pathogen, your body has a built-in ability to protect itself from an invader. This part of your immune system is your first line of defense against any type of new type of germs—whether it is bacteria, viruses, and fungi. And it’s super important to be sure this line of defense is strong.

The other type of immune response is your adaptive immune response. This immune response is active against pathogens that you have previously encountered. The body recognizes, adapts and attacks specific invaders much more efficiently.

In the case of brand new types of influenza strains, the body has not had a chance to develop specific antibodies against it yet. So, this is where we call in the powers of our innate immune system to protect us. Vitamin D works to strengthen this innate immune system response.

Many different studies have associated vitamin D with its power to fight infection. One report looked at almost 19,000 people and found that the individuals with the lower levels of vitamin D were more likely to report upper respiratory tract infections, than those with sufficient levels of vitamin D.

This study looked at 800 people in Finland, and found that those with the lowest levels of vitamin D lost more days at work due to respiratory infections. Other studies have focused on how vitamin D helps to prevent influenza, colds and even HIV. And this well-designed study using therapeutic doses of vitamin D showed that vitamin D administration resulted in a statistically significant (42%) decrease in the incidence of influenza infection.

Vitamin D works by boosting the strength of the immune system while lowering inflammatory reactions. This makes vitamin D a powerful immune modulator. It helps boost immune power, but prevents the immune system from overreacting, as in the case of autoimmune disease.

How does it work? Vitamin D strengthens particular cells within the immune system, such as the T cells. It also helps to decrease levels of inflammatory cytokines, a part of the immune system that can overreact with dangerous outcomes.

There are three ways to get vitamin D levels up in your system. One—you can take a vitamin D3 supplement. D3 or cholecalciferol is most easily utilized in the body, over vitamin D2. Secondly, you can get some vitamin D from foods and third, you can get vitamin D from the sun—IF you are in an area where the sun is strong enough. Depending on the latitude where you live and the time of year, you may or may not be able to get vitamin D from the sun. In my opinion, however getting vitamin D from sunshine is the best way if you can.

The sun’s rays are too weak in the winter generally (depending on the latitude that you live). Even if you can get outside in the winter, if you live north of say, Los Angeles to the west and Atlanta Georgia to the east, you won’t be able to get enough sun from November through February.

The only way for our bodies to make vitamin D from the sun is to allow the UVB rays of the sun to reach our skin. That means we need to expose enough skin for 20-40 minutes without sunscreen at the strongest times of the day, between the hours of 10am and 2pm.

UVB rays are the rays that cause sunburn, just don’t overdo it! Full-body exposure of pale skin to summer sunshine for 30 minutes without clothing or sunscreen can result in the synthesis of between 10,000 and 20,000 IU of vitamin D.

However—if you don’t supplement with vitamin D3 in the winter you’re can pretty much count on being deficient in vitamin D in the winter.

Supplementing with vitamin D has a wide range of ‘suggested’ dosages, and you can overdo it with this fat soluble vitamin and create adverse health effects. While some doctors advise people to take 5000 to 10,000 Iu per day of vitamin D, this can be too much and a safer range would be around 5,000IU vitamin D3 per day.

Studies show the fat-soluble vitamins A, D, and K work synergistically, so adding adequate vitamin A and K2 may protect against toxic effects of excess vitamin D. Sufficient levels of potassium and magnesium have also been suggested to protect against vitamin D toxicity.

Lastly, be sure to get plenty of healthy food with natural sources of vitamin D, such as egg yolks, wild caught salmon and mackerel, organ meats, and some mushrooms. And avoid those processed foods with added vitamin D—those do nothing for your health.

Some of the best absorbed vitamin D comes from taking some cod liver oil daily. Make sure to take only small doses of cod liver oil (enough for 50% to 100% DV of vitamin D), as large doses can give you an overdose of Vitamin A.

One more thing to point out as we near the end of winter, sunlight has far more beneficial benefits for our health than just increasing our vitamin D.

A recent 20-year study following 29,518 subjects found that those individuals avoiding sun exposure were twice as likely to die from all causes. Sunlight helps us make more endorphins, the natural chemical in our bodies that makes us feel relaxed and happy.

Sunlight promotes production of a peptide that helps to dilate the blood vessels, lowering blood pressure, and it helps create another substance called ‘Substance P’, that promotes better blood flow and regulates the immune system in response to acute stressors. And one more benefit of sunshine, it helps to reduce appetite, increase the libido and gives you a nice looking golden glow, while regulating your sleeping/waking cycle better.

If you want to stay healthy and strong, it’s not only wise, but essential to spend time outdoors in the sunshine. Soak it up!

References
https://www.nytimes.com/2020/03/10/well/live/can-i-boost-my-immune-system.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/
https://chriskresser.com/vitamin-d-more-is-not-better/
https://www.sciencedaily.com/releases/2019/04/190417111440.htm
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821804/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738984/#B7-nutrients-05-02502
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738984/

Dr. P’s COVID Protocol Impressions

Dr. P’s COVID Impressions

Although we now have parts of and in some cases all of some form of vaccine, I am asking my patients and all others who may read this put to Not Let Their Guard  Down!  Due Diligence is imperative in times such as these and when dealing with a virus that has the propensity to create many variants

With so much information regarding protocols for COVID, I though I would at least put all my emails along with various articles which I felt had merit and worth into one post on my website. All articles/links a have indeed been Fact Checked.

Let me make it crystal clear that One Size Does Not Fit All !

So here goes my take

Dr. P’s Humidifier Technique                                                

  • Cool Mist Humidifier (Walmart $50-)                                  
  • 1 Gallon Distilled Water (Must be Distilled)                        
  • 1 Quart Hydrogen Peroxide                                                   
  • 18-20 Drops Oregano Oil                                                        
  • 1 Tablespoon of Silver 500   

NOTE:  I recommend always to have the following on hand just in case as this is my go to for many conditions but especially pneumonia

  • A Nebulizer
  • Mild Silver Protein
  • DMSO or Albuterol

 Curing Viruses with Hydrogen Peroxide Can a simple therapy stop the pandemic? Commentary by Thomas E. Levy, MD, JD

Dr. David Brownstein Discusses Nebulized Peroxide

MASKS: I do believe in Masks. I recommend a light spray of Oregano Essential Oil or my very favorite Thieves on the actual Mask enabling me to inhale these excellent antimicrobial oils and further protect myself whenever I put the mask(s) on!

ApHinity Clean Air Products

Chlorine Dioxide has been used for years to kill airborne pathogens –this now includes the COVID 19. I use them at home, at my office and at the hotel in Atlanta.
This makes the Aphinity product  worth looking into.  You can call the office and ask questions but they will refer you to Steve who is an encyclopaedia how these work.

I do know that one packet is good for 5-600 sq. ft and may last up to two months–Check with Steve, he will provide good sound advise

Basic Immune Protocol

Beta 1,3 D Glucan 100/500

The most studied immune system modulator in the world.  Available in 100mg which I recommend for children; and 500mg for adults at a dosage of one capsule per day

You Tube Transfer Point Beta 1,3 D Glucan

https://www.youtube.com/watch?v=boZ1YiJGH6Y

Beta Glucan and Cancer Dr. Vaclav Vetvicka

Astaxanthin

6,000 times stronger than vitamin C (more electrons to donate)
• 800 times stronger than CoQ10 
• 550 times stronger than green tea catechins (strongest of all catechins)
• 75 times stronger than alpha lipoic acid 

19 Known Medical Benefits of Astaxanthin

Astaxanthin Helps Alleviate Corona Cytokine Storm

N-Acetyl Cysteine (NAC)

This Mercola / Dr. Seheult article/video on NAC is worth having a look at. Way before COVID 19, I have recommended NAC for many patients. I myself take one per day for lung/pulmonary support even though it does not appear that I have any issues there. NAC is also a precursor to Glutathione and Glutathione is the body’s “top cream of the crop” # 1 Antioxidant having a direct effect on everything in our bodies

NAC

Vitamin D (K2 D3 5000) or (Vitamin D3 Complete 5000)

At the forefront of the COVID pandemic from its very onset,  is Vitamin D and how its receptor sites are imperative in strengthening our immune system.  All Vitamin  D products are not the same so be careful to purchase only the best.  Remember Vitamin D without Vitamin K is useless

NOTE: I am a firm believer in a blood test to determine Vitamin D levels. A test such as this will determine the dosage. If your doctor will not order for you, contact me and I will send you a requisition for LabCorp.

Vitamin D and Immune Function

Gut Health Disease _ Vitamin D

Detoxified Iodine

Edgar Cayce’s Detoxified Iodine is just what it says it is which is Iodine that has been Detoxified

For this product, I recommend 6 drops in mouth; swish around; gargle and swallow.  Once or twice a day seems to work—just to keep the throat and tonsillar area free of bacteria and virus that should not be there

  • Zinc Glycinate (optional)
  • Liquid or Liposomal Vitamin C
  • Quercetin (Reg. / Phytosome) 

Zinc Glycinate or Picolinate

The trace mineral Zinc has become important in the fight against COVID-19. The reason why I am cautious with Zinc is that  it is possible to get too much zinc, which can actually depress your immune system and negatively affect your health. 

I therefore recommend using Zinc one or two weeks per month.

Standard Process Labs has had a test to determine if you need Zinc for well over 60 years

Vitamin C:

Enough cannot be said about Vitamin C when it comes to Immune System overall health.  Linus Pauling is the only person holding not one but two Nobel Peace Prizes for his work on the benefits of Vitamin C

I use  two different varieties of Vitamin C and as with Vitamin B,, I like my patients to use smaller  dosages through the day

  • Liposomal (from France)
  • Powder Vitamin C  (from Israel)

Quercetin:

Although a Flavonoid and an excellent one at that.  I do not use Quercetin in my COVID Protocol basically because  I feel it is not necessary and “enough is enough:

Additionally:

Nano Soma

NANO SOMA is made from all natural, food-based ingredients and has no known side effects. It is commonly called policosanol and is present in foods such as rice, sugar cane, wheat, and peanuts.

Nano Soma work specifically with the Vitamin D receptors in the body and also teaches the body how to make its own Vitamin C which humans were capable of doing at one time

www.thenanosoma.com.

https://www.researchgate.net/profile/Palayakotai_Raghavan.

https://www.researchsquare.com/article/rs-34021/v5

Nano Soma in vitro Inhibits SARS- COV-2

The following two items are pharmaceutical based and have held my interest since day one.  Both are anti-parasitic; both are used for Rheumatoid Arthritis and Lupus and both MAY have an enormously positive effects on COVID with minor side effects if any.

NOTE: Quinine is a Zinc Ionophore, British Soldiers stationed in India & Africa were told to take Quinine to prevent Malaria. However, Quinine is extremely bitter so they had to add fruited water and sugar to take it. Hence the expression “Just s little bit of sugar makes the medicine go down” Ultimately the British government gave permission to add 1 teaspoon of gin to the quinine and the Gin & Tonic was born. Tonic by the way is composed of Quinine, Fruited Water and Sugar!

I again end with the paragraph at the beginning which states

Although we now have parts of and in some cases all of some form of “vaccine”, I am asking my patients and all others who may read this put to Not Let Their Guard Down! Due Diligence is imperative in times such as these and when dealing with a virus that has the propensity to create many Variants

Should you want information on any of these recommendation or even better, a discussion about any of them, please email or call me at 619-231-1778

Dr. P’s Humidifier, Silver Nebulizer Technique

Dr. P’s Humidifier, Silver Nebulizer and Silver IV Protocols

  • Cool Mist Humidifier (Walmart $49.99)
  • 1 Gallon Distilled Water–MUST be Distilled
  • 1 Quart bottle of Hydrogen Peroxide18-20 drops Oregano Oil
  • 1 Tablespoon Silver 500
  • Add ingredients together and rest well 
  • Aside from the bedroom for sleeping, some folks set one up in the living room or any space they are hanging in.

Use when feeling stuffy; cold; flu; coughing; and anything respiratory including nCOVID-19

** All Oregano Oils are not the same nor the difference between Colloidal Silver and Silver Protein

NEBULIZER TECHNIQUE

  • Fill cup 1/2 to 3/4 full of silver 500
  • Add 2 drops of DMSO if available OR if by chance you happen to have Albuterol, call me to discuss how to use for this recipe
  • Do a breathing session

The best nebulizer for your money is made by InnoSpire Elegance Compressor Nebulizer System

Purchase from Just Nebulizers   1-888-550-2450 (M-F 8AM-6PM EST)

Ask about purchasing extra disposable and non-disposable mouthpieces.  Not a bad idea to have extra on hand –and not just because of nCOVID-19 but the many other respiratory issues out there.

NOTE: The Nebulizer Silver technique is my ACE in the HOLE when it comes to preventing treating pneumonia.

Erectile Dysfunction: The Canary in the Cardiovascular Coal Mine?

Erectile Dysfunction: The Canary in the Cardiovascular Coal Mine?

The role of endothelial function on tumescence – and beyond


By Erica Zelfand, ND

The stories I hear of men* with erectile dysfunction (ED) are strikingly similar: The issue begins insidiously and is initially treated at a “low T clinic” with gradually increasing doses of exogenous testosterone in regimens that yield varied but ultimately insufficient results.

A review of the lab work of these individuals reveals that they are typically overdosed on their prescription hormones, with total testosterone levels often above 1000 ng/dL. While supraphysiological levels of testosterone do, in fact, enhance the sexual desire and performance of some men, they come with significant health risks and pesky side effects like anxiety, irritability, and insomnia. Other men, however, find that even high doses of anabolic steroids fail to engender desired outcomes in the bedroom.

Erectile dysfunction (ED, impotence) is a fairly common medical condition, characterized by the inability to achieve and maintain a penile erection firm enough for satisfying sexual intercourse.1 ED is also on the rise: While the condition affected an estimated 152 million males worldwide in 1995, that number is expected to swell (no pun intended) to over 320 million people by 2025.2,3

Just last week, a new patient shouted at his wit’s end, “I’m taking testosterone, HCG [human chorionic gonadotropin], and anastrozole. I’m lifting more weight than the other guys at the gym. I look amazing. I have tons of energy—so much I can’t fall asleep at night – but I after two years of playing with all my doses I still can’t get hard. What the heck is wrong with me!? What are my other doctors missing? I really hope you can figure it out.” [Note: This patient employed more expletives when expressing himself.]

Time and time again, I explain to exasperated fellows like this one that sex hormone levels are just one piece of the puzzle. The successful treatment of ED often also entails assessing the nervous system (including mental health), adrenal function, metabolic health, and endothelial integrity, with the latter being among the most overlooked aspects of sexual health.

Tumescence is a hemodynamic process characterized by enhanced penile arterial inflow and reduced venous outflow.4,5 Because the physiology of tumescence (penile erection) requires that the penis engorges with blood, the integrity of the vascular system—and ergo the status of nitric oxide production—is of utmost importance to male sexual performance and satisfaction.6


Nitric Oxide: The Endothelium Relaxer

Our understanding of nitric oxide (NO) is relatively new: In 1998 three American pharmacologists received the Nobel Prize for their discovery of NO’s effects as a signaling molecule within the cardiovascular system.7

This tiny gas molecule is produced in the blood vessels, nerves, and immune cells. Neuronal and endothelial NO causes relaxation of the surrounding smooth muscle, resulting in vasodilation.8,9 With regard to male sexual health, NO triggers the relaxation of the cavernous smooth muscle of the penis, allowing for engorgement and  subsequent erection.

NO production declines with age, however, placing males at increased risk of ED as they grow older.10 It is now estimated that nearly half of men above the age of 40 have some degree of ED.11

Endothelial inflammation undermines NO production and is thus a significant determinant of ED and other vascular diseases.12 It is also a culprit that can effectively be treated with naturopathic medicine.


Erectile Dysfunction as Coronary Risk Marker

Due to the relatively small size of the penile vasculature (on even the most well-endowed of individuals), ED may be understood as a warning sign of poor vascular function and impending coronary artery disease (CAD).9,11,13,14 ED may present well before the observation of so much as an elevated blood pressure reading.15 If left unchecked, the vascular inflammation and dysfunction associated with many cases of ED may lead to ischemic heart disease;16 ED has thus been referred to as “penile angina.”17

ED is such a strong predictor of cardiovascular disease in men,3 in fact, that providers are now advised to assess the cardiovascular health of patients presenting with the condition.16 While not all men with ED have cardiovascular problems, a significant percentage of males with angiographically demonstrated CAD have been observed to have ED.13 ED was also shown in one study to precede CAD in a whopping 70% of male CAD patients.13

It is perhaps no surprise that ED and CAD go hand-in-hand, as they share many of the same risk factors, including sedentary lifestyle, obesity, diabetes, smoking, hypertension, dyslipidemia, metabolic syndrome, and declining NO activity.9,11,18,19

Conventional Treatments of ED

The first-line therapy for ED entails phosphodiesterase type 5 inhibitors (PDE5i) like sildenafil.20 Although these drugs do not directly increase NO, they do augment NO-mediated pathways.21

When PDE5i’s fail to improve symptoms, vacuum devices, intracavernous injections, and penile prosthesis implantation are considered second- and third-line therapies. Few patients are eager to try these interventions, however, which may not be too great of a tragedy, as none of these methods adequately addresses the underlying metabolic, neurological, hormonal, or endothelial aspects of ED.

Testosterone plays an important role in sexual function via several mechanisms, including the stimulation of NO release.22 As more and more males become afflicted with ED, the increasing number of “low T” clinics that have cropped up over the years now comprise a multi-billion-dollar industry.23,24 Testosterone replacement therapy (TRT) does help many men with ED—though not all. In my experience and opinion, focusing on NO augmentation—either in lieu of or in addition to hormone prescription—may serve ED patients in both the short and long term.

Erectile Dysfunction: The Canary in the Cardiovascular Coal Mine?

Two Pathways of Nitric Oxide Production

There are two pathways by which NO is created in the body (see Figure 1).25 One pathway entails the reduction of dietary nitrates to nitrite and then NO.26 Another pathway depends upon the enzyme nitric oxide synthase (NOS) to convert L-arginine to NO.27

Oral Hygiene

In the NOS independent pathway of NO production, facultative oral microflora reduce dietary nitrates (NO3) to nitrites (NO2), which are then converted to NO in the acidic environment of the stomach.26

In this pathway, the presence of particular oral bacteria and the stomach’s low pH are invaluable for NO production. These requisite conditions are undermined, however, by antiseptic mouthwashes, proton-pump inhibitors, and over-the-counter antacid medications—agents commonly used in industrialized societies.28–30 Although restoring a patient’s gastric acidity is a relatively straightforward task for the naturopathic physician, as of this writing there is no nutritional probiotic supplement that contains the oral bacteria essential for nitrate reduction. We may still, however, advise patients to avoid commercial mouthwash products.26


Dark Leafy Greens and Beetroot

Vegetable-rich diets have been shown to support heart health,31,32 in part due to their nitrite and nitrate content. High nitrate diets lower the risks of hypertension, heart attack, and stroke,33–35

Although dietary nitrites such as those naturally found in bacon have been vilified, nitrites and nitrates are actually naturally occurring molecules produced in the body that are important to health.36,37 (The culprit in processed meats is likely not nitrite, but rather the carcinogenic compound nitrosamine.38,39)

In addition to eating plenty of green, leafy vegetables, powdered greens products, beetroot (also known simply as “beets”), and beetroot products may all be used as supplemental sources of nitrates, antioxidants, and phenolic compounds pertinent to cardiovascular health.40 Beetroot is a particularly rich source of nitrates and antioxidant compounds and has been observed to increase NO levels and lower blood pressure readings in both men and women of various ages.41–43

Although dietary nitrites such as those naturally found in bacon have been vilified, nitrites and nitrates are actually naturally occurring molecules produced in the body that are important to health.36,37 (The culprit in processed meats is likely not nitrite, but rather the carcinogenic compound nitrosamine.38,39)

In addition to eating plenty of green, leafy vegetables, powdered greens products, beetroot (also known simply as “beets”), and beetroot products may all be used as supplemental sources of nitrates, antioxidants, and phenolic compounds pertinent to cardiovascular health.40 Beetroot is a particularly rich source of nitrates and antioxidant compounds and has been observed to increase NO levels and lower blood pressure readings in both men and women of various ages.41–43

L-Arginine and L-Citrulline

L-Arginine may be acquired from nutritional supplements and/or endogenously derived from the amino acid L-citrulline, and serves as the source raw material from which the body produces NO via NOS (Figure 1).44 Low serum levels of L-arginine have unsurprisingly been correlated with poor NO production.45

A significant percentage of ED patients have low L-arginine or L-citrulline levels, placing them at increased risk of disease.45 Because of this and because the NOS-dependent route of NO production was the first pathway discovered, the nutraceutical product market is now replete with L-arginine-containing formulae.46

Although oral L-arginine supplementation may improve NO-mediated vasodilation and endothelial function, its effects as a monotherapy are transient due to the short duration of its presence in the circulation (on the order of milliseconds).47 This may be why a review of L-arginines efficacy in the treatment of ED reports that a minimum dosage of 3 g daily is necessary to achieve outcomes. Some studies have even dosed the amino acid at 5 g and higher.48

The efficacy of L-arginine may be improved by delivering it alongside N-acetylcysteine or glutathione (GSH), both of which contain sulfur residues or thiols. NO binds GSH, forming S-nitrosoglutathione. This molecule then transports and circulates NO, has a half-life of hours, and is just as vasoactive as NO.49 Antioxidants like ascorbate also are able to cleave or release bound NO.50 L-arginine also pairs particularly well with Pycnogenol, as is explored in the section below.

Unlike L-arginine, its precursor L-citrulline (named for the watermelon, or Citrullus vulgaris, from which it is derived51) evades presystemic metabolism, effectively increasing circulating NO levels.45,52,53 This may make L-citrulline a more advantageous nutritional supplement than L-arginine in the treatment of ED, hypertension, and related vascular conditions.54,55

Although L-citrulline supplements are less effective than PDE5i’s (at least in the short term), they are an effective adjuvant to PDE5i treatment.54,56 L-citrulline has also been shown to be safe and psychologically well tolerated.54

What may be even more effective than L-arginine or L-citrulline monotherapy, however, is the administration of the two NOS substrates concurrently: Simultaneous oral supplementation of L-arginine and L-citrulline (1 gram of each) increased plasma L-arginine levels more than 2 g of either alone in a 2017 study.57 (Note that because many viruses, including herpes simplex virus [HSV], are dependent upon the bioavailability of arginine,58 L-arginine and L-citrulline supplements may be poorly tolerated by patients with frequent HSV outbreaks.)

In addition to augmenting the body’s supply of L-arginine, it is also important to support conversion of the amino acid into NO.38 This conversion is enhanced by oxygen, NADPH, heme, tetrahydrobiopterin (THB, also known as BH4), and other coenzymes. Things as simple as checking oxygen saturation and ferritin levels may therefore prove advantageous.


Pycnogenol

A standardized extract from the bark of the French maritime pine, Pinus pinaster—or Pycnogenol, as it’s known in the US by its patent name—can improve erectile function both as a stand-alone treatment and in combination with L-arginine.59,60

In a double-blind study of 21 males suffering from ED, patients received 120 mg of Pycnogenol or placebo daily. After three months, Pycnogenol significantly improved the symptoms of ED from moderate to mild stage. Perhaps more importantly, a significant increase in plasma antioxidant activity was noted among those who received Pycnogenol, while no such benefit was found in those who received placebo. The Pycnogenol group further enjoyed reductions in total cholesterol and LDL-cholesterol levels (from 5.41 to 4.98 mmol/L and from 3.44 to 2.78 mmol/L, respectively). (No significant changes in triglycerides or HDL were observed.) These findings suggest that Pycnogenol may not only treat ED but may also temper some of the more serious vascular changes that succeed it.61

In another study of 40 males, 25 to 45 years of age, a combination of L-arginine and Pycnogenol significantly outperformed Pycnogenol alone, helping 80% of men (and, after another month of the study, 92.5% of men) achieve a normal erection – as compared to only 5% of men who benefitted from Pycnogenol alone. Pycnogenol was given at a dose of 40 mg one to three times daily, with L-arginine at a dose of 1.7 g daily.60 (It is worth noting that the minimum effective daily dosage of L-arginine as a standalone treatment of ED may be 3 g,62 though this study suggests that lower doses may be used within the milieu of co-treatment with Pycnogeol.)

In a similar trial of 50 males, L-arginine (3 g/day) plus Pycnogenol (80 mg/day) restored normal erectile function after just one month of supplementation. Sperm quality improved in the men who took this combination and their testosterone levels increased significantly. The men also reported a doubling in their sexual intercourse frequency.63


Glutathione and Other Antioxidants

Supplementation with L-citrulline and GSH has also been shown to synergistically increase NO levels.

In addition to providing thiols for the formation of S-nitroso glutathione, GSH also affects the NOS enzyme function. In a GSH-depleted environment, NOS becomes uncoupled, resulting in the production of toxic superoxides instead of salubrious NO. Endothelial NOS (eNOS) uncoupling has been implicated in numerous conditions marked by vascular endothelial dysfunction, including heart failure, ischemia/reperfusion injury, hypertension, atherosclerosis, and diabetes.65

As the master antioxidant of the body, GSH strongly protects against the oxidative stress associated with endothelial dysfunction. Like other antioxidants, GSH may prevent eNOS uncoupling by scavenging free radicals, mitigating certain radical-generating pathways, maintaining the optimal ratio of reduced to oxidized glutathione, and protecting the endothelium against damage by toxic metabolites.66

GSH and other antioxidants can thus prevent oxidative stress, ameliorate vascular endothelial dysfunction, and stave off cardiovascular disease (among other chronic ailments).66


DHEA

The steroid hormone precursor dehydroepiandrosterone (DHEA) not only augments hormone production, but also positively affects eNOS. Supplementation with DHEA may thus further support endothelial health.67 A systematic review of 38 trials found that DHEA improves various aspects of sexual health in both males and females, including sexual interest, sexual frequency, lubrication, arousal, pain, and orgasm.68


Carnitine and Taurine

Carnitine and taurine have been shown to support NO production and vascular health. Specifically, propionyl-L-carnitine (PLC) has been observed to stimulate NO production and facilitate the delivery of free fatty acids into the mitochondria.69 When administered alongside acetyl-L-carnitine, PLC enhances the efficacy of sildenafil in treating the symptoms of ED in men who have undergone bilateral nerve-sparing prostatectomy.70

Taurine also increases NO, likely by decreasing asymmetric dimethylarginine (ADMA), as an inhibitor of NO synthesis.71,72

Meditation

Beyond erectile function and blood pressure, NO’s benefits include blood clot prevention, immune function enhancement, and nervous system support.7 NO may also contribute to the relaxing effects of meditation and mindfulness practice—and mindfulness practice may likewise enhance NO production.73 In one study, for example, experienced meditators were found to have lower levels of subjective stress and higher nitrate and nitrite levels.9 This finding may be added to the long list of reasons to recommend meditation and other mindfulness-based practices to those with ED and other cardiovascular ailments.


Exercise

Sedentary lifestyle is a significant risk factor for both ED and cardiovascular disease.9 Physical activity is known to increase vascular NO levels and improve vascular function,74 which explains at least in part why exercise is hailed as the lifestyle factor most strongly correlated with erectile health.74,75

A 2018 systematic review of 10 studies concludes that moderate to vigorous aerobic exercise four times weekly for six months improves erectile function in men who have ED caused by sedentary lifestyle, obesity, hypertension, cardiovascular disease, and/or metabolic syndrome.9 Considering that exercise helps with a wide array of other health conditions, physical activity should be a basic treatment guideline for just about every patient.


Conclusion

During sexual arousal, the vessels of the penis rely upon nitric oxide to help blood—and the oxygen and nutrients it carries—engorge the penis, resulting in tumescence. Erectile dysfunction may therefore represent poor endothelial health and a deficit of NO in many cases—and thus serve as a warning sign of more serious vascular ailments to come.

Because there is no standard lab test for assessing NO levels,76 it is important for healthcare providers to make astute clinical assessments of their patients’ cardiovascular status when labs and imaging fall short.

Simple, natural strategies and supplements—like oral health, digestive hygiene, green vegetables and beetroot, L-arginine, L-citrulline, glutathione, DHEA, carnitine, Pycnogenol, meditation, and exercise—may well serve the men who suffer from erectile dysfunction. Even in the context of testosterone replacement and phosphodiesterase inhibitor prescription, nitric oxide support may further improve sexual performance and safeguard against more serious vascular disease.

  • L-Arginine and L-Citrulline
  • Pycnogenol
  • Glutathione and Other Antioxidants
  • Carnitine and Taurine
  • __Berkeley Life Pro, __ M3 Powder, __  NO Max ER
  • Testosterone __ IM, __Troche,__ Topical
  • DHEA
  • Meditation
  • Exercise