 Hey guys, Rave here. So today, I want to do something really cool that I've been planning for a while. And I want to go visit my doctor, Jake Latsy, for my every six months. I do check up the doctor's appointment. We get lab work done, the follow-up on the medication I'm doing, and see if we need to change anything or stuff like that. Alright, let's go. What brings you in today? I just bring tea and check up. And no allergies to medications, right? No. Haven't been to the hospital for any surgery since the last time we saw you? Have you had sex since the last time we saw you? No, I haven't. Okay, because you said the same thing the last time we saw you, so we wanted to make sure about testing in the end for STDs and things like that. Yeah, it's been over two years now. Wow. I like to say it's wow. Yeah, I know. The perturbed under the 287.8, the perturbed is good. 124.8. Pressure is good and your pulse is 6 to 9. So you're all set, just wait right here. And Dr. Gladstein will be right in with you again. Okay, cool, thanks. I'm meeting with Dr. J. Gladstein. He's a HIV specialist. So I meet with him every six months to do routine lab work and then just to check up on how I'm doing. So, how have you been? So the last time that we did any labs on you was in January. Yeah. And I can't remember if I mentioned to you in January that things continue to improve in terms of medication. So when we saw you in January there's a new medication that I'm going to show you in a second. And when I saw you in January that medication was not yet available. Yeah, you said it was in trial, right? It was kind of, it was just about to be kind of available, which I think like the next week, February 5th or February 12th or something like that. So in January 30th. So it was right after your last visit here. And what you're taking is one pill once a day. Genboya, one pill, very small, very simple. And there's a new, I basically consider this an upgraded version of Genboya. And it's this little guy here called Victorbi. It's this little guy. So you're taking this guy. And I'm going to recommend. I've heard about that lately too. Yeah, I think this has some advantages over this one. And some advantages over what you're taking. It's very similar to what you're taking. It's also not dissimilar to this one. But I think this is actually by a pretty clear margin the best HIV medication we've ever seen. So treating HIV, the goal with any HIV treatment is just to shut the virus down. So basically to make the HIV virus act the same way. Did you have chicken pox as a kid? Yeah. So to act the same way your chicken pox virus has. So when you woke up this morning, did you think, oh my god, did chicken pox? You do. And so do I. And so do most people in the world. The chicken pox virus that you have now and the chicken pox virus that I have is inactive. And what's keeping it inactive is our immune system. HIV is also a virus, but what's different about HIV is that our immune system is not capable of inactivating the virus. That's the goal of medication. So medication will inactivate it so that it becomes as significant in your life as your chicken pox virus, which you don't give two thoughts to. So the way we inactivate HIV, because HIV is kind of a wily virus and it will, it can get around the immune system. But it can also get around a medication unless we do certain things. And what we've done for the past 23 years that we've had effective medication is we use three different medicines to shut it down. And if you do that, then you'll effectively shut it down the same way our immune system shuts down chicken pox virus. So with Genvoyah, with all of these medications here, they all have at least three active medications. In some cases there's four medications. So what you're taking now, Genvoyah has four meds in it. That fourth medication that's in it is not active against HIV directly. It's causing a drug interaction with one of the other components that's in it. And it makes that other component more active. Okay, got it. With Dictardi, this new one, it doesn't require that fourth medication to activate it. So it's a little bit more efficient. Another way to think of it from a medical standpoint is it's a little cleaner because it has fewer moving hearts, fewer drug interactions. And it also has two other advantages. It has what we call a higher genetic barrier to resistance. So I just talked earlier about HIV being kind of wily. Like it'll affect the immune system. What we call that, or another way of describing that is this barrier to resistance. It's really hard for HIV to mutate and become resistant. It's easier for it to mutate and become resistant to Genvoyah. But very hard with this one. Interesting. So it's better at suppressing HIV, harder for HIV to become resistant to it. It's smaller. It has fewer drug interactions. And Genvoyah, at least on the bottle, it says, take with food. This is with or without food. So very similar. Some of the components are the same. One of the components in here is completely gone because you don't need it. And there's another component that's tweaked a little bit to give it those advantages. So as I see it, if you're taking Genvoyah, upgrade the new one to the iPhone X. Let's do it. That's kind of what this sort of thing is. And to me, what it represents is really the most up-to-date advance on where we've gotten in terms of managing HIV. And it's, I think, better than anything we've seen in the past. And it really shows how far we've come in terms of our ability to shut this virus down. Yeah. Very good, sir. Have a seat right up here. You're up, like, 10 pounds, although it's been over here. I'm what? Your weight's up. But that's compared to last year. Compared to last time. It's muscle. It's identical. Should be muscle. It looks like it's muscle. So let's get some labs out of you. We'll switch you over to Victoria. How much Genvoyah do you have? A lot. So what I would recommend, how much is a lot? A month's worth. Like six? Mm-hmm. Okay. What I would recommend is use them. Okay. And the Victoria will start to build up. So that by the time you've used up your Genvoyah, you've got a surplus of Victoria. Okay. That way you'll maintain your surplus. The surplus is good. Yes. So let's say you decide that you're going to go canoeing in the Amazon for six months. Then, you know... I always think if there's a cataclysmic event, like... Like Donald Trump is president? He gets a big one. Well, that too. Like we go to World of Canada? We laugh. I know. We'll probably read about it in the paper tomorrow. We drop the first bomb on Montreal. I get a lot of people asking me, well, a lot of questions, but... A lot of them are sick. Yeah. A couple big deep breaths. Why is that just one sec? It's already allowed. Okay, you had what? Did you get it? Yeah. Yeah, I did it. So it blasts your ears out. Okay. So anyway, you had people asking you... About supplement interactions. Very good question. So when it comes to... Very good question. When it comes to, like, diet supplements or not diet supplements. Food supplements, vitamins, minerals, those sorts of things. There's no interaction. But with both Genvoia, which are on, and Victoria, there can be an interaction with very high-dose calcium and magnesium. Okay. Which you would find in tons, rolates, mylanta, that sort of thing. If you're taking a multi-vitamin with calcium or magnesium, those doses of calcium and magnesium are much lower than what you find in tons and rolates. Specifically, take a ZMA, which is zinc and magnesium pills. What time of day do you take it? I take it in the morning when I'm fasted. Okay. And what multi-vitamins in the evening? And what time of day do you take your Genvoia? The evening. Oh, you're fine. Okay. So I would either... What's the interaction? The interaction is just with magnesium. Okay. Nothing else. Magnesium, calcium, and aluminum. Does it suppress the efficiency of it? I mean, chemically bond with one of the components of EHM medication. Okay. But not zinc, not the multi-vitamin. Only, in your case, it sounds like only the magnesium. Okay. And the magnesium that you're taking is probably not a high enough dose to cause an interaction. Mm-hmm. And you're taking it several hours apart. Yeah. So if you're going to take it together, you can. Mm-hmm. But what I said earlier was that the Victoria can be with or without food. Mm-hmm. If you take it at the same time as your zinc magnesium, then take it with some food. Okay. And it takes care of the problem. But it sounds like you're already taking care of the problem because you don't take it at the same time. Yeah. And then people will always hit me up asking about whey protein, creatine, pre-workout, post-workout, like supplements in general for like bodybuilding, fitness. Is that a concern? Because people like... With HIV? Yeah. No. Internationally, from their doctors say, you can't take whey protein. It'll affect your kidney and your liver. You can't take... No. So, you know, obviously not everybody's the same. Right. And for some people with HIV, but not you and not many people, but some people have some kidney disease. Mm-hmm. And that could either be you to untreated HIV. If people have HIV and they don't get treated, it can lead to some harm to the kidney. And in that case, the kidney can have a problem processing large doses of large volumes of protein. Mm-hmm. But that doesn't apply to you. No. And some HIV medications can also affect the kidney, but the current ones do not. Yeah. Because the current medications keep getting cleaner, less toxic, more efficient. And there's no issue there. When it comes to creatine, creatine can interact with or disrupt our ability to do one of the measures of kidney function. It doesn't have an effect on kidney function. But the way we measure kidney function is indirect. And we actually look at a surrogate marker, what we call a surrogate marker of kidney function. So, not a real marker. Okay. Because to really determine kidney function, you've got to do this 24-hour urine testing and it's very problematic. So, we do this kind of cheap and easy workaround. Yeah. But if you take a creatine supplement, it can interfere with that workaround test without interfering with kidney function. And appear as if it's... Yeah. But it's not going to be significant enough to make a difference. Okay. And that's going to be a bigger deal for some people than others. In your case, it's not a big deal. Great. So, you can have all the whey protein and supplement with some creatine that you want. And I think we're good. Any other questions, comments, concerns? Not at all. Well, I think you're doing fantastic. Well, thank you for being willing to do this, too. No problem. Very happy to do it. Happy to help in any way. Okay. Talk to you soon. And we'll see you next time. All right. Let me know if you have any questions. I will. Okay. Yeah? Okay. Me neither. Good to meet you. We'll get you out of here in no time. So, what just happened? You just swapped medications. So, yeah, I just changed my medication from GenVoia to Victoria V. Which is cool. Obviously, way cleaner. The medicine's getting even better. I don't, you know, I don't, I can't imagine that the medicine is going to get that much better than it already has. I have no side effects. I don't have to worry about much in the way of interactions except for, like, what he was saying with magnesium. Is that usually how long it takes? Yeah. It's usually pretty, pretty quick. And then he'll just ask me some questions personally about my life. See how I'm doing on a personal level and ask me some, he'll ask me about, like, like sexually active questions like that but I haven't been for two years so I don't think he even bothers to ask me more. And then he'll let me know the latest on what's going on with the medicine. Pick a vein. Yeah, I like this one. Do you have my veins kind of like an X for you? Yeah. I should tell myself that I was an X man. Alright, right, you're all set. So it was for me that you're in test and you're good to go. Okay, cool. Alright, you. Have a great day. Thank you. Okay, so I hope you got something useful out of this video. I'll give you a glimpse into what it's like going to the doctors because in a previous vlog I talked about what it's like living with HIV. I've gotten such tremendous feedback from that. And I mentioned that I take, aside from taking a pill once a day and going to the doctors once every six months, that's really all that HIV has impacted on in my life. So I figured let's show that. It's not some scary dungeon where people are looking sad and depressed and you want to die on every other chair. It's a totally normal doctor's visit, normal people. Dr. Jay Glassing is an amazing guy as well as an amazing doctor. He's so knowledgeable. He has so much information. I go every six months. We talk about how I'm doing personally on a personal level and my sexual life. I don't have one, so we don't want to talk about it. And then any new developments with medicine and then if there is a new drug like today I'll switch to that. So I hope I was able to answer some of your questions or ease some of your concerns or just give you an insight into a world that otherwise is totally foreign to you. Please like, subscribe, share if you think anyone can find this useful and stay tuned. I've got a lot more to work on. Yesterday, so everything's like a fucking drag into this vlog. I hope you got some news out of this. Just got shot.