Unless you live in certain counties in the southern United States, where technically you need a prescription for a "marital aid." Adult stores have to label everything as "novelty use only." Really dumb.
Cocaine is also technically available as a prescription dental/oral/nasal anesthetic but I doubt there are any dentists and ENTs who want the headache and DEA spotlight on them when alternatives are available.
Here "MVP" stands for "Most Valuable Player" ...
This should be read in the context of a somewhat widespread video game (or sport show) culture mostly popular in the USA and for young folks.
... i do not know why it says "real" though.
Edit : (after + searching ) Logicaly "real" is similar to "most" so, "real MPV" is "most most Valuable Player" which souds funny on purpose 😋.
So, the guy was given an award for Most Valuable Player on his team, but in his speech, he basically said that his mum should get the award, and therefore is the 'real' MVP, the person that actually contributed the most to the success of the team.
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