POZ Community Forums

Meds, Mind, Body & Benefits => Lipodystrophy & Metabolic Problems => Topic started by: panda on July 28, 2006, 01:10:07 pm

Title: How should I fight weight loss/mussle loss and metabolic problems?
Post by: panda on July 28, 2006, 01:10:07 pm
Hi ,
I try to gain weight but looks like my body burning what ever i eat and seems like i can not gain weight, also mussle alsmot disapear, how can i build more mussles to give some volume to my bott and legt ? i learn that the mail issue fo rthe lipo is metabilic issues, so how can i fight it, must be a way to fix this damage ? does anyone know? i am now on kaletra, viread,and videx, used to be on zerit and videx on te same time and befire with crixivan... http://PLEASE HELP !!!
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: boylikertampa on July 28, 2006, 04:42:59 pm
For the loss in my face, I found 6 treatments of Sculptra to be effective.  I was able to use the company's Patient Assistance Program, though my HIV dr. charged $350 per treatment.  I think it was well worth the money.

As for loss in my legs and butt, my dr. gave me a prescription for Oxandrin.  I noticed an improvement in my legs, and even shoulders and chest.  But after 3 months, Humana HMO refused to renew my Rx...I have appealed.  Ask your HIV dr. about that.  I take Trizivir (AZT, Epivir, Ziagen combo), have been poz for 5 1/2 years, remain undetectable, and t's vary 600 to 900.
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: lydgate on July 28, 2006, 06:44:07 pm
If you're losing weight and muscle mass because of long-term HIV infection, you should consider anabolics (steroids) as a way of regaining what you've lost. Commonly used anabolics in HIV infection are testosterone, nandrolone decanoate (Deca Durabolin), and oxandrolone (Oxandrin). It is legal for your doctor to prescribe these for HIV-related weight loss. If you do take anabolics, it is best to combine their use with regular exercise (weight training). Additionally, you might want to get your testosterone levels checked.

Jay
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: bobino on July 29, 2006, 02:13:02 am
Panda,

My recollection from another one of your posts is that you're female, so I think that certain anabolic steroids (like testosterone) are probably not a good idea for you.  Others may be appropriate.  Check with your doctor.  This could help with the muscle loss.

Unfortunately, no one seems to have a good answer to the fat loss problems you describe.  Lipoatrophy is very poorly understood.  In people on antiretroviral medication, sometimes a change of medication helps.  Again, discuss this with your doctor.

Good luck.
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: panda on July 29, 2006, 02:32:07 am
u got that right, i am a woman, that's not fair , why only for man there is a solutio,  what about this growth hormone, could it help? i herd there is this replacement called " vitalin" i think, did u hear about it, could it help? what about the other , which one ogf them could be right for a wonam?
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: lydgate on July 29, 2006, 03:57:14 am
You can still take anabolics, but at lower doses and with careful monitoring under a doctor. There are some strategies discussed at www.medibolics.com.

Jay
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: bobino on July 29, 2006, 06:08:49 pm
Panda,

Please don't misunderstand me, I didn't intend to suggest that there's no possible treatment available for women.  I just noted that certain anabolic steroids, like testosterone, may have undesirable side-effects in women.  You should investigate others.

For general information on lipoatrophy, you can find a lot here: http://www.thebody.com/lipo/index.html (http://www.thebody.com/lipo/index.html).  The link will tell you a fair amount about what is known -- and what is unknown -- about HIV-related lipoatrophy.  There is a discussion of cosmetic treatments for lipoatrophy as well.  I know that many people have used the injectible filler PMMA to treat lipoatrophy of the buttocks.  PMMA is not available here in the United States, but my recollection is that you are Israeli, and I have no idea whether PMMA is available in your country.  Check out Ford's lipoatrophy page for information on PMMA.  It's here: http://home.triad.rr.com/lipoatrophy/My_Lipoatrophy/Page_1x.html (http://home.triad.rr.com/lipoatrophy/My_Lipoatrophy/Page_1x.html)

One final comment -- I don't know anything about the state of HIV care in Israel, but it's very important that you find a doctor who has experience treating HIV-infected patients.  So if you are currently seeing a general practitioner, your doctor may not have sufficient expertise with HIV to help you deal with these issues.  If you're already seeing an HIV specialist, then I'd talk to him/her about the problems you're having.  If your medication regimen is working, but you're still losing weight, there may be other metabolic factors at work, and these need to be investigated carefully.

I wish you the best of luck.

Shalom

John
Title: Re: How should I fight weight loss/mussle loss and metabolic problems?
Post by: panda on July 30, 2006, 12:28:47 am
Shalom dear.

I tried the "thebody" and to be honest, just got me upset and frustrated,
Here in Israel I have a great doc. , but as far as he care, as long as I have good results with my blood test , that'a enough, he doesn't pay much of attention for the other needs such as fighting the lipo.
Anyway, I think there are no girls in this forum, why ? I want to ask woman all about their experiense with anabolic and seems there is no one single woman except me ofcourse. Do u know any woman who tried these anabolic ? what about thia PMM filler ? I bet its very expensive as well,
I once read in aidsmap about this grith hormone replacement who did a good job, do u know about it? i herd about vitalin who's also kind of gh replacement , do u know something about it and its effective on woman?
what about sport? weight training, do u think it will help my legs look fatter? how long should it train before i'll see some results ?
Sorry for all my questions, thanks fr your suppoert.
The situation here in Israel right now with the war and everythnk is bad enough without the hiv , so ... (but that''s a subject for some other forum) :-)