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Ask the Experts about Managing Side Effects of HIV Treatment
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Why muscle wasting & severe pain?
Feb 26, 2009

I'm on my HAART regimen, and for the most part I stick to it. My VL is undetectable, my CD4 is 1300. However I am going through severe muscle wasting & pain that has me not able to function well at most times. I also have Hep C & Lupus, but all my Docs say that they are under control. If everything is so hunky dorry on all 3 fronts, why is it so G-ddam-painful to be me? Why aren't my docs more concerned? And can muscle waste away until you can't walk at all? How can I stop it?

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   Response from Dr. Henry

Muscle pain is actually fairly common in general population and can be tough to make any specific diagnosis or to treat. HIV infection, some HIV meds (such as AZT or D4T) , hepatitis C, and lupus all can aggravate muscle/joint problems in some patients so your situation can be very challenging. I assume you have seen a rheumatologist? Have you had a muscle evaluation/biopsy, hormone evaluation (thyroid, cortisol, testosterone)? KH



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