Hi,

I acknowedge your recommendations for a healthy, low fat diet in HIV for basically every reason. (lypo, heart health, energy, etc.)

However, negative people who eat high fat diets tend to get fat, and therefore hae fat on their face, butt, etc.

Are you proposing that people on HIV meds (specifically PIs) who eat a healthy, balanced, low-fat diet would have less facial lypoatrophy than someone who eats a high fat, high calorie (overeating) diet?

Clearly, this is hypothetical, as facial lypoatrophy, while important, does not trump all other health reasons. I was just curious as to how a high fat diet would affect facial lypo as the low fat one. I suspect the drug and the individual person varies greatly here, and that a igh fat diet would be inconclusively beneficial.

Thank you.

Ultimately its persons who eat more calories than they need who get fat. Fat in the diet is necessary (for some fat soluble vitamins and other metabolic uses) and eating a high fat diet it is still possible to lose weight (i.e. the Adkins diet). Low fat, high omega-3 (fish oils) and high fibre but adequate in calories best fits the needs of lipodystrophy...reduce blood fats, improve fat profile, improve insulin sensitivity. These things help the weight you gain have a better chance of landing in the right place

Best Wishes

Graeme