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Fatigue and AnemiaFatigue and Anemia
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Preventing tiredness with Procrit
Jun 4, 2005

Hey Doc,

I just got home from a dull dinner date that ended badly. I got slapped! I'm beginning to hate Canada. I want to come to SF and have you be my doc. Chicks here are boring and my doc won't even give me the meds I want. I wanted to start Procrit to prevent anemia because I will be starting my HIV combo thiss week. I think I might already be tired and don't want to get anemia on top of that. Any ideas on what I should do?

Response from Dr. Frascino


What should you do? Well, I don't think you should "blame it on Canada," eh?

I can't comment on your ADD (Another Dating Disaster), but I do agree with the doctor who did not prescribe Procrit to prevent anemia! Just because you are starting HAART, doesn't mean you will become anemic. Also, too much of a good thing is not a good thing. In other words, Procrit is very effective at increasing the production of new red blood cells, but having too many red blood cells (erythrocytosis) can be as harmful as having too few (anemia)!

If you are truly fatigued (rather than just "think you might already be tired"), have your HIV specialist check you over. There are many potential causes of fatigue in the setting of HIV disease, ranging from depression to hormonal problems. These common and not-so-common causes of fatigue are discussed in the archives. Check it out!

Finally, regarding Canada, there are many things to be thankful for:

1. Mountains 2. Mounties 3. Health care for all 4. William Shatner (the early years of Star Trek, not the more recent Priceline commercials) 5. Gay marriage 6. Colored money 7. And most of all, plenty of beavers, but no Bush!

Stay well, eh?

Dr. Bob

Use of recreational drugs when on haart/no fatigue
Fatigue Walking Stamina

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