May 23, 2000
I have developed "Buffalo Hump" on my back. It has been growing slowly for almost 2 years. Over the past 8 - 10 months, it has really bothered me, but my doctor insists that in time it will go away. He has changed my meds to....sustiva, ziagen, epivir, hivid, and I have been on these combinations for almost a year. The problem does not seem to be getting any better, as a matter of fact it seems to be growing, and at times it seems to bother me more than other times. I have scheduled an appointment for liposuction in late January, and was wondering if there has been any new development I should know of before going under the knife........Thanks
Response from Dr. Pavia
There have not been any real breakthroughs. As you know, some people improve slowly when they change from a PI to a non-nuke based regimen, but it is inconsistent. The studies on using insulin sensitizers like metformin or roziglitazone are too early to tell much. I would suggest giving a PI sparing regimen some time before "going under the knife", but if after a year you are still miserable, it may be time. Only you can decide whether the surgery is worth it to get rid of the hump.
Andrew T. Pavia, M.D.
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