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Everything posted by rawfuckr
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I had read somewhere that HIV who is resistant to Truvada is not particularly virulent, so it's unlikely that those resistant strains will be the ones that will initiate the infection. In that context, Truvada would also work even if the individual had some mutation that was resistant to FTC.
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You don't say if you are in the USA, but if you are, sounds like you are making little money so you may qualify for essentially free insurance coverage with either Medicaid or one of the Silver 94% plans with no deductibles and very low copays that are available to those making less than $20K. I'm getting PrEP with Obamacare and I'm paying $55/month for the premium and they've been covering my PrEP 100%. My only costs has been the copays for docs and testing which are $5 each. I have no medical or drug deductibles. Enrollment ends in 5 days so you need to hurry up. What state are you in?
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I'm not sure this is the greatest of ideas. If you seroconvert on 4 pills/week you'll most definitely have suboptimal levels of Tenofovir and Emtricitabine that will at that moment be used to fight the virus. If you go on 4 pills/week for a while while seroconverting seems the chances of developing resistance to Tenofovir could be higher which is something you don't really want. Maybe you could increase your frequency of HIV testing to once a month or 2-4 weeks after sex event with a PCR HIV test to make sure you catch your seroconversion ASAP.
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Getting HIV is really no fun at all, so the only thrill I get is the fear of seroconverting, which in my case has no enjoyable component. With PrEP is nice to know there is an extra level of protection and I make damn sure I take those pills every day.
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I didn't see this argument in this thread, but in the USA the insurance companies springing the $14k/year for PrEP can actually make financial sense. If there is enough good triaging of who is getting PrEP, specially giving it to those who are really at risk, the folks getting fucked raw and taking loads, being on PrEP for those folks and averting infections should beat a lifetime of HIV treatment, whose meds will be more costly, will have to be taken for life and you have to add all the doctor and testing and side health issues that come with being poz. Take into consideration that PrEP doesn't have to be taken forever, and people can take breaks therefore the cost is not strictkly $14K/year. Also with the new PrEP options in the horizon and Truvada PrEP becoming generic in just a few years it does make sense for them to cover it.
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Great to hear you are being so open with your partner. If you adhere to PrEP properly and you are getting tested frequently I think there is very little risk of giving HIV to each other. Tells us how it works for you.
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They should go away in about a week as your body gets used to the drug. Most people don't experience diaherrea but some do. When it's shows up it goes away quickly.
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This doesn't really mean much. Most of the HIV blood test you'll get if you go to a doctor are regular antibody test that have about the same window period than oraquick does. It is true that you can order an RNA HIV test and that one has a two week period, but it's expensive and you have to ask explicitly. Some std clinics are doing RNA HIV tests by default, so he may want to try that.
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Unlike what some people say here doing Oraquick on the spot offers some level of protection because at least you know he was negative 1+ months ago. It is true however that if he seroconverted recently you are going to get a very dangerous load. You can ask him not to come inside if you want to diminish the chances of you seroconverting. And probably the best thing you could do is go on PrEP and adhere to it, that would make it very difficult for you to seroconvert and would be able to fuck raw with protection for HIV. Please ignore the folks in here that are promoting you to go bareback regardless of the risk. Getting HIV is absolutely no fun and a lifelong infection you'll have to deal with every day of your live until you die. Much better if you can do things now to avoid it.
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This is very important. Truvada is very well tolerated, but in the few cases where it's going to cause trouble you want to know right away and you need a doctor checking this for you continously.
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1) PrEP is not approved in Canada but you can get Truvada off-label 2) 99% if you take it every day 3) You must take PrEP full 7 days every day to be protected. Continue taking it. Then you have to take it 30 days after last exposure to make sure it kill any possible HIV. Taking one pill on friday probably won't do much. 4) Yes. You just have to take the pill every day to have the 99% less risk of getting HIV. 5) PrEP is definitely a much better idea so you have protection at the time of infection. PEP is only 80% effective, has to be done on 72% of exposure, the drugs have more side effects, and maybe more difficult to find at the moment.
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Ejaculating sperm is about the only and main reason of the existence of a man. A load is what makes life go around and why everyone of us exist. Getting that special man seed inside you is what is so arousing and why people love it so much.
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This happens to me all the time, and I think for most bottoms the moment you come it's over and getting fucked feels awful. Most good tops understand this and will fuck you slower to make sure you don't come quickly. It's about communication. A good top will also understand that your sex drive is gone for a while and will adjust accordingly. I hate guys who insist in keep fucking you after I've come, or they keep playing with my ass. I do make the effort to get them off if I went first, but if it takes too long I lose interest. Another thing i've found it helps for me its to jack off like half an hour before your hookup. It makes it more difficult to come on your own when you are getting your prostate massaged.
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45 loads in 7 days - is PrEP even a factor?
rawfuckr replied to Pighole88's topic in PrEP Discussion
Some insurance companies have started to require prior authorization when Truvada is prescribed 'without a third agent'... that is for PrEP use. United Healthcare is one of them. The PA is actually very simple and it's just the doctor stating the person is at high risk, reporting condomless buttfucking will suffice. There are really no insurances out there who are not covering Truvada PrEP and most of them have it on Tier 2 as a prefered brand drug so the copays are also not that crazy. It just takes a little bit of shopping around to find the right plan for everyone. -
45 loads in 7 days - is PrEP even a factor?
rawfuckr replied to Pighole88's topic in PrEP Discussion
I thought all the new plans with the ACA would cover Truvada.. maybe just at a higher copay if they put it on a higher tier. I got one individual Silver plan with BlueShield here in California and they are covering PrEP no questions asked. I had to pay $250 yearly deductible but that's it. Gilead is picking up the copays so my cost is now zero. I just ordered a 90 day supply and BlueShield paid all $3500 for it... or so they say they did. I really doubt that's how much they pay to Gilead. Pighole88, you should really try to make an effort to get yourself continuing on PrEP. If you seroconvert the cost of treating your HIV will be so much more than what PrEP will cost, let alone the heavy toll on your health and lifelong consequences. -
Current official recommendation is to take Truvada for 7 days before considering yourself fully protected. I've heard two weeks from other sources but Bob Grant, the guy who has been responsible for iPrEX and probably one of the people in the world that knows more about PrEP talks about 7 days so that seems safe. If you ever want to stop they talk about 4 weeks after last sexual interaction
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PrEP is not available for the general public anywhere in Europe. If you are lucky you could find a doctor that may prescribe it off label and would issue a prescription but you would probably have to pay for it and its expensive, usually about 600 euros a month.
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Awesome news and you have all the support from people here. Just make sure you are taking it every day very specially the days preceding sexual activity, if you can predict that. I for one have become slightly sluttier since I'm on Truvada but not much. I was very unsafe before and hated myself for it but it was just very difficult for me to have sex with condoms. Also I've noticed that in a way Truvada has made me safer because now I realize how risky raw sex without PrEP is. It's a lot more present in my head and the few breaks I've taken from it I've been pretty consistent about not barebacking. Please share your experiences here with us as you move along.
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Through this last years I've noticed that you can get any guy you meet, even those who are 'safe sex only' to fuck you raw without a condom. This is usually what I do to get them to drop the rubbers: - Telling them I'm neg before sex and tested recently. This puts a 'he's clean' tag on you and they'll likely just ram it in without a condom - If the guy insists on condoms, you can fuck a first time with them, and then you get the tag of 'he's clean' and he is very likely to drop them on subsequent times I've met very few guys who are in theory total safe-sex queens but then will go raw with very little doing. Does this mean there is a lot of hypocrisy out there? Do people have the same experiences?
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On why I started barebacking
rawfuckr replied to rawfuckr's topic in Making The Decision To Bareback
You sure are a survivor! One friend of mine recently seroconverted and it's having a really rough time getting back to the sex life as poz guy. He gets many rejenctions outright when he discloses his status which I'm sure it's not fun. I've told him not to say anything and use condoms, and only if they ask he should tell.. not sure how I'd handle this. -
I'll explain my story here. I came out in the early 2000s and spent most of the decade using condoms religiously. I got fucked many times with condoms and it was never a pleasurable experience. It felt like a piece of plastic rubbing my ass. It wasn't until 2009 when someone randomly fucked me raw in a bathhouse and somehow I let it happen. The feeling was so many orders of magnitude better than using rubbers that I had to try again. The next year I barebacked with a few more guys and I just couldn't get enough of it. At the same time I had/have ZERO interest in seroconverting. I know a lot of HIV+ people and they are doing great, but if there is an option for me and for anyone else you just don't want to seroconvert. It is tough. Not wanting HIV is diametrically opposed to any sort of barebacking so I didn't know what to do. I started serosorting heavily for the next few years and stayed neg. I would also ask most partners not to dump their load in me. Contrary from most of the people here I don't get much of a thrill from it so it's pointless to take the risk in exchange for nothing. Then PrEP came along. Was on it right after approval. No side effects, and still neg after a few years. I haven't used condoms for a long time now, but I go out of the way to use every other safer sex practice there is, like serosorting, pull outs, PrEP i only let a selected group of people come inside. I got chlamydia in the butt and the mouth last year but that's about it. HIV neg so far. Barebacking feels so much better for me that I'm at a point where I'll forgo sex with condoms because it feels sort of pointless. Barebacking comes with huge baggage and risk so at the end for me it's tradeoff of living life. Do you have a sex life that is not that fulfilling but you don't get any diseases, or you let it go have a great time and risk getting stuff. It's a difficult question and I haven't really answered yet.
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I'm using condoms less and less these days
rawfuckr replied to CaliBugChaserSD's topic in Making The Decision To Bareback
Go on PrEP ASAP. Will give you decent protection for HIV infection and you don't have to change your behavior -
Syphilis sores tend to be more round and defined. If it was a herpes outbreak you'd know for sure. They hurt a lot.It could be just banalitis, a fungal infection. I'd do two things: 1) Go to the health clinic to get it checked right away 2) Use an over the counter anti-fungal cream to see if it goes away. Clotrimazole is good. Apply for a whole week three times a day without missing doses. If sores go away it was probably fungal.
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Truvada is an extremely well tolerated drug and the side effects short term are close to none. Virtually everyone who takes it experience no side effects, and the few that do they are mild and go away in a week or two. This is a conclusion from placebo controlled studies, not from some random anecdotal evidence. As a word of caution, the side effects on of taking this long term on HIV- guys are pretty much unknown so if you can it's really not a bad idea to get month long breaks from it and adjust your unsafe behavior accordingly. There seems to be some association with mild Bone Density Loss but doesn't seem to be serious for some people. It's also very important you do this under doctor supervision so they are always checking your liver numbers are ok.
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