rawfuckr
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Everything posted by rawfuckr
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Finally On Prep, But Still Afraid And Unsure About Bb
rawfuckr replied to Pitt1988's topic in PrEP Discussion
This is very unlikely unless you are in a fuck party or you are fucking someone who just got fucked. Even then it would be a really low risk event and then PrEP would be there for you. If you did this over and over again then you may have a problem, but the occasional one off event it's fine, like in yes, there is the minimal chance of getting HIV even on PrEP but if that chance if lower that you getting killed by lighting you may want to take the risk. The way to get HIV for gay men is taking poz unmedicated loads in your ass that come from the negs, negs don't know, or unmedicated poz. Staying on top and with PrEP is very low risk regardless of everything else. -
Transgender Ftm / Prep/ Health Insurance
rawfuckr replied to bottombitchboy's topic in PrEP Discussion
What insurance do you have? Some require prior authorization and being female on the ID could be a problem. Easiest way to fix is saying you are having sex with poz men or that have a poz partner. That should approve the PA no matter if you are male or female. -
Finally On Prep, But Still Afraid And Unsure About Bb
rawfuckr replied to Pitt1988's topic in PrEP Discussion
You just have to trust the guy. But this goes with everyone. Someone could be telling you they are neg on PrEP and they are actually poz with high VL. But you can ask "What meds are you on now?" "any side effects?" I'd think any liar would hesitate quickly and would be easy to catch. Maybe I'm innocent, but the vast majority of guys won't lie if you ask and then you have PrEP for those who do lie. It's just if you were having sex constantly with poz with VL that you would be at risk. Regarding guys who are UD and on meds and their VL spiking up, all the science data we have at hand points that they are just not infectious, even with spikes. The 'negs I don't know' or 'yep, i'm neg' are the real ones to watch out for. They could be poz with phenomenal VLs and not know it. For those you could just either top or if you get fucked don't get their loads. I'm not sure if you are a numbers guy, but it really helps, at least for me, to understand the actual probabilities of all these things to define what you will and will not do. One thing is for sure, on 2015 there is ample opportunity to fuck raw and have very little chance of getting HIV. This was not possible even 5 years ago on a pre-PrEP and pre-TasP world. -
Finally On Prep, But Still Afraid And Unsure About Bb
rawfuckr replied to Pitt1988's topic in PrEP Discussion
Hey there Pitt1988, I think it's important to be aware that PrEP is not 100% effective, nothing is, condoms aren't. The key lies in understanding the risks and being comfortable with them. There's a whole world of difference of risk between going into a bathhouse and getting 10 random loads in your ass every weekend to that of fucking raw with a regular FB that you've talked beforehand about HIV status. PrEP if you take it daily it's terribly effective of keeping you negative, but if you keep pushing your chances who knows what can happen. Personally, I feel very comfortable that I'm going to stay negative being on PrEP with my behavior. Although I do get a lot of loads, I sort of choose to know who I get them from. Ok, I don't have a perfect record, and I've got some random loads over time, but it's the exception more than the norm. For me going on PrEP sort of way the other way around that's happening to you. I felt invincible and that I could do anything, and it's just now that I'm starting to realize that I should be a bit safer. You have to find out what works for you. -
Short answer: probably not. Long answer: From the studies, that have been able to measure adherence strictly not relying on verbal reports, no gay man who has taken Truvada daily has seroconverted. There are however plenty of cases of people who did seroconvert and had Truvada in their system meaning they had taken some dose in the weeks before seroconversion but it can't be established how well they were taking it. What's most, there are definitely cases of people who were taking truvada and developed resistance to it while taking it. A study just came out about this and one woman seroconverted and got resistance likely from being on PrEP. May not be the same for gay men. Rectums get much higher concentrations of this stuff. We don't really know how well this woman was taking the pill. In all, still a bit early to know but the right way to look at it is that it's not 100% failproof. Some people will seroconvert. Even when this offers a great deal of protection you choose how much you want to push your chances
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I would think so. It would add protection for 5 more types from original Gardasil. It can't hurt. There's quite a bit of high-risk oncogenic types than original gardasil didn't cover, although it did cover the most common ones (16,18) A thing though, is that Gardasil-9 seems to have even tighter age restrictions than regular Gardasil. I don't know why this is. Could it be efficacy is just not that effective in adults?
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that took a while
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Somehow this flew past my head. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm426485.htm There is a new version of Gardasil coming out, the HPV vaccine, that will now have protection for up to 9 HPV types that are problematic. Original Gardasil was just 4. This is pretty fantastic and makes the case stronger for vaccination for gay men because the likelihood of having some type prevented that you already don't have is much greater.
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Why Can't I Get Completely Cleaned Out?
rawfuckr replied to mike_thieriot's topic in HIV/AIDS & Sexual Health Issues
Watch out with Metamucil and PrEP which I think you are on. Don't take them too close together. While there are not known interactions between Truvada and metamucil I took the pill one day at the same time as the fiber and the pill came out later on all on its own without being digested!! This is because Metamucil creates this gluey gel around anything you eat, the 701 in this case. I asked my doctor about all this and the pharmacist said that just to be sure you should not take Metamucil within 4 hours of taking Truvada so Truvada is absorbed properly. -
Why Can't I Get Completely Cleaned Out?
rawfuckr replied to mike_thieriot's topic in HIV/AIDS & Sexual Health Issues
Assuming you are eating a proper diet that is producing solid stool, using too much water when douching will produce the opposite effect you are intending. A few problems: When water goes in will first remove the solid stool, which you want, but further up in your gut you have the loose stool that is now being freed given you have removed the solid stool below. Adding water all inside your guts triggers your bowel movements so it's going to move things around even more. Water stays around in lagunas in your colon for a while and won't flush right away. Can take an hour to come down and you have to change body positions so water keeps moving. Too much water causes a disgusting slimey liquid thing that's sometimes more gross than shit itself. These are a few tips I've learned over the years to have perfect clean buttfucking. These are only good good for fucking withing a 1-2 hours and without you eating anything that may have laxative effects. Beyond this timeframe it's just hard to do anything, other than having a consistent diet that produces solid stool or obviously not eating for days. Have some control of how much water you need to remove shit from your rectum. ALWAYS use this amount on the first clean. A way to measure is with enema's bottles. you can put 3x, 4x enemas bottles of water and then shit it out. Usually 3x or 4x will work. Extra bonus of this method you can do it while traveling. Once an initial clean has been performed, let things settle and lay down for a while so residual water gets unstuck. After 30-60 mins do a 1x enema bottle to remove any remaining shit If you don't have time, just do 1x or 2x enema bottles and that's it. For the vast majority of cock sizes this is enough. -
Monthly cost is about $1400 and Gilead will pick up up to $300 every month. So you have to suck up that deductible in a couple of months. Then it's free after that. A plus is you don't have deductible for anything health related for the rest of the year...
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Fewer Guys Will Bareback Me When They Find Out I'm On Prep. Wtf
rawfuckr replied to colletonguy's topic in PrEP Discussion
Yes, this is very common. People are beyond ignorant. I think it has to do with the fact that if you mention PrEP you are implying you have condomless with others. To ensure BB sex either just don't say anything, or ask them 'are you clean? clean and tested neg xx/xx/xx' and it's a green light for BB. I've personally started to mention PrEP to people who I am NOT very interested in meeting. It's a great way to make them run away without having to reject them. -
I have a friend who seroconverted a couple of years back and I'm sure he at least feels funny about becoming HIV+ right before PrEP came online. It has to suck. But it can't be changed so at this point PrEP is more welcome than anything. He does tell me he loves guys on PrEP because he knows he can't infect them. He'd rather fuck with a PrEPed guy than with a 'negative' or 'unknown'.
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Most poz folks I know are liking PrEP. It makes it easier for everyone involved. They know that if you are on PrEP and they are undectectable, they can't infect you. The same the other way. Also PrEP coming online is having all sorts of other positive side effects, like fighting HIV stigma. Guys on PrEP take an antiviral every day the same way a poz guy does. It just evens the field.
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LOL
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You can get into the copay assistance program yourself, it's very very easy going to this website http://www.gileadcopay.com/ They've upped what they will pay, now it's up to $300/month which is great The problem with Kaiser is that you have to use their pharmacies, and their pharmacies will not honor any sort of copay coupons. Therefore you have to initially pay the copay yourself. Gilead knows this, so they have a form you can ask for, and you fill it out with your RX number and other things, mail it, wait a few weeks and then you get a check in the mail. Cumbersome, but much better than nothing.
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We know essentially nothing about iPERGAY results, other than they have terminated their placebo arm because PrEP works, which we already knew. Subjects were asked to take the pill 2 days before and 2 days after I think after sex. We really have to wait for the results, but it could very well be that a lot of people were just taking it often enough (4+ /times week) that confer some sort of constant protection and not so much instant protection from the 2 pills before. That said, tenofovir reaches steady state in blood very quickly, like an hour or so, so it could be that you indeed have some sort of protection right away.
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The thing that irked me the most after checking out the formulary was the fact that ALL HIV meds had been bumped up to Tier 3 - specialty. Things like complera, stribild.. If you are neg you sort of have an option not to do PrEP, but you if you are poz you have have to suck it up. I'm thinking Kaiser is aware of the copayment programs and that people can still get their meds free if they work at it, but for them this is obviously cheaper. By the way, bumping HIV medicine to a higher tier is a clear case of discrimination due to pre-existing conditions that the ACA did away with.. only on the monthly premium front. The insurance companies quickly found a way to continue charging more for the sick even being complaint with the ACA.
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Tiredness is supposed to be a side effect. I'm always short on sleep and have lots of problems falling asleep, but was that way before Truvada. But I've been taking vacations from it and just haven't noticed any difference when I'm on it or when I'm off. Maybe I really have no side effects.
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Kaiser has bumped Truvada to the specialty tier for the 2015 individual plans so expect to pay at checkout a lot more than before. Will usually be 10% or 20% depending on your plan. That's either $130/month or $260/month.. Good thing is that Gilead will reimburse you but you will have to go through the trouble of submitting the paperwork. I don't think this applies to group plans, only individually purchased plans and those plans obtained through Covered California. Letting people know.
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Guys, look at this answer at thebody.com . Very nice explanation of your possible anal pap smear results and how worrisome each one of them maybe: http://www.thebody.com/Forums/AIDS/Cancer/Q140978.html?ic=2003
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Hello there, Just checking in. I did stop counting after that original post but it's now substantially higher.. Did tests a couple of weeks ago, still negative.
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10+ years of barebacking and still neg? Maybe you are homozygous for CCR5-Delta32 and you are immune to HIV. You may want to test for this, PrEP maybe redundant. PrEP stands for Pre exposure Prophylaxis, that's why the doctors know it for that name. Hopefully all will go well and you'll be on PrEP soon.
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Did they run HPV genotyping on your pap smear sample? If it's HPV positive, that it will very likely be, they can also tell how many types you have and if you have any 'oncologic' types. Before you freak out, virtually every bottom out there who fucks raw has some for or another or HPV and even if it went to progress to anal cancer it would take many years, that's why doctors can monitor this over time. In most cases the HPV infection goes away and there is no problem.
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Just let me add another testimony about Kaiser and PrEP. My experience with them has been great. Kaiser is my 3rd PrEP provider so I have some points of comparison. A few things I love about Kaiser and Kaiser+PrEP: You can message doctors directly either from website of from phone app. While other practices may have this ability, in fee-per-visit practices emailing your doctor is discouraged and they want you to come in for everything, as it's the only way they make their money, most of the time, long explanations on emails are frowned upon. In Kaiser doctors get paid fixed salary regardless, so they don't care if your interaction is in person or through an online message. Many questions can be answered through a message. I've thrown them lots of questions and all of them have been carefully read and answered. Standing lab orders. If you are on the PrEP program you can get STD checks (HIV,syphilis, chlam and ghono (3 sites)) every 3 weeks. You don't have to talk with anyone, they are on the computer. Just walk in into the lab and get it done. This is great if you've been particularly slutty and want to get checked. Pharmacy is integrated between mail orders and pickup orders. True, you can only use them for your drugs, but seems to work fine for me. I'm with an individual plan from the Covered California exchange and there doesn't seem to be much of a difference with group plans, unlike the other insurers who have pared down their provider network to nothing.
