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Author Topic: Loose weight?  (Read 1029 times)

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Offline gorka

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  • Posts: 36
Loose weight?
« on: June 10, 2016, 10:08:32 PM »
I am recently poz (last 6 months) and my numbers are good.  I am overweight and was wondering if its OK to loose weight given that I may encounter problems down the road.  Neither Dr or the nurse encouraged me to do so when I asked which I thought was weird but curios what folks here recommend.  I am concerned with HART effects on cardiovascular health and thought I should try to loose some weight to counterbalance that but kind of confused with their response.  Thank you for the feedback

Offline JimDublin

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Re: Loose weight?
« Reply #1 on: June 10, 2016, 10:53:45 PM »
Hi

Look if you want to start going to the gym or do sports etc.  nothing is stopping you from doing that just don't over do it.

https://www.poz.com/basics/hiv-basics/hiv-exercise

Jim
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Offline gorka

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Re: Loose weight?
« Reply #2 on: June 10, 2016, 11:07:36 PM »
Thanks for the feedback and the link Jim  :)

Offline CaveyUK

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Re: Loose weight?
« Reply #3 on: June 11, 2016, 08:03:20 AM »
I am recently poz (last 6 months) and my numbers are good.  I am overweight and was wondering if its OK to loose weight given that I may encounter problems down the road.  Neither Dr or the nurse encouraged me to do so when I asked which I thought was weird but curios what folks here recommend.  I am concerned with HART effects on cardiovascular health and thought I should try to loose some weight to counterbalance that but kind of confused with their response.  Thank you for the feedback

Losing weight if you are overweight is always good, regardless of status.

The doc/nurse may not have focused in on this because of your recent diagnosis and the most important thing is dealing with the main thing in front of them.

For what it's worth, I am overweight too and need to lose weight. Shortly after diagnosis I asked the doctor specifically about this and she said that it is something I would need to deal with, but suggested that I don't make any sweeping changes to diet at that point (ie. starting meds). I suspect this was to ensure that I had a period of getting used to the treatment first, as drastically changing diet or exercise regime can present 'side effects' which could be confused as being to do with the meds.

Given you are on meds, doing well and have decent numbers though - you should look to get as fit as you can, just like anyone
Diagnosed 29th Dec, after Home test 27th Dec 2015
29th Dec 2015 - CD4 160, VL 70,363, CD4% 16
Started Septrin 31st Dec & Tivicay/Truvada 12th Jan 2016
9th February 2016 - CD4 245, VL 96, CD4% 19
8th March 2016 - VL 61 (no CD4 taken)
5th April 2016 - CD4 354, VL  - UD (<40), CD4% 22
5th July 2016 - VL - UD (<40) (no CD4 taken)

Offline gorka

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  • Posts: 36
Re: Loose weight?
« Reply #4 on: June 11, 2016, 09:39:26 AM »
HI Cavey

I am not on meds yet still waiting for genotyping test.  But my numbers are good nonetheless probably because I am recently infected.  Thanks for giving your input.  I should have started weight loss before given that some folks report here weight gain when taking meds. 

Offline zach

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Re: Loose weight?
« Reply #5 on: June 11, 2016, 09:49:09 AM »
When you say your team didn't encourage it, I read that as meaning it simply wasn't brought up. Am I right? I would be willing to bet if you asked, they would be supportive of the idea.

Losing weight in a healthy way is great. Fad diets, weight loss drugs, and the like... no that isn't good. All in your approach.

Gaining weight on HIV meds isn't guaranteed by any means at all. I have a feeling you read that somewhere on the internet, years old information about medications that are rarely used anymore.


Offline gorka

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  • Posts: 36
Re: Loose weight?
« Reply #6 on: June 11, 2016, 10:02:19 AM »
Hi Zach

I specifically asked both the nurse and Dr (separately) and neither really encouraged it but didnt say I should not do it either.  Maybe they are waiting to see how I respond to meds.   There are some more recent threads on here also that discuss weight gain from Triumeq so that concerned me given that is one of the drugs I will be potentially taking.

Offline CaveyUK

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Re: Loose weight?
« Reply #7 on: June 12, 2016, 09:03:28 AM »
It is by no means guaranteed but it seems that weight gain during the first months of ART is seen quite commonly - anecdotally at least.

This isn't likely due to a side-effect of the meds as much as your body no longer having to consume energy fighting a fast-replicating virus.

Funnily enough, I was reading today something from an well respected HIV specialist in the UK which talked about this very thing. His advice was to slightly up exercise or reduce calories when starting ART to offset any risk of weight gain (if this is a concern).

That of course, was not mentioned to me by my doctor who suggested I make no immediate dietary changes, but as I was fairly large to start with perhaps it was seen as a bit of a moot point.

Based on all that then, I would say - if starting ART - then a moderate increase in cardiovascular exercise and a slight drop in calories would probably make sense, but probably don't do a dramatic switch to your diet or push yourself too hard in the early days.

If you are not starting ART then getting into physical shape will be a good idea, regardless. One thing I regret, in hindsight, is not doing more to get in physical shape prior to my diagnosis and starting meds.
Diagnosed 29th Dec, after Home test 27th Dec 2015
29th Dec 2015 - CD4 160, VL 70,363, CD4% 16
Started Septrin 31st Dec & Tivicay/Truvada 12th Jan 2016
9th February 2016 - CD4 245, VL 96, CD4% 19
8th March 2016 - VL 61 (no CD4 taken)
5th April 2016 - CD4 354, VL  - UD (<40), CD4% 22
5th July 2016 - VL - UD (<40) (no CD4 taken)

Offline BT65

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Re: Loose weight?
« Reply #8 on: July 09, 2016, 07:02:45 AM »
Hi, I'm a long term survivor (almost 30 years positive). In the early days I went through the wasting syndrome, then bounced back.  (It was a long process though).  Then when the combination therapy started in '96 I gained quite a bit of weight.  I don't believe that happens much anymore with the newer meds though really it can happen regardless of meds. 

I have never been obese, other than when I was pregnant, lol.  But I did gain quite a bit of weight in a 10 year period.  Earlier this year I lost almost 30 lbs and it has definitely helped physically.  I have bad knees and even a little bit of extra weight caused me more pain issues.  I simply started eating healthier and started exercising more.  I knew enough not to do anything drastically because I've tried that before and it did not stick.

I still exercise and still eat healthier. I just remind myself of how much better I feel when I do.  I agree with Zach that fad diets, diet pills, etc, are not a good idea.  Just try to concentrate on living healthier and think about the benefits. 

Betty
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Condom and Lube Info http://www.aidsmap.com/Condoms/page/1044833/
Please check out our lessons on PEP and PrEP. http://www.poz.com/factsheets/fs_2014_09_prep.pdf

http://www.aidsmeds.com/articles/Transmission_17146.shtml

Offline CaveyUK

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Re: Loose weight?
« Reply #9 on: July 09, 2016, 02:42:52 PM »
Then when the combination therapy started in '96 I gained quite a bit of weight.  I don't believe that happens much anymore with the newer meds

I think weight gain after starting ART is quite common.

I don't think it is directly to do with the meds though, but rather - without the body having to fight a losing war against a virus, the metabolism slows down a bit. This is clearly a good thing, but a side effect of that is that consuming the same calories as before can lead to weight gain. Thats certainly been the case with me - quite dramatically so.

I wish in a way that I had dieted before diagnosis as I would have probably found it easy to lose the weight. I suspect it will be far harder now :)

Diagnosed 29th Dec, after Home test 27th Dec 2015
29th Dec 2015 - CD4 160, VL 70,363, CD4% 16
Started Septrin 31st Dec & Tivicay/Truvada 12th Jan 2016
9th February 2016 - CD4 245, VL 96, CD4% 19
8th March 2016 - VL 61 (no CD4 taken)
5th April 2016 - CD4 354, VL  - UD (<40), CD4% 22
5th July 2016 - VL - UD (<40) (no CD4 taken)

Offline gorka

  • Member
  • Posts: 36
Re: Loose weight?
« Reply #10 on: July 09, 2016, 06:53:14 PM »
I actually lost a few pounds since starting meds 15 days ago so go figure.  Noticed though that my fat is kind of becoming soft vs being hard before.  Doubt meds have anything to do with it so time to hit the gym to firm up a little  :D

Offline BT65

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  • Posts: 10,748
Re: Loose weight?
« Reply #11 on: July 10, 2016, 07:15:34 AM »
I know, too, that aging can cause weight gain.  Metabolism slows down as we age, and as more people with HIV are aging, weight gain is bound to happen regardless of meds or no meds.  Exercise is important but also difficult to get started and stay active in.  I seem to start and stop, every time with good intentions. 

I also have diabetes and exercising helps that a lot. Last week I didn't exercise as often because I was on vacation (that was my excuse lol), but I have been at it regularly lately.  When I lost weight earlier this year, I lost about 20 lbs very quickly so some of my skin seems flabby.  So I have been including resistance exercises along with riding my recumbent bike, to try to tone some of the skin up. 

I do know that since getting older it takes much longer to get into shape, where when I was young I don't remember ever being flabby. I also weighed much less when I was young also, and my metabolism was much higher.  So, I believe combinations of things definitely effect weight gain, exercise, etc.  Good luck to everyone who is going to try to control diet and exercise.  We should have a support forum for those subjects lol.

Betty
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Condom and Lube Info http://www.aidsmap.com/Condoms/page/1044833/
Please check out our lessons on PEP and PrEP. http://www.poz.com/factsheets/fs_2014_09_prep.pdf

http://www.aidsmeds.com/articles/Transmission_17146.shtml

 


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