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Author Topic: Atripla and weight gain  (Read 6542 times)

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Offline wow1969

  • Member
  • Posts: 208
Atripla and weight gain
« on: August 10, 2010, 03:18:15 PM »
Does atripla cause weight gain? Or does it make harder to lose weight?


How have others dealt with this?

Thank you

Offline Hellraiser

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  • Posts: 4,136
  • Semi-misanthropic
Re: Atripla and weight gain
« Reply #1 on: August 10, 2010, 06:57:26 PM »
Does atripla cause weight gain? Or does it make harder to lose weight?


How have others dealt with this?

Thank you

I've gained weight since starting atripla but I think this is a byproduct of my appetite returning and my body being able to absorb the food again.  It was a complete reversal of the wasting that was happening prior to treatment.

As for making it harder to lose weight, my experience says yes.  I used to have a better level of control over my weight and now it seems that no matter how much I diet and exercise I'm not losing any weight at all.  This is just my experience and perhaps it's the fact that 30 is right around the corner and my metabolism is slowing down, but I've never had to struggle so hard and seen absolutely no results.

Offline peteb

  • Member
  • Posts: 202
Re: Atripla and weight gain
« Reply #2 on: August 10, 2010, 08:57:07 PM »
I would say it can I gained 45 lbs after starting but I needed it so I was happy

Offline David_CA

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  • Posts: 3,245
  • Joined: March 2006
Re: Atripla and weight gain
« Reply #3 on: August 11, 2010, 08:47:18 AM »
I can't really be sure that Atripla caused my weight gain.  I was about 25-30 lbs lighter when I started it (I was in the hospital with PCP).  I'm also not sure when I became infected, so who knows how much of my 'trimness' was due to me just being somewhat in shape or due to my body fighting HIV.  I do know that since that time (starting Atripla, taking Prednisone for months, etc), I gained a fair amount of weight which has been somewhat difficult to drop.  I do work out, so is it muscle gain / fat loss or just difficulty losing fat.  At any rate, I'm going to continue to exercise and work out.  If not, I know I'd be as big as a house!
Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
You must be the change you want to see in the world.  Mahatma Gandhi

Offline NycJoe

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  • Posts: 236
Re: Atripla and weight gain
« Reply #4 on: August 11, 2010, 03:38:05 PM »
Since I started Atripla a few years back I steadily put on weight despite trying to fight it off.  Part of it could have been depression at first due to the HIV not to mention being in school full time and working which can lead to some stress eating.  I have been eating right and exercising regularly for a few months now and it has been a bitch to take off.  I am down 19 pounds but damn it's hard. 

Offline metekrop

  • Member
  • Posts: 352
Re: Atripla and weight gain
« Reply #5 on: August 11, 2010, 05:21:35 PM »
I think I gained 48 pds since I start taking Atripla.  I was in a constant state of loosing my wight.  But now I am gaining it back.  Now I am 167lbs and I think this is a good weight for me given my hight.
Diag on Dec 8, 2000, CD 440 VL 44K, No Meds
Dec/08 - Feb/09 CD< 50 & VL >500k hosp'z.
St. Atripla - July/09 CD 179, VL 197k
Oct/09 CD 300 VL UD Chol 267
Mar/10 CD 468 UD, Ch 220
Aug/10 CD 460 UD, Ch 195
Dec/10 CD 492 UD, Ch 172
Mar/11 CD 636 UD, Ch 201
Aug/11 CD 530 UD, Ch 98
Jan/12 cd 616 UD, ch 189
Jul/12 CD 640 UD, Ch ?
Dec/12 CD 669 Ud, Ch 125
May/7 CD711 Ud, Ch?
Nov/ 22 663 UD, Ch,
April 17 CD 797, UD

Offline wow1969

  • Member
  • Posts: 208
Re: Atripla and weight gain
« Reply #6 on: August 12, 2010, 07:58:52 PM »
I"m beginning to think I need to hire a nutrionist and trainer to help me design a program that works ... Before I started Atripla I could drop 10 lbs in two weeks ... And that was just a few years ago ...

In the last two weeks I've struggled and only lost 2 lbs ..

I had heard it led to weight gain and made it more difficult to lose weight but WOW ... My metabolism has always been high so struggling with weight management is new to me ...

So for those who have won the atripla weight war .. any tips?

Offline Hellraiser

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  • Semi-misanthropic
Re: Atripla and weight gain
« Reply #7 on: August 12, 2010, 10:56:03 PM »
I"m beginning to think I need to hire a nutrionist and trainer to help me design a program that works ... Before I started Atripla I could drop 10 lbs in two weeks ... And that was just a few years ago ...

In the last two weeks I've struggled and only lost 2 lbs ..

I had heard it led to weight gain and made it more difficult to lose weight but WOW ... My metabolism has always been high so struggling with weight management is new to me ...

So for those who have won the atripla weight war .. any tips?

This is exactly what I've noticed, I seem to be able to make marginal gains, but only with a tremendous amount of effort.

Offline newbieguy

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  • Posts: 197
Re: Atripla and weight gain
« Reply #8 on: August 15, 2010, 08:49:40 PM »
As someone who has struggled to put weight on my whole life maybe an added bonus of starting Atripla will help me not have this problem so much. Hopefully only to a point though  :)

Offline wow1969

  • Member
  • Posts: 208
Re: Atripla and weight gain
« Reply #9 on: August 16, 2010, 04:49:00 PM »
As someone who has struggled to put weight on my whole life maybe an added bonus of starting Atripla will help me not have this problem so much. Hopefully only to a point though  :)

Newbie, I was the same way. Then I started Atripla. Now, I walk past a piece of cake and it jumps off the plate and staples itself to my ass.

I love feeling better but hate the weight gain.

Offline AaronbytheC

  • Member
  • Posts: 116
Re: Atripla and weight gain
« Reply #10 on: August 16, 2010, 05:38:30 PM »
Well this is most depressing...  The only good thing that has come from HIV was having a 34" waist again!   ;D 
04/2012 CD4 721 / 29% / VL UD
02/2011 UNDETECTABLE!
12/2010 CD4 587 / 24% / VL 210
11/2010 Started Atripla
10/2010 CD4 420 / 18% / VL 13,500
09/2010 CD4 541 / 17% / VL 10,500
08/2010 CD4 498 / 18% / VL Not Taken
07/2010 CD4 307 / 18% / VL 9,500
06/2010 Confirmed Poz
03/2010 Infected
06/2009 Neg

Offline SourPatchKid

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  • Posts: 5
Re: Atripla and weight gain
« Reply #11 on: August 16, 2010, 07:00:28 PM »
I've had the same issue, I've gained about 25-30 lbs,  my eating/exercise habits have not really changed. I try with no luck to get back down to about 170 but find it impossible. I have decided that I am going to cut back on all refined sugars to see if this will make a difference. But I am going to have do it a little bit at a time.

Offline phildinftlaudy

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  • sweet Ann what you think babe...
Re: Atripla and weight gain
« Reply #12 on: August 16, 2010, 07:19:04 PM »
Newbie, I was the same way. Then I started Atripla. Now, I walk past a piece of cake and it jumps off the plate and staples itself to my ass.

I love feeling better but hate the weight gain.
I wish it would staple itself to my ass!  Instead it goes for the stomach and waist.  I was 162 two years ago and now weight 179 - but, other than the stomach, it actually was needed weight gain, because my height is about 6'2.
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline BrooklynGuy

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  • Posts: 49
  • Tomorrow is not a promise, it's a gift.
Re: Atripla and weight gain
« Reply #13 on: August 18, 2010, 08:55:36 AM »
I've had the same problem.  I've gained nearly 20 lbs. since starting Atripla 2 years ago.  I'm not going to the gym at the moment for for over a year I was AND had a personal trainer and STILL could not lose weight.  My doctor constantly harps at me at every appointment that "you need to lose weight, you need to lose weight" and he NEVER attibutes anythig to my meds.  Frankly I'm sick and tired of hearing him and his harping.  I've reduced my caloric intake and have all but cut fat from my diet.  Living in NYC I walk miles/day so even though I'm not currently going to a formal gym, it's not like I'm a sedentary slug.
Infected:  Probably 1995
Diagnosed: June 2005
Baseline VL: 650,000
Baseline CD4: 30

Last Dr. Visit: 12/2013
VL: Undetectable
CD4: 700
Meds: Complera

Offline red_Dragon888

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  • Love and Be Love in Return
Re: Atripla and weight gain
« Reply #14 on: August 18, 2010, 09:25:18 AM »
I have also blamed Atripla for my weight gain.  I think it may have something to do with the sudden change in the bodies chemistry.  I began to eat more junk food, cakes and  ice creams and etc...  , but I have went from 230 to 168 lbslbs by watching my diet and exercising.  The meds may increase you sweet tooth but you have to maintain your weight.  Good luck.

http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline tommy246

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  • Member
  • Posts: 435
Re: Atripla and weight gain
« Reply #15 on: August 18, 2010, 10:12:56 AM »
i have gained weight since starting atripla but only to the level i was before infected as i lost weight then. The reason we gain weight on haart is that your body is not fighting the virus 24-7.
jan 06 neg
dec 08 pos cd4 505 ,16%, 1,500vl
april 09 cd4 635 ,16%,60,000
july 09 ,cd4 545,17%,80,000
aug 09,hosptal 18days pneumonia cd190,225,000,15%
1 week later cd4 415 20%
nov 09 cd4 591 ,vl 59,000,14%,started atripla
dec 09  cd4 787, vl 266, 16%
march 2010  cd4 720 vl non detectable -20  20%
june 2010  cd4  680, 21%, ND

Offline bocker3

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  • Posts: 3,358
  • You gotta enjoy life......
Re: Atripla and weight gain
« Reply #16 on: August 18, 2010, 03:18:49 PM »
I've been talking Atripla for 4+ yrs.  I did put on weight over the last couple -- but I don't think my med had anything to do with it.  I think it was simply that I ate more and exercised less.  I realized how much my extra weight was impacting me (particularly on the tennis court -- I love playing tennis) this past spring.  I decided to lose weight and have been successful thus far.  In about 12 weeks, I've lost 26.4 lbs.  I took a week off my diet for a trip to Paris, but I'm back now -- hope to lose another 20.  I see no difference in the difficulty of losing weight now than I did before starting Atripla.  I've struggled with weight most of my life and lost 65 lbs back in 2000 (my last neg. test was in 2001).

So... starting HAART may "help" one gain weight because of better health, but I'm not sure how it could make it harder to lose -- and, anecdotally, I've seen no problem myself with losing.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline newbieguy

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  • Posts: 197
Re: Atripla and weight gain
« Reply #17 on: August 18, 2010, 10:32:25 PM »
Sounds like you all have had similar experiences with the weight gain and Atripla. As a skinny boy since I can remember I hope too that if I do gain any, it will be in my ass lol. However, I was skinny and lanky way before I was infected, I am now at my heaviest ever at 5'10 140lbs so will be curious to see what impact (if any) the med has on me weight-wise  :)

Offline vaboi

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Re: Atripla and weight gain
« Reply #18 on: August 19, 2010, 02:51:07 AM »
I've been pretty skinny my whole life too, but unfortunately, Atripla has not helped me gain any weight.  If anything, I'm starting to loose weight.  I think I just need to try to eat more.

Offline loop78

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  • Posts: 147
Re: Atripla and weight gain
« Reply #19 on: August 19, 2010, 03:53:44 AM »
I've noticed no weight gain since I started Atripla. However, I'm always been a bit on the slim side, so it's no surprise.

If anything, just keeping my weight stable pre-treatment, took me a great effort, as I tended to loose weight.

I remember having read that pre-treatment you need a higher caloric intake than when your virus is in check, so attribute it to that rather to atripla itself.

After starting treatment, my metabolism seems to have gone back to how it was when I was hiv-: fast, but not overly so.

I've even managed to put some muscle back on my bones since then and look much better. :-)

Offline red_Dragon888

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Re: Atripla and weight gain
« Reply #20 on: August 22, 2010, 06:58:34 AM »
I've been heavy most of my life also.
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline knittygritty

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Re: Atripla and weight gain
« Reply #21 on: August 23, 2010, 07:18:12 PM »
 I too was in the hospital with PCP before I started Atripla. I was down to 87 pounds when I was discharged. I was on Atripla and had hubby feeding me like 6 times a day and got up to 147 in a few months. Then due to circumstances, whatever, whatever hubby's job changed and we lost insurance. So If 've been off Atripla since November and am back to 120.
 Of course this all prolly means squat because I've had eating disorders since I was younger.
    BUT the Atripla ( I was on it for over a year) did give me more weight gain in the belly area.
I used to be with it, but then they changed what it was. Now what I'm with isn't it, and what's it seems weird and scary to me. It'll happen to you.  - Grandpa Simpson
  I knit, therefore I am  -  Me

Offline Hellraiser

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  • Posts: 4,136
  • Semi-misanthropic
Re: Atripla and weight gain
« Reply #22 on: August 23, 2010, 07:49:31 PM »
I too was in the hospital with PCP before I started Atripla. I was down to 87 pounds when I was discharged. I was on Atripla and had hubby feeding me like 6 times a day and got up to 147 in a few months. Then due to circumstances, whatever, whatever hubby's job changed and we lost insurance. So If 've been off Atripla since November and am back to 120.
 Of course this all prolly means squat because I've had eating disorders since I was younger.
    BUT the Atripla ( I was on it for over a year) did give me more weight gain in the belly area.

So you're saying you're not on any hiv treatment and you're wasting again?  You need to get onto treatment again ASAP.

ADAP in your state may be able to provide them for you if you cannot afford them or are not insured.

Offline sanitex

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  • Posts: 385
Re: Atripla and weight gain
« Reply #23 on: August 26, 2010, 03:09:18 AM »

         Gaining weight i thought there's nothing else to do rather wait for hiv cure.i've tried every way to reduce the
weight gain but i found it elusive ,even once a day meal and exercise  including situp doesn't work as well.
my stomach is pumping outside but ass ,leg was ok,i don't even want to do any exercise just waiting for my 6 feet.

in orther word,those who can  write to pharmatical companys or even research let them look into this plight we're
faceing with the side efect of their medications.

today a lady ased me why your stomach is too big not as it was before ,my replying  was i ate too much but she say even if you
eat the whole junk food anyway  do something for  it.i began to think about this incureable disease called (HIV)

if you know what to do to lose wait please write it here thankx san
« Last Edit: August 26, 2010, 03:15:01 AM by sanitex »
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24

tendai

  • Guest
Re: Atripla and weight gain
« Reply #24 on: August 26, 2010, 10:58:35 AM »
i thought i was the one over-stuffing my face with food or someting. i've tried dieting and dieting but its not working. if anything im gaining a bit more every month. im heading for the gym to see if that will work. on the other hand i have a friend who's also gained a lot of weight but shes not on meds, comfort in numbers! she's accepted her weight gain and maybe so should i...

Offline bocker3

  • Member
  • Posts: 3,358
  • You gotta enjoy life......
Re: Atripla and weight gain
« Reply #25 on: August 26, 2010, 04:03:16 PM »
Take in fewer calories than you burn and you WILL lose weight -- Atripla or no Atripla.  Weight gain is caused by either increasing your muscle mass or increasing your fat levels.  Both require calories.  If you are burning more calories than you are taking in, you simply can't gain weight.  The weight has to come from something you are eating.

Write down everything single thing that you eat or drink (don't forget those calories that you drink) for a week or so and see if you are truly "dieting". 

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline red_Dragon888

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  • Posts: 2,811
  • Love and Be Love in Return
Re: Atripla and weight gain
« Reply #26 on: August 31, 2010, 05:52:05 AM »
i thought i was the one over-stuffing my face with food or someting. i've tried dieting and dieting but its not working. if anything im gaining a bit more every month. im heading for the gym to see if that will work. on the other hand i have a friend who's also gained a lot of weight but shes not on meds, comfort in numbers! she's accepted her weight gain and maybe so should i...
You really have to watch what you eat for it is the little things that make you gain weight or you are just having selective memory on what you are eating. 

A good meal plan like Jenny Craig's or Weight Watchers is best and if you eat with over eaters, you become an over eater.  That's just fair warning.  If you want to accept the gain, and believe me I have been there, you must accept that excess fat leads to bad health.  It leads to heart attacks, strokes, and all sort of diseases.  You should strive to stay within a certain weight and fat percentage.  Believe me, heart attack or stroke is no joke and if you want to see the results check out a nursing home or recovery center with stroke victims.  They are helpless and depress because their bodies can't and won't function normally and it is a long process to get back to near normal.  It is better to be "healthy, wealthy and wise," than to be "sick, poor and ill advised," when you know better.
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline findingaway

  • Member
  • Posts: 22
Re: Atripla and weight gain
« Reply #27 on: August 31, 2010, 10:22:24 PM »
I have been on Atripla for 4 months now. I also found out I am undetectable now as well.
With weight gain I def put on some pounds in the past months, about 10-15 however, I was also a little skinny. My doc advised me about fat displacement, so I was told to focus on weight lifting, since muscle will always burn more fat. I have used one of the tools at the gym to measure my fat to body ratio and i am sitting at about 11%. So I contribute some weight gain to being well again and the other to muscle. keep up on the gym, eat right and all that. Everyone HIV and HIV- people should all do that. Salad instead of the burger :)

Offline sanitex

  • Member
  • Posts: 385
Re: Atripla and weight gain
« Reply #28 on: September 03, 2010, 02:14:50 AM »




  today i got new idear for losing weight,just buy natureral yogourt,fresh milk,and lime ,
mix them together in a cup .here is how to mix it ,half glass of yogourt,half glass of milk
then one small lime,after that turn them together and drink it ,then one cup of water.only
in the morning.
 
27/12/07 cd4 20 vl 1million
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl undetectable
16/10/08 cd4 196 vl undet
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl undet 23%
24/2/12 cd4 545 vl undet 26%
on 22/2/12 change truvada to Recovir-EM
due to no stock on Truvada.
10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ulu/ml creatinine.eGFR blck 1.5 all fasting test morning.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
regimen ATRIPLA
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs test (quantitative ) Anti-HBs positive
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 % 24

Offline red_Dragon888

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  • Posts: 2,811
  • Love and Be Love in Return
Re: Atripla and weight gain
« Reply #29 on: September 13, 2010, 02:35:52 AM »



  today i got new idear for losing weight,just buy natureral yogourt,fresh milk,and lime ,
mix them together in a cup .here is how to mix it ,half glass of yogourt,half glass of milk
then one small lime,after that turn them together and drink it ,then one cup of water.only
in the morning.
 
varity is the spice of life sweetheart...  your food choice is OK for a week or two but after that you may stir crazy.
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

Offline dixieman

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Re: Atripla and weight gain
« Reply #30 on: September 14, 2010, 05:03:01 PM »
I've gained some weight with atripila... but, I've endulged in fried chicken, fish and I love french fries... I weigh 178lbs... my normal wight is 160-165lbs... but, Ill be 50 this december... I exercise and hopefully my ab-circle will knock the middle back down?

Offline red_Dragon888

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Re: Atripla and weight gain
« Reply #31 on: September 16, 2010, 07:54:53 AM »
I've gained some weight with atripila... but, I've endulged in fried chicken, fish and I love french fries... I weigh 178lbs... my normal wight is 160-165lbs... but, Ill be 50 this december... I exercise and hopefully my ab-circle will knock the middle back down?
I have to admit that Atripla played a role but it may have been just mental and physical depression which the drug make me during waking hours.  Good luck with the program but give up the french fries.
http://www.youtube.com/watch?feature=player_embedded&v=I3ba3lnFHik

“Neither look forward where there is doubt nor backward where there is regret. Look inward and ask not if there is anything o

 


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