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00:00
This makes me want to do porn commentary where it's like, okay, like you pause the porn scene, it's like, all right, let's evaluate what's happening here and what the potential consequences could be. They don't realize that porn has not gone through some kind of like
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evaluation of is this safe, is this okay? It's kind of like when people eat food, they're like, "Oh, surely somebody must be testing this." The pain that it causes me to think about all the college age students or the teenagers that are going to be making lifelong decisions based off of misinformation or a lack of
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information entirely is so sad and there's absolutely no reason for it. Hi friends.
Today we have an extremely stimulating conversation. We're talking about sex and how it can be very good for you and also how some of the social
00:48
sexual practices of our modern day pose some potential risks. So hang out with us today and learn of if you're doing anything that may potentially compromise your health and what you can do about it.
>> Who was that band in like the 80s that um did like the R&B song Let's Talk
01:04
About Sex? >> Let's talk about sex, baby.
Let's talk about Now this is a topic of course that is a little bit taboo that it's hard to talk about with adults, your parents, uh others generally. I would say I'm pretty excited to talk about this topic.
I feel
01:19
zero inhibition about almost anything. However, that is not the case for Dr.
Mike Min and Kate Tollo. Uh Dr.
Min, you were mentioning before this podcast you were feeling actually anxious. Tell me more about that.
>> Yeah.
01:35
>> Yeah. Anxious is a good word.
Um apprehensive. Uh maybe a slightly slightly better word.
This is, you know, we're talking about some like not just it's not just talk talking about sex on a podcast. We're talking about like some risky sexual behaviors that are tough to
01:50
talk about in public, I think. And I'm coming from it as a clinician who I feel like I sort of have this expectation that society places on me that I remain professional at all times.
And it feels in some ways hard to talk about these
02:07
these topics outwardly and still feel professional. And I I recognize that that's like my own hiccup and my own upbringing growing up in the southeast being a physician like expectations around what I should and shouldn't talk about.
I I see all that, but it's hard to deny the sensation, you know, that I
02:25
get about a little bit of anxiety when we start talking about this kind of stuff. Yeah.
So, yeah, anxiety is a good word. >> I mean, it makes sense.
>> As Mike, that's great you are honest with that. Can I also point out the irony that you are a medical doctor and I say like by no fault of your own you
02:41
feel pressure about what is appropriate and inappropriate to say on this topic and so I would just say is is this not about Dr. Mike Malon, this is probably a culture of our medical profession where there is an apprehension to talk about the science and biology of sexual
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activities that the things that people have morally said are maybe uh higher risk activities or ones that just don't fall into the blessed areas of sexual activity that there is this coding of like resistance to actually talk about it leaving a lot of people with no
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information whatsoever. So I'm happy that we're having even that conversation because that alone is useful for people to internally feel like hey there's resistance to even talk about these topics >> 100%.
Yeah. >> Yeah.
And I can definitely relate to this. I feel like I am searching my brain about so consciously I feel great
03:31
about this topic. I'm excited to talk about it.
I am someone who grew up on the internet and researching these things for myself because that was the resource I had. And so I wish that people had been talking about it more openly so that it wasn't this secretive thing you need to research.
Subconsciously, you know, I feel like my
03:47
heart rate's a little bit higher. My palms are sweating.
So clearly there's some things happening in the background that I'm just like not aware of that are saying, "Hey, this is a taboo topic." And you know, I'm nervous, too. >> You know, Kate, your comment makes me think I really wish we had real time heart rate counters on screen.
04:04
>> Oh, that would be so cool. Throughout the entire thing, you'd see me like >> like F1.
Yeah, like F1 where you're like you're seeing like who's getting anxious, who's getting stressed out, like who's got a point. Yeah, that would be so cool.
>> Yeah, I'd be like in the the low 50s. Mike, you and Kate would be like the 70s.
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>> I'm actually checking my heart rate right now. >> Me, too.
>> Yeah, actually. Okay, do it.
Do it for check. All right, everybody do checks.
Where you at? >> Okay.
>> Oh, 67. That's pretty high for me for sitting down.
Normally, I'm in like the 50s. >> I'm 88.
I hit 70.
04:36
>> Oh yeah, I'm 88. 89.
>> I'm calibrating. It'd be nice to know what my HRV is.
I bet it's in the pooper right now. >> 52.
>> Oh man. >> 51.
>> That's like my while I'm sleeping. >> Big surprise.
Brian's got his beat. Yeah.
04:51
>> Okay, cool. So you guys, now that we've established that there is a mixture of anxiousness, but also excitement and calm about these topics, let's first give everybody the good news.
There's a lot of really positive evidence that sex is good for you. Can Mike, can you run
05:08
me through what specifically why is sex good for you? >> Let's do this quickly because I know we have topics that we won't get into that are maybe not so positive.
Um, but I think setting a baseline understanding of the benefits of sex is super important. So, first off, sex is
05:24
exercise for all intents and purposes. The average person is burning about 85 calories um per intercourse, which is like going for a walk.
So you're actually getting cardiovascular fitness and benefit from having sex on a regular basis. It's also a stress reliever.
So
05:39
we see that that sex can lower cortisol levels. It can release oxytocin uh which is the love hormone.
It can release endorphins. So it's beneficial from that standpoint and also because of that is often associated with a reduction in depression.
So about 20 to 40% reduced
05:56
risk of depression if you have regular sex, frequent sex. We've also seen that it can increase your immune system by releasing higher levels of IgA.
So, there's an immune system boost and there's a cancer reduction um specifically for men. So, men who ejaculate 21 times or more per month
06:12
have a 20 to 35% uh reduction in prostate uh cancer risk. And then if we look more broadly, there's also a longevity benefit.
So, um people who are having um regular sex have a lower risk of all cause mortality. And then finally
06:27
we see things like um just uh subjective benefits like uh reduced pain, increase in pain thresholds, reduced heart rate variability, um improved sleep quality. All of these things point to a act that has a significant longevity benefit that
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is something that we should be prioritizing in our lives. >> So in short, if you're not having sex, it would be a good thing for you to increase the total amount of sex in your life.
Is there anything specific around orgasms that is necessary for these benefits? Do you know?
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>> Some of them likely require orgasms. So, there's a parasympathetic sympathetic activation that happens with orgasms that is probably having a benefit um as well with things like HRV, some of the depression associated symptoms, but some of it is just the movement, the actual like the energy required in sexual
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intercourse is having, you know, benefit. So, the more you're doing that, the more you're getting that additional movement, but there's also like this connection piece that I think is is hard to quantify, right?
That I think we all recognize um is is a part of sex and a part of being human. Um so, a lot of
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this is I probably not studied well enough to say for sure, Kate, but I suspect that there there are benefits to the intercourse itself as well as the orgasms themselves. >> Yeah.
And the intimacy of having the closeness with a partner. And then it's important to note for women specifically that um only 18% of women orgasm from
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vaginal penetration alone. So um most women require clitoreral stimulation.
And that makes sense because the clitoris has 8,000 nerve endings in there. And so it's important if you're a female listening.
This isn't talked about enough. So make sure that you're
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um getting to know your own body and making sure that you're you're pleasuring yourself and and having a good relationship with a partner as well. How many nerve endings are there in the penis?
>> Pretty sure it is similar. Um it includes uh the the glands of the penis and the foreskin.
Uh but very similar to
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the clitoris is my understanding. >> Those are the benefits and why it's important.
This isn't trapped under the you know taboo restrictions of society. We want to talk about this as a biological function for the body.
And so let's now talk about the other side of things where there are actually risks involved with the sexual practices. So,
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we're actually going to cover a couple of topics that are specifically things that you may be doing in the bedroom that you don't realize are risky behaviors. This isn't to change your behavior.
It's to inform you so that you can make a educated decision on what risks you are going to take and how to
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prevent risk exposure. So, just to give you an idea on like stats around risks, um one in two sexually active people will contract an STI by the age of age 25.
So, these are young people. 50% of them contracting STI.
So it's it's
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really important that we have these open conversations. Fortunately, most are treatable.
So that's good. So let's talk about the first topic, choking during sex.
We posted about this on X this week and I got a really engaged response. So I think we tapped into something that is a topic that a lot of people care about.
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So this study that we looked at, it takes 32 college age women and half of them had been choked during sex four or more times in the last month and the other half hadn't. They got their blood work done and they saw an increase in this protein called S100B
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which is linked to things like traumatic brain injuries. And so what we're seeing here is that there are real biological repercussions of being choked during sex.
So Mike, what does this say if you're seeing this protein spike that is similar to a traumatic brain injury?
09:56
Yeah. So, just like you mentioned, Kate, S100B is um associated with uh brain injury.
And the reason for that is because it's um it's more closely associated with um cell repair and signaling within the brain and is often um found to be elevated when there's a
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damage to the protective layer around the brain. Uh most specifically what's called the bloodb brain barrier.
And that's been associated with concussions, traumatic brain injury, brain swelling, uh and even sleep disruption. Um, so the fact that there was this elevation in this S100B protein, while it doesn't say
10:30
that there's definitely brain damage, it's often used in clinical trials as a surrogate to subclinical brain damage, meaning brain damage that where we don't see outward signs yet. And it's certainly concerning for like what could potentially be some form of damage to
10:45
the brain that occurs from these these choking events. So, while not definitive, it's definitely concerning.
Now Brian, you actually test this this marker on yourself on a regular basis. Correct.
>> We do. We just started doing this maybe uh a year and a half, two years ago.
We
11:00
were evaluating how do you measure high quality sleep. So people are accustomed to looking at REM and deep.
You can look at your wearable data, but we wanted to go deeper and say what is the bio what what are my what's my body reporting out in terms of its chemistry? And we found this marker specifically of people who
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were sleepd deprived had elevated levels of S100B equal to a traumatic brain injury. And so really is a a marker of something is wrong.
So the stud is interesting in that people don't connect that choking can potentially have negative health effects. So I like that they included a readout of biology on
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what the effects could be. >> Yeah.
And something to note here is that 70% of teens use porn as a major source of sexual information. So porn obviously is a performance visualization and so if we're educating ourselves through these
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means we could be missing really critical information about things like this. So if you see someone engaging in choking in porn, you don't see negative health consequences because that's obviously not covered in these these online >> content.
This makes me want to do porn commentary where it's like okay like you
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pause the porn scene. And it's like, "All right, let's evaluate what's happening here and what the potential consequences could be." >> I'm sorry.
Just the the visual of that is just like is cracking me up. Like what was that um Mystery Science Theater 3000?
You guys remember that from like
12:22
the the '9s or something where it's like the alien and the guy like watching old movies and then giving commentary to it? I just had like this vision like something similar with like Brian like pausing the video and like giving you the clinical interpretation of what's actually happening.
>> Sorry. >> Yeah.
I I just was imagining when Kate
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was talking, I thought, man, I I feel so sad for people who I mean, young adults who do not have people in their life whom they can speak with. They're watching porn and they don't realize that porn has not gone through some kind
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of like evaluation of is this safe? Is this okay?
It's kind of like when people eat food, they're like, "Oh, surely somebody must be testing this to make sure there's no toxins." No, nobody's testing the food to make sure there's no toxins. It just is tested for things will kill you instantaneously, but not
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in a slow way. And so, uh, most young adults won't know how to interpret that porn has, uh, no safeguards whatsoever in terms of what is actually biologically okay.
And they would improperly conclude. I guess I just felt really really bad in this moment for
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people who do not have a place to go to learn and then engage in things that may be very detrimental to them. And I think to that point like and to the point that we made at the beginning of this topic talking about taboo taboo things and the communication of like some of these more taboo things in society like even if
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you're getting a sex sexual education you're probably not getting education around like you know breath play for example because it is considered like relatively taboo. I'd be interesting to know like personally myself I had a very liberal um sexual education um uh but
14:00
nobody talked about breath play and the risks associated with breath play even though we got taught about all the other STI and all the other sexual things. So I I think like to some extent like while uncomfortable this is a service that needs to needs to be done to the world for the world for sure.
As we talked
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about this online, we're going to throw up on screen a few memes that people generated which I think are helpful because of course this kind of this kind of education is translated to memes which is how people then understand reality. So the internet's great.
I love how people are you know actively
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engaging this. Now now there's we should probably mention there are some limitations on the study.
This is not conclusive that uh choking is proven to be you know detrimental long term. It's meant to to showcase that it's an area of interest.
The data is interesting.
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The the sample size was small. So if you're going to engage in this kind of practice, just be mindful.
There are risks. It's not a risk-free activity.
And so I think but more more research needs to be done, but definitely is very helpful just to call attention to there may be more risk than people are aware of.
15:04
>> Okay. So let's talk about the next taboo topic that people don't talk about that could come with some health risk associated.
This is analingus. This is aka known as [ __ ] where someone uses their mouth, their tongue, their lips to stimulate someone else's anus for sexual
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pleasure. So Mike, a lot of people don't realize that there are things to consider here like hygiene, what you're getting exposed to, even STI.
So could you talk through some of the risks there? >> Yeah, totally.
So this one kind of falls into a bucket of uh bacterial contamination with sexual sexual sort of
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um uh activities, right? The different types of sexual activities.
And I think people don't really realize that fecal tooral transmission is the second most common cause of infectious disease transmission across the world after respiratory. So traditionally this is you know through stool or fecal matter
15:55
getting into water supplies or through you know hand contact with something that someone else contacted with fecal matter on it. But obviously the same applies for oral to anal contact.
And what happens is you can transmit not only STI like some of the ones that we've mentioned herpes, chlamyia,
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ganorrhea, all those things, but also the actual pathogens that we see in fecal matter. So shagela, salmonila, ecoli, camplabacttor, gardia, all those things can also be transferred.
And not just with oral to anal, but al also with traditional oral sex, we see that
16:28
there's bacterial can be bacterial contamination to the genitalia themselves. So oral genitalia um can contact can also transmit these these same microbes.
And and actually while we're on the topic of of bacterial contamination, I think another thing
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that people aren't really aware of is that the most common cause of urinary tract infections is actually at least in young women is actually sexual contact. So 75 to 90% of acute bladder infections in young women happens within 24 hours of intercourse.
and the odds of a
16:59
urinary tract infection jump about 60 times um 48 hours after sex. And this is for pretty much the same reason of bacterial contamination.
Um the fecal matter being in the general vicinity of of sexual intercourse and of course women having a shorter urethra put them
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in much higher risk than men. So, in general, there's an element beyond STI of bacterial contamination that needs to be considered when you're having any types of um of intercourse, whether that's oral to anal, oral to genital, or um traditional um vaginal.
17:32
>> Yeah, I find this fascinating. Like what you're essentially saying, Mike, is that feal matter is dangerous.
Is it can be actually extremely dangerous. I mean to be the second most cause of infectious disease blows my mind because we during
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sex it's such it's there's so much opportunity for there to be contamination there and so sex is often spontaneous and so a lot of people don't want to kill the mystery or put in hygiene practices but it just goes to show how important hygiene is in this to
18:04
make sure you're clean to make sure your partner's clean especially if we're talking about you know people who are 25 and under at college in these kind of circumstances where these things aren't prioritized. This really like hits home for me how important that is.
>> Yeah. In fact, Kate, we created a if you
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must [ __ ] protocol with a breakdown of how you can do this safely. Do you want to go over that?
>> Yeah, that's a good idea. Okay.
So, I'm just going to run through these things. It's broken up into six different areas.
So, firstly is to clean the area. So, make sure that you shower, bathe, use a
18:36
bedet beforehand and use some gentle unscented soap. It's obviously important to not introduce different things in that area, especially as a female where you have a pH level in your vaginal canal.
You want to maintain that. So, gentle soap is important.
Same thing to don't douche. A lot of women um don't
18:52
realize that that's not great for your vaginal area. Make sure you trim and clean fingernails so that no bacteria is caught underneath them.
Next topic is the mind the timing of doing this activity. So, avoid doing this right after a large meal or a bowel movement because obviously there'll be more risk
19:08
of exposure there. And if there's any kind of diarrhea or GI issues, skip it altogether.
You can also use protection. So you can use dental dams.
They are similar to a condom in their way that they work. So it's a layer of latex between you and your partner to help
19:24
protect. Know what risks that you're taking.
So [ __ ] can transmit things like H uh hepatitis A, EC coli, obviously we talked about HPV, herpes, gorrhea, worms. Avoid it completely if there's any visible sores, recent STI diagnosis, if your partner hasn't been
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tested. It's important has had other sexual partners.
If there's a weakened immune system, or any known gut infections, and then finally, make sure you do afterare. So, if you've engaged in this practice, rinse your mouth out, brush your teeth, wash your hands and face, clean yourself generally, and then
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monitor for any issues that might arise. I would also argue that this is our [ __ ] protocol, but it's generally a really important protocol for sex, especially as a female.
You know, getting UTI can be a quite serious infection and you might have to end up on antibiotics which are also not free.
20:13
So, generally keeping these hygiene practices is really important. >> Yeah.
For those of you uh who are listening, it it would probably be a good idea that in this moment I remember a study that was done years ago by Dan Reley on uh his book was predictably
20:28
irrational and uh he did this study where he asked people if they would engage in beastiality in a questionnaire and as expected the number came back very very low and then he asked that same set of questions in the moment of heightened
20:43
arousal when they were masturbating to pornography and the number of people who said they'd be open to beiality after you know in in the heightened state of arousal was was dramatically higher. So he was just trying to demonstrate the basic intuition we all know that when we are in a state of arousal we tend to do
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things that we otherwise would not do when we're not in that state of arousal. And so it's better to make decisions before you get into that state where you lose some some guard rails on good decision-m.
So in this case on this protocol like Kate was saying, this is not just for [ __ ] This is just
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general good hygiene for all sexual practices. I would encourage you to make the decision now that before you engage in any kind of sexual interaction, take care to understand the protocols for hygiene for yourself and your partner.
21:30
Like that's great in the moment. And even a more advanced version would be to be getting testing before engaging in sexual activity.
So getting tested for STI, STDs, having an open conversation. I know some people say that kills the vibe, but it could be a form of
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foreplay, but these are just very practical, reasonable things everybody wants to do. And like Kate was saying, if you do get an STI or STD, uh it's it's a hassle to deal with.
There's an antibiotic uh course you have to deal with. So, it really is it's much better to do prevention than it is to do uh
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treatment on the back end. >> We can't expect ourselves to make entirely reasonable, rational decisions in a moment when we haven't already had time to think about it.
So, if you're listening to this podcast, know where you stand on these issues so that if you find yourself in this position, you know where you stand and it's not this
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spur-of-the- moment decision. Okay, you guys want to move on to the next study that we found which we thought was really interesting.
So there's this new study that looked at 75 HIV negative men around the average age of 31. Um and these are folks that are engaging in homosexual practices of being, you know,
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in colloquial terms are top bottom or versatile engaging in both. So this is where you're insertive, you're doing penetrative sex to another male or you're receiving that back.
And the wild part is that you can actually see what your sexual preferences are in these
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groups based on your gut microbiome. So Mike, what was discovered here?
>> Yeah. So they they took these groups of men and they they broke them up into three different groups where they're um either insertive only, receptive only or combined and they looked at the gut microbiome of each one of those groups.
23:07
And two different sort of phenotypes or uh microbiome types u emerged. One dominated by a specific bacteria was um found to be higher in those men who did both um insertive and receptive.
And they found um that those particular men
23:24
broke down more amino acids and fewer carbs and fats, whereas the group that was high in the other bacteria was found to lean more towards carb and fat metabolism. So this is really interesting because not only are we seeing a change in the gut microbiome associated with the sexual practices of
23:41
these of these men, we're actually seeing a change in the way their body uses nutrients, whether they're um digesting amino acids or fats and carbohydrates. And that's just like this just kind of blew my mind.
The fact that there's this much correlation between our sexual practices and the way our
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body actually functions. So really interesting data.
You know the thing I loved about this study is the you know we are trillions of cells. Like each one of us is almost 70 trillion cells.
In fact uh the average human is 38 trillion bacterial cells and 30 trillion human
24:13
cells. So we are more alien or more bacteria than we are human.
And we often times have this extreme bias in thinking that we are independently minded, rational, intelligent creatures. You know, deciding what we're going to do with our conscious existence.
And that's
24:29
really not true. That there are forces that are acting upon us every day that we cannot see and acknowledge.
And the fact that we are more bacteria than we are human cells is, I think, a meaningful data point. And then to see how sexual practices actually connect to
24:45
determining how my body processes foods which then may have another feedback mechanism of the kind of foods I'm going to eat and my dietary protocol etc. It really to show that we live in this emergent um dynamic biological system with ourselves with our partners with the rest of society.
And so I thought
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this was interesting that not just as a sexual practice, but it feed it's a feedback loop into everything else about how I uh process my biology as a human. >> Yeah, I find this fascinating.
Maybe in the future we'll have more robust measurement. We actually be able to know
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should I be eating carbs and fats differently as a result of my sexual practices. So really fascinating study.
Um okay, I know you we have like endless topics we can talk about this if you guys have been interested. Like I would hypothesize that we should be doing two or three more episodes on these topics.
25:33
I think there's tons to cover. But one more thing to cover in this episode would be Brian, you announced this week or last week that you have a new erection score record 3 hours and 36 minutes.
We talk about erections a lot
25:48
because it's a really important health metric. And so, for example, women, you might not realize that you also experience nighttime erection cycles just like men where the clitoris engorges.
It's a systems check of the body, pushing blood to the genitalia to
26:04
make sure they continue to function. So, Brian, talk us through your erection results and why it's important.
I speak about erections because I think society is a little bit insane right now and we can't see it that that
26:21
when you're in it, you become oblivious to it. And I think this insanity has come from a sleep deprivation culture that is celebrated that it is encouraged for you to sleep little, to sleep under your desk, and to brag about it.
it it's
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a badge of honor to be tired and to push through the pain. And the the problem is when you talk about sleep or you try to address that topic, people just roll their eyes.
But when you tell them that their sexual function is impaired or broken, they listen up. And so I've
26:53
really been trying to say, listen, if your body is not having a certain amount of nighttime erections, your body's broken in a really important way. You know, it could be hormones, it could be vascular function, it could be cardiovascular.
There's all these contributing factors, but nighttime
27:09
erections are as important as blood pressure or cholesterol levels. It's just not a marker that has received a lot of attention, but it really it hits this unique point where nobody wants to have impaired social or impaired sexual function.
They're okay if they if they
27:25
um feel tired, like that's a trade-off they'll make to to feel like they have a high social status standing. And so I've really tried to introduce a new idea that sleep is really important and sleep is one of the biggest contributors to health sexual function.
So yeah, my my new personal record was three hours and
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36 minutes. This was four erection episodes.
Every night males and females have between three to five erection episodes. And for males, because we have the ability to measure it, uh there's also a rigidity score where the amount of engorgment is measured.
And so it's
27:56
interesting that we looked at the data from this Japanese study, but nighttime erections peak between the ages of 20 and 24 and mine are better than uh 77% of that peak category. For people my age, I'm 47 years old.
Uh my nighttime erections are better than 99.9%
28:13
of uh my age group. And so my body is running like a 20 to 24 year old in peak condition.
And that is because we take care of hormones and sleep and nutrition. A lot of people think that erectile dysfunction is just about sexual activity, but actually like
28:29
here's a stat for you. Men with ED have a 25 to 50% higher risk of a future heart attack, stroke, or all cause mortality.
So this is serious. If you're experiencing ED, make sure you get it checked out.
>> Yeah. And and also I guess we'd pile on to that Kad there's the fertility has
28:46
dropped by 50% over the past 50 years. So, not only are there fewer erections, there's less less fertility.
And so, I'm not sure if we actually have shared this or not, but where my fertility markers dropped dramatically uh from not icing
29:01
my boys in the sauna. And so, again, I just want to I'm trying to tell you what we're telling you is really helpful to know.
And these are things that you just don't find out there in the general health and wellness community, like piecing all these things together. So, I just want to um emphasize that if you if
29:19
you follow these protocols, you will experience a meaningful increase in life wellness. If you want to have a a sex life that is healthy and strong, if you want to be fulfilled in that way, then you need to have other parts of your life that are also taken care of,
29:34
including sleep, nutrition, and exercise. And so we're trying to piece together this whole thing that health is high status, sexual function is high status, and these things don't get talked about enough.
And so we're trying to make them kind of like a fun mimemetic game, but also where it lands
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home where if you're currently having problems, you can identify where's the problem coming from and and make those corrective actions for your health. >> Yeah.
And you know what, Brian, you were with me like 2 weeks ago when a really close family member of mine sent me a private message and said, "Hey, do you
30:07
mind um checking with Brian on this because I actually have not been having erectile um success lately and like it's a really big issue." And this is someone who's young, like they're not, you know, in their 50s, 60s, 70s um where things
30:23
start to decline a lot. this is someone who should be closer to their peak ability sexually.
And so I was so proud of the work that we've been doing to talk about this because this is someone that I want to have be in the best health of their life. And if there's a cardiovascular issue that's happening or
30:40
something more serious, I'm really happy that he's now investigating to find out what's actually blocking him from having nighttime erections and erections in general. Yeah, it I had a similar experience where I at first I felt really bad for him, but this is not uncommon.
I get phone calls from so many
30:58
people and they don't dare talk to their doctor about it. They don't speak to their partner about it.
Like this is something that for some reason they feel so much shame. So they go to the internet and they try to find the solution, but oftentimes even that they can't quite uh you know piece it
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together. And so if you're if you're hearing this and you're having problems, just know you're not alone.
And everything we talk about on this podcast and in the protocol is relevant to this. So for example, when we say eat your final meal of the day 4 hours before you go to bed so that your resting heart
31:30
rate can be low, so that you can have uh more REM sleep, so that you can have better nighttime erections. All of these things piece together.
If you're hanging out with us on this podcast, I hope you see the through line that we're trying to give you the operating manual of how to be human to learn the things that
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society never taught you and that basically we're trying to fight against the forces where everybody's trying to kill you. You know, like they're all trying to get your attention to doom scroll, to eat their addictive foods, to watch their addictive pornography.
We're really trying to stand up and be a strong voice and advocate for your
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health and including, you know, the things we talked about today of the sexual practices that are socially common, but that they do not come free without risk. And so I hope that you understand we're genuinely trying to be in your corner, give you the very best information we can so you can make good decisions.
And there's just in my
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experience very few places in life that you can go and find that safe place for advice. Mike, do you want to say anything on this topic?
I guess like the one thing I want to say is that medicine has known for a long time that ED has been associated with cardiovascular disease and reductions in longevity. And
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the reason that I think it hasn't been appropriately impactful in um the treatment of those diseases is because people are scared to talk about it. Like you mentioned, Brian, people jump on the internet and they buy drugs to make it better or they don't do anything about
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it at all. And because of that, it's not often appreciated as one of the primary symptoms for first presentation of cardiovascular disease or home hormone dysregulation or um burnout or you know elevated cortisol.
All these things that
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could be leading to the erectile dysfunction itself. And if there's anything we can urge people to do is to not ignore it and not just put a band-aid on it.
like recognize that it is a deeper scream from with inside your body letting you know that something is wrong um and to to pay close attention
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to it and do something about it. >> Now, if you're interested in getting in measuring your nighttime erections to see where you're at, we've published the age chart.
Uh actually, maybe we can throw that up on screen for every everybody. So, there's a company out of the UK, Atom Sensor, which has a device
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that you can put on the base of your penis before you go to sleep, and then it measures throughout the night the various erection episodes and the rigidity. Once you put it on, you really do forget about it.
It's it's really welldesigned. Uh women, we we just found a study today actually.
you too have uh
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the same arousal cycles as men and yours are measured by something called elevated pH episodes. And so this paper they were looking at nighttime erection arousal episodes based upon a change in pH.
And so same
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principles uh for males and females each night we both go through these cycles. It it's a systems check on uh function that also represents cardiovascular psychological physiological health and wellness.
So, we're going to talk more about this. We'll probably write this up.
Um, but female erections are harder
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to measure than male erections just uh for accessibility. But still, females, this topic applies equally to you as it does to men.
That's it. >> Yeah, I think we covered it.
>> Good job today. I mean, I know we were going into this with a lot of trepidation.
Like, as a team, we were
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trying to discuss like, do we do this podcast? And I mean, now that we've done it, how are you both feeling?
>> I feel great. I want to do like two more.
I want to cover all the topics that we don't talk about. I want to talk about a lot of women experience pain during sex, what they should be doing to
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resolve that. Um, how seriously they should be taking that.
So, very very excited. >> I think this is kind of like our our secret superpower is the ability to talk about things that other people don't want to talk about.
Or maybe that's your superpower, Brian. I don't know.
Maybe you're just pulling us along for the ride. But I think that we have the
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opportunity here to help educate people in areas of health that nobody else is educating. Um, so yeah, I'm happy to be a part of it.
>> You have been medically trained by the American health care system. You felt some trepidation.
We did this. How do
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you feel now? I mean, compared to at the beginning of this discussion, >> I feel good.
Um, you know, I still I there's still a little piece of me in the back of my mind that worries that people are going to like see the podcast title or something like that and come up with judgments about us or me because of
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it. Um, but you know what?
That's that's life. And if you're going to do something impactful in the world, then you have to be able to stand up to that that sort of critique.
>> Cool. Kate, I was reading through your body language today that uh you started feeling apprehensive about the entirety.
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But it seemed to me you felt too emboldened that you felt like you were really doing people a solid by conveying things that they may not know, which I'm imagining you wish you have you would have known earlier in life. Is that fair?
>> Very fair. I feel very personally
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motivated by scratching the surface of taboo topics to make sure people are informed. Like the the pain that it causes me to think about all the college age students or the teenagers that are going to be making lifelong decisions based off of misinformation or a lack of
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information entirely is so sad and there's absolutely no reason for it. So yeah, I think that's an accurate read.
>> Yeah, I would empathize with your your pain, Kate. Like I I remember when I went with Talmage to his college and I
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saw the kids there eating bags of chips and sugary drinks and I just thought my my heart just hurt. I just was I was so sad for them.
And then of course I saw their sleep hygiene and uh it really it
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makes me feel so sad because there's so much pain that comes with poor health and culturally it's celebrated and it's dismissed. if you want to be healthy, you're the one who's ostracized.
And I mean, I I've been there. Like bad health is just so unbearably painful.
Uh but
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weirdly, we celebrate it. >> Yeah.
And the cascading effects of getting yourself in a bad situation and then you have to try and dig yourself out of those bad health decisions and Yeah. It's not a good not a good situation.
>> Okay, wrap you guys. I'm proud of us as a group.
I'm I'm really happy we took on
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taboo topics. I'm happy that we like we almost didn't do this episode.
So, I'm happy that we did and I'm eager to hear the feedback. >> Yeah.
Let us know in the comments what you thought and what we should cover next and what other topics that maybe are taboo that you think would be worth
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exploring. >> This is the Brian Johnson podcast.
Special thanks to my co-hosts Kate Tolo and Dr. Mike Malin.
For more science breakdowns and protocols, subscribe to my YouTube channel, follow the podcast on your favorite platform, or follow me on Instagram or ex Brian Johnson.