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Most men over 45 assume size loss is permanent. In clinical practice, it’s usually restriction — and restriction behaves differently. As a board-certified urologist specializing in vascular sexual health, I see the same pattern repeatedly. Men notice changes in fullness, consistency, and responsiveness and quietly assume decline is inevitable. In reality, the tissue is still there — it’s operating in a restricted internal environment. In this episode, I explain: Why size changes after 45 are rarely true loss How acidity, inflammation, and vascular constriction reduce expansion Where bicarbonate fits — and where most men misuse it Why timing and sequence matter more than dosage What realistic restoration looks like week by week Chapters : 00:00 🪞 The Moment You Noticed the Change 01:01 🔍 Loss vs Restriction Explained 02:22 🧠 Why This Is Not Psychological 03:17 🩺 What I See in Men Over 55 03:47 🌡️ The Simple Morning Test 04:35 🚿 How Erections Actually Work 05:45 🧬 Aging, Blood Flow & Elasticity 06:19 🪣 Why Past Fixes Stop Working 06:22 ⚖️ Where Bicarbonate Fits 07:19 🔄 The Correct Sequence That Restores Function 08:20 🚶 Accelerators vs Saboteurs 08:40 ⏳ What Changes — Week by Week 09:02 📊 What Men Actually Experience 09:29 ⚠️ Who Should Be Careful 09:49 ✅ Your Next Step This discussion is not about enhancement or shortcuts. It’s about restoring conditions the body needs to function normally again. If you’re noticing inconsistency, reduced morning response, or visual changes when relaxed, this information may help you understand what’s actually happening beneath the surface. Subscribe for evidence-based conversations about men’s health, aging, and vascular optimization.