Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
|
|
 |
 |
Do I have facial lipo?
Nov 2, 2008
Hello,
I started my meds 2 years & 3 months ago. Till now no change of combination. These days I noticed my cheeks became sunken. Strange but it seems the left is more sunken than the right one. Do you think it is normal in lipoatrophy or I am just paranoid? And one more question - I know my combo is often related to lipoatrophy/videx,epivir,kaletra/ and probably 2 years are enough for develop it but do other factors help the lipoatrophy development - like alcohol and smoking for example?
Sorry for such stupid questions but in my country I regret to say people can not count on doctors. And thanks for your time and professional help!
|
 |
|
Advertisement
Response from Dr. Pierone
Hello, and thanks for posting.
It does sound like you have the beginning of facial lipoatrophy. It is not uncommon for there to be a difference in the degree of lipoatrophy when one side of the face is compared with the other.
Smoking will accelerate facial lipoatrophy and development of wrinkled skin as well. Excessive alcohol consumption will also lead to more rapid development of facial lipoatrophy.
The agent in your cocktail that is linked to facial lipoatrophy is Videx (ddI, didanosine) and if this could be switched (or stopped since there are good data on the effectiveness of Kaletra monotherapy or Kaletra plus one nucleoside). If you and your clinician decide to switch the Videx, see if Viread (tenofovir) is available for use. This medication would be the least likely of the nukes to cause lipoatrophy (compared with AZT and d4T).
I hope that this information helps and best of luck!
Want to read more questions and answers on this subject? Our experts have answered many similar questions! |
|
|
 Please remember that this forum is designed for educational purposes only, and experts are not engaged through this
forum in rendering legal or medical advice or professional services. Experts appearing on this page are independent and are solely responsible
for editing and fact-checking their material. Neither The Body nor any sponsor is the publisher or speaker of posted visitors' questions or the experts' material.
Questions and messages posted to this forum are not statements of advice, opinion, or information of The Body, Body Health Resources Corporation or any sponsor of this
forum. While neither The Body nor Body Health Resources Corporation regularly reviews posted content, we reserve the right to delete, move, or
edit postings if we deem it appropriate under the circumstances. Visitors submitting questions remain solely responsible for the content of their
messages.
Information provided by experts is general only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as
legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a
health or legal problem, you should consult your own health care provider or your attorney.
Copyright notice.
|
|
Advertisement
|
|
E-Mail
Glossary
