Podcast > Episodes

episode #294

Interview with Dr. Judson Brandeis: Sexual Health, Build Muscle Without Weights, and Increase Vo2 Max!

October 9, 2023 in Podcast

Intro

This week I interviewed Dr. Judson Brandeis!

Dr. Brandeis is a board-certified urologist who currently practices men’s health and sexual medicine in Northern California. He also is the lead author of the book - 21st Century Man - in which 60 board-certified doctors and men’s health experts offer advice and insider secrets to recover and maintain your physical, mental, and sexual health.

In this episode, we discuss the importance of optimal testosterone along with:

  • Habit's to Better Your Sexual Health
  • Cutting Edge Technology to Help Build Muscle
  • Importance of Increasing VO2 Max
  • Dr. Bandeis' P - Long Protocol
and much much more!



Brian (0s):

Coming up on the GET LEAN Eat Clean Podcast.

Judson (3s):

At my age, I'm 56, you have to rest two, three days between exertions, right? So if I'm running, I have to wait two, three days before I run again. Whereas when I was younger, I would run every single day. And then the other thing is I learned about high intensity interval training and Vo two Max and getting my heart rate up to aerobic threshold to build my Vo two Max. 'cause Vo two Max is essential for longevity and physical fitness. And then, you know, c circuit training at my age, I learned that it's stupid to try to lift heavy Weights. That you wanna bring your, your weight down and then do high reps and then do circuit training so that you keep your heart rate up.

Judson (49s):

So it's always about cardiovascular fitness, but then adding strength on top of that and be consistent and don't get hurt.

Brian (59s):

Hello and welcome to the Get Lean Eat Clean podcast. I'm m Brian Gryn and I here to give you actionable tips to get your body back to what it once was, five, 10, even 15 years ago. Each week I'll give you an in depth interview with a health expert from around the world to cut through the fluff and get you sustainable results. This week I interviewed Dr Judson Brandeis. Dr. Brandeis is a board certified urologist who practices men's health and sexual medicine in Northern, California. He's also the lead author of the book 21st Century Man, in which 60 Board Certified Doctors in Men's Health experts offer advice in insider secrets to maintain your physical, mental, and sexual health.

Brian (1m 41s):

we discuss the importance of optimal testosterone along with habits to better your Sexual Health Cutting Edge Technology to Help Build Muscle Importance of Increasing VO O two Max, and Dr. Brandiss p Long Protocol. I really enjoyed my Interview with Dr Brandeis. I know you will too. Thanks so much for listening and enjoy the show. All, right Welcome to the Get Lean Eat Clean podcast. My name is Brian Gryn and I, Dr. Judson Brandeis on welcome to the show.

Judson (2m 10s):

Oh, thank you so much for having me. I really appreciate it.

Brian (2m 13s):

Yeah, thanks for coming on. We were introduced from Brad Kerns. Good, good podcast friend of mine and mentioned that you're an author, you run a male sexual wellness clinic in San Francisco Bay Area. Excellent. And the book that you have is called The 21st Century Man, which is right behind you there if you're watching on YouTube. When did that book Absolutely, yeah. When did that book come out?

Judson (2m 39s):

That was my covid project. So I had to shut down for about three months. And I'm one of those people, I'm a a restless soul. And so it started out as just a, a sexual medicine book. But the thing is Sexual Health is sort of at the top of the pyramid for middle aged men. you know, for, if you're 20, it's a different story, but if you're in your fifties or sixties or seventies, so many things in your life have to go right in order for you to have a rewarding sex life. you know, you have to have good physical health, you have to have good emotional health, good mental health, good relationship health. And if all those things align, then you can have good Sexual Health. And so, you know, it started out just a book on sexual medicine But.

Judson (3m 22s):

it kind of snowballed really quickly into a book that encompassed all aspects of men's health, including, you know, physical health, specialty health. There's a whole section on relationship health, on emotional health, on addictions, on aesthetics, on health insurance. And then, you know, a huge section on Sexual Health and then other men's physical issues and problems. So it really turned into a, a very cool project.

Brian (3m 52s):

Yeah, I think I feel like Covid was a time for to do things like that. That's when I started the podcast. I was like, you know, so it's a, it was, you know, there were positives from Covid for sure. How long did it take you to write the book?

Judson (4m 6s):

It took about two years.

Brian (4m 7s):

Okay.

Judson (4m 8s):

Yeah. It took a little bit, not a little, it took a lot longer than I thought. But it, you know, it started out at 30 chapters and ended up to be 101 chapters and 900 pages. Oh

Brian (4m 17s):

Wow. It's that.

Judson (4m 17s):

But each chapter is like a little mini book unto itself. And they're really cool chapters. Like I've never seen in any Men's Health magazine or Men's Health book. Like for example, I have a friend Russ Bartells, who's an outstanding gynecologist who wrote a chapter on what men, what men need to know about menopause. Right? I mean, that's huge for guys in their fifties and sixties. If you don't understand what's going on with your wife or your partner, and if you don't understand what the aging vagina is all about, you know, you're gonna be out in the cold. Or there's a, a chapter on written by a, a friend of mine who's an ER doc Malcolm Johnson, on stupid things that men do to get themselves into the emergency room.

Judson (4m 60s):

Right. So if you're 60 and you don't understand that it's a dumb idea for you to go up on a ladder to put Christmas lights up, then you're gonna fall and break your hip. And guess what? you know, your pickleball careers over. So, you know, there's, yeah,

Brian (5m 13s):

I was just gonna say the book, so the book's like a collaboration from sort of context that you have throughout different professions.

Judson (5m 20s):

Yeah, exactly. I mean, the thing is like, I know what I know and I know what I don't know, right? And so, but I know a lot of people that know a lot of stuff about a lot of stuff. So, you know, there's chapters on eyes and sleeping and hearing and nutrition and exercise and stretching and mindfulness and yoga and leaving a legacy and gratitude and you name it, health insurance.

Brian (5m 43s):

Was there one or two things that came up throughout the process that you never were aware of and that you started maybe implementing for yourself?

Judson (5m 54s):

Ah, that's a great question. you know, I changed the way I train. So I do what's I call a B, C training. So A is for ambulate. So usually I'm either on my elliptical or running. B is for bike, so I have a spinner bike. And then C is for circuit training. So I learned, you know, at my age, I'm 56, you have to rest two, three days between exertions, right? So if I'm running, I have to wait two, three days before I run again. Whereas when I was younger, I would run every single day. And then the other thing is I learned about high intensity interval training and Vo two Max and getting my heart rate up to aerobic threshold to build my Vo two Max.

Judson (6m 38s):

'cause Vo two Max is essential for longevity and physical fitness. And then, you know, c circuit training at my age, I learned that it's stupid to try to lift heavy Weights that you wanna bring your, your weight down and then do high reps and then do circuit training so that you keep your heart rate up. So it's always about cardiovascular fitness, but then adding strength on top of that and be consistent and don't get hurt. you know, the other thing I learned is the essentials for building Muscle, especially at my age. So creatine, I put all my patients on creatine, two and a half grams before and after workouts, hydration, a nitric oxide booster.

Judson (7m 21s):

So it's essential to boost circulation. And so I actually created a nitric oxide booster called Affirm, and then the essential of sleep, right? When you go to the gym, what I learned is you're actually not building Muscle, you're tearing Muscle down, and sleep is actually when you rebuild Muscle. So you need to get six or eight hours of sleep in order to rebuild Muscle. If you're not getting six or eight hours of sleep, don't go to the gym. Don't waste your time, right? 'cause you're basically not gonna be getting the benefit of the time that you put in at the gym. And then also, you know, there's a great chapter by Gary Donitz, who was this ex c e o of Biot and founder of Biot on testosterone, right?

Judson (8m 2s):

So if your testosterone levels aren't optimized, then don't bother going to the gym, you know, because you're not gonna build Muscle because testosterone is the essential growth hormone for man, for building Muscle. And if you don't have enough testosterone, it doesn't matter how many trips to the gym you make, you're not gonna build testosterone And, you know, what I learned really was the ideal testosterone levels aren't what your local primary care doc or urologist is gonna recommend to you. They're gonna recommend, you know, get your testosterone between five and 700. But, you know, in my pretty vast experience with testosterone, I understand for a guy over 50, if you wanna feel good, if you wanna build Muscle, if you wanna burn Fat, if you want libido, you gotta get your testosterone between 1,014 hundred.

Brian (8m 49s):

Hmm. What are some of the best ways to increase testosterone? you know, you talk about exercise is, is exercise obviously helpful in, in boosting testosterone And? what, what other habits might, you

Judson (9m 5s):

Know, you know, it is, so generationally our generation's testosterone is about 30% lower than it was 50 years ago, right? And you're kind of scratching your head like, why is that? But if you think about it, your body only makes what it needs, right? So if you're a, a hunter and you're out on the plane like trying to kill bison, you need a lot of testosterone. 'cause bisons are big and they don't like to be killed, right? If you're a farmer, farmers work hard, but they're not killing bison. But you still need a pretty high testosterone. But if you're sitting in front of a laptop all day and not killing bison and, and not as physically active as a farmer is, your body's gonna say, well, we don't need that much testosterone.

Judson (9m 51s):

And so your body's not gonna expend energy to make a lot of testosterone. And so in general, our testosterone levels are a lot lower than they used to be. Now, if you're exercising, maybe your body's thinking, well, you know, maybe I'm a farmer, or maybe I'm, you know, if you're really lifting hard and, and maybe doing some boxing or whatever, you know, then maybe your body's thinking, well, maybe I'm a hunter and you're gonna ratchet up the testosterone levels that your body makes. And so, you know, that's, that's sort of my 2 cents on what it takes to build testosterone. Now, the other thing is you can take supplements. So I have a supplement called support, which has D H E A, which is a testosterone precursor.

Judson (10m 34s):

It's got dimm because testosterone gets aromatized into estrogen, right? So people think testosterone and estrogen are two vastly different things. But if you look at the actual molecular structure of testosterone and estrogen, they only differ by a single hydrogen atom. So the smallest unit of matter anatomically is the difference between men and women. So you need to block the aromatization of testosterone to estrogen, especially if you're overweight, right? So you do a lot of aromatization of testosterone to estrogen in Fat, and then it has some Tonka Ali, Tonka Ali actually blocks the conversion of testosterone, I mean, total testosterone into free testosterone.

Judson (11m 16s):

So it increases free testosterone, and then it's got some ashwagandha, which is the other botanical that's been shown to boost testosterone. you know? But even with a really good supplement, you're only gonna boost it about 15%. So if you're coming in to see me and you have a testosterone of 300, and you have the clinical symptoms of low testosterone, right? I never treat a patient based on a number. I only treat patients based on symptoms, right? So if you come to see me and your testosterone's 200, but you know, if you're muscular and you're having great sex and you have good energy, I'm not gonna touch you. But if your testosterone's 500 and I've ruled out all the other things that could be causing your symptoms, I will treat you with testosterone.

Judson (11m 58s):

And I, I've done that plenty of times and, and guys feel great.

Brian (12m 2s):

B R T

Judson (12m 3s):

T R T. Yeah. Yeah.

Brian (12m 8s):

What other markers do you recommend perhaps, that get looked at from a time to time? Maybe every, I don't know, three to six months, maybe that's too often, but are there certain mar markers other than testosterone that you, that you recommend for male clients?

Judson (12m 24s):

Yeah, I mean, there's sort of standard labs that, that everyone gets. Like a C B C has your hematocrit, which is your blood count. You got your platelet levels. You have what's called a comprehensive metabolic level, which looks at your kidney function, looks at your liver function, looks at your electrolytes, looks at your albumin, which is a, a protein, a total protein. So, you know, there are sort of standard labs and And, you know, maybe once a year to get those things. 'cause those things don't change all that much. The stuff that changes that I like to look at is, you know, free and total testosterone and estrogen level. you know, you should get a thyroid screen because if your thyroid is low, it can masquerade as low testosterone.

Judson (13m 9s):

You get the same symptoms with a low thyroid as you would with low testosterone. You get the same symptoms if you have, you know, really poor sleep habits, you know, sleep apnea or something like that. If you're only getting two, three hours of interrupted sleep every night, guess what? You're tired. You get Fat, you get sluggish, your libido goes down, right? Looks just like low testosterone. But guess what? Your testosterone could be fine. It's, you're not getting enough sleep, right? You make testosterone when you sleep. It's like my, my electric car, right? If I only plug it in for two hours every night, guess what? I can't drive very far. If I plug it in for eight hours, guess what? I, you know, I can drive from here to Sacramento or, you know, wherever I want to go.

Judson (13m 52s):

So it's, it, it's, it's about all of your bodily systems kind of working together. And a lot of it's really not that hard, you know, and I talk to my patients, and when I go on Podcasts, I mean, there are about 10 things you can do that are really simple and easy and inexpensive to improve your overall health and fitness, you know, above the level of about 95% of folks.

Brian (14m 18s):

Well, let's hit, let's, let's, let's go into those. Yeah. I mean, I probably already mentioned I'm, I'm assuming you're gonna say sleep.

Judson (14m 24s):

Yeah. I mean, if you don't drink alcohol, right? You don't do drugs, you don't smoke, you don't eat too much, you don't eat high cholesterol foods. You exercise every day, you stretch every day. You meditate, you get enough sleep, and you're nice to other people. You'll be better off than 95% of people.

Brian (14m 50s):

Yeah.

Judson (14m 51s):

And it's really not hard.

Brian (14m 53s):

No. I mean, I think if you stick, yeah, sticking to the basics is important. Those, those fundamentals, you know, sleep. I also would maybe add in, you talk about meditation, like stress management, and even with exercise, like you said, exercise every day. I mean, probably doesn't need to be necessarily every day, especially like you mentioned, if you're an older, you know, maybe 40, 50 plus year old male or female. What, what other things in the book that you came away that maybe, you know, you, you changed your mind on certain things or, you know, what other sort of different things that you got from the book that, that maybe you didn't have before? Yeah,

Judson (15m 29s):

I mean, there's a really interesting aesthetics section, and men I think reject aesthetics. But there's so many easy things to do for aesthetic purposes that, that women do. It's not like, you know, these aren't iTech new innovation things. They're really kind of low tech things that women already do that, that we should kind of capitalize on. For example, there's a technology called HydraFacial or Diamond Glow, and it's basically like sandblasting your face with water and it digs out all the crap that ends up in our pores. you know, a lot of men are outside working.

Judson (16m 9s):

I have, you know, ex-professional baseball players and tennis players and football players and guys that, you know, do construction. and we get all this stuff in our face and it makes our face look old. And all you have to do is this HydraFacial once a year, and it dramatically improves the appearance of your face or, you know, a little bit of Botox or, or Botox neurotoxin in the, in the forehead and the crow's feet. And it, it takes five years off your face. So, I mean, there's a lot of these kind of aesthetic innovations that are really simple that actually make a huge difference in terms of, of appearance. you know, there's a great chapter in the book by Miguel Canales, who's one of the top hair surgeons in the country on basically simple things that you can do to keep your hair.

Judson (16m 57s):

Now obviously it didn't work for me, or I wrote the book after it was too late by that point. But I mean, taking a biotin based supplement, taking oral minoxidil, using near infrared light therapy, you know, all pretty simple things that help, can help you keep your hair so that you don't have to take a medication like Finasteride, which has some very significant side effects in terms of decreased libido. And I even seeing, you know, a fair number of people with what we call post finasteride erectile dysfunction, where guys totally lose erectile function as, as a long-term side effect of being on these, these medications.

Brian (17m 35s):

Yeah. What other things that have you implemented into your clinic? I know Brad went in there, I think, did he get a whole treatment, whole experience? He did Vo two Max, what other type of things?

Judson (17m 46s):

Yeah, he did, he did the Vo two Max. The other thing is I'm a huge proponent of sult, so I don't know if you know what Sult is, but sculp uses high intensity focused electromagnetic waves. So the creation of electromagnetic fields to contract Muscle, and it can build Muscle literally 10 to 15 times faster than you could in the gym. So I did a study, yeah, go ahead. Oh, go ahead.

Brian (18m 12s):

And I was just gonna say, I did do a, I went to a place in outside of Chicago that was, I think it's along the same lines. I put electrodes on all over my body and, and did a workout like 10, 15 minute workout. And it's like stimulating the Muscle as I'm doing these movements. Is it sim Do you know what I'm talking about?

Judson (18m 35s):

You know, yeah. So that's, that's kind of like a fancy tens unit, right? So remember back in high school physics, that's direct current. So it's a point to point current. So the current takes the path of least Resistance. And so when it goes through the electrodes, through the skin, the skin is where the pain and temperature receptors are, right? So you can't generate that much electricity because it'll hurt. The other thing is it goes very superficially through the Muscle because it's point to point what the technology that I'm using is, which is from a company called B T L, which is a huge Czechoslovakian technology, me medical technology company. It is high intensity focused electromagnetic wave.

Judson (19m 18s):

So it creates an alternating electromagnetic field, and you can set the depth of penetration so it doesn't go through the skin. I mean, the waves go through the skin, but you don't really feel the waves And. What it does is it depolarizes the Muscle, right? So muscles work on ionic gradients, like I'm gonna talk fancy doctor talk, but I think your, your listeners are pretty smart, so I'll try to kind of make it appropriate, right? So muscles work on ionic gradients, right? So positive and negative ions. And so when your brain wants to move a Muscle, it sends an electrical charge down a nerve. An electrical charge is just basically an I ionic gradient that runs down a nerve, and then that electrical charge gets to a Muscle and causes depolarization of the Muscle.

Judson (20m 5s):

So the change of polarity of the Muscle causes contraction of a Muscle contraction means to make shorter, right? And so the, if you look at a Muscle under the microscope, there's thin fibers and thick fibers, and those thin fibers and thick fibers kind of ratchet alongside each other into a contraction. And a contraction is making muscles shorter, which makes your muscles bigger, right? And so what this technology does is it bypasses the nerves and directly stimulates the Muscle causing a depolarization of the Muscle, right? And so why does it work better than a workout? The reason it works better than a workout is because you have a circuit breaker in your brain that prevents your muscles from working at super high capacities.

Judson (20m 49s):

And the reason for this is that, right? We're animals. So if you think about like a squirrel, if a squirrel, you know, I use squirrels because I have tons of squirrels that in the view outside of my windows,

Brian (20m 59s):

Oh, I have plenty of route in my, yeah.

Judson (21m 0s):

So if you're a squirrel and you overexert yourself and you pull a tendon, rupture a tendon, you're dead. Right? You can't try, you can't climb trees, and you can't get away from hawks until you die. And so your brain has a circuit breaker that makes sure that you don't overexert muscles to cause injury. Now, if you're stuck under a boulder and you're gonna die anyway, then you generate a massive amount of adrenaline and you generate what's called super human strength that boulder off your body, right? So in very rare occasions where it's basically life or death, where can overcome that circuit breaker, because at the end of the day, who cares?

Judson (21m 46s):

you know about saving a Muscle if you're gonna die. But what the machine can do is you can dial up the amount of current or electromagnetic field, you can stimulate a hundred percent of the Muscle as opposed to save 50% of the Muscle. And then you can do that for an extended period of time, 20, 25 minutes. And there's part of the Protocol that drives out the lactic acid so you're not sore the next day. And so a lot of, like every, pretty much every movie star that you see on in Hollywood with six pack abs, they're using sculp.

Brian (22m 23s):

Interesting. So you've, I you, I'm, I'm, I was just looking it up right now. So this is, is this for just mainly commercial use? Pretty much. You'd probably have to go find a place that does it in your area.

Judson (22m 33s):

Yeah, I mean, they're, they're, yeah. I mean, they're pretty much everywhere these days. Yeah. And you know, the interesting thing is the company is really focused on the aesthetic population because the aesthetic population is, is shelling out money to look better. But the aesthetic population's about 90% women. And so what I do for the company is really promote this to men, because I honestly believe that this by far in away is critical essential for men. And it's, it's, you know, what I do in my, in my office is build Muscle and burn Fat, right? It's easy. Anyone can burn Fat, right?

Judson (23m 14s):

Super easy. Just tell, tell your clients to stop eating, right? You're gonna lose Fat. But to build Muscle at the same time you're burning Fat. That's hard to do. And that's, you know, that's what we do with our, our combination approach.

Brian (23m 30s):

Is this something Ian, so m sculp, is this something that you do for yourself as well?

Judson (23m 35s):

Oh yeah. I got it for myself. Yeah. I mean, it's quarter million bucks for the machine. But I mean, you could hit my abs with a baseball bat and I wouldn't flinch. And I haven't done a sit-up in four years, you know, anytime I have a spare moment, I hop on the machine. You, I can do abs, I can do glutes, I can do biceps, triceps, quads. I mean, it's, it's amazing, right? When I get stressed out, you can ask my staff. When I get stressed out, I go and hop on the machine

Brian (24m 3s):

Really And. now are you like, how long are you on it for?

Judson (24m 9s):

For big muscles it's half an hour. For small muscles like biceps, triceps, qua calves, it's 20 minutes.

Brian (24m 17s):

So you're doing this in conjunction to workouts?

Judson (24m 19s):

Yeah. Well the thing is, I don't do any biceps or triceps or abs or glutes anymore. I do some glutes, but I just focus on other muscles and I fo focus on cardio. Hmm. And then, you know, what I have in the office is a, a body composition scan. And So, we follow our patients So, we know, you know, are things working, are things not working? And, you know, I have a brag book about that thick of all my before and afters for my patients, you know, and it's just so cool to see guys burning Fat, building Muscle feeling better about themselves, you know, having better physical intimacy with their partners. 'cause the thing is like, there are things that I can do to help fix a erectile function or sexual function, but if you don't take good care of yourself and your circulation and your muscles, et cetera, et cetera, those improvements are gonna be short-lived.

Judson (25m 13s):

And I want the improvements in my patients to be long-lived. you know, I want to turn my patients' lives around in a very significant way.

Brian (25m 22s):

Hmm. Very interesting. Yeah, I meant, I think Brad mentioned this to me briefly, but you're the first person to come on to talk about that. What else do you have in your clinic that's, that you find effective with the clients?

Judson (25m 35s):

Let's see. you know, we do a lot of, well, I just launched a new Protocol called the p Long Protocol. And so a lot of guys are interested in improving the length, girth and function of their penis, especially younger guys, right? Not guys with erectile dysfunction. Guys with erectile dysfunction don't have enough blood flow to even fill up the penis that they have. But for younger guys who have good erections, but for whatever reason want a bigger penis, the options that existed before were really limited and were really bad. you know, you could use fillers, you could do Fat transfers, there's a silicone implant, you can cut ligaments.

Judson (26m 16s):

And I would see patients from all those different technologies that were just disasters. Hmm. you know, and you take a guy with a perfectly normal penis that functions perfectly well, and all of a sudden, you know, they have scar tissue, their penises are shorter, they're not functioning well, they look deformed. And so I have a background in clinical research. I did research at American Red Cross. I did research at Harvard. I did research at U C L A and, and so I created a Protocol clinical research. Protocol got I r B approval, got it listed on clinical trials.gov, which is the NIH website, and, and got 30 guys and did my Protocol of traction device, a suction device, the use of P R P or platelet rich plasma and my Affirm nitric oxide boosting supplement And.

Judson (27m 5s):

what we found is that after about six months, guys grew their penises about an inch in length, about a half inch at girth, and everyone improved in erectile function, really? And so, yeah, yeah. So I presented it as an oral presentation at the International Society of Sexual Medicine. So a bunch of kind of crazy weird dudes like myself that do research in, in, in sexual function. And, and then I recently published it in Andrology, which is a review journal. And then I got the final results also accepted for presentation at the Sexual Medicine Society of North America, you know, which is a big academic meeting of, of, and

Brian (27m 49s):

So it's called the p Is it a P Long?

Judson (27m 51s):

Yeah. So it's, what's

Brian (27m 52s):

The Protocol there?

Judson (27m 53s):

It's p-long.com. And the Protocol is a, an injection of P R P once a month. And I'll explain what that is in just a second. To take a firm, which is a nitric oxide booster, two tablets twice a day to use a traction device called the Restore X, which is developed by a friend of mine at the Mayo Clinic 20 minutes twice a day. And to use a penis pump 12 minutes twice a day. And so, you know, the, the combination of the traction for length, the suction for girth, the affirm for boosting circulation, and then the sort of magic sauce is P r p.

Judson (28m 34s):

So P r P is platelet rich plasma. Right? So platelets in the body have two functions. One function is to cause a clot, right? Everyone knows platelets cause clots, but the other function is platelets cause regrowth. So say you're out in the garage, you know, putting something together and you cut yourself And, what happens? You start to bleed, the tissue that's damaged sends a bunch of what are called inflammatory cytokines, right? So chemical messages in the body that attract platelets, platelets get attracted to the area of bleeding, and they become activated. There's a lot of calcium that's floating around there. And that activates platelets. And platelets become activated.

Judson (29m 14s):

They release what are called alpha granules. And alpha granules are packed with clotting factors, but they're also packed with growth factors, right? So, you know what happens? You form a clot, you form a scab, the scab falls off and the tissue grows back. And the reason that the tissue grows back is that the growth factors from platelets cause caused an acceleration of growth from stem cells and other cells to repair tissue. And So, we just take advantage of that tissue repair to accelerate the growth of the penis. Right. And they, they use p R P in orthopedics, you know, a lot of athletes, you know, professional sports players, right.

Judson (29m 55s):

Injuries, they use it. Yeah, exactly. They use it in hair growth. They use it in wound healing. And then buddy of mine, Charles Reynolds, developed what's called the P shot. So he was the first guy that was brave enough to inject P R P into his penis, and then also the OShot, right. So that you can inject it into the clitoris to improve sensitivity, to improve orgasmic function Hmm. In women.

Brian (30m 18s):

Wow, interesting.

Judson (30m 22s):

And it's all in the book and a and a whole lot more.

Brian (30m 26s):

Yeah. Well, that's, that's, yeah. You got a lot in there then. What's that?

Judson (30m 33s):

Yeah, I got a great chapter by him. Yeah. Susan Brat on how to please a woman. And I mean, all sorts of stuff.

Brian (30m 42s):

What types of, I'm a big routine guy. What types of routines that maybe you implement or that you help your clients implement? you know, maybe a morning or evening routine to help sort of, you know, maybe bring all this all together and help, you know, improve performance and testosterone and And, you know, male sexual performance as well. What type of routines do you implement? Yeah,

Judson (31m 5s):

You know, I don't get into the weeds like that with my patients. you know, everyone's different. Some people, you know, I live in the Bay Area, the traffic's really bad here, and some people go to work at four o'clock. Some people work the night shift, some people work during the day. And so everyone's gotta figure out their own routines. I mean, I think we're, you're right, routines are really essential. Routines are kind of what gets you ahead. Yeah. And so I get myself into routine and then I get ahead and then I give myself a break. you know, go on vacation or, or take a couple days off or do something fun or whatever. So, you know, routines are really essential, but you have to develop your own routines based on your own sort of the logistics of your own individual.

Judson (31m 48s):

Like, I have a little home gym that I built some people, like going to the gym. It, it really, it really varies.

Brian (31m 55s):

And I know we talked before we went on about Vo two Max. Maybe let's hit on that a little bit as a, so maybe a, a a an a, not a crucial test, but an important test maybe individuals could do to sort of see where they're at as far as performance is concerned.

Judson (32m 9s):

Yeah, I mean, Vo two Max is really a fascinating test because it, it combines pulmonary function, heart function, Muscle function, and endothelial function, right? Endothelial are the, the blood vessels and the cells that line the inside of blood vessels, right? And really what you're measuring is your aerobic capacity, right? So if you remember back to high school biology, you have fuel, which is glucose. Glucose is formed, it combines with oxygen. Well, let me, let me back up a little bit. Okay. So the ultimate source of all the energy in the universe is the sun, or our, our universe is the sun, right?

Judson (32m 52s):

Sun shines on the earth, right? And the sun is the source of energy. and we have these things called trees. And trees have this thing called chlorophyll And. what chlorophyll does is it captures the energy of the sun, and it takes carbon dioxide and it takes water and it combines them. And so you have carbon, hydrogen, and oxygen, and it makes something called glucose, glucose, fructose, sucrose, you know, any sugar. And sugar is basically a battery to store energy. The bonds, the chemical bonds in a sugar molecule stores energy, right? And then, so the tree takes all the sun, the water, the carbon dioxide, and it creates sugar, you know, and it puts it in fruit, or it puts it in maple sugar, or it puts it in whatever, and then animals come along and eat it, right?

Judson (33m 42s):

And so then when animals come along and eat it, it's a source of energy. But how does animals get the energy out of glucose? What they do is they take that glucose molecule and they combine it with oxygen. And when you do that, you get 36 ATPs, right? A t p is a unit of energy in the body. It's adenosine with three phosphates. And the energy in a t p is stored in the bond between the adenosine and the phosphate. And so when you're working out, you release one of the phosphates, and that phosphate, that energy that was holding that phosphate, you can harness that energy to help move the Muscle, right?

Judson (34m 29s):

And so you need glucose and you need oxygen, right? And our body stores a lot of glucose, right? So, we store it in, in the liver, we store it in the bloodstream. And so say you are walking, you're using about two liters of oxygen, and that two liters of oxygen is matched with glucose, and it produces 36 ATPs. Then you start to jog, maybe you're using three liters of oxygen, then you start to run, then you're using four liters of oxygen. Then you start to run fast, then you're using five liters of oxygen. Now say all of a sudden a bear jumps out from behind a tree and starts chasing you, right?

Judson (35m 15s):

You gotta run faster. So maybe you're able to run, use five and a half liters of oxygen, but that's all your body is able to extract from the air, right? In terms of your lung function, your, your, your circulatory system, right? And then say a whole family of bears jumps out and starts chasing you, and you try to run faster, but guess what? You can only use five liters of oxygen, right? So there's a way that your body can manufacture a little bit of energy from glucose, right? It's called an aerobic respiration, right?

Judson (35m 55s):

So respiration or using glucose without oxygen. So you make only two ATPs instead of 36, you only make a two ATPs. You crack the, the glucose molecule in half, you make pyruvic acid or lactic acid, and that acid builds up in your muscles, it starts to burn, and you basically run outta gas, right? And so what Vo two Max measures is that point where you run outta gas, where your body can't bring in as much oxygen to match to glucose to make that 36 ATPs. It's only making two ATPs.

Judson (36m 35s):

And it's really interesting. So basically we have an exercise bike and we have a, a Protocol, and you ride faster and faster and faster and faster to the point where you, you can't ride anymore, right? and we have a mask on and we monitor how much oxygen and how much carbon dioxide you produce. And it's very, very reproducible. As soon as I see the oxygen curve peak and start to go down, I turn to my assistant, we count to five, and the person gets off the bike, right? Once you hit your aerobic threshold and you're not making 36 ATPs, you're only making two ATPs. You have enough energy for about five seconds and that's it.

Judson (37m 18s):

Right? And that number, that Vo two Max is incredibly predictive for someone's cardiovascular fitness and athletic potential, right? So Vanguard, the guy that got first in the, in the Tour de France, he had a Vo two Max of 97, a high, the second highest ever recorded, right? I mean, that's insane. But you know, the guy just crushed everyone in the time trial, right? He beat the field by more than 6%, he beat p pocker by 3%. He beat the rest of the field by over 6%. I mean, that's a insane,

Brian (37m 58s):

Is this, is this why you do high intensity interval training to help?

Judson (38m 2s):

Exactly, exactly. So with high intensity interval training, what you're trying to do is to get your heart rate up and your oxygen utilization up to failure. And so each time you're pushing yourself to your Vo two Max. And the theory is, if you keep pushing yourself to the Vo two Max, then you'll be able to move that number. you know, that my number doesn't, it's, it's some of it's your born with and some of it, you know, you train with, right? So, you know, cyclists and cross country skiers, especially as Scandinavian cross-country skiers, have the highest Vo two axis, you know, some endurance or long distance runners have pretty good Vo two axis.

Brian (38m 45s):

How do you, what do you recommend for interval training? I know I, I've talked with Brad about this high intensity repeat training. He, he's, he's talked about before, and I'm trying to think of the guest who talked about that, that came on my, both of our Podcasts. But like for example, I have a rogue bike, you know, the, almost those, those heavy duty fan bikes. And, and I'll do like literally sets of like 10 sec 10 seconds and then I'll rest until I feel like I can give that same amount of effort for the next one. And I'll do that maybe six times. Is there

Judson (39m 20s):

Yeah. I mean, you know, you should monitor your heart rate Yeah. So you can see what your heart rate recovery looks like, right. But, you know, it's really what you can do without getting hurt. you know? I mean, I used to do it when I was running competitively. I used to do it on the track. I can't do that anymore. Sure. you know, Now, I do it on a, you know, on a spinner bike, or you can do it on a rowing machine, or if you're a swimmer you can do it in the pool. But you know, once you hit 50, your attendance and ligaments start to dry up. Right? They start to desiccate. And so you're much, much more likely to injure yourself doing the stuff that you used to be able to do. Like I, I had a good friend, she's ready to run the Chicago marathon and she, she trains the, the local running team.

Judson (40m 9s):

And someone on our team was being lazy. And so she challenged that person to run up a hill and she beat the kid up the hill. Right? The kid was like 17, 18 years old and she's almost 50, but you know, the next day she's like, oh, you know, I think I tore something. Right? Right. you know, and I had to see her in the office the other day to do shockwave on her to try to get her ready for, for Chicago marathon. Right. So, I mean, you have to be really, really smart about how you work out. Yeah. When you're our age, you know, when you're 20, it's like not a big deal. You can do whatever you want, but when you're our age, you really have to be smart because, you know, an injury can take you out for three to six months.

Judson (40m 50s):

And during those three to six months I've seen with my patients, you put weight on, sure. You get depressed, you know, you don't feel good about yourself. And so it's really like when I'm exercising, as soon as I feel something not right, I stop and I'll go do something else. you know, if I'm running, I'll go to the bike or I'll go to the rowing machine, or I'll go do

Brian (41m 16s):

Now. Now as far as monitoring heart rate, what, what should you, should you just get a idea of what your Max, your heart rate Max should be? And then, you know, how do you sort of walk that line of, of you know, Increasing your potential and then obviously not overdoing it?

Judson (41m 34s):

Yeah. you know, honestly there are a lot of trainers that know a lot of this stuff a lot better than I do. Okay. you know, I try to do the zone two, zone five stuff. So basically I do, you know, I try to get my heart rate up to about 70, 75% of my Max, which is two 20 minus your age. So if you go two 20 minus your age multiplied by 0.75, that's the kind of range I try to do my, my long distance training at. And then I, you know, when I'm doing bursts, doing hit training, I try to get to 85, 90% or more on those bursts. And, you know, YouTube is like one of the greatest things ever. I mean, you can get your bikes, put a big TV in front of it, go to YouTube high intensity interval cycle training, and there's like 50 videos from, you know, people that know a lot more than I do on high intensity interval cycling training.

Brian (42m 27s):

Yeah. Excellent. Anything else? I noticed you have a company called Affirm Science. Is that a good place for people to, to learn about what you have going on?

Judson (42m 39s):

Yeah, I mean, you know, So, we have a great nitric oxide boosting supplement that's really based on really good science. I just wrote an article for Muscle and Fitness Magazine on nitric oxide boosting. Right. So some people take beets, some people take citraline arginine, you know, ours combines beets and citraline and arginine. 'cause your body gets about 50% of your nitric oxide from nitrates, which are basically beets and 50% from Citruline arginine, which is basically watermelon And. you know, when I was at U C L A, my professor Lou Iro won the Nobel Prize for discovering nitric oxide as a second messenger. And then he and one of my professors teamed up to write the paper on how Viagra works, which is, so what nitric oxide does is it catalyze is a process that's creates something called cyclic.

Judson (43m 29s):

G M P and cyclic G M P opens up blood vessels. So the more cyclic G M P you have inside a cell, the more you open up blood vessels. And. what Viagra and Cialis do are there's a specific enzyme that's only in the penis called PDE five and Viagra. And Cialis and La Vira are PDE five inhibitors that block PDE five and keeps cyclic G M P at high levels, which keeps erectile function going. And so, you know, that's, that's why nitric oxide is so important. Now, it's also really important for monitoring blood pressure or helping blood pressure.

Judson (44m 9s):

I get a lot of my patients off blood pressure medications by boosting their nitric oxide levels. Right. Because blood pressure medications have a lot of side effects, including erectile dysfunction. Right. So if you're on a blood pressure medication and you have erectile dysfunction, you know, it's great to get them on a higher dose of firm. I typically put patients on two tablets twice a day and have them monitor their blood pressure morning and night and then transition off their pharmaceutical grade blood pressure medication. And almost always I'm able to keep their blood pressure at good levels. Right. And then that affirm helps with opening up the peripheral circulation, which is where you get erections and it gets rid of the preferential diversion of blood flow to the central circulation, which is what most pharmaceutical grade blood pressure medications do.

Judson (45m 4s):

Which is why you, you get, which it hurts erectile function.

Brian (45m 10s):

Hmm. Yeah. And that product's called Affirm.

Judson (45m 13s):

Yeah. I mean, we also make support, which is a testosterone boosting supplement. We make spunk, which is for prostate health, and we make pre prolonged, which is for premature ejaculation, which is a problem that, you know, a lot of guys don't talk about. Like Bob Dole was out on TV saying, Hey, you know, I have erectile dysfunction, but I don't think you'll ever get anyone out there saying, I have premature ejaculation

Brian (45m 36s):

And I've met one person who said that to me. But

Judson (45m 39s):

Yeah. But typically they're not going out on TV bragging

Brian (45m 42s):

About.

Judson (45m 44s):

And so, you know, there's a chapter in the book on premature ejaculation and the stuff that you can do about it. But the supplement that we have called Pre Prolong is a, a natural selective serotonin re-uptake inhibitor. And SSRIs have been known to reduce premature ejaculation.

Brian (46m 3s):

Interesting. Good stuff here. Judson and the book's called The 21st Century Man.

Judson (46m 11s):

It

Brian (46m 11s):

Is, it's on Amazon. Is that the best place for people to find that than yourself? Yeah,

Judson (46m 17s):

Or you can just go to the 21st Century man.com all written out in letters. Okay. Or you can go to a firm science.com and you can pick up the book or you can go to Brandeis md B R A N D E I s md.com. That's my own personal website and I have a lot of resources there. I have eBooks on testosterone, on performance enhancing drugs. I have eBooks on Vo two Max on on Botox for the penis on shockwave on my physical rejuvenation Protocol. I just, I love putting out educational content for my patients and I love sharing it for free with, with the world. I have a YouTube channel that you can get a lot of this information on and, and Instagram, although, you know, I have people that I pay that post for me on Instagram.

Judson (47m 5s):

'cause I, I still don't know how to use Instagram. And then I hear you. you know, if you're, if you're a guy that is interested in, in a, a longer grier, better functioning penis, go to p-long.com and you can learn about that Protocol.

Brian (47m 24s):

Excellent. Lots of great stuff. I, I appreciate you coming on podcast and, and sharing it with us today.

Judson (47m 31s):

Yeah, my pleasure. And if you're ever out in Northern, California, come on by, we'll check your, we'll check your Vo two Max. We'll see if he can you, I mean, Brad crushed it. He got a 52 man,

Brian (47m 40s):

Lemme tell you, he'll, he'll beat me. I, I'm guessing on that. Yeah. I

Judson (47m 43s):

Mean, I have a fireman who's 41 years old that used to play for the Jets and his Vo two Max was only 51. Hmm. So, you know, Brad's killing it. Brad's a he is, he's killing it.

Brian (47m 55s):

Thanks Judson. Appreciate it.

Judson (47m 56s):

Hey, my pleasure. Thanks for having me on.

Brian (48m 1s):

Thanks for listening to the GETLEAN E Clean podcast. I understand there are millions of other Podcasts out there and you've chosen to listen to mine and I appreciate that. Check out the show notes@briangrin.com for everything that was mentioned, In, this episode. Feel free to subscribe to the podcast and share it with a friend or family member that's looking to get their body back to what it once was. Thanks again and have a great day.

Dr. Judson Brandeis

Dr. Judson Brandeis is honored to have been voted Top Urologist in the SF Bay Area by SF Magazine from 2014 to 2020. In February 2019, he opened his comfortable office in San Ramon, where he focuses his practice entirely on Men’s Sexual Health and Rejuvenation.

BrandeisMD is a national leader in technology and innovations in sexual medicine. Dr. Brandeis is the National Director of Clinical Excellence for GAINSWave and created and runs the SWEET Study, the largest study of Shockwave Therapy for ED ever performed. BrandeisMD was one of the first offices in California for offer PT-141, Oxytocin, and Apomorhine for erectile dysfunction.

Dr. Brandeis created and directed 5 IRB-approved clinical research protocols in sexual medicine, two of which are still active. These include the SWEET Study, the largest study of shockwave therapy use in treating erectile dysfunction (active), SWAP study for Peyronie’s Disease (completed), P-LONG for penile elongation (active), LuBE for improving the intensity of orgasms (completed), and the SURGE study (completed), which tests a transdermal serum to improve penile blood flow in prostate cancer patients.

Dr. Brandeis is a national sexual medicine educator who has run weekend educational seminars all around the country and has created a male sexual medicine curriculum on Teachable.com. Dr. Brandeis is the director of sexual medicine for The Aesthetic Show annual meeting in Las Vegas, as well as author of the ‘Advances in Sexual Medicine’ chapter for the Large Urology Group Practice Association textbook.

A native New Yorker, Dr. Brandeis left the Empire State to attend Brown University to study History before attending Vanderbilt for Medical School. He spent a year at Harvard Medical School doing research sponsored by the Howard Hughes Medical Institute. Finally, Dr. Brandeis finished his formal medical training with 2 years of general surgery and 4 years of Urology training at the World Famous UCLA Department of Urology.

https://brandeismd.com/

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