Weight gain to counter d4T wasting?
Apr 1, 2008
I lost a lot of fat on my face and butt back in the dark old days when d4t was THE drug to take. I'm long since done with d4t of course, and it seems like my face has improved some since then, but I'm still not happy with the way I look. I've always been a little skinny, so I'm thinking of trying to gain weight to correct the problem. But would the weight I gained go where I want it, or I am more likely to end up with a beer belly and still have a thin face and bottom?
Response from Dr. Pierone
Hello, and thanks for posting.
If you gain weight it should help your facial thinning to some degree. But you rightly point out the concern that the extra weight would likely concentrate in you midsection as well. One way to lessen the chance of trading a thin face for a beer belly would be to attempt to preferentially gain muscle by adding some exercise and weight training to your schedule.
An alternative or additional approach would be to seek treatment with a facial filler to directly correct the facial lipoatrophy. Radiesse and Sculptra are the two agents which have been approved for treatment of HIV-related facial lipoatrophy in the U.S. Both of these products are clearly safe and effective in management of facial lipoatrophy and the good news is that there are patient assistance programs to help make them more affordable for people living with HIV.
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