Jun 21, 2012
hello Dr Nelson,thank you for been kind towards all of us living with this virus with answers,remain bless my dear. though my english is not too good but try to understand it with my question,i've been taking truvada,sustiva since january 2008 started with cd420,vl 1million but now my cd4 24/2/12 cd4 545 vl undet 26% though am ok with the meds.but what am facing now is my belly is big also shoulder,breast,try many diets and exercises but still nothing works out,while my partner breast is going down she even told to go for cosmetic sugery (breast enlargment)but i was afriad of the side effect cause she don't like to go for hiv three month checkup to our ID Dr i've to force her all time before she go.so what could i do for my belly and also the reason why i write to you was am having pain in right waist leg severely ,a pharmarcy gave me 10mg tab for neuropathy .but am taking meds for anxiety like tranxene,lexapro almost everyday do to am suffering from fear since 2001
Response from Mr. Vergel
Have your physician check your blood levels of testosterone and estradiol since Sustiva has reported to cause increased estradiol in a minority of patients. EStradiol can increase breast size and fat content. It should not be above 30 pg/ml. If it is, a estradiol blocker like anastrozole may be indicated. estradiol info
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