Jul 1, 2012
Like many other on here, I have experienced severe increase in itra-abdominal fat. I would like to have a ct scan or mri, but my doctor thinks it will be a waste since we know it is lipodystrophy. My question is, can I privately pay for a CT scan or mri without a dr's referral? Is one scan preferential to the other for showing the intra abdominal fat, and do i need contrast? how much does this cost? i know there is the new medicine egrifta, but i really don't want to start a medication that can cause blood sugar probems.
| Response from Dr. Henry
CT scans are useful to localize fat increases or decreases. Egrifta is a very expensive treatment for increased abdominal fat (> 30,000/year in US) that has to be given as a shot, average improvement is decrease of 1/2-1 inch of belt size, has some side effects in some patients (such as bone pain), and the benefit reverses when injections are stopped. Diet, exercise, changing meds around in some cases are worth considering in some patients. Treatment overall is very frustrating as is long term management of weight gain in the general population (though I would argue more complex and challenging in HIV+ persons). KH
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.