Vascular and Sexual Health as Root Cause Drivers for Male Longevity | Miles Spar, MD episode artwork

EPISODE · Feb 24, 2026 · 19 MIN

Vascular and Sexual Health as Root Cause Drivers for Male Longevity | Miles Spar, MD

from Redefining Medicine

In this episode of the Innovations and Clinical Implementation podcast, hosts Andy Crosby and Dr. Chris D'Adamo explore the synergistic role of nitric oxide and hydrogen sulfide in male sexual longevity with Dr. Miles Spar—a leading authority and educator specializing in men's health and personalized performance medicine. The discussion centers on a recent 600-person randomized trial of Calroy Health Sciences' Vasconox HP, which demonstrated that hydrogen sulfide acts as a natural PDE5 inhibitor to extend the vasodilating effects of nitric oxide for up to 24 hours, significantly improving erectile function and orgasm ability compared to placebo. Dr. Spar highlights the clinical importance of addressing upstream endothelial health rather than relying solely on pharmaceuticals, noting that treating erectile dysfunction in patients with poor metabolic health without fixing nitric oxide production is akin to "filling a bathtub with the drain open".   For access to episode resources, click HERE.

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Vascular and Sexual Health as Root Cause Drivers for Male Longevity | Miles Spar, MD

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