Common Causes of Sexual Dysfunction in Men (That Are Commonly Missed) Sexual dysfunction in men is often reduced to one variable: testosterone. That simplification misses the real picture. Sexual function depends on vascular health, nervous system balance, metabolic flexibility, gut health, and hormonal signaling working together. Insulin resistance reduces nitric oxide availability and impairs blood flow. Chronic stress keeps the nervous system in a sympathetic state, suppressing libido and ere
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