Great finds, Iguana! The scientific journals you referenced go along with what I've been assuming all along (yet had no scientific backing for) - the smooth muscle grows with increased pressure. This also explains why veins get bigger due to PE, and why it might be a healthy sign that the SM is growing.
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| These growth factors then lead to VSMC growth and vessel enlargement. In response to increased pressure, remodeling appears to be due to activation of autocrine mechanisms that stimulate VSMC growth and changes in vessel wall matrix |
This also builds a little evidence for something I've believed in for a long time - to keep the gains coming, you have to increase the intensity as time goes on (albeit healthfully).
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There would possibly be two routine types. One for those needing smooth muscle mass and one for those needing to focus on tunica elongation (based on BPEL to BPFSL ratio.) Or, maybe a routine that focuses a few weeks on one then switches to the other. Maybe, two weeks stretch based and then two weeks jelq, clamp, pump?
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You know what would really help is if we could build a list of signs to help people know when they need to focus on one or the other. If the theory is sound, then this would be a completely new way to PE - and it would almost be akin to the importance of following the PIs.
Didn't you mention earlier that you think an increased BPFSL means the tunica is stretched and thus it would be a good time to focus on the SM?
Perhaps another one is increased flaccid hang. The tunica is stretched, so the penis stays in a bigger flaccid state. In this case, what would be the best to focus on?
Or what about the firmness of the penis? Have you ever noticed that sometimes the penis feels very strong and firm - almost like when a bike tire is pushed to it's complete maximum? It's almost as if the SM is trying to buldge out of the tunica. It doesn't always happen - or at least for me - rather every once in a while. Perhaps it's a sign?
These are just some ideas. I could be going out a limb here, but feel free to scrutinize