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To help you understand how ED medications are used to address erectile dysfunction it's helpful to understand a little bit about male anatomy. The male organ contains two cigar-shaped structures called corpora cavernosa that run the length of the organ. Arteries bring blood into these two structures with veins carrying the blood away. In a non-erect state, the blood flow from the arteries is restricted while the veins are open to drain blood away. When a man becomes aroused, the brain sends a signal to reverse this process. The arterial blood vessels open up so that pressurized blood can enter the corpora cavernosa. The veins leaving the male organ are constricted. This action traps the pressurized blood allowing for the size increase and full erection. Unfortunately most ED medications don't address the real cause of your problem, which is a lack of nitric oxide production. Rather than learn how to improve the health of your endothelium and increase its ability to produce nitric oxide, manufacturers of Viagra like products went in a different direction. If you remember from above, there are two competing actions at play. Vascular dilation for improved blood flow and Vascular constriction which limits blood flow. Both are controlled by an enzymatic pathway. Without getting bogged down in the complex interplay between these two action let's put it into its simplest terms. Nitric oxide acts as a signaling molecule to stimulate an enzymatic process that creates cGMP, which then causes the smooth muscles of the arterial blood vessel to relax. This results in increased blood flow to start and maintain an erection. There is another enzyme called phosphodiesterase or PDE that deactivates this cGMP. This results in the smooth muscle returning to its original constricted state. If this action didn't occur then men would walk around all day long with an erection. What the manufacturers of Viagra and Cialis did was figure out a way to disable the PDE part of the cycle by introducing a chemical called sildenafil citrate into your system. This chemical attaches itself to the PDE5 enzyme to disable the Vascular constriction phase allowing the nitric oxide to continue to influence the Vascular dilation allowing you to create enough increased blood flow to have and maintain an erection. This works great if you're producing nitric oxide. But if you're not then this method will not work or work very poorly. As this image clearly shows the aging process results in a significant decrease in nitric oxide production. Most of this decrease is due to damage done to the endothelium resulting in plaque formations and/or calcification. 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One of the most obvious effects is ED. Erectile dysfunction is a direct cause of diabetes attack on the endothelium. Today we're going address the issue of Diabetes and ED. Why? Because high blood sugar directly damages a tissue called the endothelium, which lines all of your cardiovascular system. As this endothelium is damaged, its ability to produce a gas called nitric oxide is greatly diminished. If you've watched our main video on our web page www.healthyat60plus.com/erectiledysfunction then you know how important nitric oxide is for an erection. While nitric oxide researchers like to joke No NO no sex! (with that second NO referring to nitric oxide) it's no joke to the man whose suffering from diabetes and ED. According to Nobel Laureate in Medicine Dr. Louis J. Ignarro, he makes the following statement on page 11 of his bestselling book NO More Heart Disease: “By 1990, our experiments indicated that NO is also the chemical messenger responsible for penile erections. Nerves in the erectile tissues release NO, dilating the blood vessels and initiating erections.” So what does this have to do with diabetes and ED? Well before we answer this question let's to go back to a previous image. As you can clearly see the aging process results in a significant decrease in nitric oxide production. By the time most people reach the age of 60 their nitric oxide levels have decreased by as much as 85% due to damage done to the lining of the vascular system. This lining is called the endothelium. High blood sugar directly damages the endothelium to accelerate this process. And it's this cumulative damage over time that contributes to the reduced production of nitric oxide contributing to diabetic complications like high blood pressure and erectile dysfunction. Why does this matter? Because nitric oxide acts as a signaling molecule causing Vascular dilation. As Dr. Ignarro stated “Nerves in the erectile tissues release NO, dilating the blood vessels and initiating erections.” Nitric oxide causes the smooth muscles of your vascular system to relax resulting in improved blood flow. By learning how to naturally nourish your endothelium, to boost its production of nitric oxide, you can optimize three beneficial outcomes: First, nitric oxide directly relaxes the smooth muscle of the vascular wall helping to bring blood pressure back into a normal range. This is critically importance for those with diabetes since 67% of all diabetics have high blood pressure. High blood pressure is the number one risk factor for strokes and heart attacks. Nitric oxide helps to naturally bring your blood pressure back into a normal range. Additionally, nitric oxide keeps blood platelet cells from sticking together so this, combined with lower blood pressure, helps to significantly reduce your risk for a stroke or heart attack. Second, at high enough levels over a long enough period of time, nitric oxide can initiate reparative mechanisms that heal the damage done to the endothelium. This helps to reverse calcification (arteriosclerosis) and plaque formations (atherosclerosis) in the vascular system resulting in improved blood flow. Additionally this healing process returns more of your damaged endothelium, caused by high blood sugar levels, back into a functioning tissue resulting in even more nitric oxide production. This has helped a large number of men see improvements in both their blood pressure and sexual health. Third, as nitric oxide production increases there is usually an improvement in blood flow. 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