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high cholesterol/trigylcerides
Oct 13, 2008

Hi Dr. Henry,

I've started taking meds in 2006 and my VL is now undectable. I am a black male, 46 y.o., 6'2" tall, and 195#. At my last visit my doctor told me that my cholesterol and trig were in the bad range. She is considering putting me on cholesterol lowering medication(s). Overall I am in good health, and I try to take good care of my body. I don't drink, I don't smoke, I get lots of rest, and try to stay stress free. I workout with weight three times a week, and I am thinking about jogging (but I don't want to lose any muscle). I started taking omega-3 fatty acids and I (now) only eat egg whites with breakfast. Do you have any other suggestions for me? I really, really do not want to start taking another medication. By the way, my HAART therapy consists of lexiva, viramune, and epivir.

Response from Dr. Henry

Your HIV regimen is a little unusual with no ritonavir boosted for the Lexiva when using nevirapine (Viramune). An evaluation by a dietician/nutritionist is recommended. A discussion with your HIV specialist regarding whether there are any alternative HIV meds that might be considered to be more fat/lipid friendly. Genetics, diet, aging, and exercise levels all contribute to lipid levels. If there are no alternative more lipid friendly HIV drugs available then diet/exercise is usually tried for a while before utilizing lipid lowering therapy. KH

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