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May 12, 2008

HIV Treatment & Side Effects Living With HIV You & Your Labs

Body Fat Changes Strange but True

• HIV TREATMENT & SIDE EFFECTSThe Body is pleased to announce that our "Ask the Experts" forum for HIV treatment-experienced people is once again open for business! Clinician and researcher ph P. McGowan, M.D., has joined our ranks and is now available to answer your questions. Dr. McGowan has been deeply involved in HIV research for more than a decade and has served as the principal investigator for more than two dozen clinical trials. If you've been through several HIV treatment regimens and are trying to figure out your next steps, Dr. McGowan may be able to help. Visit the newly reopened forum and ask your question! Newly Diagnosed With a Low CD4 Count: Will HIV Meds Still Work?When my husband was admitted to the hospital with an extremely aggressive form of pneumonia, we were shocked to learn than he had HIV and a CD4 count of only 30. Does this mean he has AIDS? Will he still respond well to HIV treatment? How Do I Fit My Meds Into My Busy Social Calendar?I was diagnosed earlier this year. I haven't started meds yet, but I'm starting to think about Atripla (efavirenz/tenofovir/FTC). I have heard that Atripla has to be taken at night, but I tend to be a night owl; I'm often out at bars and clubs until 2 a.m. Could I take Atripla in the morning instead? The Link Between Ziagen and Heart AttacksA few months ago, I heard about a study that found Ziagen (abacavir, one of the HIV meds in Epzicom [abacavir/3TC, Kivexa] and Trizivir [AZT/3TC/abacavir]), might increase a person's risk of having a heart attack. Has any new research on the risks of Ziagen become available since the study came out? How Can I Get Rid of Diarrhea and Bloating?I am currently taking Kaletra (lopinavir/ritonavir) + Truvada (tenofovir/FTC) and my CD4 count has gone from 60 to 320 in three years, while my viral load is undetectable. However, I have gut problems -- diarrhea and bloating -- at least twice a week. Are there any studies of gut side effects that I could join? Should I switch meds?

BACK TO TOP

• LIVING WITH HIVWill HIV Affect the Way I Age?I'm 21, and I was diagnosed with HIV last fall. I'm wondering what I should expect in the long term. Am I at risk for the same health problems that all people are likely to develop as they get older, or are there special problems I need to watch for because I have HIV? How Can I Revive My Sex Drive?I'm a 47-year-old man diagnosed with HIV four years ago, and my sex drive is nearly nonexistent. I'm taking many meds, including Atripla (efavirenz/tenofovir/FTC), two antidepressants and the testosterone supplement Androgel. What can I do to get my libido back? Health Insurance Tips for a Pos RetireeI'm 52 years old and in excellent health after living with HIV for 23 years. I want to retire next year, but I'm not sure what my options are in terms of medical insurance. How can I determine what sorts of policies I'm eligible for, what they will cover and how much it will all cost?

BACK TO TOP

• YOU & YOUR LABSWhen Viral Load Drops, Where Does the HIV Go?What actually happens inside a person's body when they start HIV treatment and their viral load goes down? Where does the HIV go? Is it destroyed? Why Is My Viral Load Still Detectable After Two Months of Meds?It's been two months since I started HIV treatment with Atripla (efavirenz/tenofovir/FTC), and my viral load hasn't reached undetectable yet. I haven't missed any doses and I have no HIV drug resistance. What's going on? Confused by My First HIV Lab ResultsI tested positive two months ago and just received the results of my first lab tests. My CD4 count is 365, my viral load is 59,500, and I'm very confused as to what all this means. Also, my triglyceride level is high and adjusting to my HIV status is stressing me out. Could stress or high triglycerides be affecting my CD4 count? Do I need to start HIV meds already?

BACK TO TOP

• BODY FAT CHANGESIs Facial Wasting Inevitable?Is facial wasting an unavoidable side effect of taking HIV meds? Non-Surgical Treatments for Lipoatrophy?I've been positive for more than 15 years, and I'm experiencing lipoatrophy (fat loss) in my face, arms and legs. I'd rather avoid cosmetic surgery; is there some other medical treatment that can fix this problem? "Hard Belly" and HIVI'm really confused about what causes long-term HIVers to develop the "hard belly" type of fat accumulation (lipohypertrophy). How does it happen? How Can I Reverse Fat Gain in My Neck and Back?I am a 50-year-old man, and I tested positive for HIV in 1985. I started treatment in 1996 and just switched regimens for the first time last year. In spite of exercising regularly, I have gained weight in my belly, developed a hump on my back and an enlarged neck. What can I do to lose the fat? Is There a Permanent Fix for Facial Wasting?I've tried a bunch of different facial wasting treatments. While some of them worked well for a time, I'm looking for a permanent solution. Is there a treatment that will solve my facial fat loss for good?

BACK TO TOP

• STRANGE BUT TRUEMa'am, Do You Realize How Fast You Were Going?I gave a cop a blow job to avoid a traffic citation. What are the chances I got HIV while worming my way out of a ticket? Is Self-Gratification Dangerous?I'm addicted to masturbation; I do it at least once a day. Are there any sexual disorders or diseases that I should be worried about because of my addiction?

BACK TO TOP

Art From HIV-Positive Artists

"Beck," 1986; Jack Brusca

Visit the May 2008 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Linear Progression / Progressive Deterioration," is curated by Gordon and RJ Supa.

At The Body's Bulletin Boards

Loneliness Is Killing Me(A recent post from the"Living With HIV" board)

I live alone. I go out alone. I eat alone. I think alone. I'm so much on my own that I'm nearing mental collapse. I live in a foreign country and I do not share my HIV status with anyone around me. There are no support groups for English-speaking folks. I'm at a loss! Suicidal thoughts are looming on the horizon and everything seems dark and dull. Even my family act as if they feel for me, but the truth is they do not get it. They have no idea how I'm feeling inside. Imagine when death is really your only true wish despite having everything in my life working for me. Is there really no hope that I will find someone to stand beside me? All of you lonely folks out there, how do you deal with it?-- AlgerianClick here to join this discussion thread, or to start your own!

Worried Your Spam FilterMight Trash Our Mailings?

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This e-mail update has been sent to powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesBody Health Resources Corporation 250 West 57th StreetNew York, NY 10107

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December 22, 2008

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Living With HIV HIV Treatment & Side Effects HIV & Facial/Body Fat

You & Your Labs HIV Transmission Strange but True

LIVING WITH HIV

Is Gastric Bypass Possible When You're HIV Positive?Is it safe for an HIV-positive person to get gastric bypass surgery for extreme weight loss? My viral load is undetectable and my CD4 count is 1,300.

Meet Deah (above), a vivacious 11-year-old born with HIV. In this video from The Positive Project, Deah sparkles as she talks about her life and shares her plucky viewpoint.

HIV TREATMENT & SIDE EFFECTS

Does Viread Cause Low Vitamin D Levels?I just read about a recent study that suggested people who take Viread (tenofovir) are more likely to have low levels of vitamin D, and that this may cause bone problems. If this is all true, should I take vitamin D supplements while I'm on Viread? Is HIV Drug Resistance Inevitable?Is there a way to prevent HIV drug resistance from happening, or is it inevitable? Liver Area Soreness While Taking PEP?I'm dating a partner who's HIV positive, and although I'm negative, I currently take Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC) as treatment for a possible exposure to HIV (post-exposure prophylaxis, or PEP). The problem is that, since starting the meds, I feel soreness around my liver area when I do my daily distance running. Am I imagining this problem, or is there something more going on? I Just Switched Meds: Has My Side Effect Risk Gone Up?My doctor had me start taking Norvir (ritonavir), Prezista (darunavir, TMC114) and Truvada (tenofovir/FTC) instead of my old regimen of eight years, Combivir (AZT/3TC) and Kaletra (lopinavir/ritonavir). While doing some online research, I was shocked to discover that the new meds I've been prescribed have been associated with more "possible" side effects than the meds I was previously taking. Is the evidence deceiving, or has my doctor foolishly swapped a side effect-free regimen for a combination of drugs likely to cause more problems?

"Being Delivered," 1999; Joyce Mc

Visit the November/December 2008 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Salute," is curated by HIV Plus: Health + Spirit + Culture + Life.Click here to learn more about this artist and her work.

HIV & FACIAL/BODY FAT

How Long Do Radiesse Treatments Last?I've heard that Radiesse (calcium hydroxylapatite, Radiance) treatments for facial wasting (lipoatrophy) last from nine to 12 months, which is not as long as Sculptra (poly-L-lactic acid, New-Fill) treatments. Do Radiesse treatments really only last that long? Removing Bio-Alcamid From My FaceHow can a person get Bio-Alcamid (poly-Alkyl-Imide) removed from his or her face? Do people who take this step experience any infections, scarring, indentation or other problems?

YOU & YOUR LABS

Huge Drop in CD4 Count! Should I Start Meds?I was diagnosed in December 2007, and my CD4 count was 565 in February 2008. However, it's dropped very quickly since then, and was 388 as of my last test in November 2008. My doctor thinks this drop is rather unusual and wants me to start HIV meds soon. Is he right? Does this large CD4 drop mean that, when I do start meds, they may not be as successful? A Blip or Not a Blip?I've been on Atripla (efavirenz/tenofovir/FTC) since I was diagnosed three years ago. Three months after starting Atripla, my viral load became undetectable, and it had been that way ever since -- until Nov. 4. That was when my doctor told me that my viral load was now 150, but that it was only a "blip." Do you think I should be concerned?

If You Think Your Mind Is Being Affected by HIV, Tell Your Doctor!(A recent post from the "Living With HIV" board) HIV meds never completely eradicate the virus from the body and never effectively cross the blood/brain barrier. ... [For instance,] HIV affects a part of the brain that processes sensory information, which for me explains why I become panicked or anxious in crowds and on freeways ... However, with tranquilizers, I can now go out to movies and go shopping at the mall. The damage done by HIV to this part of the brain also explains why I behave inappropriately in public on occasion, again effectively treated with tranquilizers. I don't mean to be alarmist, but everyone needs to educate their infectious disease specialist to this research so that [if you're having any of these problems] you can receive the medications you need. -- ScotClick here to join this discussion thread, or to start your own!

HIV TRANSMISSION

Stabbed With a SyringeA sex worker stabbed me in the leg with a needle after she gave me a protected blowjob behind a building. I tested negative three months after the exposure, but now I'm sure my health is going downhill. Is there still a chance I have HIV, or possibly hepatitis C? Sports Injury + Lap Dance = HIV?During a hockey game, another player's hockey stick hit me in the mouth. I got a few cuts on my lip, and the inside of my mouth swelled up. It was still swollen later that day when I went to a local strip club. I got a lap dance there, and I French-kissed one of the dancers. If she had HIV, does that mean I might have it too?

STRANGE BUT TRUE

HIV's "Magical Mystery Tour"A couple of days ago I smoked weed with a friend, but I forgot that he had given someone unprotected oral sex about four hours before we smoked. If it was an HIV-positive person that he gave oral sex to, could there have been HIV in my friend's mouth, and could I then have gotten HIV from him when he blew weed smoke into my mouth? I brushed my teeth before we started and he claims he rinsed his mouth out after the oral sex, but I don't believe him.

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@... 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 powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesThe HealthCentral Network, Inc.250 West 57th StreetNew York, NY 10107

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January 12, 2009

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table border="0" align="center">

Strangest but Truest of 2008

Living With HIV

HIV Treatment

You & Your Labs

HIV & Facial/Body Fat

HIV/AIDS Denialism

Strange but True

STRANGEST BUT TRUEST OF 2008: THE VERDICT IS IN

You have spoken, and we have a winner! (Or loser, depending on how you look at it.) Hundreds of you voted in our second annual "Strangest but Truest" survey, and chose which of our 10 nominees was the most bizarre post to grace TheBody.com's "Ask the Experts" Forums in 2008.

Click here to find out which post won the most votes, and to view a full breakdown of votes in the survey. Thank you to everybody who voted!

LIVING WITH HIV

 Newly Diagnosed at 60

What is the life expectancy of someone diagnosed with HIV at age 60? I am 60 years old and I became HIV positive around the middle of 2008. My latest CD4 count was 622 and my viral load was 3,490.

 Multivitamins and HIV

What's your opinion about vitamin supplements such as K-PAX Immune Support Formula? I'm 28 years old and I was diagnosed with HIV in October 2008 with a CD4 count of 690.

 Long Work Hours and Aging With HIV

I'm 56 years old and have had HIV for six years. My viral load has been undetectable for most of that time and my CD4 count is around 1,000. I have two questions: One, do HIV-positive people over 50 still work or do most go on long-term disability? And two, will long work hours harm me over the long haul? I work a rotating 12-hour shift with some occasional 18-hour shifts.

 Does Steroid Use Affect the Immune System?

I was a steroid user until August; I mostly did cycles of Deca-Durabolin (nandrolone decanoate) and Sustanon (a mix of testosterone compounds). I found out six weeks ago that I was HIV positive. Can taking steroids compromise my immune system further? Will they affect my HIV medications when I start taking them?

=2

0

"Untitled," c. 1990-1994; Angel Borrero

Visit the January 2009 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Making Movies," is curated by Bill Thelen.

HIV TREATMENT

 Going Back on HIV=2

0Treatment After a Break: Which Meds Will Work?

I've been on a drug holiday for the last six and a half years. My CD4 count is now down to 385 and my viral load is in the 1,500 range. I think it’s time to begin HIV treatment. How can I know what medications will still work against my HIV?

 Newly Diagnosed and Already Starting Meds?

My HIV diagnosis has just been confirmed, although I think it's likely my infection dates back a number of years. My CD4 count is 94 and I'm about to start treatment, even though I've been told that I don't have any "real symptoms" yet. Does this sound OK -- and is Truvada (tenofovir/FTC) a good medication to start with?

 Can Crestor and Kaletra Be Taken Together?

Since I started taking Kaletra (lopinavir/ritonavir), my cholesterol and triglycerides have gone up. My doctor prescribed the statin drug Crestor, but I looked on the Crestor Web site and it said that Kaletra and Crestor should not to be taken together. How concerned should I be about possible side effects? Should I bring this up with m

y doctor?

 "ART" vs. "HAART"

I see the terms "ART" and "HAART" thrown around a lot when people talk about HIV treatment. Is there any difference between "ART" and "HAART" in a practical sense?

YOU & YOUR LABS

 CD4 Count Not Moving Up After Years of Treatment

I've been HIV positive since 2005. I started out with a CD4 count of 80. It climbed into the low 200s by 2006, but since then it has been hovering in the 230s with occasional spikes into the low to mid 300s. My viral load has remained undetectable while on my current regimen of Norvir (ritonavir), Reyataz (atazanavir) and Truvada (tenofovir/FTC). I've spoken to two HIV specialists, and they have opposite views on whether I should change my meds to try to raise my CD4 count. What do you think?

Wondering About Post-Exposure Prophylaxis (PEP)

(A recent post from the "Gay Men" board)

I began taking PEP four hours after an HIV exposure. I was the top with an HIV-positive guy not on meds when the condom broke. ... Has anyone taken PEP and found that it was effective?

-- je5872

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

HIV & FACIAL/BODY FAT

 Long-Term Problems With Bio-Alcamid

Three years ago I got Bio-Alcamid (poly-Alkyl-Imide) injections in my cheeks. Now, one area has become a bit red, swollen and painful, and the filler has also crept up into the corner of one of my eyes. What should I do?

HIV/AIDS DENIALISM

There will always be people who don't trust HIV research or the experiences of millions of people. Yet the evidence is overwhelming that HIV medications continue to save millions of lives. Every now and then, however, someone will post a question like this one in our forums:

 Questioning HIV Medications

Why is it that despite the fact that you know that HIV/AIDS is a scam, you encourage people to continue taking HIV/AIDS drugs and dissuade them from taking multivitamin therapies?

Our experts can (and do) write great responses to these questions, but the best answers often come from you, our readers. After reading the post above, a man wrote to the forum to talk about his HIV-positive fiancee, who he says was often sick and weak before she was diagnosed with HIV and began treatment. Now, he says, she is healthier than almost anybody he knows. "Do meds help people?" he writes. "This is beyond argument to me."

STRANGE BUT TRUE

 New From Walgreens: Cream-Top Moisturizer?

I bought a bottle of body lotion from Walgreens but didn't open it for a few days. When I finally did, I noticed the lotion seemed especially thick on the top. My friend insisted that I shouldn't use the lotion; he says some people open up lotion bottles and put semen in them to try to infect people with HIV. Is this true?

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@... 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.

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From: update@...To: powertx@...Sent: 1/26/2009 4:42:00 P.M. Central Standard TimeSubj: Hot Topics at The Body & apos;s "Ask the Experts" Forums

January 26, 2009

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Living With HIV HIV Treatment HIV & Facial/Body Fat You & Your Labs

HIV Transmission News & Views Strange but True

LIVING WITH HIV

If My Life Is Great, Why Can't I Adhere to My HIV Meds?What is wrong with me? I have been positive for four years. I went through a very hard time in my first two years of HIV treatment, but I changed all of that and am now doing great. I have the job of my dreams, a wonderful home and a precious son. I just can't seem to make myself adhere to my regimen. Worse, I'm avoiding my doctor because I know that he will be angry at my stupidity. Is this normal? Any advice on what I can do to change? Does a Diagnosis of Pneumonia Affect My Life Expectancy?I have been on Atripla (efavirenz/tenofovir/FTC) for a year. In November 2008 my CD4 count was 465 and I had an undetectable viral load. However, I was recently admitted to the hospital with a bad case of pneumonia. How long will it take to recover from this? Does getting diagnosed with pneumonia affect my life expectancy?

HIV TREATMENT

Generic Atripla?Is there presently a generic version of Atripla (efavirenz/tenofovir/FTC) available in the U.S.? Storing Atripla: Will Cold Temperatures Kill My Meds?I accidentally left a full bottle of Atripla (efavirenz/tenofovir/FTC) outside for a week when the temperature was in the 30s (Fahrenheit). Can I still use it, or should I discard it? Will Fish Oil Affect My HIV Med Regimen?Would there be any detrimental effect to my regimen if I were to take a fish oil capsule at the same time as my HIV meds? Would it be better if I took fish oil at a different time of day? I'm currently taking Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC).

"Rubber Bands," 1988; Ken Goodman

Visit the January 2009 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Making Movies," is curated by Bill Thelen.

HIV & FACIAL/BODY FAT

Why Was I Kicked Off Sculptra Patient Assistance?I was recently turned down for Sculptra (New-Fill, poly-L-lactic acid) patient assistance, which is provided by the makers of Sculptra to help people afford the treatments. Why have I (and everyone else in my doctor's office) suddenly been rejected? I've had eight Sculptra injections so far and need many more. Fixing a Flat Butt (in Mexico)Do you know anyone who has had butt-filler injections done in Mexico? Do the effects of the injections last? Is there anyone in Puerto Vallarta who does the procedure?

YOU & YOUR LABS

CD4 Count and Viral Load Explained: What's "Normal"?What are the worst and best numbers for a CD4 count? Is it correct that under 50 copies is considered "undetectable" for viral load, while over 100,000 is considered "bad"?

HIV TRANSMISSION

If You Already Have HIV, Why Is Safer Sex Important?Why is it important to have protected sex with other positive people? Is it to safeguard against other sexually transmitted diseases? Or is it more to guard against being infected with a partner's potentially drug-resistant HIV? Is "Pulling Out" Safe?I'm an HIV-positive guy and my partner is negative. If I pull out before I ejaculate, am I still putting my partner at risk? Can the "Finger Prick" HIV Test Expose You to HIV?I work at an HIV clinic and people often ask: Is there a chance of contracting HIV at the clinic while getting tested for HIV? People are concerned, for instance, that they may take the rapid test -- which requires pricking the finger to get a blood sample -- and then they'll touch something in the clinic that may have an HIV-positive person's blood on it. What do you think: Is there any risk at all?

Etiquette Rules When Meeting a Disabled Person(A recent post from the "Living With HIV" board) I ran across this list in my morning reading. Good stuff. As a person who uses a power wheelchair to get around and who has an HIV-related cognitive disorder that causes me to speak slowly, have difficulty understanding conversations and have difficulty hearing, I find these simple rules refreshing. -- ScotClick here to join this discussion thread, or to start your own!

NEWS & VIEWS

What Does "Functional Cure" Mean?What is a "functional cure" for HIV? I've read that it may be possible for scientists to develop a "functional cure" for HIV before a total cure (i.e., eradication of HIV from the body) is found.

STRANGE BUT TRUE

Lord of the FliesI killed some flies with a sheet of paper and then used scissors to scrape off the remains. A day or two later, I accidentally cut myself with those same scissors and drew blood. What if those flies had HIV in them? Did I put myself at risk? Masturbation Bent My Penis!I keep trying to avoid masturbation, but I can't help it -- when night falls, I just can't stop myself. The problem is that, lately, my penis has started to "bend" to the right. What's happening to me? What can I do about it?

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@... 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 powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesThe HealthCentral Network, Inc.250 West 57th StreetNew York, NY 10107

Support the Call for a National U.S. Strategy to Fight HIVNow that U.S. President Barack Obama has begun his term, one of the major priorities for many HIV activists is urging him to create a nationwide strategy to fight HIV within the U.S. Join the call by signing amfAR's online petition and letting your Congressional representatives know how you feel! Push for the Freedom of Two Newly Imprisoned Iranian HIV SpecialistsAfter months in detention, the Alaei brothers -- Iranian HIV specialists -- have been sentenced to prison in Iran for allegedly plotting to overthrow the country's government. Join the more than 3,000 people who have signed a petition calling for the Alaeis' freedom, write a letter to the Iranian embassy in the United States or put pressure on your Congressional representatives. Speak Out Against the Jailing of HIV Activists in SenegalThe eight-year prison terms recently handed down to nine gay men in Senegal have many people throughout the world fuming. To speak out against this injustice, you can contact Senegal's embassy in the U.S. by calling 202.234.0540 or getting in touch with your Congressional representatives.

From Wall Street to Main Street and everywhere in between, stay up-to-date with the latest news.

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June 29, 2009

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Expert Returns to The Body's "Ask the Experts" Forums Living With HIV HIV Treatment

Side Effects & Other Health Issues HIV & Body Shape Changes HIV Transmission Strange but True

EXPERT RETURNS TO THE BODY'S "ASK THE EXPERTS" FORUMS

Renslow Sherer, M.D., is back at The Body's "Ask the Experts" Forums! After a brief hiatus, the forum on Drug Resistance and Staying Undetectable is up and running again -- and Dr. Sherer is on the job, answering questions about avoiding HIV drug resistance and keeping an undetectable viral load. Dr. Sherer is one of the leaders in the treatment of HIV -- not only has he been treating people with HIV since 1982, he's also an active researcher.

"The first thing I did after I found out I was HIV positive was eat. I decided that if I was going to die, I was going to die fat. F*ck 'em, I thought; let 'em buy an extra large coffin." When she was diagnosed -- during the years before good HIV treatment was available -- TheBody.com's blogger River Huston decided that she didn't want her last meal to be Egg Beaters. Now, more than 15 years later, River has not only survived, but she's beaten her body image problems.

LIVING WITH HIV

How Can a Baby Born With HIV Test Negative Two Years Later?I was just watching The Tyra Banks Show. A woman on the show said her mom adopted a child that was born with HIV, but then tested HIV negative at the age of two. How is this possible? Any Advice for Someone Newly Diagnosed With a Low CD4 Count?I'm a male in my mid-20s. I was diagnosed with HIV on June 2, 2009. For most of the month, I experienced symptoms common for seroconversion. I met my infectious disease specialist today -- my CD4 count is at an apparently troublingly low level of 240, and my viral load was 130,000. I have yet to take any HIV meds but my doctor prescribed Atripla (efavirenz/tenofovir/FTC). I'm trying my best to keep my head up and all, but my lab results are scaring the hell out of me. Any general advice or pointers?

HIV TREATMENT

Using Isentress in an Innovative Way to Lower Viral LoadI was infected and diagnosed three months ago. My CD4 count is 500 and my viral load is over 500,000, which I've heard is normal for a new infection. I decided to start meds earlier rather than later after weighing the pros and cons. I'm on Atripla (efavirenz/tenofovir/FTC) and Isentress (raltegravir). My doctor is hopeful that I can wean off Isentress after my viral load comes down. Is this strategy normal? How soon can I expect my viral load to come down? CD4 Count Low: What Multivitamins Do You Suggest?I was diagnosed with HIV in January 2009 and my CD4 count is 238. I was told that my CD4 count is not low enough to start treatment and that I should just take care of myself to try and boost it. I'm currently taking vitamin C and vitamin B complex. Is there any other supplement you'd suggest I take, besides what I'm currently getting from the clinic? How Can You Have Resistance to a Drug You've Never Been On Before?I am 22 and I was recently diagnosed with HIV. The specialist got the resistance tests back and it turns out that both my fiancée's HIV and mine have drug resistance to NNRTIs (non-nucleoside reverse transcriptase inhibitors, or "non-nukes"). This changes our treatment options. How does this resistance occur when I've never taken any HIV medications before? Also, I need to take something to prevent PCP (pneumocystis pneumonia) but I'm allergic to Bactrim (co-trimoxazole) and dapsone (Avlosulfon) so I have to have intravenous treatment for PCP. Is this just as effective?

SIDE EFFECTS & OTHER HEALTH ISSUES

Sexual Dysfunction After HIV DiagnosisI was diagnosed HIV positive at the end of March. I have been taking Atripla (efavirenz/tenofovir/FTC) for almost a month with no side effects that I can discern. My problem is one of erectile dysfunction that has manifested since my diagnosis. I'm a 60-year-old married man; my wife, who is HIV negative, is very supportive and we have an excellent relationship and a healthy sex life. Before this, I was like the Energizer bunny, able to almost get an erection on demand; now every attempt at intercourse just ends as an exercise in frustration. What can I do about this problem? My wife says it's in my head, and I tend to agree.

Are you looking to connect with other HIV-positive people in a supportive environment? One option is to go on an HIV retreat. Retreats range from carefree holidays to educational weekends. There are retreats beachside, in the mountains and in the middle of the biggest U.S. cities. They're geared for the newly positive as well as longtime HIVers just looking for a chance to unwind. Many retreats are free, low-cost or provide discounts to people in need.

Hepatitis C in Semen?Does hepatitis C reside in the semen? Is there a significant risk to receptive anal sex partners if the insertive partner has hepatitis C? Atripla and Pre-Existing DepressionI've been taking Atripla (efavirenz/tenofovir/FTC) for one week (my first-ever HIV meds) and have become depressed. About three years ago, I suffered from depression and was treated with cognitive behavioral therapy and citalopram (Celexa), which I still take. The treatment worked and I have had no depression for over two years. I know that Atripla can be associated with depression. Is it likely that the depression will disappear soon as I get used to Atripla? Should I look to change to another HIV combo or increase my dose of citalopram? Can Marijuana Help Decrease HIV Med Side Effects?I've noticed that smoking marijuana greatly reduces the side effects associated with my HIV medications. Is this common with other HIVers? I casually mentioned this to my doctor and even inquired about obtaining it for "medicinal" purposes. My doctor wasn't sure that it was indicated for medicinal purposes in HIV-positive people and dismissed the topic. Do you think it is indeed indicated in HIV disease, and if so, what channels would I take to get it? I am in Canada, and the rules may be different from those in the U.S. Do You Think Retin-A Would Be Good for Residual KS Scarring?I had Kaposi's sarcoma on my leg that has been clearing up with HIV treatment, but it appears to be a really slow process. Could Retin-A (tretinoin topical) cream help this process along?

HIV & BODY SHAPE CHANGES

When Might Tesamorelin Be Approved for Fat Accumulation in HIV-Positive People?My belly is big with intra-abdominal fat without subcutaneous fat. I know that the only treatment for it, tesamorelin, is close to approval and that an application was submitted to the U.S. Food and Drug Administration on June 1. If it is found to be safe and effective, when might it be approved? Are there still any studies on it in which I would have a chance of getting the medication (instead of the placebo)? Fillers for Lipoatrophy Around the Eye?I've been experiencing facial wasting and the place I have been losing more fat than anywhere else on my face is under my eyes. My plastic surgeon told me he doesn't treat the area around the eyes in the case of lipoatrophy because it's "too dangerous." Is this true -- even with Sculptra (poly-L-lactic acid, New-Fill) and Radiesse (calcium hydroxylapatite, Radiance) injections? Is there anything that can be done? When Will I See the Full Results of My Sculptra Treatments?I had five rounds of Sculptra (poly-L-lactic acid, New-Fill) four years ago. It did pretty well but now I need a touch up. I already had one visit where I had two vials of Sculptra injected and am planning on two more visits with one vial each visit. How long does it take for the final results to show up?

Newly Diagnosed and Told I Have Highly Resistant HIV(A recent post from the "I Just Tested Positive" board) It's been a month since I found out I'm positive. I just found out my lab results yesterday and they show that I have a highly drug-resistant form of HIV. I am just looking to hear from others who have a highly resistant strain. I am on five meds, might be adding a sixth. What an emotional roller coaster the last month has been ... Vacation cannot come soon enough! -- BeerMe30Click here to join this discussion thread, 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 -- click here to get started!

HIV TRANSMISSION

Is There Such a Thing as HIV Immunity?I am a 43-year-old gay male and I have been having sex with men for around 25 years. I know this is not something to put lightly, but I have had unprotected sex with at least 80 men. I even had a lover of five years who was HIV positive and we never used condoms. I am NOT bragging, but wondering why and how I am still HIV negative. I know what I am doing is wrong, but could there be something about me that keeps me HIV negative? I take an HIV test every six months at my local health department and it has always come back negative. Is It Recommended to Use a Latex Condom With a Female Condom?Would it be safe for me to wear a well-lubed condom (say, lubed with silicone oil, which does not dry out like water-based lubes) in conjunction with my girlfriend using a female condom? Or does this scenario share the same drawbacks as double-bagging (i.e., using two condoms)?

STRANGE BUT TRUE

Can You Get HIV From Nose Secretions Mixed Into Food?A friend of mine who is HIV positive was eating spicy food, and his nose was running. He used his left-hand finger to clear his nose, and used the same left hand to take the curry from the bowl with a spoon. Afterward I used the same spoon to take curry. If his nose fluids fell into the curry bowl and I consumed some of it, would I be at risk for HIV? Should I get tested? Please answer, I am very worried over this incident.

Take a Survey Addressing the Vocational Needs of HIV-Positive People Write to District Court Judge Bradley J. , who sentenced a man to 25 years for not disclosing to another man he was HIV positive. Tell Congress to Make Health Care Reform Work for People With HIV/AIDS! Tell Abbott That We Will Not Accept a High Price for Their New Norvir! Tell CVS: Don't Restrict Access to Condoms! Endorse the International Declaration on Poverty, Homelessness and HIV/AIDS Speak Out Against the Syringe Funding Ban! Write a Letter to President Obama to Support the Action Plan for Rapid Scale-Up of Routine, Voluntary Testing Give Our Youth the Facts! Tell your senator to co-sponsor the REAL Act. ART Initiation at <350 -- Call on WHO and UNAIDS to Save Lives! Volunteer at a Camp for HIV-Affected Kids Congratulate Obama ... And remind him of his commitment to a National AIDS Strategy!

Make your summer sizzle with fast and easy recipes for the grill.

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July 13, 2009

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Beyond Medications HIV Treatment HIV Drug Resistance HIV & Body Shape Changes

You & Your Labs HIV Testing & Prevention Strange but True

BEYOND MEDICATIONS

Has Spirulina Ever Been Shown to Improve an HIVer's Health?I have been HIV positive for one year now and doing well on HIV medications. I am taking spirulina as a dietary supplement. Do you think it will improve my health in any way? What's the Best Protein Shake and How Can I Regain Muscle?I want to regain some lost muscle. I've been positive for 12 years now and have been on several HIV treatments. I did weight training for a good 12 years, but as of a couple of years ago, I train rarely because I have neither energy nor motivation. I have muscle loss on my arms, abdomen and legs. It is very depressing. What can I do? I don't want to take too many supplements. Is there a protein shake you would recommend?

Are you looking to connect with other HIV-positive people in a supportive environment? One option is to go on an HIV retreat. Retreats range from carefree holidays to educational weekends. There are retreats beachside, in the mountains and in the middle of the biggest U.S. cities. They're geared for the newly positive as well as longtime HIVers just looking for a chance to unwind. Many retreats are free, low-cost or provide discounts to people in need.

HIV TREATMENT

Is It Normal to Still Have Problems With Atripla After a Year? I have been on Atripla (efavirenz/tenofovir/FTC) for one year. My viral load is undetectable and my T-cell (CD4) numbers have hovered around 300. What's troubling is that I have been experiencing severe anxiety and depression, including thoughts of suicide. I have also been having increased crazy dreams and dizziness. Can it be that for some reason the Sustiva (efavirenz, Stocrin) in the Atripla is starting to cause these symptoms after months of things being OK? I have had a history of anxiety and depression, but never bad enough to warrant going on medication for it. When I have had these symptoms, they have come out of the blue, with no outside life issues prompting them. Any advice?

HIV DRUG RESISTANCE

Has My Virus Become Resistant to Isentress?I have had HIV/AIDS for 25 years and I have become resistant to most HIV medications. My latest regimen has been Isentress (raltegravir) and Truvada (tenofovir/FTC). I recently went through an "on and off" phase with my regimen because I moved to a different state. I have had nothing but infections since then. Does this mean I have drug resistance? Resistant to All PIs and Almost All NRTIs: What Are My Options?I have been HIV positive for 25 years and have done pretty well on HIV medications, which I began about 17 years ago. Last year my viral load began to increase so I switched my regimen. My phenotype and genotype tests showed that my virus was resistant to all protease inhibitors (PIs) except Prezista (darunavir) and all nucleoside reverse transcriptase inhibitors (NRTIs) except Viread (tenofovir). I showed no resistance to any drugs in the non-nucleoside reverse transcriptase inhibitor (NNRTI) class. My doctor put me on Norvir (ritonavir), Prezista, Isentress (raltegravir) and Atripla (efavirenz/tenofovir/FTC). I have allergies to sulfa drugs and after being on Prezista (which contains sulfa) for one year, I've been dealing with the rashes and itching because it is the only PI that I am not resistant to. However, the itching is getting unbearable. I have had three doctor opinions now and all have concluded that it is a drug reaction. I was hoping for your opinion before I talk to my doctor next week about stopping the Prezista. My viral load is currently undetectable and my T cells (CD4 cells) are at 303. My ratio is 30.3 percent. Am I getting to the end of the road for my options?

Found Out June 24, First Test Results Next Week(A recent post from the "I Just Tested Positive" board) I got an HIV-positive result on June 24. I saw a specialist on July 3 and I get my first test results next week on the 16th. I'm 56 and I am totally overwhelmed by this -- I cry without warning, have anxiety attacks, little interest in food. I'm feeling deeply ashamed and embarrassed. I live in a pretty small town that is OK with gay people but I don't think they can handle this. My husband/partner/best friend of 26 years has been great and I've told our one other sex partner (so far both are negative). Over the July 4th holidays we had lots of family around and everyone could tell I was "not OK" but I couldn't talk to anyone about it ... I still know almost nothing. I'm feeling very lost and afraid and find it hard to focus on anything. Luckily I'm a runner and still doing my three miles every few days -- it seems an OK way to clear my brain for a short time anyway. ... I'm hugely worried about test results next week. My prior HIV test (the last negative one) was 18 months before. Anyone out there like me? Being in a rural place is hard and I could use some people to e-mail with. -- ruralguyClick here to join this discussion thread, 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 -- click here to get started!

HIV & BODY SHAPE CHANGES

Can I Get Butt Augmentation With PMMA in the U.S.?I am interested in butt augmentation with PMMA (polymethyl-methacrylate, Artefill). Is there anyone doing this procedure in the U.S.? I would rather not travel out of the States. What About Facial Lipoatrophy Sufferers in Africa?I am really depressed about my facial wasting. I recently underwent a general checkup and everything seems to be OK. My CD4 count is about 500 but unfortunately my face is wasting way. We are not privileged enough in my country to have doctors who can treat this. I believe I could cope better with the disease if I looked better. Can you help?

"Wulf" 1999; Naj Hasoni

Visit the July 2009 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Writing Pictures," is curated by Romero.

YOU & YOUR LABS

Is My CD4 Count Drop Normal?I was diagnosed HIV positive in October 2007. At the time, my viral load was 6,310, my CD4 count was around 600 and my CD4 percentage was 28 percent. I've had a few tests since then and the results have been consistent. But in the five months between my two most recent tests, my CD4 count went from 780 with a percentage of 32 to 539 with a percentage of 30. I am not on HIV meds yet. Is this a "normal" drop in CD4? Is There a Way to Manage Viral Loads Without Meds?My first viral load test result was 30,791 and my second result was 37,000. I'm not yet on HIV medications, but I am a healthy eater and a positive thinker, plus I exercise and take some supplements. What else would you recommend I do to manage my viral load? Is there a magic workout formula, food or supplement that would help?

HIV TESTING & PREVENTION

What Is PEP?This may be a stupid question, but what is "PEP"? Can't Get Tested for HIV Because I Would Be Deported If PositiveI live and work in a country where foreigners are deported if they test HIV positive. I recently visited another country and intended to get tested there but I chickened out at the hospital. I told the doctor I was having pale stools (which is true) and asked if I could get a liver function test and urine test to check my digestive system. I had a blood test and urine test and the results suggest no big problem. My question is: Do these results mean that I should not be worried about HIV? My possible HIV exposure was six months ago.

Looking for HIV-Positive Facebook Friends(A recent post from the "Living With HIV" board) If you are HIV positive and using Facebook and want to get to know more people with the same condition, please contact me. ... I am 30 years old and have been positive for five years, three of which I've been on meds. I have my family, gorgeous partner and friends and strongly feel that I need to connect to other people living with HIV. Let's do it! -- michalexeClick here to join this discussion thread, 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 -- click here to get started!

STRANGE BUT TRUE

Dancing, Kissing and Scratching: What's the Risk?I love couple dancing. There's a girl I dance with that has some wounds that look like they might be from Kaposi's sarcoma. If she has HIV, can I get it through dance, or if she scratches me while we're dancing? Can I get HIV if I kiss her (not on the mouth or French)?

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About This E-mail

This e-mail update has been sent to powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesThe HealthCentral Network, Inc.250 West 57th StreetNew York, NY 10107

Twelve Weeks and Counting: Extend White Now! Sound the Alarm: HIV Is Not In Recession Take a Survey Addressing the Vocational Needs of HIV-Positive People Write to District Court Judge Bradley J. , who sentenced a man to 25 years for not disclosing to another man he was HIV positive. Tell Congress to Make Health Care Reform Work for People With HIV/AIDS! Tell Abbott That We Will Not Accept a High Price for Their New Norvir! Tell CVS: Don't Restrict Access to Condoms! Endorse the International Declaration on Poverty, Homelessness and HIV/AIDS Speak Out Against the Syringe Funding Ban! Write a Letter to President Obama to Support the Action Plan for Rapid Scale-Up of Routine, Voluntary Testing Give Our Youth the Facts! Tell your senator to co-sponsor the REAL Act. ART Initiation at <350 -- Call on WHO and UNAIDS to Save Lives! Volunteer at a Camp for HIV-Affected Kids Congratulate Obama ... And remind him of his commitment to a National AIDS Strategy!

Looking for love this summer? Find it now on AOL Personals.

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July 27, 2009

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Strange but True

BEYOND MEDICATIONS

Are There Interactions Between HIV Meds and Omega-3 Fish Oil or Flaxseed?

I have borderline high cholesterol. I'm taking Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC). I take omega-3 fish oil and flaxseed with each meal two to three times a day. I also take my HIV meds in the evening about 45 minutes after dinner. Are there any interactions between these two supplements and my HIV meds that I should worry about?

Doctor Told Me I'm a Long-Term Nonprogressor -- Can This Be True?

(A recent post from the "I Just Tested Positive" board)

My first test results came back and were very good. My HIV specialist asked me what my nationality was. When I told him Scots Irish he told me that makes sense to him. Evidently many people with northern European ancestry have a defective gene that makes it more difficult for HIV to get a firm hold on the body. (The same gene evidently makes you more susceptible to the West Nile virus). My question is how many of you have been given this glimmer of hope titled long-term nonprogressor, only to be disappointed later when it turns out to not be true? My doctor commented on my lack of emotion to the news. I just can't bring myself to put any hope in his theory this close to the original diagnosis.

Anyone out there like me? Being in a rural place is hard and I could use some people to e-mail with.

-- dean661

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For more on HIV nonprogressors, browse through TheBody.com's collection of articles.

"I can't say that I've fully processed my HIV diagnosis because it has affected me in different ways at different stages of my life," says , who has been living with HIV her entire life. Growing up in the 1980s in a small, conservative, religious community, faced all the burdens of being an HIV-positive kid in an ignorant world. spoke candidly with TheBody.com about how HIV took away part of her childhood. Now a grown, married woman herself, hopes to one day reach out to HIV-positive children.

HIV TREATMENT

Is Atripla and Isentress a Good Combo? Is It OK to Miss Doses?

I am on Atripla (efavirenz/tenofovir/FTC) and Isentress (raltegravir) after being on Trizivir (AZT/3TC/abacavir) for seven years. During my last five years on Trizivir, I had a viral load of 5,000 but my CD4 count continued to climb from 200 to 1,000. Should I not have switched? After one month on Atripla and Isentress, my viral load was undetectable. After two more months we dropped the Isentress. Six months later my viral load climbed to 30,000, though my CD4 count was still about 1,000. We added Isentress again and three weeks later my viral load is 820=2

0and my CD4 count is 1,044. However, I have been missing doses at least once, sometimes twice a week. Is this a problem?

Should My 6-Year-Old Be on HIV Meds?

My 6-year-old daughter was diagnosed with HIV eight months ago. I adopted her when she was only 4 days old, and she was diagnosed when the doctor was looking at something else totally unrelated. She is in great health. Her CD4 count is 1,130 and her viral load is 4,300. I have a wonderful doctor for her who is saying that it's OK not to start medications until her viral load and CD4 count start to get worse. Do you agree?

YOU & YOUR LABS

How Could My CD4 Count Have Fallen So Rapidly?

I tested HIV positive in December 2008. My first CD4 count was 820 and my viral load was 17,000. I did another test in March 2009 -- my CD4 count was 808 and my viral load was 4,500. In June I tested again -- my CD4 count had fallen to 468 and my viral load had gone up to 62,000. I was n

ot sick -- not even with a cold. How could this have happened?

How Low Can My Viral Load Go?

I was told by my case manager that my viral load won't drop lower than what it is now (it's 48 now). Is that true?

TheBody.com is bursting with new bloggers to fit anyone's interest! Last week we launched the blogs of two very different HIV activists. In his first blog entry, DeLorenzo tells the poignant story of his love affair with an HIV-positive immigrant -- and how they "fought the legal obstacles, the distance, and yes, the virus." Meanwhile, TheBody.com's own editorial director, Bonnie Goldman, rails against the dwindling passionate voices in HIV activism since the 1990s in her brand-new blog.

COINFECTIONS & COMPLICATIONS OF HIV/HIV MEDICATIONS

Is There a Significant Interaction Between Atripla and Propecia?

I'm about to start treatment with Atripla (efavirenz/tenofovir/FTC). I just found out that the Sustiva (efavirenz, Stocrin) por

tion of Atripla may interact with Propecia (finasteride), which I've been taking for years now to manage hair loss (both medications supposedly utilize the same enzyme). My doctor didn't mention anything to me about that, so I doubt he's aware of it (there's no warning on either of the leaflets that come with the medications). My question is: Do you think the interaction is substantial? Should I be halting my Propecia intake or just monitoring it?

Is It Advisable to Continue Antiretrovirals During TB Treatment?

I was just diagnosed with tuberculous (TB) meningitis. While taking TB treatment, should I continue with my HIV medications? I'm on Truvada (tenofovir/FTC) and Sustiva (efavirenz, Stocrin).

When Will My Fatigue Go Away?

I was infected with HIV in autumn of 2003 and was diagnosed in January 2004. I started HIV meds 18 months ago and am now on Atripla (efavirenz/tenofovir/FTC). My response to HIV meds has been good -- my viral load is undetectable and my CD4 count is above 900. I feel fine, except that since my diagnosis I've started sleeping more and more

.. Nowadays I usually sleep nine to 10 hours every night, and I also need at least three hour-long naps during the day. Altogether I sleep as many as 12 hours every day and I often still feel tired. My HIV doctor has checked my hormones and I see a psychiatrist who treats me for depression. I don't take other drugs besides my HIV meds, I eat well and I try to exercise. This condition has really started to get on my nerves, and it has affected both my job and my social life. Will it ever change?

Does Atripla Offer Any Protection Against Hepatitis B?

My doctor told me that Atripla (efavirenz/tenofovir/FTC) has some protection against hepatitis B and/or that it can kill the hepatitis B virus. What is your take on this?

Interferon and Ribavirin: Do These Hep C Meds Have an Effect on HIV?

I'm coinfected with HIV and hepatitis C and am midway through hepatitis C therapy with interferon (Alferon N, Roferon-A or Intron A) plus ribavirin (Rebetol, Copegus). My viral load has always been undetectable since I started HIV meds -- I now take Atripla=2

0(efavirenz/tenofovir/FTC). Do interferon and ribavirin have any positive or negative effect on HIV?

My Fiancé Is Positive and I Am Negative

(A recent post from the "My Loved One Has HIV/AIDS" board)

I am engaged to a wonderful man who happens to be HIV positive. We have been going out for three years and I love him dearly. He is doing really well (the numbers just keep getting better at every six-month visit and he is symptom-free, not counting the side effects from his meds). It isn't something we talk about much and it doesn't really affect our day-to-day life, besides our being far "safer" than the average couple. However, he is very private about his status, so none of the people we hang out with know.

Sometimes I just feel alone and would like to connect with others who are in a "mixed" relati

onship. One day we would like to have children, and I would love to hear from those who have done this. I also have a few questions like "How do I lessen my anxiety about having sex?" I am extremely ashamed of my anxiety, and would love to hear that I am not alone and that there is a way for me to work through this so we can both enjoy each other more without the stupid anxiety.

-- eloise79

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STRANGE BUT TRUE

Digging Up the Dead: Can a Long-Dead Body Transmit HIV?

Is there a public health concern involved in exhuming a body after 10 years if HIV was the cause of death?

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Ensure Congress Has a National AIDS Strategy

Urge Your Senators to Co-Sponsor the Early Treatment for HIV Act

Redial!

Help Get Health Care Reform Back on Track

Twelve Weeks and Counting: Extend White Now!

Sound the Alarm: HIV Is Not in Recessio

n

Take a Survey Addressing the Vocational Needs of HIV-Positive People

Write to District Court Judge Bradley J. , who sentenced a man to 25 years for not disclosing to another man he was HIV positive.

Tell Congress to Make Health Care Reform Work for People With HIV/AIDS!

Tell Abbott That We Will Not Accept a High Price for Their New Norvir!

Tell CVS: Don't Restrict Access to Condoms!

Endorse the International Declaration on Poverty, Homelessness and HIV/AIDS

Write a Letter to President Obama to Support the Action Plan for Rapid Scale-Up of Routine, Voluntary Testing

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September 14, 2009

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HIV & Body Shape Changes

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HIV & BODY SHAPE CHANGES

How Can I Stop Gaining Fat?

How do I lose weight without diet pills? I take Atripla (efavirenz/tenofovir/FTC), my viral load is undetectable and my CD4 count is 650. I'm 6 feet 1 inch tall and I weigh 215 pounds. I think my body is storing fat.

Fat Loss After One Year of HIV Medications

After taking HIV meds for a year, I have experienced fat loss around my butt and hips, but my stomach is becoming more bloated. What should I do to regain my figure? Will my body be like this for the rest of my life?

Is Low-Dose Naltrexone Effective Against Body Shape Changes?

I found a Web site where a New York doctor named Dr. Bihari claims that lipodystrophy and lipoatrophy can be avoided altogether with the nightly use of low-dose naltrexone. Are you familiar with this treatment? What do you think of it?

HIV TREATMENT

What's the Harm in a Double Dose of Truvada?

What should people taking Truvada (tenofovir/FTC) do if they can't remember if they've taken their dose for the day? Is there any harm in taking another dose or should they leave it for the next day?

Does Norvir Have to Be Refrigerated?

When will Norvir (ritonavir) as a booster be made in a non-refrigerated formula? I take a lot of pills and would like to simplify my regimen.

Fear appears to be ramping up again over swine flu (H1N1) as this year's flu season approaches in the U.S. and the rest of the Northern Hemisphere. Have we learned anything new about swine flu since the global outbreak began? What lies in store over the months to come, and what can people with HIV do to protect themselves? We caught up with top HIV physician Gallant, M.D., M.P.H., for the latest news and predictions.

HIV IN THE WORKPLACE

Changing Jobs and Pre-Existing Condition Issues

I am HIV positive and currently covered under my job's health insurance plan. I am seriously thinking about changing jobs, which would mean a change of health insurance. Would I be covered? I am currently taking Atripla (efavirenz/tenofovir/FTC).

COINFECTIONS & COMPLICATIONS OF HIV/HIV MEDICATIONS

Top Questions and Answers About HIV and H1N1 Flu

All people with HIV are recommended to get a H1N1 (swine) flu vaccination and a regular flu vaccination. Would you recommend that people with HIV get the regular flu shot now and then go back to the doctor for the swine flu vaccination? Also, if I think I may have had swine flu in the spring, does this mean I have some sort of immunity? Finally, is the swine flu vaccination live virus? Is there any danger to someone with HIV?

Is Red Marine Algae Safe to Take With HIV Meds?

Are there any known interactions between RMA (red marine algae, sulfated polysaccharides) and Atripla (efavirenz/tenofovir/FTC) or any other HIV meds? I battle chronic herpes (HSV) outbreaks, and in addition to acyclovir (Zovirax) I have started using an RMA ointment on my penis. I'd like to step it up a notch and take oral RMA capsules.

OI Meds, Overwork, Viral Load Blip: What Could Be Causing My Fatigue?

I am a 49-year-old gay male. I avoided getting an HIV test for years, but in spring of 2008 what I thought was just the flu was actually several opportunistic infections (OIs), including MAC (Mycobacterium Avium Complex). I spent an entire month in the hospital. I was put on Atripla (efavirenz/tenofovir/FTC), as well as clarithromycin (Biaxin) and ethambutol (Myambutol) for MAC and other drugs to prevent or treat OIs. My viral load dropped to undetectable within a few months and my CD4 count has been climbing, though I was told I was very anemic and had low platelets. When I went off the MAC drugs, I had a little bit of extra energy but I am now experiencing fatigue more than usual. My last test showed that my viral load went up a little bit. Could this be causing the fatigue? I also went back to work full time and I'm on my feet a lot. Could the fatigue come from working too much?

"Support Group" 1999; Becky Trotter

Visit the September 2009 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "A Visual Decameron," is curated by Masetto.

JUST DIAGNOSED

Is It Normal for My Boyfriend to Get Sick a Few Months After Getting HIV?

My boyfriend was diagnosed with HIV on May 20, with an exposure date of April 8 and textbook symptoms two weeks after exposure. He doesn't have medical insurance and gets ADAP (AIDS Drug Assistance Program) care through the Los Angeles Gay and Lesbian Center, but he's not on medication because no baseline has been established. Due to budget problems, his appointments keep getting pushed back. He had been very healthy (though he smokes moderately) until just a few days ago when he started feeling some congestion and fatigue. Last night he told me that his body was starting to ache all over. Could these be HIV-related side effects? Is it common for recently diagnosed HIVers to fully go through seroconversion and then get sick again later? What should we do?

HIV PREVENTION, TESTING & TRANSMISSION

At What Point After Taking PEP Should I Get an HIV Test?

I am currently on a course of PEP (post-exposure prophylaxis) to prevent possible HIV infection after a risky encounter. When is the earliest time I can have an HIV test? Is it three months after the risky encounter, or three months after the last pill has been swallowed, or is it something else altogether? My clinic said, "Just come when you've finished the course and you'll be 99 percent sure then." Yet, they also insisted that I come back at the three-month mark too. Please clear this up for me!

Does HIV Cause Rectal Bleeding?

Can rectal bleeding be a sign of seroconversion? I had anal sex about two months ago and the condom popped. I did not have any bleeding then but a month later I had some bleeding. Now I'm bleeding again -- not a lot, and only two times now, but I'm scared I may have contracted HIV. Should I be worried?

My Dad Was Just Diagnosed With Advanced AIDS

(A recent post from the "My Loved One Has HIV/AIDS" board)

My dad is gay and spent his entire life hiding it from everyone. He had a good job with the government for over 25 years, but within a year of splitting up with my mother, he got hooked on crack cocaine. Within two years, he had lost his job, house, car and over $500,000 in savings. He's been totally reckless with his health. I've been pushing him to see a doctor for years. Three weeks ago he finally went in. He's lost a ton of weight, has a persistent fungal skin infection all over his body, in his mouth, and recently has trouble even getting out of bed. Yesterday he called me after getting his blood test results. Even though I knew in theory that he was likely HIV positive, I was devastated to hear he's been diagnosed with "full-blown" AIDS, as he put it. I'm afraid he won't even bother to seek more help or medication from the HIV clinic at the hospital. I don't know what the point of this post is, aside from needing to "vent." What can I do for my father?

-- ontariogirl

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STRANGE BUT TRUE

Can I Get Infected by Inhaling HIV-Charged Farts?

I inhaled some scentless farts recently. I know inhalation is a route of medicine administration, so things you inhale do get into your bloodstream. I also have a weak immune system so that increases my chances of contracting HIV (I have a master's degree in public health, so I know about these things). Should I get tested?

Can the Chair Leg at the Chain Restaurant Give Me HIV?

I was eating at Fuddruckers and rubbed my leg against the chair next to me. There was a piece of wood sticking out of the chair and it scraped my leg and made it bleed a bit. If someone with HIV had the same incident just before me, is there a risk? I was sitting in the chair for about five to 10 minutes before it happened.

Worried Your Spam Filter Might Trash Our Mailings?

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To make sure you never miss one of our mailings because anti-spam software labeled it as junk mail, add update@... 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.

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Public Service Announcement

Re-Authorize the White Act -- Care for People Living With HIV/AIDS

Action Alert: Easy Steps to Impact U.S. HIV/AIDS Policy!

Call Assembly Speaker Silver: Stop The HASA Rent Crisis -- New Yorkers With HIV/AIDS Need Affordable Housing!

Tell Senators Health Care Reform Must Include Medicaid Parity for U.S. Territories!

Petition for a Robust National Public Health Care Option and Expansion and Enhancement of Medicaid Coverage

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September 22, 2009

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HIV & Body Shape Changes

Just Diagnosed

Coinfections & Complications

of HIV/HIV Medications

HIV in the Workplace

You & Your Labs

HIV Transmission

News & Views

Strange but True

HIV & BODY SHAPE CHANGES

Finding a Regimen That Doesn't Cause Body Shape Changes

I have been on a drug "holiday" for the past 18 months, after 12 years of HIV therapy. I stopped my meds with a high CD4 count of 1,100 and an undetectable viral load. I stopped therapy even though I felt great, because I had significant facial wasting and redistribution of fat to my abdomen. Now, after 18 months off treatment, my CD4 count is 450 and my viral load is 50,000, so the vacation is over. My doctor has recommended Epzicom (abacavir/3TC, Kivexa), raltegravir (Isentress) and either maraviroc (Selzentry, Celsentri) or etravirine (Intelence). Is this combo relatively free from fat wasting and fat redistribution problems? I hate to seem vain, but quality of life is as important to me as lab values.

JUST DIAGNOSED

Can Someone Recently Diagnosed With HIV Have a Normal Life?

I was diagnosed with HIV four months ago. I believe I was infected eight months ago maximum. My numbers are fine -- CD4 count of 542 and viral load of 10,000. My CD8 count went from 550 to 750, 35 percent to 41 percent. I'll see the results from my resistance test next week. Meanwhile, I wanted to ask you: How normal will my life be with this infection? Will it really involve only taking one or two pills a day or is my life going to change dramatically because of HIV medications, side effects, etc.?

Just Diagnosed at Age 41 With CD4 and Viral Load Dropping

It's ironic that I work in HIV. I have kept myself negative for all my 20s and 30s until a condom broke and I was unable to get PEP (post-exposure prophylaxis). My CD4 count dropped from 489 to 389, but my viral load also dropped from 38,333 copies to 33,000. My question is: When should I begin taking HIV medications?

How Long Do Acute HIV Infection Symptoms Last?

I was told I was HIV positive two weeks ago. I'd been running a fever and having other symptoms since the end of June and thought I had the flu, but I tested negative for flu. My doc said I had acute HIV infection. Now, eight weeks later, if I don't take ibuprofen three times a day my temperature still goes up to at least 100, I feel fatigued and sick and I don't sleep well. My question is: How long are these symptoms supposed to last? Have my symptoms gone on longer than normal for acute HIV infection?

Were you recently diagnosed with a sexually transmitted disease (STD)? Telling past sexual partners that they may have been exposed isn't always easy -- but a new Internet tool from inSPOT can help. Send e-cards to any sexual partners you had previous to your STD diagnosis and let them know what's happened. inSPOT will link them to STD testing resources in their areas. The service is available in several U.S. states, Canadian cities -- and international locales.

COINFECTIONS & COMPLICATIONS OF HIV/HIV MEDICATIONS

HIV and Vision Loss

I have had the virus since 1992 and within the last three months I have started to experience serious vision loss. I love to read, but lately I cannot read anything in regular print size due to the blurred vision. Three years ago, my vision was tested and it was 20/20. What can I do about my vision loss? I am taking the same HIV meds that I was taking three years ago.

Is Bloating a Side Effect of Atripla?

I was diagnosed with HIV six months ago. My CD4 count is 44 and my viral load is 185,000. I've been on Atripla (efavirenz/tenofovir/FTC) for six weeks. I feel much, much better now but I have recently had problems with my stomach bloating. Is this a side effect of Atripla?

Which Is Worse: Hepatitis B or C?

I'm HIV positive and my doctor says I probably have hepatitis -- I'm awaiting the hepatitis labs. Is one type of hepatitis worse than another? If you have both, are you "dead" on diagnosis?

HIV IN THE WORKPLACE

HIV-Positive Recent Graduate Entering the Workplace

I just graduated college and found out I was HIV positive. I am currently on no medications, but I do see a doctor for labs and such. This is covered by my current insurance through my parents. However, this insurance will expire in March 2010. I am currently unemployed and am seeking a job. I'm somewhat concerned because of the lack of positions in my field and wonder if I am going to need to apply to Starbucks or Home Depot, which offer general insurance for employees, to keep coverage. The other option is to pay the COBRA fees for my parents' insurance ($800 a month) or just rely on White. I noticed there is a pre-existing condition clause that applies for about 60 days when transitioning between jobs. Does this also apply when switching from parents' insurance?

Take this new survey by HIV-positive scientist and clinician Dr. Rupert Whitaker and detail how you would rate your medical care. The survey is available in English, Spanish, French and German.

YOU & YOUR LABS

Do I Have End-Stage HIV?

At my last doctor visit my viral load was 150 and my CD4 count was 170. My doctor says I have end-stage HIV. I am not sure what that means. My CD4 count has never gone above 170 since I was diagnosed with AIDS. I don't know what to expect from here on. Is this the end? My T-cell (CD4) count has been as low as 59 but it's back up to 170 -- is that good? Please help!

Viral Load Blips: How High Can a Blip Go?

For around four and a half years while on Atripla (efavirenz/tenofovir/FTC), my viral load has been undetectable. Then four months ago (May 2009) it went up to 2,920. But as of a few days ago (September 2009) it's gone back to undetectable. I felt very discouraged after that detectable result, as I've never missed a dose, not even once, although sometimes my dosage times vary by a few hours. I was tested for resistance in 1998 and it was found that I had 184V, the one for 3TC (Epivir, lamivudine). I'm pleased that I've returned to an undetectable viral load, with a CD4 count now at 655, but I'm worried about whether this viral load blip is presaging some sort of weakening of my HIV therapy.

HIV TRANSMISSION

My Boyfriend Found Out He's HIV Positive and I'm Nervous About Sex

My boyfriend recently found out he's HIV positive. He says he was infected about six months back when he knowingly had unprotected sex (this was before I met him). He anticipated that I would leave him, but I really do love him and have chosen to stick with him. However, whenever we're about to have sex, I start getting scared and lose my erection. We've educated ourselves on the precautions of being a "magnetic" couple," but I know that sex will never feel 100 percent safe. I start getting scared a condom will break or that he'll have cuts in his mouth. It's affecting our relationship. Am I just being paranoid or is this a legitimate response to his HIV status?

Semen on an Irritated Anus: Do I Need PEP?

I recently had sex with a guy (mid-20s, unknown status). We were lying in bed with my ass quite close to him and he was jerking himself off. No penetration. I got some of his ejaculate on my anus. Seconds later I realized the skin around my hole was irritated and (possibly) cut. A bit of his semen could have slipped into the rim of my hole or membrane. How would you describe my risk? I went to hospital about 20 hours later and lied about a slipping condom to be given post-exposure prophylaxis (PEP).

Newbie From Singapore -- Hoping to Connect

(A recent post from the "Gay Men" board)

Hi, 29-year-old guy here from Singapore, was diagnosed four years ago after I was hospitalized. This is my first post, and I'm hoping to connect with people because it can get so isolating sometimes not having people around to understand or talk to.

-- Darian

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NEWS & VIEWS

How I Beat Cigna: A Note About Long-Term Disability Cancellation

This is a remark on a recent "Hot Topics" question someone asked about his/her long-term disability benefits being cancelled by Cigna. After receiving long-term disability benefits from Cigna for nearly 15 years, I received a letter from them stating that I was no longer considered disabled. I was dumbfounded, as I had been deemed disabled in 1994, and had been receiving social security along with Medicare benefits since that time. I contacted an attorney who advised me to include in my appeal letters from friends and family about how they have seen my health deteriorate over the years. I also included every detail of my HIV/AIDS-related health issues and how they affect my wellbeing. With the economy going in a downward spiral, it is my belief that insurance companies such as Cigna are looking for loopholes in records to get out of paying long-term benefits. To make a long story short, I am happy to say my appeal was successful. Not only were my benefits paid retroactively, but they ended up offering me a lump-sum settlement. Cigna cannot begin to fathom the mental distress of a person living with this disease.

STRANGE BUT TRUE

HIV Risk in a Dog-Eat-Barf World

If my dog eats an HIV-positive person's vomit, can he get HIV?

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@... 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.

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Public Service Announcement

At National Equality March, Equality To End AIDS Rally to Re-Engage LGBT Community

Learn How to Participate in the White House's HIV/AIDS Community Discussions on the National HIV/AIDS Strategy

Tell Sen. Majority Leader Reid to Take Action on Syringe Exchange

Re-Authorize the White Act -- Care for People Living With HIV/AIDS

Action Alert: Easy Steps to Impact U.S. HIV/AIDS Policy!

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

January 4, 2010

Visit the Forums

"Hot Topics" Library

Change/Update Subscription

Mixed-Status Couples HIV/AIDS & Body Shape Changes HIV/AIDS Treatment

Other Health Issues HIV Transmission Strange but True

MIXED-STATUS COUPLES

Why Use Condoms for Oral Sex?If the risk of HIV transmission from giver to receiver of oral sex is so miniscule, then should anyone really bother with condoms in these situations? Where should we draw the line between "risky" and "not risky" when it comes to oral sex? Oral Sex vs. Penetrative Sex While on HIV Meds: Equal in Transmission Risk?Dear Dr. Bob: It seems from some past posts that you don't consider unprotected oral sex in a magnetic relationship a dangerous activity, yet you caution magnetic couples to use condoms every time they have penetrative sex -- even if the HIV-positive partner in both cases is taking HIV meds. If the risk of transmission from both activities is considered extremely low, why do you continue to recommend condoms only for intercourse?

You have just four more days to cast your vote for the most bizarre HIV-related question asked in our "Ask the Experts" forums last year! From farts to zits to disgruntled airport security workers, you'll be amazed at just how far-out some folks can get in their paranoia over a possible HIV exposure.

HIV/AIDS & BODY SHAPE CHANGES

Sculptra or a Fat Transplant: Which Is Better for Treating Lipoatrophy?I have very noticeable facial wasting. I'm considering either Sculptra (poly-L-lactic acid, New-Fill) treatments or having fat transplanted from my abdominal area to my face. Which treatment would be most effective -- and which is most affordable? Could Combining Facial Fillers Cause Painful Side Effects?I had silicone facial filler placed in my nasal folds many years ago. Then, about four years ago, I got Bio-Alcamid (poly-Alkyl-Imide) injections in my cheek near the side of my nose where the silicone was placed. Now I have a hard knot inside the end of my nose, and the skin in that area feels painful and tight. My sinus area is also swollen, but not red or hot to the touch. Could I have an infection? Could there be a problem with the two fillers interacting?

HIV/AIDS TREATMENT

Is Gene Therapy in the Works for Treating HIV/AIDS?Are you aware of any clinics worldwide that currently offer either stem cell transplants or gene therapy as HIV treatment? In your opinion, is either of these methods a viable substitute for HIV meds? Which First-Line Regimen Is Least Likely to Affect My Brain?I am 45 years old with a CD4 count of 400 and a viral load of 60,000, and I'm planning to begin HIV treatment soon. I believe Norvir (ritonavir)-boosted Prezista (darunavir) and Isentress (raltegravir) could be a good choice. However, I'm looking for a regimen that won't affect my brain, since I've experienced increased forgetfulness and loss of concentration over the past year. I've read that Isentress has low penetration of the central nervous system, but I've found very little information about the central nervous system and the Prezista + Norvir combo. What do you suggest?

If you're in New York City this weekend, you can purchase one-of-a-kind artworks and help an HIV/AIDS organization in the process! Visual AIDS is hosting its annual Postcards From the Edge benefit sale on Saturday, Jan. 9, and Sunday, Jan. 10. Hundreds of original postcard-sized works of art (some created by well-known artists) will be on display, all of which are available for $75 each. Proceeds will go to Visual AIDS, a nonprofit organization dedicated to supporting the lives and preserving the artworks of U.S. artists living with HIV.

OTHER HEALTH ISSUES

Herbal-Based Slimmers and HIV/AIDS: Any Risk?Are there drug interactions between Truvada (tenofovir/FTC) or Sustiva (efavirenz, Stocrin) and any of the ingredients in the weight-loss supplement Simply Slim? Can Chiropractic Care Treat HIV/AIDS?While I was in chiropractic school, I saw evidence that chiropractic care could improve people's immune response and possibly treat HIV. What are your views on this? Can Pregnancy Cause Indeterminate HIV Test Results?I'm 29 years old and seven months pregnant. My HIV test has come back indeterminate twice, so my doctor wants me to see a blood specialist. I've read that indeterminate HIV test results are common in pregnancy, but my obstetrician acted like she'd never seen such a thing. What do you think?

HIV TRANSMISSION

How My Possible HIV Exposure Made Me a More Educated PersonI recently had protected vaginal and unprotected oral sex (as both recipient and provider) during a drunken summer tryst with a sex worker. Despite some symptoms over the past five months, I have repeatedly tested negative for HIV and hepatitis C. I will continue to test out to the six-month mark, but I know that these results are likely to remain negative. This experience (and this forum) has made me much more aware of a virus that I had believed was irrelevant to me as a married, heterosexual man. Please accept my heartfelt thanks and prayers for your ongoing efforts against HIV/AIDS! How Do I Get Past My Crippling Fear of HIV?I have never engaged in any risk behavior for HIV, yet I have a pathological fear of it, and the fear is ruining my life. I fear that there is contaminated blood all around me and that people are trying to infect me. I even fear getting tested because the results may not be reliable. Not existing would be a better fate than constantly living in fear and agony. How can I overcome this?

Advice Needed From "Strict Tops": How Were You Infected?(A recent post from the "Gay Men" board) "I'm currently in a relationship with a monogamous partner. He knows my HIV status and we have protected sex. We slipped up the other day though. He was OK with the situation but I am a bit uneasy. Are there any strict tops out there that could share the story of how they got infected? I have read articles on the chances of a bottom infecting a top being very low, but I just want hear from those who may have had something like this happen." -- running4it Click here to join this discussion thread, 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 -- click here to get started!

STRANGE BUT TRUE

Talk About a Twisted Sister!Two weeks ago, my evil sister put my ex's urine or vaginal fluid (I'm not sure which) on my cat. I unsuspectingly closed-lip kissed the cat moments later. Now I've got symptoms! Am I at risk for HIV infection?

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@... 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 powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesThe HealthCentral Network, Inc.250 West 57th StreetNew York, NY 10107

Arrests of HIV-Positive People Continue; CDC Must Act! Sign On! Support Concrete and Specific HIV Prevention Measures in the National HIV/AIDS Strategy!

[Guest guest]

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

January 4, 2010

Visit the Forums

"Hot Topics" Library

Change/Update Subscription

Mixed-Status Couples HIV/AIDS & Body Shape Changes HIV/AIDS Treatment

Other Health Issues HIV Transmission Strange but True

MIXED-STATUS COUPLES

Why Use Condoms for Oral Sex?If the risk of HIV transmission from giver to receiver of oral sex is so miniscule, then should anyone really bother with condoms in these situations? Where should we draw the line between "risky" and "not risky" when it comes to oral sex? Oral Sex vs. Penetrative Sex While on HIV Meds: Equal in Transmission Risk?Dear Dr. Bob: It seems from some past posts that you don't consider unprotected oral sex in a magnetic relationship a dangerous activity, yet you caution magnetic couples to use condoms every time they have penetrative sex -- even if the HIV-positive partner in both cases is taking HIV meds. If the risk of transmission from both activities is considered extremely low, why do you continue to recommend condoms only for intercourse?

You have just four more days to cast your vote for the most bizarre HIV-related question asked in our "Ask the Experts" forums last year! From farts to zits to disgruntled airport security workers, you'll be amazed at just how far-out some folks can get in their paranoia over a possible HIV exposure.

HIV/AIDS & BODY SHAPE CHANGES

Sculptra or a Fat Transplant: Which Is Better for Treating Lipoatrophy?I have very noticeable facial wasting. I'm considering either Sculptra (poly-L-lactic acid, New-Fill) treatments or having fat transplanted from my abdominal area to my face. Which treatment would be most effective -- and which is most affordable? Could Combining Facial Fillers Cause Painful Side Effects?I had silicone facial filler placed in my nasal folds many years ago. Then, about four years ago, I got Bio-Alcamid (poly-Alkyl-Imide) injections in my cheek near the side of my nose where the silicone was placed. Now I have a hard knot inside the end of my nose, and the skin in that area feels painful and tight. My sinus area is also swollen, but not red or hot to the touch. Could I have an infection? Could there be a problem with the two fillers interacting?

HIV/AIDS TREATMENT

Is Gene Therapy in the Works for Treating HIV/AIDS?Are you aware of any clinics worldwide that currently offer either stem cell transplants or gene therapy as HIV treatment? In your opinion, is either of these methods a viable substitute for HIV meds? Which First-Line Regimen Is Least Likely to Affect My Brain?I am 45 years old with a CD4 count of 400 and a viral load of 60,000, and I'm planning to begin HIV treatment soon. I believe Norvir (ritonavir)-boosted Prezista (darunavir) and Isentress (raltegravir) could be a good choice. However, I'm looking for a regimen that won't affect my brain, since I've experienced increased forgetfulness and loss of concentration over the past year. I've read that Isentress has low penetration of the central nervous system, but I've found very little information about the central nervous system and the Prezista + Norvir combo. What do you suggest?

If you're in New York City this weekend, you can purchase one-of-a-kind artworks and help an HIV/AIDS organization in the process! Visual AIDS is hosting its annual Postcards From the Edge benefit sale on Saturday, Jan. 9, and Sunday, Jan. 10. Hundreds of original postcard-sized works of art (some created by well-known artists) will be on display, all of which are available for $75 each. Proceeds will go to Visual AIDS, a nonprofit organization dedicated to supporting the lives and preserving the artworks of U.S. artists living with HIV.

OTHER HEALTH ISSUES

Herbal-Based Slimmers and HIV/AIDS: Any Risk?Are there drug interactions between Truvada (tenofovir/FTC) or Sustiva (efavirenz, Stocrin) and any of the ingredients in the weight-loss supplement Simply Slim? Can Chiropractic Care Treat HIV/AIDS?While I was in chiropractic school, I saw evidence that chiropractic care could improve people's immune response and possibly treat HIV. What are your views on this? Can Pregnancy Cause Indeterminate HIV Test Results?I'm 29 years old and seven months pregnant. My HIV test has come back indeterminate twice, so my doctor wants me to see a blood specialist. I've read that indeterminate HIV test results are common in pregnancy, but my obstetrician acted like she'd never seen such a thing. What do you think?

HIV TRANSMISSION

How My Possible HIV Exposure Made Me a More Educated PersonI recently had protected vaginal and unprotected oral sex (as both recipient and provider) during a drunken summer tryst with a sex worker. Despite some symptoms over the past five months, I have repeatedly tested negative for HIV and hepatitis C. I will continue to test out to the six-month mark, but I know that these results are likely to remain negative. This experience (and this forum) has made me much more aware of a virus that I had believed was irrelevant to me as a married, heterosexual man. Please accept my heartfelt thanks and prayers for your ongoing efforts against HIV/AIDS! How Do I Get Past My Crippling Fear of HIV?I have never engaged in any risk behavior for HIV, yet I have a pathological fear of it, and the fear is ruining my life. I fear that there is contaminated blood all around me and that people are trying to infect me. I even fear getting tested because the results may not be reliable. Not existing would be a better fate than constantly living in fear and agony. How can I overcome this?

Advice Needed From "Strict Tops": How Were You Infected?(A recent post from the "Gay Men" board) "I'm currently in a relationship with a monogamous partner. He knows my HIV status and we have protected sex. We slipped up the other day though. He was OK with the situation but I am a bit uneasy. Are there any strict tops out there that could share the story of how they got infected? I have read articles on the chances of a bottom infecting a top being very low, but I just want hear from those who may have had something like this happen." -- running4it Click here to join this discussion thread, 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 -- click here to get started!

STRANGE BUT TRUE

Talk About a Twisted Sister!Two weeks ago, my evil sister put my ex's urine or vaginal fluid (I'm not sure which) on my cat. I unsuspectingly closed-lip kissed the cat moments later. Now I've got symptoms! Am I at risk for HIV infection?

Worried Your Spam Filter Might Trash Our Mailings?

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This e-mail update has been sent to powertx@....Want to change your subscription? Click here or send us a message at updates@....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 UpdatesThe HealthCentral Network, Inc.250 West 57th StreetNew York, NY 10107

Arrests of HIV-Positive People Continue; CDC Must Act! Sign On! Support Concrete and Specific HIV Prevention Measures in the National HIV/AIDS Strategy!

[Guest guest]

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

June 1, 2010

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"Hot Topics" Library

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Living With HIV/AIDS

HIV/AIDS Treatment

Health Issues

Understanding HIV/AIDS Labs

HIV Transmission

News & Views

Strange but True

LIVING WITH HIV/AIDS

How Do Experts Determine the "Average" Lifespan for HIVers?

I've known my HIV-positive status for about 15 months. I recently read about a study showing that HIVers will probably live about 20 years less than their HIV-negative counterparts. I know the study results don't necessarily apply to me personally for a large number of reasons. But I also hear about all these long-term HIV survivors who end up with liver, kidney, heart and brain issues that can shorten their lives. I'm starting to worry that I might not see my 50th or 60th birthday. What do you think about the lifespan issue?

HIV/AIDS TREATMENT

Now That My CD4 Count Is Up, Can I Stop My HIV Meds?

In 2002, I started HIV medications when my CD4 count was lower than 200. Now my CD4 count is over 500 and my viral load is undetectable. However, these tablets make me feel as if I'm high all day; my focus, memory and balance have gone haywire. I think a lot about stopping my meds completely. What do you think?

Headaches and Rash on Atripla: What Do I Do?

I have been on Atripla (efavirenz/tenofovir/FTC) for about seven weeks. I initially had no side affects besides a strange dream or two. But moving into week four, I have had to take Advil twice or more a day because I get the worst headaches. I'm also feeling sleepy more often than ever before and I regularly suffer from muscle fatigue. Lastly, I have a minor, non-itchy rash from my collarbone to my knees. Is there anything I can do to treat these side effects, or do I need to switch regimens?

Can I Eliminate One of the Meds From My Regimen?

I am a 45-year-old, HIV-positive man and I'm quite fit and healthy. I started taking Isentress (raltegravir), Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC) when my CD4 count was only 100 and my viral load was very high. My CD4 count is now 500 and my viral load is undetectable. I've been on this regimen for a year with no big problems. Now that I'm doing better, can I stop taking the Kaletra? If I did this and my viral load went up, could I go back on it at the same dose I now take?

More Questions About HIV/AIDS Treatment:

Can Reyataz Interact With Acid Reflux Drugs?

How Does Epzicom Compare to Truvada in Terms of Facial Fat Loss, Neuropathy and Depression Risk?

LGBT Pride Month is upon us: Celebrate your pride!

Take a look at our Faces of Pride page for inspiration. Then send us your own photo in which you're holding (or sitting next to, or standing on top of, or ... you get the idea) a homemade sign telling us what Pride means to you. We'll be posting submissions throughout the month!

HEALTH ISSUES

How Can I Make Sure My HPV Infection Doesn't Turn Into Anal Cancer?

I was diagnosed with HIV 19 years ago and have never had a low CD4 count or a detectable viral load. I have human papillomavirus (HPV), though, and I've had lesions removed from my anus twice in the past 15 years. What kind of follow-up should I do for my HPV to make sure it doesn't turn into anal cancer?

Does Testosterone Replacement Really Help People With HIV?

I have been taking testosterone replacement treatments (most recently Androgel) for many years to treat the negative effects of HIV and HIV meds. However, my new doctor recommends against testosterone replacement: He says it is ultimately bad for HIV-positive people because the risks are too great and there are no benefits. This is completely opposite my prior doctors' advice for the past 10-plus years. Who is right?

More Questions About Health Issues:

Are There Any Supplements That Could Help Treat My Neuropathy?

Is CMV Retinitis Causing My Eyesight Issues, or Is It Syphilis?

Is Typhoid Vaccination Safe for People With HIV?

UNDERSTANDING HIV/AIDS LABS

Could HIV Meds Make My CD4 Count Go Up Higher Than It Was Before I Was Infected?

I know there's no way to tell what my CD4 count was before I had HIV, but can HIV meds raise someone's CD4 count above pre-infection levels? Is there such a thing as a "maximum" CD4 count, or can it just keep climbing?

HIV TRANSMISSION

A Teething Baby Bit Me! Did I Put It at Risk?

About a month ago my 8-month-old nephew bit my face while playing. He is currently teething and has razor-sharp teeth. After the incident, I checked my face and there was a small (pinhead-sized) amount of blood on my face. Although a part of me says, "Don't worry, it was a tiny bite, you are in treatment with stable counts, and there was an insignificant amount of blood," the other part of me is very concerned about the incident and a possible HIV exposure for my nephew. Should we have him tested?

Leaving the U.S.: Will I Ever Find a Country That Accepts Me?

(A recent post from the "Gay Men" board)

"All I want is someone to share my life with. ... I have a responsibility to tell guys I am positive, and that always scares them off ... so I figure I should indulge my passions and do what I have always wanted to do: leave the United States. But now, I discover that there are no nations that I can find that will take an HIV-positive person.

"I am gainfully employed and good at what I do, with a degree, etc. ... The only assistance that I have is with my medication, because I cannot afford it. ... Now, I understand that even if I were paying for my own medications, that I can STILL be denied entry to most nations because of my status. Has anyone else encountered this? What can I do?"

-- Dizengoff

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

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NEWS & VIEWS

Is HIV/AIDS a "Gay Disease"?

Dr. Bob: How come all of the advertisements and pictures on TheBody.com show gay men together? You and all of the other people who are trying to scare heterosexuals have said that it is not a gay disease, yet all of the visuals on this Web site show gay couples "caring" for each other. Why does the homosexual community feel it is necessary to burden the entire community with what is obviously a "gay disease"?

STRANGE BUT TRUE

Now on Sale at Wal-Mart: HIV, $1.99 per Syringe

Even though it was late at night and I was creeped out, I let a friend convince me to go with him to a Wal-Mart. As I was walking, I felt a burning sensation in my thigh. Later, my friend suggested it was because I rubbed up against a needle lying on a shelf, or got stuck with it by someone in the store. Is he right? Should I get tested?

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@... 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 powertx@....

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

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

AIDS Watch at Home 2010: Make Congress Listen Right in Your Own Backyard

China: Release Activist on Medical Parole

Women Living With HIV: Take a Survey on Sexual and Reproductive Health Services

[Guest guest]

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

March 22, 2011

Visit the Forums

" Hot Topics " Library

Change/Update Subscription

Living With HIV/AIDS

Mixed-Status Couples

Body Shape Changes & HIV/AIDs

HIV/AIDS Treatment & Side Effects

Other Health Issues & HIV/AIDS

HIV Transmission

Strange but True

LIVING WITH HIV/AIDS

 Dear Vergel: What Does " Good Medical Care " Entail?

I was diagnosed with HIV just three days ago; I'm still waiting for a doctor's appointment. I've read many articles on this site (during three sleepless nights) and they all suggest that choosing the right doctor and treatment is crucial. Can you tell me what " good medical care " means to you, as a longtime HIV advocate who's also living with HIV?

Vergel responds in the " Nutrition and Exercise " forum

 How Do You Respond When People Say " No One Dies of AIDS Anymore " ?

I recently had an argument with a friend who stated, " People don't die from AIDS anymore. " What do you say to people who believe HIV/AIDS is no longer a fatal condition?

J. Frascino, M.D., responds in the " Fatigue and Anemia " forum

MIXED-STATUS COUPLES

 What Are the Options for an HIV-Positive Man Looking to Have a Baby?

I've been HIV positive for two years and I haven't taken HIV meds yet. My viral load is 1,200 and my CD4 count is around 470. My wife and I would like to have a child and I'm considering starting Atripla (efavirenz/tenofovir/FTC) to lower my virus to undetectable levels. Will Atripla affect the quality of my sperm? What's the chance that I'll infect my wife if we try to conceive? What are our options?

Henry, M.D., responds in the " Managing Side Effects of HIV Treatment " forum

BODY SHAPE CHANGES & HIV/AIDS

 How Can I Get My Doctor to Prescribe Nandrolone Along With Testosterone?

I've been HIV positive for at least 23 years and have had the same doctor for all this time. Over the last five years my quality of life, body fat level and non-immune blood work (cholesterol, sugar) have all been less than optimal. I slowly started making changes -- quitting smoking and drinking, changing my diet, taking supplements, finding a personal trainer and, eventually, starting testosterone replacement therapy. I've seen great improvements in all areas, but I have concerns about my doctor's ability to properly monitor the testosterone therapy -- he was hesitant to put me on it in the first place; and he refuses to consider adding nandrolone decanoate (Deca-Durabolin), without explaining why. What do you think could be going on?

Vergel responds in the " Nutrition and Exercise " forum

Remember last year's Poetry Month at TheBody.com? Well, it's that time again! From now through the end of April, we'll be accepting and posting submissions of poetry about living with, or being affected by, HIV/AIDS. Anything you write is fair game. Pieces can be literal or abstract, serious or funny, short or long (but hopefully not too long), whatever you want. Select poems will be highlighted on our site throughout the month of April!

Please e-mail your poems to content@... with the subject line " Poetry: [Title of Your Piece]. " Be sure to specify what name or alias you'd like to use, as well as any details about yourself that you feel comfortable letting readers know -- your age, the city you live in, your gender, etc. Please note that if we post something you send us, it can be Googled, so be sure to think through what kind of information you want to provide.

If you'd rather send us a poem without having to use e-mail, use our feedback page. You can leave out any contact information, but please write " POETRY " at the top of the form so we can spot it easily.

HIV/AIDS TREATMENT & SIDE EFFECTS

 Could Periodic Regimen Changes Help Keep Side Effects at Bay?

I started taking Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC) less than a month ago. My CD4 count is over 650 and my viral load is low. I'm aware of the side effects of my current regimen and am planning on switching the Truvada in favor of Epzicom (abacavir/3TC, Kivexa) once my viral load is undetectable. What do you think of the notion of changing regimens every six months or so, for the sole purpose of lessening potential side effects? Are there any advantages or disadvantages to this plan?

J. Frascino, M.D., responds in the " Fatigue and Anemia " forum

 Did I Start Meds Too Soon?

I developed acute retroviral syndrome and became very ill for two weeks; I couldn't work and had to go to the emergency room three times. My viral load was greater than 10 million, while my CD4 count was 330, so my doctor started me on meds. Ten weeks after starting, my viral load is undetectable and my CD4 count is 500. Still, did I start treatment too soon?

Young, M.D., Ph.D., responds in the " Choosing Your Meds " forum

 What Should I Know About Bone Density When Taking Atripla?

What effect does the Viread (tenofovir) component of Atripla (efavirenz/tenofovir/FTC) have on bone density, and how long does it take to notice? What can be done to monitor or improve bone density?

Henry, M.D., responds in the " Managing Side Effects of HIV Treatment " forum

More Questions About HIV/AIDS Treatment & Side Effects:

If I Keep Taking Meds, Is It Possible I'll Never Progress to AIDS?

Will I Develop Drug Resistance if I Took My Meds 40 Minutes Late?

Is It Safe to Take Olive Leaf Extract With Atripla?

OTHER HEALTH ISSUES & HIV/AIDS

 Do We Need to Worry About Macrocytosis?

My husband wasn't anemic when he got his first HIV lab test results. We went for our second test after four months and his CD4 count has gone up from 78 to 180. However, now the results show he has macrocytosis, which I believe has something to do with anemia. Is this serious? Is it related to him taking HIV meds?

J. Frascino, M.D., responds in the " Fatigue and Anemia " forum

 Do My Behaviors Suggest Sex Addiction?

I've had a long and varied sexual history. I discovered the world of cruising in public restrooms, parks and gay saunas when I was 16, and became HIV positive when I was 21. Thinking about and having anonymous sex never ended, even now that I have a loving partner. I masturbate or search for sex online even during work hours. I've never been faithful. It's time and money consuming and it threatens my professional life, my relationship and my health. Most of the time I can fake a mask of " it's just that I really enjoy sex " ; but the fact is I'm governed by sex, and I feel stuck. What can I do?

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

I've Got a Crush and It Hurts So Good: How Can I Put Myself Out There?

(A recent post from the " Gay Men " board)

I'm in my mid 30s, single and have no friends. There is this library that I go to, and I have had my eyes on this guy who works there as a library assistant. I have secretly admired him since he started working there years ago. He seems very sweet, and all I can do is think about him. All I can think about is: What are the negative things that can happen if I tell him? I am older than him, HIV positive and he is probably not even gay. I have not been in love for a very long time and have been celibate for many years. But here comes this beautiful stranger and I am all vulnerable again; I love this feeling but I also don't like putting myself in this situation. Has anyone else ever had a crush like this, or had trouble getting out there and dating? I'd appreciate any advice you have to give! -- joejoe5673

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!

HIV TRANSMISSION

 My 2-Year-Old Son Bit Me: Is He at Risk for HIV?

I'm an HIV-positive man with an undetectable viral load. I was playing with my 2-year-old and he bit my finger. I didn't notice blood right away but he did break the skin -- a bit of blood appeared when I pulled back the bit of skin and put pressure on the wound with a tissue. Should my son be tested for HIV?

Young, M.D., Ph.D., responds in the " Choosing Your Meds " forum

STRANGE BUT TRUE

 Airing (or Rubbing) the Family's Dirty Laundry: Will I Get HIV?

I've been using my aunt's used panties for masturbation for almost a year -- I smell, lick and rub my penis on those panties. My aunt's not HIV positive, so will I get HIV by doing this?

J. Frascino, M.D., responds in the " Safe Sex and HIV Prevention " 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@... 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 powertx@....

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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:

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The HealthCentral Network, Inc.

250 West 57th Street

New York, NY 10107

 Sign on, Sign Up, Speak Out: Save Prevention Access

 House Votes to Defund Planned Parenthood: Sign a Letter to Congress to Save Critical Services!

-- VergelBook link