G'day Dr Vergel. I have had low testosterone for several years now -usually just above the threshold/ v.low normal. I take a combination of tenofovir /ritonavir/3tc/darunavir (undetectable 9 years 950 tcs. poz 29yrs. ) I take this in the morning with breakfast. Would I fare better if I took my meds at night before bed - as far as energy levels/sexual function/weight training? Second question pertains to weight training specifically for someone with mild/moderate lipoatrophy. I would like to try and get some muscle defintion arms/legs -how often a week should I train each muscle group / recommended gap between sets for bulk. Daily menu/ diet suggestions to assist gains. Thanks for any help. Appreciated. Regards John

John

It really does not matter when you take your meds. The only medication that may make a difference on how you feel depending on when you take it is efavirenz (Sustiva). Sustiva can cause dizziness or other mental issues that are usually better tolerated during sleep. But your combo really does not present any of those issues.

Having said that, I tend to get tired after 30 min of taking my medications. But we are all different and if you do not experience fatigue after your daily dose, then it will not make a difference if you take it in the morning or at night.

I suggest that you read these articles I have written previously. They can help you in gaining healthy mass.

How to Increase Testosterone Naturally

Outsmarting HIV With Healthy Eating

Nelson's Top 10 Tricks for Fat Loss

Most popular nutritional products in HIV

Exercise: The Best Therapy for Managing Side Effects

Protein powders for increasing muscle

I hope this information helps you with your fitness goals!

Nelson