March 2015 Newsletter: Exercise, Science, and the Cardio Myth

“I Don’t Get it. I Work Out Every Day with My Trainer and Can’t Lose Weight.”

Is this you? It is many of my clients. And, I hear this statement more often than you’d think. What’s going on? In January I introduced you to the book Body by Science. This month you’ll learn more of the details. I have a series of four articles to share with you which capture the major themes from the book. The first two appear in this newsletter. The four articles are: 

1.      Introduction to Body by Science

2.      The Cardio Myth

3.      Fat Metabolism

4.      Genetic Expression

So, without further ado, let’s get to Body by Science.

Getting Started With Body by Science

“I don’t understand. I work out every day and I’m still gaining weight.” Believe it or not I hear this question quite frequently. On the surface it seems to be quite the paradox. All the conventional wisdom tells us to lose weight all we need to do is watch what we eat (meaning to eat less) and exercise more. Follow this simple formula: use more calories than you take in. 

In the past I’ve explained part of this myth - how all calories are not created equal. Based on what the calorie is from (protein, fat, or carbohydrate) it will have a different effect in your body. If you need a refresher you can find that article on my blog at http://brwellness.com/nutrition-news/?p=99. 

Now let’s explore the other half of the equation: exercise more. This of course leads to a series of questions. What type of exercise is best? How many times a week should I exercise? How long should I exercise? 

For the rest of the article click here: http://brwellness.com/nutrition-news/?p=509

The Cardio Myth

In the introductory article I summarized his key points. In this article I will address one of those key points. His recommended method of exercise is what he terms high intensity training (or HIT). It benefits both the aerobic and anaerobic energy pathways. Most “cardio” only works the aerobic pathway. 

High intensity training is in many ways the complete opposite of what is now known as “cardio.” HIT is designed to be short and sweet. The techniques work the major muscle groups to exhaustion and then you must stop, rest, and then begin the next exercise. Cardio is designed to be lower intensity so that you can perform the exercise without stopping, usually anywhere from 45 minutes to an hour.

For the rest of the article click here: http://brwellness.com/nutrition-news/?p=511

The Cardio Myth

I have recently introduced you to the book Body by Science by Doug McDuff, MD and John Little. This book offers a clear explanation of the actual science of exercise, how activity relates to hormones, and how this determines what happens in your body. In short, it answers the question I am frequently asked. “Why am I gaining weight when I am working out every day?” 

In the introductory article I summarized his key points. In this article I will address one of those key points. His recommended method of exercise is what he terms high intensity training (or HIT). It benefits both the aerobic and anaerobic energy pathways. Most “cardio” only works the aerobic pathway. 

High intensity training is in many ways the complete opposite of what is now known as “cardio.” HIT is designed to be short and sweet. The techniques work the major muscle groups to exhaustion and then you must stop, rest, and then begin the next exercise. Cardio is designed to be lower intensity so that you can perform the exercise without stopping, usually anywhere from 45 minutes to an hour.

The roots of modern cardio trace back to the mid-1960’s when Kenneth Cooper was searching for an exercise that he thought would optimize cardiovascular fitness. This was the time when we first began to see a dramatic increase in heart disease related deaths and the thinking was by exercising our hearts they would not attack us!

Unfortunately he began with a false premise. He believed that “aerobic” was the same as “cardiovascular” and wanted to develop an exercise that would isolate the aerobic metabolic system. He created the term “aerobics” to refer to his exercise technique. This low intensity and steady in state method he developed is now referred to as “cardio.”

But this is where we have to understand how the body works! The body has two pathways for metabolism – aerobic and anaerobic. These processes are conducted in each and every cell in our body. Both are essential for the total health of the cell and thus the entire organism. Aerobic means “with oxygen” and anaerobic means “without oxygen.” 

Cooper believed that the aerobic was the most important pathway therefore it should be isolated and trained. There was no actual evidence that one pathway was more important, it was just his belief, and unfortunately for many he was wrong. For many it proved to be dead wrong.

His main error was that the pathways cannot be separated in a live human (remember our body is not a test tube – what happens in the body is different than isolating something in a test tube!). The aerobic pathway is fueled by a substance called pyruvate which is produced by the anaerobic pathway.

As we’ve discussed before energy comes from glucose going from the blood stream into the cell. It takes a series of twenty chemical reactions to produce pyruvate from glucose. This is an anaerobic process. Pyruvate then goes to the mitochondria of the cell. If you remember your basic biology the mitochondria produces energy via the Krebs cycle in an aerobic process.

So, as you can see, we need an exercise method that will strengthen both systems of metabolism. Modern day “cardio” does not fit the bill as it isolates the aerobic and the science share in the book shows it does not benefit the anaerobic. It is high intensity training that will benefit the complete system. 

The effectiveness of any exercise is all about hormones, fat metabolism, and blood glucose levels. High intensity training works the major muscle groups to exhaustion, uses up glucose, and encourages the body to burn fat and build muscle. This is explored further in the article Hormonal Implications of Exercise.

Another irony concerning aerobic specific training is that it produces additional oxidative stress on the body which creates inflammation and excess free radicals in the body. This factor puts one at increased risk of heart disease – exactly what the “cardio” exercise is supposed to help prevent!

Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. His office is in Mequon, WI. To learn more or to schedule an appointment, e-mail at bernie@brwellness.com, call (262) 389-9907 or go to www.brwellness.com.

Why and How You Can Work Out Every Day and Gain Weight

“I don’t understand. I work out every day and I’m still gaining weight.” Believe it or not I hear this question quite frequently. On the surface it seems to be quite the paradox. All the conventional wisdom tells us to lose weight all we need to do is watch what we eat (meaning to eat less) and exercise more. Follow this simple formula: use more calories than you take in. 

In the past I’ve explained part of this myth - how all calories are not created equal. Based on what the calorie is from (protein, fat, or carbohydrate) it will have a different effect in your body. If you need a refresher you can find that article on my blog at http://brwellness.com/nutrition-news/?p=99. 

Now let’s explore the other half of the equation: exercise more. This of course leads to a series of questions. What type of exercise is best? How many times a week should I exercise? How long should I exercise? 

Some people say “aerobic” is best. Some say weight lifting. Others say yoga, or interval training, and still others say high intensity training. Some tell you to do a different type of exercise every day for an hour. On the other spectrum some will tell you once to twice a week for fifteen to twenty minutes is all you need. You can see there is quite a variance in the answers.

To best understand any issue relating to health and nutrition I always ask one simple question. How is the body designed? When I discuss with clients what they should eat and what they should avoid I just don’t say “eat this and not that.” I explain to them how their body works and what the different foods will actually do in their body. When we understand how our body is designed to work it makes it much easier to determine what it needs and to separate myth from fact. Unfortunately in the world of health and nutrition there is a lot of myth and hype which is quite different than the facts.

Of course I am limited by the space of this article. Whole books have been written to address these questions and I’ve read quite a few of them! Recently I read one that I believe explains it the best – Body by Science by Doug McGuff, M.D. and John Little. With his medical background, Dr. McGuff understands how the body is designed and he uses this to explain the science of exercise.

My plan is to have several articles based on the book. I will use the remainder of this article to summarize the major points of the book. Future articles as noted below will be more in depth on specific topics. But in the mean time, if you are interested I’d encourage you to read the book sooner rather than later. It will likely change the way you think about exercise! Here is a quick summary of his major points:

1.      Who can you trust? Most exercise testimonials and a fair amount of “research” is shall we say – slightly misleading and biased and does not address the true science of exercise.

2.      Genetic expression plays a major role in our physical appearance. People can do similar types of exercise but in the end their genes determine how their physical activity is expressed in their body. I will have a separate article on this subject.

3.      Being “fit” does not mean you are healthy.

4.      High intensity training is his preferred method. It benefits both the aerobic and anaerobic energy pathways. Most “cardio” only works the aerobic pathway. The effectiveness of the exercise is all about hormones and blood glucose levels. High intensity training works the major muscle groups to exhaustion, uses up glucose, and encourages the body to burn fat and build muscle. I will have a future article about the “cardio myth.”

5.      Fat metabolism and fat loss is also determined by hormone activity which is affected by the type of exercise. Hormones signal the body to burn fat and to store fat. Some exercise will produce the “burn” signal, others the “store” signal. I will have a future article about fat metabolism.

6.      Exercising once to twice per week for 15 to 20 minutes when done according to his methodology is all you need to properly engage your body and manage the body building and fat burning hormones.

As you know from past articles I am also a big believer in “walking the talk.” I have found a local trainer who follows the basic principles as outlined in the book and began training several weeks ago. In one month I have already noticed several significant changes. I will keep you posted on that as well.

Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. His office is in Mequon, WI. To learn more or to schedule an appointment, e-mail at bernie@brwellness.com, call (262) 389-9907 or go to www.brwellness.com.

Announcing Viggor.com - a new health education website

Never underestimate the power of networking! Several months ago I was introduced to David Guinther by a mutual friend in Madison. David is an awesome guy. In a nutshell he is a prostate cancer survivor who now devotes significant energy to helping other men live healthier. He offers education and information to both help prevent prostate cancer and to support those who are currently battling it. While we don’t hear much about it, prostate cancer will impact 1 in 6 men at some point in their life.

David has several health ventures going. One of them is Viggor – which David calls, “… a guiding light on your journey to improve your health and quality of life. Our Expert panel is driven by a common desire to freely share their training, experience, research, insights, and knowhow with you…” We are just up and running, but check it out; there is something there for everybody! http://viggor.com/

In addition to David and myself there are two more contributing experts. Meet Dr. Geo Espinosa, a naturopathic doctor recognized as an authority in integrative management of urological and prostate conditions. Dr. Geo is the founder and director of the Integrative Urology Center at NYU Langone Medical Center in New York City. 

Together, David and Dr. Geo created XYWellness a company focused on integrative approaches to improving the health of men diagnosed with serious urological conditions. David and Dr. Geo have been inspirational and supportive in getting me back on track in writing my book on men’s health. You’ll be hearing more on that in coming months.

The fourth contributor/expert at Viggor is David’s wife Amy Guinther. She is an acupuncturist and owns Madison Acupuncture and Complimentary Medicine.

Check us out http://viggor.com/

The Adrenal Summit - An Event You Don't Want to Miss!

The Adrenal Summit – Well Worth Participating!

Meet Glen Depke, Depke Wellness, and his awesome program The Adrenal Summit. I met Glen several years ago at a wellness seminar. At the time he worked for Dr. Mercola in the Chicago area. He has since moved on to his own practice in sunny Southern California. Glen is an awesome practitioner and educator. His newsletters are filled with important information and I’ll often post and tweet them to my network.

Earlier this year he orchestrated The Adrenal Summit. It consists of thirteen interviews with specific topic experts. While it is called The Adrenal Summit it addresses much more. It connects the dots between adrenal health and the many areas that influence it including diet, exercise, food sensitivities, blood sugar management, stress management, immune system health, thyroid health, emotional health and more. 

The interviews have been recorded and you can purchase the series for $97. It is a great deal as all the practitioners offer free gifts. But unlike what you often see, these free gifts are of real value. I strongly encourage you to see what Glen has to offer. As I said earlier, I don’t usually hawk other people’s products. But this is well worth it. I have personally listened to all the interviews myself and have gained a greater understanding of these issues. Here is a link to The Adrenal Summit home page.

http://www.adrenalsummit.com/?af=51442

The January Effect

I bet you are wondering – what is the January Effect?  You’ve probably never heard that phrase before in a nutrition article.  It is a phrase I have coined for what seems to happen every January.  It starts with the New Year’s resolution to: get healthier; shed the extra pounds from the Holidays; them off; and to rediscover the glory of our youth.  The health and fitness clubs are packed with people all with the same idea.  Lines of people wait for you to finish with the equipment you are using.  But, within a few short weeks the crowds disappear and there are no more lines.  The January Effect has set in.

So, what’s going on?  You’re eating less, snacking less, even drinking a bit less (except of course for during the Packer games and other special occasions).  You are forcing down the salads at lunch (even though you don’t really like them), skipping a meal here or there, and working out hard at the gym.  You dropped a few pounds at first but now you’ve hit the wall – you’re at a plateau.  The pounds are no longer flying off.  This is the January Effect.  However, don’t be discouraged.  If you read on you’ll learn how you can get lasting results and overcome it.

We are told the formula is simple: calories out must be greater than calories in - less food and more exercise equals less weight.  Well, if you’ve been reading my past articles you understand the flaws in this theory.  To keep it short and simple all calories are not created equal.  If you want to review this concept you can find the information on my blog (http://brwellness.blogspot.com/2012/02/calories-not-created-equal-and-perhaps.html).

Back to the January Effect.  Let’s also look at what is happening in the body when you increase your exercise.  First, as you exercise your body needs energy for that activity.  Second, because of the exercise you are creating a demand for new muscle.  Third, exercise is stressful, especially if it is new to your body. 

Let’s look at each of those points.  Energy comes from food.  This means you need to eat to have sufficient energy for the workout.  The types of food we eat are critical.  We get energy primarily from carbohydrates and fat.  Eating the wrong carbohydrates (particularly the ones for quick energy) will raise your blood sugar levels quickly.  This will in turn raise your insulin levels.  Consistently elevated insulin will put you in a fat storing mode.  We will see the implications of this shortly. 

To build muscle you need to eat protein.  Carbohydrates and fats do not build muscle.  Also, muscle burns fat, so the more muscle we build, the more fat we can burn.  However, if you are not eating enough protein you will not build muscle.

Exercise is stressful.  While it is enjoyable and good for you, it is still creates a stress response in the body.  Over-exercising can be particularly stressful.  What happens when we are stressed?  We produce cortisol.  Cortisol puts sugar into the blood stream which causes insulin to rise.  So, when our cortisol stays elevated we again find ourselves in the fat storage mode. 

When you are exercising your body looks for energy in several places.  First it uses the glucose (sugar) in the blood.  Second it uses glucose stored in the liver and muscles.  Third it accesses your fat to turn it into glucose.  However, here’s the problem.  As we discussed, if your insulin and/or cortisol levels are elevated your body is in fat storing mode.  You are unable to access your fat for burning during the exercise. 

As you continue to press on with your exercise your body must find an alternative energy source.  While this isn’t the preferred source it can break down protein into glucose for blood sugar.  (The extreme example of this being starvation.)  Where does this protein come from?  It is from the protein stores in your body – your muscles.  So, do you see what is happening?  Unable to access fat your body uses itself to fuel the continued activity.  Muscle weighs more than fat so the weight loss you are seeing is from the muscle and perhaps not the fat.

Most programs just measure pounds but there is much more to the story.  Your goal is to lose fat, not weight.  You need to look at your body composition; the amount of muscle and fat.  Only in this way can you determine if you are making progress in your goal of losing fat. 

What is the conclusion of all this?  Weight loss is complicated and should not be looked at as a quick fix.  The healthy way is to do it over time.  The best way to lose weight is to complement healthy eating with your exercise program so that you are properly fueling your body to both lose weight and sustain the exercise.

Bernard Rosen, PhD is a Nutrition Consultant and Educator.  He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs.  His office is in Mequon, WI.  To learn more or to schedule an appointment, call (262) 389-9907 or go to www.brwellness.com.

The Dick Diet - Contents of the Book

Here's a preliminary outline of the book chapters:

Introduction: Erectile dysfunction is described as a major health issue confronting a sizeable and growing population of men in the United States and throughout the world. The chapter defines erectile dysfunction, how it is measured and presents the author’s primary research findings. The purpose of the book - to encourage men to live healthier lifestyles is explained. The study of the nutrition and lifestyle habits and the sexual function of male respondents illustrates the magnitude and true nature of the problem and why this is an important work. The introduction concludes with chapter overviews.

Chapter 1 – Getting It Up: This chapter explains the anatomy and physiology behind how the erection process works. The physical processes (anatomy and physiology of the cardiovascular system, nervous system and endocrine system) and the mental and emotional processes are detailed. How the erection process is designed to work and where it can go wrong is explored through a discussion of the types of erectile dysfunction and an understanding of the origin of the chemicals required for healthy functioning and what foods produce them. Most men (and women) are completely unaware of the complexities of this process and the fine tuning involved.

Chapter 2 – Keeping It Up: This chapter describes the risk factors associated with erectile dysfunction. It describes what they are and how they relate and compare to one another. An analysis and discussion is presented of each: age, alcohol consumption, diet, male hormones, inflammation and obesity, sedentary lifestyle, cholesterol, prescription drugs, smoking, stress, motorcycle riding, vascular diseases (endothelial dysfunction, atherosclerosis, coronary heart disease, coronary artery disease, and cardiovascular disease), metabolic syndrome, diabetes, neuropathy, depression, lower urinary tract symptoms, prostate conditions.

Chapter 3 – The Dick Diet Foods: nutritional therapies for erectile dysfunction: In this chapter the first element of The Dick Diet is introduced – food. The Dick Diet foods and consumption guidelines are described. Rosen’s Five Rites of Nutrition are introduced and explained. We are what we eat, we are what we eat eats, we are what we digest, we eat what we are, and the importance of balance and moderation. The relationship of specific foods to specific chemicals needed by the body for the erection process to work efficiently is described.

Chapter 4 – The Dick Diet Supplements: herbal and supplement therapies for erectile dysfunction: This chapter provides an explanation of the various herbs and supplements that are used around the world to treat erectile dysfunction. Herbs discussed are: ashwagandha, ginkgo, ginseng, horny goat weed, maca, rhodiola rosea, saw palmetto, tongkat ali, tribulus, and yohimbe. Supplements discussed are: L-arginine, Omega 3 fatty acids, and anti-oxidants (pycnogenol, grape seed extract, red wine extract, Vitamin C, and Vitamin E). The reader will learn what they are, how they work, why they work. This chapter will also include a discussion of allopathic treatments such as devices, surgeries and pharmaceuticals and why natural therapies are preferred.

Chapter 5 – The Dick Diet Lifestyle: exercise and relaxation therapies for erectile dysfunction. This chapter will explore the importance of both exercise and relaxation and how they relate to erectile dysfunction. Exercise techniques such as cardiovascular training, burst training, and yoga are discussed along with breathing and meditation techniques for relaxation.

Chapter 6 – The Dick Diet: sample diet and menus.

Conclusion

The Dick Diet - The Book is Coming

Yes, I'm working on a book called The Dick Diet which this blog will accompany. The book is an active project so many of the posts will highlight what I am writing about. Here's a quick summary of what the book is all about:

•The purpose of the book is to show the relationship between nutrition (defined as diet, supplementation, exercise, and relaxation) and men’s health (specifically erectile functioning). The goal is to encourage men to take action and follow this plan to optimize their health and sexual performance.

•The core message regarding the association between nutrition and erectile dysfunction is compelling enough to get a man’s (and a woman’s) attention.

•There are other books on the market about erectile dysfunction. This book is decidedly different. While other books focus on medical treatments (surgeries and pharmaceuticals) for erectile dysfunction, this book focuses on prevention and natural remedies including healthy food, nutritional supplements, and herbs.

•It is my belief that current messages warning of heart disease, stroke, diabetes, and cancer from lifestyle have not been effective in changing behavior. It is my belief that delivering the message through the vehicle of their very “manhood” will drive it home and behavioral changes will occur.

•The book will help men improve their overall health and encourage men to accept responsibility for their own health. It will provide alternative ideas to medications for the treatment of erectile dysfunction.

•The book is not intended to be a “diet” book or a “cook” book, although it will contain dietary and cooking advice. This is not a “diet” but a way of life.

Nutrition and Erectile Dysfunction - The Link

Have you ever wondered why there seem to be so many advertisements for erectile dysfunction (ED) medication - Viagra, Cialis, and Levitra - on television and in the magazines you are reading? I did, and began an investigation that would ultimately become my Doctoral dissertation. The reason is quite simple – there is a lot of erectile dysfunction (ED). Over 30 million men in the United States suffer from it. ED affects over 50% of men between the ages of 40 and 70 and the incidence of complete ED triples between those ages. Even more disconcerting, experts expect cases of ED to more than double over the next 25 years.

Erectile dysfunction imposes significant social costs. It impacts a man’s satisfaction with his life and his relationship with others. Studies show that sexual intimacy is desired by older adults. A study in 29 countries consisting of 27,000 men and women aged 40 to 80 found less than 20% of the respondents agreed with the statement “older people no longer want sex”. Due to the rising incidence of erectile dysfunction many couples will not be able to enjoy healthy sexual relations in their later years.

Why is erectile dysfunction on the rise? Many researchers, including this author, believe it is a direct result of poor dietary habits and lifestyle choices. For many years it was thought that ED was mostly psychological, but recent studies have shown that over 80% of ED is due to physical causes. For the erectile process to function correctly several systems of the body need to be healthy – blood needs to be flowing smoothly and unobstructed throughout the body, nerves need to be firing and sending messages between the brain and the relevant body parts, and libido needs to be present to encourage sexual interest. All of these systems require proper nutrition to correctly function.

To better understand the causes of ED we can look at the scientifically documented risk factors. Risk factors related to lifestyle choices include alcohol consumption, diet, hormone levels, inflammation, obesity, sedentary (lack of exercise) lifestyle, cholesterol levels, use of prescription drugs, tobacco smoking, stress, and (yes) motorcycling. There is also a strong association between ED and the medical diagnoses of depression, atherosclerosis, cardiovascular disease, high blood pressure, metabolic syndrome, diabetes, and lower urinary tract symptoms (LUTS). Studies show that most men with ED suffer from these conditions which are often a direct result of the same lifestyle choice risk factors previously listed. In fact, the connection has been made that ED is often a warning sign for cardiovascular disease.

So, how is this all related to diet and nutrition? For the body to operate optimally it needs the right nutrients. Many studies have shown the connection between a poor diet and all the risk factors and conditions listed above. Diets that are high in sugars, refined grains, processed meat and dairy; while low in fruits, vegetables, whole grains and healthy fats produce these conditions. Once men are placed on healthier diets, their symptoms of ED are reduced and often completely eliminated. Through proper nutrition, regular exercise, and sometimes with the help of specific supplements proper erectile functioning can be restored.

Many people will ask, “What’s wrong with using medications”? My answer is while the medications will work in most cases, there are side effects, some of which can be quite dangerous. But even more important, the medication is not repairing the underlying condition. Erectile dysfunction is your body telling you that something is not quite right and needs your attention. It is your warning sign to take action before a more serious or life threatening event occurs.


Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. He is an expert in the field of Nutrition and Erectile Dysfunction. His office is in Thiensville, WI. To learn more or to schedule an appointment, e-mail at bernie@brwellness.com, call (262) 389-9907 or go to www.brwellness.com.

Welcome to The Dick Diet Blog

Welcome to the Dick Diet blog site. I'm sure you are asking - what is this all about? Quite simply - it is about men's health and one of the most prevalent issues facing men (and women) today. It is about erectile dysfunction and nutrition. Did you know that over 50% of men over the age of 40 suffer some from some form of ED? And did you know that nutrition plays a major role in both causing ED and in reversing ED?

Where did this all come from?

Here's my story: Several years ago I began my own journey to better health. Along the way I've lost over 45 pounds and have never felt better than I do now. I no longer have an allergy triggered asthma every fall. I no longer have to get up several times during the night to go to the bathroom. I no longer have to worry about where the closest bathroom may be! All of this has come from cleaning up my diet and bringing my life into better balance. I have learned what good nutrition and a healthy lifestyle can do for the body and the mind as well.

Over this same period I transitioned from the life of a corporate executive to that of a small business owner. During the latter years of my corporate life I began to make the changes to a healthier lifestyle and I'll always remember the comments I would get from other men about what I was or was not eating and drinking. My favorite quote was, "I'm going to eat what I want and then I'll have the big one." Back then I would just smile. It was only once I left that world that I realized what my answer should have been. "Well, you better hope it kills you, but most likely they're going to keep you alive and your quality of life will suck."

But that pretty much reflects the male attitude about health. Even today the majority of my clients are women. Why is it that men have less awareness around their health and seem to be waiting for the big one? Why is it that they don't seem to care about the risk of cancer or diabetes or heart disease or stroke? Why does it have to happen before they "see the light".

Then I thought to myself - what if I could identify something that they would care about and something that they would not want to lose? As they say - it always comes back to sex! Coincidentally, I needed a topic for my dissertation for my PhD. I wasn't sure what to research, but noticed the unending commercials about ED. It didn't take me long to put 2 plus 2 together. These companies were spending a lot of money to advertise. There must be some underlying issue. That's when I started my research and discovered the 50% number referenced above.

Through this blog I'll communicate what I have learned about erectile dysfunction and educate you as well. Each week I'll create a new post. I invite you to come along for the ride!



Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. He is an expert in the field of Nutrition and Erectile Dysfunction. His office is in Thiensville, WI. To learn more or to schedule an appointment, e-mail at bernie@brwellness.com, call (262) 389-9907 or go to www.brwellness.com.