Plus, March-April 2024 by Equal Pride

BECAUSE YOU’RE MORE THAN YOUR STATUS

HOW TO TALK TO YOUR DOC ABOUT SEX ONLYFANS MODEL RIDES FOR THE CAUSE DRAG RACE GERMANY’S HIV+ HOST

THE ANNUAL

WELLNESS ISSUE

THE IMPORTANCE OF CARING FOR YOUR MIND, BODY, AND SOUL

MARCH/APRIL 2024 hivplusmag.com

IMPORTANT FACTS This is only a brief summary of important information about BIKTARVY® and does not replace talking to your healthcare provider about your condition and your treatment.

(bik-TAR-vee) MOST IMPORTANT INFORMATION ABOUT BIKTARVY

POSSIBLE SIDE EFFECTS OF BIKTARVY

BIKTARVY may cause serious side eﬀects, including:

BIKTARVY can cause serious side eﬀects, including:

 Worsening of hepatitis B (HBV) infection. Your

 Those in the “Most Important Information About

healthcare provider will test you for HBV. If you have both HIV-1 and HBV, your HBV may suddenly get worse if you stop taking BIKTARVY. Do not stop taking BIKTARVY without ﬁrst talking to your healthcare provider, as they will need to check your health regularly for several months, and may give you HBV medicine.

ABOUT BIKTARVY BIKTARVY is a complete, 1-pill, once-a-day prescription medicine used to treat HIV-1 in adults and children who weigh at least 55 pounds. It can either be used in people who have never taken HIV-1 medicines before, or people who are replacing their current HIV-1 medicines and whose healthcare provider determines they meet certain requirements. BIKTARVY does not cure HIV-1 or AIDS. HIV-1 is the virus that causes AIDS. Do NOT take BIKTARVY if you also take a medicine that contains:  dofetilide  rifampin  any other medicines to treat HIV-1

BEFORE TAKING BIKTARVY Tell your healthcare provider all your medical conditions, including if you:  Have or have had any kidney or liver problems, including hepatitis infection.  Are pregnant or plan to become pregnant.  Are breastfeeding (nursing) or plan to breastfeed. Do not breastfeed if you have HIV-1 because of the risk of passing HIV-1 to your baby. Tell your healthcare provider about all the medicines you take:  Keep a list that includes all prescription and over-thecounter medicines, antacids, laxatives, vitamins, and herbal supplements, and show it to your healthcare provider and pharmacist.  Ask your healthcare provider or pharmacist about medicines that interact with BIKTARVY.

BIKTARVY” section.  Changes in your immune system.  New or worse kidney problems, including kidney failure.  Too much lactic acid in your blood (lactic acidosis),

which is a serious but rare medical emergency that can lead to death. Tell your healthcare provider right away if you get these symptoms: weakness or being more tired than usual, unusual muscle pain, being short of breath or fast breathing, stomach pain with nausea and vomiting, cold or blue hands and feet, feel dizzy or lightheaded, or a fast or abnormal heartbeat.  Severe liver problems, which in rare cases can lead to

death. Tell your healthcare provider right away if you get these symptoms: skin or the white part of your eyes turns yellow, dark “tea-colored” urine, light-colored stools, loss of appetite for several days or longer, nausea, or stomach-area pain.  The most common side eﬀects of BIKTARVY in

clinical studies were diarrhea (6%), nausea (6%), and headache (5%). These are not all the possible side eﬀects of BIKTARVY. Tell your healthcare provider right away if you have any new symptoms while taking BIKTARVY. Your healthcare provider will need to do tests to monitor your health before and during treatment with BIKTARVY.

HOW TO TAKE BIKTARVY Take BIKTARVY 1 time each day with or without food.

GET MORE INFORMATION  This is only a brief summary of important information

about BIKTARVY. Talk to your healthcare provider or pharmacist to learn more.  Go to BIKTARVY.com or call 1-800-GILEAD-5  If you need help paying for your medicine, visit

BIKTARVY.com for program information.

BIKTARVY, the BIKTARVY Logo, ADVANCING ACCESS, GILEAD, and the GILEAD Logo are trademarks of Gilead Sciences, Inc., or its related companies. © 2023 Gilead Sciences, Inc. All rights reserved. US-BVYC-0357 11/23

Gilead is committed to helping you afford your medication no matter your situation. If your healthcare provider has already determined that BIKTARVY is right for you, then the Gilead Advancing Access® program can help you explore potential coverage options.

If you’re eligible,

you may be able to pay as little as $0 for your co-pay.* *For commercially insured eligible patients only. See terms and conditions at GileadAdvancingAccess.com. People featured take BIKTARVY and are compensated by Gilead.

If you do not have insurance, Advancing Access can help explore alternative support options. Call Advancing Access (1-800-226-2056) or go to HelpPayForBIKTARVY.com. Advancing Access specialists can help you understand your health insurance and Gilead medication costs.

Ask your healthcare provider if BIKTARVY is right for you. Please see Important Facts about BIKTARVY, including important warnings, on the previous page and at BIKTARVY.com.

Scan here to learn more

contents

LOVE ALL OF YOU

i s s u e 1 59

For this special Wellness Issue, we spoke to several experts about how to better connect and care for your mental, physical, sexual, and spiritual health. It's time to put you first. FEATURES 12 THE GOOD LIFE Dr. Gary McClain has advice on how to add some joy to your life. 14 MORE DR. MOORE, PLEASE This fitness expert and HIV ally is here to motivate you. 16 OUT OF THE SHADOWS An HIV+ artist's inspiring one-man show returns to the stage. 17 COMMON CARES The actor, rapper, and author's latest book is all about self-love. 19 EXAM ANXIETY? Tips from a leading gay doc on how to advocate for yourself at checkups.

BUZZWORTHY

TREATMENT

6 ROUGH RIDER This Onlyfans model plans on raising $100,000 for HIV causes.

22 POWER OF THE POKE Are you up to date on the latest injectables for HIV?

7 ONE COOL QUEEN Drag Race Germany's new cohost is busting stigma. 8 BABY BREAKTHROUGH A possible new option for HIV+ folks wanting to start a family.

23 SCIENCE SETBACK A large HIV vaccine study fails, but all is not lost. PARTING SHOT 24 ALL THAT JAZZ Broadway bands together for raise millions — and put on one a hell of a show.

A RTURO OLMOS (14); JACK JULIA R (6); REBECCA J. MICHELSON (24); FRONT COVER IM AGE BY R A FA EL BA RROS/PE XELS

20 END WAR & HIV Legendary activist group ACT UP continues to fight for peace.

COURTESY SMITH

M A RCH / A PRIL 2024

STAY INFORMED. BE EMPOWERED. JOIN THE CONVERSATION. SIGN UP FOR

Ôs NEW & IMPROVED Email Newsletter. SCAN THE

QR code below or visit

advocate.com/signup to subscribe!

DON’T MISS OUT On the latest news, with inspiring stories on important issues that matter to our community!

chief executive officer MARK BERRYHILL cofounder, equalpride MICHAEL KELLEY chief financial officer JOE LOVEJOY chief operating officer BERNARD ROOK chief marketing officer MICHEL J. PELLETIER executive director of digital content KAYLA GAGNET editorial director NEAL BROVERMAN editor in chief DESIRÉE GUERRERO executive creative director RAINE BASCOS

executive vice president, corporate sales & partnerships STUART BROCKINGTON chief of staff CHRISTOPHER GO vp & publisher, the advocate, out, & plus MARK ISOM vp, corporate sales JOE VALENTINO

EDITORIAL senior editor JOHN CASEY senior copy editor TRUDY RING contributing editors MARK S. KING, GARY MCCLAIN, CHRISTOPHER WIGGINS

ADVERTISING, BRAND PARTNERSHIPS & INTEGRATED SALES vp, brand partnerships TIM SNOW senior director, brand partnerships ANDRAÉ BONITZER VIGIL-ROMERO creative director, brand partnerships MICHAEL LOMBARDO managing director, corporate sales KAYLYN BLACKMORE managers, brand partnerships NIC AUSTIN, JOSE CARDENAS, ALEX HOFFMAN, ERIN MANLEY account manager, corporate sales & partnerships CARINA BUIE coordinator, sales & advertising administration LULU DROPO account manager, corporate sales MARCUS HOEY

ART graphic designer MARIUSZ WALUS digital photo editor NICOLE AYE EQUALPRIDE EDITORIAL editor in chief, the advocate DESIRÉE GUERRERO digital director, the advocate ALEX COOPER senior editor, the advocate JOHN CASEY sr. national reporter, the advocate CHRISTOPHER WIGGINS staff writer, the advocate & out MEY RUDE editor in chief, out DANIEL REYNOLDS digital director, out RAFFY ERMAC associate digital director, out & pride.com BERNARDO SIM managing editor, out traveler DONALD PADGETT editor in chief, pride.com RACHEL SHATTO community editor MARIE-ADÉLINA DE LA FERRIÈRE ADVOCATE CHANNEL vp, video, operations JASON KNIGHT executive producer, DENISE NAUGHTON vp, women’s programming & host SONIA BAGHDADY vp, executive producer of entertainment TRACY E. GILCHRIST producer, host AARON DEANE producer, host LAPORSCHE THOMAS booking producer CAROLINE WEISS senior producer BRIAN KELLEY producer CARA GLASS host & producer JAYMES VAUGHAN host & producer STEPHEN WALKER host & producer RACHEL SMITH climate change reporter, producer MICHAEL SMITH chief video editor LAMONT BALDWIN senior video editor RICHARD GACOVINO chief video editor LUCY VALENTI chief video editor WALTER COLVIN ADVERTISING & SUBSCRIPTIONS phone 212.242.8100 advertising fax 212.242.8338 subscriptions HIVPlusMag.com/subcontact EDITORIAL editor@hivplusmag.com

ADVERTISING vp, ad operations STEWART NACHT manager, ad operations TIFFANY KESDEN MARKETING manager, social media CHRISTINE LINNELL specialist, social media JADE DELGADO senior marketing designer ERIK BROCK CIRCULATION director of circulation ARGUS GALINDO FINANCE/ACCOUNTING controller, HR director PAULETTE KADIMYAN accounts receivable LORELIE YU OPERATIONS vp, technology and development ERIC BUI executive assistant JULEAN DEJESUS

FREE BULK SUBSCRIPTIONS FOR YOUR OFFICE OR GROUP Any organization, community-based group, pharmacy, physicians’ office, support group, or other agency can request bulk copies for free distribution at your office, meeting, or facility. To subscribe, visit HIVPlusMag.com/signup. There is a 10-copy minimum. FREE DIGITAL SUBSCRIPTIONS Plus magazine is available free to individual subscribers — a digital copy of each issue can be delivered to the privacy of your computer or reader six times per year. We require only your email address to initiate delivery. You may also share your digital copies with friends. To subscribe, visit HIVPlusMag.com/signup NEED SUBSCRIPTION HELP? If you have any questions or problems with your bulk or individual magazine delivery, please email our circulation department at Argus.Galindo@equalpride.com Plus (ISSN 1522-3086) is published bimonthly by equalpride. Plus is a registered trademark of equalpride. Entire contents ©2024 by equalpride. All rights reserved. Printed in the U.S.A.

M A RCH / A PRIL 2024

e d i t o r ’s le t ter

by desirée guerrero

COURTESY (GUERRERO); ROL A ND FIT Z (BERRYHILL)

ellness is defined in the dictionary as “the quality or state of being in good health especially as an actively sought goal.” That last part especially struck me: especially as an actively sought goal. To be honest, I previously thought of the term as just another trendy, New Age catch phrase — but reading the actual definition caused something to finally click in my brain about what being “well” really means in our own lives. It’s a choice. And one you must actively pursue. But that’s easier said than done, right? In a busy, bustling world that often leaves us little room to breathe, the concept of wellness can feel abstract and distant. Also, many of us may come from families and communities where things like mental and emotional health are rarely, if ever, discussed. Which is exactly why Plus produces this annual Wellness Issue. We spoke with several experts at the top of their fields to share some words of wisdom on the topic. On page 12, our resident mental health specialist, Dr. Gary McClain, gives his best advice on how to unclutter your mind and greatly improve your quality of life. Then on page 14, health and fitness expert and HIV advocate Dr. Leo Moore shares some of his own journey

to mental, physical, and spiritual wellness — and has some tips on how you can do the same. And don’t worry, we didn’t forget about sex! Having a happy, healthy sex life is essential to most people’s state of well-being. Not only should sex not be shamed or ignored, it should also be celebrated! However, part of maintaining a happy, healthy sex life means occasionally visiting a doctor or clinic for regular STI screenings and other care. For gay and bi men, and trans women, this is especially important because the doctor may recommend certain tests or medications, like PrEP, depending on your specific lifestyle and needs. Check out our Q&A on page 19 with one of the country’s leading gay physicians, Dr. Carlton Thomas, aka the “Butt Doctor,” to get some advice on what queer men should ask about during annual exams. Another component of being well is self-expression, which can be therapeutic for you as well as others. Actor and HIV activist Stephen Hart has used theater to help heal his personal traumas. Read about how his autobiographical show Shadowed Dreamer is returning to the stage this year (page 16). And another multitalented artist using their platform for good is rapper Common. The Grammywinner’s new book is all about self-love (page 17). We also bring you the latest news and feel-good stories in this issue — like the Onlyfans hunk who’s raising tens of thousands of dollars for AIDS/ LifeCycle (page 6), or how a new study shows a promising new option for HIV-positive people wanting to start a family (page 8). Whatever brought you to f lip through these pages today, I hope you find some useful information, hopeful inspiration, and a little bit of fun.

a note from our ceo

Dear Plus Readers, I am thrilled to welcome you to the March/April issue of Plus, which is dedicated to a theme that resonates deeply with me and, I believe, with all of you: wellness and caring for your mind, body, and soul. In today’s fast-paced world, where technology and work often dominate our lives, it’s easy to forget the importance of self-care. This issue is a gentle reminder to all of us about the value of taking a step back and focusing on our holistic well-being. In these pages, you will find a rich collection of articles, interviews, and insights dedicated to exploring various dimensions of wellness. We cover everything from the latest trends in mindfulness practices to nourishing your soul through art and culture to finding balance in your daily life. At equalpride, we believe that caring for your mind, body, and soul isn’t a luxury; it’s a necessity. This belief is embedded in our company’s ethos and is a message we want to amplify through this issue. Wellness is a journey, and we are here to embark on this journey with you. I want to extend my heartfelt thanks to our dedicated team and contributors who worked tirelessly to bring this issue to life. Their passion and commitment to wellness shine through on every page. As you flip through this issue, I hope you find inspiration, comfort, and practical advice that resonates with you. Remember, taking care of yourself is your most significant investment. Here’s to a healthier, happier, and more fulfilled you! Please reach out via email at advocatemarkb@equalpride.com, Instagram @advocatemarkb. Warm regards,

Be well, Desirée Guerrero editor in chief

Mark Berryhill

HIVPLUSM AG.COM

buzzworthy

HOT AND BIGHEARTED

This OnlyFans model plans on raising $100,000 for AIDS/LifeCycle 2024 — and he’s already over halfway there. BY DESIRÉE GUERRERO

M A RCH / A PRIL 2024

For more info on AIDS/LifeCycle and to learn about the different ways to participate, go to aidslifecycle.org. To donate to a specific rider or team, visit giving.aidslifecycle.org.

JACK JULIA R @JACK JUNK

odel and adult content c r e a t or Ky l e K r ie g e r announced on social media in December that he’ ll be donating money earned from his OnlyFans page to AIDS/LifeCycle 2024, as well as participating in the arduous 7-day, 545-mile bike ride from San Francisco to Los Angeles. The annual fundraising event is coproduced by San Francisco AIDS Foundation and the Los Angeles LGBT Center. “Raising money for AIDS LifeCycle 2024 — EVERY dollar spent on my Only Fans from December 20 to Jan 1 will be donated to the charity. My goal is $50,000 in 11 days!” Krieger wrote on his Instagram. “This includes every subscription and every purchase on my page.” As of press time, Krieger had already raised over $51,000 and continues to work toward a total goal of $100,000. He’s listed as the event’s top fundraiser on AIDS/LifeCycle’s website. “A I DS LifeCycle is a ma g ica l experience where the love bubble you’re brought into is unlike any Kyle Krieger other experience in the world. The poses with the bicycle ride encompasses some of my favorite he’ll soon travel over things — queer-friendly space, a 500 miles on fitness challenge, and a week of hot to support HIV causes. men in spandex,” Krieger tells Plus. “In addition to the ride, I love fundraising. I appreciate the friendly, competitive nature of trying to use creative tools to raise money for a great cause.” The fundraising event started in 1994 as the “California AIDS Ride” and was rebranded as AIDS/LifeCycle in 2022. Over the last four decades over $300 million has been raised to support HIV/AIDS-related services by the Los Angeles LGBT Center and the San Francisco AIDS Foundation. This year’s ride will happen from June 2 through June 8.

buzzworthy

THIS BARBIE BREAKS DOWN STIGMA

Drag Race Germany host Barbie Breakout adds their name to the growing list of celebs unashamed of their HIV status.

COURTESY WORLD OF WONDER

OV E R T H E PA S T 15 years, the ever-expanding Drag Race universe

has touched almost every part of the globe. The massively successful series is streamed worldwide and has continued to launch franchises in a variety of countries. One of the latest iterations, Drag Race Germany, sees an activist living with HIV take on partial hosting duties for the series. Barbie Breakout, previously known for a shocking video protest she staged against Russia in 2013, cohosts the series alongside Gianni Jovanovic and regular judge Dianne Brill. Barbie has also previously appeared on shows like The Diva in Me and Shopping Queen.

The 45-year-old, who has been living with HIV for 18 years, will be the latest in a long history of queens in the franchise who’ve been open about living with the virus. In RuPaul’s Drag Race season 1, Ongina came out as HIV-positive in an emotional moment after winning a MAC Viva Glam challenge. She’s been followed by others like Trinity K. Bonet, as well as Charity Kase from RuPaul’s Drag Race UK and Enorma Jean from Drag Race Italia. But Barbie marks the first time a host is openly living with HIV. The performer, author, and podcaster told GQ Germany in 2021 that she knew from a very young age that she was different and came out as gay at 13. She also lived her younger life as female for a time and has eventually come to identify as genderfluid, using drag to help express this part of her identity. She pursued a daytime career as a hairstylist and makeup artist (sometimes for celebrities) in addition to developing a career in drag and DJing at various nightclubs. In 2013, Barbie first gained international recognition by sewing her mouth together with a needle and thread in protest of Russia’s anti-gay laws and propaganda. The video she recorded of the act entitled “Open Your Mouth” went viral, prompting international media coverage. “The pain I felt inside when I had to see in the media what is happening in Russia was greater than the physical pain of the needle,” she told Die Welt. “My partner held the camera while I did it. But he couldn’t look.” Over the past five years, Barbie has been speaking out about living with HIV in the media because she feels the ongoing issue doesn’t have enough visibility. She recently told +Talk that cohosting Drag Race and being able to use the platform to spread awareness about HIV is “the biggest honor of my life.” “It was one of the first [reality shows to have] real representation for me as a drag queen to see somebody come out as HIVpositive, Ongina, I think in season one,” they continued. “That was very touching for me, and I’ve been very interested of getting the show over here to Germany — and it took forever and now it’s here and I’m just very excited!”—PLUS EDITORS HIVPLUSM AG.COM

buzzworthy

Biktarvy continues to show promise as a safe and effective treatment for HIV in pregnant women.

95%

The percentage that the annual number of diagnoses of perinatal HIV in the United States has declined since the early 1990s. Advances in research, prevention, and treatment have made it possible for people with HIV to give birth to babies free of the virus. Source: Center for Disease Control & Prevention: HIV and Perinatal Transmission, updated January 2023

M A RCH / A PRIL 2024

T H E N AT I O N A L L I B R A RY of Medicine recently

published the results of a new study concerning the treatment of pregnant women living with HIV. The open-label study evaluated the safety and efficacy of Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide) in virologically suppressed pregnant women with HIV. The study builds upon data that was presented last July at the 12th International AIDS Society Conference on HIV Science (IAS 2023) and advances our understanding of the use of Biktarvy in pregnant women, a vulnerable population that requires a lot more research in terms of HIV treatment. Virologic suppression was maintained in all adult participants throughout the study, with no virologic failure or treatment-emergent resistance to HIV, no discontinuations because of adverse events, and no perinatal transmission (which means HIV is not passed from mother to child). “This study demonstrates the potential role of [Biktarvy] as a treatment of HIV in pregnant women, a population that has historically been difficult to study and that continues to have significant needs,” said senior researcher Dr. Anchalee Avihingsanon of Thai Red Cross AIDS Research Center in Thailand. “The clinical profile of Biktarvy is further supported by safety data and no mother-to-child transmission in this study and data showing that normal dosing may be appropriate. These are important findings for pregnant women and their healthcare providers when considering HIV treatment.” While these results are promising, the use of Biktarvy in pregnant individuals with HIV is still investigational and its safety and efficacy have not been officially established. Go to gilead.com for all the latest info about taking Biktarvy for the treatment of HIV.—D G

COT TONBRO STUDIO/PE XELS (WOM A N); SHUT TERSTOCK (NEWBORN)

More Options for Mommies

Welcome to long-acting HIV treatment.

“With every-other-month CABENUVA, I’m

good to go.” Jayson Stays undetectable with CABENUVA Results may vary.

CABENUVA is the only complete, long-acting injectable prescription used to replace daily HIV pills in certain adults and adolescents who have their doctor’s approval.

Every-other-month CABENUVA is given by a healthcare provider as 2 injections, initially 1 month apart for 2 months. It works continuously to help you stay undetectable* for 2 months. Attend all appointments.

Watch Jayson’s Story

Important Facts About CABENUVA This is only a brief summary of important information about CABENUVA and does not replace talking to your healthcare provider about your condition and treatment. (kab’ en ue vah)

ABOUT CABENUVA CABENUVA is a complete prescription regimen used to treat HIV-1 infection in adults and adolescents ≥12 years who weigh at least 77 lbs (35 kg) and are replacing their current HIV-1 treatment when their healthcare provider determines that they meet certain requirements. HIV-1 is the virus that causes Acquired Immune Deﬁciency Syndrome (AIDS). CABENUVA contains 2 different medicines: • cabotegravir • rilpivirine It is not known if CABENUVA is safe and effective in children younger than 12 years of age or weighing less than 77 lbs (35 kg).

DO NOT RECEIVE CABENUVA IF YOU • have ever had an allergic reaction to cabotegravir or rilpivirine. • are taking the following medicines: ° carbamazepine ° rifampin ° oxcarbazepine ° rifapentine ° phenobarbital ° dexamethasone (more than a single-dose treatment) ° phenytoin ° rifabutin ° St John’s wort (Hypericum perforatum)

Ask your doctor about CABENUVA *Undetectable means the amount of HIV in the blood is below the level that can be measured by a lab test. Results may vary. Jayson has been compensated by ViiV Healthcare.

BEFORE RECEIVING CABENUVA Tell your healthcare provider about all your medical conditions, including if you: • have ever had a skin rash or an allergic reaction to medicines that contain cabotegravir or rilpivirine. • have ever had liver problems, including hepatitis B or C infection. • have ever had mental health problems. • are pregnant or plan to become pregnant. It is not known if CABENUVA will harm your unborn baby. CABENUVA can remain in your body for up to 12 months or longer after the last injection. Please see additional Important Facts About CABENUVA on the following page.

CABENUVA.com Important Facts About CABENUVA (cont'd) BEFORE RECEIVING CABENUVA (cont'd)

POSSIBLE SIDE EFFECTS OF CABENUVA (cont’d)

Tell your healthcare provider about all your medical conditions, including if you: (cont'd) • are breastfeeding or plan to breastfeed. Do not breastfeed if you take CABENUVA. ° You should not breastfeed if you have HIV-1 because of the risk of passing HIV-1 to your baby. It is not known if CABENUVA can pass to your baby in your breast milk. ° Talk with your healthcare provider about the best way to feed your baby during treatment with CABENUVA. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some medicines interact with CABENUVA. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine. You can ask your healthcare provider or pharmacist for a list of medicines that interact with CABENUVA. Do not start taking a new medicine without telling your healthcare provider. Your healthcare provider can tell you if it is safe to take CABENUVA with other medicines.

CABENUVA may cause serious side effects, including: (cont’d) • Liver problems. People with a history of hepatitis B or C virus or people who have certain liver function test changes may have an increased risk of developing new or worsening changes in certain liver tests during CABENUVA treatment. Liver problems have also happened in people without history of liver problems or other risk factors. Your healthcare provider may do blood tests to check your liver function. Call your healthcare provider right away if you develop any of the following signs or symptoms of liver problems: ° your skin or the white part ° nausea or vomiting of your eyes turns yellow ° loss of appetite (jaundice) ° pain, aching, or tenderness on the right side of your ° dark or “tea-colored” urine stomach area ° light-colored stools (bowel movements) itching ° • Depression or mood changes. Call your healthcare provider or get emergency medical help right away if you have any of the following symptoms: ° feeling sad or hopeless ° have thoughts of hurting feeling anxious or restless yourself (suicide) or have tried POSSIBLE SIDE EFFECTS OF CABENUVA ° to hurt yourself CABENUVA may cause serious side effects, including: The most common side effects of CABENUVA include: • Allergic reactions. Call your healthcare provider right away if you • pain, tenderness, hardened • headache develop a rash with CABENUVA. Stop receiving CABENUVA and mass or lump, swelling, • muscle or bone pain get medical help right away if you develop a rash with any redness, itching, bruising, and • nausea of the following signs or symptoms: warmth at the injection site • sleep problems fever blisters or sores in mouth ° ° fever • • dizziness generally ill feeling blisters ° ° tiredness • • rash ° tiredness ° redness or swelling of the eyes These are not all the possible side effects of CABENUVA. Call your ° muscle or joint aches ° swelling of the mouth, face, lips, or tongue doctor for medical advice about side effects. You may report side ° trouble breathing • Post-injection reactions have happened within minutes in some effects to FDA at 1-800-FDA-1088. people after receiving their rilpivirine injection. Most symptoms resolved within minutes after the injection. Symptoms may include: GET MORE INFORMATION • Talk to your healthcare provider or pharmacist. ° feeling warm ° trouble breathing narrowing of airways rash • Go to CABENUVA.com or call 1-877-844-8872, where you can also ° ° get FDA-approved labeling. stomach cramps feeling light-headed or feeling ° ° like you are going to pass ° sweating March 2022 CBN:4PIL out (faint) ° numbness of your mouth Trademarks are property of their respective owners. pain (e.g., back and chest) blood pressure changes ° ° ° feeling anxious

wellness issue

ARE YOU OK?

SHUT TERSTOCK

C A N YO U R E M E M B E R the last time someone asked you that —

or when you last asked yourself that? Let’s face it, getting caught up in the rigamarole of daily life (work, school, kids, bills, errands, etc.) can be physically exhausting and emotionally draining. Which is exactly why Plus has an annual Wellness Issue. Taking care of responsibilities and staying on one’s meds is only part of the wellness puzzle. Perhaps your HIV is under control, but how’s your mental health these days? Are you dealing with issues like depression or anxiety? Or maybe you’re struggling with substance use or family or relationship issues. Regardless of HIV status, all of these factors contribute to one’s state of well-being. Read on to check out some advice and stories from several experts, artists, and activists on how to create healthy balance — and some darn joy — in your own life. HIVPLUSM AG.COM

It’s easy to get caught up in the hustle and bustle and neglect the things that bring you joy. Our resident mental health expert has some tips on how to center your own happiness. BY GARY MCCLAIN

N A PPY/PE XELS

TO THE FULLEST

w e l l n e s s m en ta l h e a lt h

o, how’s your quality of life these days? As a therapist, I frequently talk with my clients about their quality of life. In fact, assisting them in improving their daily existence is often one of our goals. Now, you may already be asking, “quality of life” is a pretty general term, so how do you make that an actionable goal? That’s a good question; here are some answers. Just What Is Quality of Life? I break down the components of quality of life with each of my clients. We define it based on their vision of their own quality of life and break down their overall goals for happiness into realistic and reachable achievements and then work on them together. So, some questions for you to consider: What does quality of life mean to you? And how can you get more quality in your life? Building More Quality into your Life As a mental health professional, I can’t help but to place your emotional wellness at the top of the list of ideas to enhance your quality of life. I think you might agree with me that your mental health is a big factor in how you experience the day. So here are some ideas for helping your typical day go better: Start out the day with gratefulness. Take a moment every morning to think of something you are grateful for. Encourage friends and family members to do the same. Psychological research has shown that being grateful keeps you more open to what’s possible. Gratefulness picks up your mood. Mood, in turn, affects your quality of life.

M A XIMILIA N IM AGING

Accept life on life’s terms. When you accept where you are now in your life – and tell that critical voice to be quiet – you’re on your way to being more compassionate toward yourself. Along with freeing yourself up to start looking at what’s possible! How do you come to this place of acceptance? It starts with the messages you play inside of your head. Acceptance is a big one! Look for ways to relax. Doing things to promote your own calmness and peace of mind can go a long way toward healing yourself emotionally. Taking a walk, sitting in a quiet place, listening to soft music …

choose an activity that helps you to relax and build it into your schedule. Especially when your emotions are threatening to boil over. Decide to be kinder. Take time to give other people compliments. Make it a point to say thanks for acts of courtesy and kindness in your daily life, no matter how small. Look for reasons to give compliments. And say thank you when someone compliments you. Own it, don’t brush it off. Make giving compliments a part of your daily interactions with people around you, starting at home. Smile more, even if that means smiling first. Kindness is a boomerang, pass it around and sooner or later it comes back in your direction. Stay focused on the possibilities that each day holds. It’s all too easy to get caught up what’s hard in life. Sure, we all have some bad days, but here’s something to consider: A disappointment or a setback is a blip on the radar screen of your life. It’s not all of your life. In other words, a bad day doesn’t mean a bad life. And a bad day makes us all that much grateful on the good days. Love yourself. The road hasn’t been easy. Start by going easier on yourself and not piling on the self-criticism. Give yourself a few words of encouragement. Do things you enjoy, that promote your wellness, that connect you with people you care about. Watch your self-care. Have more balance in your life. Let go of resentment. Sure, you’ve had some big disappointments along the way. And that’s left a lot of hurt behind. But the past is past, and sitting with all that resentment is keeping you stuck there. Make a conscious effort to give up on changing what’s already happened or getting back at someone who caused you pain. Let’s move on. Have a vision. What’s possible in your life? I mean, what’s possible when you stop placing all those limitations on yourself? Be realistic but also have a vision for your future: The kind of person you want to be, how you want to be living, who you want to be to the people you value the most. Have a vision for the quality of life you want to work toward. What does quality of life mean for you? Take time to define it, and then take action.

G A RY M C C L A I N , P H D , is an

educator, therapist, relationship coach, and author in New York City, who specializes in working with individuals diagnosed with chronic and catastrophic medical conditions, their caregivers, and professionals (justdiagnosed.com). His book, The Power of Closure: Why We Need It, How to Get It, and When to Walk Away, will be published by Tarcher Perigee in this spring. HIVPLUSM AG.COM

A RTURO OLMOS

M A RCH / A PRIL 2024

w e l l n e s s p h y s i c a l h e a lt h

THE DOCTOR IS IN Health and fitness expert and HIV advocate Dr. Leo Moore wants you to live your best life possible.

BY DESIRÉE GUERRERO

orn in Mobile, A labama , and raised in Atlanta,, Dr. Leo Moore says he’s “a Southerner through and through.” Then, a decade ago, he relocated to Los Angeles. “Apparently, once you’ve lived in L.A. for at least five to 10 years, you can consider yourself an ‘Angeleno’ — so I guess that makes me a ‘Southern Angeleno,” he adds with a laugh. Dr. Moore says his passion for health and medicine came early. “I wanted to become a doctor since I was 5 years old,” he tells Plus. “I come from a family of servant leaders — nurses and ministers. I decided early on that I wanted to become the first doctor in our family in order to be able to serve both my family and community.” At age 25, Moore’s goal became a reality. “I went to medical school at Morehouse School of Medicine, completed Internal Medicine-Primary Care residency at Yale University School of Medicine, and then completed the Robert Wood Johnson Clinic Scholars Program, a fellowship in community research and health policy, at UCLA.” After completing the fellowship, he began working in public health and has continued in this field for the past eight years. “In my current role, as a medical director for clinic services at the Los Angeles County Department of Public Health, I oversee multiple clinics focused on sexual health, tuberculosis, and refugee health,” Moore explains. “As I encounter many people who have developed unhealthy lifestyle habits, such as

poor diet and lack of exercise, I recently completed a board certification in lifestyle medicine to help my patients and community adopt more healthy habits and prevent or reverse chronic medical conditions such as diabetes and high blood pressure.” Dr. Moore has become known as a leading specialist in HIV and STI prevention and was recently named 2024’s Ultimate Men’s Health Guy by Men’s Health magazine. Moore shared much of his personal journey in the feature, including a life-changing medical event that occurred in January of 2023. During a routine surgery, Moore’s heart stopped beating. After he was resuscitated, he says he woke with a renewed sense of purpose. In his current role as a medical director for the L.A. County Department of Public Health, Moore is working harder than ever to end the stigma associated with HIV and is always emphasizing the importance of testing and treatment. “We cannot end the HIV epidemic once and for all without ending HIV stigma,” Moore says. “HIV stigma affects every aspect of care, from a person’s decision to get tested, to starting PrEP, or starting HIV treatment when newly diagnosed. Additional effort is needed in regards to educating people at all levels about HIV — and also ensuring that lawmakers, attorney generals, and others involved in establishing laws and policies are aware of the advances in HIV testing, treatment, and prevention so that we can end HIV criminalization in this country. Without ending HIV stigma as well as eliminating other inequities, we run the risk of only ending the HIV epidemic for the majority and leaving the marginalized communities behind.” To de-stress and stay happy and healthy in his own life, Dr. Moore says he enjoys “lifting weights and listening to music” after work. “It helps me decompress from the day. When the weather is nice, I also love to go for hikes in the mountains. I also enjoy reading some evenings or catching up on a TV show.” If you’re feeling inspired to make some new healthy habits, visit his Facebook group — Dr. Leo Moore’s Fit150 Community. “The term ‘Fit150 comes from research that has shown that completing at least 150 minutes of moderateintensity cardio, like brisk walking, and two resistance training workouts per week has been associated with better weight management and decreased risk of high blood pressure, diabetes, depression, and anxiety. Everyone is welcome, so join us!” He’s also starting a new Instagram Live series called Longevity with Dr. Leo, where he’ll discuss topics with colleagues “to help people living longer, healthier lives.” Follow him on Instagam @drleomoore. HIVPLUSM AG.COM

wellness the arts

STEPPING BACK INTO THE SPOTLIGHT Artist and HIV activist Stephen Hart’s inspiring one-man show is returning to the stage.

singer, playwright, and HIV activist Stephen Hart when he was named one of Plus’s Most Amazing People of the Year in 2021. For over a decade and a half, Hart has been bravely baring his trauma and truth in his work. In 2009, he created a critically acclaimed off-Broadway show called Shadowed Dreamer, which addressed his living with HIV as a result of a brutal sexual assault four years prior. “I was drugged and raped, and my world just came tumbling down around me when this happened — but then six months later [when I found out I was HIV-positive], I felt the air leave my body,” Hart shared with Plus in 2021. “Eventually I realized that I had to make my body start breathing again. This took time, but with the help of writing my one-man show…I realized that I had a voice and I had to use it.” In 2019, Shadowed Dreamer enjoyed a 10-year anniversary revival in New York City and now it’s returning to the stage once again, as Hart is planning a U.K. tour of the show this year. Since writing Dreamer, the gay artist of color (born in Scotland of British and Puerto Rican descent) has become a beacon of light not only in the theater world but also for sexual assault survivors, those living with HIV, and basically anyone who has ever felt like an outcast. “It feels crazy that my story is still needed after all these years,” Hart says 16

M A RCH / A PRIL 2024

now, “but it’s also really exciting that I eventually get to do the show that I never imagined me doing here because of shame and stigma.” The new tour is in its beginning planning stages, so additional funding sponsors, venues, and other support is still needed. If you are interested in supporting Shadowed Dreamer in any way, email shadowed10@yahoo.com. Hart also has a YouTube channel with a popular series called Hart Talks, which he describes as “a place where people can talk, tell their stories, laugh, cry and watch me make a fool of myself from time to time.”— D G

COURTESY STEPHEN H A RT

W E F I R S T M E T London-based actor,

wellness the arts

AN ALLY IN COMMON The iconic rapper, actor, and author says his new wellness book is “a love letter to his community.”

OV E R TH E PA S T two decades, Common has

successfully parlayed his numerous talents into many areas of entertainment. He first burst onto the hip-hop scene in the early 2000s with his soulful and cerebral style of rap and R&B, eventually winning several Grammys and an Academy Award for Best Original Song in 2015 (for “Glory” from Selma). He’s also shown his acting chops in films like Selma, Suicide Squad, and John Wick: Chapter 2. He’s currently the only rapper to have won a Grammy, an Oscar, and an Emmy. In addition to his acting and musical abilities, Common is also a bestselling author of several books, including two memoirs and two young adult novels. And now, he’s written a book about self-love. Common said And Then We Rise: A Guide to Loving and Taking Care of Self “is my journey of working on myself” when he recently discussed the book with Jennifer Hudson, whom he is currently dating, on her daytime talk show. “This book is about a practical way for us to live the happiest, best life we can live.” The book is made up of four sections, each focusing on a different area of self-care. “The Food” covers nutrition and Common’s reasons for deciding to practice a vegan lifestyle; “The Body” section recounts his personal fitness journey; “The Mind” is about learning to prioritize mental health; and the last section, “The Soul,” explores his journey to spiritual well-being. “This book is really a love letter to my community, about loving and taking care of ourselves,” he explained to Hudson. “One of the best ways we can combat all the negativity, the anxiety, the depression is to actually love yourself.” “We need mental health support in our communities,” he added. “And we need to make sure that we’re not talking about it like it’s something we shouldn’t do.”— D G HIVPLUSM AG.COM

PROUD TO BE:

QUEERTRANS LESBIAN

NONBINARY

GEEK

SEX POSITIVE

ME!

@pridesite

@pride_site

w e l l n e s s s e x ua l h e a lt h

BUTT DOC TO THE RESCUE!

For many queer men, a doctor visit can be a source of anxiety and stress. Sexual health expert Dr. Carlton Thomas is here to help you put fear aside and your health first. BY M I C H A E L K E LLE Y

THE GOOD NEWS today is that many types

of STIs and cancers can be caught early in an annual physical, and with many treatment options that will not impact your life too drastically. However, many men don’t actually undergo an annual physical or have one done properly, especially if they have a history of, or exclusively, have sex with men. Gay and bi men may require additional care or tests that can be lifesaving — like anal pap smears and comprehensive blood panels to check everything from the impact of PrEP meds on the kidneys to one’s PSA levels, which can be early warning sign of prostate and other cancers. Whether HIV-positive or HIV-negative, every human should be getting an annual physical. If you are planning or scheduling an exam, here’s what you should be asking or expecting from your physician, according to leading gay gastroenterologist Dr. Carlton Thomas, also playfully known as “The Butt Doctor.”

SHUT TERSTOCK

What are the basics every person should be getting assessed at their annual physicals? Bring up any specific concerns about any symptoms you might be experiencing. A good thorough physical exam with age specific checks for testicular, rectal, and prostate issues. Labs including CBC (complete blood cell count), CMP (comprehensive metabolic panel that looks at liver and kidney markers as well as electrolytes and glucose), thyroid studies, prostate specific antigen (PSA) depending on age and family history, and lipid panel to look at your cholesterol and triglycerides. I also recommend testosterone levels. Discuss any age-appropriate cancer screening such as colonoscopy for colon cancer screening starting at age 45 or sooner if you have symptoms or a family history of colon cancer. What are additional “must have” tests for men who have sex with men? Blood HIV panels including viral load and T cell counts if positive; Hep A, B, and C; syphilis studies — look for antibody titer changes if you were previously infected to check for reinfection — and herpes studies if unknown. Urine tests help detect the very

common and prevalent gonorrhea and chlamydia. Throat swabs and rectal swabs will also detect gonorrhea and chlamydia depending on how you play sexually. Anal Pap smears will help detect HPV and anal dysplasia, especially if you are HIVpositive, due to the dramatically increased risk of anal cancer in HIV-positive men who also have HPV. What vaccines should men who have sex with men discuss with their doctors? Here’s the checklist you should bring to each physical: • Hep A, especially if rimming is part of your sexual routine. • Hep B, if you’ve encountered blood or other body fluids. • HPV, now approved up to age 45. • Mpox (formerly called monkeypox) • Age-appropriate pneumonia and shingles • Covid and flu updates if needed • Meningitis What other common specialists should men who have sex with men discuss with primary care doctors to possibly add to one’s medical team? Some primary care doctors will redirect PrEP to prevent HIV and HIV-positive care to infectious disease specialists. If you are 45 and older and have not had a colonoscopy, then you should be referred to a gastroenterologist (GI) for colonoscopy screenings. Regular dermatologist screenings for the annual mole patrol and early skin cancer detection. Proctologists should be added for issues surrounding hemorrhoids, anal fissures (tears in the butt lining), and anal wart care. Urologists for anything concerning genital and urinary functions. Why is it important for men to be open and honest with their doctor about their sexual preferences and habits, even if embarrassing? Your doctor needs to know what you do so they can make sure you get the tests, vaccines, and screening care you need. For instance, if they don’t know you bottom or have a history of bottoming, they don’t know to check you for potentially precancerous cells in your anal canal or to check rectal swabs for gonorrhea and chlamydia. What else should we know in undergoing our annual physicals? Don’t be embarrassed to be honest. We have seen and heard it all. Don’t be shy about being examined. Your medical and personal information is always kept confidential due to HIPPA laws. Follow Dr. Carlton on Instagram @doctorcarlton. HIVPLUSM AG.COM

M A RCH / A PRIL 2024

FUND HEALTH CARE, NOT WARFARE ACT UP continues its tradition of fighting for peace as well as ending HIV and its stigma.

ACT UP NY XC/A LE X A BL A IR WILK INSON

AC T U P N YC participated in a rally in January

calling for a ceasefire in Gaza, reviving some of its historic slogans in a show of solidarity with the Palestinian people. The group — a radical, grassroots organization founded in 1987 to bring attention to the AIDS epidemic — marched in Manhattan alongside organizations like Jewish Voice for Peace NYC and the NYC Palestinian Youth Movement. “We refuse to stand by idly as a mass genocide is being committed with our tax dollars, tax dollars that could be spent on HIV/AIDS research, treatment and prevention,” ACT UP wrote in a post to its Instagram. ACT UP took its first action for Palestine on World AIDS Day this past December and has since held several protests across New York City, with the group bringing back its “Fund Healthcare, Not Warfare” slogan. The phrase was originally created in 1991 by the group to protest policies during the Persian Gulf War. HIVPLUSM AG.COM

treatment

SURE SHOTS

These long-acting injectables for the treatment and prevention of HIV are making life (and enjoying great sex!) so much easier. BY DESIRÉE GUERRERO

In 2021, the Food and Drug Administration approved the first ever long-acting injectable for the treatment of HIV. Cabenuva, from ViiV Healthcare, has been a gamechanger for many living with HIV, especially those struggling with taking daily pills. Depending on your personal treatment plan, Cabenuva can be given in monthly doses or every two months. (If you’re eligible for the every-other-month option, you’ll still need to get a monthly shot for the first two months). It’s currently the only long-acting injectable treatment for controlling HIV available in the U.S. A combination of cabotegravir and rilpivirine, Cabenuva is not recommended for those who’ve had a history of treatment failure or resistance or allergic reaction to either ingredient. Cabenuva is also not recommended for those with a history of serious liver problems. Talk to your doctor to see if this injectable may be a good fit for your lifestyle. I N J E C TA B LE F O R H I V P R E V E NTI O N

Advances made in HIV prevention drugs in recent years have been great, especially for those at higher risk of contracting HIV. Apretude (cabotegravir extended-release injectable suspension, or CAB LA) is the only injectable version of pre-exposure prophylaxis, or PrEP, approved by 22

M A RCH / A PRIL 2024

the Food and Drug Administration. It is for HIV-negative adults and adolescents (weighing at least 77 lbs) for the prevention of HIV. Research has proven Apretude, also developed by ViiV, to be even more effective in preventing HIV than its competitors — most likely, at least in part, because users don’t have to remember to take a daily pill. For many, stopping by the clinic every couple months for a shot in the booty may be a lot more convenient. Talk to your doctor about Apretude if you think it might be a good option for you. I N J E C TA B LE S F O R H I V D R U G R E S I S TA N C E

There are also some FDA-approved injectable drugs designed to help treatment-experienced folks living with HIV who have developed multi-drug resistance. Unlike Cabenuva, which is a complete HIV treatment regimen, these injectables are given in combination with other antiretroviral drugs. Sunlenca, developed by Gilead Sciences, is the most recent of these. It is revolutionary in that it only needs to be injected twice a year. It was created for adults whose HIV is not adequately controlled by their current treatment regimen. If you’ve had trouble keeping your viral load down even when on treatment, talk to you doctor right away about the various options that can help with drug resistance.

PE XELS/ K E TUT SUBIYA NTO

I N J E C TA B LE F O R TH E TR E ATM E NT O F H I V

treatment

TRIALS AND TRIBULATIONS The latest and largest HIV vaccine study is canceled.

SHUT TERSTOCK

BY NEAL BROVERMAN

t’s back to the drawing board for a potential HIV vaccine as the latest study on such a prevention method was halted after showing little chance for success. The study, known as PrEPVacc, involved 1,513 participants in the nations of Uganda, Tanzania, and South Africa, all of which are heavily impacted by HIV. At the recent International Conference on AIDS and STIs in Africa, PrEPVacc researchers stated that their trial “has stopped further vaccinations as there is little or no chance of the trial demonstrating vaccine efficacy in preventing HIV acquisition.” “We have come so far in our HIV prevention journey, but we must look to a new generation of vaccine approaches and technology to take us forward again,” stated PrEPVacc chief investigator Pontiano Kaleebu, MD, PhD. The PrEPVacc trial included two different vaccine regimens, with participants also taking a PrEP pill. Some participants were given a potential, previously tested vaccine known as AIDSVAX paired with a DNA vaccine; others were given these two potential vaccines in addition

to a third potential vaccine; a third group of participants received placebo injections. While the potential vaccines proved unsuccessful in preventing HIV, the PrEP aspect of the study will continue as it compared two different preventative regimens — Truvada and Descovy. Truvada is already approved in the U.S. for all individuals, while Descovy is not prescribed to cisgender women or those at risk for infection due to vaginal sex. PrEPVacc’s study, with cisgender women making up nearly 90 percent of participants, will be specifically useful in studying Descovy’s use in this population. After the PrEPVacc announcement in December, the International AIDS Society called for more resources for additional vaccine research and development. “We cannot and will not lose hope that the world will have an effective HIV vaccine that is accessible by all who need it, anywhere,” IAS executive director Birgit Poniatowski said in a statement. “A vaccine remains one of our most powerful tools to reach and change the lives of vulnerable communities and key populations in the most affected parts of the world.” HIVPLUSM AG.COM

parting shot

BUCKETS OF LOVE

Dancers from The Verdon Fosse Legacy strike a sassy pose.

A F T E R A F O U R year hiatus, the Red

Bucket Follies (#redbuckets) joyously returned to the stage this past December. The star-studded variety show honored 46 national touring companies that participated in fall fundraising efforts for Broadway Cares/ Equity Fights AIDS, which ended up raising over $4.5 million for the organization. Broadway legend Jenifer Lewis belts out a tune at the Red Bucket Follies.

The Lion King cast performs on stage.

REBECCA J. MICHELSON

Back to the Future: The Musical cast members.

M A RCH / A PRIL 2024

JOIN OUR COMMUNITY. SHOP EQUALITY.

WELCOME TO THE NEW ERA OF SHOPPING EXPLORE CURATED LGBTQ+ AND ALLIED BRANDS!

@REALPRIDESTORE

Starting + Staying on HIV treatment The best time to start treatment is ASAP after diagnosis Model portrayal

You can live well with HIV

By starting HIV treatment as soon as possible after diagnosis and staying on treatment as prescribed, you can help control your HIV viral load, which can help you live a longer and healthier life. Today’s HIV treatments can fit into your schedule, and some can even be started right away. So be sure to talk to your healthcare provider about what’s right for you. And remember, you are not alone. There are many people to help support you, alongside your healthcare provider. Work together with your healthcare provider to find an HIV treatment option that is right for you and start your treatment journey today.

Find treatment strategies and different kinds of support at HelpStopTheVirus.com Model portrayal

GILEAD and the GILEAD Logo are trademarks of Gilead Sciences, Inc. All other trademarks are the property of their respective owners. © 2023 Gilead Sciences, Inc. All rights reserved. US-UNBC-1092 01/23