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  1. madman

    He Helped Invent Viagra. What’s Next for Men’s Sexual Health?

    * He explains why he almost calls it penile vascular dysfunction, what the blue pills can and cannot do, and why he is uneasy about men ordering them online with no health check at all. Erectile dysfunction is often the first sign that something bigger is going wrong. In this episode of...
  2. madman

    Should Men on TRT Get a Coronary Artery Calcium (CAC) Score?

    Curated By Nelson Vergel | ExcelMale.com | Updated May 2026 If you're on testosterone replacement therapy (TRT), you're likely paying close attention to your labs - testosterone levels, estradiol, hematocrit, and lipids. But one critical cardiovascular test remains underutilized by most men on...
  3. madman

    Vascular aging-driven erectile dysfunction

    Key point being stressed here! * Age-related ED is a manifestation of systemic vascular pathology * Key contributors to age-related ED include reduced nitric oxide (NO) bioavailability due to endothelial oxidative stress and inflammation, diminished cavernosal smooth muscle content leading...
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