Ways To Treat Wasting

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Wasting Syndrome

Hormone levels can affect the metabolism. HIV seems to change some hormone levels including testosterone and thyroid. Also, cytokines play a role in wasting. Cytokines are proteins that produce inflammation to help the body fight infections. People with HIV have very high levels of cytokines. This makes the body produce more fats and sugars, but less protein. Unfortunately, these factors can work together to create a "downward spiral." For...

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Am I doing enuogh to treat wasting??

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...

Response from Alvan Fisher, M.D.

Brown University School of Medicine

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... Read more »

Treating wasting in patient with history of lymphoma

Dear Dr Dieterich:If someone had lymphoma over 4 years ago (now in remission) and they are now experiencing wasting syndrome, would you prescribe anabolics or growth hormone?Thanks!Nelson Vergelwww.medibolics.com...

Response from Douglas T. Dieterich, M.D.

New York University, School of Medicine

I don't see any relation between lymphoma and anabolics. That is not one of their usual complications. If you need them then I think it would be a reasonable risk. Good luck! DTD... Read more »

need qualified plastic surgeon in Argentina for treating facial wasting

I have a moderate facial wasting. I feel my face is changing. This really depresses me a lot. I would like to know: where (I mean only in Paris, Mexico and US ? if not Is there a serious and qualified plastic surgeon in ARgentina who use PLA?)This...

Response from Alvan Fisher, M.D.

Brown University School of Medicine

I do not know. But I will post this to see if we get any suggestions.AF... Read more »

Too Early To Treat Wasting

I have recently been diagnosed HIV+. The best estimate is that I sero-converted approximately two years ago. I am presently not undergoing anti-retroviral therapy. CD4 levels are 1300. VL is 7000. My weight has however diminished to a point where...

Response from Douglas T. Dieterich, M.D.

New York University, School of Medicine

You don't say how old you are, but that may be low level of testosterone. HIV has a particular propensity to kill testicular cells and testosterone replacement may help youl.If you are 40 for example, then that level of testosterone may be too... Read more »

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