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Lipodystrophy and WastingLipodystrophy and Wasting
           
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facial changes!
Oct 21, 1999

Dear Dr.

I am 33 yrs old. On Sustiva, Zerit, and Epivir x1 yr.

Vl is < 40. I have come to terms with skinny & veiny arms

and legs, but lately I and other people have noticed deep

lines in my face becoming more noticable. I don't want to

look old and beyond my years because of the Meds. Is there

a combo of drugs that might work well without these changes?

Is lipodystrophy reversable? Thanks

Response from Dr. Fisher

You are probably on one of the best regimens in terms of these changes. The zerit though has been implicated more than we originally thought...do not make any changes unless you discuss this with your doc as I cannot recommend any alternative regimen that would reverse this. Indeed I cannot recommend anything that will reverse this problem.

We do not know how much of this is potentially reversible.

Alvan Fisher, M.D.


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