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wasting away

Oct 18, 2009

I suffer from lipoatrophy and i am now on Viramune and truvada but it seems the lipo has gotten worse. what medications do you suggest i try to stop the progression of lipo... also is there any way of gaining ANY weight at all????

Response from Dr. Pierone

Hello, and thanks for posting.

This combination has a low risk of lipoatrophy so there are no obvious medication switches to consider.

There are many factors that may produce weight loss or prevent restoration of weight. These include medications (especially if associated with low level nausea), endocrine disorders (hyperthyroidism, hypogonadism), suboptimal diet, anxiety, depression, intestinal parasites, infections, malignancy (not commonly though), and inflammatory conditions.

So a thorough evaluation is an important starting point. I suggest that you discuss this issue with your doctor and explore some of the possibilities and see what can be determined.

Good luck!

Will lipoatrophy improve after Truvada switch?
Does PMMA have long term side effects?

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