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Lipodystrophy and WastingLipodystrophy and Wasting
           
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Malabsorbtion
Apr 5, 2000

Is there any research being done on malabsorbtion? I am HIV+, and having a problem with this. What causes this, and is there any thing that can be done about it. This is one of the main problems facing HIV+ individuals today, hence the wasting syndrome.

Response from Dr. Dieterich

There is continuing research into malabsorption both in HIV infected individuals and in HIV negative individuals. In HIV there may be infection of the lymphocytes in the gut that underlie the absorptive cells in the small intestine. There could also be infections with hard to find bugs like microsporidia. However, those are not the primary reasons for wasting in most people. That is usually lipodystrophy, lipoatrophy, hypogonadism or mitochondrial toxicity. One of the things that can help if you are truly not absorbing is pancreatic enzymes, which can also help with the gas and cramps too. Douglas T. Dieterich, M.D.


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