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Anyone in a relationship and on prep that isn't HIV discordant? What is your reason? Are you cheating or covering yourself if your partner does? Or know he does? Or do you play with other guys with him knowing?
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So now that PrEP is available, what is the best insurance to cover PrEP? I'm sure not all insurance plans are equal. Which ones have you had experience with that cover the whole cost? I know that Gilead has a $200 copay help, but I want to talk exclusively about regular insurance and what your experience has been like with them while trying to get PrEP. Are some insurance plans more "gay friendly" than others? Inquiring minds want to know!
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If you live in the state of WA and are interested in going on PrEP but the cost has been prohibitive the state has a program called the PrEP Drug Assistance Program more info can be found here http://www.doh.wa.gov/YouandYourFamily/IllnessandDisease/HIVAIDS/HIVCareClientServices/PrEPDAP Apparently WA is the first state to have such a program for PrEP per http://www.thebody.com/content/75057/washington-state-first-to-assist-those-seeking-hiv.html 150-055-PrEPDAPBrochure.pdf
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Here's my situation - - I've done some moderately risky things. - Thinking PrEP is a good idea. - Have great, gay-friendly clinic nearby (Fenway Health). - Confident a Doctor there would prescribe Truvada for PrEP. - Awesome, but .. - Truvada isn't covered by my insurance, and I doubt I could afford co-pays if it were. That's where I'm at. Is this Gilead thing the most viable way forward?
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https://www.youtube.com/watch?v=XHuoJE6VmeU&list=TLt_rXlqLX2EuK3dQAo9XHpESJ6zOXFU3O Its long but includes Micahel Weinstein. Parts are pretty entertaining, but its also very informative. Its about 2 hours long, but you can watch in the background and listen.
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This informative article on PrEP just came out in POZ magazine http://www.poz.com/articles/prep_prejudice_2881_26226.shtml it's well rounded and has a ton of facts.
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So this weekend I shared in confidence with a couple friends that I plan on starting PrEP and one of them (who's also promiscuous) had the strangest reaction and basically called me a slut for even considering it. The other stayed quiet but share with me before that he thought it was a good idea. Has anyone else tried having this conversation with very close friends or do you keep this private?
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An excellent informative article about PrEP; Eagle Mr. LA Leather 2014 and community leader Eric Paul Leue has worked for HIV awareness and fought against HIV-related stigma and discrimination for over 10 years. In an interview with THE FIGHT, he discusses the side effects and side benefits of the pre-exposure prophylaxis (PrEP) drug Truvada, and what it means, in 2014, to be “responsible,” “safer” and “protected.” http://thefightmag.com/2014/08/prep-school/
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Just as the topic states, we all know that PrEP significantly reduces the risk of contracting HIV, but I am wondering who "sorts" a bit, and who doesn't. For myself I ask most of the time, and am fine with "neg" and "undetectable" but I have had some instances recently where I haven't asked at all. There is also a guy who is poz, pretty healthy, but not on meds, who wants to fuck me, and I have to admit I am ambivalent about it.
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Just ran across this article... AHF TO GAY MEN: PREP IS NOT THE MIRACLE HIV PREVENTION DRUG YOU THINK IT IS HTTP://WWW.THEGAILYGRIND.COM/2014/08/23/AHF-GAY-MEN-PREP-MIRACLE-HIV-DRUG-THINK/ Is this just posturing by the AIDS Healthcare Foundation or is PrEP really as ineffective as they say? I hear guys on PrEP say they only take their Truvada "a few times a week", thinking that's enough. How soon before we start hearing about "PrEP failure" and guys seroconverting because they didn't follow the directions on the bottle?
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Hopefully in the right forum:confused: Thought I'd pass this along... I may help lots of folks with this kind of a push! The CDC has recommended PReP (Truvada) for those who are not infected in order to quell the rising numbers of poz people... Make your own decision, but I'm glad to see this. http://www.nytimes.com/2014/05/15/health/us-recommends-daily-pill-to-fight-aids-infections.html?action=click&module=Search®ion=searchResults&mabReward=relbias%3As&url=http%3A%2F%2Fquery.nytimes.com%2Fsearch%2Fsitesearch%2F%3Faction%3Dclick%26region%3DMasthead%26pgtype%3DHomepage%26module%3DSearchSubmit%26contentCollection%3DHomepage%26t%3Dqry283%23%2Ftruvada&_r=0
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Hey there, I looked and didn't find a thread discussing this already, please correct me if there already is. I've been in a behavioral study for the past 6 months and have received PrEP for free, even get paid to be in the study. Come October, that study will be over and I'll be on my own. I'm also leaving my current job that has insurance and moving to a new job that doesn't have insurance. I plan on utilizing the ACA and exchange program to get insurance but would like to go with a provider and plan that covers PrEP and has a low copay. I wanted to ask those that are getting PrEP through their insurance providers, what is your cost and who are you with? Thank you
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Just giving my initial experience for those thinking about going on it. I struggled with the decision, im a total top.. Was usually safe, but of course love BB. I always ask status, testing dates etc. But I know people lie, and don't have a clue or use a oral test which have you read the directions? Definitely not on par with a blood test which I get tested for very regularly. I got a BF, we fuck raw, then he started having me fuck his friend.. Who I found out was poz undetectable later (Drunk fucking which I love and have done lots of silly things in this regard) so in an effort not to get it I did all the research. I started here, then read everything I could get my hands on from giliad. Then I checked my insurance, and without calling I found out I had a 200$ deductible and 35/45$ copay for brand. Then I went to my insurers website and found a handy 2014 PDF that listed what was covered medication wise and found it is covered. So then I decided to talk to my doctor, which I am fortunate I have found and kept a good gay doctor that I can talk to and get honest feedback on what to do. I just scheduled the office visit to get my STI checks and decided while I was waiting to just ask him. It was a complete 180 from what I thought was going to happen, he was extremely upfront, asked questions, and gave honest feedback of what exactly to expect from it. I was upfront about the sex im having (To a point) and he printed out a Gilead form which he had to go over with me point by point (Taking it every day, sexual practices, you must come in every 3 months for STI testing). He also said they would not prescribe more than 3 months to make you come back in for STI testing. I signed the form, they drew several vials of blood and by Thursday they will call it in for me. He said the insurance company will most likely contact them to question it but most just approve it. I went to Gilead and filled out the forms for the copay compensation and got my card so my expense will be minimal: Possible 200$ deductible per year for the prescription 4 trips per year to Dr for 25$ copay each = 100$ And I will get bills for the labcorp testing which my insurance covers most of it and the bills are usually less than 50$ It will probably cost me 500$ a year to be on it, and that's worth it to me. There are three options, 1. Don't have sex (Um, No), 2. Have sex and maybe convert and take medication the rest of my life, 3. Take this and reduce the risk, and if my behavior changes, I don't have to take it anymore. My experience so far...
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Fusion has posted this video titled The HIV Prevention Pill That No One Is Talking About, that features TIM stars http://fusion.net/video/embed?id=576317
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Guys on PrEP, ever experience any assholes? Just had this exchange on BBRT: I mean, I really don't mind an intelligent and informed conversation on the subject, but this really threw me. I mean, even if the effectivity was only 75%, it's better than nothing. Plus, it's certainly better than trusting that guys are neg. Anyone else experience this? What did you do?
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I usually sleep on my belly and for a long time now (before going on PrEP) my neck will be a little stiff and if I sleep in one direction it sorta strains my neck and hurts a little. A few weeks ago the pain started spreading a bit into my shoulder and eventually down my arm - and not just when I'm sleeping and sometimes the other side as well. I should try a different mattress to see if that'll fix it, but habit keeps me sleeping in my own bed. I started wondering if it was a side effect of the Truvada I'm taking, so I looked up the common side effects and found this listed first… Reading that made me recall that the last few months when I get up from the couch I sometimes get dizzy. I have to steady myself to avoid blacking out. It only lasts for a few seconds, but it matches some of the symptoms above. In the past I just chalked it up to me getting older and having (medicated) hypertension. I called my doctor. He wants me to see a neurologist, but I'm going to try a few things first. I went off Truvada for a couple days and it did seem to get a little better, but then I went back on for a day or two and it got worse. So now I'm going to go off completely. I think it takes a week or so to get Truvada completely out of your system so we'll see how things are at the end of this week. And I should mention that I did a full battery of blood tests earlier this month and everything came back normal - or at least pretty typical for what I'm used to seeing. I was low on Vitamin D, low on platelets, and slightly high on cholesterol. I should also mention that I had what I thought was food poisoning last week – it got better and then sorta came back. None of that is unusual for me - I often get stomach bugs, but the timing is a little suspicious since abdominal stuff is a symptom of lactic acidosis. It's not like I've got all the symptoms of lactic acidosis, but I've got enough symptoms for me to wonder what's going on. Being on PrEP is elective. I don't need to be on it. So it just seems like it would be prudent to not be on it right now if it could be causing the problems I'm seeing. After all, side effects were the primary reason I was opposed to PrEP initially. I've seen enough problems from (other) meds in my life to be wary. I need to remember the lessons I've learned and just be careful in this instance. And careful means not taking PrEP. So I'm going to go off PrEP for a few weeks - maybe a month. If everything clears up I'll probably go back on it, but go off at the first sign of trouble. I'm not quite sure I trust Truvada. I mean it's generally well tolerated, but it is a rather powerful drug.
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Hi guys. I'm looking for a doctor who will prescribe truvada off label here? Is anyone on it? Or know of someone who is?
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I'm currently on the 'Proud' trial in the UK for PReP.. Anyone else here on it? How/has it changed your behavior? I know they have had real issues getting people to hear about the study and most don't even know about it. PReP _IS_ available in UK for free from about 7 clinics ATM i believe but more can be found here: http://www.proud.mrc.ac.uk/ Its a UK based trial for only 500 people and the closing date to get on trial is mid-January 2014. Be quick! For me, I don't want HIV but know my behavior will end up with me catching it. Someone rubs a bare dick against my hole in a darkroom or club and my brain goes "Oh HAI! don't push back ... but OK then push back and be the slut you are!". PReP hopefully reduces this risk a lot when I'm in these situations.
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Just a quick note to say if you're taking PrEP, or thinking of taking PrEP, definitely give Gilead a call - 877-505-6986 - they'll give you up to $200/month off on PrEP. http://www.truvada.com/truvada-patient-assistance When I looked into it 6 months ago the website said they only did copay assistance for Truvada based on need and they wanted to see tax returns. I hadn't completed my 2012 taxes, so I put it off and I was paying $225/month ($2700/year) for PrEP. I did that for 6 months, but then I got my taxes done, so I had them ready and did the call and I was really surprised because they didn't ask any financial questions at all. They gave me the details I needed to get the $200/month off, so I called my plan's mail order pharmacy expecting to pay a net of $25/mo, but they told me they don't take that type of copay assistance. I thought I had to get it through them, but they said I could go to a regular pharmacy. The only thing was that if I went to a regular pharmacy the price would be $250/month, not $225. I go to Callen-Lorde - the gay clinic here in NYC - they have a pharmacy so I figured I'd support Callen-Lorde by filling the script there. There were some mixups, but I did get finally get it filled - total price was almost exactly $50 - which is far more affordable than $225. So that means I'm saving $175/month - $2,100/year!! The only downside is that they won't reimburse for past copays, so I can't get money back for the $225/month I spent in the past. Too bad, but at last I'm saving money going forward. My plan isn't as generous as some. A lot of you have copays that are $200 or less so you'll get PrEP for free. That's a price you can't beat! There's no excuse for not taking it if it's free...
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I've been on PrEP for about 8 months now, and have taken it diligently every day. I would occasionally bareback, usually with friends, and any poz tops were always undetectable (so they said). That said, in the last week I took 45 anonymous loads - a decision I'm not regretting because it's something I've always wanted to do. However, other risks aside (HSV, Hep C, Syph), What are your opinions on how much I can rely on PrEP at this point? I was told that it was up to 98% effective in preventing transmission of HIV. UP TO 98%, which means there's a chance that it could be lower. Has anyone else been on PrEP and still converted?
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A couple weeks ago I went to Hunter College and participated in a study about PrEP (taking HIV meds while you're neg in order to stay neg). It just takes a couple hours and all they want is to understand is people's attitudes towards PrEP and what types of marketing messages communicate the facts most clearly and are the most compelling. Much of the study is done via quantitative, computer-based surveys, but at the end you talk 1-on-1 with a researcher about what you know about PrEP and how you feel about it. To be completely honest, I didn't love the study - it wasn't bad - it just wasn't great. So I won't say it's for everyone. But if you've got questions about PrEP I think it's a good use of your time. The study has flaws (IMHO), but it is good at explaining the fundamental facts and you can talk 1-on-1 with someone who understands PrEP really well. If you're interested, contact the researchers... PrEPARE NYC 212-396-6084 preparenyc@hunter.cuny.edu http://www.cunyhart.org When you talk to them tell them you were referred by someone and give one of the following referral numbers: 72261, 72262, 72263. Oh yeah... They'll pay you $60 to be in the study...
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This is a pretty good overview of where things stand on PrEP for gay men... For me the key take away is that PrEP can be 90% effective - about the same as a condom. BUT because guys taking the pills aren't actually sick, in some cases quite a few don't take their pills consistently. That leads to lower efficacy and drug resistance. I still say that for the worried well PrEP can be a good idea. But if you really just want to be a cumdump who's ass up in bathhouses most weekends that 10% that PrEP isn't effective will catch up to you and you'll become poz anyway.
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Clean fuck hole is important. I usually use Metameucil to stay regular but when I'm getting fucked, I use this device that shoots water up my fuck hole to clean out...well... you know. But do you tops (or bottoms) have a perfect way for a bottom fuck hole to prepare? Also, what happens if the fuck in un-planned and you can't be your freshest?
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