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HIV Patient with excess of Abdominal Fat Accumulation
Aug 1, 2007

what is HIV patients with Excess of Abdominal Fat Accumulation how is this caused?

Response from Dr. Henry

Increased abdominal fat usually is due to increased intra-abdominal fat (called visceral fat). That problem is common in the general population as well so it can be challenging to distinguish what degree of fat increase is due to HIV or particular antiretroviral drugs. Many of the older regimens we once used seemed to cause more fat problems than many of the newer regimens (ie using Truvada, Epzicom + Sustiva or a boosted PI such as lopinavir, atazanavir, saquinavir, fosamprenavir, or darunavir). Diet and exercise can be helpful is some patients as can switching to more fat friendly regimens. A variety of interventions such as some diabetes drugs or growth hormone/growth hormone releasing factor have been studied to treat increased abdominal fat. There is no consistently effective, safe intervention that can be routinely recommended at present. KH

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