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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Elevated ALT/AST
Sep 4, 2009

As always, thanks for all your answers and help over the years. In a nutshell..I started Truvada/Viramune in March 09. By June 09 I was undectable and my T cells were up 287 (22%) At that time my ALT/AST were fine.

My follow up today I was undetectable and T cells were up to 323, lipids were perfects, but my ALT/AST were 56/68. My doctor said it could be the viramune. I also started Lipitor in June so I'm not sure what is causing this rise in ALT/AST. How long after beginning meds would a rise in liver function show up? Could intense exercise or high protein cause a rise? I did use Tylenol for a few days (4 days prior to the blood draw)

Other than that, the meds are working and I feel awesome with no other side effects. I dont' want to have to start a new regimen.

Insight?? Thanks.

Response from Dr. Henry

Those are quite modest transaminase elevations so would simply continue to monitor and report any new symptoms to your HIV doc. KH

Length of time before lipodystrophy sets in
hiv treatment

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