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Dr. Demetre talks transitioning safely for people living with HIV. #AskTheHIVDoc is a video series from Greater Than HIV where top HIV doctors give frank, no-nonsense responses to commonly asked questions from gay men about a range of sexual health topics, including personal risk, PrEP and other prevention tools, testing, and treatment. For more information, visit: http://greaterthan.org/speakout. These videos are provided for educational purposes and not a substitute for professional medical advice. Always consult your healthcare provider before making any healthcare decisions or for guidance about a specific medical condition. Facebook: / greaterthanhiv YouTube: / @greaterthanhiv Twitter: / greaterthanhiv Instagram: / greaterthanhiv TRANSCRIPT: Dr. Demetre: I just started hormone therapy for my transition. Will this make my HIV medications less effective? You have some questions? We know HIV. Dr. David: I’m a doctor. I’m trained for this. Dr. Leandro: We’re gonna give you what you need. Dr. Demetre: Generally speaking there is no interaction with the HIV medicines, so as long as you take your medicines for HIV as prescribed, even if you’re on hormones whether that’s testosterone or estrogen, you should not have a problem. On the flip side, some hormones may be affected by some HIV meds, so it’s really important that when you work with your provider, as you’re looking at what your goals are in transition that you have a really good conversation about what your dosing should be like on the hormones because if you’re not achieving your transition goals, there could be a drug interaction causing the problem. If you support your transgender goals, if you support your transgender care with your provider, you’re gonna actually be more comfortable engaging with them to keep your viral load suppressed, to keep yourself healthy, and to keep your partners healthy.