Ever Forward Radio with Chase Chewning

What if your erections could warn you about heart disease years before a heart attack? Urologist and pelvic surgeon Dr. Rena Malik reveals the science of men's sexual health, erectile dysfunction (ED), testosterone optimization, TRT, penis size, masturbation, pornography, and sexual longevity. Dr. Malik explains why persistent erectile dysfunction may be an early warning sign of cardiovascular disease, why low testosterone isn't responsible for most erection problems, and how testosterone replacement therapy can affect sperm production and fertility. They break down the truth about morning erections, the average penis size, premature ejaculation, semen retention, natural testosterone boosters, cold plunges, sauna use, sleep, and exercise. Plus, Chase shares his personal experience with TRT and fertility, while Dr. Malik reveals the four pillars of sexual health from her book The Hard Truth, including evidence-informed strategies to improve erections, strengthen relationships, and maintain a healthy sex life well into your 70s, 80s, and beyond. Whether you're in your 20s, 40s, or 60s, this conversation challenges what men think they know about masculinity, sexual performance, and long-term health.
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00:00 Your Penis Could Warn You About Heart Disease
01:45 Why Erectile Dysfunction Is an Early Warning Sign
04:45 Can Young Men Have Erectile Dysfunction?
06:09 Psychological vs. Physical Causes of ED
10:34 What Morning Erections Reveal About Your Health
13:54 Why You Can Get Hard Alone but Not With a Partner
16:22 Premature Ejaculation and Learned Behaviors
19:32 The Biggest Testosterone Myth
22:15 High Testosterone Doesn't Guarantee Strong Erections
23:38 What Is a Normal Testosterone Level?
26:46 Semen Retention and Testosterone Boosting Myths
28:15 Supplements, Creatine and Resistance Training
30:27 Cold Plunges, Saunas and Male Fertility
32:13 The Best Natural Way to Improve Testosterone
36:21 Sleep Apnea and Testosterone
38:14 How TRT Can Affect Sperm Production
40:30 Oral Testosterone and Fertility
42:20 Clomid, hCG and TRT Alternatives
43:55 Chase's Personal TRT and Fertility Journey
47:49 Does Microdosing Testosterone Work?
51:21 Death Grip and Traumatic Masturbation Syndrome
53:10 Is Masturbation Healthy?
54:37 Does Porn Cause Erectile Dysfunction?
56:32 What Is the Average Penis Size?
58:07 Penis Enlargement: What Actually Works?
01:02:11 How to Improve Penis Size and Blood Flow Naturally
01:03:30 Should Men Do Kegels?
01:04:22 The Four Pillars of Sexual Longevity
01:08:40 Why Novelty Improves Sexual Desire
01:11:10 Building a Sexual Longevity Protocol
01:13:14 Testosterone, Prostate Cancer and Heart Health
01:16:28 What Every Man Should Know About Pleasing His Partner
01:18:39 How Often Should You Have Sex?
01:20:02 Why Sexual Health Is Essential to Overall Health
01:20:46 Teaching Children About Sexual Health
01:26:12 What Ever Forward Means to Dr. Malik Today
01:29:28 Chase on Grief, Gratitude and Being Present
01:32:21 The Real Biohacks for a Longer, Healthier Life
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What if the greatest threat to your brain health isn't aging itself, but the habits, stress, and thought patterns you've spent decades reinforcing? Neurosurgeon and brain health expert Dr. Amir Vokshoor, MD explains the science of neuroplasticity, cognitive decline, Alzheimer's disease, dementia prevention, and the brain's extraordinary ability to heal and rewire itself. Drawing from decades of performing brain and spinal surgeries, Dr. Vokshoor reveals why exercise is one of our most powerful defenses against cognitive decline and how breathwork, meditation, sleep, nutrition, and intentional hardship support long-term brain health. They unpack the connection between psychological trauma and physical recovery, the role of creatine and supplements in cognitive performance, and the emerging neuroscience of psychedelics and brain stimulation. From remarkable stories of brain injury recovery to personal reflections on consciousness, spirituality, and neurological disease, this conversation challenges what you think you know about protecting your brain after 40. 
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00:00 The Most Disturbing Truth About the Human Brain
02:31 Why Neurosurgeons Can't Always Predict Brain Damage
04:35 The Young Patient Who Made a Miraculous Recovery
08:30 Can the Brain Recover From Any Injury?
10:40 How Psychological Trauma Affects Brain Recovery
11:47 Will Brain Transplants Ever Be Possible?
13:24 A Neurosurgeon's Daily Brain Health Routine
15:17 How Breathwork and Meditation Affect the Brain
17:11 Why Movement Is Essential for Brain Health
18:31 The Best Exercise for Alzheimer's and Dementia Prevention
19:43 Neuroplasticity: Your Brain's Most Powerful Biohack
21:50 Why Your Brain Gets Stuck in Old Habits
26:07 How Military Training Rewired Chase's Brain
28:29 Why Neurological Flexibility Is the Key to Brain Health
29:03 When Does Cognitive Decline Actually Begin?
32:02 The Brain Changes Behind Dementia and Alzheimer's
34:10 Can You Test Your Brain Health Before Symptoms Appear?
35:38 Lifestyle Habits That Protect Your Aging Brain
36:32 Why Controlled Hardship Makes Your Brain Stronger
40:29 The Daily Habits That Accelerate Brain Aging
43:38 The Best Supplements for Brain Health and Cognition
46:07 The Gut-Brain Connection and NAD Supplements
49:41 Why You Should Reevaluate Your Supplement Routine
51:39 Dr. Vokshoor's Top Three Brain Health Supplements
52:10 Can You Permanently Rewire Your Brain?
52:58 TMS, Psychedelics, and the Future of Neuroplasticity
53:50 Why Meditation May Create More Lasting Change
55:32 What Neurosurgery Teaches Us About Consciousness
56:08 Alzheimer's, Spirituality, and the Meaning of Life
1:00:41 Exploring Different Levels of Consciousness
1:02:30 What Ever Forward Means to Dr. Vokshoor
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What if everything you've been taught about gratitude is wrong? Jamie Hess, media personality, keynote speaker, recovery advocate, and author of The Gratitude Shift, joins us to challenge toxic positivity, the limitations of gratitude journaling, and the belief that you have to hit rock bottom before you can change your life. Drawing from her near-fatal battle with addiction, her mother's cancer journey, and her own transformation through recovery, Jamie reveals how to build mental resilience, develop authentic gratitude during life's hardest moments, and reframe adversity without denying your emotions. Jamie explores the psychology of happiness, the dangers of comfort and entitlement, raising resilient children, overcoming negative self-talk, and why money and success don't guarantee fulfillment. She also shares practical gratitude exercises, mindfulness techniques, the power of service and human connection, and how confidence, personal responsibility, and intentional discomfort can help you reset your mindset and create lasting change.
Follow Jamie @jamiehess
Follow Chase @chase_chewning
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00:00 – Why Everything You've Been Told About Gratitude Might Be Wrong
01:27 – Meet Jamie Hess: Author of The Gratitude Shift
01:38 – Magnesium L-Threonate for Brain Health & Cognitive Performance
03:13 – Toxic Positivity vs. Negativity: Which Is More Harmful?
04:13 – Finding Gratitude Through Grief, Cancer & Life's Hardest Moments
05:16 – Joan Lunden's Cancer Diagnosis & Turning Pain Into Purpose
07:04 – Chase's Father's ALS Journey & Finding Meaning in Loss
07:56 – Reframing Failure Without Forcing Positivity
08:58 – Red Light Therapy for Recovery & Wellness
10:50 – Why Two Things Can Be True: Gratitude & Suffering
12:00 – Personal Agency: You Get to Decide What Life Means
12:22 – Do You Have to Hit Rock Bottom to Find Gratitude?
13:05 – Jamie's Addiction, Near-Death Experience & Recovery
14:17 – Can You Build Resilience Without Experiencing Trauma?
15:01 – Why Mental Strength Is Built in Small, Daily Moments
16:20 – How Joan Lunden Built Resilience Before Her Cancer Diagnosis
18:28 – Are We Becoming Mentally Weaker in an Easier World?
19:13 – Gen Z, Boundaries & the Dangers of Comfort Culture
20:51 – Why Exercise Is One of the Best Ways to Build Resilience
22:08 – Social Media, Distraction & Our Declining Ability to Focus
23:32 – Are We Making Life Too Easy for Our Children?
24:57 – Supporting Cognitive Health With Magnesium L-Threonate
26:20 – Parenting, Discipline & Teaching Kids the Value of Hard Work
28:29 – How Competitive Sports Teach Mental Toughness
30:06 – Why Money, Privilege & Success Don't Guarantee Happiness
30:43 – How Enabling Behavior Contributed to Jamie's Addiction
32:04 – Can Wealthy and Poor People Experience the Same Gratitude?
33:57 – The Biggest Thing Stealing Your Happiness Right Now
35:20 – Anxiety, Cancer & Learning to Be Present
36:44 – The 3-3-3 Grounding Exercise for Mindfulness
37:53 – Why Gratitude Shouldn't Be a Solo Practice
38:39 – Gratitude Accountability Partners & Daily Group Texts
39:15 – Addiction Recovery & the Transformative Power of Service
41:34 – How Helping Others Can Change Your Perspective
43:30 – Practicing Gratitude for Your Past, Present & Future
45:26 – Scripting, Manifestation & Rewiring Your Mindset
46:59 – Three Practical Steps to Make Gratitude a Daily Habit
48:17 – Why Relationships Matter More Than Money or Success
49:12 – Negative Self-Talk & Learning to Appreciate Yourself
50:03 – Building Confidence Through Positive Self-Talk
51:00 – How Small Acts of Kindness Create Powerful Ripple Effects
51:53 – Rapid Fire: Finding Gratitude in Real-Life Struggles
52:24 – How to Find Gratitude When You Can't Pay Your Bills
54:08 – Navigating Infertility, Comparison & Unfulfilled Dreams
55:09 – What to Do When Others Are More Successful Than You
57:07 – Feeling Overwhelmed, Stuck & Constantly Behind in Life
58:22 – Building Self-Esteem Through Small Daily Wins
59:08 – Ever Forward: Confidence, Agency & Readiness
59:35 – Why Confidence Comes After Action, Not Before
01:00:13 – Stop Waiting Until You're Ready to Pursue Your Goals
01:01:16 – Everything Happens: You Decide What It Means
01:02:26 – How Jamie Found Gratitude for Her Addiction & Recovery
01:02:46 – Where to Find Jamie Hess & The Gratitude Shift
01:03:16 – What Is the Opposite of Gratitude?
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Episode resources:
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Jamie's book: The Gratitude Shift: An A-to-Z Guide to Reset Your Mindset and Transform Your Life — available on Amazon. Jamie also shares the text keyword GRATITUDE to 55444 in the episode.

Could erectile dysfunction be an early warning sign of a bigger health problem? Urologist and men's health specialist Dr. Justin Houman, MD explores the connections between ED, cardiovascular health, low testosterone, stress, and sexual performance—and what men over 40 should understand before dismissing changes in their erections as normal aging. He explains morning erections, blood flow, tadalafil (Cialis), Viagra, performance anxiety, pornography, and the role of sleep and exercise in supporting sexual health. The conversation also examines testosterone replacement therapy (TRT), its potential effects on sperm production and male fertility, and options such as Clomid and hCG that Dr. Houman considers for appropriate patients. Chase shares his personal experience coming off TRT to start a family, while Dr. Houman explains why better men's health begins with honest conversations, individualized care, and understanding the causes behind your symptoms.
Follow Justin @justin.houman.md
Follow Chase @chase_chewning
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00:00 – Can Your Penis Warn You About Your Heart Health?
02:35 – Meet Dr. Justin Houman
02:47 – C15:0 essential fatty acids
04:22 – Erectile Dysfunction as a Cardiovascular Warning Sign
07:46 – What Counts as ED—and When to Get Evaluated
09:33 – Low Testosterone, Libido & Missing Morning Erections
12:22 – Cortisol, Stress & Nighttime Erections
14:04 – Erection Trackers & Why Nocturnal Erections Matter
16:46 – Cialis After 40: Blood Flow & Erectile Health
18:11 – Daily electrolyte support
19:32 – Why collagen coffee is better for you
20:59 – Cialis Side Effects & Natural Vasodilators
22:34 – Preventive Cialis Use: What We Know—and What We Don't
24:20 – ED Medications & Brain Health: Interpreting the Research
26:11 – Can Cialis Become a Psychological Crutch?
27:27 – Treating ED Versus Investigating Its Cause
28:43 – Breaking the Performance Anxiety Cycle
30:30 – Penis Size Myths & Unrealistic Comparisons
32:43 – Pornography, Arousal & the Mind-Penis Connection
36:10 – Ejaculation Frequency & Prostate Cancer Research
38:13 – Testosterone's Role in Libido & Erectile Function
39:14 – Chase's TRT Experience & the Fertility Tradeoff
41:00 – Clomid & hCG: Discussing Fertility-Conscious Treatment
43:37 – Oral Testosterone & Individual Treatment Goals
45:29 – Why Coming Off TRT Can Be Difficult
47:30 – Cycling TRT, Blood Counts & Medical Monitoring
50:04 – Oral Versus Injectable TRT & Smaller, Frequent Doses
51:28 – Online TRT Clinics, Access & Informed Decisions
53:23 – Sperm Banking & Planning for Future Fertility
55:16 – Exercise, Sleep & Testosterone Levels
56:22 – Caffeine, Winding Down & Meditation for Better Sleep
57:37 – Men's Health Education & Overcomplicated Wellness
59:44 – Talking With Your Partner About Sexual Health
01:01:10 – Helping a Young Patient Rebuild Sexual Confidence
01:03:35 – Rapid Fire: Supplements, Cialis & Testosterone Myths
01:06:05 – When Penile Implants Become an Option
01:08:02 – Tobacco, Erectile Health & Tests to Discuss
01:09:10 – What Sexually Healthy Men Understand About Bad Days
01:09:42 – Ever Forward
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Ron Johnson, best known for creating the Apple Stores alongside Steve Jobs, explores the human psychology behind customer experience, brand loyalty, and building places where people belong. Ron shares why Apple put computers in shopping malls, why employees weren't paid commissions, and how hands-on experiences helped turn hesitant shoppers into confident customers. He also explains why he believes physical retail still matters, how AI could improve shopping, and what businesses lose when they remove the moments that bring people together.
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00:00 Meet Ron Johnson, Creator of the Apple Stores
00:09 Why Apple Stores Were Built Around Fear
01:06 Why Physical Retail Still Matters
04:52 How AI Could Change Shopping
07:44 Creating a Place Where Customers Belong
10:37 Helping People Discover the iPod and iPhone
13:55 The Ingredients of a Great Customer Experience
14:42 Steve Jobs Called Every Night at 8 PM
16:01 Why Apple Put Computers in Shopping Malls
19:16 How Apple Products Built Customer Loyalty
21:20 Are Pop-Up Stores Worth It?
23:51 Turning Moments Into Memories
27:14 Scent, Design, and the Heartbeat of a Store
29:38 What Apple Lost by Removing Launch-Day Lines
32:35 Developing Your Instinct for Business
34:47 How to Design a Physical Business
37:43 How Often Should a Store Refresh?
38:27 Ron Reimagines a Podcast Studio
41:33 Writing the Book and Building the First Apple Store
44:35 How Ron's Mother Influenced Apple Stores
46:09 Your Personal Experience Is Your Advantage
49:06 Finding Work You Love
52:00 Rapid Fire: Business Advice and Hiring Mistakes
53:49 Apple's Best Decision During Ron's Time
55:19 What "Ever Forward" Means to Ron
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