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Visit www.defymedical.com for more information and to schedule a consultation with Dr. Saya. Transcript: I often hear questions from new patients or prospective patients coming into the clinic about the phenomenon of cycling, cycling steroids, cycling anabolics. The cycling term is more in the bodybuilder realm. That's what it relates to. A lot of the prospective patients or new patients coming in, they've either had exposure, they work out at a gym, and people have told them about cycling these hormones, cycling the steroids, cycling those things. First of all, that's something completely different than what we do. We don't do typically the anabolics or anything like that for bodybuilder purposes. That's not our goals. Our goals are to make you healthy, help you maintain your health, stave off high blood pressure, high cholesterol, diabetes, maintain your health. We're not getting you ready for a show or those things that bodybuilders do. In that front, our goals are different. But what those bodybuilders do, why they cycle off and on of the steroids, what I always tell my patients is because they have to. The reason they have to is that they're doing stuff that's bad for their body. They're taking very large amounts of stuff. They're taking things that we would never even think of prescribing for our patients — taking things that aren't sustainable. They can't stay on those things indefinitely because they harm their body. Also, they have a specific date or a specific goal in mind that they're preparing for. Once they attain that, they don't need to be on it anymore. But, the main reason is that it's not sustainable. They can't stay on it. Often if they could, they probably would. That's their frame of mind. What we do is sustainable. We're not giving you all of those large amounts, super-physiologic, abnormal amounts of things. We're not shooting your levels too high. We're keeping you at the normal range, just the best end of the normal range. Hormones at their prime. A healthy 20-year-old male, no diabetes, no high blood pressure, no high cholesterol, just in his prime, healthy, and ready for life. That's what we're shooting for. That's normal for your body to have those levels and it's sustainable in that regard. We are keeping your levels there. There's no reason with the only caveat being prostate cancer. If you ever developed prostate cancer, you would have to come off the testosterone. That would be the only absolute what we call contraindication where you'd have to come off it. Other than that, there's no reason that you have to come on or off.

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There’s a bunch of foods with purported aphrodisiac properties, but is there any science to back up the claims? Subscribe to Nourishable at https://www.youtube.com/c/Nourishable Follow Nourishable on twitter, facebook and instagram to stay up to date on all things nutrition. https://twitter.com/nourishable fb.me/nourishable.tv https://www.instagram.com/nourishable/ Hosting, Research, Writing & Post-Production by Lara Hyde, PhD http://www.nourishable.tv Music & Video Production by Robbie Hyde https://www.youtube.com/user/chedderchowder Opening Motion Graphics by Jay Purugganan https://www.c9studio.com/WP/ The information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this video is for general information purposes only. References https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?fr=310.528 https://www.ncbi.nlm.nih.gov/pubmed/27784600 https://gastropod.com/the-food-of-love/ https://www.ncbi.nlm.nih.gov/pubmed/16681473 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928177/ According to the FDA, an aphrodisiac is a product that will arouse or increase sexual desire or improve sexual performance. There’s a bunch of foods out there with purported aphrodisiac properties, like chocolate, honey, oysters, strawberries and hot chilies. But is there any science to back up these claims? The idea of aphrodisaics have been around for millenia. Many claimed aphrodisiacs look kind of like genitalia, think figs and pears, or phallic asparagus and bananas. The Aztec word for avocado means testicle. Yeah, that’s pretty accurate. Other claimed aphrodisiacs have a fleshy genital texture, like oysters and clams. But there’s no science underlying actual sexual enhancement based on shape and texture alone. Some aphrodisiac foods are high in vitamins or minerals that are necessary for sexual function. For example, oysters are very high in zinc. Zinc is necessary to produce the hormone testosterone and synthesize sperm. Maybe if you’re zinc deficient and then eating oysters may enable sexual function, but there’s no evidence to support an additional benefit of zinc if you’re already zinc sufficient. So just because a food contains a nutrient that is involved in a sexual function doesn’t mean that consuming more of that nutrient will enhance. Hot peppers contain capsaicin, the active ingredient that gives peppers their spicy kick. Capsaicin does increase heart rate and sweating, which are characteristics also increased by sexual activity, though there is no science indicating that this is actually linked to libido. Buzz kill - there is no science to back up aphrodisiac claims for chocolate, honey or wine either. There have been a few randomized, double-blind placebo controlled studies that have identified some potential aphrodisiac foods. Gingko biloba has been shown to act as a vasodilator by increasing nitric oxide synthesis. This is similar to the mechanism of viagra, which enhances blood flow to genitalia. Some small human studies have suggested that maca root can increase sexual desire in healthy men and women, and enhance sexual function in erectile dysfunction, though the data is too limited to make strong conclusions. These are inherently difficult to study as they often rely on subjective measures, there are still questions about what the optimal doses are and whether there are interactions with other drugs - so don’t go running out to buy them yet. One takeaway from many studies of aphrodisiac foods is the power of the placebo. Thinking that something is an aphrodisiac can enhance desire can frequently enhance desire. So maybe just prepping something thoughtful and nice for your loved one can be your own unique aphrodisiac. Personally, I get warm fuzzies when my partner makes me dinner with lots of colourful vegetables. This valentines day, or any day really, pick your own aphrodisiac placebo for some safe and consensual fun.

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