I was starting to become impotent through this diet and couldn’t perform. How many people who are taking the little blue pill, if they started to change what they are eating most of the time, could change the way their sex life is?

Spurlock links diet to sexual function, using a blunt personal anecdote to argue that food choices can have rapid, systemic effects beyond weight—affecting energy, circulation, hormones, and performance. By invoking “the little blue pill” (Viagra), he contrasts pharmaceutical symptom-management with lifestyle change, implying that many cases of sexual dysfunction may be mitigated by improving everyday eating habits. The rhetorical question broadens his experience into a public-health critique: modern processed diets may be driving preventable health problems that people then treat medically, rather than addressing root causes. The quote also reflects his documentary style—provocative, confessional, and aimed at motivating behavioral change through shock and relatability.