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Sep 25, 2013

Hi Nelson! How are you? I hope you're doing great! Well, I changed my set of meds about 6 months ago. I'm on Abc, Lamiv, Atazn and Ritonv. I'm happy to say that my load is undetectable and my cd4 is around 600. But my bilirubin is: total 3.90/ direct 9.90/ indirect 3.00. I am very scared that I might be turning yellow for having high bilirubin. I have been checking the mirror constantly, my eyes are not yellow, but I am not sure about my skin. I can't tell exactly, because I never payed that much attention to my color in the past. So, sometimes I look at myself and I think my color is regular, but in other moments I think I'm yellowish. Are those bilirubin numbers enough to get me yellow? Also, my urine color is normal and clear. What can I do to lower those numbers? Please help me Nelson, I really don't want to go yellow, I'm so upset and worried about this. Thank you so much in advance. Thank you so much for helping us by being kind of like our mentor. God bless you heaps!

Response from Mr. Vergel

Most people do not show jaundice (yellow skin and eyes) at those levels. I would not worry about it much. If you eventually have issues, you can talk to your doctor about switching you from Atazanavir/Norvir to raltegravir or a non-nucleoside like rilpivirine if your virus has not developed resistance to it.

There is not much you can do to bring bilirubin down while taking Atazanavir. I know people who have had slow but steady decreases and stabilization of it after a few months. I also know few that had to switch to another medication.

Nelson How is hyperbilirubinaemia treated?

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Medicare benifits

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