Jul 25, 2006
Not sure where to post this, since for some reason you've chosen to close the lipodystrophy forum. Still, as someone who is HIV-positive, not on meds, and in good health, but who is nevertheless experiencing facial and peripheral lipoatrophy, could I ask that you consider changing "doctor's notes" like this one:
Contrary to what this gentleman appears to believe, lipoatrophy is most certainly NOT a thing of the past. And it most certainly DOES affect HIV-positive people who are not on meds. It's bad enough having to deal with the fact that all the discussion of this topic focuses on people taking HAART. It's even worse to see a site like this suggest to people that lipoatrophy isn't a concern anymore simply because we have different treatment options for HIV. None of that is relevant if your lipoatrophy isn't caused by antiretroviral drugs in the first place.
Response from Dr. Henry
Fat distribution abnormalities have been linked to non-treatment factors (such as aging, duration of HIV infection, degree of CD4 depletion, and perhaps genetic components) so various manifestations of lipodystrophy are seen in HIV+ persons the absence of treatment. Our understanding of fat metabolism is incomplete and evolving fairly rapidly-fat is complicated. There are an increasing number of fat related hormone (such as adiponectin) that have been recently characterized. Fat metabolism is linked to glucose and lipid metabolism so sometimes tha pathways of influence for a given factor can be indirect. Fat problems are a major issue for both HIV+ patients and much of the general public as well. KH
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