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During that time, the recovering user will struggle with depression, unable to experience much pleasure or reward despite an intense daily struggle to resist the drug.To make matters worse, meth effectively hijacks sexual desire so that when the meth goes, erotic desire often disappears as well.Its use peaked around 2005 when, following a federal law limiting access to its primary precursor, pseudoephedrine, usage seemed to drop.In gay communities, men became aware of its hazards as they watched friends lose lovers, jobs, health, freedom and even their lives.

Such easy connections can be made in every major city around the world where there are gay men and computers.But another group that seems to have higher risk, surprisingly, is gay men in middle age.In my experience, among those at highest risk are long-term survivors of HIV who, after years of living with the virus, often feel discouraged, powerless, marginalized, isolated and unattractive.The experience here in south Florida, an international gay tourist destination, is typical.A newly arriving visitor can turn on his laptop or smartphone, sign in to a sexual networking site, and scan the profiles for "chem-friendly" or "PNP" (party and play).

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