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need to lose weight and on arv treatment
Feb 23, 2009

Hi, i'm on arv traetment (truvada, reyataz and norvir) for the past one and a half years, my cd4 count is 975 and my viral load undetectable.. I keep my diet as healthy as possible and exercise regularly but i seem to put on weight. i have gained 40 kilos in the past three years after been diagnosed. I had as many side effects as you can imagine but now i am healthy.. My doctor suggests that it could be my meds but can't changed it as i am allergic to kaletra and combivir..

Please help and give me some advice...

thank you

Response from Mr. Vergel

You have not mentioned if you are eating more.

Your once a day HIV combo is lipid friendly, but like all other HIV medications combos, people experience weight gain. Switching to other combos will probably not change anything for you.

Some of us become insulin resistant and have to be very careful about our comsumption of sugars, alcohol, animal fats, and junk food. A study in HIV showed that those who consumed larger amounts of soluble fiber tended to have fewer problems with weight gain. Soluble fiber slows down the absorption of simple carbohydrates and may improve insulin sensitivity.

Exercise 3-4 times a week with weights/machines and at least 30 min of sweating exercises three times a week. Try to consume more fruits and vegetables and less flour based products.

Try to maximize these food sources of Soluble Fiber:

Oat/Oat bran Dried beans and peas Nuts Barley Flax seed Fruits such as oranges and apples Vegetables such as carrots Psyllium husk and other over the counter products


exercise and bloating
Liver with parenchymal disease

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