Gapin Institute Introduces A Precision Health Optimization & Performance Center in Sarasota

Gapin Institute Introduces A Precision Health Optimization & Performance Center in Sarasota

Gapin Institute for Elite Health & Performance leverages the experience and expertise of Tracy Gapin, MD, FACS to shift the paradigm of health toward precision health optimization. A data-driven, personalized approach has emerged as the future of healthcare and is now available in Florida. The Gapin Institute combines modern medicine with hormone optimization, genetics, epigenetics, health and fitness coaching, nutrition, and sleep science. The cutting-edge center addresses men’s and women’s top health concerns. Society is experiencing a health crisis with plummeting testosterone levels, worsening obesity, cardiovascular disease, and sexual function, and for the first time in many years, a declining lifespan. At Gapin Institute, patients experience personalized healthcare with a unique comprehensive model incorporating all evidence-based and data-driven modalities. Treatment plans are based on personalized health data including genetics, real-time wearable tech data, detailed functional lab testing and next-generation biomarkers. The center utilizes an efficient hybrid model offering both on-site and telehealth visits. of health and fitness coaches, nutrition experts and epigenetic specialists.

Patients can also undergo a comprehensive Executive Health Exam in the world-class center. The full day, immersive experience includes an early-detection physical exam, 5-6 hour complete full body check up complete with extensive screenings, advanced blood work, cardiac imaging and calcium scoring, and genetics analysis. Patients meet with a nutritionist for a nutrigenomic assessment, a fitness trainer for core strength and agility assessment, and a functional medicine-trained health coach for a lifestyle assessment. By: SRQ Magazine.

Pictured: Gapin Institute for Elite Health and Performance Sarasota, FL.

Email: [email protected]
Phone: (941) 444-1441
Address: 5911 N Honore Ave., Suite 103, Sarasota, FL 34243

(Behind Whole Foods on University Pkwy)

Is Your Occasional Erectile Dysfunction a Sign of Something More Serious?

Are you a victim of occasional erectile dysfunction…or is something else going on?

Every man experiences erectile dysfunction at some point or another during his lifetime. But if it happens more than once or twice, you may start to worry.

Is this something serious?

Is Occasional Erectile Dysfunction Normal?

A lot of factors—including mood, stress, and fatigue—can affect your ability to achieve and maintain an erection, and sometimes those factors are working against you.

If you’ve been going through a particularly stressful period, for instance, working a lot of hours, or dealing with an illness, you may notice troubles in the bedroom too.

As far as what is “normal,” that can vary from person to person. The Cleveland Clinic states that a failure to get an erection less than 20 percent of the time is “not unusual and typically does not require treatment.”

Also called “situational erectile dysfunction,” occasional ED occurs only intermittently and is dependent on the situation. It’s never comfortable and can rattle your nerves, but often there’s no need to be overly concerned.

What’s the Difference Between Occasional Erectile Dysfunction and ED?

Sometimes, though, ED is a true medical condition that requires your attention because it’s often a sign of other health problems that need to be addressed.

How can you tell whether what you’re experiencing is normal or not?

The Cleveland Clinic defines ED as a failure to achieve an erection more than 50 percent of the time. But it’s not wise to wait until you’re having that much trouble.

I recommend talking to your doctor if you’re noticing trouble more than 20 percent of the time. In most cases, that’s a sign that something else is going on and we need to find out what it is for your health and your future.

“ED is common with age,” they’ll tell you, and it’s true that older men are more likely to be diagnosed. But that doesn’t mean you should just live with it if you’re over a certain age.

Occasional ED Difference

How Prevalent is Erectile Dysfunction?

Studies vary on how common ED is across the population. A 2018 review estimated it affects about one-third of men, with the prevalence increasing with age as well as with the number of risk factors present. These included cardiovascular disease, a sedentary lifestyle, and endothelial damage. (Endothelial cells line blood vessels, and if they become damaged, can lead to blood flow problems.)

Another review found that worldwide, the prevalence of ED ranges between 3 and 76.5 percent. Again, ED was associated with increasing age and with cardiovascular disease.

It’s not just older men who may struggle with ED, however. According to a 2013 study, about one in four (25 percent) of men seeking help for new-onset ED were younger than 40 years.

Indeed, ED can happen to anyone at any time. Yet it’s not something to just brush off as a “normal” part of aging. According to the review above, men with ED have an increased risk of all-cause mortality (death) as well as death from cardiovascular disease. They are also more likely to have benign prostatic hyperplasia (BPH) than men without ED and are 1.68-times more likely to develop dementia.

Fortunately, with a careful medical examination and treatment, you can avoid these undesirable outcomes.

ED Prevalence

What Causes Occasional Erectile Dysfunction?

Occasional or situational erectile dysfunction may be caused by the following factors:

Fatigue

Fatigue can easily decrease your desire or even energy for sex. If you try anyway, you may not be able to achieve an erection.

Too Much Alcohol

Alcohol is a natural depressant and is a common culprit in cases of situational ED. Though you may be fine with a drink or two, if you overindulge, it can depress your sexual response.

Stress

When you’re stressed out, your body releases hormones that can interfere with an erection. Worse, if you experience one failed erection, you may feel stressed about the next one, compounding the problem.

Drugs

Many common medications, including antihistamines, some blood pressure drugs, prescription pain relievers, sleep aids, antidepressants, and others, can cause short-term ED as a side effect. Recreational and illegal drugs can also suppress the nervous system, causing situational ED.

Relationship Problems

Poor communication, unresolved anger, and other issues can interfere with your ability to enjoy a pleasant sexual encounter with your partner.

Depression

If you’re feeling depressed or even just down at the moment, it can affect your nerves and your ability to achieve an erection.

How to Address Occasional Erectile Dysfunction

If you’re experiencing occasional erectile dysfunction, you can usually address it with a few careful lifestyle changes:

  • Make sure you’re eating healthy foods.
  • Reduce your stress.
  • Exercise consistently.
  • Stop smoking, and limit alcohol use.
  • Seek treatment for depression, anxiety, and other mental health concerns. If you’re having relationship issues, consider couples counseling.
  • If you’re taking prescription medications, ask your doctor if any may be contributing to ED.

Potential Causes of ED

What Causes Medically Diagnosed Erectile Dysfunction?

Medically diagnosed ED is often related to a physical health issue. That’s why it’s so important to talk to your doctor about it as soon as you can.

Cardiovascular Disease

A successful erection relies on proper blood flow. If blood flow is slowed or stopped because of narrow or blocked blood vessels, there won’t be enough blood flowing into the penis to maintain an erection.

As we age, it’s more common to suffer from narrowed and stiffened blood vessels. Over the years, a hardened plaque made up of cholesterol and other materials can build up inside them. That can affect not only heart health but sexual health as well.

ED and cardiovascular disease are closely related. In a 2018 study, researchers stated, “Increasing evidence suggests that ED is predominantly a vascular disorder.”  An earlier study also found a confirmed link between ED and cardiovascular disease (CVD) and noted that ED is a sign of increased risk of CVD.

Obesity

Obesity increases the risk of ED. That’s because it can damage the blood vessels, decrease testosterone, and create systemic inflammation in the body. In a 2008 study, researchers found that overweight and obesity could increase the risk of ED by 30-90 percent.

They also found that men with ED tended to be heavier and with a greater waist circumference than those without ED, and were also more likely to have high cholesterol and high blood pressure.

Diabetes

ED is known to be a potential complication of diabetes—again, because diabetes, when not properly treated, can damage blood vessels. In a 2014 study, scientists noted that diabetes is an “established risk factor for sexual dysfunction in men,” adding that those with diabetes had a three-fold increased risk of ED.

Sleep Disorders

Sleep disorders like sleep apnea, when untreated, can rob men of the critical sleep they need every night, leading to other health problems down the road, including ED.

After examining 150 patients with sleep apnea, scientists reported that over half of them had ED. Fortunately, treatment with continuous positive airway pressure (CPAP) helped improve erectile function and sexual satisfaction.

Neurological Disorders

Parkinson’s disease, multiple sclerosis, Alzheimer’s disease, and other types of neurological diseases can interfere with the nerve impulses sent to the penis. The nerves may become damaged from these diseases to where they no longer function as they should.

In a 2016 study, researchers found that the occurrence of ED was “significantly more prevalent” among men suffering from neurological conditions.

Smoking

Smoking is horrible for your health, including your sexual health. In addition to increasing your risk of coronary artery disease and lung cancer, it can also increase your risk of ED. That’s because it can damage the lining of your blood vessels, affecting the way they function, while also potentially damaging the nerves leading to the penis.

When researchers reviewed data from 860 male patients between the ages of 18 and 44, they found that heavy smoking was a risk factor for ED, particularly for younger men. And when examining data from over 2,100 men, researchers found that compared with former and never smokers, current smokers in their forties had the greatest odds of suffering from ED.

Compared with men who never smoked, those who smoked at some time had a greater likelihood of ED, with those who smoked more having a higher risk.

Peyronie’s Disease

Peyronie’s disease—a condition that causes scar tissue to develop on the penis, creating curved, painful erections—is often associated with ED. In men genetically susceptible to the disease, ED may be an early sign of it.

Hormone Imbalances

Hormonal abnormalities—including low testosterone, thyroid issues and those caused by steroid abuse, can also cause ED.

ED Fast Food

Surprising Causes of More than Occasional Erectile Dysfunction

In addition to the causes listed above, some additional ones may surprise you.

Diet

It may be hard to believe, but your diet could be related to your ED! Indeed, the foods you eat affect your overall health, including your hormone balance, heart and blood vessels, weight, inflammation, and more.

Those most likely to increase the risk of ED include:

  • Packaged, processed foods
  • Fast foods
  • Fried foods
  • Animal meats (particularly animals given antibiotics and hormones)
  • Salty foods
  • Soy
  • Alcohol

Find healthier alternatives to these in our post, “7 Foods Causing Your Erectile Dysfunction.”

Porn

Internet porn use has exploded over the past couple of decades, and it’s not helping men to enjoy healthy sex lives.

According to a recent study out of Italy, more and more young men, in particular, are suffering from ED because of Internet porn. Investigators surveyed 28,000 users and found that many started watching it as early as 14 years of age.

Scientists discovered that the effects were very harmful to young men’s developing sexuality. Over time, they experienced a drop in libido, which eventually morphed into full-fledged ED.

Indeed, porn can dampen sexual desire over time, while also affecting men’s self-esteem and expectations. In a 2016 review, researchers noted that Internet porn can condition sexual arousal that doesn’t readily transition to real-life partners.

Environmental Toxins

We’re exposed to more chemicals today than ever before in history. They’re in the air we breathe, the water we drink, the food we eat, and in our material goods (furniture, clothing, consumer goods), personal care products, and more.

Scientists are still learning about how these chemicals may affect us. They have already discovered, however, that they can increase the risk for ED. When studying nearly 200 men who sought help for ED, scientists found that exposure to environmental toxins like pesticides and solvents was a risk factor for ED.

3 Questions to Ask Yourself About Occasional Erectile Dysfunction

Think about your experience with ED for a moment, and ask yourself if you’re noticing the following more than occasionally:

  • A reduced desire for sex
  • Persistent or regular inability to achieve and/or maintain an erection (20 percent of the time or more)
  • Softer erections
  • Premature ejaculation
  • Loss of sensitivity in the penis
  • Stress related to these factors

If you’re not sure whether what you’re experiencing is normal or not, ask yourself:

  • Has it been going on for longer than three months?
  • Is it painful or difficult to get an erection, to the point that you’re feeling stressed about it?
  • Do you have accompanying symptoms, like those related to heart disease or diabetes?

If you answered “yes” to even one of these questions, it’s time to talk to your doctor.

ED Normal or Serious

Solutions for Medically Diagnosed ED

Studies show that only about a quarter of men suffering from ED get help. I hope if you’re experiencing this, you won’t be one of them. There’s so much we can do now to help you feel better. There’s no reason for you to suffer in silence.

Remember that ED is often a sign of other, underlying health problems. We must find out what’s going on to prevent further complications down the road.

If your doctor does diagnose you with ED, you have many options for how to treat it. Unfortunately, in today’s world, men are often just given a pill and sent on their way. I think this is a huge mistake.

At the Gapin Institute, we recommend a systems-based approach that includes the following approaches.

Lifestyle Changes for ED

It’s always best to start with lifestyle changes, like those listed above for occasional ED. These can not only improve your sexual health but your overall health as well. Even if they don’t completely cure your ED, they can help reduce it or prevent it from getting worse in the future.

Medications for ED

Drugs like Viagra and Cialis have been important breakthroughs for men for one reason: they work. By increasing blood flow to the penis, they improve your ability to achieve and maintain an erection, and they can also improve sensitivity to sexual stimulation. They can help you enjoy sex once again, but they mustn’t be the only part of your approach.

A Full Health Evaluation

At the Gapin Institute, we conduct a full evaluation of your health condition to make sure we don’t have other issues we should be dealing with. Early detection of things like cardiovascular disease, diabetes, Peyronie’s disease, and more can mean the difference between a healthy, active future, and a diseased one.

Peptide Therapy for ED

Peptides are amino-acid-based molecules that perform many functions in the body. Some of them are directly connected to sexual function, while others are tied to hormonal function. If you’re not producing as many of these peptides as you need—which is common—a targeted treatment could help you feel like your old self again.

(Read more: 8 Reasons Why People Are Talking About Peptides for Men.)

GAINSWave Treatments

GAINSWave is a clinically proven, non-invasive therapy that improves sexual performance by releasing blood flow. It uses low-intensity sound waves to stimulate the growth of new, healthier blood vessels in the penis. As opposed to medications, it gets to the root cause of the problem and solves it. Plus, there are no harmful side effects.

Injections & Vacuum Therapy for ED

  • The Priapus or P-Shot: This is a single-injection treatment that infuses the patient’s own blood products, including power growth factors and enriched platelets to help stimulate cellular and tissue repair in the penis. Like GAINSWave therapy, it helps to get at the root of the problem.
  • Trimix Injections: These injections must be used every time you want to stimulate an erection. You inject them into the penis just before intercourse to promote increased blood flow.
  • Vacuum Therapy: This is another treatment that must be used every time you need it. You place a cylinder-shaped suction device around the penis to draw blood into it. It’s non-invasive and effective.

If It’s More Than Occasional Erectile Dysfunction, Call Your Doctor Today

If you’re ready to talk to your doctor about ED, I recommend you:

  • prepare a list of questions first
  • make a note of whatever medications you’re taking
  • jot down the symptoms you’re experiencing (and for how long)
  • then take a deep breath and make that appointment!

Your sexual health isn’t just a nice-to-have extra in your life. It’s an important part of your overall health, as well as a barometer indicating how well you’re aging.

We all experience bumps in the road. With the right approach, you can smooth this one out and go on to enjoy many more vigorous, vital years.

The Truth About Genes and Weight Loss in Men

Genes Weight Loss 1

When it comes to genes and weight loss, how much do your genes matter?

It’s a question you may ask, particularly if you’ve been struggling to lose weight.

Could your genes be working against you? And if so, what can you do about it?

What Do Genes Have to Do with Weight Loss in Men?

Just like your genes affect your eye color, hair color, height, and more, they also have a part to play in your weight and body shape.

How much impact genes have on weight depends on the individual. Harvard Health reported in 2019 that for some people, “genes account for just 25 percent of their predisposition to be overweight, while for others the genetic influence is as high as 70 percent to 80 percent.”

How can you tell which side of the spectrum you may be on? Genetic testing may help, which we’ll talk about, but there are certainly some characteristics you can look for.

People likely to be greatly influenced by genes:

  •       Struggle with weight their entire lives, even in childhood.
  •       Have close family members who are overweight or obese.
  •       Have difficulty losing weight even when sticking to a low-calorie diet with exercise for months.

People likely to be less influenced by genes:

  •       Are moderately overweight, but can lose weight when they try (with diet and exercise).
  •       Struggle to avoid eating too much of the foods they enjoy.
  •       Experience ups and downs in weight, particularly around the holiday season or after changing eating patterns.

Regardless of which group you may fall into, your weight is at least somewhat influenced by your genes. But what does that mean, exactly?

Genes Weight Loss 2

What We Know So Far About Genes and Weight Loss

So far, scientists have identified about 400 different genes that seem to be involved in overweight or obesity. These genes interact in complex ways with other genes and with neurotransmitters, hormones, and more to affect the following:

Hunger

How “accurate” is your hunger instinct? Does it signal you when you’re really hungry, or does it spur you to eat for other reasons?

Normally, your hunger response kicks in only when you need to refuel. But if you have certain gene variants, you may be more likely to experience hunger for other reasons, such as when you’re stressed out or bored.

Satiety

Can you sense when you’re full? Certain genes can tell you when you’re full, while others may not signal your brain, potentially making you overeat.

Metabolism

How efficiently does your body burn calories? Your genes can determine that. Some gene variations drive normal metabolism, whereas others may indicate less efficient metabolism.

Sweets and Snacking

How does your brain respond when you eat something sweet? Can you stop eating those brownies after consuming one? Or are you compelled to eat more?

Some genes signal an “average” response to sweet tastes, while others may encourage greater consumption. Your drive to snack, as well, is somewhat affected by your genetics.

Insulin Resistance

Insulin is the hormone that drives glucose from your bloodstream into your cells. If you have insulin resistance, it means your cells don’t respond to insulin very efficiently.

If you have genes that predispose you to insulin resistance, you may be more likely to have higher blood sugar levels, which can ultimately lead to obesity and diabetes.

Carbohydrates

You’ve heard about how some carbohydrates (simple carbs) can lead to weight gain because they break down quickly in the body and spike blood sugar levels. Others are more complex, take longer to break down, and don’t affect weight the same way.

While it’s a good idea for everyone to avoid eating too many simple carbs, your genetics can influence how well you may respond to them.

Some genetic variations, for instance, may help you lose belly fat when you make a point to avoid simple carbs and consume more complex carbs. Others, however, will inspire your body to manage both well, so you won’t notice as much difference.

Fiber

You know that fiber is good for you. It helps keep your digestion going smoothly, and can help reduce your risk of heart disease.

But how much will consuming a high-fiber diet help in your weight loss efforts? Your genes can tell you.

Some are linked with greater improvements than others, meaning that if you have certain genes, you’ll notice better results on a high-fiber diet than others without those genes.

Saturated Fat

Scientists used to believe that the low-fat diet was the best option for most people. Recent research, however, challenged that idea. A 2015 review, for instance, found that reducing saturated fat had no effect on heart attacks, strokes, or all-cause deaths.

Now, scientists are taking a second look at fats. While we know that unsaturated fats (like those in nuts and seeds) are good for you, we’re still not sure about saturated fats (like those in meat and dairy foods).

It turns out that your genetics have a lot to say about it. Depending on which genetic variations you have, you may be more or less affected by the saturated fats you eat. Some genes signal a high tolerance for saturated fats, whereas others markedly increase your risk for early cardiovascular disease or Alzheimers Disease with saturated fat intake.  Knowing where you are on the spectrum can help you determine what sort of diet may help you lose weight.

Protein

We all need protein in our diets, but depending on your genes, you may be able to lose weight more efficiently with a low or high protein intake.

If you’re considering a high-protein diet, for instance, your genetics might help you determine whether it would work for you. Some genes may show, for instance, that a lower intake of protein would be more effective, or that you should make a point to increase your protein intake.

Some Important Details on Genes and Weight Loss

While there are many genes associated with weight loss, a few have been identified as critical in recent years.

Your question might be: Do I have these genes?

FTO

One of them is called the “fat mass and obesity-associated (FTO)” gene. In 2007, researchers reviewed many studies on genes and obesity and identified this as one that could increase your risk of being obese.

Another study that same year found similar results, with the two together showing that those carrying the FTO gene had a 20-30 percent higher risk of being obese than those who did not.

And in a third study, researchers examined obese men and found that the FTO gene was strongly associated with a higher BMI, higher fat body mass index, increased abdominal fatness, increased insulin sensitivity, and decreased HDL “good” cholesterol.

MC4R

Another gene variant identified as increasing the risk of obesity is called the melanocortin-4 receptor gene (MC4R). When scientists examined genetic data from nearly 17,000 people, they found that after FTO, MC4R mutations were the leading cause of severe childhood-onset obesity. It also influenced fat mass, weight, and obesity risk.

Other research shows that MC4R is related to insulin resistance, food intake, and energy balance, and that the gene is significantly associated with higher intakes of total energy and fat.

PLIN-1

Perilipin 1 (PLIN-1) is another gene to be aware of when it comes to weight loss. This is a protein involved in fat storage and the breakdown of fats. It plays a large role in energy and glucose (blood sugar) metabolism, and over the past decade, has been repeatedly associated with body weight and obesity-related complications.

When studying children between the ages of 10 and 18, scientists found that certain PLIN variants (including PLIN-1) were significantly higher in obese participants compared to the control group. They concluded that PLIN may influence the risk of obesity in adolescence.

In another interesting study, scientists reviewed data from about 1,200 overweight and obese people who ate lunch at different times of the day. They found that those with the AA genotype at the PLIN-1 variant struggled more to lose weight when eating late than those who didn’t have this gene variant.

If you have this gene, in other words, you may want to be sure to eat on time!

APOE

The apolipoprotein E (APOE) gene seems to affect metabolism, to the point that it could increase your risk of being overweight.

APOE4, for instance, is associated with a greater risk of metabolic syndrome—a group of symptoms that increase the risk of cardiovascular disease:

  •       hypertension (high blood pressure)
  •       raised blood sugar levels
  •       high triglycerides
  •       reduced HDL “good” cholesterol
  •       a large waistline

In one animal study, researchers fed subjects a high-fat diet for 12 weeks. They found that those subjects with APOE4 were more susceptible to metabolic changes from the diet, including weight gain and high blood sugar levels, than those who did not have the APOE4 genetic variant.

Some other genes that seem to be associated with weight include:

  •   Panx-1: Pannexin-1 helps regulate the accumulation of fat. In a 2018 study, researchers found that when they deleted this gene, subjects gained more weight, and also had a higher risk of obesity later in life.
  •   IRX3: The Iroquois homeobox gene 3 can make it harder to lose weight. This may be because FTO exerts its effects on body weight by changing the expression of IRX3.
  •   Ankyrin-B: If you have this gene, your fat cells may absorb glucose at a faster rate than normal, which increases the size of the fat cell and can cause obesity.

Can You Use Genes and Weight Loss in a Personalized Plan?

The exciting part of all this research is that we’re starting to use what we know to help men more efficiently lose weight.

Wouldn’t it be helpful, for instance, to know whether a high-protein diet would be effective for you? Or how you respond to sweets? Or whether your hunger pangs are accurate or not?

Personalized weight loss plans based on genetics are the future of health, available today. Genetic tests allow you to learn more about what genes you may or may not have that are influencing your ability to lose weight.

The tests are simple—most consist of an easy cheek swab. They provide complex but applicable data on a large number of genetic variants. A genetic coach can review the results with you and help you understand how to apply them.

Genes Weight Loss Scale

Other Things to Consider In Addition to Genes and Weight Loss

It’s important to remember that genes aren’t everything when it comes to weight loss. In fact, depending on your individual makeup, your genes may have only a small effect on your ability to lose weight. This is where epigenetics comes into play – your lifestyle and environment that affect genetic expression.

Your lifestyle, exercise habits, diet, stress levels, and more all play a large role in your body composition. In one study of over 17,000 people, scientists found that those who carried the FTO gene and were active had BMIs that were no higher or lower than those without the FTO gene.

In another study of 240,000 people, those who carried the FTO gene had a 23 percent higher risk of obesity than those who didn’t, but being physically active lowered the risk. Those with the gene who exercised regularly had a 30 percent lower risk of obesity than the inactive FTO-carriers.

At the Gapin Institute, we pride ourselves on working with each individual to determine the best weight loss plan for them. While genetic testing can give us some important data to work with, we also emphasize the power of epigenetics and how your lifestyle and behavior can have a massive impact on your success. We also incorporate a total body composition scan and comprehensive health assessment, among other approaches, to help men succeed in their weight loss goals.

If you’re curious about how you may develop a personalized weight loss plan, schedule a free consultation with a men’s health advisor today.

10 Tips for Men Who Want to Lose Weight After 40

Featured Weight Loss After 40

Lose Weight After 40

If you’ve tried to lose weight after 40, you know the truth—it’s not as easy as it used to be.

Before, you could add a mile to your morning run, pump up your lifting for a few days, or cut back on dessert a night or two and your weight would come back in line.

No more. Once you reach middle age and beyond, weight loss gets a lot harder. What used to work doesn’t work anymore.

Why is that? And what can you do about it?

Why Is It Harder to Lose Weight After 40?

Hormonal Changes

Starting around the age of 40, testosterone levels tend to drop. Testosterone is responsible for regulating fat distribution, muscle strength and mass. As levels go down, the body tends to store more fat.

Men also produce less growth hormone as they age, and growth hormone also helps the body burn fat. According to one 2014 study, the production of growth hormone declines by 14 percent per decade.

Muscle Loss Makes It Harder to Lose Weight After 40

Studies indicate that after the age of 40, people typically lose about 8 percent or more of their muscle mass each decade. The process also accelerates the older you get unless you are fighting back with increased resistance training. If you’re dealing with a chronic disease like diabetes or cardiovascular disease, your rate of muscle loss could be faster.

Since muscle burns more calories than fat, the more muscle you lose, the fewer calories you will burn, sending more to be stored as fat.

Increased Stress

At midlife, we often experience more stress than we did when we were younger. You may be experiencing more work-related stress, and stress is known to contribute to weight gain. If you add on family-related stress, particularly if you have aging parents, the effects could be greater.

Changing Lifestyle

As you enter your 40s and beyond, your career is often in full swing, which can present a few challenges when it comes to weight. You may be extremely busy with work and unable to devote enough time to exercise and eating well. You may also be more sedentary than you were in your younger years, particularly if you work at an office and commute every day.

If you have young children you’re taking care of, or even teenagers that are demanding your attention, you may have little time to yourself, which can lead to dietary changes and skipped days at the gym. And though you are working hard throughout the day, you’re not working out like you may have done when you were in your 20s.

You’re Still Focusing on Aerobic Exercise

What you did in your 20s to lose weight likely won’t work after 40. That’s mainly because sticking to aerobic exercise is no longer enough. Whereas you may have been able to do a daily run or bike ride before to lose weight, doing them now may not have the same effect.

Aerobic exercise is excellent for your cardiovascular health, but it does little to build up your lean muscle mass. You need to add more strength training as well.

Your Old Dietary Changes Don’t Help You Lose Weight After 40

You cut back on calories. You limited your portion sizes. And the weight isn’t going anywhere.

That’s because after the age of 40, simply cutting back on calories is no longer enough. It becomes more about what kinds of foods you’re eating. Those that spike blood sugar levels, for instance, will contribute to weight gain after 40 even if you consume less of them.

Simply cutting calories can also slow down your metabolism as it tries to conserve energy, keeping your weight stubbornly where it is.

You’re Not Getting Enough Sleep

When you’re sleep-deprived, your body releases stress hormones that stimulate hunger—particularly for high-fat and high-sugar foods. That means if you’re regularly getting six hours or less, your body will be primed to gain, not lose, weight.

Your Gut Microbiome is Unbalanced

We all have a balance of good and bad bacteria in the gut. As long as the good guys outnumber the bad, we tend to be healthy overall. But if the bad guys start gaining a foothold, they can cause problems, including those that lead to weight gain.

Researchers found this to be true in a recent study. They analyzed stool samples taken 6-12 months after people started a commercial weight-loss coaching program. The results showed that the gut microbiome could influence the ability to lose weight.

Lose Weight Busy Lifestyle

Does a Slow Metabolism Hinder Weight Loss After 40?

It’s long been an accepted theory that as we age, our metabolism slows down, making it harder to lose weight.

A recent study seemed to negate this idea, at least somewhat.

An international team of scientists analyzed the average calories burned by more than 6,600 people as they went about their lives. The participants’ ages ranged from one week old to 95 years, and they lived in 29 different countries.

The results showed that our metabolisms don’t really start to decline until after the age of 60. Then, a person’s cells do start to slow down. By the age of 90, the scientists estimated that people would need about 26 percent fewer calories each day than someone in midlife.

The scientists concluded that midlife weight gain may have more to do with age-related changes in lifestyle and body composition than it does metabolism.

10 Tips to Help You Lose Weight After 40

It’s more challenging to lose weight after the age of 40. But that doesn’t mean you can’t do it. You simply need to change your approach. We have ten tips to help you do that.

1. One-size-fits-all does NOT work.

One of the biggest mistakes I see men making is following the crowd. If the trend is the keto diet, they try that. If it’s running marathons, they get into that.

Sometimes these approaches work, but often they don’t, and that can leave you feeling discouraged.

The problem is that what works for one person may not work for another. You need to find out what’s making it hard for you to lose weight before you can create a weight-loss plan that will be successful for you.

Your metabolism, hormone balance, microbiome, genetic makeup, and micronutrient status all affect whether or not you can lose weight.

I recommend that men talk to their doctors and get tested to find out what may be going on. In my office, we create personalized weight loss plans that circumvent the frustration and get right to the source of the problem. These may include medical interventions and prescriptions, peptide and supplement management, lifestyle changes, nutrition, and support from certified health coaches.

Once you find out what your body is doing, you can address any problem areas and increase your odds of being able to shed the pounds.

2. Balance your hormones.

As noted above, hormonal changes that you experience as you age can make it harder for you to lose weight.

Balancing your testosterone levels may help. In a 2014 study, researchers found that long-term testosterone therapy in men who tested low for testosterone produced “significant and sustained weight loss, marked reduction in waist circumference and BMI, and improvement in body composition.”

In a later review, researchers found the same results: men with low testosterone who were obese experienced better results when they included testosterone therapy.

How can you tell if you’re low on testosterone? Get tested! According to a 2006 study, 38.7 percent of men tested were deficient in testosterone. The odds were higher in men with high blood pressure, high blood sugar, diabetes, and obesity than men without these conditions.

Obesity and low testosterone levels are also interrelated, according to the research, and “strongly influenced by dietary factors.” More about that below!

Remember that testosterone isn’t the only hormone you want to check. Growth hormone is the other important one. We can treat that with diet and supplements, which can help you lose weight.

In one study of obese adults, researchers found that those treated with growth hormone had a 1.6-fold increase in body weight loss as fat and a greater loss of visceral fat than those who received a placebo.

Weight Loss Diet

3. Determine your best weight-loss diet.

Simply picking a diet out of the air is unlikely to lead you to successful weight loss. You may think that you can increase your exercise and make it work, but that usually fails too.

Instead, after you find out what’s going on in your body, you can formulate a diet that will work for you. If you’re low on testosterone, for instance, cutting back on desserts and pastries may be particularly important.

In a 2018 study, those who had a pattern of eating more bread and pastries, dairy products, desserts, and restaurant foods were more likely to have low testosterone levels. These men also had a pattern of consuming too few homemade foods and dark green vegetables.

In general, the following tips are critical when you’re trying to lose weight after 40:

  • Return to real foods—fruits, vegetables, whole grains, lean proteins, and nuts and seeds.
  • Limit or avoid refined sugars—it promotes weight gain as well as diabetes and heart disease.
  • Cut back on all processed foods—anything that comes in a bag or box and is likely high in sugar, fat, and sodium.
  • Make plant-based proteins a cornerstone of your diet. When choosing animal-based proteins, focus on lean meats and fish.
  • Limit dairy intake. When you do consume it, choose organic and grass-fed.

Beyond these basics, I also recommend bumping up your protein intake. Studies show it helps encourage weight loss, plus it will support your efforts to build more muscle. In a 2017 study, researchers found that those on a high protein diet lost significantly more weight than those in a standard protein diet.

4. Consider fasting to lose weight after 40.

There are a variety of different ways to try fasting. What they all have in common is that they allow your body to go for extended periods without food. This is helpful for a few reasons.

First, fasting forces your body’s cells to resort to other ways to produce energy. That means they are more likely to use fat for energy rather than glucose, which can help you lose weight.

Second, fasting helps bring your attention more fully to what you usually eat. It reminds you that you don’t need to be consistently consuming, and can help you to approach your diet more mindfully.

Finally, fasting can be just what your body needs to jumpstart your weight loss. It pulls it out of its habitual way of burning calories and forces it to regroup.

Most of us fast when we sleep. You can easily extend that time by choosing to stop eating after 8:00 at night and not to eat again until 8:00 the next morning. That simple 12-hour fast can help increase bodily repair and make it easier for you to lose weight.

In a recent review of 27 trials, researchers found that intermittent fasting resulted in weight loss of 0.8 percent to 13 percent with no serious adverse events.

Stress Management

5. Develop stress-management tools.

You may not realize it, but stress could be a tall barrier between you and your efforts to lose weight.

Particularly if your stress is ongoing—or chronic—it could be having a large effect on your ability to reach your health goals.

In a 2017 study comparing stress levels and body weight, researchers found that levels of the stress hormone cortisol in the participants’ hair were significantly correlated to larger waist circumference and higher body mass index (BMI).

In a later study, researchers again found that higher cortisol levels and chronic stress were predictive of greater future weight gain.

The problem is that cortisol is a strong appetite stimulant, meaning that you will be more inclined to eat when you’re stressed out. You know how it goes—you’re having a rough day, so you reach for comfort food. And usually, that food is not good for you.

Worse, any excess calories you consume because of high cortisol are more likely to be deposited in your belly. Hello, belly fat!

We can’t eliminate stress in our lives. But we can incorporate regular activities that will help reduce it. We all know this. The problem is we’re not doing it often enough. Schedule it into your day. Relieving stress is just as important as exercising and eating a healthy diet.

Good stress-relieving activities include:

  • Daily exercise
  • Time outdoors in nature
  • A healthy diet
  • Social support
  • Yoga and tai chi
  • Meditation
  • Journaling
  • Pet therapy
  • Music
  • Crafts
  • Deep breathing
  • Anything that helps you feel calm and centered

6. Check your drinking habits.

Though moderate drinking levels aren’t likely to hurt your weight-loss efforts, if you drink more than 1-2 drinks a day, it may be time to re-examine that habit.

Alcoholic drinks contain extra calories that can contribute to weight gain if you’re not careful. In one study of over 7,600 men, researchers found that heavy drinkers (over 30 grams a day) showed the greatest weight gain and had the highest rates of high BMIs over a five-year period. It didn’t matter what type of alcohol they drank.

In another study of nearly 5,000 participants, men who consumed more than 60 grams per day of alcohol were more frequently obese compared with non-drinkers. They were also more likely to have larger waistlines.

Simply drinking alcoholic beverages may also encourage you to eat too much or eat unhealthy foods. In a 2017 study, researchers found that alcohol consumption could lead to “overeating episodes.” Reducing alcohol could help increase willpower when it comes to diet.

How much alcohol can you drink and still lose weight? Scientists attempted to answer that question in a recent 2021 review. They found that beer seemed to have a direct effect on weight gain, particularly waist circumference in men. According to their results, about 16.9 ounces of beer per day could hinder your ability to lose weight.

Lose Weight Sleep

7. Get 7-8 hours of sleep per night to lose weight after 40.

When you don’t get enough sleep, you’re more likely to gain weight. It’s that simple.

There are a lot of reasons for this, mainly because of the way sleep deprivation affects your hormones. But the bottom line is that every time you fail to get 7-8 hours of sleep per night, you’re making it much harder for your body to lose weight.

In a 2017 comprehensive review of the literature, scientists found that individuals who regularly slept less than 7 hours per night were more likely to have higher BMIs and to develop obesity than those who slept more.

Lack of sleep stimulates stress hormones, which as noted above, can lead to weight gain. It also increases hormones related to hunger, making you want to eat more foods high in carbohydrates. Finally, it leads to fatigue, which usually leads to less physical activity.

How do you know how much sleep you’re getting? You can check when you go to sleep and get up, but that’s not always accurate. It doesn’t tell you, for instance, about the quality of your sleep.

I recommend you go a step further and track your sleep. We have technology now that allows you to track not only how long you sleep but helps analyze your sleep patterns so you can improve your sleep schedule and environment.

Check out these tools for comprehensive sleep tracking, then choose one that will work for you and get serious about your sleep!

8. Get stronger.

We talked about muscle loss above, and how it’s related to weight gain.

The good news is that the opposite is often true—gaining muscle loss correlates with losing weight.

Several studies show this to be true. It works because building up your muscles through resistance training changes the way fat cells operate. As your muscles are stressed through lifting, pushing, or pulling, cells release a substance that instructs fat cells to start the fat-burning process.

This change affects the muscles, for sure, but it can also set off a fat-burning response throughout the body. The more resistance training you do, the more you can change your body to support long-term weight loss.

In a study by the Harvard T.H. Chan School of Public health, researchers found that men who performed 20 minutes of weight training each day showed a smaller age-related increase in abdominal fat, compared to men who spent those 20 minutes doing aerobic activities.

Resistance training also helps lower the risk of developing type 2 diabetes. But even if you have diabetes, strength training can help. In one study of older men who had already been diagnosed with type 2 diabetes, two sessions per week of resistance training significantly improved insulin sensitivity and fasting glycemia, and decreased abdominal fat.

Lose Weight Movement

9. Incorporate more daily movement into your life.

Yes, your daily workout is important. But as you age, moving more throughout the day is even more important.

That’s because overall, we are more sedentary than we used to be. In a study comparing 19th– and 21st-century Americans, researchers found a half-hour decline in daily physical activity. They also found that Americans’ resting metabolic rate—the total number of calories burned when the body is completely at rest—has fallen by about 6 percent since 1820.

This, despite our devotion to daily workouts.

In another study published in the American Journal of Epidemiology, researchers found that replacing just 30 minutes of sitting with any kind of movement, every day, could help you live longer. And in a 2018 study, scientists found that standing instead of sitting for six hours a day could prevent weight gain and help people to lose weight.

It can help to keep track of how much time you spend sitting each day, and how much time you spend moving. You may be surprised.

The key to losing weight after 40 is to move more throughout the day. The more you sit, the more your large muscles are not using glucose, which can cause blood sugar levels to rise. Prolonged sitting can also change the activity of genes in such a way that they promote more fat storage.

Try these tips:

  • Set a timer that reminds you to get up and move around at least once every 30 minutes.
  • Incorporate walking into your meetings and outings with friends.
  • Park far away and take the stairs.
  • Adopt a dog.
  • Keep a jump rope in your office.
  • Turn on the tunes and dance.
  • Make it a habit to head out for a walk or play a quick game of catch when you get home from work.
  • Keep exercise equipment available.

10. To lose weight after 40: focus on establishing new daily habits.

If you want one tip to lose weight after 40, this is it: change it up!

What you did a decade or two decades ago is no longer going to work. You have to try something new.

After you talk to your doctor and get tested, sit down with your planner and create a new schedule. When can you cook a homemade meal? Add more resistance training to your schedule? Move more?

On what days will you take a walk or get back to your woodworking to reduce stress? When will you get that new sleep tracker? On what days will you fast for 12 hours or more?

You get the idea. Make some real changes in your life, and you’re likely to be more successful.

Remember—you can contact us for a personalized consultation. We can help you create that weight-loss plan that will be much more likely to work for you.

8 Reasons Why People Are Talking About Peptides for Men

Have you heard the buzz about peptides for men?

There is a lot of exciting research behind how these molecules can help men address many of the health issues they’re most concerned about.

I’m talking about weight gain, low libido, fatigue, difficulty burning fat or building muscle, poor workout recovery, issues with sexual performance, and more.

You can choose to “live with it,” or you can be proactive and find out how peptides may help you.

What are Peptides?

Peptides are similar to proteins, just smaller. Like proteins, they are made up of amino acids, but it takes fewer amino acids to make a peptide than it does a protein.

In the human body, peptides are present in every cell and tissue where they perform a wide range of functions.

They may stimulate hormone production, boost the immune system, fight off infections, regenerate bone and muscle tissue, aid in healing, delay the appearance of aging, improve sexual function, and much more.

In general, peptides are short chains of amino acids (typical between two and 50), whereas proteins have more than 100 amino acids. Your body naturally produces peptides, but as you age, your peptide production slows down and levels decline.

There are thousands of peptides, and there’s extensive research underway to identify what they can do. In this post, we’ll focus specifically on those specific peptides that we know help boost men’s health.

What are Peptides for Men?

In the men’s health arena, peptides are garnering lots of attention because they are producing real results. Those things that you care about—like bulding muscle, improving sexual performance, exercise recovery, losing weight, boosting cognitive function—may be improved by using peptides.

In other words, if you’ve got specific goals you’re trying to reach or you’re starting to feel your age, peptide treatments may be ideal for you.

Peptides Picture

How do Peptides Work?

Throughout your body, you naturally produce peptides for very specific functions.  Once created, they act as messengers, giving specific instructions to other cells or organs, often telling them to increase the production of something the body needs.

Traveling throughout the bloodstream, they attach to specific receptors to relay information from one tissue or organ to another, Once attached, they “upload” their message, and then the cell or organ responds.

Signs You May Be Low on Peptides for Men

As you age, your body‘s supply of certain peptides diminishes. How do you know whether you’re coming up short?

Ask yourself if you’re suffering from any of the following symptoms:

  • Decreased energy
  • Reduced libido and/or sexual dysfunction
  • A significant drop in muscle or lean body mass
  • Difficulty focusing at work
  • Poor sleep
  • Memory problems
  • Increased abdominal fat
  • Diminished sense of vitality
  • Anxiety or depression

Though peptide therapy is considered an anti-aging therapy, men of all ages may benefit depending on their specific health goals. The ability to personalize your peptide treatment to focus on certain areas of health and fitness is one of the reasons why peptides have become so popular.

8 Reasons Why People Are Talking About Peptides for Men

Because of the wide variety of available peptides, it’s important to talk to a doctor with experience in peptide therapy before starting to use them. Together, you can determine which ones—and which combination—might be most effective for any issue you want to address.

1. Peptides may help you build lean muscle.

Athletes have long used human growth hormone (HGH) to help build muscle and improve athletic performance. Due to safety concerns, however, it was banned by the International Olympic Committee in 1989 and has been looked down upon in other professional organizations as well.

In a 2017 study, researchers acknowledged that HGH “increases lean body mass, reduces fat mass, increases exercise tolerance and maximum oxygen uptake, enhances muscle strength, and improves linear growth.” They added that long-term studies of the hormone revealed conflicting results regarding its safety.

Peptides have now become a popular alternative to HGH because they can offer similar benefits without the concerning side effects. In a recent 2020 study, researchers noted that these peptides are potent growth hormones and IGF-1 stimulators that can “significantly improve body composition” while improving fat gain and muscular atrophy.

2. Peptides might help you lose weight.

Some peptides effectively help burn fat, particularly visceral fat and fat around the abdomen. Examples include growth hormone-releasing peptides like CJC 1295 and ipamorelin and amlexanox which can improve metabolism and decrease appetite.

In a 2019 review, researchers analyzed studies focused on peptides to treat obesity. They found that many peptides helped decrease body weight while allowing participants to better maintain weight loss.

3. Peptides can improve sexual dysfunction.

The solutions we have for erectile dysfunction today all operate in the same way—they help increase blood flow to the penis so that you can maintain an erection. They are effective, but they can produce side effects, some that may be dangerous for men with cardiovascular disease.

Peptides that are involved in sexual function operate differently. They are part of the nervous system’s response to sexual arousal. Melanocortins, for example, are peptide hormones that are produced in the brain and are known to be involved in the male sexual response.

In an early study using a synthetic form of one type of melanocortin, results showed that it worked far better than a placebo in helping men to attain and sustain an erection. The researchers called it a “potent initiator of erections in men…”

A later study also found that administration of a similar peptide hormone (PT-141) resulted in a rapid increase in erectile activity—so much so that the scientists concluded that “PT-141 holds promise as a new treatment for sexual dysfunction.”

There is also evidence that peptides can help increase testosterone levels, which in turn, may improve sexual function. In a 2014 article published in Molecular Therapy, author Michelangelo Campanella noted that a particular peptide showed the ability to increase testosterone production. Peptides that naturally boost growth hormone levels may also help to improve testosterone production.

4. Peptides may speed up your recovery time.

After a hard workout, you want to recover quickly so you’re ready to go again the next day. Muscle, tendon, and ligament damage can slow you down, preventing you from reaching your athletic goals.

Here again, peptides may help. In a 2019 study, scientists examined whether consuming collagen peptides before and after strenuous exercise would help improve muscle and bone recovery. They tested 24 active males who consumed either 20 grams a day of the peptides or a placebo for 7 days before and 2 days after performing 150 drop jumps.

Results showed that 48 hours after exercise, the peptide group experienced significantly less muscle soreness than the placebo group. They also recovered more quickly and were able to perform higher jumps at their next workout. Peptides seem to enhance the normal process of tissue repair, helping to speed up full recovery.

5. Peptides may help boost the immune system.

We’re all interested in avoiding infections—even more so today given the recent public health issues.

Several studies have indicated that peptides can help encourage immune function—or calm it down if necessary.

In a 2020 study, researchers reported that certain antimicrobial defense peptides (AMPs) could not only fight off microbes, but boost the immune system when needed, or reduce inflammation in cases where the immune system was overreacting.

An earlier study showed that AMPs were “promising candidates” for use against antibiotic-resistant bacteria. These peptides could help boost the action of some antibiotics against these difficult bacteria, helping the medications to work more effectively.

Other studies have found that AMPs can protect against pathogenic bacteria, fungi, and viruses, potentially increasing your resistance to infections. Peptides that encourage the production of HGH may help too since HGH plays an important role in enhancing the immune response.

6. Peptides have anti-aging properties.

We all want to stay as youthful as possible. If you’re beginning to “feel” your age, ask your doctor about peptides.

Preliminary research suggests that peptides may act in several ways to help slow the process of aging.

In a recent 2020 study, scientists noted that they could reduce oxidative stress, improve glucose metabolism, lower LDL “bad” cholesterol, improve insulin resistance, and perhaps even extend lifespan.

7. Peptides show promise in maintaining bone health.

Specific collagen peptides may help to improve bone mineral density (BMD). Though women are more likely to experience bone loss with age than men, men can still be at risk, particularly if they:

  • have low testosterone levels,
  • smoke,
  • have digestive disorders,
  • or abuse alcohol.

In a 2018 study, scientists found that the intake of specific collagen peptides helped significantly increase BMD, which in turn, can help reduce the risk of fractures. The next year, scientists reported again that a collagen peptide solution targeted and modulated the function of bone-remodeling cells, helping to support bone health.

8. Peptides may help you look younger.

Applying a skincare product that includes peptides may help you fade the appearance of lines and wrinkles while delaying sagging.

In a 2020 study, researchers found that the topical application of peptides increased collagen content in the skin, improving wrinkles.

An earlier study also showed that peptides helped reduce the appearance of wrinkles with fewer side effects than Botox.

8 Reasons Peptides

Are Peptides for Men Safe?

Because peptides are naturally occurring in the body and in food, they are unlikely to cause serious side effects in healthy people as long as they are taking in reasonable amounts.

In a recent review of the scientific literature, researchers stated that the peptides available today “show negligible toxicity,” while another review reported that peptides have a “good safety profile” with a promising future in human health.

It is important to note, that the U.S. Food and Drug Administration (FDA) does not regulate supplements in the same way they do medications. Manufacturers are not required to study the supplements and then submit clinical data. As long as they use approved ingredients, they can market their products as they please.

For this reason, it’s important to work with a doctor who has experience with peptide therapy and can prescribe peptides from a reputable compounding pharmacy with top-notch quality assurance.

What Are the Most Commonly Used Peptides for Men?

Below are some of the most common peptides used today in men’s health. It’s important to note that peptide therapy is individualized to each man. Work with your doctor to discuss which ones may work best for you.

Growth Hormone-Releasing Peptides

As mentioned earlier, production of HGH tends to decline with age. HGH plays several important roles in the body, including helping build muscle and bone, burn fat, boost workout recovery, improve insulin sensitivity, and boost metabolism.

Boosting production is a key part of an overall anti-aging strategy.

Growth Hormone-Releasing Peptides tell the pituitary gland in the brain to produce more human growth hormone (HGH).

An examples of peptides that promote the release of HGH include ipamorelin, sermorelin, and CJC-1295.

CJC-1295 is a peptide that increases growth hormone releasing hormone secretion from the hypothalamus, which stimulates pituitary secretion of growth hormone. It’s often combined with ipamorelin, a peptide that blocks somatostatin, an inhibitor of growth hormone, thus removing the ‘brakes’ of growth hormone secretion.

Together, these two peptides can increase muscle mass and strength and improve recovery time—helping you get more out of your workouts.

BPC-157 (Body Protective Compound 157)

Fifteen amino acids come together to form this peptide, which was discovered in human gastric (digestive) juice. BPC-157 reduces gastrointestinal, systemic, and joint inflammation. It has been found to accelerate healing, including tendon and bone healing. It may also help prevent stomach ulcers, relieve joint pain, and decrease damage in muscle strains and tears.

Thymosin Alpha 1

Scientists have been researching thymosin alpha for over a decade. It stimulates improved immune function by optimizing T cell immunity.

Thymosin Beta-4 (TB-4)

This peptide is naturally produced in larger amounts where tissues have been damaged. Its primary function is to promote healing in all kinds of tissues. These include those in the eyes, muscles, tendons, heart, and skin.

PT 141

Also known as Bremelanotide, this is a synthetic peptide that mimics the natural peptide alpha-MSH (alpha-melanocyte-stimulating hormone), which is produced in the brain. It works to help increase sexual desire and improve erectile dysfunction. Because it operates through the nervous system rather than the vascular system (like Viagra and Cialis do), it may be safer for some men with diagnosed heart conditions.

GHK-Cu

GHK-Cu is a naturally-occurring powerful copper peptide. It helps promote healing by reducing inflammation, stimulating collagen production, and reducing pain (including nerve pain). It may also help overcome hair loss.

How Do You Take Peptides?

Depending on your recommended type and dosage, you may take peptides through various routes. These include subcutaneous injections, oral medications, and topical creams.

Should You Use Peptides for Men?

Peptide therapy can provide amazing benefits. Talk with a doctor experienced with prescribing peptides to determine which ones are right for you.  They will consider your health status, performance goals, and other factors before  the best type of peptide therapy for you.

If you’re curious about how you may benefit from peptide therapy, schedule a free consultation with a men’s health advisor today.

Food for Athletes: Fueling for Performance

Food for athletes, fueling performance | Gapin Institute

Food for Athletes: Fueling for Performance

When it comes to living a healthy lifestyle, two fundamental pillars are nutrition and physical activity. These can contribute to a lowered risk of so many physical diseases and conditions along with improved mental health and well-being. Healthy dietary recommendations include minimum levels of nutrients you need every day. These include protein, healthy fats, vitamins, and minerals. But there are some additional nutrition recommendations for athletes, whether you’re competitive or recreational.

Fueling your body for performance is going to play a key role to help you reach or exceed your fitness goals. When it comes to activity, the 2018 Physical Activity Guidelines for Americans recommends about 30 minutes of activity 5 days each week (or about 150 minutes per week). You may do that much activity, or you may do much more.

The nutrition recommendations I’m sharing in this article apply to both dedicated, competitive athletes looking for an edge over the competition, as well as recreational “weekend warriors.” Whichever scenario you’re in, if you are active, you need to know these. Read on to learn many of the foods that are filled with the energy and nutrients necessary for training and adequate recovery—and the ideal timing so you know when to consume them.

Nutrients for Athletic Performance | Gapin Institute

Nutrients for athletic performance

There are several nutrients to pay attention to when you’re being physically active including fluids, calories, carbohydrates, and protein.

Fluids

Water is the most important nutrient for athletic performance because it keeps the body hydrated and at the right temperature. During one hour of vigorous exercise, your body can lose several liters of sweat. As little as a two percent drop in hydration can negatively impact your performance.

How do you know how much fluid to drink? In general, clear urine is a sign of adequate hydration, so keep this in mind and be sure to drink plenty of fluids even if you won’t be exercising right away. And when you are exercising, drink the recommended amounts at the recommended times outlined in the section below, even if you don’t feel thirsty.

Calories

If you’re very physically active, you’re going to need more calories than someone who is not very active. You need fuel to provide your body with the strength and energy it needs to perform. But, be careful. People tend to overestimate the number of calories burned during their workouts, so be sure not to take in too many extra calories.

For example, a competitive male athlete needs 2,400-3,000 calories per day, and a competitive female athlete needs 2,200-2,700 calories per day. If you’re not competitive, you don’t need this many.

Carbohydrates

Carbohydrates are the fuel your muscles burn when they are working.

There are two types of carbohydrates: simple and complex. Simple carbohydrates are sugars found in sodas and sweetened foods and often provide a lot of energy, but rarely provide many vitamins or minerals. Simple carbohydrates are also found in white pastas, breads, and cereals. Complex carbohydrates, on the other hand, are starches and contain more nutrients including vitamins, minerals, and fiber. Examples of foods with complex carbohydrates include fruits, starchy vegetables, whole grains, legumes, nuts, and seeds.

For your everyday carbohydrate needs, stick to complex carbohydrates. However, when it comes to vigorous exercise, simple carbohydrates can be used before, during, and after an intense workout. This is because more intense exercise needs more carbohydrates to immediately burn as fuel. Having simple carbohydrates helps you feel more energized before a workout, work harder, and recover faster, but they’re not recommended as your primary source of carbohydrates.

Protein

Protein is an essential component of muscles (in addition to its importance for other functions such as tissue repair, bones, immunity, enzymes, neurotransmitters, etc.) and that’s why your protein intake is particularly important if you’re focusing on muscle-building resistance exercises. Also, once carbohydrate stores are used up, your body can turn to protein as an alternative fuel source. That’s why some athletes need more protein than non-athletes. For example, many athletes need up to 2 grams protein/kg/day, or if doing intense training, then up to 2.2 grams protein/kg/day.

This doesn’t mean that you need to focus on high-protein foods or use protein supplements if you’re eating enough calories. That’s because most Americans already eat twice as much protein as they really need. Recommended sources of protein include lean meats, eggs, dairy, nuts, and legumes.

Nutrition Working Out | Gapin Institute

Nutrition for different types of exercise

By consistently eating a range of nutrient-dense foods and staying hydrated, you can continue to improve your performance (and health) over time. Here are a few key nutrition recommendations on how to fuel yourself for performance depending on the type of workout you’re doing and how long it’s going to last.

Before any workout

To avoid dehydration, drink about 2 cups of water about 2 hours before your workout.

PRO TIP: If you want to measure the approximate amount of fluids you are losing by working out, weigh yourself immediately before and after your workout. The difference in weight will be mostly due to the amount of water lost so you can follow the guidelines below on what to consume after your workout to replace those fluids.

When it comes to food if your goal is to improve your athletic performance, say for a big game, don’t exercise on an empty stomach. Have a small meal, ideally with fibrous carbohydrates and only small amounts of fat, about 60-90 minutes beforehand.

If you’re going to work out for less than one hour

Water is your fluid of choice. Drink up to 1 cup every 15-20 minutes throughout your workout.

If you’re going to work out for more than one hour

Before you get started, have some carbohydrates and limit the amount of fat you consume. That might look like a glass of juice, cup of yogurt, or an English muffin with jam.

If your 60+ minutes of activity is going to be an intense aerobic workout, you’re also going to want to have lots of fluids and some carbohydrates during that time. Drink up to 1 cup of water every 15-20 minutes for the first hour.

For your second and subsequent hours, you are going to need to replace lost electrolytes and carbohydrates. It is at this point where you can switch your fluid to a sports drink if you want to. Aim for 5-10 ounces every 15-20 minutes. If you choose to stick with water (instead of a sports drink) for your second hour and beyond, add in some food sources of electrolytes and carbohydrates such as 2-3 handfuls of pretzels or a half of a cup of low-fat granola.

After any workout

Exercise depletes the stores of fluids and energy in your body. Depending on how hard you worked out, you may need to top it up. In general, replace the weight you lost during your training session with fluids. This means that for every pound you lose exercising, drink about 3 cups of fluid within the next 6 hours.

If you were active for less than 60 minutes, you can replace your lost fluid weight with water. If you trained for more than 90 minutes, you’re going to want to have more carbohydrates with a bit of protein two hours later. This can be a sports bar, trail mix with nuts, or yogurt with granola.

Trail mix nutrition | Gapin Institute

Final Thoughts

Whether you’re a seasoned competitive athlete or a recreational “weekend warrior,” fueling your body properly can improve your performance. The first nutrient to consider is water, so be sure to hydrate before, during, and after your workout as recommended. It’s also important to take in enough calories, carbohydrates, and proteins because these will help power your workout, replenish lost nutrients, and give your body the substances it needs to repair itself afterward.

If you’re wondering whether you may need to change up the way you’re hydrating and fueling your physical activities, reach out to me and my team for a free consult! We can review your activity levels, health goals, nutritional status, and more.

References

Bernardot, D. (2018, December 4). American College of Sports Medicine. Ten things you need to know about sports nutrition. https://www.acsm.org/home/featured-blogs—homepage/acsm-blog/2018/12/04/ten-sports-nutrition-facts

Centers for Disease Control and Prevention. (2020, October 7). How much physical activity do adults need? https://www.cdc.gov/physicalactivity/basics/adults/index.htm

Clark, N. (2019, June 18). American College of Sports Medicine. The athlete’s kitchen: Sports nutrition myths busted! https://www.acsm.org/all-blog-posts/acsm-blog/acsm-blog/2019/06/18/sports-nutrition-myths-busted

Clifford, J. and Maloney, K. (n.d.) Colorado State University Extension. Nutrition for the Athlete – 9.362 https://extension.colostate.edu/topic-areas/nutrition-food-safety-health/nutrition-for-the-athlete-9-362/

MedlinePlus. (2019, May 13). Nutrition and athletic performance. https://medlineplus.gov/ency/article/002458.htm

Murray, B. (2019, March 14). American College of Sports Medicine. Everyday nutrition vs. performance nutrition: Clarifying the carbohydrate confusion. https://www.acsm.org/all-blog-posts/certification-blog/acsm-certified-blog/2019/03/14/nutrition-vs.-performance-nutrition-carbohydrate-confusion

Richards, L. (2021, April 20). Medical News Today. Nutrition and athletic performance: What to consider. https://www.medicalnewstoday.com/articles/nutrition-for-athletes

University of Wisconsin School of Medicine and Public Health. (2019, March 4). Eating for peak athletic performance. https://www.uwhealth.org/news/eating-for-peak-athletic-performance

What To Know About Telehealth for Erectile Dysfunction

Telehealth doctor talking with patient

Erectile dysfunction is awkward. And not just in the bedroom—it can feel uncomfortable to talk about in your doctor’s office, too.

I get that. I’m a board-certified urologist, so ED is one of the most common reasons why men come to see me. Even though I talk about it every day, I know it can still be incredibly uncomfortable for my patients.

And while there have been very few silver linings to the COVID pandemic, there has been one: people are much more willing to engage in telehealth or online doctor visits. And, interestingly, that has made men more comfortable speaking to a professional about ED. 

In this article, I want to walk you through what telehealth for erectile dysfunction looks like. I want to dispel some of the myths around it, and emphasize that an online visit with your doctor really can be an effective way to address ED. 

It’s accessible, it’s more comfortable, and it can be effective.

Can Telehealth Work for ED Therapy?

Telehealth for Erectile Dysfunction

Right off the bat: are online ED consultations an effective way to get treatment?

Yes! They certainly can be. Virtually all of the things that I would do in an in-person visit at my clinic to evaluate and diagnose ED, I can do over the phone or via Zoom. 

Several studies have even found that online telehealth platforms aimed at treating erectile dysfunction can be effective. Of course, you always want to make sure you’re having your telehealth consultation with a board-certified physician. 

Benefits of Telemedicine for ED

There are many benefits for telemedicine:

  • Access. Telehealth makes getting ED help much more accessible and less embarrassing than in-person visits. 
  • Comfort. Telehealth consultations done from the comfort of your home helps you feel more at ease and comfortable talking about ED. 
  • Convenience. You can have your doctor’s visit from anywhere on your phone or laptop!
  • Quality of doctor. I’m based in Sarasota, Florida, but telehealth allows men who want VIP-level service to see me from anywhere.
  • Less waiting. No more sitting around for 45 minutes in the waiting room—you’ll know exactly when your consultation starts, and they’re always on time!
  • Same high-quality service. According to research, telehealth patients get the same length and quality of consultation as in-person patients do.

What Can a Doctor Do for You Online?

During an online visit, doctors can order any additional testing needed to manage erectile dysfunction. They can:

  • Conduct a thorough evaluation of erectile dysfunction signs and symptoms
  • Order blood tests to evaluate your hormone levels
  • Provide prescriptions for common ED treatment options like Viagra and Cialis that can be delivered to your home. 
  • Provide information on other treatment options for ED and lifestyle changes that support sexual health
  • Offer follow-up visits to evaluate the efficacy of ED treatments

What Can’t a Doctor Do Online?

There are some cases when you will need to see your doctor in person. If you are experiencing any pain, swelling, or discomfort, an in-person consultation may be necessary so that your doctor can do a proper physical inspection. 

And, if you’re experiencing any of the following symptoms, you should seek emergency treatment:

  • Inability to urinate together with swelling and pain in the lower abdomen
  • A sudden onset of pain in the scrotum, or swelling in the testicles
  • A prolonged, painful erection that lasts more than 4 hours

Those issues require in-person emergency care. But if you’re concerned about difficulty getting or maintaining an erection, telehealth is a perfect option for you.

How To Prepare for Your Telehealth Appointment

Prepare for a telehealth appointment in the same way that you would for an in-person visit. Have a pen and paper handy to take notes if you need to. Make a list of questions that you have beforehand. And make sure you don’t have any appointments right after so that you don’t feel rushed.

Make sure your internet connection is strong and that your camera and microphone work so that we can both hear and see each other. And make sure you have a quiet, private space where you can speak freely.

How it Works: What Will My Telehealth Appointment Be Like?

What Will My Telehealth Appointment Be Like?

When I’m assessing erectile dysfunction, I’m going to ask you to tell me what you’re experiencing and about your medical history. Then I’ll ask some follow-up questions like:

  • How long have you been struggling with trouble getting an erection?
  • What have you tried so far in terms of ED treatments?
  • What are your diet, sleep, and exercise habits like?

There are many different possible causes of ED including vascular problems, low testosteronepoor diet, medications, or even high stress. I’ll ask several questions to try to determine the potential causes. 

Depending on the situation, I may recommend some blood tests so we can check your hormone levels, cardiovascular function, or other key markers. These test results can help identify certain causes of ED and can lead to more effective treatments than a one size fits all pill. 

What Are My Erectile Dysfunction Treatment Options?

Once we understand the cause of your ED, we’ll be able to discuss treatment options. Treatment options for ED can include:

  • Lifestyle changes
  • Hormone Replacement Therapy (HRT Therapy)
  • Oral ED medications like sildenafil (Viagra) and tadalafil (Cialis)
  • GAINSWave
  • The Priapus P-Shot
  • Peptide therapies
  • Stem cell Injections
  • And more. 

Remember that not all treatment options are appropriate for every person. That’s why it’s so important to understand your situation before we decide on a treatment plan—we want to choose the treatments that are most likely to work, and that don’t have unnecessary side effects.

If we choose prescription medications as the best option to treat your ED, we have the ability to discreetly and conveniently ship medications to your home, avoiding a trip to the pharmacy entirely.

How Is a Telehealth Appointment with an Erectile Dysfunction Expert Different From Mail-Order Services?

You can find many online ED clinics that offer you a quick consultation, which is usually followed by a healthcare provider writing you a prescription for viagra. Unfortunately, with those clinics, the provider is almost never an expert in urology with specialty training in erectile dysfunction

The other issue with these online clinics is that, because they make large profits selling oral medications, that’s the only solution they tend to provide. While oral medications like Viagra and Cialis certainly can be effective treatment options, they’re not appropriate for everyone. 

Sometimes ED can be a signal of more sinister medical conditions—diabetes, heart disease, high blood pressure, high cholesterol, and others. Quick visits with online mail-order services may not be thorough enough to catch warning signs of these more serious health conditions that require further testing.

Many of these companies are only in the business of selling you medications. They’re not necessarily providing high quality personalized healthcare. Work with a men’s health expert to  ensure you get the most effective and appropriate treatment options available.

Telehealth Can Help You Combat ED

Telehealth for ED | Gapin Institute

Erectile dysfunction is a legitimate health concern that affects millions of men in the US. We take women’s sexual and reproductive health incredibly seriously, but often ED is trivialized in the public eye.  Erectile dysfunction can take a significant toll on the mental health, drive and self-esteem of guys who struggle with it. It can also signal that something else is going on with your health. 

That’s why it’s so important to get evaluated and treated for ED. You don’t have to suffer from ED or feel marginalized as a result. 

Telehealth is a great option for busy men. It’s private, it’s comfortable, and it’s a convenient way for men to get assessed and treated quickly. Best of all, it is effective. If you need help with ED, reach out and book a call with me today. 

References

Badkhshan, S., Ernst, M., Maiers, T., Shapiro, M., & Chevli, K. (2020). Erectile Dysfunction in Telemedicine: The Standardized Patient Experience. The Journal of Sexual Medicine, 17(1), S14.

Ellimoottil, C., Skolarus, T., Gettman, M., Boxer, R., Kutikov, A., Lee, B. R., … & Morgan, T. (2016). Telemedicine in urology: state of the art. Urology, 94, 10-16.

Hsiang, W. R., Honig, S., & Leapman, M. S. (2020). Evaluation of Online Telehealth Platforms for Treatment of Erectile Dysfunction. The Journal of Urology, 205(2), 330-332

Men’s Health Guide to Boost Your Metabolism

Men's Health Guide to Boost Your Metabolism | Gapin Institute

Boost Your Metabolism | Gapin Institute

Struggling with your weight?

You’re not alone. Weight loss is one of my clients’ most common men’s health challenges. Heck, I’ve struggled with it myself—that’s a big part of what motivates me to help men feel their best.

One reason why losing weight can feel so hard is that it never used to be like this. When we were younger, we didn’t need to worry about what we ate or how often we exercised. We just always used to feel… good. Extra weight just wasn’t a problem. 

But things change as you get older. The body takes longer to recover. And the weight stays on even when you exercise regularly.

One of the reasons that it’s difficult to slim down as we get older is that the metabolism starts to slow. 

This happens to most people, but you don’t have to accept it as normal. There are some things you can do to rev it back up—even in middle age. 

I’m talking specifically about your basal metabolic rate, or how quickly your body burns through the calories you consume. Most people don’t know this, but the majority of the calories we burn each day aren’t from exercise. They’re burned from your body’s normal functioning and maintenance.

Exercising is certainly an important part of any healthy lifestyle and weight loss plan. But if you can also turn up your body’s fire, it’ll make shedding the weight all that much easier. The more your body is burning at its base level, the easier it is to rid yourself of that stubborn body fat. 

Lucky for us, there are things you can do to keep your metabolic rate running at a higher gear. So here are some of my top recommendations for boosting your metabolism to slim down. 

Exercise

Exercising, weight training Gapin Institute

Hands down, the most powerful way to kickstart your metabolism is exercise. It’s effective both in the short term and in the long-term. 

Physical activity like intense cardio or high-intensity interval training (HIIT) increases your body’s energy needs in the short term. To feed itself, your body burns calories faster. That exercise revs the metabolism into high gear, it stays elevated for hours after.

But with strength training, there’s actually a long-term effect as well. Weight training challenges your muscles and actually creates micro-tears in the muscle fibers. Your body then spends a bunch of energy to repair them. When it repairs the muscles, your body both increases the size of the existing muscle fibers and also builds new fibers. Together, these increase the size of the muscles.

And bigger muscles have a greater energy maintenance need. They eat through more energy, even when you’re not exercising. So the more muscle mass you have, the higher your resting metabolic rate will be. 

I’m not saying you need to be Arnold Schwarzenegger to give an extra kick to your metabolism. But including strength training in your exercise routine is absolutely critical for every guy, and it will help boost your metabolism in the long term. 

Eat a protein-rich diet

Protein rich food metabolism boosters | Gapin Institute

It turns out that eating can actually give you a short-term boost in metabolism. This is called the thermic effect of food (TEF). It happens because the body needs energy—a lot, as it turns out—for digesting the food you eat.

But different nutrients lead to different kinds of boosts. 

Researchers have found that protein increases your metabolism at a much greater rate (15-30%) than either fat (0-3%) or carbs (5-10%). So higher protein foods can help you maximize that boost in metabolism from eating. 

Keep in mind that I’m not saying you should only eat protein! Remember that you need to be sure to stick to the macronutrient ratio that’s best for your body. Too much protein can actually hurt your muscle-building efforts by lowering testosterone. Instead, aim for a healthy, balanced diet that includes proteins, healthy fats, and complex carbohydrates. You need to avoid saturated fats, trans fats, and refined sugars.

Research also suggests that plant-based diets create a higher TEF. I’m not saying that you need to become a vegetarian to burn fat, but most of your dinner plate should be things that came from plants—whole grains, beans, legumes, roots vegetables, leafy greens, fruits, and so on. 

Drinking cold water

Cold Water Metabolism booster | Gapin Institute

Among all its other benefits, water has been found in several studies to increase metabolism and aid in losing weight, and cold water may be especially effective. 

Cold water lowers your core body temperature. In response, your body fires up its metabolism to warm you back up. That warming increases the calories you burn.

As an added benefit, water appears to also help you lose weight and burn fat—especially when you drink water in place of sugary drinks. It also helps fill you up so that you don’t overeat or consume too many extra calories. 

Water is, of course, essential to your health in a number of ways. Helping rev up your metabolism is just one way it helps. 

(And if you get tired of  water, green tea is your metabolism’s friend!)

Intermittent Fasting

Intermittent Fasting Metabolism | Gapin Institute

You might think that fasting could slow your metabolism. You’re right, it can: restricting your caloric intake tells your body you’re not getting enough food, so your body starts doing less work. That slows down your metabolism.

But intermittent fasting—restricting eating to only certain time periods—can help fire up your metabolism. It does that by giving your digestive system a break and puts that energy into other functions like building muscle.

Intermittent fasting has been found to have several benefits, including: 

  • Balancing hormone levels
  • Encouraging fat lipolysis—the breakdown of fat
  • Increased growth hormone levels, which helps grow and preserve muscle mass
  • Lowering blood glucose
  • Turning off genes related to inflammation.

When we eat, our insulin levels are elevated. And that means we tend towards fat-storing rather than fat-burning. Fasting helps our insulin drop, allowing our body to tap into our fat stores. 

How do you do intermittent fasting?

There are lots of ways of doing it. I provide some more detailed advice in my book, but some options include:

  • Create eating windows. Here, you only eat within a given window of time. For example, you might restrict your eating to only between 10 am and 6 pm. 
  • Skipped meals. Here, you would skip one meal a day. I normally recommend skipping breakfast as a great way to get started with intermittent fasting.
  • 24/48 fast. Here, you fast for a full day or two. You would only do this about once a month.

The easiest one to follow and requires the least amount of adjustment for most people is setting an eating window. If you’re new to intermittent fasting, I would recommend you start here. 

From there, you can try out a few different variations and see what works best for you.

Several of my clients have had huge success with intermittent fasting. If you usually eat well and exercise but you can’t seem to shed those stubborn few pounds, give intermittent fasting a shot.

Remember, intermittent fasting doesn’t mean you have to eat fewer calories (although most people do end up eating a little less). It just means that you restrict when you eat. 

Sleep

Sleep boosts metabolism | Gapin Institute

There are a number of systemic factors that have a significant influence on our health. One of the ones that many of us underestimate is sleep. 

Getting a good night’s sleep isn’t really sexy, but it is powerful. 

And getting enough sleep actually can help you both feel and even look sexier. For one thing, sleep is when our body builds back muscles after a workout. So if you’re trying to put on lean muscle mass, you don’t want to skimp on sleep. 

Tons of research has also connected sleep to weight loss. Many people think that as we sleep our body becomes less active. But our body is actually very active when we sleep. And all that activity requires energy. So your metabolism keeps burning as you rest.

There’s also research that connects insomnia with weight gain and obesity. One reason for this relationship is that sleep helps modulate neuroendocrine function—how well your hormonal system works. A less effective endocrine system, in turn, alters glucose metabolism, which is how your blood sugar is turned into energy. 

Lack of sleep also seems to decrease insulin sensitivity, decrease leptin (which is involved in how fat gets broken down), increase concentrations of cortisol (the stress hormone), and increase hunger. Together, those things make it harder to break down fat and easier to store it. 

So if you’re trying to lose weight and you’re looking for one quick win, cleaning up your sleep hygiene might just be it. 

The takeaway: create metabolism-boosting habits

The body is a large, complex system. As a physician, I know that better than anyone. 

But sometimes we overcomplicate our health. Or, said differently, sometimes the best things we can do for our health are also the simplest. 

Each of the factors above can contribute to a faster metabolism and help you lose weight. But also note that each of these also contributes to your health in a number of other ways, too. They will help you lower your risk for chronic illnesses, and help you just feel better. 

I encourage everyone to build those habits—both for a faster metabolism and weight loss, but also just for greater overall health. 

At the same time, we need to acknowledge our individual differences. We all have different genes and a different biochemical environment. Our epigenetics also means that we’re all wired to respond differently to food and have different metabolic rates.

Of course, everyone should exercise, eat well, and get enough sleep. But some people may need an additional game plan that’s tailored directly to their particular biology. Some people may need testosterone HRT or hormone therapy; others may benefit from peptide therapies; still others might need to focus on reducing stress

So focus on the recommendations in this article to help you boost your metabolism and lose weight. But if you’re still struggling, consider finding an approach tailored to your body. 

I offer precision medicine solutions that are aimed at creating an individualized plan for you based on your genes and body chemistry. Boiler-plate health advice can be useful, but it may not be enough to help you get through your individual challenges. Get in touch with me for VIP health coaching and an individualized plan.

Schedule a consultation to take control of your testosterone!

Schedule a Call

 

In Male 2.0™, Dr. Tracy Gapin has turned everything we once thought we knew about men’s health and performance upside down. The old model of how to be “a man” is broken. A man who works himself to death.  Unfortunately, a man who tries to NOT get sick but isn’t really healthy either.  And a man who takes a pill for every ill but is never really cured. That was Male 1.0. Now, imagine being THE MAN ─ owning your performance in the bedroom, the weight room, and the boardroom. Living a fully optimized life. Becoming limitless. This is Male 2.0!

Tracy Gapin, MD, FACS  is a board-certified Urologist,  world-renowned Men’s Health & Performance Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition, and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on epigenetics, providing men with a personalized path to optimizing health & performance. www.GapinInstitute.com

Want more tips to optimize your health?  Listen to the latest podcasts. Click HERE

References

Du, S., Rajjo, T., Santosa, S., & Jensen, M. D. (2014). The thermic effect of food is reduced in older adults. Hormone and metabolic research, 46(5), 365-369.

Pesta, D. H., & Samuel, V. T. (2014). A high-protein diet for reducing body fat: mechanisms and possible caveats. Nutrition & Metabolism, 11(1), 1-8.

Shechter, A. (2017). Obstructive sleep apnea and energy balance regulation: a systematic review. Sleep Medicine Reviews, 34, 59-69.

Zurlo, F., Larson, K., Bogardus, C., & Ravussin, E. (1990). Skeletal muscle metabolism is a major determinant of resting energy expenditure. The Journal of Clinical Investigation, 86(5), 1423-1427.

Manage ED with Cutting-Edge Science: New Therapies for Erectile Dysfunction

ED therapies | Gapin Institute

Manage ED with Cutting Edge Science | Gapin Institute

Erectile dysfunction (ED) is an old problem. It’s been around for a long time.

But treatment options are fairly new. The first effective oral ED medication—sildenafil (Viagra)—was discovered in 1989 and was only made available by 1998. Then came tadalafil (Cialis) and more recently vardenafil (Levitra, Staxyn) and avanafil (Stendra). 

But our understanding of the causes of erectile dysfunction and how to treat it have grown tremendously since the discovery of sildenafil. These days, we’re able to manage ED with cutting-edge science and new technology.

Here are some of the newest therapy options for treating ED and the science behind how they work.

GAINSWave®

GAINSWave is the process associated with a revolutionary new therapy for ED called low intensity shockwave therapy.

How it works: Low-intensity shockwave therapies like GAINSWave treat ED by sending pulses of energy into the target tissue—in this case, tissue in the penis. The low-intensity shock waves induce angiogenesis, which is the creation of new blood vessels. This increases blood flow to the penis, making it easier to get an erection. 

The therapy may also help regenerate penile nerve tissues by activating key regenerative signaling pathways (PERK/ATF4).

Is GAINSWave effective? The published literature provides good evidence to suggest that it really works. 

In one meta-analysis that included data for 607 patients, researchers found a statistically significant improvement in erectile function in men who received the treatment with no reported adverse side effects.

Platelet-Rich Plasma (PRP)

Platelet-Rich Plasma, or PRP ( sometimes referred to as The Priapus shot or P-shot), involves injecting a concentration of platelets from your own blood into your penis.  

How it works: PRP therapy works by injecting platelet-rich plasma from your own blood directly into the penis. Blood has four components: red blood cells, white blood cells, plasma, and platelets. By removing the red blood cells and white blood cells, doctors can concentrate the platelets and plasma and administer it directly in the penis. 

Platelet-rich plasma contains proteins and growth factors that stimulate stem cells in the penis to promote repair, regeneration, and remodeling of the blood vessels and normal healthy tissue of the penis. After all, remember that an erection is simply increased blood flow to the penis!  The idea is that, by injecting PRP into the penis, it helps restore normal, healthy tissue function and improve blood flow. 

Is the P-shot effective? The research is ongoing but looks promising. In one recent review of several studies on PRP therapy, researchers found mostly good effectiveness with no major side effects or adverse reactions. 

Most of the research on this treatment has been through small studies with low sample sizes, so it’s certainly still in the research phase. More studies are needed so we can better understand how effective this treatment is and for which men it’s best suited.

Peptides

Peptides are simply short proteins – nothing more than short chains of amino acids. But they’re amazing! 

Peptides are signaling molecules that your body recognizes for very precise functions. Peptides can be quite effective in turning back the clock on aging in a number of ways. And some peptides also appear to be helpful for treating ED. 

How it works: Two peptides that have been found to be useful for ED are Melanotan 2 and PT-141. These can be given by subcutaneous injection or by nasal spray and can immediately enhance erectile function. These peptides improve sexual performance by stimulating melanocortin receptors, which are involved in sexual desire and erectile function.

Are peptides effective? Yes! The research on Melanotan and PT-141 suggests that both can dramatically improve erectile function. In one study, Melanotan 2 caused erections in 85% of the individuals, even in the absence of sexual stimuli. 

Side effects can include yawning and nausea. 

Stem Cell Injections

Stem cell injection | Gapin Institute

Stem cells are ‘progenitor’ cells that are not yet specialized and can develop into any other cell in your body.

For ED treatment, stem cells can be used to regenerate normal healthy erectile tissue. Stem cells are harvested from your bone marrow – typically from the iliac crest (the back of your bony pelvis) – and then injected into the penis.

How does it work? Stem cells are used in a variety of therapies because they have been found to regenerate, remodel, and repair damaged tissues. It’s believed that they contribute to regeneration by secreting bioactive chemicals that boost healing. 

Are stem cell injections effective? They appear to be. One recent review that summarized 8 clinical trials in humans found that stem cell therapy could be effective for long-term improvement in erectile function. Stem cell therapy is one of the few regenerative treatments that is specifically FDA-approved for the treatment of ED.

Vacuum Therapy

Vacuum therapy is used both to create erections suitable for sexual intercourse as well as to stimulate growth and recovery of penile tissue to support healthy erectile function.

How it works: With vacuum therapy, a tube-like device is placed around the penis and connected to a manual or battery-operated pump that creates a pressure vacuum. The negative pressure brings blood into the penis and creates an erection. When used for sex, often a constriction ring is placed at the base of the penis to keep the blood in and to maintain the erection.

Is vacuum therapy effective? Yes, the research finds that the method leads to more satisfying erections. It also seems to have a positive effect on the rehabilitation of penile tissue after prostate surgery.

Intracavernosal “Trimix” Injections

Intracavernosal “Trimix” Injections | Gapin Institute

Intracavernosal injections (ICIs), sometimes just called penile injections, involve injecting medication directly into the side of the penis to stimulate an erection. While several different kinds of medication can be used, the most commonly injected medications are papaverine, phentolamine, and prostaglandin E1. When these three drugs are combined, it’s called a “trimix”. 

How it works: These medications stimulate vasodilation of blood vessels and relaxation of smooth muscles in the penis to allow increased blood flow and thus make it easier to achieve an erection. 

Like oral medications like Viagra and Cialis, penile injection therapy is a short-term treatment that helps men get an erection immediately and lasts for a few hours after injection.

Are Intracavernosal injections effective? Yes. Research has consistently suggested that injection therapy can be as effective as PDE5 inhibitors like Viagra, Cialis, Stendra, Staxyn, or Levitra. Injection therapy is a great option for men who can’t take oral medications due to specific contraindications. Always make sure to take medication under the guidance of a doctor, since overdosing with injection therapy can cause major problems! 

New ED Therapies Aren’t Always Better

New ED therapies | Gapin Institute

While the newest, cutting-edge technologies are promising for those with hard-to-treat ED, the fact is that new treatments aren’t always better. Indeed, some of the classic advice on managing ED is as pertinent as ever.

That’s because treating ED requires a comprehensive, systems-based approach. In most cases, lifestyle changes can meaningfully contribute to better sex life.

Here is the less exciting—but still effective—advice I give my VIP clients for better sexual health:

Find the Appropriate ED Treatment for You

These days, ED is almost always treatable thanks to new technology and cutting-edge treatments. But don’t assume ED drugs like Viagra (sildenafil) and Cialis (tadalafil) are the only option for you. 

Instead, get a full evaluation to find the cause of your ED. You want to make sure that it isn’t a warning sign of more significant underlying cardiovascular disease.

As a men’s health expert with over 20 years of experience treating erectile dysfunction,I can recommend the most appropriate ED treatment option for your particular case. 

Schedule an appointment with me and get your ED treated today! 

Schedule a consultation to take control of your testosterone!

Download the Blueprint

Schedule a Call

**************************

In Male 2.0™, Dr. Tracy Gapin has turned everything we once thought we knew about men’s health and performance upside down. The old model of how to be “a man” is broken. A man who works himself to death.  Unfortunately, a man who tries to NOT get sick but isn’t really healthy either.  And a man who takes a pill for every ill but is never really cured. That was Male 1.0. Now, imagine being THE MAN ─ owning your performance in the bedroom, the weight room, and the boardroom. Living a fully optimized life. Becoming limitless. This is Male 2.0!

Tracy Gapin, MD, FACS  is a board-certified Urologist,  world-renowned Men’s Health & Performance Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition, and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on epigenetics, providing men with a personalized path to optimizing health & performance. www.GapinInstitute.com

Want more tips to optimize your health?  Listen to the latest podcasts. Click HERE

References

Campbell, J. D., Trock, B. J., Oppenheim, A. R., Anusionwu, I., Gor, R. A., & Burnett, A. L. (2019). Meta-analysis of randomized controlled trials that assess the efficacy of low-intensity shockwave therapy for the treatment of erectile dysfunction. Therapeutic Advances in Urology, 11, 1756287219838364. https://doi.org/10.1177%2F1756287219838364

Epifanova, M. V., Gvasalia, B. R., Durashov, M. A., & Artemenko, S. A. (2020). Platelet-rich plasma therapy for male sexual dysfunction: Myth or Reality?. Sexual Medicine Reviews, 8(1), 106-113. https://doi.org/10.1016/j.sxmr.2019.02.002

Giuliano, F. (2004). Control of penile erection by the melanocortinergic system: Experimental evidence and therapeutic perspectives. Journal of Andrology, 25(5), 683-691. https://doi.org/10.1002/j.1939-4640.2004.tb02842.x

He, M., & von Schwarz, E. R. (2020). Stem-cell therapy for erectile dysfunction: a review of clinical outcomes. International Journal of Impotence Research, 33, 1-7. https://doi.org/10.1038/s41443-020-0279-8

ED Myths and Facts: What you need to know

ED Myths and Facts Blog | Gapin Institute

I’m a urologist. That means that I was specially trained in the management of men’s health issues, including low testosterone, prostate health, and erectile dysfunction. This is my passion. 

In my 25+ year career, I have found that among all the men’s health issues I manage, erectile dysfunction is one of the most common complaints that brings men to see me. 

It’s the bread and butter of my work. 

Unfortunately, there’s a ton of misinformation around both what causes ED and how to treat it. Sometimes, that misinformation cause guys to needlessly suffer and avoid seeking guidance and support. 

So I want to take this opportunity to dispel some of the most common erectile dysfunction myths and give you the facts. And then I’ll tell you how to get treatment.

Myth #1. “ED isn’t a real health problem.”

Fact: ED can be a sign of much more significant health problems. 

Men tend to think of sexual issues as performance issues and not necessarily true health issues. But problems with sexual function are potentially a sign of much bigger issues. 

ED is often the initial symptom of vascular disease. The blood supply to the penis is quite small, so any atherosclerosis, or plaque in your arteries, can quickly affect normal blood flow and thus cause issues with normal erectile function. 

Erectile dysfunction can be a sign of underlying diabetes, high blood pressure, or other health problems. So think of ED as a “canary in the coal mine” for other potentially serious health conditions. ED can in fact also be associated with early mortality.

I consider ED to be a wake-up call. It should prompt a full evaluation to identify undetected cardiovascular disease or other health issues that need to be addressed.  

Myth #2. Erectile dysfunction only happens in older men

Fact: Erectile dysfunction is more common in older men, but it can happen at any age. 

Yes, ED is more commonly associated with older men. But younger men can absolutely experience erectile dysfunction, as well. In fact, about 25% of guys under 40 experience ED. 

In younger men, ED tends to be more often related to psychological issues or low testosterone, whereas ED in older men is more commonly associated with underlying medical issues such as cardiovascular disease or diabetes.

Myth #3. ED is a normal part of the aging process, so I shouldn’t worry about it

Fact: No one should “settle” for ED.

older man ED blog photo | Gapin Institute

While ED may be common,  we shouldn’t see it as a “normal” part of aging. 

It can be caused by a number of underlying health issues – poor blood flow, hormone imbalance, or nerve damage. But these are issues that can be prevented by prioritizing an optimal lifestyle.  It’s a health issue. And it can be treated. 

There’s no reason you can’t enjoy an active and satisfying sex life as you age. ED may affect lots of men, but that doesn’t mean we should consider it a normal part of the aging process.

Myth #4. ED means you’re not attracted to your partner

Fact: Some people experience ED even when they are very attracted to their partner. 

Erectile dysfunction is complex and can be caused by a number of factors. In addition to medical issues such as peripheral vascular disease and low testosterone, it can also be a result of psychological issues like stress and anxiety. Even lifestyle factors and some medications you’re taking can kill your sex life

So it’s important to realize that ED is not the same as sexual desire. ED doesn’t necessarily cause low libido and vice versa.

Myth #5. ED is caused by tight underwear

Fact: There is no evidence for a connection between your underwear and sexual function. 

It’s true that there is a link between tight underwear and infertility. This is because the testicles regulate their temperature by getting closer to, or further from, the body. Tight underwear can keep the testicles to close the body, which can increase their temperatures enough to reduce sperm production. 

But infertility is a separate issue from ED. There’s currently no evidence for a link between ED and your underwear. 

Myth #6. Any difficulty getting an erection means you have ED

Fact: It’s normal to occasionally have difficulty getting an erection. 

There’s a kind of social pressure to be “ready” all the time… but that’s not always how our body works. 

Sexuality is complicated and impacted by a lot of factors. Men who are sleep deprived, particularly stressed, or just “not in the mood” may not be able to get an erection on command. That’s actually normal—it doesn’t necessarily mean that they have ED.  

ED is diagnosed when a man consistently has difficulty getting or maintaining an erection satisfactory for intercourse. 

Myth #7. ED means you have problems in your relationship

Fact: While relationship issues can impact your sexual performance, there are many other potential causes as well.

ED Myths and Facts | Gapin Institute

Most cases of ED have physiologic causes, not psychological ones.

Sure, relationship issues can cause stress, anxiety, which could lead to ED. But relationship issues are usually not the cause of most men’s ED. 

Myth #8. ED can’t be fixed

Fact: We have very effective treatment options for ED. 

It’s fairly common that men feel like their ED is hopeless and will never get better. The fact is there are many highly effective treatment options available for ED, and almost all cases of ED can be treated. And not just with Viagra!

Myth #9. The only treatment for ED is Viagra or Cialis

Fact: There are many options for treating ED. 

Viagra, Cialis, and the other oral medications completely shifted ED treatment by increasing awareness and providing an easily accessible solution. But there are many other treatment options as well. This includes vacuum device, intracavernosal injections, peptide therapy, GAINSWave, PRP (Platelet-rich plasma, or ‘P-shot’), and Testosterone or hormone replacement therapy for men with low testosterone.

It’s also important to realize that lifestyle changes can dramatically improve your sexual function. Focusing on proper nutrition, good sleep quality and duration, exercising, and effectively managing your stress are part of a systems-based approach to health that has been proven to improve erectile function.

Myth #10. ED is too embarrassing to talk about with my doctor

Fact: ED is a very common issue with men today, even in younger men, and you should feel comfortable discussing it with your doctor.

One of the biggest issues with ED and other sexual health issues is that guys don’t like talking about it.  It can be awkward. But ED doesn’t mean you’re weak. It doesn’t make you less of a man. It just means you need a little help. 

Fact: You can overcome ED

Erectile dysfunction is a real medical condition and it can be serious. If you’re struggling with ED, seek treatment.

But don’t wait for your appointment to make some lifestyle changes that we know help improve erectile function:

  • Quit smoking
  • Eat a balanced, nutrient-rich diet
  • Cut out trans fats, saturated fats, and excessive sugar
  • Exercise regularly
  • Get enough sleep

If you do those things, you’ll set yourself up for success.  If you need help with ED, reach out to me.  

Schedule a consultation to discuss ED treatment.

Take the next steps

Schedule a Call

 

In Male 2.0™, Dr. Tracy Gapin has turned everything we once thought we knew about men’s health and performance upside down. The old model of how to be “a man” is broken. A man who works himself to death.  Unfortunately, a man who tries to NOT get sick but isn’t really healthy either.  And a man who takes a pill for every ill but is never really cured. That was Male 1.0. Now, imagine being THE MAN ─ owning your performance in the bedroom, the weight room, and the boardroom. Living a fully optimized life. Becoming limitless. This is Male 2.0!

Tracy Gapin, MD, FACS  is a board-certified Urologist,  world renowned Men’s Health & Performance Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on epigenetics, providing men with a personalized path to optimizing health & performance. www.GapinInstitute.com

Want more tips to optimize your health?  Listen to the latest podcasts. Click HERE

References

Fung, M. M., Bettencourt, R., & Barrett-Connor, E. (2004). Heart disease risk factors predict erectile dysfunction 25 years later: the Rancho Bernardo Study. Journal of the American College of Cardiology, 43(8), 1405-1411.

Shamloul, R., & Ghanem, H. (2013). Erectile dysfunction. The Lancet, 381(9861), 153-165.

Yafi, F. A., Jenkins, L., Albersen, M., Corona, G., Isidori, A. M., Goldfarb, S., … & Hellstrom, W. J. (2016). Erectile dysfunction. Nature Reviews Disease Primers, 2(1), 1-20.

Capogrosso, P. M.D., Colicchia, M. M.D., Ventimiglia, E. M.D., Castagna, G. M.D., Clementi, M.C. M.D., Suardi, N. M.D., Castiglione, F. M.D., Briganti, A. M.D., Cantiello, F. M.D., Damiano, R. M.D., Montorsi, F. M.D., Salonia, A. M.D. (2013). One Patient Out of Four with Newly Diagnosed Erectile Dysfunction Is a Young Man—Worrisome Picture from the Everyday Clinical Practice. The Journal of Sexual Medicine, 10(7), 1833-1841.

Parazzini, F., Marchini, M., Luchini, L., Tozzi, L., Mezzopane, R., Fedele, L. (1995). Tight underpants and trousers and risk of dyspermia. Internaitonal Journal of Andrology, 18(3), 137-140.