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testosterone levels
Dec 31, 2005

i recently started feeling very tired and slighly depressed lately and had a my regular blood work done by my doctor and was told i had very low testosterone levels(i take kaleetra,combvir,viread)t cells 755 viral load undectectable and have enjoyed a normal levels of sex drives until now is it the meds that have leveled off the testosterone or the hiv???if so what can be done to build it back so i can enjoy life and feel good and full of energy like i use to???help!!

Response from Dr. Henry

It appears that HIV+ men often have low normal testosterone levels. It is not clear what causes that situation (? HIV or any particular drugs). Still not enough is known about low testosterone levels in the general population or about the actual benefit or safety of long term testosterone replacement (hormone replacement has been studied in millions of women for decades and has proven to be very complicated and not without risks). Often a trial of physiologic replacement of testosterone (often via a gel placed on the skin) is tried for 3 months to evaluate whether there is a clear quality of life benefit (energy, depression levels, sex drive, etc) if there is no medical reason that testosterone should be avoided (ie history of prostate cancer). KH

continuing heart problems with medication
lipatropphy , cholecystectomy helpful?

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