Rise Up: The Penis Tech Revolution, Erectile Health and Testosterone Myths with Dr. Elliot Justin

Let’s talk about something men are rarely taught — until it’s too late.

In this episode, we sit down with Dr. Elliot Justin, an ER physician turned medtech founder, who’s on a mission to challenge taboos around penis health, erectile dysfunction (ED), and male vitality. From the outdated advice handed out in urology offices to the rise of wearable health tech, Dr. Justin is revolutionizing how men approach sexual performance — not just in crisis, but proactively, preventatively, and intelligently.

Forget the stigma. We’re talking about real solutions:

• What causes erectile dysfunction (it’s not always about testosterone)
• The overlooked role of vascular health, sleep, and inflammation
• Why ED is a red flag for broader metabolic and cardiovascular issues
• The silent epidemic of porn-induced erectile dysfunction (PIED) and how to fix it
• Why men’s sexual health is decades behind — and how tech is finally catching up
• How Dr. Justin's new device, FirmTech, is changing the game through data-driven erections (yes, really)

We also tackle the psychological impact of performance issues, the truth about testosterone replacement therapy, and why “normal” labs don’t always mean optimal function.

🧠 “Your penis is the canary in the coal mine for your overall health. If something’s off there, it’s off everywhere.”

Dr. Justin brings the science, the stats, and the real-world solutions — without shame or sugarcoating. Whether you’re struggling with performance, aging into a new phase of sexual health, or just want to understand what’s happening down there, this episode will change the way you think about erections, intimacy, and proactive care.

Connect:

Dr. Trip Goolsby & LeNae Goolsby are the co-founders of the Infinite Health Integrative Medicine Center, and are also the co-authors of the book “Think and Live Longer”.

Transcript

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LeNae Goolsby: All right, Dr. Elliott. Thank you so much for joining us today, we've got a really interesting topic. I told Trip he was probably gonna have to take the lead in the conversation. But.

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Elliot: Yeah, you look like you have expert about men's sexual health, too. I can see it in your eyes.

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LeNae Goolsby: Oh, now, now, don't make me blush before we go into that. If you could tell our listeners a little bit about you, how you got to be where you are today, and and what turned you on to firm tech.

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Elliot: Sure. Well, my background. I'm emergency medicine physician.

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Elliot: and, you know, short of a heart attack or a stroke. There are few emergencies that concern a man as much as a limp, Dick, so I can't say that's what got me in here, but that's an observation. It's certainly irrelevant. Years ago I found a telehealth company called Swift, Md. Around the same time the Teladoc was founded and I sold that. But that got me interested in remote patient management technologies that would empower people to control their health at home

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Elliot: with data and with, and therefore be free to some degree of of a healthcare system. Healthcare system that's more motivated by boxes that can check on electronic health record and money. Then that's that's so, then. But what's in people's

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Elliot: best interest? People get the. As I think Trip would agree. People get the healthcare that we can build, for in general, not the healthcare they necessarily need.

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Elliot: So I was working on a

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Elliot: a device to monitor blood pressure after stroke, and a urology professor at the University of Utah about 3 years ago, heard about something I worked on previously called Project O, for obvious reasons. And you can guess what O stands for. I was interested in neuromodulating human sexuality. So the paradigm for neuromodulation is the cardiac pacemaker that most people know about implant electrode the heart we can control keep the heart beating after a person is actually

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Elliot: dead. So if we could do that with human sexuality, and we have an aging population.

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Elliot: and we have an increasing sense of reptile dysfunction in men and women, too, that would be profound, profoundly valuable.

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Elliot: There were several papers in the medical literature.

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Elliot: Peer reviewed journals, urology journals indicating that success by planting electrode by the cavernous nerve, the big dental nerve. Everyone's 2 favorite nerves involved with arousal and orgasm that no one's ever heard about, talks about

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Elliot: claim that they succeeded in doing that in men who had spinal injuries, and so I then thought on it.

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Elliot: try that out. But instead of going out and raising money, I thought I'd just try it out myself. So actually, 1st I tried on 2 rams, male sheep. I live out here in Montana, and if you had any surgeon and I

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Elliot: identified these nerves and planted electrode in these in these rams, and we did get mild direction.

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Elliot: strong ejaculation. But we also got defecation and urination. So it wasn't exactly bedroom friendly, so

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Elliot: the next step usually would have been to go out and raise some money and go out to Colombia Brazil, test it out as a man with Ed, but instead I tested it on myself. I had a friend who's a urology surgeon

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Elliot: at University of California in San Francisco went to his clinic, implanted a head implant electrode.

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Elliot: and we tried also amplitude and frequencies with these nerves, and I felt nothing, and I suspected then that these papers were what I call bullshit, that they were. Basically these are papers where people were claiming results mining. They were what I call grant miners or people trying to raise funds, and unfortunately.

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Elliot: I wish there was more liability in the conventional medical literature, and I

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Elliot: I think Triplett's involvement in integrative medicine understands quite well the problem I'm talking about these results are just frankly, not often reproducible. That said this urology professor at the University of Utah about 3 years ago heard about Project O. And said he wanted to work with me. He wanted to count the number of nocturnal directors that men have, because they're the indicator of men's cardiovascular and sexual health.

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Elliot: And I was unaware of that fact. And in medicine, when we see, say leading indicator, that's powerful because medicine. We treat associations, high blood pressure associated with stroke.

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Elliot: heart attack, then we treat it on that basis. But it's not a predictor, and you can have high blood pressure and have stroke, for you know not. Have a stroke for a long time, and have a heart attack for a long time, but if a man has one or less

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Elliot: nocturnal erections, or he goes down by 50%. His baseline is 4. He goes to 2 nocturnal erections that man has a

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Elliot: 50% chance of having a heart attack in 2 years. Wow! Into a large paper that was relatively large. Paper was done in the 19 nineties. So this really interested me. This doctor, Professor of Urology, is what I call

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Elliot: a cock ring version, I mean, you know, played around with cock rings. My, but I'm not. I'm fortunate to be married almost 37 years now to a woman who

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Elliot: thinks sex toys are a lot of fun. By the way, parenthetically. I do recommend that to any of your listeners. You want to marry someone who's into sex toys. That's really check that box that said

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Elliot: I saw some of those you know. Cock rings these, you know. O rings! They pinch uncomfortably, you know. Maybe if you you know, you go to a sex toy store once, twice a year, and you buy one, and you pinch to use it once, twice, and you get rid of it's uncomfortable.

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Elliot: So my thought when this doctor told me about the nocturnal erections was, let's count all erections. What do men care more about the ones when they're asleep, or the ones when they're having sex. And with the incidence of erectile dysfunction being at my age, I'm 72, 70%. Let's find out what's going on during sex as well as going on during, you know, overnight by embedding sensors into a cock ring. And that's the background story. We have the world's 1st smart sex tech wearable.

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LeNae Goolsby: So it's like an aura ring, or your Dick.

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Elliot: You got it? It's a i mean, where do men most want to find that information over here on their finger or down there? So, you know, we we give them the information that they're most interested in. That's right. It's like an exactly. It's like an aura ring.

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LeNae Goolsby: So are they tracking the data on an app.

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Elliot: Yeah, we're in. We're in the Google and Apple Stores.

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Elliot: It's Bluetooth enabled. We have documented 70,000 erections. This is the world's largest database of men's sexual health and men's sexual health reflects

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Elliot: his cardiovascular health, could reflect his neurological health. Alcohol, recreational other drugs. All this into it. But this is the world's largest database. And with that, then, that data.

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Elliot: interestingly, has revealed something so that I wasn't expecting. And the leading some of the world renowned urologists on my team

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Elliot: and around the world who are aware of this database?

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Elliot: They would. They have missed the major, the primary cause cause of the Vd. And they've they're the tree, the the tree in the secondary cause, the second cause, like the leading cause, not the primary cause.

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Trip Goolsby, MD: Because

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Trip Goolsby, MD: that's fascinating. Yeah, I know. Really fascinating. I guess you know, I'm coming from an oncology background. You know, we probably

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Trip Goolsby, MD: did more clinical trials in in the day than any other subspecialty, and you know that was kind of our.

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Trip Goolsby, MD: you know, was weaned, so to speak. And I always think well, Jeez, you know, there's so many we've had, and we've had a number of a number of guests over the over the year. The past year or so with multiple different types of ed, ed

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Trip Goolsby, MD: aids, so to speak. And with those coming out, I guess this begs the question for me of whether or not any of this data could be could be associated with those with those

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Elliot: Yeah, that's a great point trip, because that now with it, with, you know, the biohackers like to say you can't hack it unless you can track it

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Elliot: and the preview. You know a lot of the things.

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Trip Goolsby, MD: So anecdotal information is so anecdotal out there.

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Elliot: You got it.

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Trip Goolsby, MD: Oh, annoying! I mean it's oh, I got. I feel great, and you know I'm taking 50 different supplements, and and that and I won't mention the name, but.

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Elliot: Brian Johnson, I can.

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Elliot: Well,

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Elliot: What's what's great about what we're doing? Some of the papers already published, and we have 7. There are 7 independent papers using our technology is that urologists?

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Elliot: There's something with my spurring them are now challenging or investigating everything that's been proposed to help with Ed. Pd. 5. Medications Viagra Cialis. What's the right dose? Do they even work? And we know from the original Pfizer application to the FDA back, whatever the nineties. They had 7 papers. 2 showed no more effect than placebo.

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Elliot: One showed 70%, and that's in your area that was in prostate health. But most men don't have prostate and are recovering from prostate surgery. So how relevant is that? And, by the way, I can tell you about the research going on at the moment about the prostate cancer device. And then

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Elliot: one paper showed 40%. And the other papers showed 1020% of benefit. So these these drugs that farmers push with billions and billions of dollars of marketing. And now you have, you get people get online with.

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Elliot: But to your point, just reporting subjective symptoms.

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Elliot: Well, are they working? What's the right dose? So I, you know, with our technology, a man can say.

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Elliot: Well, it's 5 milligrams. The right dose for me? Is it 10? Is it 20, or is nothing?

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Elliot: None of them of any benefit?

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Trip Goolsby, MD: Objective data. It's great. You get all objective endpoint.

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Elliot: And the data

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Elliot: corrects one of the mistakes that we doctors and I say we doctors. I don't think you are necessarily doctors of this type. But we doctors in general make, which is we generalize

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Elliot: and project onto general, we generalize from a small data set that we have and we project onto general population.

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Elliot: The the, you know, Brian Johnson likes to say that he has the the penis of his son. Whoever this little son is in his early twenties, and he does that by saying he has the same number of nocturnal erections.

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Elliot: Where did he get that notion from?

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Elliot: Well, this bridge scan was device.

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Elliot: predecess, device. What we're doing. It's kind of falling out of favor. They even lost their Cpt code in the United States, but looks like something, Dr. Frankenstein put in your Dick, you know, if you have it done to yourselves. Got 2 wires wires going to a box or to your leg backs in your leg. You got to be in general be in a lab. You've got to sleep like this overnight, and they did a paper, their largest paper, on which

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Elliot: medical science

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Elliot: came to the wrong conclusions that the largest bank was in the off top of my head in the early nineties had about 400 men.

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Elliot: These are men with significant, erectile dysfunction. So this is a selected group. These are men who struggle to attain an erection in general, not men who get an erection and lose it, which is the larger number of men who have ibt

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Elliot: and on the base. And then they had, and they had, and then they had some people without without problems, but they only had 400 men, and they and they only had 2 erections per man.

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Elliot: That's 800 erections. We have 70,000 erections. It's it's so we have. So there they basically, they concluded that a man that healthy man has

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Elliot: 4 or 5 nocturnal erections per night, and that that number goes down significantly as men age. So here's what we've discovered that changes that paradigm. The doctors say. That instance of erectile dysfunction was up, 10% per decade per year

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Elliot: after age 45.

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Elliot: So anticipation. Mine, too, was that as men age get more hypertension diabetes, cardiovascular problems, etc. The number of nocturnal erections will go down.

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Elliot: the firmness of nocturnal erections would go down, and the firmness of sex erections would go down, not happening

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Elliot: now. It's true for men who have significant disease. It's true that a man who has angina, or a man who has out of control hypertension or poorly controlled diabetes, they will see that they will see that deterioration. And our technology is really valuable because our technology can help identify that problem

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Elliot: before it becomes

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Elliot: heart attack or stroke or a diabetic crisis. We've had 2 men that were aware of the cardiac catheterizations using our technology. But for most men. They basically stay just as hard. They average 3 plus nocturnal erections. And then in the late sixties and seventies, it starts to deteriorate a little bit, and we only have a couple men in their eighties, so I can't say what's going on in the eighties.

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Trip Goolsby, MD: Question.

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Elliot: And that's so that that's a game changer. Because what what does that mean? Why is it? If if men are getting older

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Elliot: and they're staying just as hard, pretty much

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Elliot: at night. And when during sex, why are they reporting more erectile dysfunction? Well, it's because we've misdefined erectile dysfunction

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Elliot: that's 1 reason that erectile dysfunction, to my mind, breaks down 2 groups. One are the men who can't attain an erection or struggle to attain an erection that's like 10 to 12% of men.

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Elliot: And those men have those men have dysfunction and have no problem identifying those men as having dysfunction.

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Elliot: But men who get erections and lose it. They got a problem, and it's correct. It's likely to be something that's relatively easily correctable. We don't describe women as being dysfunctional anymore. I don't know how old you are, trip. I'm 72, and early on in my career women in the eighties women were still being described as frigid.

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Elliot: anorgasmic, hysteric. The feminists came along and said, Fuck, that you can't use these terms anymore. You can't describe women that way anymore. It's negative. It's shaming. It also interferes with someone seeking treatment. But we still describe.

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LeNae Goolsby: It's also not a good. It's also not a good way to get laid.

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Elliot: It's yes, it's not and- and

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Elliot: that's a very good point. And there are a lot. There are a lot of those doctors do sleep with their patients. No, I'm just kidding.

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Elliot: but the

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Elliot: so what's so? You know several things happen, though, for women, one, the feminists came along and said, you can't do this. And and then along came vibrators. Now, back in the eighties

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Elliot: there was a certain embarrassment and shame associated with vibrators. Back when back, when I was dating. Oh, you got to come to penetrate sex. You're going to become vibrator, addicted, etc. And that's gone. Now it's mainstream. I know how many vibrators my wife owns, and a daughter who's 30 takes them on dates. They've largely been mainstreamed.

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Elliot: So now let's shift shift back to men so

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Elliot: men who can't, who get it up and then lose it. They're getting blood into their penis, but they're losing it.

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Elliot: the Pd. 5 medications.

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Elliot: the Viagra and Salis being the big ones. They put more blood in the penis, and they help a little bit. But these men are already getting blood in their penis. Their problem is, they're losing blood.

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Elliot: So the problem is on the left side of the circulation. Excuse me, the right side of the circulation. We doctors have focused on the heart and arterial insufficiency. But we've not looked at the venous side of the circulation as highly likely primary cause of rectal dysfunction, and any man can, or

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Elliot: wife or girlfriend or boyfriend could prove this tonight. I mean, it's so. It's 1 of those things that's so obvious that, you know, like kind of like wheels on suitcase. To think, why were we doing this?

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Elliot: Why'd this come about in the eighties so? And part of the problem is, the cock rings are uncomfortable. These hard O-rings they pinched are uncomfortable, and then this association with them in the culture, with with gays or with fetishes, and

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Elliot: so we need to have a more comfortable cock ring which we had. We had to invent a more comfortable cock ring, and I have a coch ring that could be worn overnight. Our cock rings are made out of Elastin. Soft, comfortable. Last not silicone. But here's the proof, and we have research that demonstrates as well, too. But all a guy has to do is get rock hard. Go to whatever guys go to when you're alone.

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Elliot: Pornhub, wherever you're going to go to get rock hard and then count all. Stop and then see how long it takes directions. Go down, and on average it's going to be between 25 and 35 seconds.

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Elliot: and then get rock hard and put a ring on it. Our ring, of course, because the only one's most comfortable and research proven for safety, but put a put a ring on it.

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Trip Goolsby, MD: Snowballs.

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LeNae Goolsby: Ring on it.

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Elliot: And the man is going to. The man is going to be hard for about 3 or 4 min.

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Elliot: Why is that? Because it's preventing the loss of blood from the penis. The urologist wants to say, it's the discharge of the sympathetic nervous system. It's a fight flight reaction. But when you're alone, masturbating men, that is, women, too. There's no one telling you

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Elliot: I'm tired. There's no one telling you your Dick is too small. You're a lousy lover. Your wait a second, this baby crying in the next room, or I got this problem from work. I want to discuss with you. There are no distractions and those variables are eliminated, and a ring, a ring, a well-designed ring, is a solution for most mensuractile dysfunction.

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Elliot: A ring is also as effective. It's non-pharmacological solution as well, too, because that we have. There's 1 independent paper, and we have internal research showing that a ring is as effective as 10 milligrams of the dalafil.

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Elliot: and that's a game changer.

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Trip Goolsby, MD: Let's quite effective for somebody with that disease process. Yeah.

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Elliot: Yes. So that's the big discovery that we made that the problem is on the Venus circulation. And every man experiences this. Every man

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Elliot: normal man who's when they're 12 or 13 years old. They hold their hand of their girlfriend or boyfriend. Today they hold someone else's hand. They get turned on for an hour and a half. They get blue balls. It doesn't happen as we get older.

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Elliot: Why, what? What is changing between age 1428, 56, etc. What is what is happening in people who overall are in good health. Every erection ends in a venous leak.

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Elliot: I rather I prefer to call it. The fading erection of aging.

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Elliot: Every erection ends ends with blood. Leaving the penis

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Elliot: as we get older, for for reasons that we don't know it, because it's it's it's because every man experiences this as we get older, our smooth muscles

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Elliot: get weak around our venules, and we don't hold blood

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Elliot: in opinions. What we did when we were younger. We don't pump it back to our heart as well, either. If I sit in a plane 5 days out, my socks might get a little tight. My rings might get a little tight as well, too, but even in men good cardiovascular condition have this issue as well.

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Elliot: The erections fade faster as I get older.

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Trip Goolsby, MD: That's interesting. And that is not just the things because I do P shots and and use bio nanoparticles for men with Ed from time to time, and those, and you know it does have improved function. There is an improved functional result.

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Trip Goolsby, MD: The the interesting thing is that's probably some sort of rejuvenation or increasing health in those in those vascular smooth muscles that are that are retaining, retaining the blood.

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Elliot: Well. And and, as I was saying earlier, there are researchers who are looking at all these other alternative, both conventional modalities and alternative modalities. I only touched upon d. 5 s. You mentioned p-shots, but there's

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Elliot: there are supplements like Pt. 141, which claims are made. There are

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Elliot: the shockwave therapy, testosterone replacement therapy. And all these things can now be tested, but most importantly tested individually.

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Elliot: because the data from our device is objective actionable. But it's also personal. So there are men who might respond to T. And men who don't respond to T. There are men who might respond to shockwave therapy men are done with shockwave therapy and some of those determinations, and also the monitoring can be done with data. You know we don't.

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Elliot: You know again, the mistake that we doctors make is, we generalize from the sickest people that we see. And this is a mistake that neurologists have made, especially academic urologists. They're at the universities, and they see people who are truly dysfunctional.

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Elliot: They're not seeing the people in general who have an issue, an issue that you know, that can be easily resolved. So the conclusion they come to is the problems with the heart, the problems with the arteries, the person not responding to Salsa Viagra. You need an implant. But the real problem is, you touched on the other the second cause. When a man loses confidence because his erections start to fade faster.

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Elliot: He also has a sympathetic nervous system problem in his head. He gets performance, anxiety, and and loses his confidence. And

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Elliot: that's that's what's that's the big discovery.

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Trip Goolsby, MD: So so yeah, I'd love to see at the end of the day with the data that you can generate with this some real, some real, especially with the you know, the the gains wave thing, the and the.

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Elliot: I can email you our data about about how this expected duration is not happening. But you know there was a doctor using. I think Gainesway is now called Games Day. Something like that. There was an academic physician in the

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Elliot: in Orange County who is going to do a study of shockwave therapy gainsway specifically, and our device. And he stopped doing the study because he said he would lose 25 to 40% of his patients. So why is that? Because a man who has they want to treat everyone so but a man who has 3 or 3 plus nocturnal erections per night

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Elliot: and has Ed. He actually has to your point performance anxiety and venous leak. He doesn't have vascular disease doesn't have narrowing of significant narrowing yet of his arteries. So any benefit that he's going to get is probably going to be placebo benefit at the other extreme. If a man has one or less nocturnal erections. It's highly likely that his vascular genetic disease is so advanced. The shockwave therapy is not going to be of any benefit, and I really would like

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Elliot: there's a doctor in in India.

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Elliot: a huge academic doctor, a huge clinical practice, who is just starting a study.

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Elliot: He doesn't have Ib approval yet. He's will be starting a study, though, with like 400 patients to try to assess if I'm going to shock people who's going to benefit, who's not going to benefit. We don't want people wasting thousands. The United States is cash business. You don't want people wasting thousands of dollars if they don't need it, and we have men buying our technology. We've heard about this before. They start shockwave therapy.

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Elliot: And then they say, Hey, gee! I went from 2 nocturnals to 3 plus nocturnals. I don't need no 6 shots. I'm going to save $6,000 or $7,000, because I'm I'm done. And, by the way, I don't need to come back a year from now for a tune up, because I can check whether I need it with my device.

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Trip Goolsby, MD: Exactly exactly cheap insurance. I love it, love.

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Trip Goolsby, MD: So

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Trip Goolsby, MD: so I'm I'm curious, though the the female, the female component of this. Give me give me some

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Trip Goolsby, MD: information there, because that's totally new to me.

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Elliot: Sure. Well, we are working on the world's 1st monitor.

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Elliot: occlitoral health, and we've we've tested on on. I mean, they're

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Elliot: that we had. We have. There was an external paper

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Elliot: with like 25 people in it, and we've also tested on 28 women. So women have nocturnal erections.

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Elliot: Clito erections just like man. We don't know how many.

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Elliot: My assumption right now, not assumption. My thesis is probably gonna be about the same number

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Elliot: as it is in men. I could be wrong. We don't know yet, although we switch these because women who go through menopause, they just see a very dramatic falling off of that because of losing testosterone.

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Elliot: So, but with, if women had data.

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Elliot: it would probably be more valuable for them

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Elliot: than for men. And why is that? Well, postmenopausal women have all the same problems with hypertension, diabetes, obesity, atherosclerosis, etc. That men do. They lose, they they've lost their hormonal protection against

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Elliot: these problems. As they go through as they go through menopause, the what

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Elliot: but Premenopausal women in advanced cultures. This makes them advance, but they take hormones, and they take Sri antidepressants and anti-anxiety medications that also have a significant impact upon their sexual performance and their sexual health. And we doctors again make this a 1 size fits all solution. Hey? You're depressed. You get this dose. Everyone gets the same dose

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Elliot: you're starting on. You need birth control. You get the same dose. So when you have data again, that's individual, you can then say, Well, maybe that's not the right dose for me. Maybe half the dose will work. Give me the same effect, but we don't know right now, and I know on the male side we have had 3 doctors who are taking

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Elliot: doses of antidepressants who regulated their doses. Down with

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Elliot: you, you know, with the mail, with the mail technology. In one case a guy eliminated completely just didn't see any benefit for it.

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Trip Goolsby, MD: Okay.

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Elliot: This is a 3D printed model of the female device

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Elliot: starts inside the vagina. This sits behind the pubic symphysis, and this will have a sensor in it.

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Elliot: To measure. People could see just muscle contractions of arousal and orgasm. And that's interesting that there's a there's a vibrator called lioness. It does the same thing, although this can't. That can't be as a penetrative sex. This can be.

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Elliot: But, more interestingly, the Clitoris will kind of pooch. I don't know kind of pooch out in between. There my pinky is. These 2 sensors are on our side of the clitoris, and they're going to be thinner. They will allow us to measure clitoral engorgement at the base of the glands of the penis. Excuse me, the clitoris, and that will allow us to assess blood flow into the clitoris, and with that indicate with that

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Elliot: news of the data. Rather excuse me, women and the doctors be able to measure the impact of diabetes, hypertension, obesity, medications, antihypertensives. And you know,

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Elliot: testosterone replacement therapy. You know all the all the same things that men do that women will be able to assess

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Elliot: objectively.

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LeNae Goolsby: That is wild.

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Elliot: Well, it's coming your way. And the world's way. Because we actually was published. Present the paper at the national Medicine about this technology. But we're using ppg, pulse, oximetry difference, familiar after Covid, we're using Ppg, and we had too much sensor movement that led to

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Elliot: lack of sensitivity of the device. So we're we're using different. We're experimenting with 4 different sensors right now. Reduce that to with the goal of having this a research prototype of this out by the Q. 4 and commercial launch of this Q. 2. Just around this time next year.

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Trip Goolsby, MD: Was that a Bluetooth?

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Elliot: It'll be Bluetooth enabled. They'll be just like the mail device would be bluetooth enabled. People will be able to see their waveforms. They'll be able to get. You know, if they were your patients, you'd be able to get a notification. They could get notifications from you, or they could share the data with you, and you know the notifications. Are. We do it on the mail side right now. The notifications are valuable. It could be. Hey, Elliot, you've gone from 2 nocturnal erections to nocturnal erections.

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Elliot: That's a positive improvement. What's different in your life in your is it different in your lifestyle, your medications, you know, etc. Or it could be the reverse. It could be. Hey, Elliot, your performance is deteriorated, and therefore you need to see a doctor, or it could be.

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Elliot: Hey, Elliot, you've only been making love in the same position for the last 6 weeks. You need to change what you're doing. You could be boring your wife.

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LeNae Goolsby: And.

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Trip Goolsby, MD: Right.

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LeNae Goolsby: So so the the participants are sleeping all night with this technology.

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Elliot: They can sleep with it, and they can have sex with it.

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Elliot: Either one.

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LeNae Goolsby: And then, like every night, they're wearing it.

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Elliot: If someone is is

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Elliot: actively, if taking new medication, you might want to get more readings. I mean the way I see this occurring, because this has not become the standard of care yet, although I'm confident they'll take look. Medicine goes really slowly. It took 22 years for electrocardiogram to be adopted. So the doctors still thought they could hear better with their ears better than electrocardiogram to interpret what's going on. So.

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Elliot: And my goal was obviously this data collection to become part of the standard care for, say, men over the age of 45, 50, you know women as well.

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Elliot: I'm in a steady state. I have taken so many readings. I only you know.

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Elliot: for me it's like once a week, that's all I need. I wear it one night a week. I have my wife and I make love, and I go to sleep, and I have. Then I have my data, and it's pretty much

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Elliot: I mean, I can show you my graph. If you want. It's pretty much across the line. I'm in good health. I don't need it, but for men who are not in good health.

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Elliot: They get a lot of reasons. And in men back to going back a little bit to Tripp's world. In men recovering from prostate surgery.

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Elliot: I wasn't even thinking about that, because I'm not a urologist when I came up with this technology, but they're using it to monitor their recovery, so they can see when they start to recover nocturnal erections around 7 or 8 months after surgery.

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Elliot: That means that they probably can start recovering

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Elliot: sexual performance. It's hard for them to get back into it, but it's really profoundly reassuring them to see at night that they're recovering, and they then can also use the ring to bolster their performance as a cock ring while they're having sex. The data can also tell a man recovering prostate surgery. What interventions are working.

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Elliot: I mean, is pumping. Working is taking testosterone working is taking Pg, 5 medications working right now to Trif's point earlier. It's all congestion opinion, and we'll just throw everything out of guys. Recover from prostate surgery rather without using data to track it.

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LeNae Goolsby: Cool.

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Trip Goolsby, MD: Fantastic, fantastic.

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LeNae Goolsby: You got any other questions trip.

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Trip Goolsby, MD: No, I think think that. And that's really interesting device female for the females to be interesting to see how that how that pans out data wise also.

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Trip Goolsby, MD: And you know we all know that that the Ssris and a number of medications compromise compromise, not only male but female,

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Trip Goolsby, MD: libido, and that. And it's it's a real challenge

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Trip Goolsby, MD: often, particularly as the population is aging so, and you know, in integrative and regenerative medicine. That's what I tend to see so interesting. This can be a really valuable device for a lot of patients.

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Elliot: Well, thank you. Because men and men in the healthcare providers like you can now harness technology.

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Elliot: so get data about something that was previously invisible.

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Trip Goolsby, MD: Exactly, and and create classifications. And what's good when and oh, this is yeah. This is fantastic, fantastic.

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Trip Goolsby, MD: nice to be on the precipice.

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Elliot: Thank you.

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LeNae Goolsby: Cool. Well, Dr. Justin, what is one thing that you would like the listener to know.

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Elliot: I think people need need to know that they, especially men as they get older.

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Elliot: that there, that there is a solution to an easy solution to the problem of fading erections. And that and that's an effective

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Elliot: erection ring.

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Elliot: And if they have a significant problem, they can now get data that can help them sort out where they are and what can be done about it.

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Trip Goolsby, MD: Look deeper into their health.

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Elliot: Oh! Reflects the cardiovascular health as well too.

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LeNae Goolsby: Very cool, very cool. Well, listener, I hope you found this educational, informational, somewhat entertaining. Dr. Tristan. Thank you so much for sharing your wisdom with us, really appreciate it.

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Elliot: Thank you. It was a pleasure.

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LeNae Goolsby: Right and until next time.