Sexual Restoration

Effective Shock Wave Therapy

Developed by the pioneers of shock wave technology, this is a revolutionary treatment for both men & women. The patented Alma Duo® technology uses the gold standard shock wave therapy — focused low-intensity extracorporeal shock wave therapy (LIESWT) – to stimulate blood flow and support sexual function for both men with erectile dysfunction and women experiencing sexual dysfunction, bringing spontaneity and pleasure back into their lives.

A Revolutionary New Treatment for Men & Women

• Globally, 322 million men are projected to suffer from sexual performance issues due to declining vascular function by 2025. 
• Alma Duo is a series of 6 quick, painless, in-office treatments for men and women.
• No topical anesthetic and no downtime required.
• No pills. No needles. No surgery.
• Long-lasting results clinically validated at least 2 years post treatment.

Cutting Edge Technology

No Downtime
Quick 15-minute, in-office treatment requiring no topical anesthetic and no recovery time.

Long-Lasting Results 
Long-term results clinically validated at least one year post treatment.

100% Non-Invasive & Effective 
Helps support natural function without prescription drugs, needles or surgery.

For Men & Women 
An effective treatment to support the needs of millions of men and women
LI-ESWT, or Low-Intensity Extracorporeal Shockwave Therapy, was initially developed in the 1970s to fragment stones. Over time, it has been adapted for medical purposes in various fields. In orthopedics, LI-ESWT is utilized for its anti-inflammatory properties, while in cardiology, it is used to encourage angiogenesis, which is the formation of blood vessels. The therapy involves applying mechanical stress to the targeted area, which leads to a series of wound-healing responses. These responses stimulate improved blood circulation and the restoration of natural function in the treated region. LI-ESWT has undergone advancements and is protected by a patent.

What is Erectile Dysfunction?

Erectile Dysfunction (ED), also known as impotence, is the inability to achieve or maintain a satisfactory erection for sexual performance. It affects around 50% of men over 50 years old and is expected to impact 322 million men worldwide by 2025.

Early signs of ED include intermittent difficulties with erections and decreased sexual performance. If left untreated, it can progress to severe dysfunction, requiring more invasive treatments.

Available treatment options include lifestyle changes, sexual psychotherapy, vacuum devices, shockwave therapy, oral and injectable medications, and surgical options like penile prosthesis.

At the Marino Health & Wellness, we offer innovative and personalized therapies for sexual dysfunction. Our wide range of treatment options allows us to create a customized plan that addresses your specific health concerns and sexual well-being.

The Medical Evidence

Alma Duo, a cutting-edge treatment for erectile dysfunction. By utilizing low-intensity extracorporeal shockwave therapy (LI-ESWT), it stimulates the growth of new blood vessels in the penile tissue, addressing the underlying cause of ED in most men.  Benefits of Alma Duo treatment include longer-lasting and improved erections, without the need for pills.
No bothersome side effects reported.

Clinical studies have shown remarkable results.  Over 90% of participants experienced increased erectile function.
Significant improvements were observed in 70% of participants.
Profound improvements were seen in 35% of participants.
Clinical improvements can persist for more than 12 months and beyond. .

Erectile Dysfunction Quiz

Confidential & Discreet

Schedule Your Free, Discreet Consultation

At Marino Health & Wellness, we take pride in delivering unparalleled care to our clients. With our exceptional range of services, rest assured that we are fully equipped to guide you on your journey towards becoming the best version of yourself. 

Schedule a free 15 minute phone consultation or 30 minute office consultation with one of our medical providers. 

Contact Us

For questions or to schedule a visit, please contact us. 


50 Nashua Road, Unit 107
Londonderry, NH 03053




Office Hours:
Monday, Tuesday, Thursday, Friday: 9:00 AM - 5:00 PM
Wednesday: 9:00 AM - 7:00 PM
Saturday: 10:00 AM - 2:00 PM