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Author Topic: How do I get rid of my pouch?  (Read 8685 times)

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Offline prettyboy80

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How do I get rid of my pouch?
« on: December 10, 2008, 06:10:07 PM »
Hey everyone hope you all are well I wanted to come on here and ask a question about stomach pouches does anyone have a problem with that in that area? cause I do.It seems to get bigger when I put on weight it always looks like I have a pregnant belly lol.Is there anyway to get rid of it? could the medications I'm taking causing me to have this pouch? I'm only on two medications twice a day Viramune and Combivir and plus I'm a little on the slim side so having a big stomach is not a good look lol but luckily my clothes hides it lol thank God.When I sit down that is when it sticks out the most lol I can rest the palms of my hands on it lol like if I was checking my belly to see if my baby was kicking lol.I would like to read about anyone else also experiencing having a little pouch stomach.
« Last Edit: December 10, 2008, 09:15:45 PM by prettyboy80 »

Offline leatherman

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Re: How do I get rid of my pouch?
« Reply #1 on: December 10, 2008, 07:02:57 PM »
in our family, we call that the "bivens belly". all the men in family, over 25, who never exercise, get the belly. At 130lbs, I get that "pregnant" look just by adding 5lbs. :) ) Sit-ups are the cure. :D
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline rondrond

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Re: How do I get rid of my pouch?
« Reply #2 on: December 12, 2008, 11:32:44 AM »
I agree with Leatherman. You are going go have to hit the floor. Sit ups, leg lifts, push ups, all those things that men have been doing for years that don't require any machines or gadgets.
"I may not be exactly where I want to be, but I sure as Hell am not where I was"
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Offline Miss Philicia

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Re: How do I get rid of my pouch?
« Reply #3 on: December 12, 2008, 12:10:01 PM »
If it's a metabolic change due to HIV medications exercise won't do much.  This is typified by a visceral accumulation of fat in the abdominal region, as opposed to a subcutaneous fat. 

If it's just simple weight gain (subcutaneous fat), then a decrease in your intake of calories coupled with exercise should address it.  Fat accumulation and lipodystrophy are clinically distinct.

More likely is that it's a combination of the two.
« Last Edit: December 12, 2008, 12:13:33 PM by Miss Philicia »
"Iíve slept with enough men to know that Iím not gay"

Offline denb45

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Re: How do I get rid of my pouch?
« Reply #4 on: December 12, 2008, 01:54:11 PM »
If it's a metabolic change due to HIV medications exercise won't do much.  This is typified by a visceral accumulation of fat in the abdominal region, as opposed to a subcutaneous fat. 

If it's just simple weight gain (subcutaneous fat), then a decrease in your intake of calories coupled with exercise should address it.  Fat accumulation and lipodystrophy are clinically distinct.

More likely is that it's a combination of the two.

Miss Philicia is RIGHT........I do 100 sit ups a day, and i still look like a pregnant man, so, my problem isn't due to the lack of any work-outs, it has a great deal to do with my age (I'm 52 now) and, my metabolic change due to YEARS of taking HIV medications, age and lipodystrophy  :-[ but I still do the work-outs  (belly crunches) daily, if i didn't do them, I'd look much worst than I do now  ::)
« Last Edit: December 12, 2008, 01:57:00 PM by denb45 »
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline Miss Philicia

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Re: How do I get rid of my pouch?
« Reply #5 on: December 12, 2008, 03:11:17 PM »
You'd still probably have a layer of subcutaneous if you didn't exercise, so it's still to your advantage to do that even if it doesn't effect the visceral.  My post was not meant to demean the benefits of exercise -- and of course overall it's very good for one's heart function, etc.

I will fully admit to having been, pre-lipo, a full-fledged gym bunny.  I do not spend 5 days/week in a gym currently, mostly because of what I described and when the vanity element is not obtainable there's less of a desire on my part to make the sacrifice.  Plus a gym membership where I live is not cheap.  Still, it's a sad excuse as at the very least I should purchase an exercise mat and do sit ups in my living room :)  I do own some dumbells but so far they've just sat in a corner.  It's a bit depressing to know that just 8 years ago I could rip my shirt off on a dance floor and not be embarrassed.

But yeah, I'm not 35 any more and that's part of it all.  Actually my biggest regret looking back is spending all of my 20's as a skinny queen.  I didn't really start to work out until I was about 28.  If I'd known then that I'd be getting lipo at 35 I'd have applied myself earlier.
"Iíve slept with enough men to know that Iím not gay"

Offline denb45

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Re: How do I get rid of my pouch?
« Reply #6 on: December 12, 2008, 03:33:06 PM »
I gym membership isn't cheap any where now-a-days......I have a 12 speed bike, but, it's Winter now and too cold to ride it, I also have a indoor recumbent bike, that I use in the Winter months, and a Blow-Flex that I use every other day, I'm too dam old to look like a gym bunny (That's never gonna happen) but I do this 2 to 4 times a week ,to keep up my cardio and to build muscle, or at the very least, to keep my body toned-up, my partner Bob, says I look GOOD and I'm Very FIT for a 52 yrs old man with Full-Blown-AIDS  ;D
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline Miss Philicia

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Re: How do I get rid of my pouch?
« Reply #7 on: December 12, 2008, 04:49:43 PM »
I'm afraid that sitting on a bicycle seat for longer than 30 seconds is too painful for me.  All that's back there is skin and bones.  I have the buttocks of an 80 year old.
"Iíve slept with enough men to know that Iím not gay"

Offline denb45

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Re: How do I get rid of my pouch?
« Reply #8 on: December 12, 2008, 04:58:09 PM »
I'm afraid that sitting on a bicycle seat for longer than 30 seconds is too painful for me.  All that's back there is skin and bones.  I have the buttocks of an 80 year old.

No Pain, No Gain.........I'm sure your Buttock looks a lot better than mine , I'm 52 Remember....LOL  :-[
I don't have much back there as well, but, this doesn't stop me from trying  ;D
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline J.R.E.

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Re: How do I get rid of my pouch?
« Reply #9 on: December 12, 2008, 08:44:51 PM »
Hey everyone hope you all are well I wanted to come on here and ask a question about stomach pouches does anyone have a problem with that in that area? cause I do.

Got the same problem here also. I've been trying everything over the past 4 years to get rid of it, through exercise and diet. Nothing seems to work. I just continue to do my exercises daily, and keep the cardiovascular exercises going daily. Walking, swimming riding bike, and still jumping rope. ( although I jiggle a lot ! ) Got to keep moving.


Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg 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


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Offline aztecan

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Re: How do I get rid of my pouch?
« Reply #10 on: December 13, 2008, 01:39:48 AM »
I'm afraid that sitting on a bicycle seat for longer than 30 seconds is too painful for me.  All that's back there is skin and bones.  I have the buttocks of an 80 year old.

Oh, I don't know. Your butt is petite, but cute.

I, on the other hand, have the pregnant look down pat. But I also have skinny legs and no butt, as the employer of one of my client's mentioned today as we were joking about.

I have upped my exercise routine to two hours a day, five days a week. I do cardio (exercise bicycle), the full range of Nautilus exercise machines, then swim laps.

My gut is hard as a rock, but huge, like I drink a 12-pack a night. Its all visceral fat.  :(

But the exercise does make me feel better and keeps my back from hurting. (I have no idea why.)

Not too bad for someone who is 51 and has lived with HIV for 23 years.

HUGS.

Mark

« Last Edit: December 13, 2008, 01:43:29 AM by aztecan »
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~ William Ellery Channing (Unitarian Minister)

Seadickrun

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Re: How do I get rid of my pouch?
« Reply #11 on: December 13, 2008, 05:54:46 AM »
Another alternative would be to slightly increase your chest size which would make the gut seem smaller by comparison.  I also used to bartend in a "bear bar" which made me look slimmer.  I'll go to great lengths to avoid any kind of crunch (unless its wrapped in Nestle's).

Online BT65

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Re: How do I get rid of my pouch?
« Reply #12 on: December 14, 2008, 08:35:56 AM »
Hey everyone hope you all are well I wanted to come on here and ask a question about stomach pouches does anyone have a problem with that in that area?

Have had for years.  I exercise on and off, which doesn't help.  I actually had applied for a scholarship at the Y and they're only to charge me $15/month for a full membership.  But, have I used it?  No.  I remember my teen-20's years and the body I used to have.  I try to be realistic, but when I look in the mirror after I get out of the shower, I think "boy, do I need liposuction."  Anyway, life goes on.
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline peregrine

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Re: How do I get rid of my pouch?
« Reply #13 on: December 19, 2008, 08:53:35 AM »
I don't have a solution but I do have an observation. I am NOT on treatment, but have noticed an unusual accumulation of belly fat over the last eight months (I believe I've been infected about one year) WITHOUT an increase in general food consumption or a decrease in activity!  A good friend of mine who is also infected has had the same experience.  In fact when I noticed how much his abdomen had begun to swell, I suggested he get tested.  He was poz!
I've been surfing the internet to find what causes this and what can be done about it, but all I can find addressess increased body fat due to treatment not merely from hiv infection alone.
I am wondering now if when I begin the treatment will this become worse?

Seadickrun

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Re: How do I get rid of my pouch?
« Reply #14 on: December 19, 2008, 10:40:10 AM »
I've been on meds for four years now and my gut has never looked better in my life.  If I could just quit drinking a six pack of coke every night, I might be able to get a six pack of abs:)

Offline pozhealthy

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Re: How do I get rid of my pouch?
« Reply #15 on: January 13, 2009, 12:06:17 AM »
just wondering how an undectable viral load and tcells around 400 can be considered "full blown aids".....i just sayin......
anyway diet is important as well as exercise for the belly fat. if you can "pinch an inch (or more)" like that cereal commercial used to say than this is fat you can do something about. This is fat that is below the skin and above the sack that hold your internal organs. Sit ups, crunches , whatever works.
For fat inside that sack that holds your organs--not a whole lot you can do about it.

Offline Miss Philicia

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Re: How do I get rid of my pouch?
« Reply #16 on: January 13, 2009, 01:09:19 AM »
"full blown AIDS" isn't a proper clinical term to begin with, but a cd4 % of 12 indicates (regardless of cd4 count) that the patient should consider prophylactic treatment for OI's like PCP, similar to what a <200 cd4 count would indicate.
"Iíve slept with enough men to know that Iím not gay"

Offline Tempeboy

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Re: How do I get rid of my pouch?
« Reply #17 on: January 14, 2009, 06:25:42 PM »
Hey Prettyboy

There are some clinical trials showing promising results - here is one example.

http://napwa.org.au/pl/2008/09/growth-hormone-reduces-deep-belly-fat-in-hiv
Roughly roundabout somewhere in the eighteenth or nineteenth century, Sodomite begat Homosexual out of moral, medical and legal models, bequeathing him Identity, who inbred with Nuclear Family and Industrialism to spawn Homophobia.

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Offline Winiroo

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Re: How do I get rid of my pouch?
« Reply #18 on: January 14, 2009, 07:44:42 PM »
Thank you for the link.
I've had an "I'm 3 or 4 months pregnant" bulge from the belly button down since taking Crixivan sometime in the 90's. Fortunately I am tall so hiding the gut isnt very hard.

Offline denb45

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Re: How do I get rid of my pouch?
« Reply #19 on: January 14, 2009, 08:56:23 PM »
Thank you for the link.
I've had an "I'm 3 or 4 months pregnant" bulge from the belly button down since taking Crixivan sometime in the 90's. Fortunately I am tall so hiding the gut isnt very hard.

I don't even worry about my belly anymore, when you get to be in your 50's, and survived Pre-HARRT , like I have, you got a lotta other HIV+ health problems to be concerned about, I've learned to live with mine....
I don't even think about it anymore......I still work-out, and it doesn't even get in the way all that much...
« Last Edit: January 14, 2009, 08:58:59 PM by denb45 »
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline Brian360

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Re: How do I get rid of my pouch?
« Reply #20 on: January 15, 2009, 12:46:22 AM »
If you were used to being "slim" and have been having a problem with keeping your stomach flat since starting a HIV regimen it could be caused by IRIS - Immune Reconstitution Inflammatory Syndrome.

I know that it was the same for me after beginning my regimen almost 3 years ago.  I was used to looking "fit"(sports in high school and then the military), but laziness caused by depression and my immune system trying to get back in gear, left me felt super bloated after eating the smallest of meals in addition to having a noticeable belly any other time of the day...except maybe after waking up in the morning. 

July06: Tcells 0, VL >+750,000
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Offline denb45

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Re: How do I get rid of my pouch?
« Reply #21 on: January 15, 2009, 10:34:01 AM »
If you were used to being "slim" and have been having a problem with keeping your stomach flat since starting a HIV regimen it could be caused by IRIS - Immune Reconstitution Inflammatory Syndrome.



If I do have IRIS - Immune Reconstitution Inflammatory Syndrome, then I've had it for many years, like 15yrs. so, I'm used to it after all those many yrs.
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline YaKaMein

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Re: How do I get rid of my pouch?
« Reply #22 on: January 19, 2009, 11:59:57 AM »
Have certainly seen changes in lipo redistribution with Atripla [though jury's still out]. Same story here; was relatively thin most of life, lost a few sizes with PCP/MAC, then started eating in fear to regain weight. Probably went overboard. Others now admit how scary I looked to them then.

I consulted a nutritionist and have learned that I'm doing well with diet overall. Have made changes not only to monitor weight but BP and lipid changes with Atripla. Wanna lose my marsupial pouch too. I've added Alli[Orlistat] which I think helps even though I have a fairly low fat diet.

Since I do not cook, ever and never will, I've started asking for go-boxes with my meals and put half away. It's often lunch next day. Or I share a meal [more difficult].

Just need to incorporate exercise. I know what to do. I used to teach aerobics and loved it. Have two bikes. I'll see changes when I get off my duff. Now, it's a matter of motivation since fatigue is becoming infrequent.
09/11 Endocrine Consult
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Offline red_Dragon888

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Re: How do I get rid of my pouch?
« Reply #23 on: January 19, 2009, 05:00:55 PM »
I would hate to go to the gym in the condition I am in now.  I am way too self-conscience for that.  I opt for an hour walk per day if I can, crunches here and there, eat healthy, leave out the sweet stuff which is kind of had since my sweet tooth can kick in at any time, and i try to have a positive aspect on life.  Still, when i see some 50+ with hard bodies it make me jealous as hell.  Then if I can fit in my speedos like they were meant to be fit, slip on 32" waist pants, and have a decent flat stomach, I will join the local gym to tone them muscles.  ahhhh....  that's my goal. 

p.s.  Some mention about a growth hormone that may help called tesamorelin.  I have already left a message for my doc and hopefully I can get that to help with the weight problem.

p.s.s.  Could it be low testosterone maybe?  My doctor says my levels are normal, but maybe it a normal but low for me. 


"you must have a hard body... resistence is futile"  says the gay genie
« Last Edit: January 19, 2009, 05:16:43 PM by red_Dragon888 »
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