Dr. Pierone, Thank you for your reply to my previous question about Attipla and lipoatrophy. I have been reading a few studies from the CATIE, and other European studies that have recently found their way to America. The studies are on the effects of Sustiva causing lipoatrophy. I was pretty astonished on how great an effect it has on lipoatrophy. Unfortunately I have been on it for more the 5 years either on its own in a combo or in Atripla. I have recently switched to Isentress with Truvada. I hope i can stop any further damage and ONLY HOPE with in the years to come, fat cells return. I have also read your response to someone regarding Sculptra. . i have had sculptra AND Radiesse as well. . Thank you for letting him know about the combo of the 2. It has changed my LIFE and done wonders for me and my self esteem. Just let the people know to find a good PLASTIC SURGEON who is recommended on the Sculptra website. They will know to use the 2. I found a local Plastic Surgeon that was referred by Sculptra. It is an innovative technique and requires someone who is trained in the technique of Sculptra injections. Far different technique then say Botox or even Restalin.

Your comments are much appreciated. You mention studies that have linked Sustiva to lipoatrophy. Do you have the specific studies so I can comment on them? Thanks!