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I receive a phone call from the Mortimer Market Centre.

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I am told there has been an anomaly in my firwt results. I have to discontinue taking PrEP immediately and go back to the clinic for an emergency blood test.

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When the results come through a few days later, first time gay anal bareback seems my kidney function is back to normal. But it strikes me how easily I could come close to kidney failure — and this makes me realise how important it is for people self-sourcing PrEP online to be monitored by the NHS, just like women taking the contraceptive pill have to gay filipino men trailer their blood pressure checked regularly.

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After a few days break, I restart my course of PrEP with a vow to avoid ibuprofen. Shortly afterwards, I fly to the US.

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In fact, the first thing that happens when I switch on the app is that I receive an advert for PrEP on sale at the high-street pharmacy chain Walgreens. Barebacl the course of my trip I have sex with a first time gay anal bareback men and condoms are not even mentioned — nor is HIV status discussed.

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I have no idea whether this is a good first time gay anal bareback bad thing but it is clear that PrEP has indeed changed things. In the past, I had always been struck by how upfront Americans were about their HIV status — and asking about mine. It seems this is no longer an issue or even a conversation — and the sexual activity I experience is entirely free from fear.

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The drug is completely normalised and there is no stigma. As I fly back to the UK, I think this is what it should be like at home.

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Looking at the bigger picture, there is no denying that the drug is a potential game-changer.