'tedBlood➕44938

TaintedBlood but my love is not... on LTD... Dx 1-12-23, UD.

['tedBlood➕44938 @SeroTainted]

LATEST UPDATE 2024: Still virally suppressed (U=U). Thank you Papa Jesus for this wonderful life. 🙏💞🥰

[Michael @neolithicrumba2]

For folks who aren’t going to read through all four pages, here are a few thoughts and highlights:

First, this memo was released more than two weeks ago, so it wasn’t written in response to PLWH freaking out because they’re getting a small handful of pills, instead of the normal 90-day refill. Those little baggies of pills started appearing after this memo came out, so the rationing of ARVs may be seen a response to the guidelines? Who knows.

Next, it’s important to point out that DOH expects shortages through September—or another three months. The DOH points out that an earlier memo, dated January 28, foretold of the impending shortages.

While local hubs blame DOH, DOH blames the US/Iran war fucking up shipping and deliveries. Buried in the second paragraph are statements about pharmaceutical manufactuerers needing to buy precursor chemicals, so you can’t simply oder 1.2 million bottles of TLD and expect them to show up like a book ordered over Amazon.

This implies that DOH has no experience ordering ARVs, since past supplies magically appeared, courtesy of USAID, who managed procurement timelines in the past. DOH saw the SNAFU comming in January, and told the hubs they couldn’t depend on the DOH for ARVs, so they should look elsewhere.

This is not in the document, but since some hubs are still giving out 3-bottle refills, while others hand out 7 pills, some hubs did a better job of heeding DOH’s warning than others.

There’s a tremendous amount of finger pointing, but zero in the way of mea culpas. In a just world, folks @DOHgovph, @LoveYourselfPh, and others should apologize to #PLWH. Finger pointing is not helping to put drugs in bodies. Neither are your past efforts. Saying I’m sorry lets us know that you recognize that you’re hurting the people you’re supposed to serve, you recognize the problem, and you’re not pretending the problem isn’t there.

There’s a lot in the document about alternative regimens. They point out effective 2-drug combos, and that FTC and 3TC are interchangable. They forgot to point out that TAF and TDF work identically as well. For folks who switched from LTE to TLD—and not because of resistance—they could be switched back. They also point out that people on 2-drug combos should be tested first for HBV and all persons switched should get another VL in 3 to 6 months, just to make sure the new combo is working. Part of me thinks that the alternative regimens are probably not going to happen in any substantial way. If the TLD storage facilities are empty, the LTE storage facilites are empty too.

They say if shortages should get worse (this is the part where it sounds like PLWH are passengers on the Titanic), priority should be given to pregnant women and people with AIDS. They offer no advice on people who are newly diagnosed who haven’t started ARVs. Another way of looking at this: if you want to continue of life-saving medication, get pregnant or get AIDS. Yikes!

The underlying message in this memo is that the DOH wants to avoid the catastrophy of the appearance of community-wide dolutegravir resistance. Explicitly DOH warns against intermittant dosing and treatment interruptions that would make the number one treatment in the Philippines unusable.

They point out HIV is getting worse. The number of new positives keeps increasing, so there’s exponential growth in the number of people needing ARVs. There’s also exponential growth in the number of people dying of AIDS. This means too many folks find out they’re HIV positive because they become symptomatic with some opportunistic infection, and die of those infections before their immune system can recover.

Currently there are about 98,000 PLWH on mostly TLD. But there are a quarter of a million PLWH. That means that DOH can’t serve the existing population, let alone the 150,000+ who will need treatment, if DOH ever gets the problem under control ❤️

[Michael @neolithicrumba2]

We're worthy of a stable supply of our life-sustaining ARVs

[LucaaM @Lucaareserva]

Rejeitado por 2 entregadores… O 3º dotadão não pensou duas vezes 🍆🔥 WATAA

[Michael @neolithicrumba2]

@pozitivejourney Time to get angry

[➕ Lᴏᴡᴇɴᴢ - PLHIV(🇹🇭 July 3- 8) @pozitivejourney]

DOH made me U=U ambassador for a purpose. hearing that there is a shortage of ARV this hard to take as this is our life saving treatment that can make us live continuously and to maintain our U=U. Keep the ARV meds coming tama na ung shortage nanyari na ito before sana di maulit.

[Fine Daddies (410K - DM4PROMO💰) @fine_daddies]

Wish I had a throat like dis

[Michael @neolithicrumba2]

The US pulled out of WHO where it had been the major funder. It also stopped PEPFAR, which is credited with saving 20 million lives. USAID carried out operations, including logistics—getting drugs from factories to distribution centers, keeping a backup supply, and delivering ARVs to clinics.

Unfortunately, DOH didn’t get their act together in time and told clinics in the begining of the year that they needed a back-up plan.

Some have and some haven’t, and now everyone is pointing fingers and trying to shift the blame (instead of coming up with solutions).

Read my post about the that article. It gets so many things wrong.

[Asiong Spafford + @musikoplus]

Mukhang need na lumipat ng ibang hub. Aside sa ART, Annual VL and labtest lang ang ganap. Yung labtest, di pa consistent. Walang CD4 test. Tapos pahirapan pa mag follow up ng lab result. Parang binigyan ka lang ng ART tapos bahala ka na sa buhay mo.

[Fine Daddies (410K - DM4PROMO💰) @fine_daddies]

I ain’t expect it to be dat big

[PoZitalopram➕🔴 @Optimus_Pusit]

How bad is the ARV shortage sa pinas currently?

We fought too hard to make HIV a manageable condition. We cannot allow medicine shortages to drag us back toward a time when an HIV diagnosis felt like a death sentence. #plhiv

[18CamGay .Live @pregnantBoyx]

Wataa...

[Michael @neolithicrumba2]

So you’re the apologist for @LoveYourselfPh?

Are you actually one of these people?

Dr. Ronivin "Vinn" Pagtakhan (Founder & Executive Director): Holds ultimate fiduciary and operational responsibility for the organization's resource allocation, donor funding, and strategic response to medication supplies.

Danvic Rosadino (Director for Operations): Directly oversees the macro-level logistics, clinical workflows, and service delivery across LoveYourself's 22+ community clinics.

CJ Sintoy / Antonio L. (Administration and Finance): Antonio L. serves as the Director of Finance and Administration, while CJ Sintoy acts as the Head of Administration and Partners. This division manages the procurement budgets, strategic supplier relationships, and coordination with foreign aid or governmental bodies.

[Michael @neolithicrumba2]

I lived through the worst days of the AIDS pandemic.

I was diagnosed before there was effective treatment anywhere, even in rich countries. 90% of my siblings who were also diagnosed in 1993, the same year as me, are all dead. There’s no reason I should be alive while everyone else is dead.

All of us—the living and the dead fought for new medications and faster approval. We now have systems that give a voice to PLWH. The fact that HIV things were so much worse in the past is not excuse for clinic ineptitude. There are ramifications for their clients—life threatening ones. There should be ramifications for clinic management.

If they didn’t order stockpiles when they were told to, then they should be boiling spaghetti at Jolibee or some other job where they can’t put people’s lives at risk.

[GentriSenyo 🌊☀️🏝️ @GentriSenyo]

No longer a volunteer but I think Loveyourself should go back to its roots - HIV advocacy and services - less on the optics and events.

[Tito Russ @TitoNgKyusi]

@GentriSenyo @KahelJay Para ngang never ko sila nakita na nagppost about X number of plhiv clients enrolled, x number are on treatment, and x number of VL test done, and X number are UD. Client centered HIV services pa ba ginagawa nila o “todays features celebrity” na?

[Fine Daddies (410K - DM4PROMO💰) @fine_daddies]

U giving Unc sum throat or cheeks? https://t.co/dDm8fXxhC6

['tedBlood➕44938 @SeroTainted]

@sirbebeboi Shave or trim.

[Michael @neolithicrumba2]

Some folks have been asking about other sources for their ARVs, so I put together a list of places where you can buy HIV medications from Thailand and have them shipped to you. This won’t work for everyone, but even having one extra bottle to cover shortages and may give you peace of mind.

@teamphilhealth and @LoveYourselfPh may not care if you run out of ARVs, but your blood siblings do!

If you try this route, DM me with your experience and share this post if you think your followers would benefit ❤️

You’ll need a copy of your prescription in English and a copy of your passport or photo ID. Some places may request recent labs.

Easiest Courier Shipping
Thailand has a highly robust, progressive medical tourism and sexual health infrastructure that legally exports generic ARVs.

PULSE Clinic & Pharmacy Network
Asia's largest private sexual health clinic network. They stock genuine generic TLD and offer fast, discreet worldwide shipping via DHL or FedEx (typically arriving in the Philippines within 3–7 business days). You can coordinate orders via email or their secure online pharmacy portal.

Glove Clinic Bangkok
A highly rated, specialized HIV treatment clinic that caters specifically to international patients and travelers. They provide cross-border pharmacy shipping for clients facing localized supply disruptions.

CM Mediclinic
Based in Chiang Mai, this clinic operates an international prescription delivery service. They require an emailed copy of the prescription and passport before dispatching any ARVs.

Bulk Sales
If you’re a clinic that can buy in bulk, ARVs can be ordered from India from generic manufacturers.

India Mart
India’s largest B2B and consumer marketplace. You can search directly for "TLD HIV Medicine" or specific brands like Taffic or Spegra to find verified pharmaceutical exporters (such as Janwa Medical or Chawla Medicos) who ship globally via EMS or DHL.