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Rapid Graying of hair and wasting in AIDS
Apr 4, 2014

PLEASE HELP: I exercised/lift frequently approx 4 times per week and maintained a noticeably muscular body. over the course of a few months i saw slight changes ("flattening") in the maxillary area of the checks. Then afterwards, I noticed that my face and neck had gotten thinner. Followed by rapid muscle mass loss.Long story short. Over a period of about a month I noticed drastic muscle loss, first in my face (mostly maxillary check area), then neck and my majorly in my legs/arms and my butt is pretty much gone. In addition to rapidly graying hair and thinning hair. I've had no other "medical issues" or "symptoms" par say other than allergies. Due to the VERY DRASTIC changes in my body, I decided to go get tested last month February 2014 and was sure (so I thought) that my results would be negative. Unfortunately I tested positive. Just got my results back for my hiv doctor and was given an AIDS diagnoses. Cd4 of 150 and VL of 100,000+ Everything else that they ran in my initial labs came back okay (within range). Nor do I have any other STD's. Outside of the major muscle mass loss, constant fatigue/sleepy, brain fog, frequent urination, graying and thinning hair; I'm okay. I was prescribed Stribild and Bactrium. Today would make a week that I've been taking meds.

My question is: 1. My hair is rapidly graying and thinning (started before meds). I'm in my mid 30's and have always been told that I look much younger than my age. When I brought it up to my doctor. she really didn't address the concern. What could be the causes of this? 2. will my mass loss return after my numbers are better? Esp. In my face, butt and extremities. I've noticed changes in my poop. (hope that's not too graphic but I hope it helps in figuring out whats wrong with me). but i'm noticing changes to my physical appearance almost daily.

I'm still "keeping" up with my workout regain but my body doesn't respond. And I'm loosing strength. After leaving the gym my body doesn't have that "pump" and it feels like I hadn't even lifted. I'm eating 3 meals per day along with 2 protein shakes per day to compensate for the weight loss. Even with the increased protein intake my weight has plateau and size in muscle mass is unchanged/still wasting. The changes to my physical appearance is becoming extremely taxing on my mental state.

Response from Dr. Henry

Untreated AIDS can cause many of the symptoms you have experienced. Accompanying factors can include low testosterone, vitamin D deficiency, gut malfunction and others. Clinical improvement after starting effective medications can be slow and complicated by the existance of other factors (see list above) that may need to be evaluated and addressed. KH

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