|anemia & low testosterone
Sep 14, 2003
Hello Doc, First off I hope you are feeling well. I will keep you in my prayer. I was neg in 1/2003, pos 3/20003. Initial numbers indicated EARLY conversion and I decided to start meds. I'm presently on Trizivir & Sustiva. I have the most difficult time getting up in the morning and am totally wiped out after my work day, totally unable to exercise.My initial Hbg was 16.5 and now in 12.5 and workup negative and differential consistent with AZT induced anemia. My free testosterone level recently was 60 and total level 260 I am so unclear as to trying androgel or changing the meds and taking the AZT out of the mix. Your thoughts would be so appreciated.
Response from Dr. Frascino
Why not consider both? The thymidine analogues (AZT and D4T) have been linked (or at least associated with) lipoatrophy in some patients. AZT is a likely culprit for suppressing your bone marrow's production of red blood cells. You should have lots of options for alternative HAART combos. Consider Viread in place of AZT, for instance. This still "spares" all the protease inhibitors. Or, if you prefer, you could consider treating your AZT-induced anemia with weekly injections of Procrit (if the hemoglobin continues to fall below the normal range).
Your testosterone levels are on the low side, which may be OK, if you're a 90-year-old celibate monk. But if you're still a sexually active, gym-going, party boy, well, you should consider boosting your Vitamin T into the mid- to upper-mid level of the normal range. The normal range is somewhat age-specific. Yes, you could try one approach, then the other, but there certainly is no reason not to do both simultaneously.
Good luck. Stay well.
anemia caused by poppers??????
- Is Dizziness An Early Sign Of HIV?
- Bloody Nose After Oral Sex With No Protection Does It Mean I Have HIV
- Swollen Lymph Glands After Oral Sex On A Woman What Are The Chances Of HIV
- Can I Use Vinegar To Find Out If I Have Std?
- Does Ciprofloxacin Cure Chlamydia?
- How Long Does It Normally Take For Your Pap Smear Test Results Come Back?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.