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Is HIV testing up to par?
Who is transmitting HIV? It is estimated that roughly 90 percent of new HIV infections stem from transmissions from individuals who are infected by HIV but undiagnosed and from those individuals diagnosed with HIV who are not in medical care. There are approximately 1.1 million people in the United States living with HIV, ~18 percent are… Read more about Is HIV testing up to par?
With the advancement in efficacy and tolerability of HIV treatments, individuals with HIV are living longer and longer. However, despite HIV viral load suppression (undetectable), those with HIV have a higher risk of heart disease. According to a recent statement from the American Heart Association (AHA), “Rates of myocardial infarction, heart failure, stroke, and other… Read more about Increased Risk of Cardiovascular Disease in HIV
You may have heard by now there’s another medication coming out soon that can be used for HIV Pre-Exposure Prophylaxis (PrEP). This medication is called Descovy and is actually an updated formulation of the medication currently used for PrEP, Truvada. The two drugs both contain Emtricitabine and Tenofovir, with Descovy containing the safer version, Tenofovir… Read more about PrEP 2.0: How Will It Change Things?
Maybe you’ve heard, maybe you haven’t, but injectable HIV drugs are the next big thing in HIV treatment. VIIV pharmaceuticals has been working on a combination injectable containing an integrase inhibitor (Cabotegravir) and Rilpivirine (a Non-nucleotide reverse transcriptase inhibitor). The injection would be given once monthly, and, so far, in phase III trials, showed a… Read more about An Injectable HIV Med?
Is Anonymous STI Notification Sending the Wrong Message?
I recently had a patient come into the office for STI (sexually transmitted infection) testing because he had received an anonymous text message alerting him that he may have been exposed to an STI. The text was sent anonymously by one of his sexual partners through an STI notification service. While I was aware of… Read more about Is Anonymous STI Notification Sending the Wrong Message?
I often tell patients that diabetes will change your life. In fact, it must: you will have to change the way you eat, what you eat, how you eat, etc. Developing diabetes is a complex disease affected by a mix of lifestyle and genetic predisposition. As we know, diet and exercise play a big role… Read more about Can Weight Loss “Cure” Diabetes?
Getting tested for HIV can be an anxiety-provoking experience for many gay men. Decades of stigma paired with misinformation and antiquated knowledge of how HIV is treated can lead to fear, uncertainty, and grief for those who hear the words, “You are HIV positive.” It can also be overwhelming, so let’s start with some basics. Did… Read more about Diagnosed with HIV, Now What?
Does HPV lead to increased risk of Cardiovascular Disease?
February is American Heart Month so it is only appropriate to highlight cardiovascular health in one way or another. At some point or another, you’ve heard about Human Papilloma Virus (HPV) and all that it can cause: cervical cancer, anorectal cancer, oral cancer, and the list goes on. As if that wasn’t enough to worry… Read more about Does HPV lead to increased risk of Cardiovascular Disease?
In 2017, I was asked “does the ketogenic diet work?” In 2018, I was asked “does intermittent fasting work?” Well, the science shows that both can help people lose weight. In fact, a lot of my patients have found success with both keto and intermittent fasting. But, the question to ask before starting any type… Read more about Does Intermittent Fasting Live Up to the Hype?
Nutrition plays a big role in preventing and managing diabetes. Usually discussions about food and diabetes focus on carbs, and with good reason. Carbohydrates impact blood sugar (unlike the other two macro nutrients- protein and fat. More on them in the pairing section below. Here is how it works: Carbs are eaten–>carbs are digested/broken down… Read more about More Living, Less Carb Counting
New Blood Pressure Guidelines Could Impact Over 3 million People
Ever since the American College of Cardiology (ACC) & American Heart Association (ACH) came out with new blood pressure guidelines in 2017, many have discovered that their blood pressure averages may put them into a category in which medications are recommended. With the new guidelines, patients whose BP readings from 130-139/80-89 are classified as having… Read more about New Blood Pressure Guidelines Could Impact Over 3 million People