Erectile Dysfunction:

penile erection sufficient for satisfying sexual intercourse. The prevalence of partial or complete ED in men age over 40 is about 50%, and it increases by age.

Potential risk factors for ED:

1. Vascular disorders (The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking and diabetes).
2. Brain diseases (brain tumours, stroke, Parkinson`s disease, Alzheimer’s disease, multiple sclerosis and peripheral neuropathies).
3. Spinal cord injuries.
4. Endocrine disorders:
   1. Diabetes.
   2. Hypothyroidism.
   3. Decreased sex hormones.
   4. Increased prolactin level.
   5. Increased estrogen level.
5. Pelvic surgery.
6. Pelvic radiation.
7. Medications and drugs (beta-blockers, clonidine, loop diuretics, spironolactone, thiazides, alcohol, cocaine, anti-anxiety medications, antidepressants, chemotherapeutic agents, cimetidine, estrogens, anti-androgens, medications for high blood pressure, sedatives and antihistamines).
8. Trauma to the pelvis.
9. Psychological causes (depression, anxiety, and stress).
10. Heavy metal toxicity.
11. Dietary factors (diets high in fats and nutritional deficiencies).
12. Hormonal disorders.

Nutritional Supports:

Restricted Foods:

1. Sugars, refined sugars and sweets. They may interrupt blood circulation.
2. Saturated fats. They cause disturbances in blood flow to the area.
3. Trans-fats.
4. Shortennings.
5. Processed foods.
6. Fried foods.
7. Salty foods.
8. Alcohol and coffee.
9. Additives, preservatives, and food colorings.
10. MSG (monosodium glutamate)-containing foods.
11. Sodas.

Recommended Foods:

1. Plenty of water: at least 2 liters a day.
2. Whole grains.
3. Legumes.
4. Cold water fish: salmon, herring, and mackerel.
5. Enough protein: chicken, turkey and beef.
6. Fruits and vegetables high in flavonoids: berries, pomegranate, sea buckthorn, and green leafy vegetables (kale, parsley, coriander, and spinach), tomatoes and sweet potatoes.
7. Fruits and vegetables high in zinc: legumes, sunflower seeds, liver and oysters.
8. Fruits and vegetables high in proanthocyanidins: berries, pomegranate, eggplant, radish, radicchio, rhubarb, and red cabbage.
9. Foods high in nitric oxide (NO): beets, watermelon, cayenne pepper, dark chocolate, and soy products.
10. Spices high in antioxidants: sumac, turmeric, and cinnamon.

Recommended Supplements:

1. French Maritime Pine Bark Extract: 100 – 200 mg a day. It is a powerful antioxidant that increases blood circulation.
2. Grape Seed Extract: 50 – 100 mg a day.
3. L – Arginine: 3 – 5 grams a day. This amino acid improves blood flow to the area by dilating vessels.
4. Yohime Bark Extract: 500 – 1000 mg a day. The main active ingredient is yohimbine, which increases blood circulation and libido.
5. Yohimbine HCL: 10 – 20 mg a day. CAUTION: yohimbine should be taken under the supervision of a doctor.
6. Panax Ginseng (containing average 5% ginsenosides): 200 – 600 mg a day.
7. Ginkgo Biloba: 240 – 360 mg a day. It is an adaptogen that improves blood flow for the area.
8. DHEA (dehydroepiandrosterone): 25 – 75 mg a day. This is a pro-hormone that may improve erectile dysfunction.
9. Tribulus Terrestris: 1000 – 1500 mg a day. This herb may help ED by increasing testosterone level.
10. Horny Goat Weed Extract (Epimedium): 500 – 750 mg a day. It is a natural aphrodisiac. The primary active ingredient is icariin, which improves blood flow by increasing nitric oxide level.
11. Damiana: 400 – 1200 mg a day. This herb may help ED by increasing blood flow to the area.
12. Zinc: 50 – 100 mg a day.
13. Multivitamins – Multiminerals: A high potency product.

Miscellaneous Suggestions:

1. Liver detoxification.
2. Colon cleansing.
3. Whole body detox.