Hi, welcome to our first and it may be our
last edition of “Off the Cuff.” Off the cuff. I have absolutely no notes and I just spontaneously
bring in a world-renown expert to ask questions and then this person off-the-cuff answers
them, and then we edit as freely as we want to make each of us look really good. Take me through a basic rehab program if I’m having surgery or radiation or treatment. What’s
some of the basic things you offer? So, one of the things would be if you take L-Arginine,
which, and you can take 500-1000mg. Woah, that’s a supplement. I know. A doctor just said that you might take a supplement
that helps you!? Winning. Now I’m your friend. I’m really your friend. But that makes a lot of sense because L-Arginine
creates a compound that widens the blood vessel, right? And brings more blood in. So you actually…
I know you have a whole bunch of options. As part of your rehab program, you offer the
supplement L-Arginine. Correct. Wow! And wow spelled backwards. Anything else you want to tell me about it? No, it just helps to increase blood flow. And it’s cheap. It’s cheap, yeah. So you just send them over-the-counter. Right,
so you can get 500-1000mg, twice-a-day. I don’t know what you tell them to take usually
when you… They have to take larger amounts because it
takes a lot to convert to nitric oxide to make that effect, so I understand why you
probably recommend.. How much do you usually tell them? It kind of depends. We’ll use citrulline which
is another product that does that, but arginine, unless you use those kinds of doses, the same
dosages, you can’t really get a good effect. So most of your clinical trials use those
higher dosages which is anywhere from 3,000 to 5,000 to 10,000. Really? Yeah, you have to use what you said, the grams.
So 5-10 grams, it’s not unusual. Okay. So you use that, and you tell them to take
it every day? Yeah. Okay. And is this happening right after surgery,
before surgery? I know it’s not happening during surgery. That would be awkward. But
you’re telling them to start it when? After the procedure or before? I usually start after, but I… And how soon after? Once there’s no bleeding. The drains are out
and there’s no bleeding going on. So when they get a thumbs-up that the catheters
out or no bleeding happening, then you start L-arginine? Right. And what else? Then I would start Cialis, 5mg daily. Okay, Cialis 5mg daily. Why do you like Cialis
more than the other ones that have TV commercials? Because it’s a little bit more practical.
And you could go even every other day because it has a longer half-life. It has 36 hours
half-life. Yeah. Full-life is 36 hours, 17.5 hour half-life.
But you can take that, I would take it, if it was me, I would take it daily. Okay It becomes expensive, but it keeps the blood
flow there. And then I would start a vacuum device and we do what we call a 10, 2, 2 program.
So you take the vacuum over the penis, and the whole idea is to get blood flow going
into the penis. It’s not to get an erection to use it. But you put the vacuum up against
the penis and you activate it either—if you do the vacuum one which is a battery-operated
pack or a hand pump to draw into the penis, fresh blood, and hold it there for 10 seconds,
and then you let it down. So you do a cycle of one there, and then you do 10 of those
in the morning. Wow! And 10 in the afternoon or at night. Does that take a while? Well, it’s going to take 10 seconds times… Times 10. Some people do it for 5 seconds. They hold
it… You know, the whole idea is to bring fresh blood in, let it in, let it down. It
will take you a few minutes to do. Okay, so they’re doing L-Arginine every day? Correct. They’re doing Cialis every day or every other
day? Correct. And then they’re using a vacuum erection device
which they get from—they can’t pick up at the store, in fact the store ones make me
nervous, over-the-counter. You have to write them a prescription, right? Or not necessarily. You can call now, I think, you can get them
without a prescription. We just write it down on a prescription pad and they can call. There’s
an Osbond company; there’s a lot of different companies. They’re a lot cheaper now because
you can get them without prescriptions now, I believe, and Medicare doesn’t cover them
now. So they used to cost $400 and I think you can get them for like $100 bucks or cheaper
now. So that’s not bad. So the third thing is they’re
using the vacuum erection device daily. Ideally. Is there a fourth thing? That’s a lot. That’s about it. So every man should be doing those three things? I think that’ll get them pretty much started
and doing well. Okay, so if you’re about to be treated or
have been treated, in your specialty, you’re doing L-arginine, you’re doing Cialis, you’re
doing the vacuum erection device, you better have your diabetes under control, and your
cholesterol under control and your blood pressure. You better take care of your business. This has been another episode of Off-the-Cuff
with Dr. Moyad. See you next time!

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