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Ask the Experts about Nutrition and Exercise
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Winning the race????
Apr 30, 2008

Quick question I understand most hiv + people deal with big bellys and skinny legs. If you get ahead in the race early is there a better chance that you can some what control this issue??? I know that everyone is different but will exercise help control belly fat or is this race a lose lose situation??? Thank you

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   Response from Mr. Vergel

Some studies have shown that those who start HIV medications with lower CD4 cells (T cells) tend to have more lipoatrophy and fat accumulation, specially if their CD4 cells increase a lot during treatment. We are not 100 % sure if starting meds at higher CD4 cell levels would decrease the chances of getting body changes, but we are starting to suspect so. Of course, we now know to avoid drugs like Zerit, AZT, Crixivan, and higher doses of Norvir, but what is not clear is what med combos have lower incidences of fat accumulation.

Nelson



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