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Switching treatment
Sep 10, 2004

Iam on 3tc, Kaletra, Zerit, have developed wastings on my bums, big breasts,plumpy face and big tummy. If my Doctor consider switching my treatment,what needs to be replaced with what? What about immune boosters, do they help in this case?

Response from Dr. Henry

Immune boosters have not been shown to be safe or effective in that sort of situation. What you can switch to depends on your past treatment history, resistance status, etc. Often one would switch off the Zerit at least to something like AZT or preferably abacavir (can take the new 2 in one formulation inthe US). Stabilization or improvement is not guaranteed and maybe slow. There are studies with growth hormone and some diabetes meds underway looking for a useful intervention. This situation is frustrating for sure. KH



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