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Starting to notice lipodystrophy
Feb 18, 2010

Hi Ben,

I've been HIV positive since 2003, not on meds yet, viral load undetectable, CD4 is 1202 as of Feb 2010, was 701 in Sept of 2009. So really I'm not sure where it truly is...

Forearms, legs, and face are thinning. Should I start on HGH or testosterone? Testosterone was tested and is low, also signs of Lupus or ANA titers were high.

Do not feel tired or sick or fatigued, just mainly this thinning is bugging me.



Response from Dr. Young

Hello T. and thanks for your post.

It seems that there are a few issues that need to be sorted out before concluding that you have HIV-related lipodystrophy. First, understanding what the basis of your abnormal lupus/ANA antibodies is important, since they could represent a significant medical issue (and one that could be responsible for the body fat changes that you report).

Low testosterone alone is probably worth assessment and treatment- it's easy to do and likely will improve energy. By the way, excess replacement of testosterone or the use of HGH generally won't improve subcutaneous fat, rather cause one to loose fat.

I'd suggest following up with your doctor(s) about your symptoms and test results.

Please feel free to write back here with any additional questions.


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