What HIV Does to the Body | And Should You Get Tested?

Summary

This script delves into HIV, a retrovirus that targets the immune system, particularly CD4 cells. It discusses transmission through bodily fluids and varying risks associated with different sexual practices. The video also covers the importance of testing, prevention strategies like pre-exposure prophylaxis (PrEP), and the effectiveness of antiretroviral therapy in managing the disease. It emphasizes the significance of early detection and treatment, highlighting that with proper care, individuals with HIV can lead a healthy life.

Takeaways

• 😷 HIV is a serious sexually transmitted infection with no cure and can lead to death if untreated.
• 🌟 HIV, or human immunodeficiency virus, is a retrovirus that uses RNA instead of DNA and targets the immune system, specifically CD4 cells.
• 💉 HIV is transmitted through contact with infected bodily fluids such as blood, semen, vaginal fluids, and breast milk, but not through casual contact.
• 🚫 The risk of HIV transmission varies with different forms of intercourse, with receptive anal intercourse being the highest risk.
• 👨‍❤️‍👨 Men who have sex with men are more likely to get HIV due to a higher likelihood of engaging in anal intercourse.
• 🔍 Females are more susceptible to HIV due to the larger surface area of the vaginal lining and potential for longer exposure to infected semen.
• 🩺 Nonsexual bloodborne exposure to HIV carries a different set of risks, such as through blood transfusions or needle sharing.
• 🤒 Early symptoms of HIV can be mild and flu-like, often going unnoticed and leading to further transmission.
• 🛡 Antiretroviral therapy (ART) can slow HIV progression significantly, helping maintain CD4 cell counts and prevent illness.
• 🛑 Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are preventive measures using antiretroviral therapy to reduce the risk of contracting HIV.
• 🧪 Regular HIV testing is crucial, especially for high-risk individuals, and the timing of testing is important for accuracy.

Q & A

What does HIV stand for and what type of virus is it?

HIV stands for Human Immunodeficiency Virus. It is a type of virus known as a retrovirus, which uses RNA to encode its genetic information instead of DNA.

How does HIV primarily infect the human body?

HIV primarily infects the human body by targeting specific white blood cells called CD4 cells, often referred to as helper T cells, which are crucial for the immune system's function.

What are the main routes of HIV transmission?

The main routes of HIV transmission include unprotected sex, sharing needles with drug use, mother-to-child transmission through breastfeeding and childbirth, and through blood transfusions with infected blood.

Why is receptive anal intercourse considered the highest risk activity for HIV transmission?

Receptive anal intercourse is considered the highest risk for HIV transmission because the mucosal lining of the anus and rectum is thinner and more prone to tears and abrasions, facilitating the virus's entry into the body.

How does the risk of HIV transmission compare between receptive anal intercourse and vaginal intercourse?

The risk of HIV transmission is higher in receptive anal intercourse compared to vaginal intercourse due to the thinner mucosal lining in the rectum and the larger surface area of the vaginal lining that can be exposed to the virus.

What is the estimated risk of HIV transmission through receptive penile-vaginal intercourse?

The estimated risk of HIV transmission through receptive penile-vaginal intercourse is one transmission per 1,250 sex acts.

How does the risk of HIV transmission from nonsexual bloodborne exposure compare to sexual exposure?

The risk of HIV transmission from nonsexual bloodborne exposure, such as a blood transfusion with infected blood or needle sharing with injection drug use, is generally lower than the highest risks associated with sexual exposure, but still significant.

What is the significance of the 'acute phase' of HIV infection?

The acute phase of HIV infection is significant because it is when people have a higher viral load and tend to shed more of the virus, making them more likely to spread the infection.

What is the purpose of anti-retroviral therapy (ART) in treating HIV?

The purpose of anti-retroviral therapy (ART) is to dramatically slow the progression of HIV by reducing the amount of virus in the body to a very low level, which helps maintain CD4 cell counts and prevents illness.

What is the concept of 'undetectable viral load' and its significance in HIV transmission?

An 'undetectable viral load' means that the amount of HIV in the body is so low that a test cannot detect it. Studies have shown that there is virtually no risk of transmission through all forms of intercourse if a person has an undetectable viral load.

What are the differences between pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP)?

Pre-exposure prophylaxis (PrEP) is initiated prior to exposure and used for people continually at high risk of getting HIV, while post-exposure prophylaxis (PEP) is taken within 72 hours of a high-risk exposure to prevent contracting HIV.

Who should consider getting tested for HIV?

Anyone with a known exposure to HIV, those showing signs and symptoms consistent with HIV, individuals as a routine screening during pregnancy, and healthcare workers after an accidental needle stick should consider getting tested for HIV.

Why is it important to wait for the right time to get tested for HIV after a high-risk exposure?

It is important to wait for the right time to get tested for HIV after a high-risk exposure because tests like the fourth-generation HIV test cannot detect the virus until about 15 to 20 days post-exposure, ensuring better accuracy.

Outlines

00:00

😷 Understanding HIV and Its Transmission

This paragraph introduces HIV as a severe sexually transmitted infection that lacks a cure and can lead to death if untreated. It explains that HIV is a retrovirus that targets the immune system, specifically CD4 cells, which are crucial for immune function. The script discusses various modes of HIV transmission, including unprotected sex and sharing needles, and emphasizes that HIV cannot be spread through casual contact. It also outlines the different risks associated with various forms of intercourse, highlighting that receptive anal intercourse carries the highest risk due to the vulnerability of the rectal lining. The paragraph concludes with the importance of understanding HIV prevention strategies and treatment options.

05:00

📉 Risk Assessment and HIV Testing

The second paragraph delves into the risk assessment of contracting HIV, emphasizing that the odds of transmission vary significantly based on the type of sexual activity. It discusses the concept of discordant couples and the risk estimates associated with different sexual practices. The paragraph also highlights the importance of considering the acute phase of HIV, during which individuals have a higher viral load and are more infectious. It introduces 'Let's Get Checked,' a virtual care company offering at-home testing kits for HIV and other health conditions, such as kidney function tests, which are crucial for early detection and management of chronic kidney disease.

10:03

💊 HIV Treatment and Prevention Strategies

This paragraph focuses on the progression of HIV infection, from the initial infection to the development of AIDS when CD4 cell counts fall below 200 cells per microliter. It explains the importance of antiretroviral therapy (ART) in managing HIV, which can slow disease progression and reduce viral load to undetectable levels, thereby minimizing transmission risks. The script also introduces pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) as prevention strategies for those at high risk of contracting HIV. It underscores the importance of testing for HIV, especially for individuals with known exposure or symptoms, and the necessity of timely testing for accurate results.

15:04

🛡️ HIV Prevention and the Importance of Early Treatment

The final paragraph emphasizes the importance of HIV prevention through safe sex practices, sterile needle use, and pre-exposure prophylaxis for high-risk individuals. It stresses the significance of seeking treatment for HIV as early as possible to maintain a long and healthy life, even without a current cure. The paragraph also discusses the appropriate timing for HIV testing to ensure accuracy and concludes with a reminder to viewers to explore additional information on sexually transmitted infections and other health topics through the provided resources.

Keywords

💡HIV

HIV, or Human Immunodeficiency Virus, is a virus that attacks the immune system, specifically targeting CD4 cells, which are crucial for maintaining immune function. The video discusses HIV's transmission, effects on the body, and the importance of treatment and prevention. An example from the script is the explanation of how HIV is transmitted through contact with infected bodily fluids and the varying risks associated with different forms of intercourse.

💡Retroviruses

Retroviruses are a class of viruses that use RNA to encode their genetic information instead of DNA. HIV is a type of retrovirus, which is significant because its method of replication involves converting its RNA into DNA within a host cell, which can then be integrated into the host's genome. This process is part of what makes HIV difficult to eliminate from the body.

💡CD4 Cells

CD4 cells, also known as helper T cells, are a type of white blood cell that plays a central role in the immune response. The script explains that HIV targets these cells, leading to a weakened immune system and making individuals more susceptible to other infections. The health of CD4 cells is a key indicator of how well an individual's body is fighting off HIV.

💡Transmission

Transmission refers to the process by which a disease is spread from one individual to another. In the context of the video, HIV transmission is primarily through contact with infected bodily fluids, such as during unprotected sex or sharing needles. The script provides specific odds of transmission through different sexual activities, emphasizing the importance of understanding these risks.

💡Prevention

Prevention in the context of the video involves strategies to stop the spread of HIV. This includes safe sex practices, using sterile needles, and pre-exposure prophylaxis (PrEP) for those at high risk. The script discusses the effectiveness of these methods in reducing the likelihood of contracting HIV.

💡Treatment

Treatment for HIV, as mentioned in the script, primarily involves antiretroviral therapy (ART). This treatment can slow the progression of the disease, reduce viral load to undetectable levels, and help maintain CD4 cell counts. The video emphasizes the importance of early initiation of treatment to improve the quality of life for individuals living with HIV.

💡Viral Load

Viral load refers to the amount of virus present in a person's blood. The script explains that a high viral load during the acute phase of HIV infection increases the risk of transmission. ART can reduce viral load to undetectable levels, which is crucial for preventing the spread of the virus and managing the disease.

💡AIDS

AIDS, or Acquired Immunodeficiency Syndrome, is the advanced stage of HIV infection, characterized by a severely compromised immune system with CD4 cell counts falling below 200 cells per microliter. The script discusses AIDS as a critical point in HIV infection where the individual becomes vulnerable to opportunistic infections and diseases.

💡Pre-exposure Prophylaxis (PrEP)

PrEP is a method of HIV prevention where individuals at high risk of contracting the virus take antiretroviral medication before potential exposure. The script explains that PrEP, when taken consistently, can significantly reduce the risk of HIV infection, especially for those with multiple or high-risk sexual partners.

💡Post-exposure Prophylaxis (PEP)

PEP is an emergency treatment that involves taking antiretroviral medication within 72 hours after a potential exposure to HIV to prevent infection. The script discusses PEP as a crucial option for individuals who have had a high-risk exposure, such as needlestick injuries or unprotected sex with an HIV-positive partner.

💡Testing

Testing is a critical component of HIV management, allowing for early detection and treatment. The script mentions that anyone with a known exposure or symptoms consistent with HIV should be tested, and it also discusses the importance of timing for testing to ensure accuracy, such as waiting the appropriate amount of time after potential exposure for a test to be effective.

Highlights

HIV is a sexually transmitted infection without a cure that can lead to death if untreated.

HIV, a retrovirus, uses RNA and targets the immune system, specifically CD4 cells.

HIV is transmitted through contact with infected bodily fluids such as blood, semen, vaginal fluids, and breast milk.

HIV cannot be spread through casual contact like shaking hands or hugging.

Receptive anal intercourse has the highest risk for HIV transmission.

The risk of HIV transmission varies with different forms of intercourse and behaviors.

Certain populations, such as men who have sex with men, are at higher risk of contracting HIV.

The acute phase of HIV is characterized by high viral load and increased transmission risk.

HIV testing is crucial for early detection and treatment initiation.

Anti-retroviral therapy (ART) can slow HIV progression and maintain CD4 cell levels.

An undetectable viral load through ART significantly reduces HIV transmission risk.

Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are preventive strategies using anti-retroviral therapy.

PrEP is for individuals at high risk of HIV, while PEP is taken after potential exposure.

HIV testing should be considered for anyone with known exposure or consistent symptoms.

The timing of HIV testing is important for accuracy, with a window period after exposure.

Safe sex practices, sterile needles, and screening are essential in HIV prevention.

HIV treatment, when initiated early, allows for a long and healthy life.

Let's Get Checked offers virtual care and at-home testing for HIV and other health concerns.

March is National Kidney Month, highlighting the importance of kidney health and testing.

Transcripts

HIV is arguably one of the worst

sexually transmitted infections and this

is because there is no cure and if left

untreated it can lead to death So today

we're going to talk about what this

virus does to a person once it gets

inside the body we'll also discuss how

you get HIV in a little bit of a

different way meaning we are going to

cover how different forms of intercourse

have different levels of risk for

transmitting the infection and why

certain people are more at risk of

getting HIV including males versus

females and of course cover the

effectiveness of current treatment

options prevention strategies including

prep and who should consider getting

tested for HIV it's definitely going to

be an interesting one so let's do

this HIV stands for human imuno

deficiency virus and it belongs to a

class of viruses known as retroviruses

retroviruses use RNA to encode their

genetic information rather than DNA and

this retrovirus actually targets our

immune system specifically white blood

cells called CD4 cells often referred to

as helper tea cells and we're going to

get into why infecting these white blood

cells is so critical with HIV in just a

minute but how do we get HIV well many

of you have probably heard that HIV is

transmitted through contact with

infected bodily fluids such as blood

semen vaginal fluids and breast milk

which means this can happen during

unprotected sex sharing needles with

drug use from mother to child with

breastfeeding and during childbirth and

through blood transfusions with infected

blood however it is also important to

note that HIV cannot be spread through

casual contact like shaking hands

hugging kissing or sharing utensils but

what would your odds be if you did have

non-casual contact with someone that is

infected with HIV or in other words you

had intercourse with someone with HIV or

came in contact with some of these

infected bodily fluids well here are

some interesting estimates or odds based

on modeling studies with discordant

couples and as an FYI a discordant

couple is a pair of long-term sexual

partners in which one has a sexually

transmitted infection but the other does

not and I'm going to list these from

highest risk to lowest risk and Topping

the list for the highest risk is

receptive anal intercourse with the risk

being one transmission per 72 sex acts

so in other words it was estimated that

the risk of getting HIV for the

non-infected individual that

participated in receptive anal

intercourse was one out of 72 now the

reason why re seep anal intercourse is

the highest risk is due to the nature of

the anus and the rectum the mucosal

lining is thinner and more prone to

tears and abrasions which can facilitate

the virus's entry into the body this

also explains why men that have

intercourse with men are more likely to

get HIV it doesn't mean they are the

only people that contract HIV in this

way it's just that they have a higher

likelihood of participating in anal

intercourse and therefore increases

their risk insertive anal intercourse

was next as far as risk with one

transmission per 9900 100 sex acts so

less risky than receptive as the skin of

the penis is thicker and more durable

than the mucosal lining of the rectum

but this is still more risky than

vaginal intercourse as receptive penile

vaginal intercourse was one transmission

per 1250 seacs whereas insertive penile

vaginal intercourse was one transmission

per 2500 sex a meaning that a

non-infected female is more likely to

get it from an infected male than a

non-infected male is to get it from an

infected female

females having a higher risk likely has

to do with the larger surface area of

the vaginal lining that can be exposed

to the virus and also due to infected

semen potentially staying in the vaginal

Canal for an extended period of time

therefore increasing the exposure time

to the virus and lastly receptive or

insertive penile oral intercourse was

about 0o to four Transmissions per

10,000 sex acts and as an FYI female

Toof female sexual transmission of HIV

is very rarely reported I think it is

also worth mentioning the risk of

getting HIV from nonsexual bloodborne

exposure a blood transfusion with

infected blood for example the risk was

n out of 10 needle sharing with

injection drug use was 1 out of 150

percutaneous needle sticks which could

be like an accidental needle stick that

can occur with healthcare workers was

one out of 435 and mucous membrane

exposure to blood like splashes to the

eye was one out of a thousand now it is

definitely interesting to see some of

those numbers however I do think we need

to go back to the numbers or the

estimates that we discussed with sexual

exposure because the risk of Contracting

HIV is likely a bit higher for other

populations of people for a number of

reasons one remember I mentioned that

these estimates were from modeled

studies from discordant couples

monogamous couples that had a known

infected partner some of whom were

likely receiving treatment for HIV which

we're going to learn reduces the risk of

spreading the infection and two people

that are not in monogamous relationships

and have multiple sex partners have a

higher likelihood of encountering those

that have HIV and many of these people

don't even know that they have HIV and

if someone is in the acute phase of HIV

this is significant because the acute

early phase of HIV is when people have a

higher viral load and tend to shed more

of the virus and therefore can more

easily spread the infection and the

third point I want to make is whether

your odds of Contracting HIV are 2% or

3% with certain types of intercourse

that is only part of the risk assessment

you have to go further with this because

some might view those numbers and say

I'll take those odds but let's say there

is this scenario where you have a 2 to

3% chance of catching the common cold

and a two to 3% chance of catching HIV

I'm not saying the odds of catching a

cold and HIV are the exact same in

reality it's just to illustrate this

point on risk but in this example the

odds of catching either illness are the

same but what is the weight of the

consequences if you hit those 2 to 3%

odds you catch the cold it's going to

bother you for one to two weeks you

catch HIV as of today with the current

Treatment available that's going to

change your life a little bit later on

in the video we're going to talk about

the importance of testing and who should

consider getting tested for HIV and one

place you can use for many of your

testing needs is the sponsor of today's

video let's get checked let's get

checked is a virtual care company that

helps people manage their health from

home and one of the ways they do this is

by sending you a test kit once you Reed

the test kit you gather the specimen at

your house ship it back to them with the

provided prepaid shipping label and they

send you the results in approximately 2

to five business days let's get checked

offers a variety of different tests

including HIV testing but just in case

you didn't know March is actually

National Kidney month so in the spirit

of this let's get checked as promoting

their kidney test and if you've watched

our channel before you likely know how

important the kidneys are as they

control a number of important processes

such as managing water and electrolyte

balance maintaining pH releasing certain

hormones and excreting waste products

from the body and something interesting

to note is that the CDC estimates that

one in seven American adults have

chronic kidney disease which in the

early stages will have no symptoms at

all the kidney test from let's get

checked can help you learn more about

your kidney function as it measures your

Rhea creatinin and estimated glomular

filtration rate which are all important

markers for kidney function I order

kidney function tests on all of my

patients at least once a year during

their annual physicals but it is

definitely recommended that people get

kidney testing done if they have

diabetes high blood pressure heart

disease and or a history of kidney

disease so if you're interested visit

the link in the description and use our

coupon code ioha 25 to get 25% off your

test we'll also include that information

in the description below so coming back

to what happens when someone first gets

infected with HIV well as we've already

hinted many people don't know that they

have been infected with HIV in the first

place one of the reasons for this is

that many people can be asymptomatic or

when people do get symptoms they can be

mild or mimic other illnesses so that

the person often often won't seek

medical attention and again remember

this is when the person has a higher

viral load and can more easily spread

the virus when people do experience

symptoms it often feels like a flu like

illness with some of the most common

symptoms being fever headache sore

throat muscle aches and fatigue but some

can also experience a rash diarrhea

weight loss and even ulcerations of the

skin and mucous membranes these symptoms

usually appear 2 to four weeks after

exposure and for most the symptoms

typically resolve on their own but there

are some people where the symptoms get

bad enough that they will seek medical

attention and can even be hospitalized

and from one perspective that could be

kind of a good thing because this

increases the likelihood of early

detection in treatment now another thing

that I mentioned earlier that is very

important to our discussion is that HIV

mainly targets a white blood cell called

a CD4 or helper T cell CD4 cells serve

as the major Regulators of virtually all

immune functions you could kind of in a

way think of these as the bosses of the

the immune system and in the absence of

these cells the remainder of the immune

system is almost paralyzed so during the

next few months after initial infection

many of these CD4 cells are being

attacked and killed but in the early

stages of HIV the body can replace many

of these killed CD4 cells however this

can only go on for so long also during

early infection other immune cells will

produce antibodies to the virus which is

the basis of some of the HIV tests then

at about 6 months a person will reach

what is known as the viral set point

which is when the plasma virus

concentration reaches this steady state

level you can kind of think of this as

an equilibrium where the viral levels

are staying about the same and are not

as high as they were during the initial

acute phase of the infection and this is

the point where one enters into the

stage of chronic HIV during chronic HIV

most individuals have few to no symptoms

but what is happening within the body is

that the CD4 cells are declining and

once the CD4 cells get to to a level

less than 200 cells per microl and as a

reference normal CD4 levels range from

about 500 to, 1400 cells per microliter

but again once the CD4 cells get below

200 cells per microliter that is when a

person develops AIDS or acquired immuno

deficiency syndrome and this is what

makes HIV develop into a deadly

condition because once you get CD4 cells

below 200 cells per microliter the body

can't Mount much of an immune response

leaving the body unprotected against

other opportunistic infections in a way

HIV never directly kills anyone it is

the infections that they can get once

their CD4 count gets too low on average

it takes about 8 to 10 years for

someone's CD4 levels to get below 200

cells per microl or to develop AIDS but

this is for untreated individuals and

while there's no current cure for HIV

treatment called anti-retroviral therapy

or art can be very effective and

dramatically slow the disease's

progression AR T involves taking a

combination of HIV medications every day

and someone would need to take these

medications indefinitely these

medications should be initiated as soon

as possible and if taken as prescribed

art can reduce the amount of HIV in the

body decreasing that viral load to a

very low level which helps maintain

those CD4 cells and prevents illness HIV

medications have the potential to

decrease viral load so much that a test

can't even detect it this is referred to

as undetectable viral load and if

someone is able to get to this point

Studies have shown that there is

virtually no risk of transmission

through all forms of intercourse and

even greatly reduces the risk during

pregnancy labor and delivery if a mother

is infected with HIV now some of you may

have heard of prep and pep prep refers

to pre-exposure prophylaxis and pep

refers to postexposure prophylaxis both

are ways of using anti-retroviral

therapy to help prevent Contracting HIV

but with different strategies prep as

the name implies would be initiated

prior to exposure and would be used for

people that are continually at high risk

of getting HIV multiple and frequent sex

partners especially if this is

unprotected IV drug users or someone

that has a monogamous partner that has

known HIV and could be even receiving

treatment for this but maybe they

haven't quite got their viral load to

that undetectable state yet and someone

who is taking prep would take it

continually once it was initiated until

there's a change in those high-risk

behaviors or situations pep Oregon

postexposure prophylaxis would need to

be taken within 72 hours of a high-risk

exposure and there are various

situations that could be considered high

risk known contact with infected blood

or bodily fluids and certain situations

of unprotected intercourse with someone

that had known HIV or even an unknown

HIV status but I think it is important

to note that risk does need to be

assessed accurately so anyone

considering either prep or pep would

want to discuss this with their

Healthcare provider so who should be

tested for HIV well anyone with a known

exposure or that has signs and symptoms

consistent with HIV should be tested it

is also recommended as a routine

screening during pregnancy and

healthcare workers that say had an

accidental needle stick should also be

tested and as you can probably tell

there's a story coming along with this

because when I was in my clinical year

and I was doing a laceration repair on a

patient I was an idiot face and grabbed

the Sutra needle with my hand to place

it in the driver and I accidentally

poked my finger so I was was tested for

a handful of bloodborne pathogens and

Luckily everything came back negative

now hopefully it goes without saying

that if someone had a fever and a sore

throat that they don't necessarily just

need to rush in and get tested as you

may recall those are some of the

possible symptoms that can occur during

early HIV but it is more nuanced than

this a medical provider would ask about

other possible symptoms recent sexual

encounters and address other risk

factors before just jumping to the HIV

test however because HIV can be

asymptomatic it is reasonable and even

recommended that people that are healthy

and have very little risk factors for

HIV get tested at least once in their

lifetime and then any further or

consistent testing would be on a case-by

casee basis say like for individuals

with higher risk behaviors again

multiple sex partners Andor unprotected

sex with an unknown individual injection

drug use or if you have a partner that

has HIV now this doesn't cover every

possible reason to get tested but

frankly there are so many companies now

that offer HIV testing that you could

pay for out of pocket and get tested

whenever you want but something else to

keep in mind is the timing of the test

for example if I have a patient come in

and it's five or six days after they've

had a high-risk sexual encounter and

they are requesting HIV testing this

actually isn't a great time to be tested

because one of the most commonly used

tests is the fourth generation HIV test

which is a combo antibody antigen test

but this cannot detect protect HIV until

about 15 to 20 days after exposure so

for better accuracy one would need to

wait until that time and unfortunately

this can create some anxiety which

brings us to the idea that overall doing

your best to prevent HIV transmission is

the key safe sex practices using sterile

needles universal precautions screening

when appropriate and for those at high

risk pre-exposure prophylaxis or prep is

a possible option to help reduce the

risk of getting HIV and lastly if you or

someone you know has HIV and is not

currently being treated for it please do

not hesitate to get in touch with a

healthcare provider to look into

initiating treatment the earlier the

treatment is initiated the better and

one can definitely still live a long

healthy life with proper and consistent

treatment so hopefully this gave you

some new and useful information about

HIV and if you want to learn more about

other sexually transmitted infections

you can check out our chyia and goria

videos we'll put those somewhere over

here on the screen and thank you for for

supporting our Channel let us know what

you thought of this video in the

comments and if you're interested in

let's get checked in their kidney and

STI tests that link is in the

description below and we'll see you in

the next video