I am wondering about the damage my meds do about my liver. My doc wants me to have a blood test, where I have to fast beforehand, to see whats going on there. I eat healthily, I do drink, (alot) but generally I really do look after mself. I am on Sustiva and Combivir an have been for two years. T-cells 500, viral load undectable...can you explain why I should be getting tests on a reg basis, what should I look out for, should I also take Milk Thistle, I am currently being vacinated against Hep A and B...lots of questions I know!

Alcohol averaging 2 or more drinks daily can increase the risk of fatty liver or cirrhosis. There is some concern about additive risk from HIV drugs such as the nucleosides (such as your Combivir)so monitoring every 3-6 months is reasonable. Milk thistle is widely used but not proven to protect the liver. Vaccinating against viral hepatitis is wise as is safe needle/sex practics to avoid hepatitis C. Also avoiding overuse of Tylenol is recommended. KH