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In this episode, Dr. Ed Rainbow shares his personal journey from burnout as a GP to discovering the importance of mental health and testosterone in men's health. He discusses the stigma surrounding mental health in the medical field, the societal expectations placed on men, and how these factors contribute to a lack of support for men seeking help. Dr. Rainbow also explores the connection between testosterone levels and mental health, emphasising the need for awareness and understanding in both medical practice and society. In this conversation, Dr. Ed Rainbow discusses the complexities of testosterone testing and interpretation, emphasising the importance of understanding individual hormone levels and the factors that influence them. He explains the daily testosterone cycle in men, the significance of various hormones, and how lifestyle choices such as diet, exercise, and stress management can impact testosterone levels. The discussion also highlights the variability in what is considered 'normal' testosterone levels and the need for personalised approaches to treatment. • Dr. Ed Rainbow experienced severe burnout and depression as a GP. • He transitioned to lifestyle medicine to improve health outcomes. • Many men face stigma around mental health, impacting their willingness to seek help. • Testosterone deficiency can lead to mental health issues in men. • The medical curriculum often overlooks the importance of testosterone in men's health. • Men often feel pressured to conform to societal expectations of masculinity. • Support from colleagues can be crucial for healthcare professionals facing mental health challenges. • The majority of mental health consultations involve women and children, not men. • Men may resist talking therapies due to societal conditioning. • Screening questionnaires can help identify men at risk for testosterone deficiency. A small testosterone panel includes total and free testosterone levels. • Men experience a daily testosterone cycle, peaking in the morning. • Testosterone is produced in the testicles, regulated by the pituitary gland. • Hormones like FSH and LH stimulate testosterone production. • High levels of sex hormone binding globulin can affect testosterone availability. • Lifestyle factors like exercise and diet can influence testosterone levels. • Stress can lead to increased cortisol, impacting testosterone production. • Individual variability means normal levels differ from person to person. • Symptoms should guide the interpretation of testosterone tests. • Consultation with a healthcare provider is essential for personalised treatment. Like to know more? Join my mailing list like 100s of men for weekly tips: https://mensmindgp.com/mens-mind-gp-mailing-list-signup/ Want to work with Ed? Contact me to undertake my Men's Mind Mastery protocol www.mensmindgp.com/contact-dr-ed-rainbow/ www.mensmindgp.com LinkedIn: https://www.linkedin.com/in/dr-edward-rainbow/ Free course Purpose Project - https://mensmindgp.com/the-purpose-project-redefining-midlife-for-men/ [email protected]

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A cold slice of watermelon is devoured to satisfy our thirst and hunger during the warmer months, but the juicy fruit could even satisfy us in the bedroom in between the sheets. Coined as “nature’s Viagra” by Italian scientists, watermelon juice can provide a big benefit to men who suffer from mild to moderate erectile dysfunction. According to a study published in the journal Urology, citrulline — an amino acid found in high concentrations of watermelon — is found to improve blood flow to the penis without the side effects of Viagra. Made up of 92 percent water, a great source of vitamin C, and only 71 calories per serving, watermelon juice has become a fad that has attracted both weight-loss hopefuls and those who want to treat their impotence. "They may not want to eat them with the texture, but if they like the taste, the juice, if it becomes a health fad, then yeah anything to increase that market can be an increase ... a help to farmers," said Justin Lanier, Crisp County Extension Agent to WALB in Georgia. The strong demands for watermelon are benefitting the watermelon capital of the world. To investigate the potential erection-boosting properties of watermelon juice, a team of Italian researchers at the University of Foggia, observed the effect of oral L-citrulline supplementation on men who suffer from mild to moderate erectile dysfunction. Twenty-four men with a mean age of 57 who had an Erection Hardness Score (EHS) of 3 (score of 0 means “penis does not enlarge” and a score of 4 means “penis is completely hard and fully rigid”) were recruited for the study. These men received a placebo for one month and L-citrulline, 1.5 grams per deciliter, for another month. The male participant’s EHS, number of intercourses per month, treatment satisfaction, and adverse events were recorded. The researchers hypothesized if citrulline is known to increase the blood flow by relaxing the blood vessels, which is similar to what Viagra does, this could possibly prevent erectile dysfunction in men. The findings revealed there was a significant improvement in the EHS scale, since half of the men managed a score of four as a result of L-citrulline supplementation. The improvement in the EHS from 3 to 4 occurred in two of the 24 men when taking the placebo, and 12 of the 24 men when taking L-citrulline. Moreover, the researchers found the mean number of intercourses per month increased overall by the end of treatment. All patients who had an EHS improvement from three to four reported being very satisfied. “Although less effective than phosphodiesterase type-5 enzyme inhibitors, at least in the short term, L-citrulline supplementation has been proved to be safe and psychologically well accepted by patients,” the researchers concluded. However, it’s still a natural alternative treatment for mild and moderate erectile dysfunction in men who fear the drug's effects on the body. “Nature’s Viagra,” comes at a time when lots of men prefer not to take Viagra because it is expensive and also sometimes has unpleasant side effects, such as headaches. Watermelon is also easier on the stomach than L-arginine supplements because taking the pills can cause nausea and diarrhea. In 2008, a team of researchers at Texas A&M found ingredients in watermelon that deliver Viagra-like effects to the body’s blood vessels may even increase libido. “Arginine boosts nitric oxide, which relaxes blood vessels, the same basic effect that Viagra has, to treat erectile dysfunction and maybe even prevent it,” said Dr. Bhimu Patil, director of Texas A&M’s Fruit and Vegetable Improvement Center in College Station, according to Science Daily. Although watermelon may not be as organ-specific as Viagra, it can give Viagra-like effects without the drug’s side effects. This may be good news for men who cannot safely take erectile dysfunction medications if they have heart problems, high or low blood pressure, a history of stroke, eye problems, severe liver disease, and kidney disease, says the Mayo Clinic. Men without a history of the health problems listed above can experience side effects such as headache, indigestion, and in rare cases, dizziness or fainting. Men, it’s time to raise your glass of watermelon juice.