Riobard

Oh, geez, tassojr, this is so tricky!!! I don't know what to say. Maybe contact Gay Men's Health Crisis NYC or the ASO in your city, or Ryan White Fdn. The Gilead patent is up and I am taking a considerably cheaper generic version in Canada. Tevapharm's emtricitabine/tenofovir. The company may have geared to income compassionate release. I would just suck up the cost for now.

Good for you, dude! 4 quadrants: Group 1 neg Time 1, G1 poz T2, G2 neg T1, G2 poz T2.

Yes, and Ipergay was dumped in favour of moving to comparing the two methods also (I neglected to add) due to the imperative of dispensing the on demand regimen to the placebo group that was demonstrating such a higher rate of breakthrough transmission. Current ongoing comparison of the two drug uptake methods poses less ethical conundrum because all get the meds. What I have not had time to explore is whether subjects self-select method based on preference and sex patterns vs randomized, matched for sex patterns plus randomized, etc. I would guess it is the former. The media sometimes abridges the details, as do conference abstracts, and google is a great but sometimes overwhelming friend. I also opened up Fugues (March edition) in Montreal and saw drug ads for poz I had not heard of. Perhaps PrEP will also evolve to new components down the line. Such a huge gap from single-item AZT menu, right? Stay safe, all!

R U kidding me, dude?!!! I never set out to post research. You are the one that gave me the challenge. And I thought it would be remiss to not correct some misinterpretations of data. Many in our tribe, judging by empowered behavioural choices I witness in customary brothels, should indeed consume 24/365. I see what the problem is here, Benji ... you want the last word. Have at it. Be the dog vehemently overworking the bone. No lightning rod of yours, frankly, is going to attract an epiphany let alone a bit of give in your stance. Gilead actually does not manufacture my tenofovir-emtricitabine regime. In any case, manufacturers sponsor, not do, research. Caeron, kkkkkkkk, right? LMAO.

It would be, but you have grossly misinterpreted Ipergay. You need to read beyond the brief summary abstract. On demand Truvada 1% infection annually; 99% effective, not 86% effective. Placebo, no drug, 7% annual infection. All considered, fucking without any Truvada, 93% safe. Remember, HIV is a wimpy retrovirus until you get one particle germinating in your bloodstream. A 14% failure rate might occur in a study arm of full--time darkroom ass-in-sling non-HAART-consuming bttms. For low infection rates, 86% more effective is impressive. Do not get caught up in the complex stats math ... things like rigourous confidence intervals override simple arithmetic and are extreme in taking our wellbeing seriously.

PS: the Ipergay study is the same lead researcher Molina and compares on-demand to placebo (placebo is no drug; subjects double-blind except side effects may be a giveaway), predates Prevenir research project by a few years, and does not compare on-demand to permanent daily uptake. Very different research approach. In Prevenir, obviously both treatment arms open label unblinded. The team is not self-contradictory. But read, interpret, and behave at will and according to resources and prefernce.

The Prevenir study ... my clinic where I receive consultation is one of the cohort sites. i believe another study was truncated because the evidence of efficacy was incontrovertible in the early stages and there is only so much funding, and clinicians may be satisfied that replicated findings are less important than one solid longitudinal temporally prospective cohort design. Again, the two options depend on sex patterns and preference. There should be a journal-level report eventually. I am on holiday and do not wish to spend hours using my faculty library privileges for a thorough online search and report. Also consider that many populations do not prophylax due to lack of access to costly meds. On demand may help mitigate infection among these, though sadly not solve the larger socioecon factors. Look, I am reasonably qualified to interpret the findings and make an informed choice. I am a retired clinician/researcher/educator with 12 years of uni ed. This is not the place to more specifically self-identify, but if admin here wants the option to corroborate that my capacity to weigh in ranks highly, I am willing to share with admin my credentials and live with how admin rates me out of 10 viz expertise on this subject. Brooklyn 99 ... not a doctor. That said, I AM NOT GIVING CLINICAL ADVICE. And I don't want the volleying back and forth here to be farthically thilly. A 10% difference is the usual standard for the threshold of clinical significance. I do not have the time or interest to drill down further. I take my health very very very very seriously but I have former trustworthy associates who have world-class status in Infectious Diseases / Genitourinary Medicine. I am not a contrarian on the current subject. I do other pro bono work and folks here can and will put on their bigboy investigation pants. Not my wage grade to be convincing here. I have rather sloppily added some screenshots. And now, breakfast and on to today's collision course of dick, cum and last night's true-vada blue pill swallow.

I can try to post a screenshot of the mapping but not until home in a week, as i am currently in east coast zone of the country without the SP portion of my materials. BTW DK guide got two of the SP churches mixed up.

I use DK Eyewitness travel guides, hardcover. Much cheaper formats of those publications available iBooks or Kindle. The Brazil version would cover SP and Floripa, as well as RJ for future. The RJ Top10 version is unnecessary if you spring for the country guide. I described a walking itinerary for SP in the thread 'SP in dribs and drabs' here, Sept 2018?

Caution re: Grindr, etc. There are reports of setups. Unfortunately, you would need to take several hours to scan this forum section for testimonials related to the darker side. The cautionary info is woven into the fabric of more generic threads here. You may have in your favour being an N of 2, giving pause to wannabe opportunists.

TMI?? We expect fully rendered explicit accounts!

Massage houses with tantrica [nudge wink] are less stable. This is my observation following the ads over the years. I stick to Lagoa or Fragata. netgay.com.br may yield some ads/links

Perhaps you can do a search here and find some contributions about rentboys in the Floripa sauna venues. Just enter the short or long form. But I think the info remains ambiguous. You have not clearly indicated your leaning even though Lagoa is on the bucket list. My interpretation is you seek regular play.

That is similar to what I do, Germark. This means you will be walkable as well to the Montjuic Fountains free nighttime light show, just south of the Pl Espanya roundabout (also a Metro stop). Worthwhile to get the schedule. Might be a little later due to summer solstice sundown timing. There is also a tourist centre right in the middle of the traffic circle (underground crisscross thorughfares) and a lot of eateries in the converted former bull ring the northeast side. Restaurant Pura Brasa n/e on the circle also great food, busy, but a little pricier. I have not shopped and cooked in homestay there. I don't have firm dates but targetting late May for a few weeks. Previous visit Fall 2016 but elsewhere in Spain since then. For Metro, the T10 10-rides pass is best value. You will be using Metro if you plan on major sites beyond Eixample, etc. I am inclined to Über elsewhere, that is, in other cities, but I have not been anywhere in BCN that was not easily accessible using the Metro. Or the 3 trams in the northwest, but those few area sights are more for finesse of repeat visits. Enjoy! Such a marvellous city, and having the bro-thel so very much value-added. PS: I just recalled Über viability there is reportedly in question anyway.

I am also Canuck. You should be OK clinically. However, previous contributions here have highlighted the necessity of YF vaccine if you are not returning directly to Canada or USA. Same for Brazil outbounds. For example, if you are connecting in Panama you will be denied entry if you want to leave airside zone. Not a problem for a quick transfer, but an extended delay leaving Panama would put you uncomfortably on a standard Tocumen gate chair, though access to amenities, with no option to clear customs and visit the city or book an airport area hotel. You are likely Air Canada direct from or thru TO. If Copa, word to the wise is herein delivered. I will be flying Copa to Bogotá, but I have the lifetime nonfractionated inoculation. Personally, I recommend vaccination to allow for spontaneity or pitfalls in planning or execution.

I was not at all putting forth an opinion (or even dreamt my prescribed treatment protocol would be challenged), other than describing how on-demand fits my needs better. But I am picking up challenges to this method and that there were members here implicitly aligned with you, TotesAwesome, when in fact you just posed a lack of updated info, as you correctly state. In contrast to you, one member is eschewing appreciative inquiry in favour of rabid fundamentalism. Sheesh! Reminds me of the female-condom activist years ago at conferences, screaming disruptively that the medical system was remiss in not promoting an anal condom version for MSM. WTF, our respective physicians are not going to go all pistols at dawn. He said, she said, I said, you said, you didn't say, etc etc etc was certainly not where I anticipated this would go. But then, again, how dumb am I to not have forecasted heated controversy? This is now to some degree getting to the crazy-town level of vaccine denialism, expressed by a subsection of the membership, with the difference that the denialism is in the direction of prophylaxis scheduling overkill for patients who are intermittently sexual. I think I will favour the rigourous research findings over misguided cherry-picking of drug package insert phrasing.

I agree that one should ensure one's physician and pharmacist are on side. Pharmacists cannot prescribe medication. In my case, the clinic is a specialty HIV program with a research component, where physicians and Allied Health colleagues work as an integrated team, with pharmacy down the hall. I get 20 minutes with the nurse (questionnaire, venipuncture, etc), however long I need with the pharmacist, and 1-2 minutes with the doctor who looks at a screen and asks if I need a script. He had agreed to be my GP, as he completed FamMed, but I have to remind him sometime when I require generic attention and he is (I hope) less frazzled. BTW, a friend is a PhD pharmacist, not a physician. He is the go-to even for top-tier Infectious Diseases physicians specializing in HIV care. Complex regimens involving drug interactions are carved out by this Pharmacy dude. This is also the case in many programs where the pharmacist is not a PharmD. You know, most physicans do NOT have the attitude: 'me physician, you lesser life form'. Further, how many doctors have the time in their 12-minute patient care blocks to sit patiently going over instructions for consumers that may need a lot of medication support and guidance? Pharmacists do not need a dressing down. The real problems relate to laypersons giving their family, friends, associates, etc, misinformation that is swallowed hook line and sinker. This thread is not about who is correct ... there is no opinion called for because by now it should be clear that nobody here has presented debatable info about PrEP models.

The red vs white towels pertains, I believe, to a third party ad site that reflected Thermas from eons ago, but was never updated even though it seems to be current when you view it. They are quite adamant about wearing one's towel. I wear sometimes shorts underneath for phone, readers, etc storage. They may have optional bathrobes. Don't quite recall. Just be glad you are not required to wear "ribbons", as some ad sites term the towels.

Yes, there is "continuous" pre-exposure prophylaxis for preventing transmission for those who are regularly sexually active, that is, at risk due to intimacy encounters any number of times on a weekly basis, OR "on demand" as needed among those whose sexual activity occurs in cycles. I only engage in (protected) intercourse a few months of the year. The "as needed" on-demand became an option a few years back when research found that stop-start-stop-start Truvada was not associated with drug resistance, that is, the body's incapacity to utilize a medication due to the antivirus mutating to win out over the drug when the drug is not continually in one's system. This more recent option is win-win for pharma, and for sexual 'playas' interested in taking only as necessary and sparing renal (kidney) burden, $ costs, the problems of remembering each day, etc. I have taken maybe 120 daily doses, 1-3 weeks at a time overall over 18 months. Unfortunately, I tend to get travellers diarrhea and it is unclear whether this is now due to side effects versus pathogens where I travel. Post-exposure prophylaxis is a 30-day block with a different medication. Nobody should dick around and take Truvada exclusively if there is the possibility of an exposure, eg, no condom, breakage, etc. This is also why regular testing is critical for either PrEP method. My pharmacy is within the PrEP clinic itself and is Draconian about dispensing repeats without evidence of non-reactive lab results. In short, you are apparently being appropriately transparent with your physician about being a serious serial full-time slut, whereas I am but a merely mortal dabbler.

No, don't think I ever had those shelves, cabinets, knickknacks, or (what looks like?) a flat screen, etc. Or what appears to be a sink in the reflection. Last there Oct 2016. I can always get on the learning curve when I am there before long. And I still think I am robbing some of the guys at 50 a pop, given the high quality I have experienced there. Granted, the occasional ones phone it in and even the base fee fits poorly

SSA coming wkend, hightailing out just before the major swarm (and even far more exorbitant prices) Mar1-5. Likely Ubatuba-bound to recover my arse. Don't think I'll get to the bottom (bottom; teehee) of the São Vincente GP question though. BTW, that Q was also asked and unanswered in the Google file. And I do believe email not Whatsapp is the method to contact the venue. DomRep in a few weeks. Bogotá & BCN later Spring, probly. BC's Okanagan Valley wine country most of early summer. Using up Star Alliance points and other credits.

Has anyone sprung or obtained clear info for/about the upgrade/champagne suite? I don't mean the 10-11€ upper-tier room that I previously used for one trick. The new options' photo suggest the room is much much nicer than the previous upgrade I utilized. Is the 40 versus 70€ essentially the same suite except for the bubbly grade? In sum, I want the mirror, pillow, and linens. Is that now requiring the champagne deal? I do not drink much. Though sparking is one of my preferences and I would likely be purchasing at least one drink anyway. The fee allocated to the 3-hr cabin seems to be portioned out at 20-25€. I certainly prefer having that space and no problem with the cost. I had often wished I could shut myself off between tricks, with some intrusive-type guys constantly importuning and all. Can you still book and pay those features without bubbly? I simply want to anticipate how to plan for the new system there. Is the majority of (inclusive in entrance) cabins still crappy, no mirror, no sheets?

My pharmacist gave me some new instructions for on-demand tenofovir/emtricitabine for upcoming trips south. Perhaps I had been previously unaware of the options. I had been taking one tab for 7 consecutive days prior to potential activity. It is apparently adequate to consume 2 tabs within 2-24 hours prior to activity initiation, followed by one tab per day every 24 hrs subsequent to the initial double dose, including 48 hours following last activity (for good measure I will do 72 hours, that is, 3 follow-up doses post-coital) to adjust for where in the 24-hour block final activity occurs). My big head gets muddled cuz my little head is not amenable to pill alert apps. As far as on-demand interruption, say for example a break of 2 weeks in activity, this suggests that one can be off the meds for about 11-12 days duration. However, some consumers may wish to maintain the antiviral protection and continue taking it as opposed to starting fresh prior to the next schedule of activity. It is a matter of preference and practicality as well as renal burden because, as most of you know, drug resistance is not a problem. If a known HIV exposure occurs, it remains recommended to seek post-exposure PEP measures because the extra medicinal component is more effective. I like this new system because I may delay activity following sex-candy shop arrival, but can predict if sex will occur a few hours later from any given point in time, unless accidentally unintentionally prison-raped Adibisi-style (without the peaches can concussion) on any social anthropological Santo Domingo jail tour. In fact, I have previously taken up to 2-3 weeks unnecessarily due to activity postponement, but in 'just in case' mode. In sum, several weeks technically unnecessary consumption over 18 months. Luckily my social universal health care covers the majority of the cost. And I think greater uptake perhaps assisted me to eventually tolerate better the initial side effects. kkkkkkk ... a pop-up response alert just occurred as I was writing this, related to a different thread. Quelle surprise. Alack, alas, time's up and moving on. I hope it wasn't apologist [insert JustJack and Karen(exWalker) raucous laughter].

This is why, as an afterthought, I had considered it would be better to msg the OP privately, even though I directed the question to him specifically. Funny how respondents here are quick to assume the mantle of a poster to whom a statement is specifically directed. I realize the system is not HBO's Deuce-grade, but I have never been to the DR, unlike you, and Manny seems to have been consistently featured in some kind of role in the accounts described. In my communications Manny seems flexible, but I thought it would be prudent to inquire here rather than second-guess when there. A false step in any setting can leave one with a permanent case of blue-balls. Yeah, maybe I am 'that guy' to some extent, but what's it to you? I spent a fair amount of time researching the threads and would have appreciated a simple and hospitable answer to a question that was actually extremely easy to answer. My question was not in the category of inquiries that are repeated and repeatedly answered ad nauseam within the overall sub-forum. I take it, then, that Manny and his protegés have a well-oiled (tee-hee) methodology for reconciling brokered dates in tandem with the guys' one:one appointments. In all three or so related threads, the arrangement algorithm had not been made explicitly clear (to my knowledge). According to you, perhaps, I am the type of client that trips himself up ruminating about the playbook rules in a particular context. My sense is that you were keenly aware that the OP would answer graciously, but you just had to get a dig in. I won't be so bold as to attribute particular character traits but, toots, you either lack a life (I think we all get that is not the case!) or are the penultimate multi-tasker Now go and have a nice lunch ... unplug for a minute! In a minute ... It would have looked silly and even more superfluous if you had added the snark following the OP's concise answer, an answer he trailed behind you by mere minutes, assuming he viewed your correct info but was kind enough to handle the Q/A in a way that contained all that was required. All you could have said meaningfully at that point (if he got to it first) was your 1st sentence. Here, of course, I use 'meaningfully' loosely. What is going on that impels you to be scanning, apparently relentlessly at times, for Tourettes-grade put-down ops? They are not necessarily particularly offensive, and often not lacking in cleverness, but I suggest you think some more about how you handle the tremendous burden of astutely knowing everyone's number. Is this soul? The high quality of your contributions ordinarily obviates the need for snotty non sequitur in logic. Roget that. I think I can safely assume that the OP's good-naturedness will leave the door open for additional apparently ignorant and picayune but easily answered questions I might, in fact do, have. Best posed in private msg mode. I predict a salvo coming up that you can be assured will be for the sole benefit of your justfans, and will perhaps add an additional tinfoil layer to the complex array of soap-opera-level changeable alliances that occur here. Perhaps this is the best place to remind you of the average 8-second attention span of social media, so quote and retort will be lost on any but your most ardent admirers. I am forthwith disentangled from this thread. I have enough info to go on for an enjoyable trip. No thanks to you. You don't make me want to be a better me. I am, yes, pouting as I debate whether and what to report later. You got me.

You are an inspirational Santo Domingo ace, tennis ace! I am booked, in touch with Manny, and upgraded my luggage dimensions to accommodate Magnums. I can only fly direct Dec-April, so will do the nonstop this first time. At other times of the year I have to land in a Dominican resort town if I do not want a USA-located transfer. I wonder what your thoughts are on cutting loose Manny as the middle-man broker for an acompanhante you get to know over time. Some of these guys may not need chauffering for every date. What is the etiquette? I would want to keep in his good graces, not compromise the guys' arrangements with him, and not interrupt the supply chain or disrupt this tantalizing 'banana' economy. I ask the above because I think you alluded to getting some of the providers' contact information. For me, it is not about saving money ... the prices are low given the value I place on access ... but it might at times be inconvenient to order Manny's manly Über eating outs, perhaps easier to book a guy directly (and likely pay him more), and there would be no reason to open my billfold for the initial fixer. Again, I realize I may be blaspheming in terms of the pockets in which my cash lands. I would, however, not likely take a referral of a new fellow from one of the escorts. It would likely make sense to have the experienced Manny vet any new prospect. Then that way each local knows there is an overseer keeping things on the straight and narrow, even if dates eventually evolve outside of Manny's timetable.