Posts by Ralph Esposito


Med School Biochem 101: Cholesterol is necessary to make hormones like testosterone, DHT, DHEA, Estrogen, Progesterone to just name a few. We have become infatuated in the past few decades of fearing cholesterol and fats. In fact, the thought that lowering LDL (Lousy Cholesterol) protects against heart disease is being questioned. A Systemic Review and…

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Peyronie’s: ‘Does this look normal Doc?’


Did you know there is a correlation between autoimmune disease, plantar fasciitis and Peyronie’s disease? There are a few things men don’t like to discuss, and one of them certainly is about whats going on below the belt. And I get it, its a touchy topic, you don’t want other people to think you’ve got…

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Male Infertility? Are we on our way towards extinction?!


My Nonna (Grandma in Italian) once told me, ‘Oggi, non fanno gli uomini come prima’. Translation: “Today they don’t make men like before”. Well, she called it, because with recent news of male fertility rates dropping, apparently something is happening to our men. A very well designed study recently found a steady and significant decline…

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How marijuana steals your manhood


Yes. Marijuana could be sabotaging your manhood. Cannabis is gaining more attention in the media and medical journals along with its legalization. Many people are touting its benefits from pain relief, anti-inflammatory and cancer fighting. But marijuana can be a major cause of Erectile Dysfunction (ED). A study in The Journal of Sexual Medicine found…

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Answer this right and you may have high Testosterone.


A bat and a ball costs $1.10 in total. The back cost $1.00 more than the ball. How much does the ball cost? If you said 10 cents, you’re wrong AND you might have higher Testosterone levels. The correct answer is 5 cents. A recent study found that men given Testosterone were more impulsive and confident…

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Italian style espresso fights Prostate cancer.


3 Espresso a day fights prostate cancer! 🇮🇹☕️☕️☕️ A great new article in Just a few days ago, a study published in the International Journal of Cancer revealed Italian men who drink 3 or more espresso daily have a 53% lower risk of prostate cancer compared to those who drank only 2 espresso. The…

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The Science Behind Why Kissing Feels Good


Getting jiggy. By Sheril Kirshenbaum, University of Texas at Austin | Photo Credit: Pedrosimoes7, CC0 Public Domain Lips are the most exposed erogenous zone, which makes kissing feel very good Scientists in the Netherlands have reported that we share about 80m bacteria during a passionate ten-second kiss; a finding that makes puckering up seem cringe-worthy…

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Fasted exercise – Should you? And how to do it right.

Long Story Short: Fasted exercise = Fat burning BCAA (5g) Prior to training = Muscle sparing If you’re like me, it doesn’t feel right exercising on a full stomach. Many of my patients ask me if it is okay to exercise on an empty stomach, and I am never able to give a one-size-fits-all answer, but…

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Personalized & Precise genetic approach to Prostate Cancer

Long Story Short BRCA 1/2 and ATM genetic mutations increase the risk for aggressive prostate cancer (CaP) We don’t have a great way are detecting aggressive CaP These mutations can be easily assessed with Opus23 (using your 23andMe info)   Personalized and Precise Medicine, that’s how I work. And now we can make prostate cancer…

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