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By the time one reaches their 60s I would say a majority already have some degree of arterial plaque build up/vascular stiffness whether due to poor diet/genetics/inflammation/stress/lack of exercise/pollutants/medications. The list of many factors goes on. Where any of these factors considered pre treatment with testosterone in theses older men? VASCULAR health is a big factor in overall heart/circulatory/lung/brain function and regardless of how healthy one chooses to live AGING in and of itself contributes to decreased function so we will never be at peak functioning like in our younger years.


Poor vascular health is also one of the major contributors to ED hence why some will always struggle  in this area even when being treated with trt/PDE5 inhibitors!


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