Quantcast

Subscribe to:
POZ magazine
Newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr Instagram
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
November 23, 2014, 04:05:16 AM

Login with username, password and session length


Members
Stats
  • Total Posts: 646935
  • Total Topics: 49286
  • Online Today: 167
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 3
Guests: 93
Total: 96

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Update on N.A.S.H.  (Read 2536 times)

0 Members and 1 Guest are viewing this topic.

Offline aztecan

  • Member
  • Posts: 5,404
  • 29 years positive, 57 years a pain in the butt
Update on N.A.S.H.
« on: November 06, 2007, 09:44:14 PM »
Hey gang,

Well, I finally saw my doctor today and asked him about my NASH issue.

He said about the only thing that can be done is to reduce the fat in my diet and to keep monitoring it and cross our fingers.

He said for me not to get crazy and go on some nonfat diet. You'd think I was anal or something.  ::)

Anyway, he said a reasonable, low-fat diet would be the best idea. That way I could more or less maintain my weight yet cut down on the fat in my diet.

Sounds reasonable to me. I have already replaced eggs with Egg Beaters, or their equivalent,. They are a nice addition to the diet. They make nice omelets and I can add all kind of goodies like spinach, garlic, green chile, etc.

I did cut out the cheese too, and am limiting myself to either fish or skinless, boneless chicken or turkey for the most part, with some lean pork now and then to add a little variety. I also will try to add a meatless day or two in there just for giggles.

When I asked the doc what may have brought on this situation with me, he said the HIV meds may have contributed to it, but he couldn't say they definitely did.

He said I don't fit the profile, which usually includes obesity. I am not obese, hence the warning about losing too much weight.

The doc said less is known about NASH than Hep C and many other types of hepatitis. The only treatments being discussed at this point are the use of diabetes medications, which the doc said is still only experimental and not standard of care by any means.

It also means that, at least for the time being, I will stick with Reyataz rather than switching to Lexiva. Reyataz has one side effect other PIs don't - it actually helps to increase HDL cholesterol in the blood stream. I'll take all the help I can get.

So, there you have it. I really don't know much more than I did before, but at least I know it wasn't something I may have avoided because they really don't know why I have it.

Wish me luck.

HUGS,

Mark
« Last Edit: November 06, 2007, 09:52:32 PM by aztecan »
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline emeraldize

  • Member
  • Posts: 3,362
Re: Update on N.A.S.H.
« Reply #1 on: November 06, 2007, 09:55:44 PM »
Hey Mark
Thanks for the update. Is your doctor letting the pharma cos. know in the off chance there's a correlation with any of your meds? They're to track such things so if a trend is observed it may warrant additional investigation.
Em

Offline aztecan

  • Member
  • Posts: 5,404
  • 29 years positive, 57 years a pain in the butt
Re: Update on N.A.S.H.
« Reply #2 on: November 06, 2007, 10:00:22 PM »
Hey Em,

I really am not too sure if he is or isn't. Seems like the logical thing to do, so I'll drop the hint to him when next I see him.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline J.R.E.

  • Member
  • Posts: 7,251
  • Joined Dec-2003 Living positive, since 1985.
Re: Update on N.A.S.H.
« Reply #3 on: November 07, 2007, 07:39:54 AM »
Hey gang,


Anyway, he said a reasonable, low-fat diet would be the best idea. That way I could more or less maintain my weight yet cut down on the fat in my diet.


Mark



Thanks for the update Mark. And I wish you the best on the diet, and hope that things work out for you. I have been so into reading product labels these past 4 years, I think it probably drives Ed crazy. It certainly is hard to give up the bad stuff, especially when the bad stuff always taste so good !! I also filled my first prescription for Lipitor yesterday. So I am going to start on that this weekend. $91.00 for a 30 day supply.  OUCH !! I have to call Aetna today, and make sure that price is correct.


Good luck Mark-----Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 8/25/14,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline aztecan

  • Member
  • Posts: 5,404
  • 29 years positive, 57 years a pain in the butt
Re: Update on N.A.S.H.
« Reply #4 on: November 07, 2007, 09:54:55 AM »
I know exactly what you mean about being a label reader. You're gluten intolerant too, aren't you?

Between that and the lower fat, it makes it challenging to stick to a diet and also enjoy eating. But, I love a challenge.  ;)

Is that the full price or just your copay for the Lipitor? That seems rather high for a co-pay.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline J.R.E.

  • Member
  • Posts: 7,251
  • Joined Dec-2003 Living positive, since 1985.
Re: Update on N.A.S.H.
« Reply #5 on: November 08, 2007, 08:44:29 AM »
Is that the full price or just your copay for the Lipitor? That seems rather high for a co-pay.

HUGS,

Mark



well,....You know how confusing this insurance racket is !! >:(


I ended up calling Aetna the other morning. They told me that I should be paying 50.00/per month for the  Lipitor. I then ended up calling Walgreens , and eventually the doctors office.
The reason it was 91.99 was because the doctor didn't pre-authorize it with Aetna, even though he called the script into walgreens.

Aetna needed to know before hand, that I have done the other least expensive statins, before they approve the change over to Lipitor @$50.00 a month. So, the doctor has notified Aetna on that. Supposedly, on my next refill in thirty days, the next prescription will be 50.00 Minus the overpayment of 41.99. Hopefully !! I am pretty sure, thats how I understood it to be. These insurance issues get to be challenging.


Take care Mark---------Ray


EDITED FOR CORRECTION
« Last Edit: November 08, 2007, 08:51:43 AM by J.R.E. »
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


Diagnosed positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of 8/25/14,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline BT65

  • Global Moderator
  • Member
  • Posts: 10,050
Re: Update on N.A.S.H.
« Reply #6 on: November 09, 2007, 06:41:17 PM »
Good luck with the diet thing, Mark.  I myself am also a label reader nowadays.  Unless it's something with chocolate in it! ;)
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline vokz

  • Member
  • Posts: 391
  • efavirenz junkie
Re: Update on N.A.S.H.
« Reply #7 on: November 13, 2007, 04:54:50 PM »
Mark

I thought this article from AIDSmap might be of interest to you:

American researchers have found that about 42% of people with HIV have a fatty liver (http://www.aidsmap.com/en/news/1297CE40-ED0F-4BD1-BA64-75CD590A2BEC.asp)

The other article linked within the article is also quite revealing about the role of certain antiretrovirals in causing fatty liver:

"The greatest odds of steatosis, however, were associated with the use of any antiretroviral agent (OR, 1.99; p=0.043) and any nucleoside analogue (OR, 2.14; p=0.024). When types of nucleoside analogues were stratified into dideoxynucleoside analogues (the D drugs, ddI and d4T) versus non-dideoxynucleoside analogues, the risk of steatosis increased with the D drugs (OR, 2.63 vs. 1.78; p=0.05). Use of ddI and d4T together increased the odds even further (OR, 3.38; 95% CI, 0.67-17.07).".
« Last Edit: November 13, 2007, 05:21:53 PM by vokz »

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.