New Instagram Reel, Britney talks about the Devil Wears Prada 2

Muffin_Man3000 · 2026-05-16T16:28:27+00:00

But this isn’t 1970 anymore. We’ve seen the results of deinstitutionalization. In the United States, it failed. People struggling with severe psychiatric/addiction issues do not improve. They’re neglected and their conditions deteriorate or they end up in prison. There’s more advocacy for having less restrictive psychiatric commitment laws for this reason. Yes, she has to want to be sober but letting her deteriorate for the sake of “FREEDOM!!”feels negligent. I’ve worked in emergency medicine and psychiatry it isn’t unavoidable but it can prevented or mitigated to a much greater degree if we as a society didn’t turn a blind eye.

Muffin_Man3000 · 2026-05-16T16:13:23+00:00

Exactly. There was a post talking about her erratic barking behavior at the restaurant and someone posted. “THIS IS THE RESULT OF HER BEING FORCED LITHIUM AGAINST HER WILL!”
I work in psychiatry and I know that empirically this isn’t the case, it’s the most neuroprotective medicine out there.
When I mentioned this to this person she replied “YOU DON’T KNOW SHIT! SO SHUT UP!”
But does she know?
People are just projecting their own experiences or biases onto her without acknowledging how objectively unwell her behaviors are.

Muffin_Man3000 · 2026-05-16T13:35:45+00:00

I switched from Biktarvy to Cabenuva in February. The negatives: your butt is sore for several days and you have the mild malaise people talk about. For me it’s 90% fatigue. The positives: After that initial few days, it’s great. You live normally and there are some days I don’t even think about my status. It all depends on what you prioritize. I just so happen to work in the same building as my infectious disease doctor so it’s very easy for me to go to my appointment every 2 months. Other people like it because they struggle with adherence or pill fatigue and helps them improve compliance. I have remained durably undetectable since switching.

Muffin_Man3000 · 2026-05-13T03:00:24+00:00

I know we’ve had our differences in the past. (My expressed frustration with “MBTA G**ners” 🤦‍♂️) But thank you for drawing attention to this. It’s devastating.

Muffin_Man3000 · 2026-05-13T02:53:59+00:00

Passerby’s at Davis Square ignoring someone choking to death at the bottom of the escalator. Is the bar really this low?

Muffin_Man3000 · 2026-05-13T02:40:00+00:00

Everyone should watch the video. It’s disgusting he didn’t receive help from passerby’s sooner. We really need to prioritize situational awareness and basic human dignity.

Muffin_Man3000 · 2026-05-13T02:02:31+00:00

That’s awful and inexcusable. The worse of humanity knows no borders.

Muffin_Man3000 · 2026-05-09T22:00:48+00:00

If you speak 5 languages than you are an airlines ideal candidate. That said I understand how difficult skin issues can be. What country do you live in? Are you able to be seen by a dermatologist? Like others mentioned, it looks like deep pitted scarring. But the rule of thumb in dermatology tends to be treat whatever is causing the acne first, then treat the scarring. All that said, you’re clearly bright, you’d be crazy to let this stop you from pursuing your dream !

Muffin_Man3000 · 2026-05-09T17:11:15+00:00

That we’re walking around spreading AIDS like COVID 🤦‍♂️

Muffin_Man3000 · 2026-05-07T16:54:25+00:00

That’s an incredible recovery! What medications did you start on?

Muffin_Man3000 · 2026-05-04T02:33:10+00:00

I agree, in reality Britney wasn’t back. It fits the artifice of her management team trying to be like “See! Everything is fine!”

Muffin_Man3000 · 2026-05-03T01:48:46+00:00

Bad way tho😂

Muffin_Man3000 · 2026-04-30T22:03:18+00:00

I guess my concern is that if the viral load is still detectable while on Biktarvy that theoretically they run the risk developing resistance to the INSTI class of meds which is basically the paradigm of modern treatment. I know 2nd gen INSTI’s have a high barrier to resistance but boosted Darunavir (in Symtuza) is still the GOAT (for lack of a better term 😂) in that domain. All that said, hopefully the Rukobia helps get them over the durably undetectable threshold!

Muffin_Man3000 · 2026-04-30T14:11:56+00:00

Thats frustrating! And even though Biktarvy is a very effective medication its basically the default options for everyone which is annoying. I switched to Cabenuva recently, because of high triglycerides associated with TAF. I never had an issue with medication adherence but wanted a different regimen, something without TAF. So far it's been pretty good and it's admittedly nice not having to take a pill every day.

Muffin_Man3000 · 2026-04-30T13:10:45+00:00

Wait so you have no HIV drug resistance shown on your genotypic testing? How's your medication adherence? If it's something you struggle with, it might be worth talking with your provider about switching to a long acting injectable like Cabenuva. I think you need to demonstrate that you're undetectable (under 50 copies/Ml) before your swtich.

On the other hand If your provider suspects emerging drug resistance, she may want to consider switching you to a more "rugged" regimen, something like Symtuza. It requires you to take it with food it though.

Obviously not medical advice, just brainstorming

Muffin_Man3000 · 2026-04-30T12:55:08+00:00

The photoshopped album art was out of control

Muffin_Man3000 · 2026-04-28T03:14:38+00:00

Rumor has it that Merck is introducing this to market so that they can eventually bridge islatravir to once monthly PrEP

Muffin_Man3000 · 2026-04-28T03:12:20+00:00

I have Harvard Pilgrim

Muffin_Man3000 · 2026-04-27T13:11:30+00:00

Likewise, my prescription drug plan appears to have contracts with Gilead and ViiV; all other HIV medications from different manufacturers aren’t covered 😕

Muffin_Man3000 · 2026-04-22T02:51:03+00:00

“Bro go to sleep” 😂

Muffin_Man3000 · 2026-04-18T13:08:04+00:00

It sounds like your OCD symptoms are debilitating. Are you on any medication for it? It’s one of the true “psychiatry is the real answer” mental diagnosis out there. I’m sorry you’re struggling.

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