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Often anti-depressants have a negative impact on a woman's libido. The results of a clinical study published in the Journal of Sexual Medicine found that women on anti-depressants who take small doses of testosterone had improved libido. Dr. Irwin Goldstein, editor in chief, discusses the study results.

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Rena Malik MD response. New ED injection Reverses ERECTILE DYSFUNCTION! Clinical research supported. Main cause of #erectiledysfuntion is Low Vitamin D3 Levels. Sleep Deprivation also causes Erectile Dysfunction [less 7-8hrs sleep, waking up 2-5 times, Ambien]. Sleep Deprivation & cholesterol lowering medications like Lipitor lower Testosterone & Vitamin D3 causing ED & can cause up to 20% Loss of Penile Size, Length & Girth. Sleep Deprivation, Metformin, Glucocorticoids and Cortisol elevate myostatin which breaks down smooth muscle in the penile tissue. Metformin, Glucocorticoids, Opioids and Cortisol also lowers testosterone. Corpa Cavernosa & Trabeculae are Penile tissue using smooth muscle controlling inflow & contraction of the blood to maintain erection strength & hardness. When myostatin breaks down penile smooth muscle tissue, men lose erections & can’t maintain erections. Once this tissue is broken down, Immune System cells called macrophages come to repair the Penile tissue. However, macrophages, infected with Staphylococcus Aureus intracellular bacteria, become dysregulated & remain in a chronic inflammation cycle breaking down the penile tissue further with cytokines including TNF-a, IL6 etc. The dysfunctional Macrophages increase & replace damaged Penile tissue improperly with collagen causing the penile tissue to become fibrous & fibrotic. Fibrotic penile tissue can’t get erections or maintain an erection. The two main myostatin inhibitors in the body are Vitamin D3 & Testosterone. Low Vitamin D3 & Low Testosterone also mean you won’t have the main inhibitors to stop Myostatin from breaking down smooth muscle tissue in the Penis even if you dont have sleep issues. When you have a combination of high myostatin, low testosterone & low vitamin D3, men will get Erectile Dysfunction & will lose penile size, girth & length up to 20%. There are always exceptions to rules. Men’s ED issues will follow along the guidelines in the Erectile Dysfunction Severity chart provided in this video. Some men are affected at the high end of the range while other men are not impacted until they reach the lower end of the range. Correcting sleep issues along with taking High Dose Vitamin D3 reverses ED in most men including restoring lost penile size no matter if it is severe Erectile Dysfunction or Mild Erectile Dysfunction. Another way to find out if you are low in vitamin D3 is if the PDEF5 Inhibitor Cialis Tadalafil works for your ED. If this Phosphodiesterase-5 inhibitor Cialis Tadalafil doesn’t work for #erectiledysfunctiontreatment men will be low in Vitamin D3 according to a study. If PDEF5 inhibitor Cialis Tadalafil quits working after initially working for ED, it means you are low in Vitamin D3. In the same study, it showed a combination of High Vitamin D3 levels & PDEF5 inhibitor Cialis Tadalafil gave the strongest, hardest & long lasting erections than Cialis by itself. High levels of Vitamin D3 around 120 increases erections & increases erection strength, hardness better than PDEF5 inhibitor Cialis Tadalafil, Viagra Sildenafil, Levitra Vardenafil or Stendra avanafil for Erectile Dysfunction or to achieve stronger, harder erections for Men’s Sexual Health Performance. There are several metabolic pathways and organelles participating in Erectile Dysfunction causing weak, soft and non lasting Erections. The main issue is Vitamin D3 down regulation & Vitamin D3 Deficiency. Physicians improperly advise patients to stay out of the sun and or use sunscreen. People not getting in the sun daily has caused an epidemic of Vitamin D3 deficiency worldwide causing obesity, diabetes, cardiovascular disease, insulin resistance and Erectile Dysfunction. Lifeguards and tribesmen have 120-144 of Vitamin D3 levels as their standard normal level. These levels are the natural Vitamin D3 levels men and women should have. The bacteria Staphylococcus Aureus (SA) down regulates Vitamin D3, Testosterone and Adiponectin which cause obesity, diabetes, insulin resistance and Erectile Dysfunction. SA stimulates NFKB, the body’s main inflammatory pathway, whereas, this chronic low grade inflammation targets FGF23 which is a peptide that lowers Vitamin D3 in the body. SA toxins also target the Endoplasmic Reticulum and causes stress thereby lowering testosterone levels and causing Dysregulation of other androgens. Whereas low testosterone contributes to Erectile Dysfunction including not able to block myostatin that breaks down penile tissue. The ER stress also decreases the ability of the cell to create and or recycle insulin receptors contributing to insulin resistance. SA toxins increase Mitochondrial Fission causing an imbalance of the Mitochondrial Fission and Fusion ratio. This imbalance results in diabetes, insulin resistance, obesity, high LDL & is a main cause of Erectile Dysfunction. SA toxins bind to insulin contributing to insulin resistance. SA toxins increase LDL & APOB which also contribute to ED.

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