This book serves a useful purpose by putting this message very much in the face of men: erections are produced by blood flow; if you want better erections and improved sexual health, there are no shortcuts that bypass the need for better health.
It's well documented now that aerobic exercise improves erections, weight loss improves erections, proper rest and proper hormone balance...all improve erections. I've found many men become motivated to lose weight, walk, and quit smoking when their sexual function begins to wane. This book should help motivate and instruct men to better health by linking health to sexual function.
Dr. Lamm's a big fan of L-arginine at a dose of 3 grams per day. Arginine and glutamine boost growth hormone levels in those with a healthy pituitary and lead to improved circulation and better erections. I've found patients do better with glutamine than with arginine (glutamine causes less nausea and can be taken at a higher dosage): try (if your doctor approves) 12 grams per day (best taken as a powder mixed in water since 12 grams would be 24 tablets at 500 mg each) for best source, see my list "Libido, Erection, and Premature Ejaculation."
The most important recommendation in the book is walking. There is no doubt now that walking (or jogging..but not necessary to jog) does more to prevent obesity and to improve and maintain sexual function than anything possible with diet.
I haven't seen as much success with the counting-steps method as outlined by Dr. Lamm as I have with those who just go walking and count miles, but the basic idea that walking improves sexual function cannot be ignored. Not only does the practice improve circulation and firmness of erection but alters levels of seratonin, dopamine, endorphins, cortisol, thyroid, growth hormone, and testosterone in ways that support libido and sexual function.
Dr. Lamm makes the point that hormone levels should be optimized (even mentions their replacement in women). This problem is much more common that previously suspected.
As to the "erection drugs" discussed, the recommendation to start with Viagra, Levitra, or Cialis and only go to the use of Muse (an injectable) might be questioned. Dr. Lamm fails to mention that Muse may also be used as a suppository and has a safer side-effect profile than Viagra, Levitra, and Cialis (and in some may even prolong erection after ejaculation).
Dr. Lamm completely leaves out the use of prescription-strength yohimbine (Yocon) which has good effect on erection in 10-20% of men with the added benefit of increasing libido (which the others do not). Yocon has it's own side effect of irritability and increasing blood pressure in some...still it's a wonder drug for some and adds improved libido even to those who may use Viagra or one of the other medicines. So, I was disappointed it was left out of the discussion (but then I'm also prone to favor products found in nature...of which yohimbine is one).
The foods recommended by Dr. Lamm should be helpful and healthful. For quicker, easier, and similar results...I'd recommend "the Abs Diet, Eat Right Every Time" by Zinczenco. Start with the paperback version of this book and buy the hardback as addition if you want to better understand the underlying science.
Don't think Tantric sex got the press it deserved in a book on hardness (short paragraph with no mention of the man's cycle as discussed in the Tao).
Admittedly, these are comments that have more to do with the art of medicine and plainly Dr. Lamm and I may not bake a cake in the same way...but the main point of the book (that good health results in good sex and there are specific ways to improve health and sex simultaneously) is a point worth repeatedly making. Good sex is the cherry on top; it's the side effect of good physical, emotional, and relationship health. Dr. Lamm will motivate many to better health in all of these areas with his excellent book.
--Charles Runels, MD
Author of "Anytime...for as Long as You Want: Strength, Genius, Libido, and Erection by Integrative Sex Transmutation (A 15-Day Course for Men to Improve Sex and Life).
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