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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Loosing weight
Jun 5, 2011

Dear Doc,

I am from India, I am on Forstavir-3 (it is same as Atripla) from last one year, when I started medication the CD4 count is 320 and weight is 69 kg (height 5 feet 10 inch), but after started the medicine continiously loosing my wt, one month back my lab results showing that CD4 count is 516 and viral load is undectable (less than 100) and my weight is 64 kg now. Eventhough I lost 5 kg only looking very lean and not healthy, my colueges and relatives are asking asking what heppened to you. Please let me know how can I get my weight and look healthy. Thanks in advance.

Response from Dr. Henry

Though most patients gain weight after starting effective HIV meds there is a wide range of weight changes (small-modest subset may lose weight). Your basal body index (BMI) is within normal limits so there may not be a cause for alarm at present. Assessment for other causes of weight loss (other infections, diabetess, thyroid disorder, depression and many others) may be warranted so I recommend discussing with your HIV specialist (may also benefit from session with dietician). KH

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