Thanks again to my wife Jill, who helps keep me awake.

We’ve all seen the commercials, middle-aged men who can’t be a “REAL” man unless they can “get it up” and “keep it up” for their woman/slut/whore/porno/ etc…

But what is REALLY behind ED and is there a real danger underlying it?

So there you have it. Erectile Dysfunction is really the “canary in the coalmine”, screaming out the warning that if you don’t change lifestyle and diet, all the erections in the world will not help you when you end up in a pine box. As usual, the bigger question is, why the Mainstream Media doesn’t cover this issue…but I think I know why:S.-D. Chung, Y.-K. Chen, H.-C. Lin, H.-C. Lin. Increased risk of stroke among men with erectile dysfunction: A nationwide population-based study. J Sex Med 2011 8(1):240 – 246.

B. G. Schwartz, R. A. Kloner. How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int. J. Impot. Res. 2009 21(6):327 – 335.

F. Yao, Y. Huang, Y. Zhang, Y. Dong, H. Ma, C. Deng, H. Lin, D. Liu, K. Lu. Subclinical endothelial dysfunction and low-grade inflammation play roles in the development of erectile dysfunction in young men with low risk of coronary heart disease. Int. J. Androl. 2012 35(5):653 – 659.

G. Corona, G. Fagioli, E. Mannucci, A. Romeo, M. Rossi, F. Lotti, A. Sforza, S. Morittu, V. Chiarini, G. Casella, G. Di Pasquale, E. Bandini, G. Forti, M. Maggi. Penile doppler ultrasound in patients with erectile dysfunction (ED): Role of peak systolic velocity measured in the flaccid state in predicting arteriogenic ED and silent coronary artery disease. J Sex Med 2008 5(11):2623 – 2634.

K.-K. Chew, N. Gibson, F. Sanfilippo, B. Stuckey, A. Bremner. Cardiovascular mortality in men with erectile dysfunction: Increased risk but not inevitable. J Sex Med 2011 8(6):1761 – 1771.

B. P. Gupta, M. H. Murad, M. M. Clifton, L. Prokop, A. Nehra, S. L. Kopecky. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: A systematic review and meta-analysis. Arch. Intern. Med. 2011 171(20):1797 – 1803.

K. Esposito, M. Ciotola, F. Giugliano, M. De Sio, G. Giugliano, M. D’armiento, D. Giugliano. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int. J. Impot. Res. 2006 18(4):405 – 410.

K. Esposito, F. Giugliano, M. I. Maiorino, D. Giugliano. Dietary factors, Mediterranean diet and erectile dysfunction. J Sex Med 2010 7(7):2338 – 2345.