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I’m excited to have my good friend Shaun Noorian join us today. Shaun is the CEO and founder of Empower Pharmacy, the largest compounding pharmacy in the world. I’ve known Shaun for over 15 years, and he’s here to share his expertise on medications for erectile dysfunction (ED), premature ejaculation, and more. Welcome, Shaun! Shaun Noorian: Thanks, Nelson. It’s great to be here. I’m excited to talk about these medications and how compounding pharmacies provide tailored solutions to improve health, performance, and quality of life. Shaun’s Journey into Compounding Pharmacy Nelson: Shaun, tell us about your journey into this field. What led you to start Empower Pharmacy? Shaun: Sixteen years ago, I was diagnosed with low testosterone at age 25. My doctor sent me to a compounding pharmacy for treatment, and the experience changed my life. Inspired by that, I became a licensed pharmacy technician and started Empower Pharmacy to deliver high-quality, affordable medications with excellent service. Using my engineering background, I introduced manufacturing efficiencies that helped Empower grow into one of the largest compounding pharmacies in the U.S. We’re now an FDA-registered outsourcing facility, supplying medications to patients, providers, and institutions. Exploring Men's Health Solutions Nelson: Let’s dive into the treatments available for men’s health issues like ED and premature ejaculation. Shaun: Absolutely! Here’s an overview of the most common solutions: 1. Intracavernosal Injections (ICIs) Bimix: Combines papaverine and phentolamine to relax muscles and increase blood flow. It’s effective but can cause priapism (erections lasting over 4 hours). Providers test dosages in-office to ensure safety. Trimix: Adds prostaglandin to Bimix for stronger effects. It’s the first-line injectable for ED. Quadmix: Includes atropine sulfate for patients who don’t respond to Trimix. Note: Always follow medical guidance. Start with the lowest dose and escalate under supervision to avoid priapism. 2. Oral Medications Sildenafil (Viagra): Available as traditional tablets or fast-dissolving oral disintegrating tablets (ODTs) for quicker absorption. Tadalafil (Cialis): Known for its longer half-life, offering up to 36 hours of effectiveness. Combination Therapies: Sildenafil or tadalafil with apomorphine to boost libido. Sildenafil with oxytocin to address psychological and physical barriers. Tadalafil with tramadol to help with premature ejaculation. 3. Hormonal Therapies Cabergoline: Lowers prolactin, a hormone that can cause ED and gynecomastia (breast tissue growth). Oxytocin: The "love hormone" improves bonding and arousal, especially for psychological ED. It’s available as sublingual tablets or nasal sprays for faster absorption. Practical Advice for Providers Nelson: How can doctors unfamiliar with compounded medications learn to prescribe them? Shaun: Doctors can: Contact Us: Our pharmacists provide guidance on prescribing. Attend Conferences: Events like the Sexual Medicine Society of North America offer valuable insights. Use Online Resources: Our website includes product details, mechanisms of action, and contraindications. Beyond ED: Comprehensive Men’s Health Solutions Nelson: Let’s highlight other areas Empower Pharmacy covers. Shaun: Empower provides solutions for: Hair Loss and Acne: Managing androgenic effects of testosterone. Fertility: Combining testosterone replacement therapy (TRT) with HCG or FSH to maintain sperm production. Prostate Health: Medications for BPH and other concerns. Weight Management: Options for weight loss and long-term management. Wellness: Supplements like antioxidants, B vitamins, and amino acids to enhance energy and recovery. Closing Remarks Nelson: Thanks, Shaun! This was an incredible overview. And if your doctor isn’t familiar with Empower Pharmacy, let them know they can contact Shaun’s team for more information. Thanks again, Shaun! Shaun: Thank you, Nelson. 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Many companies that produce blue gummies claim that their product can increase blood flow to the penis, leading to improved erectile function. The key ingredient in these gummies is often L-arginine, an amino acid that is believed to relax blood vessels and improve circulation. While some studies have shown that L-arginine may have some benefit for individuals with ED, more research is needed to determine its effectiveness. It’s also important to note that the efficacy of blue gummies for ED may vary from person to person. What works for one individual may not work for another, depending on the underlying cause of their ED. Additionally, it’s crucial to consult with a healthcare provider before trying any new treatment for ED, including blue gummies, to ensure that it is safe and appropriate for your specific situation. Potential Risks and Side Effects Like any supplement, blue gummies may come with potential risks and side effects. While the ingredients in these gummies are generally considered safe for most individuals, some people may experience adverse reactions. Common side effects of L-arginine supplementation include stomach upset, diarrhea, and low blood pressure. It’s essential to carefully read the label and follow dosage instructions to avoid experiencing any negative effects. Furthermore, some individuals may have underlying health conditions that could be exacerbated by the ingredients in blue gummies. For example, individuals with a history of heart disease or low blood pressure should exercise caution when using L-arginine supplements, as they could potentially worsen these conditions. It’s always best to consult with a healthcare provider before adding any new supplement to your daily routine. Conclusion In conclusion, while blue gummies may be a tempting option for individuals looking to improve their erectile function, more research is needed to determine their efficacy. The ingredients in these gummies, such as L-arginine, have shown some promise in improving blood flow and circulation, but their effectiveness for treating ED remains uncertain. It’s essential to consult with a healthcare provider before trying any new treatment for ED and to address the underlying cause of the condition for long-term success. Ultimately, the decision to try blue gummies for ED should be made in consultation with a healthcare provider who can provide personalized advice based on your specific situation. While these gummies may offer some benefit for certain individuals, they are not a one-size-fits-all solution for everyone experiencing ED. By taking a holistic approach to addressing the underlying causes of ED, you can work towards improving your erectile function and overall wellbeing. The Science Behind CBD Gummies for ED: A Rigorous Examination of Claims and OutcomesSexual dysfunction or Sexual problem are very common nowadays. There are lots of factor which affect your sexual life day to day like stress, anxiety, hormonal disbalance, apart of this some medical condition or physical problem also affect your body due to this men's will suffer with erectile dysfunction, premature ejaculation, nightfall, male infertility and other sexual health issue. For Free Consultation Call Now: 9555818000 #Sexprobleminmen #Erectiledysfunction #PrematureejaculationViacen Male Enhancement Does It Works Reviews Pills Benefits Buy2020In this episode, Dr. Rena Malik, MD takes an in-depth look at premature ejaculation, explaining the complex physiology behind ejaculation and highlighting both the psychological and physical factors that can contribute to this common condition. She covers how premature ejaculation is diagnosed and discusses a wide range of evidence-based solutions, from lifestyle modifications like exercise, stress reduction, and pelvic floor training to behavioral strategies and medical treatments such as topical anesthetics and antidepressants. Thanks for watching!! Download my top 10 guide to maximizing pleasure - Better Sex,Better Life: https://renamalikmd.com/morepleasure Become a Member to Receive Exclusive Content: https://renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments Tenga Flip Hole Device: https://amzn.to/4lrtKUq Myhixel Device https://amzn.to/3Yq6nAE Tenga cup: https://amzn.to/42oxMnN ▶️Chapters: 00:00 Introduction 00:49 How ejaculation works 03:52 Causes of premature ejaculation 06:47 Diagnosing premature ejaculation 08:11 Lifestyle changes and exercise 11:35 Behavioral techniques 13:52 Masturbation devices research 16:21 Medications for treatment 19:54 Additional treatment considerations 20:51 Bottomline Watch the video till the end and let me know your thoughts in the comments. If you like this video, please SUBSCRIBE and don’t forget to press the bell 🔔, like, comment and share. Stay safe and Love all. 😍 Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more. ▶️Check out my Amazon storefront (affiliate links included): https://www.amazon.com/shop/renamalikm.d. ▶️Coupons & Discount codes (affiliate links included): http://www.renamalikmd.com/linktree -------------- ▶️Please Subscribe: https://www.youtube.com/@UCV66hp0qxx2Xq273N0bo7uQ ▶️Visit my website: http://www.renamalikmd.com ▶️Listen to the podcast: https://podcast.renamalikmd.com --------------- ▶️Follow Me On: • Instagram: http://www.instagram.com/RenaMalikMD • Twitter: http://twitter.com/RenaMalikMD • Facebook: https://www.facebook.com/renamalikmd • Tikok: https://tiktok.com/@UCV66hp0qxx2Xq273N0bo7uQ • LinkedIn: https://www.linkedin.com/in/renadmalik • Pinterest: https://www.pinterest.com/renamalikmd --------------- ▶️Sign up for my e-mail list and get more content from me: https://renamalikmd.beehiiv.com/subscribe ▶️Get your FREE OAB Guide: https://renamalikmd.com/oab-guide-2/ --------------- ▶️Check out these playlists: • Penis Problems?! Erectile Dysfunction, Premature Ejaculation & More: https://bit.ly/3wwivzS • Overactive Bladder Treatment: https://bit.ly/3hMzBoP • How to Increase Testosterone: https://bit.ly/2T9QJKV • Women’s Sexual Health: https://tinyurl.com/4ykxuupc -------------- ▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death. --------------