HI, so many question hope to get the right answers. 1.I suffer form lipo for at least 9-10 years, have changed drugs many times,as a matter of fact the first combination included crixivan that started the whole lipo thing .. since I have been on ziagen that gave me the rash, i had zerit , had viramune that gave me the stiven johnsos simptoms, right now I am on videx+kaletra and viread, the kaletra is temporary replace the stockrin since i want to get pregnent. i read here the main 3 drugs cause the lipo are zerit, atz and videx, well i was on zerit and videx together for many years and i quit with the zerit for at least 2 years ago but i am still with videx, could this be the reason i am still suffer badly from lipo? if i will find some other drug i have no resistance to instead of the videx, could it make me lool better with the lipo? i am planing doing a plastic surgery in to weeks. i wil do fat suction from back, neck, upper arms and waste, is this a danger surgery? i also planning on putting some of the fat into my face and elbow, can u estimate how long will it last? the dr. dsaid the injection my fat to the face is better from any other material since this fat came from me so no side effect can accure. by getting pregnent is this necessarily means fat will come over to all these places i took it off?what can i do do keep it from coming back? where will it comes if it will? will be keeping a liw fat profile i keep the fat from coming back to all these areas? what about uridine?i want start it so bad, i know the drugs i am taking are not it the least that uridine suppose to help but i did took zerit for a long term so it might help reversing the demaga caused in this period. sorry for this long question, since my surgery is in less then 2 weeks i will appreciate your fpcus specific answer. b.t.w- is it possible injection some of the fat to my bott or leggs as well ? and how long will it last ?

The effectiveness of fat transfer from one area to another for the treatment of HIV -related fat problems is unclear to me. There have been some reports of adverse outcomes in some cases so I have to leave that up to your plastic surgeon and you. There is more to fat problems than simply the medications. Longer survival with HIV, a low CD4 nadir, aging, and other non-drug factors have been shown to influence fat distribution problems. Uridine is still investigational for the treatment of fat loss seen while on HIV therapy (generally patients losing fat while on D4T or AZT). It remains unclear how effective it is since results to date are limited. There are no easy definitive answers for many of your heartfelt excellent questions. KH