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If buying ED medication online felt weird to you, it’s because it is weird.

If buying ED medication online felt weird to you, it’s because it is weird.

by Joe Messenger | May 21, 2026 | Performance and Desire, Medications and Treatments, Highlight

I own a telehealth company. I know exactly how these businesses operate. I understand the relationships between the physicians, the pharmacies, the marketers, and the patients. I know where the money is made. I know why these companies make the decisions they make....
Are At-Home STI Tests as Accurate as In-Person Testing?

Are At-Home STI Tests as Accurate as In-Person Testing?

by Joe Messenger | May 4, 2026 | Lab Testing and Diagnosis, STIs

The collection question, honestly answered — including where at-home testing actually falls short The short answer Self-collected STI samples are clinically equivalent to clinician-collected ones. So when someone online argues that in-person testing is “more accurate”...
The Visby Test Is Impressive. It’s Also Genital-Only

The Visby Test Is Impressive. It’s Also Genital-Only

by Joe Messenger | May 21, 2026 | Highlight, Lab Testing and Diagnosis, STIs

People purchase STI testing to find out whether or not they have an STI. So if somebody buys a test that says it checks for gonorrhea, chlamydia, and trichomonas, and they receive three negative results, they are naturally going to assume they do not have gonorrhea,...
Why Every STI Test Should Include an Anal Swab

Why Every STI Test Should Include an Anal Swab

by Joe Messenger | Apr 24, 2026 | Lab Testing and Diagnosis, STIs

Even if you’ve never had anal sex. I’m the founder of Shameless Care, and one of the most common questions we get when someone opens their test kit is: “Why is there an anal swab? I don’t have anal sex.” It’s a reasonable question. It’s also one of the places where...
Why Medications Don’t Work for Everyone

Why Medications Don’t Work for Everyone

by Joe Messenger | Apr 21, 2026 | Telehealth, Medications and Treatments

(And Why That Doesn’t Mean They Don’t Work) Here is something you already know, but almost no one in healthcare says clearly: Medications do not work for everyone. That should be obvious. But if you look at how medicine is marketed, especially in telehealth, you’d...
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