March 1, 2014 PDI Newsletter
Greetings to all PDI and DCI Warriors,
Welcome to this March 2014 PD Institute newsletter. I trust all my friends are doing well as we slowly put winter behind us. I suppose I am a kid at heart – I have always enjoyed snow and even cold weather for many reasons – but this year has tested my fondness of the white stuff. Enough is enough.
This newsletter is also available online by clicking HERE.
Four important topics in this newsletter:
1. Two new DCI and PDI therapies – L-arginine and CoEnzyme Q10 – the first new internal therapies added to the therapy lineup in over eight years.
2. A switch to a completely different enzyme product, Inflamazyme, that will be featured in all PDI and DCI plans. I will give details why this change had to happen.
3. An easy and simple notation system will be explained that will help you keep track of your dosage for each therapy you use, and use your plan more effectively.
4. As I stated in January, while I am heavily involved in writing another book I will re-print past newsletters that were first published by PDI many years ago. This month we will review a past newsletter in which several important points are raised about PD and DC treatment during an email exchange with someone who was making great improvement in his Peyronie’s disease. You will be learn how he treated his problem to make big tissue changes, details of his exciting progress, and exactly how he explains his scar to me. Everyone will benefit from reading these emails.
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Two MORE therapy options should earn better results
Over the last several months, as I gather data for my book, I have spent a lot of time reviewing Peyronie’s disease and the Alternative Medicine treatment of both Peyronie’s disease and Dupuytren’s contracture. Collecting this information has given me the opportunity to re-evaluate the treatment options that PDI and DCI use. As a result of extensive and careful review of research data I have added two new therapies to our lineup, thanks to the favorable medical research and clinical reviews for L-arginine and CoEnzyme Q10 (ubiquinol).
With the inclusion of these two additional therapies you now have an even wider array of treatment options to work with. And as a result of more treatment options it makes sense that the three basic treatment plans will soon be expanded and rearranged. Once you read the favorable research results you will see why our small, medium and large plans had to change to include these two particular therapies.
The small PDI and DCI plans, as well as the medium and large plans, will look a lot different than they have for the past 10 years – actually all plans will be totally revamped within the next month or two. I am working out the details for changing the content of the three size plans, and should have that project finished in a month or two.
For those currently following a particular plan, you can choose to stay with your same plan or modify whatever approach you are now following by adding Inflamazyme, L-arginine or CoQ10 if you and your doctor agree to do so.
What will not change is how we suggest the PDI and DCI therapy is used.
It has always been a fundamental idea to treat PD and DC by starting all therapies at a low dose, while evaluating and monitoring the fibrous tissue to see if the low therapy starting dose causes the tissue to physically change. If the low starting dosage does not affect the fibrous tissue of the hand or shaft, then the dosage of one or more therapies is increased slowly every 7-10 days until a change in the fibrous tissue is detected. This methodology is simple, direct, makes sense, and it just also happens to be the way that the art of medicine is practiced.
The essence of medical practice followed by most every MD in the world is the slow increase of drug dosage until a disease begins to respond or symptoms improve. Think of the basic system your MD uses to treat high blood pressure, elevated cholesterol, diabetes, depression, epilepsy, cancer, migraine headaches, or thousands of other health problems. At the beginning of care a low starting dosage of a drug is prescribed while monitoring the disease being treated for improvement. If the starting dosage gets a good response, that dosage is continued without change. But if the low starting dose does not improve the disease or improve symptoms, it is slowly increased until the disease does respond. Keep[ in mind that even though a continual drug increase can be dangerous because drugs by their very nature tend to have side effects due to their forceful and toxic qualities, PDI and DCI do not use drugs but Alternative Medicine nutrients and natural therapies. Non-drug therapies tend to not have side effects yet tend to encourage the ability of the body to heal and repair when the correct therapeutic levels are finally reached. This is why PDI and DCI recommends using Alternative Medicine to reduce fibrous tissue in the shaft or hand.
So, now we have L-arginine and CoEnzyme Q10 that can be considered for addition into whatever plan you might be using to broaden your treatment efforts.
PDI and DCI enzyme product change
As a result of an ongoing and frequent problem I am currently having with the manufacturer who makes both Nattokinase 1500 (for nattokinase) and Fibrozym (for serrapeptase), I was forced to look around for other enzyme product options to use in the DCI and PDI plans. As it often happens in life, what started out as a problem has turned into a benefit. We know have a better and less expensive way to take nattokinase and serrapeptase to break down fibrous tissue.
Here is what has happened. The manufacturer of Nattokinase 1500 and Fibrozym 100 and Fibrozym 200 has driven me crazy for the past eight months. Actually, over the past few years Nattokinase and Fibrozym would periodically go out of production for a few weeks at a time, for reasons that were never clearly explained. I was always disturbed when this would happen, but I stayed with these products because we were getting good feedback on PD and DC results. But lately this production problem with Nattokinase and Fibrozym has gotten worse, and I can no longer depend on the manufacturer to supply them. While I still think these two products are great, and even though PDI and DCI sold them for over 12 years, we will no longer feature Nattokinase 1500 and Fibrozym in our plans.
During these last eight months Nattokinase 1500 out of production twice, once for almost three months last fall, and it is again out of production for more than a month so far this time. Because I always keep a nice size inventory of all DCI and PDI therapy products, I was able to keep up with your orders for most of this time until my inventory was gone. Eventually I ran completely out of Nattokinase 1500, and had to scour for sources of Nattokinase 1500 from distributors around the country who were also running out of this product. You see, Nattokinase 1500 is a very popular high-quality enzyme supplement. When they stop making Nattokinase 1500, within a very short time all the distributors quickly run out of it and it is gone from the marketplace; no one has it available. Currently, Nattokinase 1500 has not been made for a little more than a month; within 1-2 weeks I will drain my current inventory and in another few weeks all my distributors will run out of it causing all of your PD and DC plans to be disrupted.
There has been a similar, but worse, problem with Fibrozym. During these last eight months Fibrozym has also been out of production twice, but for longer periods of time. The first time they did not make it for over two months and it is now currently out of production for close to four months. This means that of the last eight months Fibrozym was being manufactured for only about two months; six months down out of eight is not a good thing. All of these production problems have played havoc with my ability to supply these enzyme products to you.
I have had dozens of promises made to me by the maker of Nattokinase 1500 and Fibrozym that these products would be available soon, and all of them were broken. You and your treatment plans have suffered as a result.
During these past eight months I have called all over the US looking for any distributor who could help me to keep my Fibrozym inventory up. I would find a few bottles here and there, trying to keep my shelves filled. But eventually I ran out of distributors who had Fibrozym, and as many of you have noticed, eventually I have been out of Fibrozym 100 and Fibrozym 200 for the last two months. Only recently by a stroke of pure luck I found one small distributor who had a few dozen bottles of Fibrozym available; as a result I had a flurry of orders in mid February that wiped out my Fibrozym inventory in a week. Now once again both you and I do not have Fibrozym to work with. I have absolutely no idea when PDI or DCI will get any Fibrozym to pass along to you.
For this reason I have been forced to permanently substitute a new enzyme product because I cannot depend on getting Nattokinase 1500 and Fibrozym in either size for you. Instead, both PDI will use Inflamazyme for Peyronies and DCI will also use Inflamazyme for Dupuytrens as the basic source for nattokinase and serrapeptase in all treatment plans; Inflamazyme will be substituted into all treatment plans in place of Nattokinase 1500 and Fibrozym. Frankly, I have not looked for several years for any new serrapeptase or nattokinase product so I was surprised when I discovered Inflamazyme. The benefits of making this switch to Inflamazyme are:
1. Fewer pills to take, since Inflamazyme contains both nattokinase and serrapeptase.
2. Greater economy, since the cost of this one product is less than taking the same amount of two products.
3. Dependability and availability. The manufacturer of Inflamazyme, BioGenesis Nutraceuticals, makes a wide range of quality pharmaceutical grade nutritional products. They have made Inflamazyme for over nine years and it has never been out of production once during all that time. We can rely on having a steady supply of Inflamazyme to fill our treatment needs.
Inflamazyme primarily contains nattokinase, serrapeptase and bromelain, plus other proteolytic enzymes that are rather close to the levels of nattokinase in Nattokinase 1500 and serrapeptase in Fibrozym. For this reason Inflamazyme (one product) will be used just as Nattokinase 1500 and Fibrozym (two products) were used. My early testing of Inflamazyme with a few PDI warriors who also have Dupuytren’s contracture has shown it is just what is needed for our DCI and PDI treatment plans. It is the perfect entry level enzyme product, and can be easily switched over by those who have used Nattokinase 1500 and Fibrozym in the past.
However, for those who wish to continue using Nattokinase 1500 and Fibrozym we will continue to sell it – if and when we can get it. As of this moment we have a few dozen bottles of Nattokinase 1500 available; once these are gone I have no idea when I will get more. I have no Fibrozym and still no word when it will be available after being out of production for almost four months.
Better notes: Simplified dosage method
In the email exchange you will read below you will see that when RXXXXX discusses his Peyronies treatment plan with me he uses the terms “(1/0/1),” “(1/0/0),” “(3/3/3),” and “(0/0/1)” when he describes the dosage of the different therapies he is using. He is using a system I showed him that quickly, easily and exactly keeps track of how any therapy is taken during the course of a day. Usually a person will take a therapy – it could be PABA which is usually taken with meals or it could be Neprinol which is taken between meals – three times a day:
1. Sometime in the early AM
2. Sometime in the mid-afternoon
3. Sometime in the later part of the day, usually after supper or around bedtime
In the first example, 1/0/1, means that this therapy, whatever it happens to be, one is taken in the early AM, none are taken in the mid-afternoon, and one is taken around the supper meal or near bedtime; two are taken daily by skipping the mid-day dose.
In the second example, 1/0/0, means that this therapy, whatever it happens to be, one is taken in the early AM, and none are taken after that; one is taken in the early AM and then no more for the rest of the day.
In the third example, 3/3/3, means that this therapy, whatever it happens to be, three are taken in the early AM, three are taken in the mid-afternoon, and three are taken around the supper meal or near bedtime; a total of nine are taken by spreading them out equally throughout the day.
And the last example, 0/0/1, means that this therapy, whatever it happens to be, only one is taken at the end of the day.
I think we all can agree that this additional information is much more helpful and exact than writing a note that only says, “12 a day” or “12/day.” The important value of this notation system is that it not only allows you to keep track of your total daily dosage, but that it helps you to experiment with the idea of variable dosage during the day. When you write 12/day, it only gives you a total, but 4/4/4 tells you how you are taking that 12/day and it gives you a tool if you should decide to switch to a 3/4/5 or other pattern.
Many times when a person wants to increase her Neprinol dosage I will suggest not only taking one or two more during a day between meals, but I will also suggest that the pattern of taking the Neprinol should be experimented with. Let’s say someone is taking six Neprinol by taking them between meals in a 2/2/2 pattern. You now know this means this person is taking between meals two Neprinol early in the day, two in the mid-day and two toward the end of the day, for a total of six.
I might suggest to this person that they increase their Neprinol to seven a day by following a 2/2/3 pattern, which of course means adding the extra one at the end of the day. If this does not cause a reduction in the size, shape, density or surface features of the fibrous tissue after 7-10 days then I usually suggest they increase their Neprinol dosage by following a 2/2/4 pattern which again means adding yet another Neprinol at the end of the day. Next, if this does not cause a reduction in the size, shape, density or surface features of the fibrous tissue after 7-10 days then I again might suggest they increase their Neprinol dosage by following either a 2/2/5 or a 2/3/4 pattern.
Some people who take higher doses of Neprinol might be taking 12 Neprinol daily – not unusual for some who need to get into a higher level before positive tissue changes happen. Twelve Neprinol can be accomplished in a variety of ways, besides the common 4/4/4 that people usually follow. Here are just a few of the wide range of patterns for taking 12 Neprinol– or any other high dose enzyme product – during the course of a day:
1. 1/4/7 = 12/day
2. 2/4/6 = 12/day
3. 2/3/7 = 12/day
4. 2/2/8 = 12/day
5. 3/3/6 = 12/day
6. 3/4/5 = 12/day
The above are just a few of the possible ways of taking 12/day of Neprinol. A person could also use a 1/3/8, 3/2/7 pattern, etc. Each different pattern represents a way of changing the effect of a therapy plan that contains the same dose of Neprinol. By making these changes every 7-10 days a person with Dupuytren’s contracture or Peyronie’s disease is experimenting to discover the most effective presentation of his or her plan to the tissue that might cause the foreign fibrous material to be broken down.
The benefit of following these different patterns of the same total dose of 12/day is that each one represents a significant change in the treatment plan that could make a difference in how the body is affected by Neprinol in the total plan to break down the fibrous tissue of the hand or shaft. A person who might not benefit from a straight 4/4/4 pattern of Neprinol (or Inflamazyme or bromelain) might benefit if those same 12 capsules when delivered in a 3/3/6 or some other pattern.
Of course, a variable pattern can be created if someone is taking any dosage of enzymes or other therapies, not just 12/day. If you are taking 6/day of a therapy, you can use a 2/2/2 pattern, a 1/2/3 or a 2/0/4 pattern as a way of creating therapy changes to attempt to rouse a greater healing response from your immune system. And the same would be true about a variable intake for 5/day, 8/day, 10/day or 14/day, or any other number. Yes, it is sometimes necessary to go into these higher enzyme dosages. In almost 13 years of doing this work I have never encountered anyone who follows my system of slow increase to have any problem taking rather high levels of Neprinol or other enzymes; it seems it is not so much the size of the dose that causes gastric distress, but how quickly a dosage is reached and how it is used within the plan. I can help if you want to know more; just ask.
Further, concerning the use of any of the systemic enzyme products being taken in a DC or PD plan, there is one additional modification of a dosage pattern that can be applied. In addition to the typical approach of taking enzymes between meals on an empty stomach, there is another way to increase dosage and use variety in a treatment plan. Some people modify their schedule of enzyme intake by taking advantage of the nighttime or early morning hours. I have people who also take one or two enzyme capsules in the middle of the night while the stomach is empty and will remain empty for a few hours longer. When you go the bathroom in the middle of the night it can be seen as an opportunity to take 1-2 additional enzyme capsules so that the levels stay high in the blood all night long. In this way the notation would be something like 2/2/8/1 or 2/3/7/1 – with that last one representing the dose taken in the middle of the night.
Regardless of the dosage being used, the point I wish to make is that this simple notation method is a great way to accurately keep your records, or to communicate with me, about the dose of any internal therapy you are using. Lastly, these notations encourage frequent experimentation and change in the plan by simply varying patterns of intake rather than taking your supplements at the same dose each time.
PDI email: Success story with important treatment information
One of the reasons I have selected the following email from a past newsletter for you to read, is that it shows exactly how a person should have beautifully detailed descriptions of the condition of the internal the fibrous tissue structure. It shows that RXXXXX really knows his problem – just as you need to know yours. You will see how this man has taken the time to study his scar tissue. I firmly believe that if he did not know as much about the scar he could not make the kind of changes he has made. Detailed information about the invading foreign fibrous material is extremely important for anyone who is trying to remove their PD or DC problem. The more you know and catalog detailed information about the physical structure of the foreign invading fibrous tissue, the more you will be able to confidently identify when your tissue changes. This is important because as soon as you identify reduction and weakening of the fibrous tissue, you should stop increasing your therapy plan. If you are not aware of the details of the fibrous tissue in your hand or shaft you will not know how to manage your plan effectively, by either stopping or continuing the dosage increase. Either way this knowledge about the fibrous tissue gives you the confidence to know what to do, just as you will read RXXXX knows what he is doing. As I have said so many times about PD and DC treatment: “If you do not know your fibrous invader, you are guessing, and guessing gets you nowhere.”
So next we will see part of an email exchange about PD treatment. For those who are part of our DCI readership, please simply apply the ideas expressed here about PD treatment and dosage to what you are doing for your DC.
This email copied below (and cleaned up to protect his identity) is actually from the middle of a long email series we enjoyed, so you will be reading only a small part of the middle of our email discussion. Read these combined emails like the back-and-forth discussion of two people talking while one occasionally interrupts the other to make an important point or answer a question. To understand the flow of the conversation, keep in mind that the text in black is from RXXXXX and the text in red is from me.
Subject: RE: Recent PDI order
Date: Mon, 23 Nov 2009 16:13:10 -0600
See below for comments…
Theodore Herazy, DC, LAc
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Sent: Sunday, November 22, 2009 3:10 AM
Subject: RE: Recent PDI order
Dear Dr Herazy,
Thank you very much for your reply and concern.
You are right: I seem to have reached a point in my treatment plan where I should make a change, but then I am not sure, and that is why I am writing to you. Please let me explain:
For your convenience, I like to give you again a summary of what I have been doing so far:
I am well into my 8th month of the PD treatment plan now, and 2 months ago, I have noticed the first positive changes that are significant to me. That was the time I first contacted you. I had my scar examined very carefully – taken your advice from the “Peyronie’s Disease Handbook.” And I noticed then that the scar tissue (surface) finally became stringy, softer, wobbly, jelly-like, and also my curvature turned from a nearly 90 degree angle into a more bendable shape, like a banana (upwards). Congratulations. Nice changes. You should notice continued changes in your curved shaft as the scar tissue continues to fall apart and be eliminated by your immune response. Scavenger cells circulate in the blood to pick up tissue debris and cellular fragments and carry them off to be eliminated in the bowel and liver. Your body will remove the scar tissue gradually over time. The better you supply a good therapy base of nutrition for this to occur, the more fibrous tissue is removed and the more normal the shaft will become. This is very much different from the hard, flat, smooth scar that I started with that caused the sharp bend I had. My ability to engage in intimate relations with my wife has since improved, also. Now that your shaft has improved from a right angle bend to something like a softly curved banana, it is important that you respect the fact that the shaft is still unstable during intimate relations. Please be very careful during intimate activity so that you do not experience sudden buckling or bending that could reinjure the area and possibly aggravate your PD.
My internal therapies are like follows:
1) Vitamin E (1/0/1)
2) Natural C 1000 (1/0/0)
3) NEPRINOL (3/3/3) Please consider adding more Neprinol if your progress slows or stops.
4) MSM (0/1/0)
5) Acetyl-L-carnitine (1/0/0)
6) Scar-X (1/0/1)
7) Diet changes outlined in PD Handbook
My external therapies are like follows:
1) PMD DMSO (0/0/1)
2) Super CP Serum (0/0/1)
3) Topical vitamin E Oil (0/0/1)
PS: You may remember: I used to apply those twice a day but got itchy feeling (sensitive skin), so I apply them once a day only as you advised and I am fine now.
4) Massage around genital area (0/0/1)
5) Moist heat application (0/0/1)
6) Gentle manual Stretching instruction (20min, 0/0/1, according to your advice on the stretching video, you may remember, works well, by the way)
Consider yourself fortunate that you are making nice progress with your scar and your curvature while using what is actually a rather light treatment plan. None of your dosage is high by comparison to many plans that I see. Every now and then I communicate with people who treat their Peyronie’s disease and Dupuytren’s contracture who make progress on a small dose program like yours. Most often people must use higher doses than these to make the kind of changes you have made. We all have to work with the circumstances and situation we happen to be in at the time. I could not have eliminated my PD with your kind of plan. For example, I was taking at least 6-8 MSM and 6-8 acetyl-L-carnitine per day and 12-14 Neprinol per day, plus of course the other therapies, before I noticed my scar start to fall apart. Be grateful. We have to let our scar show us what it takes to break it down, and yours is responding to a very modest therapy plan.
This is my situation now, as described above.
When I examined my scar the last time (one week ago), this is how it felt:
Edges/Margin: left side still well-defined string, right side feels like no edge at all.
Surface: The whole surface feels wobbly, stringy, like jelly (in the centre of the scar), also I noticed that – to compare with previous checks – the scar feels ‘flatter’, like a ‘disc’, almost it’s gone…, feel only strings…
Width: 3cm, approx.
Length: 2.5-3cm, approx. Width and length are a bit hard to define, because the surface is hard to make out. This I take to all be good changes and improvement because it seems the scar tissue is in the process of breaking up and disappearing.
Curvature of my shaft: Like banana, upwards, more bendable, greater ability and confidence to penetrate for intimacy, blood circulation excellent, no pain any longer, nothing.
My wife (who is my only trustee, apart from you.) has told me I am doing ‘just fine’ and should give my body time to heal. You are a fortunate fellow to have a good woman at your side for support. Yes, you need to give this problem time to heal, but the healing process requires nutritional support and aid. If this was not so, if time was all you really needed, you would have healed your PD a few years ago, correct? Your severe PD problem has begun to respond favorably only because you have been pushing the healing process for the 1st time in the correct way. I suppose she has a point, but I am not sure now whether to just continue with my current plan (since there ARE improvements and it seems to work) or if I should change my plan to GET MORE improvements FASTER. Always a burning question. Problem with many men is that when they attempt to change their PD plan to get greater improvement they change the wrong things or in the wrong way, and sometimes make less improvement. Here is my advice for your consideration: So long as you continue to improve, change nothing. Once you notice – if it should happen – that your current plan stops benefitting you (your improvement slows down or stops altogether), only then modify your plan to try to re-start or increase your rate of recovery. And again I suggest that you and your doctor consider adding more Neprinol to your plan. Last time when I modified my plan (2 months ago) and improved the intake of Neprinol I suggest that you do not wait two months to make changes to your treatment plan if you are not seeing continued improvement with the plan that you are currently following. As soon as progress levels off, increase your plan. It makes no sense to use a plan that is not helping you. Waiting two months sounds to me like you wasted a lot of time and took a lot of Neprinol that was the wrong dose for you at that time. I have always suggested following a plan for 7-10 days, checking for changes in the size, shape, density and surface features of the fibrous PD mass, and then increasing the plan in some way if no changes are detected. This prevents you from following a plan for too long that is not helping. Once change in the fibrous tissue is noticed, then stop making changes to the plan; continue with the plan that is working until either the scar is gone or the scar changes slow down or stop. at night (four pills instead of my usual three) I always woke up early morning with an unsettling stomach feeling. I went then back to my usual intake of three pills at night, and the problem went away. My wife thinks that I should continue what I am doing now and not to increase the intake of Neprinol since my body cannot take it. Here is my guess on the problem that you mention: You are not having a problem taking Neprinol, you are having a problem with the TIME you are taking your Neprinol. I suspect you took your three Neprinol too close to bedtime. Meaning, you popped all your pills and within less than 5 minutes you went to bed. Bad idea. It is possible that going to bed too soon after taking any therapy pills will cause them to stop moving downward within the esophagus (food passage going to the stomach). All those pills will sit there for hours during the night, eroding the tissue and leading to nausea, pain, gas or many gastric symptoms. I suggest you simply take them a little sooner in the evening so they will work down into your stomach. This way they have a good opportunity to work down into the actual stomach where they can be absorbed. This should take care of your nausea.
I am in doubt now: I am doing fine so far. Should I just continue with my plan that is very comfortable at the moment and seems to work (albeit very slowly) or should I ‘push it further’ and take more Neprinol even it means that it may give me a bit of discomfort (release more air, unsettling feeling in my stomach, early wake-ups in the morning). You now know I think you should keep your plan the same until you either stop improving or your PD problem is completely gone; I suggest further increase of your plan only if things are not going well at the time. Let me know what you decide to do, please. TRH
I would feel very thankful if I could have your opinion.
Thank you very much for your time,
with kind regards,
Sent: Monday, November 23, 2009 1:13 AM
Subject: RE: Recent PDI order
Dear Dr Herazy,
thank you so much for your reply.
You are very right with your guess: When I increased my intake of Neprinol at night, I did indeed take them just 1 minute before going to sleep! So next time – if I modify my plan – I will learn from my mistakes and take them much earlier.
But at the moment, I WILL CONTINUE WITH MY CURRENT PLAN – I am very grateful for your advice.
And yes, the wives play an important part in PD as you also mention on your website. You need a very understanding partner if you suffer from PD, it helps a lot. My wife is a Filipina (we are married for 30yrs, having 4 kids). I am very lucky (and happy) with her, she is the love of my life.
Thank you again for your comments and your time and I will be in touch
So there you have it. Our friend, RXXXXXXX, is making nice headway with his PD scar and curvature after working for six months on his problem. His gastric problems were eliminated by taking his dose of Neprinol a half hour before going to bed. If a person goes to bed immediately after Neprinol, as RXXXXXX was doing, the pills can get stuck within the esophagus (food tube) and cause problems. It is a common mistake with a simple solution for his problem. He continued to do well and made even faster recovery after increasing his Neprinol dosage.
Keep in mind that to make these positive changes he did nothing dangerous like injections or using one of those mechanical stretchers that can make PD worse. He helped his body to heal his PD scar from within. Yes, six months is a long time work to get results, but he is actually getting results from following a safe and dependable system that he could totally control. Compare that to many men who look for a fast and sure (?) correction with surgery and only get worse. Better safe and slow than fast and sorry.
Until next time, PD and DC Warriors, please stay focused to your treatment plan and let me know if you have any questions about what you are doing to get ahead of your problem. Until next month… TRH