Giving yourself the best set up.

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/u/Robboiswrong

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Ok, so I have been deep diving into what promotes the bodies best response to Penile Traction Therapy. By going through as much clinical data as I could find (including other traction therapies), I have come across the following (I used ChatGPT to better arrange and articulate things):

1๏ธโƒฃ High Testosterone (and robust DHT conversion)

Systemic effects

  • โ†‘ Collagen turnover โ€” testosterone stimulates fibroblasts, speeding the breakdown/reโ€‘synthesis cycle that traction exploits.
  • โ†‘ Protein synthesis โ€” faster repair of microโ€‘tears into a lengthened configuration.
  • โ†‘ Nitric oxide synthase activity โ€” better endothelial function and angiogenesis in penile tissue.
  • โ†‘ Erectile quality โ€” strong postโ€‘session erections keep tissues perfused, preventing fibrosis.
  • โ†‘ Androgen receptor activation in penile tissues โ€” amplifies the remodeling signal from mechanical load.

PTTโ€‘specific advantage

  • Faster adaptation to progressive tension.
  • Higher ceiling before plateau.
  • Shorter recovery windows between highโ€‘tension cycles.

2๏ธโƒฃ VOโ‚‚ max > 50 mL/kg/min (elite cardiovascular fitness)

Systemic effects

  • โ†‘ Oxygen delivery โ€” high stroke volume and capillary density feed tractionโ€‘stressed tissues.
  • โ†‘ Mitochondrial efficiency โ€” better ATP supply for repair processes.
  • โ†‘ Waste clearance โ€” faster removal of metabolites that can slow recovery.
  • โ†‘ Hormonal synergy โ€” endurance capacity correlates with better insulin sensitivity and lower chronic inflammation, both of which protect androgen output.

PTTโ€‘specific advantage

  • Tunica and smooth muscle cells recover faster between sessions.
  • Can tolerate higher training frequency without overuse injury.
  • Maintains tissue elasticity over multiโ€‘year protocols.

3๏ธโƒฃ Resting Heart Rate โ‰ค 55 bpm

Systemic effects

  • Marker of parasympathetic dominance โ€” lower baseline stress hormones (cortisol, adrenaline) that can blunt testosterone production.
  • โ†‘ Stroke volume โ€” more blood per beat, improving penile perfusion even at rest.
  • โ†‘ Recovery capacity โ€” autonomic balance supports deep sleep and growth hormone release.

PTTโ€‘specific advantage

  • Better baseline penile blood flow โ†’ tissues stay oxygenated between traction bouts.
  • Lower systemic stress โ†’ hormonal environment stays anabolic.

4๏ธโƒฃ Blood Pressure < 120/80 mmHg

Systemic effects

  • Healthy endothelial function โ€” arteries and arterioles dilate efficiently.
  • โ†“ Risk of microvascular damage โ€” preserves penile hemodynamics longโ€‘term.
  • Supports optimal kidney and adrenal function, indirectly stabilizing hormonal balance.

PTTโ€‘specific advantage

  • Strong, responsive penile vasculature โ†’ better expansion during and after traction.
  • Reduced risk of vascular injury from adjunct methods (e.g., pumping, heat).

๐Ÿ”„ Synergy: Why All Four Together Are a Force Multiplier

When you combine highโ€‘normal androgens with elite cardiovascular delivery, low autonomic stress load, and pristine vascular health, you create:

  1. A highโ€‘octane repair environment โ€” collagen and elastin turnover is rapid, and the โ€œnew lengthโ€ is locked in before recoil can occur.
  2. Continuous perfusion โ€” oxygen and nutrients are never limiting factors in tissue remodeling.
  3. Plateau resistance โ€” hormonal and vascular support delay the adaptive slowdown most men hit after 12โ€“18 months.
  4. Higher safe workload โ€” you can run more aggressive tension cycles without tipping into overtraining or injury.

Based on what I have discovered, I am probably going to place a focus on a good amount of cardio with a few high intensity sessions a week to increase VO2 max. Pretty sure my Blood Pressure is ok, but I will need to get a blood test to check my Testosterone (and DHT) levels. Not keen on going on TRT though. But I guess there are other ways to boost Testosterone, at least a bit. I am pretty sure resistance training helps too. I don't think the resting Heart Rate needs to be under 55, that is just what I will be aiming at. I am pretty sure low 60's is very good.

I am very interested if anyone else knows of anything a bloke can do in order to improve his chances of success in gaining especially long term.

submitted by /u/Robboiswrong
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