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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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It's back ~ are other med.s to blame?
Aug 28, 2004

I have been on treatment for seven months for my type 2 hep c. When I was told I could stop treatment, I was clear, I started taking a product called Cortislim to help with weight loss. Now that I have been off hep c treatment for 3 months, I was told that the viral load is slowly increasing. Could there be a chance the cortislim would create a liver problem or "inflame" the virus to start back up? If I start treatment again, what are the complications of the cortislim and the interferon and ribovirin? Thank you, Syd

Response from Dr. McGovern

I am not familiar with "Cortislim" for weight loss, but I would wonder if perhaps you needed a higher dose of either PEG interferon or ribavirin if you are markedly overweight. If you had complete elimination of the virus, you have a high chance to get there again.

I would do the following: I would first go on a weight reduction program with a registered dietician or a specialist in obesity. After you lose the weight that you planned for yourself I would go on PEG/RBV again. Your physician and you could discuss several options such as retreatment again for 6 months now that you are at a lower body weight -or- treat for a full year - or treat with "weight-based" ribavirin. Dr. McGovern

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