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Highly recommended. Ben is awesome 🙂

There was a very critical review on RM but was auto-deleted (or deleted by the provider?) but I read it because it showed up as a buddy activity. Similarly another one on the other RM as well ... Feels like a bit of a mix bag?

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Just wondering if anyone had experience with the provider - good, ok or pass?

I am so curious out of 83 reviews in total - 30+ came from the same person, and another 24 came from another person ... and the majority of the rest of the reviews also are "repeats" https://rent.men/jayfrayagraboz

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Gone

As the provider - what do you do/say to your client who are obviously anxious and can't perform/enjoy the time together?

If you are a bottom ... https://www.lubrstore.com/product-page/wet-stuff-ready-silicone-capsules https://www.amazon.com/Play-Joy-InvisiLube-Silicone-Discreet/dp/B08SMNLBHD These aren't as readily available in North America, but they are so convenient and won't leak even if you fly with them.

Point your clinician to this: https://www.cdc.gov/hiv/pdf/risk/prep/cdc-hiv-prep-guidelines-2021.pdf

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JYNNEOS should not leave a scar behind. It is possible some jurisdiction is administering the ACAM 2000 vaccine, which, as you noted, do leave a scar behind. "Jurisdictions may also request shipments of ACAM2000 vaccine, which is in much greater supply, but due to significant side effects is not recommended for everyone." https://aspr.hhs.gov/SNS/Pages/JYNNEOS-Distribution.aspx

If you are on daily PrEP, then ... every day. Research shows it takes about 7 days or so for the anal tissue to have the maximum protection from daily PrEP. Alternatively, there is also PrEP on Demand. You can read more: https://www1.nyc.gov/assets/doh/downloads/pdf/ah/prep-on-demand-dosing-guidance.pdf You can't do both PrEP and PEP at the same time. PEP also has Truvada or Descovy as one of the regimen so you can't do both at the same time (plus if you are correctly dosing on PrEP, you wouldn't need PEP anyway) If you need PEP, ASAP is the correct answer but in any case, no more than 48-72 hours after the sexual encounter. There are only 3 PrEP approved: Truvada, Descovy and Apretude. The last is the newest, and is a depot injection that will last about 2 months (after initially with the pill trial to ensure tolerance). PEP formulary will be based on what is approved in your jurisdiction. You don't have a choice in that regard.

"Jurisdictions may also request shipments of ACAM2000 vaccine, which is in much greater supply, but due to significant side effects is not recommended for everyone." https://aspr.hhs.gov/SNS/Pages/JYNNEOS-Distribution.aspx So if the particular local health authority wants to administer ACAM as opposed to Jynneos, there appears to be no shortage of the vaccine (but that ugly scar ...)