Jul 14, 2007
I am hiv+ and suffer from Lipodistrophy. I have 980 CD4 count and have been undectable for over a year. I am in my mid 30's and owrkout 5x's/week and quite muscular all over EXCEPT for my stomach. I run everyday on treadmill and do over 300 situps everyday. I eat healthy and very concsious of protein, good carbs, vitamins, ect. Is there anything you can reccomend for me? I have tried: CLA, L-Carnetine, fatburners,fishoils, vitamins, yata, yata, yata but I never follow though becaue I become discouraged at NO RESULTS in my stomach. After I eat I always fell pregnanat. I was on serotism grwoth hormones for 3 onths but no longer have ins that can cover it. I didnot take it long enough to see results although it did make me really stringer at gym and extremley horny. This consition is killing my slef-esteem and quality of life. Please HELP!
Response from Dr. Daar
Based upon what you have written it would appear that you are attributing your abdominal "fat" to lipodystrophy. Certainly one potential manifestation of this syndrome has been fat accumulation in the mid section. Frankly it is controversial as to whether this is as specific to HIV and/or its therapy as is the case with the fat loss syndromes. Moreover, it can be difficult to distinguish between the fat accumulation attributed to HIV with fat gain that is common amongst adults. Even people without HIV complain of this problem and the difficulty in managing it with diet and exercise.
Unfortunately, whether it is related to HIV, HIV therapy or something else there is no easy solution. Diet and exercise remains the first line of therapy and everything else is largely investigations. Growth hormone has been shown in studies to reduce central fat in many people, and for what it is worth the effect is clearly seen within 3 months in most individuals. It is worth noting that this drug is not approved for this indication and must be used with caution due to well known side effects. In any event, I would encourage you to talk to your primary provider about both your condition as well as the effect it is having on your self esteem.
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