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Lipodystrophy and WastingLipodystrophy and Wasting
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Am I doing enuogh to treat wasting??
Apr 14, 1999

Hello. I have been diagnosed with wasting. I am taking Sustiva, Crixivan, & Previon to treat HIV. I am taking Megase, Ultrase, Advera, multi-vitamins, Co Q-10, opium, to treat wasting. I am also taking Serastim & Testosterone injections regularly, and I take my doctors & nutritionalist recommendations very seriously. I am eating right, excersising regularly, and getting rest, as well. My problem is that I seem to be losing more muscle mass and fat. I have gained back most of the weight I lost, but it's coming back in my stomach. Arms, legs, and face lost fat, as typical. I have no appetite, and have to force myself to eat, even taking the Megase. Do you have any suggestions, as to regaining fat cells, and do you have any diet suggestions?? Thanks for your time...

Response from Dr. Fisher

Wow! Indeed you are trying. I do not use megace as it is not very effective in regaining muscle mass. Though you are already using serostim and testosterone you could try oxandrolone or nandrolone. Oxandrolone can be used at doses from 20-80mg per day (but the higher doses may precipitate some liver toxicity). By the way have you been taking enough testosterone? Finally maybe some of the medications are interfering with your appetite...some try and error experimentation may be in order (with your doctor's help/supervision). Good luck! Alvan Fisher, M.D.

Ketotifen for wasting

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