PoWeR Lectures
September 6, 2011
Fw: Hot Topics at The Body’s “Ask the Experts” Forums
September 13, 2011

Fw: Hot Topics at The Body’s “Ask the Experts” Forums

From: “News at The Body” <update@news.thebody.com>
Date: 07 Sep 2011 18:03:34 -0400
To: <nelsonvergel@yahoo.com>
ReplyTo: “News at The Body” <update@news.thebody.com>
Subject: Hot Topics at The Body’s “Ask the Experts” Forums

If you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.html

September 7, 2011 Visit the Forums “Hot Topics” Library Change/Update Subscription

 A “Normal Life” on HIV Treatment: Just a Fairy Tale?
It seems from my last lab test results that I’ll have to start HIV treatment soon. I’ve done my research and frankly, I have to wonder whether it’s worth it. Of course, without meds I may be more likely to become very ill and even die. But I found no pill that didn’t have some potential life-threatening side effects; and the ones that aren’t life threatening still seem to spell a life of misery: vomiting, diarrhea, psychiatric symptoms … I don’t think I’m the kind of tough guy who could endure all that. Do the stories of people living “normal” lives on HIV meds have any truth to them at all?

Benjamin Young, M.D., Ph.D., responds in the “Choosing Your Meds” forum
 Can I Safely Breastfeed and Continue to Have Sex With My Poz Husband?
My husband of nearly two years is HIV positive with an undetectable viral load on Atripla (efavirenz/tenofovir/FTC). Last year we conceived a child and I’ve remained HIV negative thus far. Our son is 10 weeks old and I’m breastfeeding. We’ve recently resumed our sex life and use harm reduction strategies to prevent my becoming HIV positive, though we don’t use condoms. What’s your opinion of my continuing to breastfeed for up to a year when I’m still having unprotected sex with my husband?

Robert J. Frascino, M.D., responds in the “Fatigue and Anemia” forum
 How to Lose Fat in All the Right Places?
I’m HIV positive and on treatment. I’ve been going to the gym to gain muscle mass and tone, and to remove localized fat. Which supplement would you recommend? What else do you suggest?

Nelson Vergel responds in the “Nutrition and Exercise” forum
video series: 'a day in the life' on hiv meds Damaries Cruz and Tree AlexanderKeeping up with HIV meds often means having to weave daily doses into a busy life. How do other HIVers do it? In each episode of this video series, we’ll take a peek into the day-to-day routine of a person who’s living with HIV, taking HIV meds, and dealing with situations that get in the way of adherence.

In the first two videos in the series — part of TheBody.com’s new Resource Center on Keeping Up With Your HIV Meds — longtime survivor Damaries Cruz discusses her fears about starting meds after 20 years, while 25-year-old Tree Alexander shares how temporary homelessness made adherence an extra-challenging chore.

Episode 1: Damaries Cruz

Episode 2: Tree Alexander

 What Can I Do About Atripla-Induced Insomnia?
I’m HIV positive and have been taking Atripla (efavirenz/tenofovir/FTC) for a year with no issues. Lately, out of the blue, I’m having trouble falling asleep and staying asleep. I don’t want to take prescription sleep meds if I can help it. What else can I do?

Keith Henry, M.D., responds in the “Managing Side Effects of HIV Treatment” forum

 Switching Regimens: What Changes Should I Expect?
I’m 47 years old. I was diagnosed with HIV six years ago and placed on a combo of Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC) within the first year. My doctor is now switching me from Kaletra and Truvada to Atripla (efavirenz/tenofovir/FTC). I’ve had some wasting in the face and legs on the first regimen. Can I expect the same from Atripla, or might I see some improvement in my wasting? Why else might my doctor have recommended this switch?

Gerald Pierone, M.D., responds in the “Facial Wasting” forum

 Cocaine, Methadone and HIV Meds: What Are the Risks?
I’ve been taking HIV meds since 2002 without any major problems so far. I’m coinfected with hepatitis C as well. I’m also a recovering drug user on methadone for the past 15 years. Methadone has enabled me to work and lead a normal life, though to be honest, sometimes I take some cocaine (about twice a month). What influence could methadone and occasional cocaine use have on my health?

David Fawcett, Ph.D., L.C.S.W., responds in the “Substance Use and HIV” forum

More Questions About HIV/AIDS Treatment:

 Recently Diagnosed With Herpes: What Do I Need to Know?
I’m 37 years old. I’ve been HIV positive for the past five years. My CD4 count as of July was 830 and my viral load is 570. Two weeks ago I was diagnosed with genital herpes. I’m on Valtrex (valacyclovir) at the moment and my doctor thinks I may have to get on permanent suppressive therapy for herpes. I’ve been reading horror stories about HIV acceleration due to herpes. Will my numbers start crashing faster than usual now? What do you think of all this?

Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the “Understanding Your Labs” forum

 What Can Milk Thistle Do for My Liver?
I’ve found conflicting information about the herbal supplement milk thistle (Silybum marianum). Some reports claim that it can help the liver, may lower cholesterol, and may reduce insulin resistance. On the other hand, I’ve also read that it may significantly slow down liver enzyme activity, thereby shifting concentrations of HIV meds processed by the liver. What’s your knowledge of this supplement?

Nelson Vergel responds in the “Nutrition and Exercise” forum
Connect With Others No More Flesh-to-Flesh: How Will I Deal With Having Protected Sex Forever?
(A recent post from the "I Just Tested Positive" board)

I was diagnosed on August 3, just over four weeks ago … and I’ve been keeping it a secret. … I don’t have close friends or a boyfriend. … I can’t tell my family as I hear comments they make about HIV-positive people.

When I find a partner I think that will be the first person I tell, because I wouldn’t want to infect someone knowingly. The thought of knowing I will never have sex flesh-to-flesh for the rest of my life kills me. I guess with time I’ll accept. Can someone share how they’ve coped with that? — shalomt

Click here to join this discussion, or to start your own!

To do this, you’ll need to register with TheBody.com’s bulletin boards if you’re a new user. Registration is quick and anonymous (all you need is an e-mail address) — click here to get started!

 Viral Load’s Gone Down, but CD4 Count Is Lagging: What’s Going On?
I was diagnosed with HIV two months ago with a viral load of 21,000 and a CD4 count of 140. I was put on Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC) and after four weeks my CD4 count went up to 190 and my viral load dropped to 97. I had a second blood test after nine weeks on meds and my viral load is undetectable, but my CD4 count dropped to 180 and my CD4 percentage went from 13 from 18. Can you help me understand this?

Robert J. Frascino, M.D., responds in the “Fatigue and Anemia” forum
 Do I Really Need Both Truvada and Sustiva as PEP?
A few days ago I had receptive anal intercourse and the condom broke. I went to the ER and the attending physician put me on a PEP (post-exposure prophylaxis) regimen consisting of Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC). I’ve experienced side effects such as insomnia, bad dreams and nausea. Is it really necessary for me to take both of these medicines?

Benjamin Young, M.D., Ph.D., responds in the “Choosing Your Meds” forum

Worried Your Spam Filter Might Trash Our Mailings? The Body’s e-mail updates are especially prone to being caught up in spam filters, since our newsletters tend to refer frequently to sex, drugs, the human anatomy and so forth.

To make sure you never miss one of our mailings because anti-spam software labeled it as junk mail, add update@news.thebody.com to your address book, talk to the person who manages your e-mail security or check your anti-spam program’s instructions for more information. About This E-mail This e-mail update has been sent to nelsonvergel@yahoo.com.

Want to change your subscription? Click here or send us a message at updates@thebody.com.

Missed an update? Our archive of past updates will keep you in the loop.

Have any other questions or comments, and don’t want to send an e-mail? Feel free to snail-mail us at:

The Body’s E-Mail Updates
The HealthCentral Network, Inc.
250 West 57th Street
New York, NY 10107

Follow Us
Facebook  Twitter

Activist Central
 U.S. Community Members: Register Your National HIV/AIDS and Aging Awareness Day Events!

 September: AIDS 2012 U.S. Outreach Call

 You Are Invited! The Inaugural HIV Prevention Justice Leadership Assembly

 Call for Abstracts: 2012 National African-American MSM Leadership Conference on HIV/AIDS and Other Health Disparities in New Orleans

 Scholarships for Activists: What Would You Do for the Cure? An AIDS Community Challenge

 AIDS Healthcare Foundation Announces March on Washington

 HIV+ Gay and Bi Men! Sign-On Letter Supporting an Informed Debate About PrEP Based on Facts, Not Misinformation

Nelson Vergel
Nelson Vergel
Chemical engineer, 34+ year HIV and cancer survivor, health author and educator . Founder of DiscountedLabs.com , ExcelMale.com , and PowerUSA.org

Comments are closed.