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Lipodystrophy and WastingLipodystrophy and Wasting
           
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OVERWEIGHT
Apr 12, 2002

NEED TO LOOSE ABOUT 40LBS. DO NOT LIKE TO GO TO THE GYM MOST OF THE WEIGHT IS ON THE BELLY. CURRENTLY ON VIRAMUNE AND TRIZIVIR. CAN YOU RECOMMEND A DIET?

Response from Ms. Fields-Gardner

Before you try dieting, you will need to know if that is a viable option for you. Start by getting a body composition evaluation done to determine if you have the body cell mass (BCM or muscle/organ tissues) to sustain a diet-induced weight loss. In some cases, overweight can be a result of altered metabolism which makes diets more dangerous.

Once it has been decided that reasonable dieting is appropriate for you, you need to do a bit of background work with your clinician to decide what types of things work best and any other health issues to consider (diabetes, high cholesterol, others) that may limit your options.

Then, the next step is to decide how you personally best deal with things. Are you a disciplined person who sticks to recommendations? Are you a person who will stick with recommendations with smaller changes? Do you like food or eat for other reasons? And other behavioral questions can be inserted here.

Why go to all this trouble? Because it is your health beyond bathing suit season you are affecting here!! Many things come into play: current health, age, personality.... It will be worth it if you make the right choices. You can tell by the high failure rate in the diet industry that many don't put in the work to make the best personal choice. Don't make that mistake! Get together with your dietitian and work it out!


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