Nov 25, 2001
I just got the results of my latest labs.. vl <50 cd4 762. tested poz in 92. current regamine zerit epivir ziagen. all looks great for the past 5 or 6 yrs on meds. however this time around cholesterol is 235 and tryglycerides are 433. they have alwayse been normal range before. Is this a side effect of any of the meds i am on? I am 33yrs old and quite thin 6'0" 146#'s with clothes on. any suggestions would be of help! thanx MC
Response from Dr. Pavia
Well, the good news is that the regimen you are on is not generally associated with lipid problems, and you are doing extremely well from an HIV perspective.
There are a few things that need to be done before you get worried. First of all, you probably should have a fasting lipid profile done. If your LDL ("bad cholesterol") is low and your HDL ("good cholesterol") is high, the total does not matter all that much. Secondly, your doctor and you should go over your other risk factors. Do you smoke? Are you sedentary? Do you have diabetes? Hypertension? Did your male relatives have heart disease in their forties or fifties? Cholesterol is not an absolute, it needs to be interpreted in light of other risk factors. A cholesterol of 233 with a high HDL in a thin, active, non smoker is not of much concern, but the same with high LDL in an smoking diabetic is a potential disaster.
Talk it over with you HIV provider, and if necessary, with an internist with experience managing cholesterol. It will probably be much clearer.
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