because I was doing too well. Go figure. My question: I was prescribed Anadrol to try to keep up weight. Part of the reason I used Serostim was to counter lipodystrophy. It now seems as though my hips and waist are once again out of proportion. I work out regularly and am developing muscle mass. Will aerobic activity, such as high speed walking on the boardwalk help counter the lipodystrophy. I am very frustrated as I was doing great with Serostim (HGH) Jim Hyde

You are right that, at least while you are taking it, GH helps the appearance of lipodystrophy, reduces visceral fat, normalises waist-hip ratio and improves performance. It is however devilishly expensive and heavily regulated by health care payers. The effects tend to wane after stopping. Its good to hear you support for this approach as there a plenty of muscle guys in the gym who just push anabolics to everyone without understanding the specific needs of someone with lipodystrophy.

Anadrol is an androgenic anabolic agent approved for the treatment of anaemia but which has also been studied for the treatment of wasting in people with HIV. Like all androgenic anabolics it increases muscle mass at the price of subcutaneous fat (potentially making peripheral lipoatrophy look worse) and does nothing for visceral/central fat deposits. If your weight is stable (given that you lose 3-4lbs of fluid when you go off GH), you aren't anemic and you natural free testosterone is normal ther is no real need for it. Exercise and diet (high in fibre) both help sensitise the periphery to insulin and so help keep fat away from central stores so can help. So keep with on the high speed walking! Regards Graeme Moyle