Can Peyronie's treatment pills be crushed and taken with water?

DR. HERAZY, CAN ANY OF PILLS OF YOUR TREATMENT BE CRUSHED AND TAKEN WITH A LITTLE WATER?

Greetings,

Sounds like you have a problem swallowing pills, my friend.

None of the vitamin E products can be crushed because they are soft gelatin capsules, but I do not see why you could not crush any of the others.

When you consider the small size of all these therapy capsules, I am confident that these pills are smaller than most of the food that you swallow with no problem after chewing it for a very short time. Most of us do not chew or food enough, and this represents a large digestion problem to a lot of people who do not realize that poorly chewed food is a major problem for their digestion. I mention this as a way of telling you that you are probably swallowing big pieces of food all the time, and you are making a bigger deal of pill swallowing than you need to do.

It seems a good thing that we are programed to not swallow things whole; that we need to chew them up and make them smaller and softer. It’s sometimes difficult to swallow a solid substance without first chewing it; you feel like you are working against a protective instinct. This is made worse when there are many such solids to swallow when you are taking a lot of different therapies in a Peyronie's treatment plan. Nonetheless, it is often necessary to swallow 4-18 pills several times a day to assist your recovery over PD.

Frustration grows when you can’t easily take many pills in your Peyronie’s disease vitamin plan because you hesitate or gag. There are different useful strategies to get over this hurdle. I have never met anyone who cannot get over this problem if they work at it.

Since pill swallowing will likely remain a required skill until you correct your Peyronie’s disease, approach a pill swallowing problem from several angles using old and new tricks:

1. Practice with common food. Swallow mini candies, or small bites of food, without chewing them very much to simulate pill taking. Deliberately think about and feel the sensation of having chunks of solid food sliding down your throat; get comfortable with that feeling; focus on how easy it is to be relaxed when you swallow pieces of cooked vegetables or meat that are actually larger than the pills that make you feel so uncomfortable.

2. Put 1-4 pills in your mouth. Keep them there while you carefully go through a few small chewing motions – do not actually chew on the pills them to avoid a nasty taste. After you have satisfied the need to “chew before swallowing,” immediately drink some water as you swallow the pills already in your mouth. You will thus fool yourself into the idea that you have chewed what you want to swallow.

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3. Take pills one at a time to avoid overloading your gag reflex.

4. Drink a large glass of warm water BEFORE taking your Peyronie’s disease vitamin plan. This will relax your throat muscles and make taking the actual pills easier.

5. Sip a cold, carbonated beverage (sparkling water, lemon-lime soda) straight from the bottle when swallowing a pill.

6. Spray or gargle with an over-the-counter topical anesthetic (normally used for sore throats) before swallowing.

7. Take a deep breath and hold the breath in your lungs before putting the tablet in your mouth; some say that this can suppress the gag reflex.

8. Place the pill on the back of your tongue, drink some water, tilt your chin down toward your chest, and swallow.

9. Put the pill on the tip of your tongue, drink some water, tilt your head back, and swallow.

Combining some of the above ideas could yield a remedy for you, but if none of them help you should really consider some larger issues.

The fact is your throat operates as part of a complex system. While it may seem you have an extraordinarily strong gag reflex or odd throat mannerisms, consider that it may actually be the power of your mind, not the power of your throat. Try to psych yourself out with this pill swallowing mantra — “I can swallow this…I can see the pill going down.”

Or, perhaps not being able to swallow pills has something to do with a past event. If you are unusually tense about pill swallowing from something that happened in your childhood, it makes sense for it to surface when you try to swallow a pill again. Did you choke on a raisin many years ago? Did a school nurse with dirty hands force you to take a pill? You may be subconsciously dealing with issues such as these every time you swallow an aspirin or vitamin. Fear of choking, fear of medicine, or general anxiety may be preventing you from swallowing pills. If you think these mental factors are to blame, you might consider talking with a counselor.

While it seems unlikely, the possibility of a greater medical issue does exist. The medical term for difficulty swallowing is dysphagia, and the term is often used with regard to a disorder of the esophagus. Keep in mind, though, that if you can swallow your food without trouble, your esophagus is probably fine.

This is an important issue to address because you cannot allow trouble swallowing your Peyronie’s treatment pills to prevent you from achieving success over your PD. TRH

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What do you think of a mechanical penis stretcher for treatment of Peyronie’s disease?

I'm so confused on what to do about my Peyronies.  On one site it says to use a stretcher, and on other web sites it says not to!

I was diagnosed with Peyronie's disease about about a year and a half ago I had a bend to the left and now about six months ago a bend about a inch away from the first bend I have a bend to the right and lost at least an inch of length to my penis.

Currently I'm taking PENTOXIFYLLIN  and using a vacuum device but not seeing much of a change. Not sure what to try or do next. What do you think of a mechanical stretcher? I would really appreciate any advice!!!!!!

Thanks

Ken

Greetings Ken,

I am sorry for the confusion you feel.  Maybe it will help you to know that you are not alone in that regard; everyone who first comes to the Internet is thrown around in different directions by the conflicting information and non-information about Peyronie's disease that abounds there.  

First, I suggest that you read as much as you can about all the different subjects and ideas about Peyronie's disease that you can.  But as you do, please try to make a deliberate effort to pick out the reasons that are offered and the explanations that are presented.  Do not just accept, "Do this…", but read with special interest those articles and discussions that say, "Do this because of these following reasons…"   Carefully read and try to see if the author makes any explanation why he says what he says.  Often many authors give no reason or rationale for what they say, or the reasons they offer just do not make sense.

Since  you mention your confusion about the use of mechanical penis stretchers, I will use that as an example.   You will notice that the discussions and promotions for these mechanical penis stretchers never explain how or why they work, they just say that they work.  That has always made me suspicious of all of them.  In my experience they do not work, and I have explained in great detail why I say they do not work; you can read it on the PDI website.

You should know that I think the mechanical penis stretchers are basically ineffective and often dangerous to the extent that many men have told me their Peyronie's disease started or got worse after using one of them.   I have written several posts on this subject.   Here are a few:  "Penis stretcher: Big problem as a Peyronie's treatment"  and  "Penis stretching for Peyronie's disease"  and   "Peyronies treatment and the penis stretcher."  

I suggest you spend some time on the PDI website to see if the ideas and explanations make sense to you.   TRH

What about these other systemic enzyme products for Peyronie's treatment?

What do you think of the products Serracor-NK and Serra RX? I have been taking them as well in my Peyronie's treatment plan. They are very expensive and I am wondering if I should reorder or not.

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Thanks so much for your feed back

Nick

Greetings Nick,

I have never used or had experience with anyone who was successful in using these products as a Peyronie's treatment. I just do not have any experience with them so I cannot speak with authority about them.

What I can comment on is that several years ago there were some terrible lawsuits that were initiated because of aggressive business practices by the manufacturer of Serracor and Serra RX, and they attempted to destroy the manufacturer of Neprinol. Eventually, the Neprinol folks won out, and I have always felt that this history did not speak well of the people who make Serracor and Serra RX. I just do not have confidence in them. It might be a great product, but I would just as well continue to use the older, larger and more experienced company that makes Neprinol.

I cannot work with you to answer any questions about using these two enzyme products since I have no practical experience with either of them; you are on your own if you have a question about them. TRH

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Which enzyme preparation is most effective for Peyronie's disease treatment?

What enzyme preparation do you feel is the most effective, and has the highest quality control in its manufacture, Neprinol, Fibrozym or Nattokinase?

What is the reason you don't recommend Serracor or Serra RX?

Greetings,

Effectiveness of Neprinol, Fibrozym or Nattokinase is never evaluated in a vacuum. Since I have never used them alone or recommended any of the PDI therapies to be used as a solo treatment, I cannot speculate in that way for you. Each product undergoes rigorous laboratory testing to prove each is effective in its ability to degrade and catabolyze fibrous protein molecules, so we know each is effective in that regard. The question you are asking has never been investigated because it is contradictory to the way these products are used and the philosophy of synergistic Peyronies treatment I promote on the PDI website.

The quality control issue is equal for the manufacturers of Neprinol, Fibrozym and Nattokinase since each fulfills the government standards for laboratory testing and manufacturing practices.

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I do not recommend Serracor or Serra RX because I was around before these products existed and I know some of the nasty history behind them, and the lawsuits that did not go in favor of the manufacturer of Serracor and Serra RX. Given that, I think it is more prudent to stay with an older, larger and more stable company. TRH

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How can you help my Peyronie's disease situation?

Hello,

I have, what I believe is the early stages of Peyroine's disease.

I have a very distinct and sudden narrowing of the base of the penis, on the left, but little angular distortion, and no palpable scar tissue. I do have have the pain associated with this condition.

I am fortunate that I found your site, and identified the condition before it becomes more established.

I would like to prevent this from escalating and of course return to normal ASAP.

How can you help in this situation?

Thank you.

Greetings,

You ask perhaps the most common question that is presented to me in a thousand different ways: “I have Peyronie’s disease, how can you help me?”

You are correct in wanting to get Peyronies treatment started early before the usual tissue changes become entrenched and more difficult to reverse; it can be done later, but is usually faster and easier to help in the early stages.

I enjoy the sense of knowing that I can assist someone like you toward recovery from Peyronie's disease, so I also feel fortunate that you found this website. In fact, maybe because it is early on a Sunday morning that I am writing this response, I will approach my reply to you in a slightly different way. You see, I have received hundreds and hundreds of emails exactly like yours – and I have answered each of them and yet I never know the best way to answer your most fundamental and sincere question.

I spend from 50-60 hours a week talking to men from around the world, answering emails, writing various articles and posts for the PDI website, and tending to the business of helping the shocked and discouraged men who have Peyronies. After doing this for a little over 10 years, the PDI website is monstrously large and loaded with unique content about all aspects of natural Peyronie’s disease treatment.

It has been estimated that if someone were to print out the PDI website it would be well over 1,500 pages of information – how to treat PD, how to get started, how to handle various questions and problems along the way, technical information and every day practical stuff. All of that free information is available for your use and education, right now, 24 hours a day.

And yet, after all that, men like you write a simple email asking, “How can you help this situation?”

With all that I have written and presented to you that you can have right now at your immediate disposal for the mere cost of clicking on your cursor button, I do not know what else I can say or do to get that information to you that I have not already done a hundred times before. All you really have to do is look and read what is in front of you.

All you have to do is spend some time reading and learning the concepts and philosophy involved in helping your body heal the Peyronie’s plaque like it should have happened in the first place. If half the men who develop Peyronie’s disease are fortunate to have their problem spontaneously and naturally heal all on its own, then there exists the possibility that your natural healing ability can be increased and strengthened if you supply a high quantity of high quality nutrients and enzymes to assist that natural recovery process that failed to occur in you and me when I developed my Peyronie’s disease many years ago.

When i developed my Peyronie's disease I worked hard to plow through a mountain of information about this crazy problem to understand what was known and not known about it; I worked hard to sort out a large amount of technical information, facts, opinions, and what I came to know was simply lazy medical thinking; I worked hard to apply the information that made sense to me; I worked hard to put together the first Alternative Medicine treatment strategy that could actually make a difference in the recovery from PD and it actually worked for me; I worked hard to understand what was going on when the Peyronie’s plaque started to get reabsorbed and disappear; and I worked hard to keep that recovery going until all the plaque disappeared and the distortion finally straightened out.

And now I am answering your question to make it easy for you, but you still must spend a little time reading the PDI website. Go to “Start Peyronie’s Treatment” that is found toward the top of the home page, and read.

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And as I always conclude when I finish a response, if you have any questions please let me know and I will be happy to assist you. TRH

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Can I use DMSO gel and Fibrozym together for my Peyronies disease?

Can I use DMSO gel and Fibrozym together for my Peyronies disease? what are the risks if there are any? I read on the internet that DMSO absorbs plastic and they recommend not to use DMSO that is in a plastic bottle… thanks

 

Greetings,

It is a rare man who treats his Peyronie's disease using the PDI concepts of natural treatment who does not combine PMD DMSO gel and Fibrozym – plus many other systemic enzymes as well as therapies like PABA, acetyl-L-carnitine, vitamin E, etc.  The use of topical DMSO while taking all other forms of our therapy lineup has never caused any complaints or problems in over 10 years of doing this work with Peyronies treatment.   I just do not get any complaints or notification of side effects or problems. 

The PDI DMSO products – PMD DMSO and Dusa Sal DMSO – are both made by the laboratory that is still owned and operated by the medical doctor who did the original  research and investigation of dimethyl sulfoxide (DMSO) for use on human tissue, Dr. Stanley Jacob.  He is in his mid-90s and still teaches at the University of Washington School of Medicine.   He has thoroughly researched the subject of storage containers for transporting and keeping DMSO and has found that only one form of plastic is safe, and that is a rather expensive laboratory grade polyethelene.  Otherwise, if not using this particular for of plastic then DMSO must be kept in a glass container.  Anyone who gave you the advice you mentioned does not know or understand the subject of DMSO.   TRH

What Peyronies treatment would you suggest for a “waist” in the penis?

Dr. Herazy,

What treatment plan would you suggest in treating a waist in the penis? And also, does the penis waist happen because of lack of blood flow to that area?

Thanks

 

Greetings,

When you mention a "waist in the penis" I assume you refer to what is commonly referred to as an hourglass deformity of the penis associated with Peyronie's disease in which there is a narrowed portion of the penis in a small or large part of the circumference of the shaft.   

Treatment for this type of distortion is not much different for this distortion or for any other distortion that is caused by the presence of the internal Peyronies plaque or scar tissue – except in one small aspect I will explain a bit further down.  The very important point I want to make now is that good Peyronies treatment is not directed to the distorted (bent, curved, hourglass, waisted, limp or shrunken) penis, but to the scar itself.   What is wrong with you is not that your penis has a waist formation, but that you have a Peyronie's plaque or internal scar in the shaft that is causing a waist formation.  Do you understand the critical point I am trying to make?  Your problem is not the waist, but what is causing the waist to form.  That is why it is pointless to try to stretch a curved penis with a mechanical penis stretcher because it cannot do anything to remove or reduce the Peyronies plaque.   A case of Peyronie's disease is not a curved penis that will be corrected by forced stretching, like a bent paperclip.  A case of Peyronies disease is one in which internal scar tissue can cause the penis to bend or distort in some way.  For this reason treatment is not so much directed to the kind of distortion but to the reason for the distortion. 

Having explained that, I will say that the gentle manual penis stretching technique developed in a PDI research project a few years back can be modified to suit the type of distortion displayed because with this particular local technique it is possible to focus subtle traction vectors into the specific location and direction of the plaque formation.  We developed unique techniques for bends, twists or rotation, hourglass, bottleneck and combinations of deformities to isolate the fibers that cause those patterns in an effort to stimulate their reabsorption.

This waist or hourglass type of distortion is caused by a circular or collar-like Peyronie's plaque formation that either prevents or restricts the full expansion of the shaft during an erection or allows blood to not collect in a particular area and therefore not expand completely.

My suggestion is that you do a bit of reading at start Peyronie's treatment to see if this makes sense to you, and to begin working to increase your ability to heal the Peyronies scar in the best way possible.  In my opinion the best Peyronie's treatment is the largest and most aggressive you can sustain for a few months to assist natural healing.  Read the PDI website to learn if you agree.  TRH

How should I improve my success of Peyronies treatment using vitamin E?

Sir i am 28 years old and i have bp from last 10 years taking olmat am (atagonist +amophline) tab sir my penis is bend towards left and upwards also for curing this i took vitamin e 400 capsule for 1 month yes results were OK means when i take my penis becomes straight and slight improvement as well but when i stopped taking vitamin e it started bending again for how long should i take vitamin e 400 and will it increase bp please guide sir as i will get married within 6 months please please please please

Greetings, 

From the limited information you provide I do not have a good idea how you should proceed since I do not know anything about the kind of vitamin E you used.   So I cannot comment on that element of what you have done to receive limited and temporary success. 

However, based on my 10 years of experience treating Peyronie’s disease I suggest that you expand and deepen your plan to include more therapy than using a solo therapy of just vitamin E.    My suggestion is to investigate how to improve your results by increasing your Peyronies treatment after reading how to start Peyronie’s treatment on the PDI website and using any of the plans you see available that make sense to you.

If you a specific question about treatment of Peyronie’s disease I would be pleased to assist you.  TRH

 

 

Unique urinary symptoms during Peyronies treatment

Is it possible that serraptease or the nattokinase of yours I just began using yesterday could cause some discomfort urinating? I do know that in trying to be more healthy I experimented for 3 months adding a forkful of natural unprocessed sauerkraut to my evening salad which seemed to have caused me to urinate frequently at night. When I stopped eating the fermented sauerkraut, I slept thru the night.

Do you think either of these products mights be causing me the same problem?Also, I just installed a new sink top water filter so I'm still trying to sort out the source of the problem. I don't have a prostate issue. Any thoughts?

Thanks,  Dr Herazy
Jim

 

Greetings Jim,

I do not see a clinical connection between intake of serrapeptase or nattokinase and urinary frequency or discomfort.  Having mentioned that, anything is possible since we are learning things daily about Peyronies treatment.  If there is such a connection, you are the first person in over 10 years to report it.  For this reason, I suggest you experiment a bit by stopping all intake of serrapeptase and nattokinase to see how your body responds.  We can create a theory to explain such a unique response if it happens it is associated with the systemic enzymes.  Let me know how you respond, please.  I would like to know.  TRH