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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Jul 13, 2011

I have been taking Reyataz and Epzicom for about 1 1/2 year, I started with a cell count of 2 and now am over 400 (viral load in the high millions, became undetectable in the first few months after receiving treatment). The labs are coming better each time I visit my doctor but I feel sicker as time goes by. I felt very healthy when I did not do any treatment (would ride my bike for miles, exercise, run, hit the gym every day, read, write, etc) while now I am too sick to even look at my bike and my laptop collects dust. My doctor says that all my labs are coming fine and that what I'm going thru is something that happens and that it will be all over. However, my body keeps feeling wasted while psychologically I want to engage in so many activities. Could this be low testosterone or what is happening? I am contemplating about stopping the treatment and enjoy the quality of life I once had even if this means that I may just drop somewhere. I will be seeing a psychologist just to make sure that I make the right decision whichever that may be but a few opinions or advice would be greatly appreciated. Thank you in advance

Response from Dr. Henry

A hormone, general health, and neuropsychological assessment would be advise to help determine what factors are contributing to your fatigue (ie low testosterone one relatively common cause as you mention). It would be unusual but possible that your HIV medications could be directly involved (in that case a switch to an alternative regimen would be preferred versus stopping HIV meds--choices depend on your treatment/resistance history). KH

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