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Song in the background is an original by me called "Don't Say I Say" and is on my bandcamp at http://lentilsanddirt.bandcamp.com Links: Twitter: @skylarkeleven and #askskylark Instagram: http://instagram.com/skylarkergil Facebook: https://www.facebook.com/pages/Skylarkeleven/121641174594412 Tumblr: http://skylark11.tumblr.com Music: http://skylarkergil.bandcamp.com Merch/Shirts/Cds: http://skylarkergil.bandcamp.com/merch Email (for business, speaking, performing etc inquiries only please!): [email protected] Timeline & Costs: I began gender therapy and coming out April of 2007. (Cost per therapy session with insurance: $20. Cost per therapy session without insurance: $90.) I started T on January 21, 2009. I have been injecting 50mg weekly since then. (Annual cost with health insurance - $50. Annual cost without health insurance: $650 - note that yearly visit to the endocrinologist costs $500 for the conversation and blood work..) I had my name legally changed (no, I won't tell you my birth name!) September of 2009. (Cost to change it and all legal documents: $180-240ish) I had top surgery December 2009 with Dr. Melissa Johnson in Springfield, MA. (Cost: $7400, all fees included) I had a hysterectomy January 2012 with Dr. Travias in Concord, MA. (Cost: $14,000) I graduated college May 18, 2013 from Skidmore College, in Saratoga Springs, NY. Total $ spent over 6 years on transition related expenses: Over $23,000 If you'd like me to come speak at your school or organization for this coming year, please check out my personal website and contact me via the contact information there - http://skylarkergil.wordpress.com 2 year Post-top surgery body comparison: http://www.youtube.com/watch?v=5A3lC89onvQ&feature=share&list=PL1qLpnW-tHUpOXCHEe1lYURYW4OHpzWs0

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Cialis (tadalafil) and Viagra (sildenafil) are both medications used to treat erectile dysfunction (ED), but they have several differences in terms of how they work, how long they last, and their potential side effects. Here's a comparison: 1. Active Ingredient Cialis: Contains tadalafil. Viagra: Contains sildenafil. 2. How Long They Last Cialis: Known for its longer duration of action. It can last up to 36 hours after taking the pill, which is why it is often called the "weekend pill." This longer window allows more spontaneity. Viagra: Lasts for about 4 to 6 hours after taking it. It is more short-acting compared to Cialis. 3. Time to Start Working Cialis: Takes about 30 minutes to 2 hours to start working, though some men may notice effects within 30 minutes. Viagra: Typically starts working within 30 to 60 minutes after taking the pill. It’s recommended to take Viagra about 1 hour before sexual activity. 4. Food Interactions Cialis: Can be taken with or without food. Food does not significantly affect how Cialis works. Viagra: It is best taken on an empty stomach. Eating a high-fat meal before taking Viagra can delay its onset of action. 5. Daily vs. On-Demand Use Cialis: Can be taken daily in a lower dose (2.5 mg or 5 mg) for those who prefer spontaneous sexual activity without planning. It can also be taken on demand in a higher dose (10 mg or 20 mg). Viagra: Is usually taken on an as-needed basis, about 30-60 minutes before sexual activity. It is not typically used for daily dosing. 6. Dosage Cialis: Common dosages are 2.5 mg, 5 mg, 10 mg, and 20 mg. Viagra: Common dosages are 25 mg, 50 mg, and 100 mg. 7. Side Effects Both medications have similar side effects, though some men may respond differently depending on the drug: Cialis: Common side effects include headache, indigestion, back pain, muscle aches, and flushing. Back pain and muscle aches are more common with Cialis. Viagra: Common side effects include headache, flushing, upset stomach, nasal congestion, and dizziness. Vision changes (like a blue tinge to vision) are more commonly associated with Viagra. 8. Uses Beyond Erectile Dysfunction Cialis: In addition to treating ED, Cialis is also approved to treat benign prostatic hyperplasia (BPH), which is an enlarged prostate. Viagra: Viagra is primarily used to treat ED, but it is also sometimes used to treat pulmonary arterial hypertension (under the brand name Revatio). 9. Cost Cialis: Typically more expensive than Viagra, especially the daily version. Viagra: Generic versions (sildenafil) are available, making it more affordable than Cialis. 10. Flexibility Cialis: Offers more flexibility due to its long duration, making it a good option for men who prefer not to time their medication with sexual activity. Viagra: Works well for men who are comfortable taking a pill shortly before sex and don’t need the long-lasting effects of Cialis.

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