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Lipodystrophy and WastingLipodystrophy and Wasting
           
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Weight loss in early stage
Jun 23, 2003

Dr.,

Does lypodystrophy/atrophy occur from HIV alone (i.e. w/o treatment)?

If so, has it been noticed in the acute, asymptomatic or late stages of the disease?

Does the weight loss sometimes seen initially after infection come all the way back to normal after ARS ends?

My situation is strange: Is it normal to have an INcreased appetite w/ very little nausea AND marked weight loss (combined w/ fatigue, malaise, aches, swollen lymph nodes, diarrhea during ARS?

Thanks for any info you may have

Response from Dr. Moyle

Some surveys of people with HIV indicate that some untreated invividuals have physical signs of lipoatrophy. These are most likely in lean or older people where the appearance may overlap with the beginnings of lipoatrophy. This could occur at any stage althoght as HIV disease progresses weight loss may also give a lipoatrophic appearance. Fat increase in the belly we all know to be common. In the presence of symptoms as you describe it is common to lose weight despite an apparently good intake. These symptoms need addressing so please see your doctor to investigate if any treatment is needed

Best Wishes

Graeme


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