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Fatigue and AnemiaFatigue and Anemia
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Not on meds yet but very fatigued
Sep 26, 2010

My brother was recently diagnosed HIV + and a series of infections has prevented his start on HIV meds. He is extremely fatigued and his CD4 is around 50. Is this just the result of HIV or could there be another cause. We are hoping that he can start meds within two weeks.

Response from Dr. Frascino


There are many potential reasons for your brother's fatigue, including the "series of infections," his very advanced-stage AIDS, hormonal imbalances, anemia, and psychological stress regarding recent AIDS diagnosis.

Your brother's case is another tragic example of HIV/AIDS not being diagnosed and treated in a timely fashion. Chances are your brother has been HIV infected for at least 7 to 10 years. Had he been diagnosed and treated earlier, his immune system would not be so decimated and he would not have the opportunistic infections resulting from his severe immunodeficiency. It is possible that your brother will improve if his infections are treatable and if he responds well to antiretroviral therapy. However, his very late diagnosis has certainly stacked the cards against him.

Dr. Bob

Should Atripla 8 hrs later if I forget
Cancer and HIV, 25 pounds lost - mostly muscle

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