SirBillybob

I went by Sky on Thursday night and saw no "danseurs" sign. Some of the venue's components are weekends only but I was busy. I went to Stock but forgot to ask if there was new competition (ie Sky) I may be proven incorrect, but I do not think Sky has strippers with private dance options. They upgraded one component to a bistro at street level, but I think the other components have not been altered to add a dancer stage, etc.

... after it has become engeorgi'd from sucking on it.

There is a little bit more info on earlier threads here. Search "Georgi". Besides, his surname Kiryakov is on his shirt and you can find him on IG, etc.

I never planned it, but had a huge crush, in my 50s, on an escort who also was a novice personal trainer who was also getting some expert mentoring on program design. We agreed on a short trial of training, ended up mixing the two roles for 30 months. I had obviously been working out poorly for decades because I peaked at a low-body-fat but rather skinny size, and low but healthy weight for my height. For years I had dreamed of getting just that extra 10% that would still bring me to a weight (still) more slender than a swimmer build. Slowly, steadily, with an approach more geared to high resistance less reps, changing the routine every 4-6 weeks, I got to 17% greater weight than baseline. About one pound max per month on average. Not big by any stretch but appropriate for my frame. Half of workouts with him, half on my own, never more than two at a time on my own. For me, bending to his rigourous programs was exciting and the additional treats were incentivizing. I agree in principle that it was training heresy but it worked for me.

---- I went to Thermas about 8 times this month over a few weeks visit. Tried to hit every night of the week. There was no real difference among the nights. It was generally awful for selection or for doing a few guys consecutively. There was 1 max 2 guys each time worth hiring. Otherwise, the dozen or so escorts were surprisingly unattractive and out of shape compared to my previous visits 2012-2016, and compared to Rio, Salvador Bahia, São Paulo, etc. If it had not been for the few guys who appealed to me ... a stroke of luck that there was one each time (otherwise I'd have been flushing cash down the drain for the entrance) ... it would have been a total bust. The VIP room (€15) was decent. Junior (mentioned), a newbie friend of his from Rio Grande do Sul state, and an in-demand stud from Paraguay were highlights and made the trip worth it.

Yes, I realized that after having boned up on some of the reading this week. You have a good eye. I might have walked off with misinformation or misinterpretation. In any case, I now stick to Tylenol. I am going to go over it again with a walk-in to the PrEP clinic pharmacist soon because my PrEP follow-up with the nurse is a few months away.

Part 3 Consumer Information - see the paragraph on "do not take with ... NSAIDS". Gilead Sciences Product Monograph for Truvada, July 5 2018 Me: Ibuprofen may perhaps be a NSAIDS with lower nephrotoxicity than some others but it can be easily switched out for Tylenol or Aspirin? Some people pop such pills like candy, and my health care providers may be framing taking Advil (or Methocarbamol with Ibuprofen for muscle relaxation) as a prohibition rather than a caution?

Hi, TruthBTold, I still think that what you described in more detail remains inconsistent with the guidelines for on-demand as I understand them. I say this in the spirit of longstanding townhall-type sharing traditions for gay men since the onset of HIV, traditions that have made their way into current fora such as this one, and are like an unstoppable train. The explicit proviso being such contributions do not stand in for properly sourced medical advice. Not to be controversial or out-of-turn authoritative, or erode your confidence in your health provider. The product monograph or pharmacist's instruction sheet is another means of ascertaining the correct regimen based on whether it is continuous daily PrEP or a current on-demand option endorsed in your particular country.

I understand what you are trying to say, josh282282. My impression reading the OP was that has his physician was describing the now widely accepted on-demand PrEP regimen. That was my assumption because the OP had described enough features of that regimen that lined up with the instructions accompaning the Tenofovir-Emtricitabine bottles dispensed to me and thousands of others in several parts of the world. The OP's description fell short of the details of this IPERGAY research-supported regimen. However, he did not suggest that he was going to take PrEP willy-nilly without following the instructions for the version of PrEP he would ultimately select. I will risk a paradoxical bind at this juncture. You suggest that I did not elaborate on my on-demand PrEP preference, yet if I now describe that regimen you may be inclined to assert that I am trying to endorse it without the solid research underpinnings you seem to dismiss or be unaware of. But here goes: 2 pills 2 to 24 hours prior to first sexual activity, followed by 1 pill taken daily until 48 hours following the last sexual activity. My most recent course equalled 14 doses for 10 days of expected activity. Such cycles of usually similar length occur, in my case, a few times within the year. You rightly weighed in out of concern that the OP and others would not take PrEP properly. You described a consumption standard, 7-days preparatory PrEP, that remains consistent with the elective option of continuous PrEP uptake .... 7 days of consumption prior to having or resuming intercourse at a level of frequency supporting continuous (as opposed to on-demand) is not an imposition because it is likely going to be a one-time basis, or a less frequent but longer wait-period requirement in the context of sustained cycles of high-risk sex. On the subject of motive, you are imputing to me irresponsible or reckless intent. Unfortunately, this is just an example of WYSIATI bias ... what you see is all there is. Embellishing your point by needlessly conflating my rendering of the description of my physician's instructions with the proffering of amateurish clinical advice. I had already clarified that I was not giving a personal opinion but that I was following the guidelines that emerged from on-demand PrEP research. I am not the only forum member, by the way, that applies the principle of 'caveat emptor' to all consumerism including health care. A physician incapable of drawing on more sophisticated processing in order to temper cognitive bias and short-sighted impressions of me would not pass my 'acid test' for patient-centred care.

The International Antiviral Society -USA panel is accepting of the on-demand 2 pill 24 hours prior to RAI uptake standard based on the Ipergay study. I believe the reference is in JAMA and easily accessed. For intermittent semi-spontaneous anal intercourse, 7-day blood plasma loading is unrealistic for many fellows at a practical level. Postponing a rare fuck opp don't work that way. We tend to want it and to want it stat. And as mentioned, PrEP is not intended to replace condom use. I do consult my ID specialist and switched a year ago from the 7-day single dose to 24-hour pre-coital double dose, even though I always know 7 days or more ahead of time when sex is going to occur, and even though cost is a non-issue for me. Granted, I neither expect readers to follow my decision nor the advice of a physician not in their care cascade. If IAS-USA and CDC want to duke it out on behalf of American MSM, fine with me. I am neither American nor USA-centric. CDC guidelines, while reputable and respect-worthy, are not global guidelines.

Oh, right. Thanks. On demand PrEP was 86% more effective for drug (.9% infection over average 9 months, with acknowledgement among the 2 subjects they had stopped the pills) compared to placebo (6% infection rate; n = 14 infected). Essentially, PrEP taken properly was very effective.

Sorry, I do not know why you cannot find this info. NSAIDS add to the extreme workout that Truvada confers [sorry, should be "imposes", not confers] on our kidneys. My follow-up PrEP team at a top-drawer clinical research centre always says: remember, drink lots of water and do not take any Advil. Try googling 'truvada nsaids' and follow the trail.

Help me out, please. A poster wrote in these related PrEP threads quoting an 86% something-or-other. I was skimming, then could not find the post during a more detailed read. Where is that post? Was it removed? Please tell me the thread name and the date of that specific contribution.

Some of the confounders comparing daily versus demand related to the reduced distinction between the sexual patterns of the two groups. More frequent sex among some in the demand group amounted to up to an average of 25 doses per month. This is analogous to taking continuous PrEP substandardly in the context of a frequency of anal intercourse that would ordinarily call for the daily regimen. Therefore, a lot has to do with taking the chosen course appropriately ... not news. In contrast, in the substudy of demand PrEP compared to demand placebo, each group's average pill dose frequency was about 15 per month ... equivalent to about 3-4 sex cycles based on, give-or-take, two simultaneous pills before followed by one pill on each of two subsequent days.

Ibuprofen is contraindicated while taking Truvada. I switch to Acetaminophen or ASA for occasional headache use (unrelated to ARV meds) as needed during my on-demand PrEP cycles. Psyllium husk is food and is water soluble. There are no food adjustment requirements for tenofovir/emtricitabine. I do not alter my psyllium consumption when taking PrEP because it does not affect the pharmacokinetics/bioavailability of the drug. The most challenging requirement is increased water consumption for renal protection, because I have never felt particularly thirsty and I have an "urgent bladder". When taking PrEP I always need to be conscious of where I can pee if out doing some activity.

There is a lot of easily accessible research on comparing both the effectiveness, and MSM consumer reasons/preferences, for daily versus OnDemand/intermittent/pericoital PrEP. The guidelines for on-demand are a little more specific than the OP represented, based on his summary of his MD's description. This option is far more commonly utilized in Europe and Canada compared to USA. I take the on-demand course, though I have the same very low cost burden for either method. I think somebody mentioned donating their unused/stockpiled Truvada to a poz person that might be in need. NEVER make this call. Truvada is not used as a solo agent for HIV treatment. That is why routine testing is recommended for PrEP users. If seroconversion occurs, a different standard of medication is used for viral suppression and to prevent the complexities of drug resistance.

"George" is apparently now in HCMC Vietnam, while one of his escorting wingmen is in Melbourne. A very hot muscular 6'2" Mineiro workout buddy "Pedro" or "Pablo" or something like that, training with George end of April and posted on his IG feed, worked a shift recently at BCN Thermas, turning tricks for €50-70.

... and provide more photos, on request, of his visit to the dentist.

Still, the idea of a "controlled" prospective study is challenging. Randomized has been mentioned, but chaps interested in participating would already have been predisposed to douche or not douche based on preferential behavioral patterns. Douchers might grudgingingly agree to freestyle if scooped (against pre-established behaviour) into the residual-poop group but would possibly alter their receptive anal intercourse style. Also, when I started to try douching I did not like it and found it made no difference according to my needs and tolerances, so randomly imposing douching is fraught with complexity. Also, a point of clarification about double-blind. Assholes have eyes, so there would be no possibility of maintaining ignorance about the independent variable ... unless an anal douche is developed in suppository form with one a placebo version (here you may detect I am taking this to the ridiculous). The only possible visual impairment when I am getting royally shtooped is when my eyes roll back in my head or I am proverbially fucked blind. This discussion reminds me of the 1980's era when a mysterious syndrome emerged among queers and IVDU. Being gay was associated with thIs killer illness. Unique among gay men was a high preponderance of anal exposure to jizz. The 'retrospective' trends were enough to have me pause and alter my sexual behaviour. Others perhaps were sticklers about the disease manifestations and related presumed factors meeting all of the necessary and sufficient assumptions about causal directionality. Logically, I did not think that getting sick and dying made you a queer taking it up the arse. In contrast, without the need of a prospective design, I logically thought that being a queer taking it up the ass causally predicted morbidity and mortality. There may be 'just enough' evidence now about douching. Additionally, douching (or not) is non-stigmatized and either of them cannot be easily appropriated against us by the douche-y religious right in any way. Not douching also deflates pharma profit margins.

I am thinking a prospective research design, whether randomized or douche option- selective, would be tricky because each subject douching would need to be pair-matched with a nondouching participant on several variables unequivocally predictive of STI. Douche methods and AI style alone are already variant. In addition, STI is a broad categorical variable. The incidence of an arbitrary quantity of non-specific STI over an arbitrary time frame may not reveal much. Also, since history (duration) of douche practices seems to be related to rectal lining vulnerability, matched pairing would be limited in this respect.

I have seen more recent photos of this guy, depicting a more accurate representation and possibly higher age, compared to the ad pics. Though age 29 sounds about right. I found his IG profile and it is private, but google search brings up both some of the ad photos and less-in-shape photos. He is from or was based in Curitiba. The green eyes are genuine. I suggest before booking to ask for current images thru Whatsapp. He does seem to be bottom-heavy like a speedskater or cyclist. Less arm mass and tone. Anyway, you can simply google his escort name and access oodles of Brazilian escort sites where he has also added his IG name in some. This may be his first time out of country and on RM. Beyond endowment accuracy, the range of accessible images gives an idea.

Lister actor(ress) is lead in Netflix series Dr Foster, worth a peak as well. Anne/Jack's paternal spinster aunt, sister of her father (the old dude there) is the older woman at Shibden. The mother is dead. Anne/Jack had years before obtained co-ownership from her paternal uncle and this aunt (his sibling), the idea being that she would inherit fully. Her father (a third sibling in the older generation) and sister resided there without ownership claim.

... find it easy not to be maudlin when don't make it to the top.

I need a roofer with enough stamina to bang all day on top of me.

He posted a workout in Toronto yesterday. Since he did some modelling work in USA a while back, possible explanation is he did not honour the required visa category or duration.