February 2, 2025 • 41 mins
This episode addresses the often-taboo subjects of male enhancement and erectile function, emphasizing that many men feel inadequate due to misconceptions about size. Dr. Judson Brandeis discusses innovative, scientifically-backed methods for safe enlargement and improved erectile function while encouraging men to prioritize their overall health.
• Overview of the significance of human anatomy
• Insights into average penis size and its mental impact
• Discussion on males' desire for enhancement
• P-LONG study findings on safe enlargement methods
• Explanation of PRP injections and their role in enhancing function
• The relationship between lifestyle, health, and erectile function
• Multimodal treatment approaches for optimal results
• Shockwave therapy's potential benefits for vascular health
• Resources for accessing the P-LONG treatment network
• Final thoughts on the importance of health and confidence
Explore safer and effective treatments by visiting p-long.com and take a step toward enhancing your confidence and sexual health!
Check out Dr Brandeis P-long Protocol HERE
And his book 21st Century Male HERE
00:00:00 Natural Penis Enlargement Methods Explored
00:10:47 Effective Strategies for Penile Enhancement
00:18:31 Penis Enlargement Methods Clarified
00:29:09 Addressing Erectile Dysfunction
00:34:57 Accessing P-Long
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome to the show everybody.
I'm your host, dr Jay Tita.
This is the Next Level HumanPodcast and today I have Dr
Judson Brandeis, who is anexciting person for me to have
on the show.
He and I were just touchingbase just before we went live
talking about how the malecommunity, and especially with
my podcast is kind ofunderserved.
And I'm going to set this up,judson, tell you a little bit
(00:24):
about why I'm interested in this.
A couple of years ago I did atalk at what was called man Camp
and they asked me to come andspeak and I said, well, what am
I speaking on?
And they said, well, we wantyou to speak on everything penis
erections, function, all ofthat stuff.
And so I was like, all right,interesting, I'm going to do
this.
And so one of the things I didto start out and I want to just
(00:48):
give you this sort of aspect ofthings, because I know what
you're doing and we'll get intothat but one of the things I did
is I basically showed David,the famous statue by
Michelangelo, and then I showeda porn star and I basically
pointed out that the averageporn star is probably seven to
nine inches in length, right,and the average male is probably
(01:11):
about five inches in length, sothe average porn star is almost
double the average man.
Most of you are probably beenfeeling inferior your whole life
because you think you'resupposed to be looking like this
, when this is actually whatmost men look like.
And after that talk I had somany men come up to me and men
(01:35):
you and I both know they don'tnormally talk about this stuff,
but they're like.
I really wish someone had hadthis conversation with me when I
was a teenager, because I'venever actually understood this
and I think perhaps men like youand me I mean I certainly I'm
in the medical field.
I had to do a ton of genitalexams and gyne exams to graduate
from medical school.
I was a jock, so I was inlocker rooms a lot, so this was
(01:58):
not necessarily a surprise to me, but I think a lot of people
who don't have our background,this is something that they
don't know a lot about, and youare interesting to me because
you are the first person who hasactually developed a method
that can do this for menincrease penis size for men in
(02:19):
natural ways and I wasfascinated by this because this
is something that I had notheard about yet, and you're at
the forefront of this space.
So, first of all, I want to saythank you for your work.
What a space to be in.
Yeah, thank you for your workand thank you for being here,
and I think it's an importantdiscussion, and so I'm just
going to let you start fromthere and let me know what your
(02:40):
thoughts are about that.
And, by the way, did I getthose statistics right?
Speaker 2 (02:48):
Do you what your thoughts are about that?
And, by the way, did I getthose statistics right and do
you want to correct them?
Yeah, absolutely.
You know the average size of ahealthy guy's penis in the
United States is 5.1 inches.
You know it varies.
So North Korea likestatistically?
If you look at North Korea, Ithink it's 3.8 inches.
I think that's why they'realways fighting other countries
and I think the Congo at 7.1inches.
You know, if you're the averageAmerican guy, you probably
don't want to travel over to theCongo and you know, honestly,
(03:08):
like I could care less, how bigguys' penises are.
I, just as a urologist, as asurgeon, as a sexual medicine
expert, I would see a lot ofguys come in who did things to
increase the length or the girthof their penis that were
catastrophic, and so things thatguys have done in the past are
fillers, which are expensive,they don't last very long and
(03:30):
they deform the penis over time,or fat transfers, which gives
guys kind of a squishy penis,and when you basically increase
girth without increasing lengthor the head of the penis, you
get what I call a pig in ablanket penis right.
So a pig in the blanket isgreat at cocktail parties, but
it's not great in the bedroom.
(03:51):
And then there are surgicalprocedures like cutting a
suspensory ligament or putting asilicone implant just for size,
and I've seen really tremendous, catastrophic complications
from that where a guy had aperfectly normal penis right.
The function of the penis is tourinate and to procreate, and
so if you have a penis where youcan urinate and procreate,
(04:12):
you're fine.
But 300,000 American women eachyear get breast implants and
not all of them have breastcancer.
Guys want a bigger penis.
You know, when they surveypeople, survey men, 50% of men
say that Guys want a biggerpenis.
You know, when they surveypeople, survey men, 50% of men
say that they want a biggerpenis, and then 50% of men are
lying, 100%.
(04:33):
Yeah.
So you know, as I have abackground in research, I did
research at American Red Cross,I did research at Harvard
Medical School, I did researchat UCLA, and so you know, with
my background in research, Idecided listen, let's try to
figure out a way that we canincrease the length and the
girth and the function of ahealthy guy's penis in a way
(04:54):
that is not destructive.
And so I created what's calledthe P-LONG study.
P-long is a combination of atraction device developed at the
Mayo Clinic, a suction devicefrom Dr Joel Kaplan, the Affirm
nitric oxide boosting supplementthat I created, and the use of
PRP, or platelet-rich plasma,injections into the penis once a
(05:16):
month for six months and overthat six month period in my
study of 30 men we increased thelength of a penis about 0.8
inches, the girth about a halfan inch and increased the
function of every guy's penis inthe study and, most importantly
, there wasn't a single adverseor negative side effect.
(05:37):
It was totally safe.
Speaker 1 (05:39):
Yeah.
So when I hear this, the firstthing a guy's going to say is
like okay, did I just hearinjection into my penis?
And so I know that a lot ofpeople don't necessarily
understand this.
This might scare people off,but let's break down this part
first, because it's probably themost controversial aspect of
this.
What exactly is PRP?
How is this injection actuallyworking?
(06:01):
It's platelet-rich plasma.
But what exactly is it doing?
Speaker 2 (06:06):
Yeah, so you know off the bat.
Most folks after the injectionsay that it was a 10 out of 10
on the anxiety scale and a 1 outof 10 on the pain scale.
So platelets in your body havetwo functions.
One function is to stopbleeding, but the second
function is to start theregenerative or rebuilding
process right.
(06:26):
So say, you're out in the gymand you bump into something and
you cut yourself, and then allof a sudden you start to bleed a
little bit.
There's a tissue, when it'sinjured, sends out what we call
inflammatory cytokines, sosignals to the body to stop
bleeding and also start healing.
And so what happens is thosesignals are recognized by
(06:46):
platelets.
Platelets hone to the area ofinjury and they open up the
platelet and they releaseclotting factors which create a
clot.
But they also release growthfactors, which is the reason
that when you cut yourself youform a clot, you form a scab.
The scab falls off and thenthat tissue regrows.
And so we can take advantage ofthe healing factors and the
(07:11):
growth factors inside platelets.
And so we use it in orthopedicsto heal joints, to heal knees,
to heal hips.
We use it in dental surgery toaccelerate the growth of gum
tissue.
We use it in aesthetics.
You can use it for hair growth,but also a guy named Charles
Ronalds, a friend of mine,started injecting it into the
penis and you can increaseerectile function with that.
(07:33):
And you can inject it into theclitoris, called the O-shot, and
you can increase orgasmicfunction and sensitivity in
women.
So I use this as part of theprotocol.
Right, so you can.
Biologic systems are pliable,meaning they stretchable, and
you can grow them.
By using PRP you acceleratethat growth process.
Speaker 1 (07:55):
Yeah, you know, and it's interesting, right, you
know, of course, from myperspective, I hear I think a
lot of people are going to hearokay, I can increase the size of
my penis.
What I'm most interested in,you said everybody in this
particular study that you puttogether had better function.
So erectile function was better.
To what degree?
And is this?
What do you attribute this to?
(08:15):
Do you think this is mostly tothe PRP and I know we'll
probably get into unpackingwhich parts of this procedure
are most effective, but I amvery interested in that.
Speaker 2 (08:31):
Yeah, so it's mostly the PRP, right?
So what you're doing is you'rereleasing 140 different growth
factors, including, mostimportantly, what's called VEGF,
or vascular endothelial growthfactor, and so your body
releases VEGF when it wants togrow new blood vessels, and so
there's no scale for assessingthe improvement in erectile
function in otherwise healthymen, right?
So we have scales for assessingimprovement in erections in men
(08:55):
that don't have good erections,but if you already have good
erections, which, by definition,you need in order to improve
the size of the penis.
But what we did is what'scalled the Likert question,
which is, basically, are you thesame, better, much better,
worse or much worse?
And everyone in the study saidthey were better Not much better
(09:16):
, but better, and guys ingeneral they know if their
erections are.
Speaker 1 (09:21):
And I guess we could classify this right Like how
responsive are my erections andhow much endurance do I have in
my erections?
Speaker 2 (09:28):
Yeah, and you know, as a guy you can feel rigidity.
Now the other thing that guyswere taking in the study is a
supplement that I created calledAffirm, and Affirm is a nitric
oxide booster, and when I was atUCLA one of my professors, lou
Ignaro, won the Nobel Prize fordiscovering how nitric oxide
opens up blood vessels.
And I just did a recent studythat we published at the Sexual
(09:51):
Medicine Society of NorthAmerica which showed that taking
two Affirm tablets whichcontain citrulline and beets
beets contain nitrates andthat's the two ways that you
generate nitric oxide in thebody.
So taking just two of thosetablets before you go to sleep
increased nighttime erections33%.
Speaker 1 (10:09):
That's fantastic.
It's a fantastic improvement.
Obviously, from my perspectiveand I'm sure from your
perspective too, most of thethings that we see as medical
professionals are people worriedabout erectile function.
You alluded to this, but frommy perspective, it's like what
would you rather have A biggerpenis that doesn't work, or a
penis that works, that maybe,perhaps, is not bigger?
And I think most men are goingto choose okay, well, I want
(10:30):
that erectile function, and thisis a very simple thing.
Speaker 2 (10:32):
Well, you know, with P-Long you get both.
Speaker 1 (10:35):
Yeah with P-Long you get both.
Speaker 2 (10:36):
You don't have to choose.
Speaker 1 (10:37):
Yeah, 100%.
Speaker 2 (10:38):
You get the best of both worlds and it's better.
Speaker 1 (10:47):
Yeah, and you alluded to something here that I did
want to ask you about, sinceyou're the expert, just for my
own education.
One of the things that I tend tothink about but I wanted to
talk to you about is I tend tothink about the penis being like
a muscle If it's not gettingperfused with blood, if it's not
exercising in that way, thenhow can you actually get it to
grow in size?
And so it seemed like youalluded to that, but that's one
(11:09):
of the things I wanted to askyou about.
When your people first got intouch and put us together, I was
like, oh, this is interesting,because from my perspective, I
want to see how he's doing this,because I have seen talk about
erectile function versus sizeand things like devices that are
traction devices and penishanging devices and things like
(11:31):
that, and I've always wonderedwell, if the penis is not
getting adequate blood flow toit on a regular basis, how are
any of these things working?
And you seem to allude thatthat's a big piece, which I
guess is why you developed thisparticular product.
Speaker 2 (11:45):
Well, so this is specifically for men without
erectile dysfunction, right If?
You can't fill the penis thatyou have up with blood
adequately, then getting abigger penis is just going to
make things worse.
And so you know, we've had somepatients who are interested in
a bigger penis but had erectileissues, and so we correct those
erectile issues first before wewould ever consider trying to
(12:08):
increase the length, girth andfunction of a healthy gas penis.
Speaker 1 (12:12):
Yeah, that's what I really wanted to ask you about,
and are you using things likeTadalafil and Sedanafil and some
of these other medications todo that, or is it?
Speaker 2 (12:21):
Yeah, I mean, I have a whole algorithm of what we do
in my office, which is startwith a nitric oxide booster
because you want to amplify thesignal to open up blood in the
penis, and then use a PDE5inhibitor like Cialis, which is
Tadalafil, or Viagra, which isSildenafil, which blocks the
breakdown.
So I'll go biochemical for justa sec, because it sounds like
(12:45):
your listeners are pretty smart.
So nitric oxide increasessomething called cyclic GMP, and
cyclic GMP creates a cascadethat eventually opens up blood
vessels, and so PDE5 inhibitorslike Viagra and Cialis prevent
the breakdown of cyclic GMP.
The more cyclic GMP you have inthe penis, the more that the
(13:08):
blood flow in the penisincreases.
And we're actually doing astudy with Affirm right now that
looks at the synergisticeffects of a nitric oxide
booster like Affirm and a PDE5inhibitor like Viagra and Cialis
, and we're getting amazing dataon combining the two.
Because the thing is, a lot ofguys can't take full doses of
(13:30):
Viagra and Cialis because ofside effects right, they get
headaches, they get facialflushing, they get reflux, they
get stuffy nose, and so if youcan increase the effectiveness
of a PDE5 inhibitor like Viagraand Cialis by supplementing it
with a nitric oxide boosterwhich is totally safe and
doesn't have any side effects.
That's going to be a realbenefit and the data on that
(13:52):
should be mature in probablyanother month or two and then
we'll publish that.
So, but that's to increase thesignal.
Now the other thing is you wantto increase the vascularity,
you want to increase the pipes,and we do that through focused
shockwave therapy, which is atotally safe local treatment of
the penis that stimulates yourbody to grow new blood vessels.
(14:12):
Also injections of PRP.
We also use penis pumps to helpguys bring blood flow
oxygenated blood flow into thepenis and stretch the penis.
We also can use botulismneurotoxin to help open up blood
vessels in the penis.
So there's a whole host ofthings that we do to increase
the signal and the condition ofthe penis and the vascularity of
(14:34):
the penis.
Speaker 1 (14:36):
Yeah, so once you get it working appropriately, then
we get more into this methodthat you've developed.
So we talked a little bit aboutthe PRP.
What are the other elements ofthis treatment and how effective
are they?
And I assume you know thereason you put them together is
because they're more effectivetogether, but I'm wondering if
they have efficacy separate aswell.
Speaker 2 (14:58):
Yeah, they do have efficacy separately, but I
believe in multimodal therapies,right?
So if you want to attack aproblem, you attack it from
multiple different ways.
And so the Restorex device isan attraction device developed
by a friend of mine who is atthe Mayo Clinic and that
increases length.
And then the penis pump from DrJoel Kaplan increases girth,
(15:20):
and then the nitric oxideboosting supplement increases
blood flow to the penis,especially at night when you
want to get some good stretchingof the penis.
So at night you should get 30to 60 minutes of erectile
function every night.
And there's a device out therecalled the FirmTech Ring, which
is a ring that has a pressuresensor on there and you can
actually monitor your nighttimeerections.
(15:42):
And nighttime erections arereally a good indicator of
circulatory health, right?
So if you're beginning to loseyour nighttime erections, you're
going to begin to lose yourability to get daytime erections
.
And if you're losing daytimeerections 10 years down the road
, you're going to end up withheart disease.
Right, it's happening now, butit's going to show up in about
(16:04):
10 years.
Speaker 1 (16:05):
Right, it's gonna it's happening now but it's
gonna show up in about 10 years.
And how easily?
How easily, because you talk toa lot of guys I certainly have
that, you know feel sort of um adread with this and just like
they're kind of done.
How easily is the turnaroundhere?
And how important is you know,lifestyle stuff that other
people might talk about.
So how fast can people turnthis function around?
I do want to get into the sizeincreases in a minute, but how
(16:25):
fast can people turn thisfunction around?
I do want to get into the sizeincreases in a minute, but how
fast can this happen when you'reusing all these techniques,
this multimodal treatment asyou're talking about?
Speaker 2 (16:32):
You mean in terms of improving size?
Speaker 1 (16:35):
Size and function.
How fast does it happen?
I assume the function comesback sooner.
Speaker 2 (16:41):
So you know, the P-Long study was six months, so
in the study the guys increasedthe size of their penis about
15% over a six-month period.
But erectile function is a verycomplicated issue and a lot of
it is from circulatory issuesand so if you're sedentary, if
you're overweight, if you don'teat well, if your cholesterol is
(17:02):
high, if you're blockingarteries because you're diabetic
, those can be very, verydifficult things to turn around.
And something like Viagra it'sa band-aid, but you're really
not addressing the underlyingissue.
And I know that you're reallypassionate about addressing the
underlying issues which are howto take better care of yourself,
(17:25):
the underlying issues which arehow to take better care of
yourself.
And you know I wrote a bookcalled the 21st Century man
which in the end had 101chapters and was over 900 pages,
and it started out as like a200-page book on a sexual
function that I was writingduring COVID because I had to
shut my office during COVID.
But as I got deeper and deeperinto sexual function and
(17:47):
erectile function, I realizedthat so many different things
affect the performance in thebedroom.
Right, if your heart isn't ingood shape, or if you have
diabetes, or if you smoke, or ifyou drink too much, or if your
relationships are bad, or ifyour mental health isn't good.
Or if you drink too much, or ifyour relationships are bad, or
if your mental health isn't good, or if you don't feel good
(18:09):
about how you look, or if you'renot enjoying life, all of those
things contribute to erectilefunction.
Not when you're 20, right, whenyou're 20, the wind blows and
you get a stiff dick.
But when you're 50 or 60, allof the decisions that you made
in your 20s and 30s and 40sreally affect your performance
sexually, and you know as apartner.
Speaker 1 (18:31):
Yeah, and the reason I'm trying to distinguish
between these two is because Iget what you're saying.
The P-Long, you know, sort ofstudy is for healthy men with
good erections, and so I do,because this is going to come up
over and over again.
I know I'm going to getquestions like this Well, what
about erectile dysfunction, whatabout erection function?
So you made a clear distinctionthere to say, okay, that's
(18:54):
something that needs to be takencare of prior to this P-LONG
study, and I do think people aregoing to get that confused, and
so I really wanted to make adistinction between the two.
Let's continue, though, withthe P-Long healthy penises that
are being studied, and you areusing this technique of traction
(19:14):
PRP pumps to increase lengthand girth, and I think you said
0.8 on average for the length,and what?
Speaker 2 (19:24):
half an inch for the girth, so almost an inch in
length and a half an inch ingirth.
And you know, the other thingis there have been studies.
There was a study out 20 yearsago on a traction device that
increased the length almost aninch.
But the problem is you had towear the thing eight to 10 hours
a day for about six to ninemonths.
Right, most of us don't havejobs Like if you're a mailman,
(19:44):
you can't wear a penis extendingdevice eight to 10 hours a day.
You know, maybe these days whenpeople work at home you can do
that.
But so with the P long it's ahalf an hour in the morning and
a half an hour in the evening.
So I really tried to make itinto something that is doable by
normal folks with normal jobs.
Speaker 1 (20:03):
Yeah, that doesn't seem like a lot actually.
And let me ask you, since we'retalking about I assume you're
talking now about the tractiondevices.
So I have not seen thistraction device.
I've certainly seen peopledoing hangers and things like
that what makes this particulartraction device different?
Are they all the same?
What makes this one?
Speaker 2 (20:24):
I think what makes it different is the way that it
grabs the head of the penis.
So it doesn't use suction, ituses, you know, compression.
And I think because it usescompression it's able to grab
the head of the penis morefirmly and stretch it more
vigorously.
Speaker 1 (20:39):
And is this something that you this is something that
you know people might?
If they wear it longer, do theyget better results?
Just 30, 30 minutes morning andevening is very doable to me.
Do you get better results withlonger traction?
Speaker 2 (20:53):
Yeah, I mean that's a great question.
People ask me all the time.
Well, you know, if I added stemcells, if I added exosomes, if
I, if I stretch longer, it's an.
You know the thing is.
I baked a cake with a certainrecipe.
It's an.
You know the thing is, I bakeda cake with a certain recipe and
I can tell you, if you do, ifyou follow this recipe, these
are the results you're going toget.
If you do more, you'll probablyget more, but I can't tell.
(21:16):
I can't say that for sure.
You know, if you use stem cells, if you use exosomes, you know
you'll probably get betterresults, but I don't know.
You know you have to do a studyto actually determine it and
results, but I don't know.
You have to do a study toactually determine it.
And sometimes you get surprised.
Sometimes things don't turn outquite as you expected, and
that's why you actually doexperiments, because if
everything turned out as youexpected, there'd be no reason
(21:37):
for experiments.
Now I will say that guyscontinue to grow if they
continue past the six-monthperiod.
So we had to stop at some point.
Right, and when we hadstatistically significant
numbers, I felt okay, it's safeto stop, we can publish this,
but I've had plenty of mypatients continue seven, you
know, month seven, month eight,month nine, month 10.
In fact, I had a patient acouple months ago who said you
(21:59):
know, doc, I love you, but thisis my last treatment and I'm
like you know how come you'redoing so great?
He's like well, you know, mywife told me that I'm I'm too
big for oral and I'm too big foranal and I need to leave at
least one orifice open.
Speaker 1 (22:11):
That's great.
Needless to say, he got greatresults he got really good
results.
Maybe not from his wife'sperspective, but his perspective
, that's.
That is hilarious.
Speaker 2 (22:22):
You know, and that's the interesting thing is, I
think guys do this more forthemselves and sort of being
around other guys.
If you ask women, I think womenare less concerned about the
size of the penis than guys are.
That come in for penileenhancement in my office aren't
(22:49):
necessarily ones with smallpenises.
In the study it was about athird of the guys had below
average.
A third of the guys had well,it's considered normal size and
a third of the guys had aboveaverage.
So beauty is in the eye of thebeholder and, like I said, I'm
not encouraging people toincrease the size of their penis
.
I'm encouraging people that ifyou're going to do it, do it in
(23:15):
a way that's safe and naturalright.
So if you're in bed with apartner, especially a woman, I
think they're looking more forconfidence than they are for the
size of the penis.
And so if they feel around andthey're like what's this, what
do you have in your penis, andyou say, oh, I put something in
there to be bigger, I don'tthink that's really going to
resonate, whereas if you doP-Long, it's naturally bigger
(23:36):
and works better and I thinkthat's going to give you more
confidence.
And when a partner's feelingaround down there.
They're not going to feel foran object.
Speaker 1 (23:47):
Yeah, and honestly, one of the reasons that I wanted
to have you on is because I hada friend who, when I was out in
Los Angeles, who was into someof this stuff, and he got the
sleeve and had some pretty badresults from that and it's
tragic for that kind of thing tohappen.
Speaker 2 (24:05):
So I know that a lot of men are doing this kind of
stuff.
I had this guy, 25-year-oldnurse, perfectly normal penis
had the implant or the E-listimplant or PNUMA you call it a
bunch of different things and hegot an infection.
He had to be in the hospitalfor a week on intravenous
antibiotics and then had to getit taken out and then he had two
(24:26):
additional operations to try tofix the scar tissue and then
finally came to me and we didsome shockwave and some PRP and
some traction and he sort of gotback to where he started from.
But that's a hell of a miserablelesson when things were normal.
Remember normal penis urinationand procreation.
(24:48):
That's it so.
Speaker 1 (24:51):
Yeah, and let's just make sure, just so men
understand, and the womenlistening to this, for the men
that they're with, just soeveryone's clear, when Judson is
talking about normal penis size, those numbers were for erect
penises, not flaccid penises,right?
So those numbers of whatever itwas five inches for the average
American male is an erect penis.
(25:14):
And how are you measuring thatin your office?
Are you doing the stretch, or Iknow that there's a correlation
between being able to stretchthe penis and measuring it that
way versus an actual erection.
Speaker 2 (25:25):
You know, in the study we actually asked people
to get erections at home andthen we gave them a standardized
ruler.
Because the thing is like Icould cheat, right, if I really
wanted to show that there wasgrowth.
On day one I would pull kind ofweakly on the penis and in
month six I would pull reallyhard and say, wow, you know,
(25:45):
look, it's grown an inch.
And so I thought it was abetter way of doing.
It was to have guys geterections and guys will tell you
.
You know, like this is notworking.
Speaker 1 (25:55):
Yeah, they'll know.
Speaker 2 (25:56):
Yeah, I mean they're like well, you know, I spent all
this time stretching andtraction and getting PRP and
it's not working.
You know, that was the reallygratifying thing about doing the
P-Long study because I did allthe injections and interfaced
with all the patients was thatpatients were happy.
You know I was giving them agift that keeps giving.
Speaker 1 (26:18):
Yeah, and by the way, how do they measure this?
By the way, how are youmeasuring?
Are you measuring at the top ofthe shaft to the pubic bone, or
off to the side of the penis tothe pubic bone?
How is it being measured?
Speaker 2 (26:29):
You know that is believe it or not like a point
of controversy.
Some people think that youshould do a bone press, so you
basically push the measuringdevice into the pubic bone and
measure.
And some people measure justlike loosely putting it up
against the skin.
And I just told patients do it.
However you measure, but makesure it's consistent.
Speaker 1 (26:51):
Yeah, Makes sense, Makes sense.
Okay, A couple more things Iwould love to just talk to you
about.
So you mentioned this shockwavedevice, but if I heard you
right the shockwave therapyyou're not using it in the
P-Long study.
That that was just tractionpumps and PRP, or was that also
included in the P-Long?
Speaker 2 (27:08):
study that that was just traction pumps and PRP, or
was that also included in theP-Long study?
No, that wasn't.
That was not included.
Okay, so that's mainly used for.
Speaker 1 (27:13):
if we heard you right , you said that increases the
pipes vascular tissue.
Speaker 2 (27:20):
Yeah, so that's focused shockwave therapy is
used really to increase thevascularity of the penis and not
to increase the size of thepenis.
Speaker 1 (27:28):
And have you seen good results with that for
penile function?
Speaker 2 (27:32):
Yeah, I mean you have to select your patients
properly.
So if you have a patient who'shad prostate cancer surgery, or
if you had a patient who's beena diabetic for 20 years, it's
not going to work all that well.
But for guys that have mild tomoderate erectile dysfunction,
it works really well.
So say, you have a guy in hisearly 50s with some erectile
dysfunction and needs someViagra, but you can get that
(27:53):
person to the point where hedoesn't need Viagra anymore.
If you have someone who's 65,that Viagra is not working so
well anymore, you can get themto the point where Viagra is
actually working really well.
Or if you have someone in their70s where things aren't working
at all with Viagra, now all ofa sudden you can get them to the
point where things work fairlywell with Viagra.
So you basically turn the clockback about five or 10 years.
(28:16):
But you're not going to takesomeone who's 65 and turn them
into a 20-year-old.
Speaker 1 (28:19):
Okay, and just a few questions that I know some of my
bros and my guy friends aregoing to want me to ask you.
So to what degree do you feellike in your clinical practice
that just and we'll talk.
Let's talk about penilefunction first, erectile
function.
That somebody who's, you know,slightly overweight, doesn't
work out, cleans up their diet,begins to lose weight.
(28:40):
What do you see?
How fast do you typicallynotice penile function to
improve and what are the thingsthat you might recommend?
And obviously I want to ask, inconjunction with that, how
important are the supplements?
Speaker 2 (28:54):
Yeah, so when I see a patient for erectile
dysfunction, I spend an hourwith the patient, even though it
seems like a relatively notminor is not the right word, but
like not minor is not the rightword, but like.
Erectile function is really avery complex issue.
And circulation, general health, mental health, emotional
(29:15):
health, relationship health,hormonal health, all those
things kind of combine to get tothe point where you have
adequate erections for and I'mtalking about, you know,
50-year-olds, 60-year-olds, I'mnot talking about 20-year-olds
20-year-olds you can do anythingyou want, you can go out
drinking all night and then getan erection, no problem.
(29:35):
I'm talking about when lifebegins to catch up to you, right
?
You're overweight because youhave a sedentary job and you
have kids and you have a wifeand you have stress and
pressures and you're smoking oryou're depressed, all that kind
of stuff.
Those things catch up to peopleand in order to really treat
(29:56):
erectile function not just doshockwave and give someone pills
, but in order to turn theirlife around so that they're able
to have a satisfying sex lifeyou have to help unwind all of
those things for men.
And we all have gifts and Ifind that that really is my
(30:18):
personal gift as a physician isI'm able to motivate men in a
way that they finally understanda little bell goes off for them
that they need to start turningaround their life in the way
that they take care ofthemselves.
Otherwise life's going to stop.
I had a patient the other day.
He's been drinking eight beersa day for 25 years.
(30:39):
He's 80 pounds overweight, sixyears old.
I looked the guy in the eye andsaid listen, dude, you're going
to fucking die a miserabledeath in less than five years.
And he just started crying.
He's like.
You know, no one's ever talkedto me like that before.
And I said sometimes peopleneed tough love.
And you know what that guycalled Turkey stopped drinking,
(31:01):
yeah.
Speaker 1 (31:01):
And what's really beautiful about that is he's
still.
Speaker 2 (31:04):
He's lost like 20 or 30 pounds.
He's starting to take care ofhimself.
Speaker 1 (31:08):
Yeah, a lot of people would say that's cruel, but in
that case it's the mostcompassionate thing that can be
done for someone, and I thinksome men really need that, and I
think that does really seemlike it's your gift.
That's why I think it's really,really, really cool what you're
doing.
You're doing and you know one.
One thing I'll say too, andjust get your thought on this,
is that you know, you and I,before we came on live, we were
(31:29):
talking about the mental,emotional sphere.
I mean, I've seen men you knowthat I work with who go through
heartbreak or betrayal andthings like that.
These are young men, men intheir thirties, maybe late
twenties, who completely loseerectile function just because
they've lost all confidence.
It's one of these things.
It's like they're heartbrokenso their penis is not working.
There is a whole thing herethat I love that you say that is
(31:52):
very complicated.
It's not just aboutbiochemistry.
Speaker 2 (31:56):
Yeah, it's a stress component.
People think it's all in yourhead or it's psychological or
whatever, but really it's astress.
It's psychological or whatever,but really it's a stress
response.
And so, if you think about itthis way, if you're a caveman
and you're in your cave withyour cavewoman and there's a
(32:16):
saber-toothed tiger out frontpacing back and forth, you're
producing stress hormones.
You're producing adrenaline andcortisol.
Right, you're producing thembecause you want blood flow to
go to your muscles, to go toyour eyes, to go to your brain,
to go to your heart.
And the last place you wantblood flow is your intestines,
because who cares if you'redigesting your meal?
Your kidneys, because who caresif you're making urine?
(32:38):
And your penis, because it'snot a good time to have a family
, right?
So a couple of days go by andyour cavewoman's starting to
complain and she's likeno-transcript, a spear.
(33:07):
You're all pissed off.
You charge out of the cave andyou kill the Sabertooth tiger.
Right, you get full sympatheticoutflow, adrenaline, cortisol
everything is coursing throughyour body.
You drag the tiger back intothe cave, you skin it.
You got a Sabertooth tigersteaks on the grill.
You got the Sabertooth tigerakson the grill.
You got the saber tooth tigerrug on the floor.
(33:28):
You have a great meal, you knowyour body's removing waste.
Now you're making urine and thenpretty soon you start
procreating, right?
So you start having intercoursewith your cavewoman and then
you ejaculate, which then now isa sympathetic outflow.
Right, because now you got toprotect yourself again.
When you're having intercourse,you're in a very vulnerable
(33:49):
position.
If you're an animal,ejaculation or orgasm is a
sympathetic outflow, and so thething is, there's only one
system, right?
So whether you're being chasedby a saber-toothed tiger, or
your spouse is pissed off at you, or you're lacking confidence,
or your boss is chewing you out,you produce the same stress
hormones, and so the key is toget yourself into a
(34:12):
parasympathetic or a relaxationstate, and that will bring blood
flow to the penis.
If, all of a sudden, you'relike, oh God, here I go again.
Things aren't going to work,this girl's going to be pissed
off at me, I'm going to be soembarrassed, guess what?
Blood flow is not going to goto the penis.
Speaker 1 (34:31):
Yeah, that's the catch 22, isn't it?
It's a thank you for that.
I love that.
I think that'll be very usefulfor a lot of men to understand.
It's a perfect way to kind ofinternalize it.
So all right.
Next question, final question,let's wrap up.
People are going to want to getthis treatment.
You've developed this treatment.
They're obviously going to belike Jade.
Where do I go for thistreatment?
(34:52):
I do have normal penilefunction.
I would love you know an inchyou know on my penis.
I want to understand how to getaccess to this P-Long.
How do they get access to this?
Speaker 2 (35:02):
Yeah, so we have a network of doctors around the
country.
So if you go to p-longcom andthen put your zip code in,
there's a doctor finder andyou'll be able to find a
physician close to you thatprovides that service.
The other thing you can do isyou can put the size of your
penis in and then it will tellyou after six months this is
(35:23):
what you can expect.
And then there's anaspirational part, so you can
put the size of the penis in andthen how big you want your
penis, because on average in thestudy guys grew about two and a
half percent per month.
So if you're four inches andyou want to get to eight inches,
it tells you it's going to takeyou two years or three years,
(35:44):
whatever, to get to the pointwhere you're eight inches.
Speaker 1 (35:48):
Nice, I love that.
And then, finally, your book,the 21st Century man.
Where is that available?
Is that on Amazon and all theplaces we would expect?
Speaker 2 (35:56):
Yeah, well, I mean you can go to
the21stcenturymancom all writtenout in letters or you can go to
Affirm Science A-F-F-I-R-Msciencecom and purchase the book
either of those two places, orit's even now on Spotify.
So if you're a Spotify Premiercustomer, just put in my name or
put in the 21st Century man andyou can listen to it.
Speaker 1 (36:17):
So it's an audio book .
Speaker 2 (36:19):
It's an e-book, but I think the best is the hardcover
book.
I like the fact that it's agood song.
Speaker 1 (36:28):
I normally like to get the hardcover plus the audio
, so I'm definitely going to getthat and I just appreciate you
so much, dr Judson Brandeis.
Thank you for your work, thankyou for what you're doing for
men.
Thank you for taking your timetoday.
Do me a favor, just hang on theline so I can make sure
everything uploads.
No-transcript.
Welcome to the show everybody.
I'm your host, dr Jay Tita.
This is the Next Level HumanPodcast and today I have Dr
Judson Brandeis, who is anexciting person for me to have
on the show.
He and I were just touchingbase just before we went live
talking about how the malecommunity, and especially with
my podcast is kind ofunderserved.
And I'm going to set this up,judson, tell you a little bit
(00:24):
about why I'm interested in this.
A couple of years ago I did atalk at what was called man Camp
and they asked me to come andspeak and I said, well, what am
I speaking on?
And they said, well, we wantyou to speak on everything penis
erections, function, all ofthat stuff.
And so I was like, all right,interesting, I'm going to do
this.
And so one of the things I didto start out and I want to just
(00:48):
give you this sort of aspect ofthings, because I know what
you're doing and we'll get intothat but one of the things I did
is I basically showed David,the famous statue by
Michelangelo, and then I showeda porn star and I basically
pointed out that the averageporn star is probably seven to
nine inches in length, right,and the average male is probably
(01:11):
about five inches in length, sothe average porn star is almost
double the average man.
Most of you are probably beenfeeling inferior your whole life
because you think you'resupposed to be looking like this
, when this is actually whatmost men look like.
And after that talk I had somany men come up to me and men
(01:35):
you and I both know they don'tnormally talk about this stuff,
but they're like.
I really wish someone had hadthis conversation with me when I
was a teenager, because I'venever actually understood this
and I think perhaps men like youand me I mean I certainly I'm
in the medical field.
I had to do a ton of genitalexams and gyne exams to graduate
from medical school.
I was a jock, so I was inlocker rooms a lot, so this was
(01:58):
not necessarily a surprise to me, but I think a lot of people
who don't have our background,this is something that they
don't know a lot about, and youare interesting to me because
you are the first person who hasactually developed a method
that can do this for menincrease penis size for men in
(02:19):
natural ways and I wasfascinated by this because this
is something that I had notheard about yet, and you're at
the forefront of this space.
So, first of all, I want to saythank you for your work.
What a space to be in.
Yeah, thank you for your workand thank you for being here,
and I think it's an importantdiscussion, and so I'm just
going to let you start fromthere and let me know what your
(02:40):
thoughts are about that.
And, by the way, did I getthose statistics right?
Speaker 2 (02:48):
Do you what your thoughts are about that?
And, by the way, did I getthose statistics right and do
you want to correct them?
Yeah, absolutely.
You know the average size of ahealthy guy's penis in the
United States is 5.1 inches.
You know it varies.
So North Korea likestatistically?
If you look at North Korea, Ithink it's 3.8 inches.
I think that's why they'realways fighting other countries
and I think the Congo at 7.1inches.
You know, if you're the averageAmerican guy, you probably
don't want to travel over to theCongo and you know, honestly,
(03:08):
like I could care less, how bigguys' penises are.
I, just as a urologist, as asurgeon, as a sexual medicine
expert, I would see a lot ofguys come in who did things to
increase the length or the girthof their penis that were
catastrophic, and so things thatguys have done in the past are
fillers, which are expensive,they don't last very long and
(03:30):
they deform the penis over time,or fat transfers, which gives
guys kind of a squishy penis,and when you basically increase
girth without increasing lengthor the head of the penis, you
get what I call a pig in ablanket penis right.
So a pig in the blanket isgreat at cocktail parties, but
it's not great in the bedroom.
(03:51):
And then there are surgicalprocedures like cutting a
suspensory ligament or putting asilicone implant just for size,
and I've seen really tremendous, catastrophic complications
from that where a guy had aperfectly normal penis right.
The function of the penis is tourinate and to procreate, and
so if you have a penis where youcan urinate and procreate,
(04:12):
you're fine.
But 300,000 American women eachyear get breast implants and
not all of them have breastcancer.
Guys want a bigger penis.
You know, when they surveypeople, survey men, 50% of men
say that Guys want a biggerpenis.
You know, when they surveypeople, survey men, 50% of men
say that they want a biggerpenis, and then 50% of men are
lying, 100%.
(04:33):
Yeah.
So you know, as I have abackground in research, I did
research at American Red Cross,I did research at Harvard
Medical School, I did researchat UCLA, and so you know, with
my background in research, Idecided listen, let's try to
figure out a way that we canincrease the length and the
girth and the function of ahealthy guy's penis in a way
(04:54):
that is not destructive.
And so I created what's calledthe P-LONG study.
P-long is a combination of atraction device developed at the
Mayo Clinic, a suction devicefrom Dr Joel Kaplan, the Affirm
nitric oxide boosting supplementthat I created, and the use of
PRP, or platelet-rich plasma,injections into the penis once a
(05:16):
month for six months and overthat six month period in my
study of 30 men we increased thelength of a penis about 0.8
inches, the girth about a halfan inch and increased the
function of every guy's penis inthe study and, most importantly
, there wasn't a single adverseor negative side effect.
(05:37):
It was totally safe.
Speaker 1 (05:39):
Yeah.
So when I hear this, the firstthing a guy's going to say is
like okay, did I just hearinjection into my penis?
And so I know that a lot ofpeople don't necessarily
understand this.
This might scare people off,but let's break down this part
first, because it's probably themost controversial aspect of
this.
What exactly is PRP?
How is this injection actuallyworking?
(06:01):
It's platelet-rich plasma.
But what exactly is it doing?
Speaker 2 (06:06):
Yeah, so you know off the bat.
Most folks after the injectionsay that it was a 10 out of 10
on the anxiety scale and a 1 outof 10 on the pain scale.
So platelets in your body havetwo functions.
One function is to stopbleeding, but the second
function is to start theregenerative or rebuilding
process right.
(06:26):
So say, you're out in the gymand you bump into something and
you cut yourself, and then allof a sudden you start to bleed a
little bit.
There's a tissue, when it'sinjured, sends out what we call
inflammatory cytokines, sosignals to the body to stop
bleeding and also start healing.
And so what happens is thosesignals are recognized by
(06:46):
platelets.
Platelets hone to the area ofinjury and they open up the
platelet and they releaseclotting factors which create a
clot.
But they also release growthfactors, which is the reason
that when you cut yourself youform a clot, you form a scab.
The scab falls off and thenthat tissue regrows.
And so we can take advantage ofthe healing factors and the
(07:11):
growth factors inside platelets.
And so we use it in orthopedicsto heal joints, to heal knees,
to heal hips.
We use it in dental surgery toaccelerate the growth of gum
tissue.
We use it in aesthetics.
You can use it for hair growth,but also a guy named Charles
Ronalds, a friend of mine,started injecting it into the
penis and you can increaseerectile function with that.
(07:33):
And you can inject it into theclitoris, called the O-shot, and
you can increase orgasmicfunction and sensitivity in
women.
So I use this as part of theprotocol.
Right, so you can.
Biologic systems are pliable,meaning they stretchable, and
you can grow them.
By using PRP you acceleratethat growth process.
Speaker 1 (07:55):
Yeah, you know, and it's interesting, right, you
know, of course, from myperspective, I hear I think a
lot of people are going to hearokay, I can increase the size of
my penis.
What I'm most interested in,you said everybody in this
particular study that you puttogether had better function.
So erectile function was better.
To what degree?
And is this?
What do you attribute this to?
(08:15):
Do you think this is mostly tothe PRP and I know we'll
probably get into unpackingwhich parts of this procedure
are most effective, but I amvery interested in that.
Speaker 2 (08:31):
Yeah, so it's mostly the PRP, right?
So what you're doing is you'rereleasing 140 different growth
factors, including, mostimportantly, what's called VEGF,
or vascular endothelial growthfactor, and so your body
releases VEGF when it wants togrow new blood vessels, and so
there's no scale for assessingthe improvement in erectile
function in otherwise healthymen, right?
So we have scales for assessingimprovement in erections in men
(08:55):
that don't have good erections,but if you already have good
erections, which, by definition,you need in order to improve
the size of the penis.
But what we did is what'scalled the Likert question,
which is, basically, are you thesame, better, much better,
worse or much worse?
And everyone in the study saidthey were better Not much better
(09:16):
, but better, and guys ingeneral they know if their
erections are.
Speaker 1 (09:21):
And I guess we could classify this right Like how
responsive are my erections andhow much endurance do I have in
my erections?
Speaker 2 (09:28):
Yeah, and you know, as a guy you can feel rigidity.
Now the other thing that guyswere taking in the study is a
supplement that I created calledAffirm, and Affirm is a nitric
oxide booster, and when I was atUCLA one of my professors, lou
Ignaro, won the Nobel Prize fordiscovering how nitric oxide
opens up blood vessels.
And I just did a recent studythat we published at the Sexual
(09:51):
Medicine Society of NorthAmerica which showed that taking
two Affirm tablets whichcontain citrulline and beets
beets contain nitrates andthat's the two ways that you
generate nitric oxide in thebody.
So taking just two of thosetablets before you go to sleep
increased nighttime erections33%.
Speaker 1 (10:09):
That's fantastic.
It's a fantastic improvement.
Obviously, from my perspectiveand I'm sure from your
perspective too, most of thethings that we see as medical
professionals are people worriedabout erectile function.
You alluded to this, but frommy perspective, it's like what
would you rather have A biggerpenis that doesn't work, or a
penis that works, that maybe,perhaps, is not bigger?
And I think most men are goingto choose okay, well, I want
(10:30):
that erectile function, and thisis a very simple thing.
Speaker 2 (10:32):
Well, you know, with P-Long you get both.
Speaker 1 (10:35):
Yeah with P-Long you get both.
Speaker 2 (10:36):
You don't have to choose.
Speaker 1 (10:37):
Yeah, 100%.
Speaker 2 (10:38):
You get the best of both worlds and it's better.
Speaker 1 (10:47):
Yeah, and you alluded to something here that I did
want to ask you about, sinceyou're the expert, just for my
own education.
One of the things that I tend tothink about but I wanted to
talk to you about is I tend tothink about the penis being like
a muscle If it's not gettingperfused with blood, if it's not
exercising in that way, thenhow can you actually get it to
grow in size?
And so it seemed like youalluded to that, but that's one
(11:09):
of the things I wanted to askyou about.
When your people first got intouch and put us together, I was
like, oh, this is interesting,because from my perspective, I
want to see how he's doing this,because I have seen talk about
erectile function versus sizeand things like devices that are
traction devices and penishanging devices and things like
(11:31):
that, and I've always wonderedwell, if the penis is not
getting adequate blood flow toit on a regular basis, how are
any of these things working?
And you seem to allude thatthat's a big piece, which I
guess is why you developed thisparticular product.
Speaker 2 (11:45):
Well, so this is specifically for men without
erectile dysfunction, right If?
You can't fill the penis thatyou have up with blood
adequately, then getting abigger penis is just going to
make things worse.
And so you know, we've had somepatients who are interested in
a bigger penis but had erectileissues, and so we correct those
erectile issues first before wewould ever consider trying to
(12:08):
increase the length, girth andfunction of a healthy gas penis.
Speaker 1 (12:12):
Yeah, that's what I really wanted to ask you about,
and are you using things likeTadalafil and Sedanafil and some
of these other medications todo that, or is it?
Speaker 2 (12:21):
Yeah, I mean, I have a whole algorithm of what we do
in my office, which is startwith a nitric oxide booster
because you want to amplify thesignal to open up blood in the
penis, and then use a PDE5inhibitor like Cialis, which is
Tadalafil, or Viagra, which isSildenafil, which blocks the
breakdown.
So I'll go biochemical for justa sec, because it sounds like
(12:45):
your listeners are pretty smart.
So nitric oxide increasessomething called cyclic GMP, and
cyclic GMP creates a cascadethat eventually opens up blood
vessels, and so PDE5 inhibitorslike Viagra and Cialis prevent
the breakdown of cyclic GMP.
The more cyclic GMP you have inthe penis, the more that the
(13:08):
blood flow in the penisincreases.
And we're actually doing astudy with Affirm right now that
looks at the synergisticeffects of a nitric oxide
booster like Affirm and a PDE5inhibitor like Viagra and Cialis
, and we're getting amazing dataon combining the two.
Because the thing is, a lot ofguys can't take full doses of
(13:30):
Viagra and Cialis because ofside effects right, they get
headaches, they get facialflushing, they get reflux, they
get stuffy nose, and so if youcan increase the effectiveness
of a PDE5 inhibitor like Viagraand Cialis by supplementing it
with a nitric oxide boosterwhich is totally safe and
doesn't have any side effects.
That's going to be a realbenefit and the data on that
(13:52):
should be mature in probablyanother month or two and then
we'll publish that.
So, but that's to increase thesignal.
Now the other thing is you wantto increase the vascularity,
you want to increase the pipes,and we do that through focused
shockwave therapy, which is atotally safe local treatment of
the penis that stimulates yourbody to grow new blood vessels.
(14:12):
Also injections of PRP.
We also use penis pumps to helpguys bring blood flow
oxygenated blood flow into thepenis and stretch the penis.
We also can use botulismneurotoxin to help open up blood
vessels in the penis.
So there's a whole host ofthings that we do to increase
the signal and the condition ofthe penis and the vascularity of
(14:34):
the penis.
Speaker 1 (14:36):
Yeah, so once you get it working appropriately, then
we get more into this methodthat you've developed.
So we talked a little bit aboutthe PRP.
What are the other elements ofthis treatment and how effective
are they?
And I assume you know thereason you put them together is
because they're more effectivetogether, but I'm wondering if
they have efficacy separate aswell.
Speaker 2 (14:58):
Yeah, they do have efficacy separately, but I
believe in multimodal therapies,right?
So if you want to attack aproblem, you attack it from
multiple different ways.
And so the Restorex device isan attraction device developed
by a friend of mine who is atthe Mayo Clinic and that
increases length.
And then the penis pump from DrJoel Kaplan increases girth,
(15:20):
and then the nitric oxideboosting supplement increases
blood flow to the penis,especially at night when you
want to get some good stretchingof the penis.
So at night you should get 30to 60 minutes of erectile
function every night.
And there's a device out therecalled the FirmTech Ring, which
is a ring that has a pressuresensor on there and you can
actually monitor your nighttimeerections.
(15:42):
And nighttime erections arereally a good indicator of
circulatory health, right?
So if you're beginning to loseyour nighttime erections, you're
going to begin to lose yourability to get daytime erections
.
And if you're losing daytimeerections 10 years down the road
, you're going to end up withheart disease.
Right, it's happening now, butit's going to show up in about
(16:04):
10 years.
Speaker 1 (16:05):
Right, it's gonna it's happening now but it's
gonna show up in about 10 years.
And how easily?
How easily, because you talk toa lot of guys I certainly have
that, you know feel sort of um adread with this and just like
they're kind of done.
How easily is the turnaroundhere?
And how important is you know,lifestyle stuff that other
people might talk about.
So how fast can people turnthis function around?
I do want to get into the sizeincreases in a minute, but how
(16:25):
fast can people turn thisfunction around?
I do want to get into the sizeincreases in a minute, but how
fast can this happen when you'reusing all these techniques,
this multimodal treatment asyou're talking about?
Speaker 2 (16:32):
You mean in terms of improving size?
Speaker 1 (16:35):
Size and function.
How fast does it happen?
I assume the function comesback sooner.
Speaker 2 (16:41):
So you know, the P-Long study was six months, so
in the study the guys increasedthe size of their penis about
15% over a six-month period.
But erectile function is a verycomplicated issue and a lot of
it is from circulatory issuesand so if you're sedentary, if
you're overweight, if you don'teat well, if your cholesterol is
(17:02):
high, if you're blockingarteries because you're diabetic
, those can be very, verydifficult things to turn around.
And something like Viagra it'sa band-aid, but you're really
not addressing the underlyingissue.
And I know that you're reallypassionate about addressing the
underlying issues which are howto take better care of yourself,
(17:25):
the underlying issues which arehow to take better care of
yourself.
And you know I wrote a bookcalled the 21st Century man
which in the end had 101chapters and was over 900 pages,
and it started out as like a200-page book on a sexual
function that I was writingduring COVID because I had to
shut my office during COVID.
But as I got deeper and deeperinto sexual function and
(17:47):
erectile function, I realizedthat so many different things
affect the performance in thebedroom.
Right, if your heart isn't ingood shape, or if you have
diabetes, or if you smoke, or ifyou drink too much, or if your
relationships are bad, or ifyour mental health isn't good.
Or if you drink too much, or ifyour relationships are bad, or
if your mental health isn't good, or if you don't feel good
(18:09):
about how you look, or if you'renot enjoying life, all of those
things contribute to erectilefunction.
Not when you're 20, right, whenyou're 20, the wind blows and
you get a stiff dick.
But when you're 50 or 60, allof the decisions that you made
in your 20s and 30s and 40sreally affect your performance
sexually, and you know as apartner.
Speaker 1 (18:31):
Yeah, and the reason I'm trying to distinguish
between these two is because Iget what you're saying.
The P-Long, you know, sort ofstudy is for healthy men with
good erections, and so I do,because this is going to come up
over and over again.
I know I'm going to getquestions like this Well, what
about erectile dysfunction, whatabout erection function?
So you made a clear distinctionthere to say, okay, that's
(18:54):
something that needs to be takencare of prior to this P-LONG
study, and I do think people aregoing to get that confused, and
so I really wanted to make adistinction between the two.
Let's continue, though, withthe P-Long healthy penises that
are being studied, and you areusing this technique of traction
(19:14):
PRP pumps to increase lengthand girth, and I think you said
0.8 on average for the length,and what?
Speaker 2 (19:24):
half an inch for the girth, so almost an inch in
length and a half an inch ingirth.
And you know, the other thingis there have been studies.
There was a study out 20 yearsago on a traction device that
increased the length almost aninch.
But the problem is you had towear the thing eight to 10 hours
a day for about six to ninemonths.
Right, most of us don't havejobs Like if you're a mailman,
(19:44):
you can't wear a penis extendingdevice eight to 10 hours a day.
You know, maybe these days whenpeople work at home you can do
that.
But so with the P long it's ahalf an hour in the morning and
a half an hour in the evening.
So I really tried to make itinto something that is doable by
normal folks with normal jobs.
Speaker 1 (20:03):
Yeah, that doesn't seem like a lot actually.
And let me ask you, since we'retalking about I assume you're
talking now about the tractiondevices.
So I have not seen thistraction device.
I've certainly seen peopledoing hangers and things like
that what makes this particulartraction device different?
Are they all the same?
What makes this one?
Speaker 2 (20:24):
I think what makes it different is the way that it
grabs the head of the penis.
So it doesn't use suction, ituses, you know, compression.
And I think because it usescompression it's able to grab
the head of the penis morefirmly and stretch it more
vigorously.
Speaker 1 (20:39):
And is this something that you this is something that
you know people might?
If they wear it longer, do theyget better results?
Just 30, 30 minutes morning andevening is very doable to me.
Do you get better results withlonger traction?
Speaker 2 (20:53):
Yeah, I mean that's a great question.
People ask me all the time.
Well, you know, if I added stemcells, if I added exosomes, if
I, if I stretch longer, it's an.
You know the thing is.
I baked a cake with a certainrecipe.
It's an.
You know the thing is, I bakeda cake with a certain recipe and
I can tell you, if you do, ifyou follow this recipe, these
are the results you're going toget.
If you do more, you'll probablyget more, but I can't tell.
(21:16):
I can't say that for sure.
You know, if you use stem cells, if you use exosomes, you know
you'll probably get betterresults, but I don't know.
You know you have to do a studyto actually determine it and
results, but I don't know.
You have to do a study toactually determine it.
And sometimes you get surprised.
Sometimes things don't turn outquite as you expected, and
that's why you actually doexperiments, because if
everything turned out as youexpected, there'd be no reason
(21:37):
for experiments.
Now I will say that guyscontinue to grow if they
continue past the six-monthperiod.
So we had to stop at some point.
Right, and when we hadstatistically significant
numbers, I felt okay, it's safeto stop, we can publish this,
but I've had plenty of mypatients continue seven, you
know, month seven, month eight,month nine, month 10.
In fact, I had a patient acouple months ago who said you
(21:59):
know, doc, I love you, but thisis my last treatment and I'm
like you know how come you'redoing so great?
He's like well, you know, mywife told me that I'm I'm too
big for oral and I'm too big foranal and I need to leave at
least one orifice open.
Speaker 1 (22:11):
That's great.
Needless to say, he got greatresults he got really good
results.
Maybe not from his wife'sperspective, but his perspective
, that's.
That is hilarious.
Speaker 2 (22:22):
You know, and that's the interesting thing is, I
think guys do this more forthemselves and sort of being
around other guys.
If you ask women, I think womenare less concerned about the
size of the penis than guys are.
That come in for penileenhancement in my office aren't
(22:49):
necessarily ones with smallpenises.
In the study it was about athird of the guys had below
average.
A third of the guys had well,it's considered normal size and
a third of the guys had aboveaverage.
So beauty is in the eye of thebeholder and, like I said, I'm
not encouraging people toincrease the size of their penis
.
I'm encouraging people that ifyou're going to do it, do it in
(23:15):
a way that's safe and naturalright.
So if you're in bed with apartner, especially a woman, I
think they're looking more forconfidence than they are for the
size of the penis.
And so if they feel around andthey're like what's this, what
do you have in your penis, andyou say, oh, I put something in
there to be bigger, I don'tthink that's really going to
resonate, whereas if you doP-Long, it's naturally bigger
(23:36):
and works better and I thinkthat's going to give you more
confidence.
And when a partner's feelingaround down there.
They're not going to feel foran object.
Speaker 1 (23:47):
Yeah, and honestly, one of the reasons that I wanted
to have you on is because I hada friend who, when I was out in
Los Angeles, who was into someof this stuff, and he got the
sleeve and had some pretty badresults from that and it's
tragic for that kind of thing tohappen.
Speaker 2 (24:05):
So I know that a lot of men are doing this kind of
stuff.
I had this guy, 25-year-oldnurse, perfectly normal penis
had the implant or the E-listimplant or PNUMA you call it a
bunch of different things and hegot an infection.
He had to be in the hospitalfor a week on intravenous
antibiotics and then had to getit taken out and then he had two
(24:26):
additional operations to try tofix the scar tissue and then
finally came to me and we didsome shockwave and some PRP and
some traction and he sort of gotback to where he started from.
But that's a hell of a miserablelesson when things were normal.
Remember normal penis urinationand procreation.
(24:48):
That's it so.
Speaker 1 (24:51):
Yeah, and let's just make sure, just so men
understand, and the womenlistening to this, for the men
that they're with, just soeveryone's clear, when Judson is
talking about normal penis size, those numbers were for erect
penises, not flaccid penises,right?
So those numbers of whatever itwas five inches for the average
American male is an erect penis.
(25:14):
And how are you measuring thatin your office?
Are you doing the stretch, or Iknow that there's a correlation
between being able to stretchthe penis and measuring it that
way versus an actual erection.
Speaker 2 (25:25):
You know, in the study we actually asked people
to get erections at home andthen we gave them a standardized
ruler.
Because the thing is like Icould cheat, right, if I really
wanted to show that there wasgrowth.
On day one I would pull kind ofweakly on the penis and in
month six I would pull reallyhard and say, wow, you know,
(25:45):
look, it's grown an inch.
And so I thought it was abetter way of doing.
It was to have guys geterections and guys will tell you
.
You know, like this is notworking.
Speaker 1 (25:55):
Yeah, they'll know.
Speaker 2 (25:56):
Yeah, I mean they're like well, you know, I spent all
this time stretching andtraction and getting PRP and
it's not working.
You know, that was the reallygratifying thing about doing the
P-Long study because I did allthe injections and interfaced
with all the patients was thatpatients were happy.
You know I was giving them agift that keeps giving.
Speaker 1 (26:18):
Yeah, and by the way, how do they measure this?
By the way, how are youmeasuring?
Are you measuring at the top ofthe shaft to the pubic bone, or
off to the side of the penis tothe pubic bone?
How is it being measured?
Speaker 2 (26:29):
You know that is believe it or not like a point
of controversy.
Some people think that youshould do a bone press, so you
basically push the measuringdevice into the pubic bone and
measure.
And some people measure justlike loosely putting it up
against the skin.
And I just told patients do it.
However you measure, but makesure it's consistent.
Speaker 1 (26:51):
Yeah, Makes sense, Makes sense.
Okay, A couple more things Iwould love to just talk to you
about.
So you mentioned this shockwavedevice, but if I heard you
right the shockwave therapyyou're not using it in the
P-Long study.
That that was just tractionpumps and PRP, or was that also
included in the P-Long?
Speaker 2 (27:08):
study that that was just traction pumps and PRP, or
was that also included in theP-Long study?
No, that wasn't.
That was not included.
Okay, so that's mainly used for.
Speaker 1 (27:13):
if we heard you right , you said that increases the
pipes vascular tissue.
Speaker 2 (27:20):
Yeah, so that's focused shockwave therapy is
used really to increase thevascularity of the penis and not
to increase the size of thepenis.
Speaker 1 (27:28):
And have you seen good results with that for
penile function?
Speaker 2 (27:32):
Yeah, I mean you have to select your patients
properly.
So if you have a patient who'shad prostate cancer surgery, or
if you had a patient who's beena diabetic for 20 years, it's
not going to work all that well.
But for guys that have mild tomoderate erectile dysfunction,
it works really well.
So say, you have a guy in hisearly 50s with some erectile
dysfunction and needs someViagra, but you can get that
(27:53):
person to the point where hedoesn't need Viagra anymore.
If you have someone who's 65,that Viagra is not working so
well anymore, you can get themto the point where Viagra is
actually working really well.
Or if you have someone in their70s where things aren't working
at all with Viagra, now all ofa sudden you can get them to the
point where things work fairlywell with Viagra.
So you basically turn the clockback about five or 10 years.
(28:16):
But you're not going to takesomeone who's 65 and turn them
into a 20-year-old.
Speaker 1 (28:19):
Okay, and just a few questions that I know some of my
bros and my guy friends aregoing to want me to ask you.
So to what degree do you feellike in your clinical practice
that just and we'll talk.
Let's talk about penilefunction first, erectile
function.
That somebody who's, you know,slightly overweight, doesn't
work out, cleans up their diet,begins to lose weight.
(28:40):
What do you see?
How fast do you typicallynotice penile function to
improve and what are the thingsthat you might recommend?
And obviously I want to ask, inconjunction with that, how
important are the supplements?
Speaker 2 (28:54):
Yeah, so when I see a patient for erectile
dysfunction, I spend an hourwith the patient, even though it
seems like a relatively notminor is not the right word, but
like not minor is not the rightword, but like.
Erectile function is really avery complex issue.
And circulation, general health, mental health, emotional
(29:15):
health, relationship health,hormonal health, all those
things kind of combine to get tothe point where you have
adequate erections for and I'mtalking about, you know,
50-year-olds, 60-year-olds, I'mnot talking about 20-year-olds
20-year-olds you can do anythingyou want, you can go out
drinking all night and then getan erection, no problem.
(29:35):
I'm talking about when lifebegins to catch up to you, right
?
You're overweight because youhave a sedentary job and you
have kids and you have a wifeand you have stress and
pressures and you're smoking oryou're depressed, all that kind
of stuff.
Those things catch up to peopleand in order to really treat
(29:56):
erectile function not just doshockwave and give someone pills
, but in order to turn theirlife around so that they're able
to have a satisfying sex lifeyou have to help unwind all of
those things for men.
And we all have gifts and Ifind that that really is my
(30:18):
personal gift as a physician isI'm able to motivate men in a
way that they finally understanda little bell goes off for them
that they need to start turningaround their life in the way
that they take care ofthemselves.
Otherwise life's going to stop.
I had a patient the other day.
He's been drinking eight beersa day for 25 years.
(30:39):
He's 80 pounds overweight, sixyears old.
I looked the guy in the eye andsaid listen, dude, you're going
to fucking die a miserabledeath in less than five years.
And he just started crying.
He's like.
You know, no one's ever talkedto me like that before.
And I said sometimes peopleneed tough love.
And you know what that guycalled Turkey stopped drinking,
(31:01):
yeah.
Speaker 1 (31:01):
And what's really beautiful about that is he's
still.
Speaker 2 (31:04):
He's lost like 20 or 30 pounds.
He's starting to take care ofhimself.
Speaker 1 (31:08):
Yeah, a lot of people would say that's cruel, but in
that case it's the mostcompassionate thing that can be
done for someone, and I thinksome men really need that, and I
think that does really seemlike it's your gift.
That's why I think it's really,really, really cool what you're
doing.
You're doing and you know one.
One thing I'll say too, andjust get your thought on this,
is that you know, you and I,before we came on live, we were
(31:29):
talking about the mental,emotional sphere.
I mean, I've seen men you knowthat I work with who go through
heartbreak or betrayal andthings like that.
These are young men, men intheir thirties, maybe late
twenties, who completely loseerectile function just because
they've lost all confidence.
It's one of these things.
It's like they're heartbrokenso their penis is not working.
There is a whole thing herethat I love that you say that is
(31:52):
very complicated.
It's not just aboutbiochemistry.
Speaker 2 (31:56):
Yeah, it's a stress component.
People think it's all in yourhead or it's psychological or
whatever, but really it's astress.
It's psychological or whatever,but really it's a stress
response.
And so, if you think about itthis way, if you're a caveman
and you're in your cave withyour cavewoman and there's a
(32:16):
saber-toothed tiger out frontpacing back and forth, you're
producing stress hormones.
You're producing adrenaline andcortisol.
Right, you're producing thembecause you want blood flow to
go to your muscles, to go toyour eyes, to go to your brain,
to go to your heart.
And the last place you wantblood flow is your intestines,
because who cares if you'redigesting your meal?
Your kidneys, because who caresif you're making urine?
(32:38):
And your penis, because it'snot a good time to have a family
, right?
So a couple of days go by andyour cavewoman's starting to
complain and she's likeno-transcript, a spear.
(33:07):
You're all pissed off.
You charge out of the cave andyou kill the Sabertooth tiger.
Right, you get full sympatheticoutflow, adrenaline, cortisol
everything is coursing throughyour body.
You drag the tiger back intothe cave, you skin it.
You got a Sabertooth tigersteaks on the grill.
You got the Sabertooth tigerakson the grill.
You got the saber tooth tigerrug on the floor.
(33:28):
You have a great meal, you knowyour body's removing waste.
Now you're making urine and thenpretty soon you start
procreating, right?
So you start having intercoursewith your cavewoman and then
you ejaculate, which then now isa sympathetic outflow.
Right, because now you got toprotect yourself again.
When you're having intercourse,you're in a very vulnerable
(33:49):
position.
If you're an animal,ejaculation or orgasm is a
sympathetic outflow, and so thething is, there's only one
system, right?
So whether you're being chasedby a saber-toothed tiger, or
your spouse is pissed off at you, or you're lacking confidence,
or your boss is chewing you out,you produce the same stress
hormones, and so the key is toget yourself into a
(34:12):
parasympathetic or a relaxationstate, and that will bring blood
flow to the penis.
If, all of a sudden, you'relike, oh God, here I go again.
Things aren't going to work,this girl's going to be pissed
off at me, I'm going to be soembarrassed, guess what?
Blood flow is not going to goto the penis.
Speaker 1 (34:31):
Yeah, that's the catch 22, isn't it?
It's a thank you for that.
I love that.
I think that'll be very usefulfor a lot of men to understand.
It's a perfect way to kind ofinternalize it.
So all right.
Next question, final question,let's wrap up.
People are going to want to getthis treatment.
You've developed this treatment.
They're obviously going to belike Jade.
Where do I go for thistreatment?
(34:52):
I do have normal penilefunction.
I would love you know an inchyou know on my penis.
I want to understand how to getaccess to this P-Long.
How do they get access to this?
Speaker 2 (35:02):
Yeah, so we have a network of doctors around the
country.
So if you go to p-longcom andthen put your zip code in,
there's a doctor finder andyou'll be able to find a
physician close to you thatprovides that service.
The other thing you can do isyou can put the size of your
penis in and then it will tellyou after six months this is
(35:23):
what you can expect.
And then there's anaspirational part, so you can
put the size of the penis in andthen how big you want your
penis, because on average in thestudy guys grew about two and a
half percent per month.
So if you're four inches andyou want to get to eight inches,
it tells you it's going to takeyou two years or three years,
(35:44):
whatever, to get to the pointwhere you're eight inches.
Speaker 1 (35:48):
Nice, I love that.
And then, finally, your book,the 21st Century man.
Where is that available?
Is that on Amazon and all theplaces we would expect?
Speaker 2 (35:56):
Yeah, well, I mean you can go to
the21stcenturymancom all writtenout in letters or you can go to
Affirm Science A-F-F-I-R-Msciencecom and purchase the book
either of those two places, orit's even now on Spotify.
So if you're a Spotify Premiercustomer, just put in my name or
put in the 21st Century man andyou can listen to it.
Speaker 1 (36:17):
So it's an audio book .
Speaker 2 (36:19):
It's an e-book, but I think the best is the hardcover
book.
I like the fact that it's agood song.
Speaker 1 (36:28):
I normally like to get the hardcover plus the audio
, so I'm definitely going to getthat and I just appreciate you
so much, dr Judson Brandeis.
Thank you for your work, thankyou for what you're doing for
men.
Thank you for taking your timetoday.
Do me a favor, just hang on theline so I can make sure
everything uploads.
No-transcript.
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