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Muscle mass loss.

Oct 27, 2011

Hi,I am a 31 year old male, hiv+ for 2 years. Viral load undetectable and CD count 500. I am currently on Norvir, Prezista and Truvada. I am also on Androgel which helped with my low testosterone levels, which have been back to normal since beginning Androgel. I have lost muscle mass since becoming positive, my doctor referred me to a nutritionist and I have been exercising at least 3 times a week. I am still having trouble maintaining my weight and muscle mass and it's beginning to show. What are some options other than what I am already doing as instructed by my doctor?

Response from Mr. Vergel

It is surprising to me that you are losing weight on a Novir boosted protease inhibitor. I am assuming that your appetite and food consumption is normal (2000 to 3000 calories per day).

Has your physician checked your thyroid function? Hyperthyrodism can be a cause for unintentional weight loss.

Some phyisicians prescribe nandrolone or oxandrolone along with testosterone replacement for patients who are having your issues (assuming that your thyroid function is normal). You may want to read about this medications here: Anabolic Steroids: A Practical Guide

Nandrolone has been abandoned by its pharmaceutical manufacturers since they made little money on it ($40 per month). Instead, these companies opted for selling oxandrolone at a cost of $1200 per month. Oxandrolone, an oral anabolic, can affect liver function (nandrolone does not have that issue). Compounding pharmacies make nandrolone by prescription now (they ship to other states). One of the most popular ones due to their prices and HIV customer support is

If you need more information about what physicians are well versed on how to manage unintentional weight and lean body mass loss, please reach me at

Program for Wellness Restoration

For dietary and exercise recommendations that you can follow, I would read the following two articles:

Exercise Suggestions

Dietary Suggestions

Nelson Vergel

Sculptra vs. Radiesse
Is Sculptra PAP still available to Medicare patients?

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