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Nausea from HIV meds

Feb 26, 2012

I have been on norvir, truvada, prezista for 3 yrs. I have gained 40lbs, lost itwith exercise and diet (but felt very nauseous dieting) and then gained it back. I find that I have increased food sensitivity to lactose, EXTREME SOY allergy (so avoid it) and I tend to feel week and nauseous after all bowel movements. I drink mint tea after and eating right after helps but I want to know why this nausea is happening right after a bowel movement. I feel if I am watching my diet during the day, limiting calories, once I take a bowel movement I have the urge to eat to fill my sick stomach. It ruins my diet, eating to overcome nausea. This is how I gained weight unknowingly. Some people lose weight with nausea. I feel extreme urges to eat and it stops the nausea. But it's keeping my weight on. Any advice or ideas on what to eat that will treat this symptom but not cause unnecessary weight gain? also, do i need added calories because i am on medicine?

Response from Dr. Pierone

Hello, and thanks for posting.

Sometimes nausea may paradoxically produce weight gain as in a situation like yours. You should discuss changing your regimen with your doctor to see if a different combination would be better for you.

Good luck!

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