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https://www.thebody.com/article/lipoatrophy-overview
Body Fat, Lipodystrophy and HIV

Lipoatrophy Overview

    When lipoatrophy first appeared in the late '90s -- not long after the debut of combination HIV therapy, which brought many an ailing "Lazarus" back from death's door -- many doctors were slow to take the problem seriously.
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    There are numerous secondary factors that likely contribute to the development of lipoatrophy. They include the effects of HIV itself as well as aging, genetic predisposition, CD4 count at the time a person starts HIV treatment and the length of time on treatment.
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    By just saying _no_ to the drugs that cause fat loss, newbies to HIV treatment may be able to skirt med-related fat loss altogether.
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    Facial lipoatrophy "outed" some people as having HIV at a time when, or in a place where, disclosure was not an option -- sometimes triggering rejection and discrimination and worse.
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    Even in the absence of a "cure," the war against lipoatrophy has largely been won. We now know how to _prevent_ it by avoiding certain meds. And we have the means, if not always the money, to correct severe cases.
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