Archive

Will Viagra Help You Live Longer or Better?

James Kuan June 7, 2026 No Comments

Sildenafil wasn’t originally developed for erectile dysfunction. It was being studied as a cardiovascular medication. The erectile effects were discovered because men in the trial noticed them and, famously, weren’t…

The GLP-1 Gap

James Kuan May 31, 2026 No Comments

A patient came in last year and mentioned, almost as an aside, that his wife had lost twenty-two pounds. I asked how. He said she’d started a medication. GLP-1. Her…

Is this a nuisance or is this a problem?

James Kuan May 24, 2026 No Comments

Most men are told some version of the same thing about an enlarged prostate. “It’s common.” “It’s part of getting older.” “It’s not dangerous.” All of that is true. It’s…

When the Answer Is No

James Kuan May 17, 2026 No Comments

At some point, the wondering stops. Not because anything was said. Usually nothing is said. It’s more that the pattern has been there long enough that calling it temporary no…

The Door That Only Opens One Way

James Kuan May 10, 2026 No Comments

In the weeks before this surgery, most men aren’t having second thoughts. They’re having a specific thought. What if I get to the other side and still feel like something’s…

You’ve Optimized Everything. How’s That Working?

James Kuan May 3, 2026 No Comments

In bed by ten. Alcohol mostly gone. The watch scores your sleep like a teacher who never takes a day off. Zone two cardio. Time-restricted eating. The specific magnesium that…

Issue Archive

Will Viagra Help You Live Longer or Better?

The GLP-1 Gap

Is this a nuisance or is this a problem?

When the Answer Is No

The Door That Only Opens One Way

You’ve Optimized Everything. How’s That Working?