Male Size Myths and Scientific Solutions: Dr. Brandeis Talks P-Long Protocol

Risk vs. Reward: The dangers of traditional enlargement procedures. - How the P-Long Protocol Works: PRP, nitric oxide, and medical devices explained. - The 21st Century Man with Dr. Brandeis. Judson discusses his journey into men's health, emphasizing the importance of lifestyle changes and the correlation between erectile dysfunction and cardiovascular health. Dr. Brandeis has dedicated the second half of his career to ‘Optimizing Manhood.’  Helping men Feel Great, Look Good and Have Better Physical Intimacy so they can Leave a Legacy.  Brandeis MD engages in clinical research to improve men’s quality of life and provide his patients and men everywhere the tools to live their best life.

https://brandeismd.com/

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Dr. Trip Goolsby & LeNae Goolsby are the co-founders of the Infinite Health Integrative Medicine Center, and are also the co-authors of the book “Think and Live Longer”.

Transcript

• LeNae Goolsby
• 00:02
• Alright, Doctor Brendis.
• Judson Brandeis
• 00:05
• Brand Brandeis like rolling the dice.
• LeNae Goolsby
• 00:08
• Okay. Brent, dice. Thank you for coming on the your infinite health podcast today
• excited to have you on.
• Judson Brandeis
• 00:17
• Yeah, I'm super excited, like, we're on total opposite sides of the country, you know, from Northern California down to
• the Gulf.
• LeNae Goolsby
• 00:26
• New Orleans.
• Judson Brandeis
• 00:27
• New Orleans, the Gulf Coast. But you know we're we're united
• in our goal of improving men's health.
• LeNae Goolsby
• 00:33
• For sure, and I'm.
• Trip Goolsby, MD
• 00:35
• Really excited.
• LeNae Goolsby
• 00:35
• To get into
• your story, and how you became interested in focusing on men's health. Can you tell our listeners about that?
• Judson Brandeis
• 00:45
• Oh, gosh! It's kind of a long story. But let's see, I went to Brown University for undergraduate, and then, after graduating college, I did a year of research at American Red Cross with
• Harold T. Merriman. Who's the guy that figured out how to freeze blood
• for transfusion.
• and then then went off to Vanderbilt for for Medical school, and while I was at Vanderbilt I did a Howard Hughes Medical Institute, sponsored
• year of research at Harvard Medical school in the lab that did the 1st living where they had a kidney transplant, and I thought I was going to be a kidney transplantation surgeon
• went off to Ucla, did 2 years of surgery, and then went off and did urology training at Ucla. We did a lot of kidney transplants, but then I became really interested in prostate cancer.
• and then went off into private practice after doing a year of research at Ucla and outcomes research and helped pioneer surgical robotics. So we had the second Da Vinci, surgical robot in the country.
• built a kidney stone center, built an MRI guided prostate biopsy center.
• and then became really interested in some of the new technologies for regenerative medicine in sexual medicine.
• So shockwave therapy Prp stem cells.
• And and then that really blossomed from there. I just became really interested in men's health, because men's health in this country is in such a state of disrepair manner.
• half as likely to as women to go to the doctor and longevity for white middle aged men in this country is actually declining, and it's declining because of alcoholism.
• opioids and suicide diseases of despair. And it's really.
• it's really tragic. What's happening to men's health in this country and and men in this country really need
• advocates and people who
• can teach them
• how to take better care of themselves.
• LeNae Goolsby
• 02:39
• So how? How do most men like
• patients that find you?
• Have they come to this self realization that what they've been doing isn't working for them, and they're seeking out.
• you know, proactive, seeking out care to help help them? Or are you finding, like the wives are pushing them into your door?
• Judson Brandeis
• 03:05
• Yeah, men usually lead with the penis.
• right? So if the penis isn't working.
• then they're like, I need to find someone who can help me fix this problem.
• LeNae Goolsby
• 03:16
• Oh, okay. So
• is that one of the 1st things to go.
• Judson Brandeis
• 03:22
• It is. I mean, the thing is like, if a man loses his left arm, he's like well, at least I got the right arm
• right? But if you lose the penis, that's it.
• And so you know, and so guys will come in for erectile dysfunction. But erectile dysfunction is kind of the canary in the coal mine, the bellwether for
• cardiovascular health.
• And so like. For I, what I typically say is
• the day you lose your nighttime erections, you know, when you don't wake up in the morning with an erection anymore. It's about 10 years
• later you'll lose erections during the day when you're trying to have intimacy with your partner.
• and 10 years after that
• you're going to have a heart attack. You're going to have a stroke. You're going to have some other cardiovascular event, and this is, you know, well established
• with with medical data, and so
• erectile dysfunction, because the thing is, the coronary arteries in the heart are 3 to 4 in size, and they're the 1st thing that your your heart perfuses with blood the penis. The arteries are one or 2 and they're the last place in the body that gets blood, your toes and your and your penis. And so
• that's going to be one of the 1st things that that leaves you is your ability to maintain a rigid erection.
• And so if you.
• if you realize that that's a problem
• and make lifestyle changes start exercising eating. Better
• stop drinking, stop smoking.
• then
• you've responded properly, but you know, if you just go borrow some Viagra from a buddy of yours, or go on one of these online sites like hymns and Roman and just get some blue pills.
• You're doing yourself a disservice, because eventually those pills aren't going to work.
• and you're gonna
• have a heart attack or some other medical issue that is much more difficult to respond to.
• LeNae Goolsby
• 05:14
• What's the Median age that you're seeing where this is? The onset driving somebody into the office.
• Judson Brandeis
• 05:20
• You know, anywhere from 40 to 80.
• LeNae Goolsby
• 05:23
• Wow!
• Judson Brandeis
• 05:23
• You know. So the statistics from the Massachusetts men's health study, which is the largest kind of survey of men's health.
• 40% of men in their forties had some degree of erectile dysfunction, 50% of men in their fifties, 60% of men in their 60 s. 70% of men in their seventies. So
• basically, 50% of men over the age of 50 have some degree of erectile dysfunction.
• LeNae Goolsby
• 05:45
• And you would attribute that
• mostly to lifestyle habit.
• Judson Brandeis
• 05:49
• Mostly the lifestyle. Yeah.
• LeNae Goolsby
• 05:51
• So something completely controllable.
• Judson Brandeis
• 05:53
• I mean, I had a patient the other day he was 83, and he was a vegetarian and a good athlete, and
• I did an ultrasound of his penile blood vessels, and they were pristine.
• Wow!
• And and I've ultrasounded 40 year old guys that, you know, are overweight smoking.
• eating poorly, and they're clogged.
• LeNae Goolsby
• 06:17
• That's it's really interesting, though, that lifestyle modification like, because that's something that everybody can control.
• Judson Brandeis
• 06:24
• Oh, yeah.
• LeNae Goolsby
• 06:24
• Like you're not a victim of your genetics per se. Right? You have the power to make different choices and have a better outcome for yourself.
• Judson Brandeis
• 06:32
• Yeah, almost all of us have the ability to stay healthy. I mean, like, in 10 seconds. I could give you the solution to being healthier than 95% of men.
• LeNae Goolsby
• 06:43
• Okay. We'll take the next 10 seconds.
• Judson Brandeis
• 06:45
• All right, don't drink, don't smoke, don't do drugs, don't eat too much exercise every day. Stretch, meditate, do yoga get enough sleep and be nice to other people.
• LeNae Goolsby
• 06:55
• Nice, so easy, and yet
• such a challenge!
• Judson Brandeis
• 06:59
• Yeah, I mean, it's it's so easy. But it's it's so difficult.
• I mean, there's a lot of stress in life. And people need
• coping strategies and a lot of people's coping strategies aren't healthy.
• LeNae Goolsby
• 07:11
• Right.
• Trip Goolsby, MD
• 07:13
• So the difficulty? Yeah, the the difficulty there is,
• is one of the things we have to do, though, is own, that own. Take ownership of of how we live. And that's why I think one of the biggest things that that I see when when people come in is that they're
• they're they're not taking ownership of what they want to develop, what they want to be when they grow up, so to speak. And so
• as as we as I mean. And I heard that a little bit in that tonality we have a lot of things to think about, but at the same time
• most of us in my patient population. I'll see see people that will beg off on the ownership of their of their health outcomes by virtually by saying it's something else's or somebody else's fault.
• And so that's, I think, a key to having great health in this setting that we live in today is is quite frankly taking ownership and knowing where you want to be when you're, you know, 10 years older or 15 years older. I think those are things are critically important.
• Judson Brandeis
• 08:19
• Trip. You know, you make a fantastic point, you really do. And so there are a couple of things that I do
• with my patients. 1st of all, I tell them, you know, if they're 40,
• I'll tell them.
• You know you're going to be at 60 at some point. Do you want your 60 year old self to think back on your 40 year old self and say, Wow, dude! You really hooked me up.
• You know I'm I'm feeling great. I'm in great health. I can be sexually active. Or do you want your 60 year old self to say to your 40 year old self
• dude. You really messed me up. You know I'm fat. I'm out of shape. I can't do the things that I used to do. I can't have sex anymore. So you have to take accountability
• to your 60 year old self. And the other thing is that what I find is that
• men really respond to
• analytics and numbers.
• And so, you know, we can draw labs. But there's not a whole lot you can do about labs. But I also have an in-body body composition scan.
• and that tells you not only how much you weigh, but how much muscle you have, how many pounds of fat you have, what your percentage of body fat is
• how much muscle your left arm has your right arm, your trunk, your legs.
• and it's really shocking
• when people actually look at the numbers, because the numbers just absolutely don't lie.
• And I can. I can look guys in the eye and say, Listen, you know, you got a beach body. You got strong upper body, but you have chicken legs.
• and they're like, Oh, yeah. Well, I I
• don't work out my legs, or I can say, listen. You know you have 80 pounds of muscle, but you have 80 pounds of fat.
• you know. That's a big problem where you know I had a patient. The other day he came in for a circumcision, but he was 100 pounds overweight.
• and he was drinking 8 beers a day.
• LeNae Goolsby
• 10:04
• Wow!
• Judson Brandeis
• 10:05
• And and I just looked at him in the eye.
• and I said.
• If you don't stop drinking cold turkey, you're gonna fucking die a miserable death in the next 5 years.
• Trip Goolsby, MD
• 10:17
• Love it. Yeah.
• Judson Brandeis
• 10:18
• And he was stunned.
• and he started crying, and he said, No one's ever. I've been a doctor for 25 years. No one's ever said that to me.
• and you know what. A month later he came back for a circumcision. He stopped drinking.
• LeNae Goolsby
• 10:32
• Wow! In a month. That's awesome.
• Judson Brandeis
• 10:33
• In a month cold turkey the day after he left.
• and and that's not an unusual situation in my office.
• because it's it's tough love.
• I tell people what no one else wants them to tell. But I have
• the analytics. I have the data to support it.
• And
• some people just need to be
• told in a really blunt way.
• Trip Goolsby, MD
• 10:58
• I find myself in exactly the same situation with with every single one of my patients, and one of the 1st things we do is to
• establish that successful health image of what what they're going to be creating.
• And then after that, then we then we talk about how to get there after I've done the the laboratories exam and all that stuff, and I think
• virtually well. I tell them I have a compliance, modality, and my compliance modality has been based on the success that I've had with it over the years
• and a bit humorously. I'll say, you know, people used to be noncompliant in my practice they'd they'd have their image. They'd have these results. They'd have all the information, and they wouldn't do anything, or they'd do you know, one component of of 4 or 5 that I'd give them. So
• now I tell them, if they don't do what I say. I have a set of color coded tasers that I'll pick one on and use it on. And yeah, they're compliant.
• Judson Brandeis
• 11:57
• Well, I mean the other thing that I that I say, and I'll have to get your color coded tasers from my office. But
• what I tell guys is, listen, I'm not going to follow you home.
• I today I met you for the 1st time.
• and, to be honest.
• I don't really care if you do this or not.
• That's up to you.
• you know. You leave my office, and
• I'm going to have 10 more patients coming in, and I can't follow you home and tell you to do this stuff.
• I tell them. Listen! You know this is my expertise. There are very few people that are better at telling you what you need to do
• then me?
• But
• if you do it or not, that's up to you. That's your own.
• That's your own problem. But I think also, it's important to give people expectations of
• how long it's going to take the process right? So ideally, if you do everything right. You can lose one pound of fat
• per week.
• That's it.
• And so if I have someone that's got to lose 30 or 40 pounds, I tell them
• this is going to take a year. If you do everything right, it's going to take a year. So in a month, if you've only lost 2 pounds. Don't be discouraged.
• cause I'm telling you. You know, I usually give them a date, you know. Come in here on New Year's Day in 2026,
• and show me how great you are, because if you come in New Year's Day, 2025,
• you're not going to look like what you want to look like.
• Trip Goolsby, MD
• 13:29
• Expectations. We have many type, a personalities in our in our patient populations. They want it all, they want it now they want it delivered.
• and that that doesn't happen. You have to give to get right. They say.
• Judson Brandeis
• 13:41
• Oh, yeah, and they want us. They want us to like, give them a pill or medication or so. I had a I had a patient that I have decent number of patients to fly in from all over the place to see me out of this guy that flew in from Florida
• to Northern California to see me, and he's asking me about Peptides, you know. What do you think about Bpc. 1, 57, and whatever.
• And I just looked at him. I said, Dude, you gotta lose 50 pounds first.st
• I mean, what's the point of taking Peptides? If you're 50 pounds overweight.
• LeNae Goolsby
• 14:13
• Right.
• Trip Goolsby, MD
• 14:15
• Canceling the effect virtually, immediately.
• Judson Brandeis
• 14:17
• I mean. So you know, do the cheap stuff first.st
• It's actually like you save a lot. I I do the math for patients like. I'll have a patient that's drinking 2 glasses of wine
• a night.
• and so if you drink a glass of wine a night, you do the math. That's 13 pounds of fat a year.
• LeNae Goolsby
• 14:38
• Wow!
• Judson Brandeis
• 14:39
• The 2 glasses of wine, 26 pounds of fat a year. So if you just did everything the same, but stopped drinking 2 glasses of wine a night.
• You're going to lose 26 pounds of fat, and
• you know we're up in. You know I'm not too far from Napa, and wine is expensive up in Napa. So
• I'm like you're going to save $6,000 a year and lose 25 pounds.
• LeNae Goolsby
• 14:59
• Yeah, assuming that they don't
• substitute that with something else.
• Judson Brandeis
• 15:02
• Well, yeah.
• Trip Goolsby, MD
• 15:03
• Priorities, priorities, priorities.
• LeNae Goolsby
• 15:06
• Not drinking anymore, but that kilo and pie sure does look.
• Judson Brandeis
• 15:12
• I've been to jazz fest I know the.
• Trip Goolsby, MD
• 15:15
• No.
• Judson Brandeis
• 15:15
• Right. I've had my fair share of beignets.
• LeNae Goolsby
• 15:19
• All right.
• Well, okay. So you want to kind of get into what you're calling P. Long.
• And that would be, would you say, that's more of an elective.
• Judson Brandeis
• 15:32
• It is.
• LeNae Goolsby
• 15:32
• It's.
• Judson Brandeis
• 15:32
• Totally 100% elective. And I don't go on podcasts to tell anyone
• to get a bigger penis.
• right? The purpose of the penis is to urinate and to procreate, and if you can urinate and procreate, your penis is just fine.
• right, but for the same reason that 300,000 American women each year get breast implants. You know, guys want bigger penises when they do studies
• and surveys of men. 50% of men say that they want a bigger penis, and 50% of men are lying.
• LeNae Goolsby
• 16:05
• Wait hold on. 50% are saying they want a bigger penis. But those same 50% are lying.
• Judson Brandeis
• 16:10
• No, the other 50%.
• LeNae Goolsby
• 16:11
• Are lying. Okay. Okay? I got it.
• Judson Brandeis
• 16:16
• And you know the thing is as a urologist, a surgeon, a sexual medicine expert. I would get a lot of men who would come in with complications from the other methods of penile enhancement.
• Whether it's fillers, whether it's
• surgeries, fat transfers. There's something called the penuma or the hemp plant.
• But I've seen terrible complications from.
• And so you'd have a perfectly normal guy
• with a perfectly normal penis. And then now, all of a sudden, they have a distorted or a non functioning penis, because of something that they did
• for their own personal
• vanity or insecurity, or whatever you want to call it. And so, you know, since I had a background in regenerative medicine, in research.
• in urology, I created a study called the Plong Study
• that
• I got Irb approved so Institutional Review Board approval. I had it listed by clinicaltrials.gov. I've presented the results at the International Society of Sexual Medicine and the Sexual Medicine Society of North America. So I had it vetted by the top
• academic folks in Urology, and I even had it published in Andrology, which is a reviewed journal. So
• you know it's not. There's so much false information and false marketing claims in sexual medicine.
• because so many people are embarrassed or ashamed about it so like you're not going to go down to the local ups store to return your
• penis extender pump right.
• LeNae Goolsby
• 17:49
• Hmm.
• Judson Brandeis
• 17:50
• Like. Oh, Joe, what is that? You know? Oh, I gotta send my
• small penis extender pump back to Amazon. Of course you're not going to do that. So
• you know, people can sell a bunch of junk that just gets thrown away because people are embarrassed. And so, you know.
• this is something that's been vetted by professionals. It's been something that's been published.
• and and I have a network of providers around the country that are trained to provide the service. And it you know, the thing about it is also, I set proper expectations.
• So you can count on about 15% growth in length, which translates in the study to about almost an inch in length.
• a half an inch in girth, 10% improvement in girth and better function, because Prp improves vascularity.
• And so, you know, going into it, you have a pretty good idea of what to expect.
• It's totally safe.
• you know, in the study I did. You know 180 prp. Injections in the penis knock on wood. No one ever had any issues or problems.
• and it, you know it's reasonably priced compared to the other
• modalities. But the other thing is, when you take a foreign body and put it into the penis.
• People are going to know. And so, if I think what what partners are looking for.
• especially female partners is more about self-confidence.
• then they're looking for a big penis. I mean correct me if I'm wrong, Renee. But
• you know, would you have a would you rather have a man who's confident in what they have? Or would you rather have a man with a big piece of silicone in their penis?
• To
• quote, give you more pleasure.
• LeNae Goolsby
• 19:40
• Yeah, no, I think confidence, for sure is paramount, but also knowing how to use your tool properly.
• Judson Brandeis
• 19:47
• Exactly. Yeah. And so, yeah, the nice thing about Plong is that it's completely and totally natural. No one will ever know that you did, Plong. They'll just know that you have a bigger.
• girthier penis that gets harder.
• LeNae Goolsby
• 20:04
• Well, so are you using the patient's own blood, and like
• A, are you using the patient's own blood? And then, B, does it matter if that patient's, you know, over 50, 60, 70, 80, if you are using their own blood.
• Judson Brandeis
• 20:19
• Yeah, so that's a great question. So we do use the patient's own blood. So prp is platelet, rich plasma and platelets in your body have 2 functions.
• One function is to cause a clot, but the other function which most people don't really realize is platelets contain growth factors, and those growth. Factors start the regeneration and healing process.
• And so what we do is we draw 60 CC's. Of blood. We spin it down when you spin blood down the red blood cells. Go to the bottom. We take those red cells out the plasma, which is the water that your body
• floats, your blood cells in. We take out some of that water, and then we resuspend the platelets
• in the rest of the plasma.
• And those platelets are activated. So they're actively releasing growth factors. And so we inject it
• into the penis. Now, Prp is used in orthopedics. It's used in hair growth. It's used in gum surgery. So these growth factors are nonspecific, but if you inject them into the penis, then you can accelerate the growth of blood vessels and tissues in the penis, and we use a 30 gauge needle, which is the smallest needle, and I use an ultrasound to guide the injection of the penis. So
• we just do one small needle stick. Most patients describe it as a 10 out of 10 on the anxiety scale, but a 1 out of 10 on the pain scale.
• And that's
• no, we don't even numb, because, you know, typically we would numb with a I mean, some people use topical numbing cream.
• but typically with a numbing injection, we use a 30 gauge needle, and with this we use a 30 gauge needle.
• LeNae Goolsby
• 21:55
• So you're saying it doesn't matter if, like, the guy is 80 years old versus 40 years old, like.
• Judson Brandeis
• 22:00
• Platelets. You know, growth factors are growth factors.
• LeNae Goolsby
• 22:04
• And is that what's providing length and girth is the growth factor.
• Judson Brandeis
• 22:08
• Yeah, so it's a combination. So we use a traction device for length
• developed by a friend of mine at the Mayo clinic called the restore X device, and you have to use that 20 min twice a day.
• and then we use a penis pump from the Dr. Joel Kaplan folks, and that's 12 min twice a day. That's for girth. And then we use my affirm nitric oxide boosting supplement.
• And I'm presenting some really exciting data on that I can tell you about in a sec.
• But that improves circulation.
• and then the secret sauce is the prp injection once a month for 6 months.
• LeNae Goolsby
• 22:45
• Once a month for 6 months.
• and then are you doing the other things for 6 months as well.
• Judson Brandeis
• 22:51
• Exactly so. It's about 30 min of traction, and stretching in the morning 30 min of traction, and stretching in the evening.
• LeNae Goolsby
• 22:59
• For 6 months.
• Judson Brandeis
• 23:00
• For 6 months. Right? You know. So 6 months we had to end the study at some point. And so when we had statistical significance on the data.
• You know, we I stopped the study and we wrote it up. But I have patients that
• come in even after 6 months, and they continue to get gains
• to the point where I had a patient the other day. Who?
• He said. Doc, you know I really appreciate everything you've done for me. But this is gonna be my last
• treatment, I'm like, well, you know you did so great. How come?
• He said. Well, my wife says I'm too big for anal, and I'm too big for oral, and I need to at least leave one orifice open.
• LeNae Goolsby
• 23:44
• What a problem to have.
• Judson Brandeis
• 23:46
• Exactly.
• That's a true story.
• I can't make these things up right.
• LeNae Goolsby
• 23:53
• Right.
• Judson Brandeis
• 23:54
• My mind. I mean, my mind goes in all sorts of weird directions. But but I can't make some of these things up. The patients tell me.
• LeNae Goolsby
• 24:02
• How long had he been receiving treatment?
• Judson Brandeis
• 24:05
• He was in the original Pilong study, and then he came in for another 4 or 5 months, so I think he had like a total of 10 months of treatment. But you know, on the website we have
• so on the p dash, long.com website, you know, you can put in like.
• I'm 6 inches. What am I gonna look like at the end of 6 months, and it's like 6 inches, 6.8 inches, or something like that. But then also we have an aspirational calculator, which is.
• you know, I'm 5 inches, and I want to be 8 inches. How long am I going to have to get treatment
• to become 8 inches? And maybe it's 2, 3 years, or whatever. But it's a it works out to about 2 and a half percent
• increase in length
• per month.
• LeNae Goolsby
• 24:50
• What happens when they stop.
• Judson Brandeis
• 24:52
• As long as there's
• adequate, erectile function.
• then it'll stay the same
• right? Because the thing is, when you go to sleep at night you should be getting 30 to 60 min of erections every night.
• And so that's why Plong is only for men who have
• normal, erectile function. Right? If you don't have normal, erectile function, then you can't fill the penis up that you have with enough blood flow
• right? So plong's not for you, you know, shockwave therapy and Prp. And
• Pd. 5. Inhibitors, and affirm, and all those kind of that's what that's the direction that those folks need to go. But this is for men between the ages of 20 and God. I hate to say 55, because I'm 57, which means I would
• I would age myself out of my own study. Usually usually like, I'll I'll set the age group in the studies that I do from like 20 to whatever age I happen to be so. I don't age myself out of my own studies, because I usually participate in my own studies anyway. But.
• LeNae Goolsby
• 25:54
• That's funny. Well, I guess you're gonna have to raise your age limit.
• Judson Brandeis
• 25:57
• Yeah, there, you go.
• LeNae Goolsby
• 26:00
• Okay.
• Judson Brandeis
• 26:01
• But it, you know. It brings me to a really interesting point, which is the study that I'm presenting next week at the Sexual Medicine Society of North America on affirm.
• So a firm is a nitric oxide booster, and a lot of folks don't know about nitric oxide boosters, because drug companies will never be able to make money on nitric oxide boosters, because it's
• basically it's watermelon and beets. It's citrulline Arginine and nitrates. And so
• you know, a drug company can't spend millions of dollars on a drug study and then patent it because it's you know, it's a naturally occurring
• molecule. And when I was at Ucla. My professors won the Nobel Prize for discovering nitric oxide and what it does, and they also discovered the mechanism of action of Viagra.
• And what nitric oxide does
• in all mammals, men, women, cats, dogs.
• giraffes, rhinoceroses is. It
• makes the body make something called Cgmp
• and Cgmp results in a cascade of events that opens up blood vessels. So it helps your blood vessels become more elastic, and so I use it for as a blood pressure medication to get my patients with erectile dysfunction off their blood pressure medications, because blood pressure medications are really bad
• for erectile function.
• elite endurance, athletes and bodybuilders use it to improve circulation. It improves brain function because it improves circulation to the brain, and the brain needs oxygen, and the brain needs glucose.
• And if you don't have good circulation, delivering oxygen and glucose to the brain, then your cognition will be off. But in my office we also use it for genital circulation, right? So circulation to the penis. But when you do
• research in sexual medicine, there's not really good analytics. There's not really good ways of assessing improvements in erectile function, right? You can ask questions.
• So we have sophisticated questionnaires to ask patients about their sexual function, and you get a score based on that. But the thing is, if you had a great night of sex with your partner last night, you might have a high score, or if your partner was sick, or that you had an argument. You're going to have a low score, but you have the same penis.
• right? So that you need some sort of objective measure.
• And so that objective measure is a device called the firmtech, which is a ring that you put around the penis.
• and it measures penile pressures at night, measures nighttime erections, and so, whether you got into a fight with your spouse or night or not, the night before your nighttime erections should be the same.
• and so what we did is we
• had patients wear the firmtech for 2 nights without taking
• the affirm nitric oxide booster, and then we had them where the firmtech at night.
• after they took
• 2 tablets of the affirm nitric oxide booster, and what we found was a 30% improvement
• in nighttime erections.
• which is really remarkable, for you know, basically a naturally occurring supplement
• with no side effects.
• Huh?
• LeNae Goolsby
• 29:10
• Fascinating. So it's like an oris ring.
• Judson Brandeis
• 29:13
• Yeah, it's basically like an aura ring for the penis.
• LeNae Goolsby
• 29:15
• Okay. Okay.
• Judson Brandeis
• 29:17
• But the really really cool study that I'm doing now
• is the confirmed 2 study. Okay? So I'm going to go a little more biochemical on you. Okay, so remember, nitric oxide creates cyclic gmp.
• and there's a class of medication called Pde. 5 inhibitors like Viagra and Cialis, and what they do is they block the Pde 5 enzyme. That's only in the penis from breaking down cyclic gmp. So nitric oxide makes cyclic gmp
• and viagra prevents the breakdown of cyclic gmp, so
• theoretically, there should be a synergistic relationship between those 2. But no one's actually ever
• studied that remarkable. I mean, it's like 100 million people have taken Viagra. 100 million people have taken nitric oxide boosters, but never has anyone looked at the synergy between those.
• And so
• what I was. I'm always the the guinea pig, the 1st person. So
• one night or 2 nights I took 40 milligrams of Viagra, and I looked at my nighttime erections, using the the firmtech, and then the next 2 nights I took 40 milligrams of Viagra, which is a little bit less than a half, a full dose
• and 2 affirm tablets.
• and I noticed a much better improvement
• in nighttime erections.
• And this is really really important, because there's a lot of men out there that can't take a full dose of Viagra and Cialis because of side effects, because it gives them headache, facial, flushing, reflux, stuffy nose. And so
• if you can't take a hundred milligram dose of Viagra, but you can take 50,
• and then you can take a nitric oxide booster like a firm to get the effect, you know, amplify the effects of the 50 milligram. You may be able to achieve satisfactory penetrative intercourse
• by using that combination rather than taking 100 milligrams of biogran getting a splitting headache.
• LeNae Goolsby
• 31:20
• Cool.
• Judson Brandeis
• 31:22
• Yeah, that'll be really.
• LeNae Goolsby
• 31:23
• You're doing now.
• Judson Brandeis
• 31:24
• That's the that's the follow-up study that we're doing to the confirm one.
• LeNae Goolsby
• 31:29
• Okay. Fascinating stuff.
• tell me about your book.
• Judson Brandeis
• 31:38
• Yeah, that's what that was. My Covid project.
• LeNae Goolsby
• 31:40
• Oh, okay.
• Judson Brandeis
• 31:41
• Yeah, the 21st century man. I had to shut my office down for 3 months. And I'm not the kind of person that likes to like.
• LeNae Goolsby
• 31:49
• Relax.
• Judson Brandeis
• 31:49
• Hang out and do nothing and relax. Yeah.
• LeNae Goolsby
• 31:51
• Alex, and chill not.
• Judson Brandeis
• 31:52
• Yeah, exactly. And so
• I, it started out being just a like a 2, 300 page book about sexual medicine. But the thing is.
• there are so many things that affect a man's ability to be sexually active after the age of, say, 50 like in the 20 s.
• It's different. Right? I mean, you can get away with almost anything. But after the age of 50
• you have to be physically healthy. You have to be mentally healthy. Your relationship has to be healthy. You have to be sexually healthy in order to have satisfying
• sexual relations. And so
• chapters just kept coming to me. So like.
• There's all sorts of chapters on physical medicine, you know, heart disease and and diabetes and all that stuff. But then
• there's specialty medicine so like things like sleep. You know, I have patients that have really bad sleep, apnea, that
• it affects their ability to have sex. And then.
• you know, you're I have. There's a whole section on relationships. Because if your relationships are messed up, you're not going to be having sex. And then there's a whole section on
• mental health. So if you're anxious or you're depressed, that can affect your ability to get erections. And then there's a whole section on aesthetic medicine right? Because if you don't feel like you look good.
• it's going to affect your ability to have sex. And there's a whole section on addictions. Because if you're an alcoholic. You're addicted to tobacco. It's going to affect your ability to get erections.
• And then there's a whole section on sexual medicine. And then, you know, urology type stuff. So you know, prostate
• then there's a whole section on lifestyle. So chapters written on Yoga and mindfulness meditation.
• you know, it's it's really everything
• that a man needs, that the thing is all the things that you wish somebody had told you.
• But you never learned.
• LeNae Goolsby
• 33:46
• So it's written for the average person to.
• Judson Brandeis
• 33:49
• It's.
• LeNae Goolsby
• 33:49
• Stand!
• Judson Brandeis
• 33:50
• Totally written for the average reasonably intelligent person to understand.
• You know that.
• LeNae Goolsby
• 33:57
• Qualification. There.
• Judson Brandeis
• 33:58
• Yeah, I mean.
• LeNae Goolsby
• 33:59
• Reasonably intelligent.
• Judson Brandeis
• 34:00
• It's it's written in a very active, tense, so like I can't stand. When I read a 300 page book, and at the end of the book. I'm like, you know, they could have just said that in 4 pages.
• Right. This is a 900 page book, and the least number of pages that I could have provided. That information was 900 pages.
• but it's a hundred one chapters. So it's not. It's not meant to be read. Cover to cover.
• LeNae Goolsby
• 34:24
• Right.
• Judson Brandeis
• 34:25
• It's meant to be like.
• LeNae Goolsby
• 34:26
• First.st
• Judson Brandeis
• 34:26
• Yeah, like, I'm having trouble sleeping.
• What can I do to improve my sleep? Or there's a great chapter written by Miguel Canales. He's 1 of the top guys in the country in hair replacement. Right? So, oh, I'm losing my hair. What can I do about that? Or.
• you know, having prostate issues. Let me read Dr. Brandeis's chapter on the prostate. So it's it's like a reference guide written by.
• you know, like, say, your next door neighbor was the top cardiologist in town. What advice would he or she give you
• about how to deal with your heart issues?
• LeNae Goolsby
• 34:58
• Cool.
• awesome.
• Judson Brandeis
• 35:01
• Yeah.
• LeNae Goolsby
• 35:02
• Right? And then, well, okay, so what is one thing you want the listener to know.
• Judson Brandeis
• 35:10
• I think the most important thing is take accountability for your own health.
• you know, like Trip said. Don't blame other people.
• It's easy to blame other people, but you know you got to look yourself in the mirror.
• and
• where there's a will there's a way, you know, that there's 1 of my favorite
• Ted Talks is by Amy Purdy, who was this female competitive snowboarder that got an infection, and she lost both her legs.
• and it's just like the attitude that she
• had
• in that Ted Talk is just like the most unbelievable attitude she's like, well, you know.
• Now, I don't have to worry about. If a guy that I'm dating is short or tall, I can just put on either
• tall or short leg extensions
• that I can walk on like I heard that it just blew me away like.
• Trip Goolsby, MD
• 35:58
• That's so good.
• Judson Brandeis
• 35:59
• Yeah. And like, here I have these able-bodied people that walk into my office that tell me like, Oh, I can't exercise, or Oh, I can't do this or Oh, I can't do that.
• And I'm like.
• Yeah, you can.
• LeNae Goolsby
• 36:13
• Right.
• Judson Brandeis
• 36:14
• But if you don't think you can.
• that's your own problem. You're gonna be stuck
• in where you're at.
• Trip Goolsby, MD
• 36:22
• Henry Ford.
• whether you say you can or you can't. You're right.
• Judson Brandeis
• 36:26
• Yeah.
• Trip Goolsby, MD
• 36:27
• Yeah.
• LeNae Goolsby
• 36:29
• Cool alright, and then where can people find more about you and get your book.
• Judson Brandeis
• 36:36
• Yeah, absolutely. So if you're interested in the 1st and only natural and safe
• penile enhancement, go to p dash long.com.
• and there's all the information you ever would need
• to learn about penile enhancement, and where you can find a provider. If you're interested in in my medical practice in Northern California.
• It's brandeismd.com BRAN DEIS md.com.
• and if you're interested in the book, go to the 20 firstcenturyman.com, all written out in letters.
• and if you're interested in a firm nitric oxide boosting supplement, or I have
• another. A number of other
• men's health supplements
• specifically for men's health. Although women can take a firm. Also, we have a pink affirm for women, and
• nitric oxide is just as important in women as it is for men. But you can go to affirm science A FFIR. M. Science.
• And then I have a Youtube channel where I
• post, you know a lot of my teaching stuff, and then I have an Instagram.
• although I don't really yeah, all the things I don't really know how to post on Instagram. I have people posting on Instagram for me. I'm too much of a boomer for that.
• LeNae Goolsby
• 37:53
• Wait, are you a? You're not a boomer. You're how old you're not.
• Judson Brandeis
• 37:56
• Adam, but.
• LeNae Goolsby
• 37:57
• Think you might.
• Judson Brandeis
• 37:58
• Well.
• LeNae Goolsby
• 37:58
• Exer.
• Judson Brandeis
• 37:59
• I'm 57. I don't know what that qualifies me for.
• LeNae Goolsby
• 38:02
• You're either a really young boomer, or maybe a more senior. Gen. X.
• Judson Brandeis
• 38:08
• 10. Excellent! There you go!
• LeNae Goolsby
• 38:10
• Well, listener, I'll have all the links in the show notes, so don't wreck trying to
• trying to look that stuff up. It'll be available for you.
• Alright, Dr. Brandeis, I learned a lot. Thank you so much for sharing your wisdom and expertise.
• Trip Goolsby, MD
• 38:26
• Yeah, loved it loved it.
• Judson Brandeis
• 38:28
• I really appreciate you guys.
• Trip Goolsby, MD
• 38:30
• Really.
• Judson Brandeis
• 38:30
• Gotcha.
• Trip Goolsby, MD
• 38:30
• Yeah, absolutely.
• Judson Brandeis
• 38:32
• And if you're ever out in California, please come visit me, and if I'm ever down in Louisiana.
• LeNae Goolsby
• 38:37
• Oh!
• Judson Brandeis
• 38:38
• Certainly.
• LeNae Goolsby
• 38:38
• Is open for sure.
• Judson Brandeis
• 38:39
• Pay you a visit. Oh, yeah. People in.
• Trip Goolsby, MD
• 38:41
• Oh, yeah.
• Judson Brandeis
• 38:42
• I found are are so super friendly and and.
• LeNae Goolsby
• 38:46
• Yeah.
• Judson Brandeis
• 38:47
• Absolutely, definitely.
• LeNae Goolsby
• 38:48
• Look you up if I if we make it up that way for sure.
• Judson Brandeis
• 38:52
• Absolutely, and I'll send you some affirm, and a copy of my book.
• LeNae Goolsby
• 38:55
• Cool. I appreciate that.
• Trip Goolsby, MD
• 38:57
• Look forward to it, look forward to it. Thanks so much.
• Judson Brandeis
• 39:01
• Pleasure.
• LeNae Goolsby
• Educational, informational, somewhat entertaining, and until next time.