Big Al: These types of devices have their place, but my suggestions are based on what appears to work best for each trainee. Those who do well with high volume/low intensity training may benefit more from extenders. ADS use is considered more of a supplementary type of training, while extenders can be used in a more assertively progressive manner.

Going towards the other end of the scale (toward more intensity/less volume) we can use hanging which offers a huge range of training options. Pumps may also be beneficial, and can offer a near-foolproof way to gain size for whose who are committed to using this device for up to 1 1/2 hours a day.

Manual training is typically more efficient in some ways:

• Free to use
• Offers a wide variety of options for different exercises
• Intensity is very easily modulated

Some drawbacks:

• A lack of precision
• Hands may get tired with longer sessions

Q. My erection quality (EQ) isn’t satisfactory, and I’ve been doing the Stamina Only routine for awhile now.

…I’ve made gains, but it’s coming on slow. I’m also not in the best of shape physically. What can I do to further improve my erection quality?

Big Al: When it comes to EQ, Kegels and Stop and Starts/Edging is only part of the equation. If your cardiovascular fitness level is low, then you’re going to have a hard time reaping the benefits of your training. You should seriously consider taking on a fitness regimen — making cardiovascular conditioning a priority. Intensive resistance training will also be helpful in better regulating your metabolism as well as improving your hormonal profile.

In addition to fitness, you should also consider revising your diet towards a more heart-healthy plan. Low starches and sugars, heavy on the fibrous carbohydrates (like leafy green vegetables), and lean proteins would all be helpful. “Friendly” fats like the Omega series shouldn’t be neglected as well.

Stress is also an often unconsidered factor. If you’re an anxious type of person, then mitigating your stress via meditative techniques and taking the time out to do something mentally soothing each day will be vital to your overall health.