The importance of nutrition in sexual health cannot be overemphasized. Given the prevalence of obesity in America and its associated morbidities such as metabolic syndrome, type 2 diabetes, and cardiovascular disease, sadly, sexual dysfunction is on the rise. Some—usually men —confronting a sexual problem may seek to consume commercial supplements or specific foods traditionally believed to improve sexual performance. However, the scientific evidence makes it clear that oysters, asparagus, or supplements are far less relevant than optimizing one's daily diet. Macronutrition impacts sexual function in many ways and as a consequence of specific dietary regimens, habits, and health practices. Nutritional patterns negatively affect testosterone, nitric oxide, cortisol, and inflammatory pathways and have other impacts. This chapter sets out what science says about macronutrition's key role in sexual function and dysfunction and advocates the best nutritional strategies for improved sexual function, vitality, and overall health.
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