BootmanLA

Not my style, no.

Something to bear in mind: people bullshit on Grindr and like apps All.The.Time. For many, it's purely a means of gathering masturbation material to fill the imagination with things the guy would never do in actual life. Not saying that's the case here - you know him, I don't - but it's entirely possible most of the nasty messages he's sent out are pure fiction. Of course, if there are messages *to* him that reference things that have been done *to* him, that's more confirmatory.

When navel-gazing, navels seem enormous.

Incorrect. In fact, fetishizing progressing to AIDS is *expressly* prohibited on this site, as per rules announced months ago by the site's owner.

You can, yes, if you are a shitty human being willing to put others at risk in pursuit of a particular orgasm.

From what I have been able to find after a quick scan of available research, Truvada (and its generics) do not *appear* to interfere with each other's effectiveness. Instead, it appears that a more likely result is *increasing* the levels of both medications in your system. See: [think before following links] https://www.drugs.com/drug-interactions/metformin-with-truvada-1573-0-971-1696.html However: I would note that each one, separately, CAN impact kidney function. Taken together, they may accelerate a decline in kidney function - but a good doctor will be monitoring kidney function on both accounts (for prescribing/maintaining PrEP, AND for treatment of diabetes), so he or she should note any change quickly. If by chance you have different doctors prescribing the two medications, make sure each is aware of the other; the doctor handling your diabetes care may find that a different medication will do the job as effectively and with less chance of kidney damage. (It's possible that this impact on kidney function is what results in the increased levels of both drugs, as it's the kidneys that remove a lot of stuff from your system.)

The extent to which I "know" the only moderator from Louisiana (that I'm aware of) is from this site. We have never met, we have never spoken, we have only corresponded on here regarding rules & infractions. Perhaps you are unaware that where he lives (specified in his profile) and where I live (specified in mine) are about three hours apart by car? That's like saying you and some guy in Luxembourg must know each other because you live that close.

You're right, we're not going to agree, because you're comparing bacterial resistance to a treatment with retroviral resistance to a preventative. Different infections, different methods of dealing with them. You might as well talk about acetaminophen-resistant headaches.

Please re-read what I wrote. I did not say there were NO studies of on-demand PrEP. I said that it has not been studied AS EXTENSIVELY as daily PrEP - which has been subjected to an order of magnitude more trials and studies than "on demand". One "studie" [sic] does not mean that the two methods have been equally researched. I will also note that at least as of earlier this year, EVERY published study on "on-demand" PrEP only studied Truvada (and its generic equals), not Descovy (which is chemically different, and which is being prescribed in an increasing number of cases. I noted on-demand is "largely effective". That doesn't change the fact that it's not AS effective as daily, most likely because it's harder to adhere to a regimen that isn't part of a set routine. It's easier to get into a routine of taking a pill every day with breakfast, or lunch, or whenever, than it is to figure out you're going to have sex later and start taking it then - and then remember what time you had the sex so you can time the 24-hour and 48-hour post-sex doses properly. Let's face it: if a guy is kicking around his house on a Friday evening, bored with TV or whatever, and gets horny and decides to hit a bathhouse or sex club for some relief, he's not likely to take his pills and then sit and wait 2 hours before he goes off to have sex. Or if a buddy comes over on short notice and gets frisky, they're not likely to postpone sex for two hours while he waits for the pills he hurriedly swallowed to kick in. It's harder to manage - not impossible, but harder - and thus EVEN IF the two methods are equally effective, the fact that circumstances will likely render at least some "on demand" PrEP ineffective ought to be of concern. Especially for someone who's worried about PrEP-resistant HIV. The way to avoid developing a strain of HIV that is PrEP resistant is to stay on a level of medication that prevents HIV from taking hold, period, such that someone doesn't end up accidentally pozzed via mistiming of limited doses, assuming he's negative, and continuing to "on demand" his infection into something that PrEP can't resist (if and when he infects another person).

And at the same time, other members may - and sometimes/often do - decide to attack the member for overlooking something the "other member" thinks is important, rather than add to the discussion by contributing missing context. Especially when those other members mistakenly assume (sometimes perhaps because they're not native English speakers) that the OP's choice of words was not "acceptable" in the almighty, exalted opinion of the other user. That can be exacerbated when the other member is so intent on navel-gazing, assuming his own experiences (with, say, mental illness) are shared by the vast majority of other people.

I'm not saying it could never happen. In fact, I'm almost certain it will be. What I said (for the third time now) is that I don't anticipate it becoming a major problem, for the reasons given. How resistance develops in bacteria like gonorrhea is very different from how resistance develops in retroviruses like HIV.

Except "intermediately" [sic] PrEP is not an approved use of PrEP and while apparently *largely* effective, it has neither been studied as extensively as daily PrEP nor is it as easy to manage. For instance: it requires that the first, "double" dose be taken at least 2, but no more than 24, hours before sex. We all know of people who don't plan an hour ahead, much less 2. So if Johnny goes out and happens to meet Bob, and they're both horny and decide to get it on, chances are high they aren't going to wait 2 hours after Johnny takes his pills to get started. I have my doubts that in such a case, he's also going to remember the doses 24 and 48 hours after the sex (the timing of which is apparently considerably more important than daily PrEP because the level of medication in the system is not already at a protective level). Some doctors may advise off-label use like this, but every one I've asked has said, point blank, take it every day. It's probably better than nothing, but unless PrEP is inordinately expensive for the individual, he's *always* better off following the standard, approved daily regimen.

It's true that diabetes can be a serious problem for people's health, not least because of the effects it has on other organs in the body. I'd question whether it's "more dangerous" for the body (assuming both go untreated), but I'm willing to acknowledge that if nothing else, diabetes is more prevalent and thus affects more people (and if uncontrolled, probably would contribute to more deaths). That said, if I had insulin-dependent diabetes, I can't imagine wanting to complicate that with chasing HIV unless I had a death wish.

Moreover, it was when single-pill HAART was in its infancy, and only a couple of drug combinations were available - and those weren't nearly as effective as today's treatments. I have no doubt that there are still some number (how many, I can't fathom to guess) real "chasers" out there. Based on this website you'd think they were everywhere, but I suspect quite a few are people who are turned on by the idea while not actually wanting to experience it directly.

"Should" is a question only you can answer, and anyone else who responds here with either "yes" or "no" is not you and can't make that call. Here are the basic facts, with which you can make that decision for yourself: 1. *IF* you want to remain HIV-negative, whether or not you decide to bareback, going on PrEP is a good idea, providing that you can adhere to taking the medication *every* *single* *day*. If you are the sort who forgets to take a dose of medication as directed, and you don't have some sort of way to force you to remember it (like a phone alarm reminder), then PrEP is probably not a good idea. In that case, if you want to remain HIV-negative, use condoms even if you also try to stay on PrEP. I assume you want to remain HIV-negative or you wouldn't be asking, but this is to clarify that if that if remaining negative is your goal, you have to commit to sticking with the medication. 2. Remember that PrEP, used alone, will only protect against HIV and not any other form of sexually transmitted infection (STI), such as syphilis, gonorrhea, herpes, and so forth. Those may also not be completely prevented by condoms, but they do offer at least some additional protection (at a cost of sensation, more for the top than the bottom, but still). That's basically all you need to make the decision for yourself, assuming that PrEP is readily accessible where you live.

Under new orders from the city administration, you must have proof of vaccination or a negative Covid-19 test within the past 72 hours to enter any bar, restaurant, gym, and most other indoor venues. Some places are taking a break from being open for business in order to properly implement those restrictions, so it's best to call ahead to any place you want to visit and see if they're open. As far as I know, there are no porn theaters in town at all. There are some adult "bookstores" and novelty shops but I don't personally know of any that allow, shall we say, "activity" on the premises. Why would they, when sex can be had so readily elsewhere?

I have no idea how many different guys you have sex with each day, week, month or year, Kimberly, nor do I particularly care. I still maintain that while PrEP resistance is a thing, and we need to be cognizant of it, it's not likely to become as big a problem as HIV was for the gay community at the start, for the multiple reasons I cited.

Therein lies a good example of what I was talking about in my previous reply to Close2MyBro. If what a member says is worth challenging, fine - challenge it. Telling the member to shut his trap hole is not challenging the ideas he's put forth; it's an insult to him and a direction to self-censor. If you can't challenge the information without attacking the user, and you can't read what he posts without feeling the need to attack, you're free to put that member on "Ignore" so you don't see his postings.

For what it's worth: I don't think there's any documentable favoritism going on here with the moderators. I've crossed the line a few times over the decade I've been here - especially as I got more active in replying to topics - and each time, I've had my hand slapped and have received a couple of suspensions. There's an old rule in online interactions dating back to early bulletin boards from the 1980's and the days of dial-up 1200 baud modems: attack the ideas promoted and the words used, not the person posting them. Saying "That's the dumbest idea I've ever heard" doesn't say the person who posted said idea is dumb (even smart people say dumb things). "You're a moron", though, does, and that's the kind of thing that is against the rules. Nor is it against the rules to engage in robust debate with a person with whom you disagree on a serious point, nor is it against the rules to call out someone's bad advice online (though again, it's important to challenge the advice, not the user). Sometimes we can get so wrapped up in our postings that we consider any challenge to what we said as a personal attack - and even though it's not, the response it engenders may well itself become a personal attack subject to disciplinary procedures.

It could become a problem worldwide, but it may not be as dire as you might think. First, you'd have to have someone taking PrEP after getting pozzed, without learning he was poz. Any doctor should be ordering routine HIV screenings (I believe the current recommendation is at least every 90 days) while a patient is on PrEP, so that if he becomes positive, he can be switched to treatment instead, as quickly as possible. That limits the period during which the poz person would be unaware of his status. And honestly, it should be a fairly rare occurrence; if you're already taking PrEP regularly, you're going to be protected. The only way this happens is when someone misses enough doses to become susceptible to pozzing, AND has sex with a poz guy whose viral load is high enough to poz, AND he doesn't go get tested soon after to make sure he was protected. That's a lot of steps that have to fall into place before this even becomes a worry for the particular guy. Second, if I'm not mistaken, the strain might be PrEP resistant, but once the guy's on treatment (thus introducing the other medications needed to combat HIV), it should bring his viral load down low enough that he can't infect anyone else, whether or not they're on PrEP. And not all HAART regimens use the same chemicals as in Truvada and its generic equivalents, so while the strain may be resistant to that particular pair of drugs, it may not be resistant to other drugs in the same class (much less the third and/or fourth kinds of drugs in most HAART medications). Third, it's likely that the guy who got pozzed and continued taking PrEP anyway got it through receptive anal sex. While obviously there are plenty of versatile guys out there who might contract it this way, and then spread it by topping others, I'd wager that a significant number of such guys are more or less 100% bottoms and thus much less likely to pass it along. And finally: sure, there are guys who are out every night fucking randos, and certainly some guys get a LOT of sex. But not everyone is out getting or giving loads to new guys every night, or even every week. You'd think, based on a handful of prolific posters here, that all gay men are out getting laid constantly to the point you wonder how they maintain a job. I respectfully suggest that's mostly bullshit, like a lot of the so-called personal experiences on here.

That was very polite indeed - and I should say, I made the assumption that the OP's friend was already tested and on PrEP, and this was simply a cost-saving means of him staying on his medication. You're absolutely correct that someone should NOT begin an unauthorized PrEP regimen on his own; testing prior to starting is essential. Thanks for making that clear.

It *should* still be effective, especially if the guy is on daily (rather than on-demand) PrEP, and even more especially if the bottle is one of those factory-sealed 30-day supplies that pharmacies sometimes use to fill a one-month supply. Regardless: he should use the medication fairly soon, because the longer it sits, the less effective (slowly, but surely) it becomes. Unlike, say, a pain reliever, where 80% pain-killing power may well be more than you need, or enough to make things tolerable, PrEP dosages are designed so the amount of active ingredient in the tablet will still be working by the time your next dose is due (and there's some excess in there, so that if you take today's dose at 10:00 AM and tomorrow's not until 4:00 PM, you still have good protection past the 24-hour mark from the first dose. (Again, that assumes you're on daily PrEP and not just "starting out" on a fresh regimen). But medications do break down over time, and lose efficacy - typically over a longer period than the typical expiration date, which is largely a "guaranteed safe until" date. But as they do, they WILL provide less protection, and at a certain point, I wouldn't want to risk it. That's why I'd say have him use the meds daily ASAP, and then resume his regular dosage. If he's NOT on a regular daily regimen, I wouldn't advise him to save them for "on demand" use.

Southern Decadence was originally simply a big street party in the French Quarter, centered around the strips where the gay bars are located. It was designed to take advantage of a holiday weekend that was (traditionally) not particularly busy in New Orleans because late August/early September is still extremely hot and humid weather; tourist season in New Orleans was primarily late September to early May, so hotels were often mostly empty, prices were low, and the bars happy to welcome thousands of gay men as customers, boosting their bottom lines considerably. While there wasn't actual sex in the streets, like you might see in SF at Folsom or Dore Alley, or at Market Days in Chicago, some of the bars had very active back rooms and people would meet in the streets (the French Quarter allows open containers, so there was lots of drinking outside the bars), go back to a room to fuck, and hit the streets again. The tenor of the event has changed in the last decade and a half or so. Unsurprisingly, the meth epidemic has taken its toll, and circuit promoter vultures seized on the opportunity to promote drug parties - sorry, I mean circuit dances - as part of Decadence, which attracted a completely different sort of crowd. No one would ever have described Decadence as "wholesome" but when I first started going, about three decades ago, no one would have imagined that they'd need to station paramedics with ambulances near the bars to handle the overdose demographic. And of course, with the circuit parties comes the circuit aesthetic. One of the nice things about Decadence was that there was a place for everyone there - twinks, bears, musclemen, leather guys, and just average joes who were there to unwind and let their hair down in a way they couldn't back home. There's still plenty of that, but the dance floors at the clubs that have them quickly get overrun by tweakers who spend the entire time out of it, dancing in their own world (and, as noted, with some getting a ride in the van with the sirens and lights to the ER). Don't get me wrong: I'm not suggesting anyone NOT go based on my description. But understand what it is, and what it's not.

Legalities often differ depending on circumstances. Having sex in public, for instance (where that's permitted) may be a situation where an expectation of privacy doesn't exist (in fact, I'm almost certain that would be the case). But there isn't enough filmed public sex to supply enough content to keep a tube-type site going.

While people do come here asking about others' experiences with particular medications, etc., this question is pretty generic and screams "See your doctor!". Yes, fatty foods and/or dairy products can, in some individuals, cause diarrhea. And sitting on a bicycle seat for extended periods can make your ass sore. Whether or not the dairy and fat are connected to your digestive process in YOUR case, however, is something only a health care professional can diagnose in you, after appropriate testing. As for the bike seat: you might just need a different seat, one that's shaped differently or that has more padding. I wouldn't think this is connected with your health problems.