Erectile Dysfunction - cardiovascular disease, nitric oxide - 50099
Exercise 30 minutes of moderate to vigorous intensity daily; 500-1,000 mg of EPA/DHA daily; increased intake of antioxidants (i.e. green tea, dark chocolate, berries, fruits and vegetables, red wine); 500-1,000 mg of vitamin C, and/or 2 capsules of pycnogenol (usual capsules contain 40-60 mg per capsule); folic acid (400 ug per day); avoid excessive alcohol, and decrease fat and sugar intakes; along with pelvic floor exercise can achieve results equal to or better than the phosphodiesterase 5 inhibitors (Cialis, Levitra and Viagra). L-arginine at 5 gms/d has improved ED in some studies. 2-3 gm of L-citrulline will most likely have a similar effect since it is the intracellular source of arginine and about half of the arginine dose is required for similar blood levels. Vegetables are a natural source of nitric oxide. Dr. Meldrum's book about ED (with Joseph C. Gambone, DO, MPH , Marge Morris, M Ed, RD, CDE and Claudia Meldrum) is "Survival of the Firmest" and website http://www.erectile-function.com/.
Am J Cardiol, 2011 Aug 15;108(4):599-606. Epub 2011 May 31. 50099