For the most part, I have tried all other means, although I have never been ultra-ripped. I have been very opposed to meds until recently, when the BP got very high. I am concerned about what you said about erectile dysfunction, but my doc is claiming that this particular med is different and it will actually enhance that area. He says it works through a different means than other beta blockers if kept below 10 mgs. Like I said above, it supposedly is like a pharmaceutical grade NO product. He is a weightlifter himself too and understands my concerns. He is normally opposed to other beta blockers.