What is happening to me?
May 20, 2004
hi , i am now taking stokrin videx and viread , before i took zerit and now since the lipo my dr switched te zerit to vired, the lipo is horrible , my arms are so skin from the elbow down while from the shoulder down its fat , i look like a joke ! And my legs? GOD ! Skiny with veins out and fat belly ... Will it ever get better? Will i ever look normal again, i realy feel like i want to die.
Response from Dr. Henry
Reversing fat loss when severe is a challenge. Nothing seems to work regularly in a quick manner. I try to encourage patients to maximize nutrition, exercise, hormone status. I also sometimes suggest that patients take some alternative meds that may be protective for mitochondria (see www.daair.org)-results have been variable. I also sometimes have had patients switch off NRTIs altogether (such as a double boosted PI regimen)--that occasionally seems to have stabilized and sometimes improved the situation. There is alot of interest in the issue of lipoatrophy so I am hopeful that we will learn more about why this is happening (age, HIV, immune reconstitution all may be factors involved)which will allow for some better targeted therapy--hold on!! KH
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