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Robert, one of the ex-tweakers now in recovery, is familiar with what happens in a meth lab.He says he was once referred to simply as “The Doorman,” guarding local meth labs run by biker gangs, protecting both the house and the cooks inside from cops and psychotic tweakers alike.Yet even with more than 40 percent of local HIV patients reporting that they are also meth users — significant because tweakers are much less likely to use protection, HIV-positive or not — there’s been no significant public health campaign in Maricopa County warning of the dangers of having sex while tweaking.

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That lasted just one semester, before Theresa began dancing at a strip club in central Phoenix, where she graduated from the diet pills she’d been using since she was 14 to smoking the street meth her brother was cooking up.

They bought a stolen professional-grade video camera, recruited the girls, and then spent hours at a time choreographing the scenes, like big-shot porn directors in the San Fernando Valley.

“I remember we stressed about the cum shot, the ‘money shot,’ for so long,” Robert says — typical, obsessive tweaker behavior.

For the sex-addicted tweakers, if they manage to be sober long enough to get into recovery and therapy — like Theresa, Randy and Robert — there is a lifetime of sexual reprogramming, somehow learning to disassociate sex from the act of using meth.

“I know I’m not gay,” says Randy, who once so obsessively sought “to get a nut” while high on meth that he had unprotected sex with a transsexual while his girlfriend waited for him at home.