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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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reyataz and belly fat??
Jun 29, 2007

Is there any reports about bad side effects from reyataz? I am poz 15 years, vl undetectible cd4 1150 in prettr good health. I have gained 20 pounds since starting reytaz! I thought less norvir would be good? I am also on sustivia,ziagen and one norvir to boost my reyataz. also take crestor 10mg. How can I reduce my belly without making my face go really gaunt? does spot exercise work? like sit ups? what is better--walking or weight training?

Response from Dr. Henry

Good questions. There is not much published information on fat issues for persons taking ritonavir/atazanavir + Sustiva + Ziagen. Diet and exercise helps some patients. Growth hormone or growth hormone releasing factor are under study for reducing abdominal fat seen in the setting of HIV treatment-jury is still out on long safety and benefit and costs. Ordinarily atazanavir (+/- ritonavir) and Ziagen (abacavir) are relatively fat neutral drugs though fat accumulation is still seen. I am uncertain whether switching off the meds (such as efavirenz to a NRTI or to nevirapine) would result in noticeable decrease in abdominal fat (any benefit can be very slow to make matters even more frustrating). Thus-this situation lacks an easy resolution/answer. Weight gain/fat increases are a very complicated topic (and common in the general population as wel) that needs lots more research to better understand and to ultimately provide better treatment options. KH

dear doctor

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