Could ultrasound treatment help with some of the ED that is part of Peyrnie's disease?

I think that I got some positive results from taking Neprinol. I will continue to take at least six pills/day.

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My question is for the ultrasound machine that you have. I was wondering if this could help with some of the ED possibly.

Thanks,

John

Greetings John,

Taking any therapy by itself as a solo treatment is not a very effective protocol; usually Neprinol must be combined with other therapies for maximum effectiveness.

Having some degree of erectile dysfunction (ED) with Peyronie's disease is not uncommon.  It is due to the presence of the Peyronies scar preventing full closure of the veins that trap blood to create increased hydraulic pressure needed for an erection to occur.  The answer for this kind of ED is to reduce the size of the PD scar material, or get rid of it altogether, so the veins can close again as they did before you developed Peyronies. 

Here is some additional information about this subject: Should I use Neprinol as part of my Peyronie’s disease treatment?

The ultrasound machine is proving to be a good therapy to add to a basic PDI style treatment plan, based on the reports I am getting back from men who are using it in combination with broad therapy plans. 

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What program would you suggest I try for my four year-old Peyronie's disease?

I have had Peyronie's Disease for probably 4 years or so (not initially diagnosed) and the initial bend and associated pain is no longer apparent. I have several plaques on the shaft and these cause somewhat of an hourglass effect and an associated constriction.

I no doubt have suffered from depression during this period partly due to feelings of guilt and helplessness. I have taken l-carnatine and more recently Neprinol. I have found that if nothing else doses of vitamin E have also been good for my skin health.

More recently I have been diagnosed with Ehlers-Danlos syndrome. I am in quite good health and have not experienced any loss of sexual function. In taking the Neprinol – this is probably of no association – I now wake with an erection.

I recognize that I should have acted earlier but as it took several attempts to find a doctor that could actually offer help I had already somewhat resigned myself to my fate. As described there has been substantial improvement from the original condition and I am looking to continue my recovery. What program would you suggest that I try? I look forward to receiving your advice.

Greetings,

As I suggest to all men who contact me with the same basic question about what program to get started with, I think you should visit the page  Suggestions to help you decide how to start Peyronie's treatment.  This is a good starting point for anyone who wishes to increase his ability to naturally heal and eliminate the offending Peyronie's scar tissue.  The basic idea is to support and encourage the strongest healing response possible by using the largest and most aggressive plan you can use for at least 2-3 months.

It is encouraging to think that you saw some degree of improvement by just using acetyl-L-carnitine and Neprinol.  This is not a good plan design, so if you decide to use what we offer as a viable treatment plan I would guess your results would be considerably better than what you did on your own. 

Fifty percent of men who initially develop Peyronies will cure or eliminate it without any outside help.  You saw what your body could do when you helped it a little in a lop-sided way.  The PDI therapy idea is simply to encourage that natural healing ability by supplying at the same time and in an elevated dosage all possible nutritional elements to help that healing process along.  

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If I can help you in any way, please let me know. TRH

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Questions about taking Neprinol in a Peyronie's treatment plan

Hello Dr Herazy,

I have a question regarding the intake of Neprinol and the absorption of proteolytic enzymes. I understand that they need to be taken away from meals. My understanding is that on an empty stomach they act/are absorbed in one way, and with food they act in another way. On your site somewhere you say they they should be taken 90 minutes before or 90 minutes after eating. 90 minutes before eating sounds extreme. Surely they are out of the stomach and on the way to the intestines in a lot less time than that. And by the same reasoning, taking them 90 minutes after eating … wouldn't there still be food in my stomach at that time? 90 minutes before suggests REALLY away from food; but 90 minutes after suggests that mixing it with food then is OK. Can you clarify this a little further. I just want to be sure what I take can be as efficacious as possible. My practice has been to take it 15 to 30 minutes before eating. (At which time I also take other herbs (for other non-PD concerns) that also need to be taken on an empty stomach.  Thanks.

Walter

Greetings Walter,

What you are asking about is called “gut transit time,” or the amount of time it takes for food to pas through the digestive tract, as well as absorption rates for different molecules that pass through the stomach wall. As you can imagine, this is a variable factor from one person to the next. The 90 minute stipulation is a good average for most men following a Peyronie's treatment plan,  but it might far shorter or far longer than it should be for some people; yet, it is a good average.

If you feel that you need to increase or decrease these times for taking Neprinol based on your personal digestion physiology, by all means please do so. Having said that, I would caution you that you should err on the side of assuming there is food in your stomach longer than what you think. Please give yourself a bit more additional time when taking the enzymes before a meal, and give yourself a bit more additional time before you eat after taking the enzymes. The world will not come to an end if you take your enzymes to close to the time you are going to eat, or you eat too soon after taking enzymes, but your therapy will be diminished and Peyronie’s treatment is too important to make this kind of error.

You write that you take your systemic enzymes 15-30 minutes before a meal. That might be perfect for you, but it might not be enough time for the next person. Further, that might not be enough time for your stomach to get the enzymes into your blood stream and into the fibrous tissues. How would you know?

You write that taking Neprinol 90 minutes before a meal sounds extreme to you, but I must wonder what you base that on. All I propose is that you give your gut ample time to get all the systemic enzymes through the gut wall, into the blood stream, and disbursed to start working on the excess foreign protein that is in the Peyronie’s scar. Maybe this can take place in 17 minutes, or 59 minutes, or 90 minutes, no one knows for sure because these particular digestive enzymes have never been studied for absorption times or delivery times. So why not make sure you allow enough time to allow it to happen so you get the best results from each and every dose you take?

If all you are doing is using that “full stomach” sensation to judge if food is still in your stomach you might be incorrect. Many people have food still being digested for hours after a meal – they might be exceptions, but it does happen. Further, gut transit time – the time food stays in the stomach – changes in the same person from one meal to the next depending what kinds of fats, carbohydrates and proteins are in each meal, and changes based on your emotional state, how well or poorly you chewed your food, how physically active or rested you might be at that time, how warm/cold you are, and other factors.

Lastly, let me guess that your question is not based on the usual situation in which you can control your food and enzymes schedule perfectly. I will guess you are asking this question really based on those days when your schedule for eating, working, and taking a handful of different therapy items is totally out of your control. We all have too many of those days when we forget to take Neprinol 90 minutes before we eat, or we absolutely will not be able to take the Neprinol 90 minutes after we eat. What do we do then? When we cannot allow ample time to take systemic enzymes on a good schedule because of forgetting or something we cannot control, what should we do? Do the best you can. Then promise yourself that the next dose will be taken at a better time to allow for better absorption and delivery. That is all you can do.

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Give your gut ample time to empty food, and to absorb Neprinol, so as to maximize the ability of Neprinol and other proteolytic enzymes to the target Peyronie’s disease fibrous scar material.

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Could you recommend the best way to buy a range of Peyronie’s therapy products?

Hi Dr Herazy,

I have had Peyronies for 2 or 3 years now and visited a GP who said if does not interfere then leave it but things have changed lately

I have an upwards curvature and can have sex but the penis is not hard enough and I am not able to ejaculate easily – I have no pain

I am in Australia and want to order products.  Because of freight I should get a sufficient supply- I notice you have packages but they do not contain Neprinol.  I read about and would like to order Neprinol – could you recommend the best way to buy a range of products

Also can you give me your thoughts on the use of penis extenders to correct the curvature

Thanks

Paul Craig

 

Greetings Paul, 

Sorry to hear of your problem.

You were given the stock medical information:  “If you have Peyronie’s disease and have a curved penis that does not interfere with sex, leave it alone until it is bad enough to bother you and we can talk about penis surgery.”  In my opinion, this is bad advice because you have lost time and opportunity to do something to help yourself recover from PD.  Your Peyronies problem has slowly worsened during that time so you will now have more work to do in order to recover. 

The softness of your erection is due to the Peyronie’s scar preventing the valves in the penile veins from closing completely.   When this happens the veins cannot trap blood in the penis to engorge it with blood, and insufficient hydraulic pressure is created to develop the usual hard erection to which you have been accustomed.   The problem is not ED (please do not take ED drugs like Cialis and Viagra because they can make your Peyronie’s disease worse), but the problem is the presence of the PD scar.  The scar is acting like a foot being put in the door way and preventing the door from closing.  You need to reduce the size and density of the scar so your penile veins will be able to close once again.  

Neprinol is a wonderful product.   It contains serrapeptase, nattokinase, bromelain, co-enzyme Q and papain in a good ratio at a high concentration. By far, it is most popular systemic enzyme product we offer as part of any Peyronie’s disease treatment plan.

Most, if not all, of the information you will need to use Neprinol to reduce or eliminate the fibrous Peyronie’s plaque can be found at the Peyronie’s Disease Institute website. Please visit our website for additional information not only about Neprinol but diverse and synergistic group of valuable Peyronie’s therapies.

There are two reasons Neprinol has not been included in any of the three standard PDI therapy plans we offer.  It was omitted from these entry level plans due to the rather the practical consideration of not starting treatment with a potent enzyme product like Neprinol. Some men cannot handle the dumping of tissue toxins that such a concentrated enzyme product sometimes produces.   Also, there is the economic consideration.   Neprinol comes in such a large bottle (300 capsules, compared to 100 capsules of Nattokinase or Fibrozym), and the ingredients in Neprinol has 6-8 times more concentrated “functional units” of enzymes.  Therefore, it costs more initially but this is actually a better deal because of better results and the fact you would be taking fewer of them.   If Neprinol was included in any of the standard Peyronie’s disease treatment plans the higher price might discourage some men from starting treatment.  For these reasons the smaller and less concentrated Nattokinase and Fibrozym are included in the small, medium and large Peyronie’s treatment plans, to allow a man to acclimate his body to the changes these enzymes can create. 

The best way to get a diverse range of  products at the best price is to purchase any of plans you find on the PDI site.  The most popular plan is the  medium Peyronie’s treatment plan, but the one that gets best results is the large plan.   You can modify any of the plans you see, either making them smaller or larger as you choose to do so, based on your current thinking.  In your case you can also follow the basic format of the small, medium or large plan, but remove the Nattokinase and Fibrozym and replace both of them with a single bottle of Neprinol.   Your choice.

Penis extenders can hurt you, as they have injured many men to whom I have spoken.  Please read Penis Extender Claims and Peyronie’s Disease or Penis Stretchers:  Big Problem as Peyronie’s Treatment.    TRH