Fw: Hot Topics at The Body's Ask the Experts Forums

March 29, 2011

From: "News at The Body" <update@...>Date: 29 Mar 2011 17:18:57 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMarch 29, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS Treatment Side EffectsOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS How Can I Increase My Levels of "Good Cholesterol"?My doctors say it's difficult for HIV-positive people to increase their levels of high-density lipoproteins (HDL), or "good cholesterol." What's the best way for us to increase our HDL levels? Vergel responds in the "Nutrition and Exercise" forum In the Long Run, Is There Any Hope for People Living With HIV?I keep hearing talk about HIV being manageable, but it seems like people are still dying all the time, which terrifies me. It's hard for me to find any hope. What do you think? Vergel responds in the "Nutrition and Exercise" forumMIXED-STATUS COUPLES My Partner's Afraid to Be Sexual With Me: How Can We Fix Our Relationship?I'm HIV positive and my partner isn't. We've been together for almost two years and I told him straight away that I was positive, but we still haven't had anal or oral sex with each other. We barely even masturbate together. He tells me he's scared of getting infected and that ads from the '80s and '90s have shocked him into being like this. Although I've told him I understand his concerns, and it's actually nice for someone to be careful, I feel as though this isn't totally normal. The rest of our relationship is great, but I'm worried we're working on something that's never going to be. What should we do? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumBODY SHAPE CHANGES HIV/AIDS Why Can't I Find a Provider Who Takes Medicare for Sculptra or Radiesse?My medical care is covered by Medicare and TRICARE (the military health plan) and I am having the worst time finding someone to do my facial filler treatments -- even though I qualify for the patient assistance program, and there are many plastic surgeons and dermatologists in my county. A specialist two hours from my home told me I'd still have to come up with a substantial copay for my treatments, but TRICARE covers my copay. What's the reason for all this rigmarole? Isn't Medicare supposed to cover facial filler treatments for HIVers?Gerald Pierone, M.D., responds in the "Facial Wasting" forum Could Liposuction Help My Treatment-Related Belly Fat?Would liposuction be safe for an HIV-positive person who's developed belly fat as a side effect of HIV meds? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumRemember 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 What Can I Do About Dizziness and Hallucinations After Several Years on Atripla?I've been taking Atripla (efavirenz/tenofovir/FTC) for a couple of years now, and I still have intense dizziness and even hallucinations if I'm not asleep within 30 minutes of taking the pill. How common is this? Should I be concerned? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Started Treatment With a Low CD4 Count: Will I Do Badly?I'm 49 years old. Six months ago when I was diagnosed with HIV, my CD4 count was only 14 and my viral load approached a million. I was fortunate to survive that time with no major opportunistic infections. I now take Isentress (raltegravir) and Truvada (tenofovir/FTC). At first I saw a radical improvement, with my CD4 count going up to 94 and my viral load dropping to around 1,000. After four months my viral load is undetectable but my CD4 count is rising very slowly. I eat right, exercise, sleep enough, work hard, enjoy life, and take several vitamin and mineral supplements. How can I expect to fare relative to someone who started treatment earlier in their HIV infection? Can I still plan for retirement? Vergel responds in the "Nutrition and Exercise" forum Can't Tolerate Norvir: What Are My Other Regimen Options?I was on Kaletra (lopinavir/ritonavir) for about seven years when I started getting pains in my stomach and throwing up to the point where I had to go to the emergency room. I stopped taking my HIV meds and my doctor put me on Norvir (ritonavir), Prezista (darunavir) and Truvada (tenofovir/FTC). Now I'm having the same problem again. Both these regimens contain ritonavir. Could that be what's making me sick? What are my other options? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMore Questions About HIV/AIDS Treatment Side Effects:Didn't Take Enough Prezista for Weeks: What Are My Next Steps?Is Uncooked Garlic Safe to Eat While Taking HIV Meds?OTHER HEALTH ISSUES HIV/AIDS Can I Safely Smoke?After being diagnosed with HIV last October, I quit smoking using the nicotine patch. I've been patch-free since January, but over the past few weeks I've experienced cravings. Do you think a person can smoke one or two cigarettes a day and maintain his health? Does cigarette smoke lower T-cell counts or interact with HIV meds? J. Frascino, M.D., responds in the "Fatigue and Anemia" forum Did Paranoid Schizophrenia Cause Me to Become HIV Positive?I've suffered from paranoid schizophrenia since I got out of the Marine Corps in 1994. I was on and off my schizophrenia meds for years; while off my meds I was delusional, hallucinating and out of control, so I engaged in compulsive risky behavior and got drunk to numb out everything. Then I found out I was HIV positive in 2002. I now take Atripla (efavirenz/tenofovir/FTC), which works well. Do you think being a paranoid schizophrenic led to my being HIV positive? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumCould Non-Monogamy Be the Solution to My Magnetic-Relationship Problems?(A recent post from the " Gay Men " board)I'm curious about others' experiences. I've been in a relationship for 4 years with someone who is neg; we found out I was poz about 3 years ago. Everything is great but our sex life. He couldn't be sweeter and more supportive of me, but he has been seeking satisfaction elsewhere sexually which I am really bothered by. If he can barely jerk me off without getting freaked out, how can he do it with other guys when he doesn't even know if they are neg or poz -- the way I see it at least with me he knows what he is dealing with and we can be safe. Then on the other hand I feel as if maybe I should overlook it because I'm being selfish not allowing him to have satisfying sex, even though in my opinion from reading others' experiences you can have a satisfying sex life in a neg/poz relationship if both parties are truly interested in working it out ... I have never really been signed up for the whole open relationship deal, but in this case maybe it is a solution? Anyone have any thoughts about this? -- AZguy11Click 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!UNDERSTANDING HIV/AIDS LABS What's the Latest Standard in "Undetectable"?My viral load used to be undetectable at less than 50 copies; now I'm hearing something about it being detectable at more than 20 copies. Is there a new standard for what's considered an "undetectable" HIV viral load, or is my clinic just using new testing procedures?Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forumHIV TRANSMISSION Can 2 HIV-Positive Parents Have an HIV-Negative Baby?My partner and I are HIV positive, both with undetectable viral loads. Can we have an HIV-negative baby? What would be the best way to get pregnant and lower or eliminate the risk of infecting each other with our HIV strains? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 Sign a Birthday Card for Health Care Reform! Choice in HIV Prevention -- Let FDA Look at the PrEP Data Sign on, Sign Up, Speak Out: Save Prevention Access House Votes to Defund Planned Parenthood: Sign a Letter to Congress to Save Critical Services!

April 5, 2011

From: "News at The Body" <update@...>Date: 05 Apr 2011 16:02:30 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlApril 5, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSHIV TransmissionLIVING WITH HIV/AIDS Should I Change My HIV Status on a Hook-Up Web Site Profile?My profile on a hook-up Web site states that I'm HIV positive, and it rarely gets any "hits." I met up with a nice guy last year but we're not having sex. I'm thinking about creating a new profile stating that I'm HIV negative. I wouldn't have unprotected sex; but I've been out of circulation for a while due to medical issues, and I need to get laid. What do you think? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum What Do You Think of Compounded Testosterone?I just turned 57 and I've been using Androgel for almost two years. I don't qualify for patient assistance and I'm finding it harder to pay for this medication, so I've been thinking about compounding pharmacies. I've also read that men who don't respond to Androgel or Testim usually respond to compounded testosterone cream. Since I do respond to Androgel, will the cream be too much? What do I look for in a compounding pharmacy? Do you have any recommendations? Vergel responds in the "Nutrition and Exercise" forumMIXED-STATUS COUPLES How Safe Is Oral Sex With My HIV-Positive Partner?I've been seeing this guy for a little while now. He's great and I couldn't be happier. He's HIV positive and I'm HIV negative. I've been reading the archives about magnetic couples and it's helped a lot, but one thing that I'm worried about is oral sex. We use condoms but not for oral. He never ejaculates in my mouth but sometimes there is precum. I also once brushed my teeth about 10 minutes before we did the deed and I was the receptive partner. How risky is this? Would HIV testing be warranted from this type of exposure? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum How Do I Stop Freaking Out Every Time My Boyfriend Gets an HIV Test?I'm a 29-year-old HIV-positive woman in a two-year relationship with an HIV-negative guy. We were together for a few months before I discovered my HIV status; he was a great support for me after my diagnosis, and we're very happy. He takes an HIV test every three months and has become quite chilled out about it; meanwhile, I freak out every time he goes to the clinic. I can't deal with the fact that I might have infected him. Usually it leads to a massive crisis in our relationship. What should I do? Is the only solution to end the relationship in order to protect my partner? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumRemember 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.BODY SHAPE CHANGES HIV/AIDS Am I Doing the Right Things to Reduce My Belly?I'm a weightlifter and I've been HIV positive for 23 years. I eat right and take vitamins and supplements. For years I've been trying hard to manage my "pot belly," with no luck. I've gotten sick of people making comments like "When is the baby due?" (If they only knew how hurtful that is.) I've switched from Norvir (ritonavir) and Reyataz (atazanavir) to Intelence (etravirine) and Isentress (raltegravir) -- my other meds are Epivir (lamivudine, 3TC) and Viread (tenofovir). Was this a good move from a visceral-fat standpoint? What else can I do to get rid of this belly? Vergel responds in the "Nutrition and Exercise" forumHIV/AIDS TREATMENT Are HIV Meds Really More Toxic Than Other Kinds of Meds?There's so much talk about how toxic HIV meds may be. Are they any more toxic than other kinds of drugs, such as Lipitor (atorvastatin), antidepressants and other drugs that must be taken regularly? How likely is a person on HIV meds to experience higher-than-normal toxicity? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Is Atripla a Good Choice if I'm Coinfected With HIV and Hepatitis B?I'm living with chronic hepatitis B, and last February I was diagnosed HIV positive. My CD4 count is 761 and my viral load is 25,250. I feel fine but my doctor recommends that I start taking HIV meds soon to keep my immune system in good condition. He suggested Atripla (efavirenz/tenofovir/FTC) but I'm worried about how this pill will affect my liver. My doctor says that Atripla will actually help with my hepatitis B. What do you think?Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forum Will I Become Resistant If I Miss 3 Days of Doses?My CD4 count is 384 and my viral load is undetectable. I've been taking Atripla (efavirenz/tenofovir/FTC) religiously for the past six months, but my next batch of prescription meds won't arrive for another three days. I'm terrified that I may become resistant to the meds. How likely is that to happen?ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forumOTHER HEALTH ISSUES HIV/AIDS What Can I Do About Erectile Dysfunction?I'm a 39-year-old bisexual man. I've been HIV positive for 10 years and I take Atripla (efavirenz/tenofovir/FTC) as well as meds for high blood pressure, shingles, bipolar disorder and pain. I've also been an intravenous meth user for 15 years and have had little success in stopping. On top of all this, I've been experiencing erectile dysfunction, but my health insurance won't cover Viagra (sildenafil) and I can't afford it. I'm feeling desperate. What can I do? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Toxoplasma Infection of the Brain: Is It Possible to Recover?My brother is HIV positive and has a CD4 count of 50, and he's just been diagnosed with toxoplasmosis. He has several infections on his brain; one is pressing on his left frontal lobe. Is there any chance he will get better? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forumNot Surprised to Test Positive: Now How Will I Live With HIV?(A recent post from the " I Just Tested Positive " board)I'm 34 years old -- tested positive 3/8/11. Something in me always told me I would become HIV positive at some point. I'm of a generation of gay men whose earliest images and memories of gay life are of men in hospital beds covered in purple lesions. I literally remember being 6 years old or so and seeing this on the television, and somehow knowing that I was connected in some way to those men. … I think that I started to have unprotected sex (as stupid as it may sound) because I wanted to feel something intense, even if it only lasted as long as a fuck. Though I am staying positive, productive, and integrated in my circles of friends -- I feel more and more withdrawn … I need to find a support group. I need to share this pain and regret with other people who will understand. I feel myself changing. I don't want to become cold and distant and bitter. I want to continue to love life as I did before I seroconverted. I want to learn the healthy way to live now. ... I am hungry for dialogue with others who are going through this. Can anyone relate? -- GenetClick 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 Why Wouldn't the ER Give Me PEP?I live in Los Angeles and went to one local emergency room this morning seeking HIV post-exposure prophylaxis (PEP), but the nurse there said that the ER wasn't equipped to give PEP except in life-threatening emergencies. I went to another ER that did give me PEP. Thank goodness I got the treatment before the 72-hour mark! Why do you think the other ER didn't want to give me this treatment? Should I sue that hospital for refusing to treat me? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Can an HIV-Positive Baby Pass HIV to Its Mother Through Breastfeeding?I'm currently breastfeeding my 10-month-old; the baby's dad is HIV positive and I'm negative. We found out he was positive when I was six weeks pregnant, and each test since my last potential exposure has been negative. I remember reading about the case of an HIV-positive baby in Africa infecting its mom. Is this common? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 Take Action: Call-In to Support HIV Funding in the U.S.! Sign a Birthday Card for Health Care Reform! Choice in HIV Prevention -- Let FDA Look at the PrEP Data Sign on, Sign Up, Speak Out: Save Prevention Access House Votes to Defund Planned Parenthood: Sign a Letter to Congress to Save Critical Services!

April 12, 2011

From: "News at The Body" <update@...>Date: 12 Apr 2011 17:25:13 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlApril 12, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS What Are the HIV-Related Laws in My State?I'm going to school to be a counselor and am writing a paper on obligations of health care professionals to inform others when clients disclose their HIV status to them. Can the providers tell anyone? Where can I find out about other rules and laws relating to HIV disclosure and testing? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum What's the Best Way to Use Creatine Monohydrate for Building Muscle?I've decided to start using creatine monohydrate to build lean muscle mass and strength when I work out. When should I take this supplement, and how much should I take? Vergel responds in the "Nutrition and Exercise" forumMIXED-STATUS COUPLES How Did My Fiancé Stay HIV Negative Despite Us Having Unprotected Sex?I'm 23 years old and I was diagnosed with HIV in September 2009. Prior to my diagnosis I had unprotected sex with my fiancé for three years. Since then he's been tested three times, all of which came back negative. The doctors explained to us that some people do not have some kind of receptor cells and this puts them at a lower risk of becoming HIV positive. What do you think of this explanation? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumBODY SHAPE CHANGES HIV/AIDS Why Is My Sister Losing Fat and Muscle?My sister has been on HIV meds for more than 10 years. Now she's experiencing muscle and fat loss. What could be causing this, and how can we help? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumDo you hide yours?Like most of the world?Do you not mention it?Ignore its ache?--From "Scarred," one of two poems submitted by Darris WillisApril is National Poetry Month in the U.S., and as we did this time last year, we're now accepting your 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 featured on our site and in e-mail newsletters all this month. Click here for more detailed information on how you can submit your poem (anonymously, if you'd like).HIV/AIDS TREATMENT How Exactly Does Vitamin D Help Prevent Kidney Problems and Bone Loss?I seroconverted to HIV positive about two years ago and started taking Isentress (raltegravir) and Truvada (tenofovir/FTC) 10 months ago. I've been reading about the link between kidney damage and Truvada. In a recent presentation at the CROI 2011 HIV research meeting, some researchers showed that taking vitamin D could potentially help with bone and kidney problems by regulating the release of a certain important hormone. What does all this mean? Vergel responds in the "Nutrition and Exercise" forum Regimen Switch to Prepare for Pregnancy: Should I Worry About a CD4 Count Drop?I used to take Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC). Since I've been trying to get pregnant, I asked my physician to change my HIV med regimen. I'm now on Truvada and Viramune (nevirapine). It's been three months since I switched and to my surprise, my CD4 count has dropped from 500 to 300 (my viral load is still undetectable). Should I be concerned? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMore Questions About HIV/AIDS Treatment:What Does It Mean for a Person to Miss "5%" of Their Doses of a Medication?Tired of the Pills: Can I Take a Vacation From HIV Meds?Can I Take Zopiclone for Sleep Troubles Brought on by Sustiva?OTHER HEALTH ISSUES HIV/AIDS What's the Deal With HIV and Heart Disease Risk?Is it HIV meds or HIV itself that puts HIVers at greater risk for heart disease? What can be done to lessen these risks in the long term? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Can Women Get Testosterone Replacement Therapy to Combat Fatigue?I was diagnosed with HIV six years ago with a single-digit T-cell count. My viral load is currently undetectable and my T-cell count is close to 300. For the past four months I've been overwhelmed by fatigue. I'm almost too tired and weak to work, and it's getting worse. It turns out my testosterone level is low for a woman. My doctor refuses to try testosterone replacement because its use in women hasn't been approved by the FDA (U.S. Food and Drug Administration). What do you think? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumMore Questions About Other Health Issues HIV/AIDS:Can "Good Cholesterol" Levels Go Too High?Are There Alternatives to Bactrim and Mepron for Fending Off Opportunistic Infections?Enjoy Life, Even if It Hurts -- It's Worth It!(A recent post from the " Living With HIV " board)Since coming here in '04, I have realized how insignificant a broken bone and, say, broken cartilage really are in terms of how it affects me now.My son (8) and I were wrestling because Wrestlemania was coming on, and his knee hit my nose -- broken of course. Doing all this hurt so nice. You see I haven't had fun and laughed with my little guy in a couple months -- too bad it happened over broken body parts, lol.My moral for this is simple: Have fun even if it hurts; the fun he had was worth it to me. I think before HIV, this would have been a problem ... but, now I look at it as I'm blessed to enjoy the fun day we had. Just thought I would share some humor, and an observation on how our values can and do change when HIV exists in our lives. -- alive2Click 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!UNDERSTANDING HIV/AIDS LABS Is My Viral Load Staying Detectable or Could My Lab Results Be "Tainted"?My viral load has fluctuated quite a bit since my diagnosis five years ago. My virus has no resistance to my regimen of Isentress (raltegravir), Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC). When I've asked my HIV specialist why my virus can't seem to achieve undetectable status, I've gotten a variety of one-sentence explanations. During my last visit he had a new reply: "Maybe the labs are tainted." My doctor theorized that the lab company does so many of these test that the process could become compromised, resulting in inaccurate test results. Have you heard of such situations? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumHIV TRANSMISSION Can Scabies Transmit HIV?I visited a sex worker in Bangalore about three months back. We didn't have vaginal, anal or oral sex; she just gave me a hand job, and I was wearing a condom. I saw scars in between her fingers after the act, and two weeks later I got similar scars between my fingers and on my penis, and it was itchy. The dermatologist diagnosed me with scabies. Do scabies mites transmit HIV? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 Take Action: Call-In to Support HIV Funding in the U.S.! Sign a Birthday Card for Health Care Reform! Choice in HIV Prevention -- Let FDA Look at the PrEP Data Sign on, Sign Up, Speak Out: Save Prevention Access House Votes to Defund Planned Parenthood: Sign a Letter to Congress to Save Critical Services!

April 19, 2011

From: "News at The Body" <update@...>Date: 19 Apr 2011 17:08:08 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlApril 19, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionStrange but TrueLIVING WITH HIV/AIDS Encounter With an Insensitive Provider: Am I Overreacting?I recently visited a gastroenterologist for suspected irritable bowel syndrome. Immediately upon discovering I was HIV positive, this gastroenterologist asked, "Are you a homosexual?" No expression of empathy or sign that he was merely trying to gauge my risk factors. He also asked me what I wanted to do before noting any options or performing any sort of physical examination. I now feel far less welcome in the place of healing I once felt proud to call my hospital. Am I blowing this out of proportion? Where might I turn for help? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Drug Testing at Work: Can Atripla Cause a False Positive for Marijuana?I found out that I have to take a hair drug test at work, and I've heard that Atripla (efavirenz/tenofovir/FTC) can cause a false positive test result for marijuana. I don't smoke marijuana or take any drugs other than Atripla, and I don't want to have to tell my employer that I take Atripla because I have HIV. What can I do? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumMIXED-STATUS COUPLES How Do I Tell My Man I'm Leaving Because of His Cheating, Not His HIV Status?Two years ago my boyfriend found out he was HIV positive and openly told me about his status. We've always had protected sex since then. His status has never really bothered me; I love him with or without HIV. However, he's constantly cheating, and when I gather the guts to ask him about it, I never get real answers or apologies. For the first time, I really feel like walking out of this. How do I leave him without making him think it's about him being HIV positive? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumBODY SHAPE CHANGES HIV/AIDS Large Gut and Skinny Legs: Could Nandrolone Help?I've had an AIDS diagnosis since 1990 (HIV positive since 1985), I'm 5 feet 9 inches tall and weigh 185 pounds, and my CD4 count has roamed between 180 and 280 for years. I work out quite a bit but my legs, ankles and buttocks are as skinny as if I had wasting syndrome, with barely any muscle. My upper body is very muscular and lean, except for my large gut. These effects have bothered me for years. Do you think nandrolone could help in my case? What else can I do? Vergel responds in the "Nutrition and Exercise" forumHe said his test had come out OK,it's hard to believe people lie,even today.--From "Be Safe, Not Sorry," by To mark National Poetry Month in the U.S., we're posting our readers' poetry submissions 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 featured on our site and in e-mail newsletters all this month. Click here for more detailed information on how you can submit your poem (anonymously, if you'd like).HIV/AIDS TREATMENT With This Mutation, Why Did My Doctor Prescribe Atripla?I was diagnosed HIV positive and I take Atripla (efavirenz/tenofovir/FTC). After six months on meds, my viral load went from 35,000 to 48 and my CD4 count rose from 300 to 340. However, I'm worried Atripla won't work well in the long term because I have the A98G mutation. Won't this mutation affect my response to NNRTIs (non-nucleoside reverse transcriptase inhibitors), the class of drugs to which the Sustiva (efavirenz, Stocrin) in Atripla belongs? ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum Will My Adherence Issues Affect My Next Pregnancy?I'm a 38-year-old woman with an infant. I found out I was HIV positive when I went for my prenatal blood work. Thankfully, my daughter is HIV free. I'd been taking Combivir (AZT/3TC) and Viramune (nevirapine) twice a day since then, but I was really bad about taking the drugs regularly. My doctor switched Combivir for Truvada (tenofovir/FTC), so now I take everything once a day and have yet to miss a dose. What are your thoughts on the Truvada/Viramune combination if I want to have another baby? If my viral load remains undetectable, can I go off the drugs after I have my next baby? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Why Is Everything Making Me Cry?I was recently given an AIDS diagnosis. I'm now taking Atripla (efavirenz/tenofovir/FTC) and have been on it for about six to eight weeks; but I've become very emotional, crying at everything. Is this normal? What is going on with me? Vergel responds in the "Nutrition and Exercise" forumOTHER HEALTH ISSUES HIV/AIDS Could HIV Already Have Caused Cognitive Damage?I was diagnosed with HIV three and a half years ago, when my CD4 count was only 6 and my viral load was off the chart. In the last half-year I've experienced a decline in my memory, depression and confusion. My HIV doc doesn't believe it's HIV-related dementia because my CD4 count is pretty high now and my viral load is undetectable. Even though my HIV appears to be under control at this time, is it possible that it could have already caused some cognitive damage beforehand that's only showing up now? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Boniva for Osteoporosis: Is It Safe to Take With Atripla?I'm 64, HIV positive, and I've been doing well on Atripla (efavirenz/tenofovir/FTC) for four years -- my viral load is less than 20 and my CD4 count ranges from 631 to 838. I was diagnosed with osteoporosis in 2000 and started taking Actonel (risedronate) once a week, but I threw the drug out after three months because of my difficulty swallowing the pill. Now my internist wants to start me on once-a-month Boniva (ibandronate). What's your opinion on this mix? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumUNDERSTANDING HIV/AIDS LABS What Is CD4 Percentage, Anyway?How is CD4 percentage different from CD4 count? Why does CD4 count change more readily than CD4 percentage? Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forumHow does a nurse practitioner who specializes in aging apply that training to the HIV/AIDS field? How are clinicians integrating PrEP into their practices? What are the health benefits of optimism? Seasoned professionals explore these and other everyday challenges of their jobs in HIV Care Today -- a brand-new multi-author blog on TheBodyPRO.com, our Web site for providers across the spectrum of HIV care.HIV TRANSMISSION What Should You Do After an Accidental Needle Stick?What kind of blood work would be appropriate following an accidental needle stick injury on the job at a long-term health care facility? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forumSTRANGE BUT TRUE The Canine Epidemic: Is My Puppy At Risk for HIV?My puppy bit my friend who's HIV positive (a friendly bite, no deep wound, almost like a scratch). Can my puppy get the virus? What are the risks? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 10107Advertisement Facial Lipoatrophy Treatments for HIVers: Sign a Petition to Help Remove Barriers to Access! Sign a Birthday Card for Health Care Reform! Choice in HIV Prevention -- Let FDA Look at the PrEP Data Sign on, Sign Up, Speak Out: Save Prevention Access House Votes to Defund Planned Parenthood: Sign a Letter to Congress to Save Critical Services!

April 26, 2011

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

April 26, 2011

Visit the Forums

"Hot Topics" Library

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Living With HIV/AIDS

Mixed-Status Couples

HIV/AIDS Treatment

Other Health Issues & HIV/AIDS

Understanding HIV/AIDS Labs

HIV Transmission

LIVING WITH HIV/AIDS

Injected or Topical Testosterone: Which Works Best?

I've heard that the topical gel form of testosterone is a safer and more efficient delivery system, but injections seem easier to use on some level because they're applied every week or two rather than every day. What do you think?

Vergel responds in the "Nutrition and Exercise" forum

Dealing With Post-Diagnosis Stress: Can I Smoke Occasionally if It Helps?

After being diagnosed with HIV in the fall, I quit smoking by using a nicotine patch. I was doing well until a few weeks ago when the cravings began to reemerge. My infectious disease doctor is great and my HIV med regimen is working well, but I'm still adjusting emotionally to being an HIV-positive person. The thought of never smoking another cigarette is depressing me. Considering the amount of stress I'm dealing with, would light smoking be OK if it allows me to keep my sanity?

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

MIXED-STATUS COUPLES

How Can Sex Be Even Safer in a Mixed-Status Partnership?

I'm in a very committed relationship with a wonderful guy who happens to be living with HIV now. His viral load is still low and his CD4 count is close to 500, so his doctor hasn't advised him to start treatment yet. We have as safe sex as we can -- never penetrating without a condom and usually just jerking off or coming on unbroken skin. We also either use a condom during oral sex or are careful there's no pre-cum present. I've consistently tested HIV negative. What else can we do to protect one other's health?

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

Are you a Black or White man in a relationship with another man? Then you might want to know about a study out of Columbia University called the You & Me Study.

Men who have sex with men (MSM) account for the majority of HIV/AIDS cases in the U.S.; and while about half of all MSM are in steady relationships, little health research has focused on same-sex couples -- especially Black and interracial couples. The You & Me Study is part of changing that.

Couples are the experts on their own relationships; by reflecting on your experiences in your relationship, you could take an active role in a project that will benefit your community. Find out more about the study; and if you're in New York or San Francisco, you might be eligible to participate!

HIV/AIDS TREATMENT

Resistant to Sustiva and Viramune: Will I Be Able to Take "B-Tripla"?

Dear Dr. Bob: I just read your recent blog entry about the new HIV drug expected to come to market in the near future, which you nicknamed "B-tripla" (rilpivirine/tenofovir/FTC). Since this new drug will have a component that's in the same class of HIV meds as Sustiva (efavirenz, Stocrin) and Viramune (nevirapine), if someone's virus showed resistance to those two drugs, would B-tripla be out for that person as well?

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

Off HIV Meds Due to an Allergic Reaction: Should I Be Concerned?

My mail-order pharmacy delayed shipment of my HIV meds, causing me to be a week late taking them. My first day taking them after the delay, I had a severe allergic reaction and had to go to the emergency room. My specialist took me off my meds at that point, and I haven't taken them in close to four weeks. How concerned should I be?

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

Why Do I Get Sick When I Drink Now That I'm on HIV Meds?

I'm a 39-year-old man and I've been HIV positive for nine years. My viral load is undetectable and my CD4 count is 945. I started treatment for the first time just over a month ago -- I now take Isentress (raltegravir) and Truvada (tenofovir/FTC). I used to enjoy hanging out with my friends and having a couple of drinks, but since I started HIV meds I can't seem to hold my liquor. If I have even two drinks, I get very nauseous and sometimes vomit. Is my life over? Should I just stay home, take up knitting and drink iced tea?

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

More Questions About HIV/AIDS Treatment:

Is It Possible to Have a CD4 Count of Zero and Respond to HIV Meds?

Trip Across Time Zones: When Should I Take Atripla?

OTHER HEALTH ISSUES & HIV/AIDS

How Can I Get a Surgeon to Treat My Male Breast Enlargement?

My HIV viral load has been undetectable for many years, I have a high CD4 count and I've never been sick with anything HIV related. However, I have severe gynecomastia (male breast enlargement) that's causing me great emotional pain. I'm a public school teacher and my students have made remarks. Even adults stare at my chest, no matter how binding my clothes are. I've checked with insurance companies; none will pay for the procedure to get rid of this problem, because it's considered cosmetic surgery, and I can't afford it myself. What can I do?

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

What Can I Do About Loose Stools?

I've been extremely healthy all my life, including since I became HIV positive. I never had a problem with diarrhea until I started taking Atripla (efavirenz/tenofovir/FTC, also known as Trustiva). I take the meds at night, and every morning I have pretty loose stools. Do you have any suggestions for what to do about this?

Vergel responds in the "Nutrition and Exercise" forum

More Questions About Other Health Issues & HIV/AIDS:

What Do You Know About Blood Clots in HIVers?

Is There a Connection Between Depression and Risk for Medical Illnesses?

I've Told Everyone Important About My Diagnosis; Now How Do I Tell My Parents?

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

I was recently diagnosed on April 14, 2011. I have since told my best friend, my partner, my sister and brother-in-law. Besides my parents ... these are the closest people to me in the world. ... I am terrified about how to tell my parents. When I came out to my mother, her reaction was one of denial! Her fears were that THIS exact situation would happen ... I want to tell my parents so that they know what is going on, but I live so far away from both of them that I don't want to do it over the phone, and I want them to see that I am still OK. But I am also terrified of the rejection I could possibly receive from them. I just don't know what to do ... Please help!!!!!! -- workaholic

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UNDERSTANDING HIV/AIDS LABS

What's the Normal Range for Vitamin D Blood Levels?

I've been paying attention to the recent focus on connections between low vitamin D blood levels and conditions such as decreased bone density. What's considered the normal range for vitamin D levels? What's the relationship between blood levels of vitamin D and calcium?

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

HIV TRANSMISSION

Does Frottage Become a Risky Activity if There's Pre-Cum Involved?

Last night I was fooling around with a guy and he was pressing his penis against the area between my anus and genitals. He didn't ejaculate and the contact was brief, but there could have been pre-cum present. I also have a history of hemorrhoids. Should I be worried? Does this episode warrant HIV post-exposure prophylaxis (PEP) or testing?

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.

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May 1 Deadline: Call For Submissions: 2011 State of AIDS Report -- 30 Under 30

Facial Lipoatrophy Treatments for HIVers: Sign a Petition to Help Remove Barriers to Access!

Sign a Birthday Card for Health Care Reform!

Choice in HIV Prevention -- Let FDA Look at the PrEP Data

May 3, 2011

From: "News at The Body" <update@...>Date: 03 May 2011 16:43:34 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMay 3, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSHIV TransmissionStrange but TrueLIVING WITH HIV/AIDS High Creatinine Level: Can I Still Take Creatine and Other Supplements?I was diagnosed with HIV a few months ago and have since been taking Atripla (efavirenz/tenofovir/FTC). Most of my numbers are heading in the right direction with the exception of my creatinine level, which is slightly elevated. My doctor and I check my kidney functioning on a monthly basis because of this. Will taking creatine or any other bodybuilding supplements affect my creatinine levels? Are these products safe with my kidney issues? Vergel responds in the "Nutrition and Exercise" forum Recently Diagnosed: What Are the Steps I Can Take to Live Well?I've recently been diagnosed HIV positive. My CD4 count is 670 and my viral load is around 1,200. I've been told that at present HIV hasn't yet damaged my body in any way, and it's been mentioned that I may not need to take HIV meds for years. Still, I'm absolutely terrified -- especially about wasting, and about starting to look ill and gaunt. Do I need to worry about this? What do I need to know to start living well right away with HIV? Vergel responds in the "Nutrition and Exercise" forumAdvertisement HIV and Heart DiseaseCardiovascular disease is a major cause of death in HIV patients. Visit www.HIVandYourHeart.org to make changes to improve your heart health and overall wellness. You can live a longer, stronger life with HIV and keep your heart healthy, too. Did you know people living with HIV often share some common issues that affect cardiovascular health? They include higher triglyceride levels, not enough good cholesterol, chronic inflammation, smoking, atherosclerosis, kidney failure and diabetes.BODY SHAPE CHANGES HIV/AIDS Is Testosterone and Exercise Enough to Help Me Gain Muscle Mass?I've been HIV positive since 2003 and I'm not yet on HIV meds. My CD4 count is around 850 and my CD4 percentage remains high at around 45. I have mild issues with lipoatrophy; some of the fat on my face, forearms, legs and buttocks has vanished, although most people wouldn't notice. I use Androgel now, but I'm thinking of starting an anabolic steroid like Oxandrin (oxandrolone, also known as Anavar). Would this be helpful, or is exercising and taking testosterone by itself enough to help me bulk up a bit? Vergel responds in the "Nutrition and Exercise" forum"After the Cocktail," 1999; Albert J. WinnVisit the May 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Personal, Jesus, " is curated by Lawrence.HIV/AIDS TREATMENT Can Sustiva Cause Birth Defects in Babies When the Father Is Taking It?HIV-positive women are strongly advised not to be on Atripla (efavirenz/tenofovir/FTC) during pregnancy because the Sustiva (efavirenz, Stocrin) component poses the risk of severe birth defects. What would happen if an HIV-positive man were taking Atripla when he got his female partner pregnant? Could the Sustiva in the man's semen cause birth defects in the child? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Why Don't Recreational Drugs and HIV Meds Mix?My boyfriend received an AIDS diagnosis about nine months ago. At that time his CD4 count was 6 and his viral load was very high. Since he's been on Norvir (ritonavir), Reyataz (atazanavir) and Truvada (tenofovir/FTC), his CD4 count has risen to 104 and his viral load has dramatically decreased. My concern is that he'll wipe out all of the gains he's made, because he's started using recreational drugs again. Are there any interactions between recreational drugs and his HIV meds? Do you know of any good treatment programs that deal with both drug addiction and HIV/AIDS? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forumOTHER HEALTH ISSUES HIV/AIDS What Can I Do About Anxiety Attacks?Three years ago I was diagnosed HIV positive. I started taking Epzicom (abacavir/3TC, Kivexa) and Kaletra (lopinavir/ritonavir) soon afterward, and at the moment my health is excellent. My only problem, which occurs almost daily, is strong anxiety attacks which are usually relieved by a dose of Xanax (alprazolam). What can I do about this? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Stopped HIV Meds Due to Severe Gut Pain: What Are My Next Steps?I stopped taking Atripla (efavirenz/tenofovir/FTC) several months ago after nearly a year of suffering with a constant burning pain in my stomach and bowels. My CD4 count is 192 and my viral load is 36,000; it used to be undetectable, and my CD4 count was once at 355. I'm scared to go any longer without meds, but I have yet to fill my new prescription for Isentress (raltegravir) and Truvada (tenofovir/FTC). Do you think my stomach will fare any better on these meds? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumGay and Positive Dad, Thankful and Proud(A recent post from the " Gay Men " board)One of the best things any one of us HIVers can do is celebrate and relish all the good things that may happen in our lives, so here it goes, my turn to boast.My son has qualified for the Junior Olympic National Gymnastics Championships to be held this week in Long Beach California. He has worked so hard this season and has done very well. We all are so excited about the meet this week. I am just so grateful that I am healthy enough to travel and experience this precious moment in my son's life. -- njpozdadClick 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 Possible HIV Exposure While on PEP: Do I Need to Take the Meds Again?I've been on PEP (post-exposure prophylaxis) for 21 days because of a condom break during receptive anal sex with a partner of unknown status. Today I got drunk and had unprotected receptive anal sex with two partners of unknown status, both of whom ejaculated. They stated they were negative and argued that since I was on PEP it was not a problem. I deeply regret this now. Do I need to take three more weeks of PEP? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumSTRANGE BUT TRUE Could HIV Penetrate Five Layers of Fashion?I got a five-minute lap dance from a non-stripper (long story!). I was wearing underwear, basketball shorts and slacks. She was wearing panties and a Spandex-type pants outfit. Could a virus get through all that clothing? Should I get tested for HIV? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 10107Advertisement ACRIA Partners With New York Academy of Sciences for Educational Symposium on May 16 Webinar: The National HIV/AIDS Strategy -- What It Means for Black America Facial Lipoatrophy Treatments for HIVers: Sign a Petition to Help Remove Barriers to Access! Sign a Birthday Card for Health Care Reform! Choice in HIV Prevention -- Let FDA Look at the PrEP Data

May 24, 2011

From: "News at The Body" <update@...>Date: 24 May 2011 16:26:35 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMay 24, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS How Can I Deal With All the Issues Surrounding Living With HIV?I'm a 41-year-old man and I've been HIV positive for about 11 years. My HIV meds are Isentress (raltegravir) and Truvada (tenofovir/FTC). I also take Lyrica (pregabalin) and methadone because I suffer from pretty bad neuropathy, but these medications are no longer effective. My prescription copays have all gone up -- now I can't afford meds, and I make too much money to be eligible for any type of assistance. I'm just so tired of all these hurdles; I'm tempted to just let the virus run its course. I can't go to therapy, but I do take a small dose of Prozac (fluoxetine) which helps a little. What else do you suggest to help me keep on living? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum First Time With Benefits: What Should I Know About Health Insurance Eligibility?I was diagnosed HIV positive a year ago. During that time I've been outside the U.S., but I just accepted a university teaching position in the States and will be heading back. This will be the first time I've ever had medical insurance through a job. I know I don't need to disclose my HIV status to the insurance company or the job, and they can't deny me coverage, but what should I know about pre-existing condition clauses and such? And can administrators disclose my status to my employer? Basically, what are the rules?Lynn Franzoi responds in the "Workplace and Insurance Issues" forum MIXED-STATUS COUPLES I Want to Marry My Poz Partner: How Do I Convince My Family It's a Good Idea?I'm a 27-year-old male medical doctor currently in a relationship with an HIV-positive nurse. We've been together for more than a year and are really in love. We've had amazing protected sex for that period and are both comfortable with it. I want to be with this person for the rest of my life, but how do I convince my parents and relatives that my partner is the one for me? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumAdvertisement HIV and Heart DiseaseCardiovascular disease is a major cause of death in HIV patients. Visit www.HIVandYourHeart.org to make changes to improve your heart health and overall wellness. You can live a longer, stronger life with HIV and keep your heart healthy, too. Did you know people living with HIV often share some common issues that affect cardiovascular health? They include higher triglyceride levels, not enough good cholesterol, chronic inflammation, smoking, atherosclerosis, kidney failure and diabetes."Self Portrait as Case Study (Detail)," 1994; GreenVisit the May 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Personal, Jesus, " is curated by Lawrence.HIV/AIDS TREATMENT Which HIV Drug Regimens Are Most Commonly Recommended for People Starting Treatment?I was diagnosed HIV positive two months ago. Apparently I was infected about three or four years ago. Which are the best medications to treat this frightening disease? Vergel responds in the "Nutrition and Exercise" forum Will Sustiva Side Effects Eventually Subside?I've been on Sustiva (efavirenz, Stocrin) for a month and I work mostly at night. Will my side effects -- including nightmares and not being able to think straight -- ever stop? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Can I Drink Alcohol While Taking Experimental HIV Meds?I'm a moderate drinker (one or two drinks per day, with dinner or out with friends) and I just started on a regimen of Epzicom (abacavir/3TC, Kivexa) and GSK-572, an experimental integrase inhibitor. I've read about interactions between alcohol and some drugs. Do you think I should completely cut drinking out of my life while I'm part of this clinical trial? Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forumOTHER HEALTH ISSUES HIV/AIDS What Could Be Causing My Chronic Pain?I've known I'm HIV positive since 1990 though I believe I became positive in the early '80s. I've always been very athletic, and it's always been hard for me to gain or maintain weight. I've tried testosterone and steroid injections, patches and pills, and I'm now trying to get hold of the growth hormone Serostim. I've run into a wall with my workouts recently because I'm always in pain. Just stretching can make me sore for days, and the recuperation time is much longer than it's ever been. What could be causing this condition? Vergel responds in the "Nutrition and Exercise" forum Can People Living With HIV Take Diet Pills?What are the risks involved with HIV-positive people taking pills to lose weight? What are some other ways to control our weight? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumRecently Diagnosed With HIV: What Now?(A recent post from the " Gay Men " board)Just diagnosed three and a half weeks ago and I am not quite sure how to move forward. I am feeling well at the moment and have a CD4 count near 500 so my ID doc wants to wait a bit before starting treatment. My issue is how this illness is consuming my life. I am having trouble sleeping, concentrating at work, and am avoiding any social interaction ... My partner and I were diagnosed at the same time and his health is not quite as strong as mine. … My entire existence seems to revolve around seeing to his needs and worrying about his levels and general health, all to my detriment. ... I have told one friend who has been incredibly supportive but also admonished me to not be too selfish when thinking about my condition as it affects millions of people ... I know he is right but at this moment all I want to do is cry. ... Does this sound familiar to anyone? -- ZachClick 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!UNDERSTANDING HIV/AIDS LABS Is It Possible to Have a Low CD4 Count and an Undetectable Viral Load?I started taking HIV meds in September 2010 with a CD4 count of 3. After six months on treatment my viral load was undetectable but my CD4 count was only 92. Is this normal? Vergel responds in the "Nutrition and Exercise" forumHIV TRANSMISSION Confused Dosage of PEP: Is the Treatment Now Worthless?A condom was left inside me after my HIV-positive partner came. He retrieved it quite easily, and after eight hours I started PEP (post-exposure prophylaxis) medication: one blue Truvada (tenofovir/FTC) tablet in the evening and two yellow Kaletra (lopinavir/ritonavir) tablets twice a day. However, in my panic I got the dosing wrong and took only one Kaletra tablet instead of two in the morning and evening for the first five days. Other than that I've religiously taken the doses correctly, and I finish in three days. Will the treatment not work because of my error? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C., to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

May 24, 2011

From: "News at The Body" <update@...>Date: 24 May 2011 16:26:35 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMay 24, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS How Can I Deal With All the Issues Surrounding Living With HIV?I'm a 41-year-old man and I've been HIV positive for about 11 years. My HIV meds are Isentress (raltegravir) and Truvada (tenofovir/FTC). I also take Lyrica (pregabalin) and methadone because I suffer from pretty bad neuropathy, but these medications are no longer effective. My prescription copays have all gone up -- now I can't afford meds, and I make too much money to be eligible for any type of assistance. I'm just so tired of all these hurdles; I'm tempted to just let the virus run its course. I can't go to therapy, but I do take a small dose of Prozac (fluoxetine) which helps a little. What else do you suggest to help me keep on living? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum First Time With Benefits: What Should I Know About Health Insurance Eligibility?I was diagnosed HIV positive a year ago. During that time I've been outside the U.S., but I just accepted a university teaching position in the States and will be heading back. This will be the first time I've ever had medical insurance through a job. I know I don't need to disclose my HIV status to the insurance company or the job, and they can't deny me coverage, but what should I know about pre-existing condition clauses and such? And can administrators disclose my status to my employer? Basically, what are the rules?Lynn Franzoi responds in the "Workplace and Insurance Issues" forum MIXED-STATUS COUPLES I Want to Marry My Poz Partner: How Do I Convince My Family It's a Good Idea?I'm a 27-year-old male medical doctor currently in a relationship with an HIV-positive nurse. We've been together for more than a year and are really in love. We've had amazing protected sex for that period and are both comfortable with it. I want to be with this person for the rest of my life, but how do I convince my parents and relatives that my partner is the one for me? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumAdvertisement HIV and Heart DiseaseCardiovascular disease is a major cause of death in HIV patients. Visit www.HIVandYourHeart.org to make changes to improve your heart health and overall wellness. You can live a longer, stronger life with HIV and keep your heart healthy, too. Did you know people living with HIV often share some common issues that affect cardiovascular health? They include higher triglyceride levels, not enough good cholesterol, chronic inflammation, smoking, atherosclerosis, kidney failure and diabetes."Self Portrait as Case Study (Detail)," 1994; GreenVisit the May 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Personal, Jesus, " is curated by Lawrence.HIV/AIDS TREATMENT Which HIV Drug Regimens Are Most Commonly Recommended for People Starting Treatment?I was diagnosed HIV positive two months ago. Apparently I was infected about three or four years ago. Which are the best medications to treat this frightening disease? Vergel responds in the "Nutrition and Exercise" forum Will Sustiva Side Effects Eventually Subside?I've been on Sustiva (efavirenz, Stocrin) for a month and I work mostly at night. Will my side effects -- including nightmares and not being able to think straight -- ever stop? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Can I Drink Alcohol While Taking Experimental HIV Meds?I'm a moderate drinker (one or two drinks per day, with dinner or out with friends) and I just started on a regimen of Epzicom (abacavir/3TC, Kivexa) and GSK-572, an experimental integrase inhibitor. I've read about interactions between alcohol and some drugs. Do you think I should completely cut drinking out of my life while I'm part of this clinical trial? Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forumOTHER HEALTH ISSUES HIV/AIDS What Could Be Causing My Chronic Pain?I've known I'm HIV positive since 1990 though I believe I became positive in the early '80s. I've always been very athletic, and it's always been hard for me to gain or maintain weight. I've tried testosterone and steroid injections, patches and pills, and I'm now trying to get hold of the growth hormone Serostim. I've run into a wall with my workouts recently because I'm always in pain. Just stretching can make me sore for days, and the recuperation time is much longer than it's ever been. What could be causing this condition? Vergel responds in the "Nutrition and Exercise" forum Can People Living With HIV Take Diet Pills?What are the risks involved with HIV-positive people taking pills to lose weight? What are some other ways to control our weight? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumRecently Diagnosed With HIV: What Now?(A recent post from the " Gay Men " board)Just diagnosed three and a half weeks ago and I am not quite sure how to move forward. I am feeling well at the moment and have a CD4 count near 500 so my ID doc wants to wait a bit before starting treatment. My issue is how this illness is consuming my life. I am having trouble sleeping, concentrating at work, and am avoiding any social interaction ... My partner and I were diagnosed at the same time and his health is not quite as strong as mine. … My entire existence seems to revolve around seeing to his needs and worrying about his levels and general health, all to my detriment. ... I have told one friend who has been incredibly supportive but also admonished me to not be too selfish when thinking about my condition as it affects millions of people ... I know he is right but at this moment all I want to do is cry. ... Does this sound familiar to anyone? -- ZachClick 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!UNDERSTANDING HIV/AIDS LABS Is It Possible to Have a Low CD4 Count and an Undetectable Viral Load?I started taking HIV meds in September 2010 with a CD4 count of 3. After six months on treatment my viral load was undetectable but my CD4 count was only 92. Is this normal? Vergel responds in the "Nutrition and Exercise" forumHIV TRANSMISSION Confused Dosage of PEP: Is the Treatment Now Worthless?A condom was left inside me after my HIV-positive partner came. He retrieved it quite easily, and after eight hours I started PEP (post-exposure prophylaxis) medication: one blue Truvada (tenofovir/FTC) tablet in the evening and two yellow Kaletra (lopinavir/ritonavir) tablets twice a day. However, in my panic I got the dosing wrong and took only one Kaletra tablet instead of two in the morning and evening for the first five days. Other than that I've religiously taken the doses correctly, and I finish in three days. Will the treatment not work because of my error? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C., to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

May 31, 2011

From: "News at The Body" <update@...>Date: 31 May 2011 18:01:50 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMay 31, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSBody-Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSHIV/STD Transmission TestingLIVING WITH HIV/AIDS What's Safe for 2 Poz Guys to Do Together?I recently met a great guy who's HIV positive like me. We were both diagnosed about 10 years ago. We're both on meds and our viral loads are both undetectable. We both have good CD4 counts as well. He seems to feel that we can safely do anything sexual -- even unprotected anal sex. I remember hearing in the past about superinfection, but what's the prevailing wisdom on the topic? What else should we be aware of? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Eating Right, Exercising and Not Gaining Muscle Tone: What Else Can I Do?I'm 47 years old, currently on Atripla (efavirenz/tenofovir/FTC), undetectable with CD4 of 684 and 31%. I'm in good health with no other conditions. I've recently been trying to take some weight off and get myself in better shape by walking, running, working out and watching what I eat. I've been successful with weight loss, but I'm not really getting more muscle tone. What else do you think might help? Vergel responds in the "Nutrition and Exercise" forumBODY SHAPE CHANGES HIV/AIDS Can I Get Facial Filler Treatments While Taking a Blood Thinner?I'm experiencing facial wasting, but I also take the blood thinner Coumadin (warfarin). I always assumed facial filler injections like Sculptra (poly-L-lactic acid, New-Fill) weren't an option for people like me, since it would require getting off blood thinners in order to do the procedure. Is this true?Gerald Pierone, M.D., responds in the "Facial Wasting" forumAdvertisement HIV and Heart DiseaseCardiovascular disease is a major cause of death in HIV patients. Visit www.HIVandYourHeart.org to make changes to improve your heart health and overall wellness. You can live a longer, stronger life with HIV and keep your heart healthy, too. Did you know people living with HIV often share some common issues that affect cardiovascular health? They include higher triglyceride levels, not enough good cholesterol, chronic inflammation, smoking, atherosclerosis, kidney failure and diabetes.HIV/AIDS TREATMENT Do Poppers Interact With HIV Meds?My partner and I were recently diagnosed HIV positive, and I've started taking Atripla (efavirenz/tenofovir/FTC). My partner likes to use poppers (amyl nitrite) during sex, but I'm concerned about side effects and potential interactions between the poppers and HIV meds. What do you know about this? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forum Why Did My Doc Give Me So Many Meds?I was diagnosed HIV positive in September 2010, when I was newly infected. By February my CD4 count was 158 and my viral load was 10 million. My doctor and I decided I should start taking Epzicom (abacavir/3TC, Kivexa) and Selzentry (maraviroc, Celsentri), as well as Norvir (ritonavir) and Reyataz (atazanavir), which would be reduced soon afterward. Currently my viral load is 887 and my CD4 count is 588. I've got low energy and pretty bad muscle pain in my limbs. My cholesterol, triglyceride and sugar levels have all gone up in the past three months. I can't help but think I was overmedicated. What do you think was my doc's reasoning in giving me all these meds?Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forum"Self Portrait," 1989; KaliadesVisit the May 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Personal, Jesus, " is curated by Lawrence.More Questions About HIV/AIDS Treatment:Taking Hydrogen Peroxide: Quality-of-Life Booster, or Health Hazard?What Could Be Causing My High Potassium Level?OTHER HEALTH ISSUES HIV/AIDS How Can I Treat My Lifelong Erectile Dysfunction? I'm a 30-year-old man who's been living with HIV for two years. I'm not on medication, my HIV lab test results have been stable and I have no other physical concerns. However, since my very first sex, I've never had a reliable erection. This isn't the case when I'm masturbating alone, or having sex with my husband, but it's an issue when I'm with others. Is long-term therapy necessary? Could Viagra (sildenafil)-like drugs also help, or are they only for people whose erectile issues are due to biological problems? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Late-Stage Diagnosis: Was My Itchy Scalp a Missed Sign of HIV?I was diagnosed with HIV in 2005, in the hospital, with a CD4 count of 20. I almost died. Because I wasn't considered "at high risk" for HIV, I'd fallen through the cracks for years. The year before, I'd gone to my family doctor with an irritating itch on my scalp that wouldn't go away. The doctor told me it was an autoimmune problem, and gave me some cream for it. I still have the same problem -- itchy scalp and loss of hair. Could this "autoimmune" symptom have been a sign of HIV that my doctor failed to catch? Is there a solution for it? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumReflections on U.S. Memorial Day: HIV/AIDS Is a War Too!(A recent post from the " Living With HIV " board)As we battle to remain in good or even just calm minds and spirits, we have to also remember those who have given their lives for us to be the people we are as a society, and how we as a society would do so much better without the prejudices and stigmas we live with daily in our lives ... The premise of us all being created equal, and the protection of the Constitution, are why the U.S. Armed Forces go off fighting ... I think that, since being diagnosed with HIV, I too am fighting for the same ideas ... I only have a weapon of voice, and a desire to see HIV/AIDS, our enemy, destroyed. But we need the help of the U.S. Congress to enact this war too. ... It was Memorial Day yesterday; we too have lost many souls trying to rid ourselves of this virus. -- alive2Click 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/STD TRANSMISSION TESTING Can the Female Condom Be Used for Anal Sex?I'm considering using the receptive condom (aka "female condom"). Is it safe for male-to-male sex? Does it hold up for the receptive partner during long, vigorous anal sex? Is seems like the penis could accidentally be inserted outside of the condom if one is not extremely careful. How might I avoid this mishap? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Painless Penis Lesion a Week After PEP: Is It an HIV Symptom?Eight days after completing PEP (post-exposure prophylaxis) treatment, I noticed a boil on the shaft of my penis. It's not painful. I'm planning to go to a specialist eventually, but is such a boil considered a symptom of HIV? If not, then what could it be? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumMore Questions About HIV/STD Transmission Testing:Will Syphilis Show Up on an HIV Test?Can I Be Vaccinated for Hepatitis B While Taking PEP?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-mailThis e-mail update has been sent to nelsonvergel@....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 June 6: Live! AIDS 2012 Community Reps Take Your Qs, Suggestions! Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C., to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

May 31, 2011

From: "News at The Body" <update@...>Date: 31 May 2011 18:01:50 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlMay 31, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSBody-Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSHIV/STD Transmission TestingLIVING WITH HIV/AIDS What's Safe for 2 Poz Guys to Do Together?I recently met a great guy who's HIV positive like me. We were both diagnosed about 10 years ago. We're both on meds and our viral loads are both undetectable. We both have good CD4 counts as well. He seems to feel that we can safely do anything sexual -- even unprotected anal sex. I remember hearing in the past about superinfection, but what's the prevailing wisdom on the topic? What else should we be aware of? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Eating Right, Exercising and Not Gaining Muscle Tone: What Else Can I Do?I'm 47 years old, currently on Atripla (efavirenz/tenofovir/FTC), undetectable with CD4 of 684 and 31%. I'm in good health with no other conditions. I've recently been trying to take some weight off and get myself in better shape by walking, running, working out and watching what I eat. I've been successful with weight loss, but I'm not really getting more muscle tone. What else do you think might help? Vergel responds in the "Nutrition and Exercise" forumBODY SHAPE CHANGES HIV/AIDS Can I Get Facial Filler Treatments While Taking a Blood Thinner?I'm experiencing facial wasting, but I also take the blood thinner Coumadin (warfarin). I always assumed facial filler injections like Sculptra (poly-L-lactic acid, New-Fill) weren't an option for people like me, since it would require getting off blood thinners in order to do the procedure. Is this true?Gerald Pierone, M.D., responds in the "Facial Wasting" forumAdvertisement HIV and Heart DiseaseCardiovascular disease is a major cause of death in HIV patients. Visit www.HIVandYourHeart.org to make changes to improve your heart health and overall wellness. You can live a longer, stronger life with HIV and keep your heart healthy, too. Did you know people living with HIV often share some common issues that affect cardiovascular health? They include higher triglyceride levels, not enough good cholesterol, chronic inflammation, smoking, atherosclerosis, kidney failure and diabetes.HIV/AIDS TREATMENT Do Poppers Interact With HIV Meds?My partner and I were recently diagnosed HIV positive, and I've started taking Atripla (efavirenz/tenofovir/FTC). My partner likes to use poppers (amyl nitrite) during sex, but I'm concerned about side effects and potential interactions between the poppers and HIV meds. What do you know about this? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forum Why Did My Doc Give Me So Many Meds?I was diagnosed HIV positive in September 2010, when I was newly infected. By February my CD4 count was 158 and my viral load was 10 million. My doctor and I decided I should start taking Epzicom (abacavir/3TC, Kivexa) and Selzentry (maraviroc, Celsentri), as well as Norvir (ritonavir) and Reyataz (atazanavir), which would be reduced soon afterward. Currently my viral load is 887 and my CD4 count is 588. I've got low energy and pretty bad muscle pain in my limbs. My cholesterol, triglyceride and sugar levels have all gone up in the past three months. I can't help but think I was overmedicated. What do you think was my doc's reasoning in giving me all these meds?Mark Holodniy, M.D., F.A.C.P., C.I.C., responds in the "Understanding Your Labs" forum"Self Portrait," 1989; KaliadesVisit the May 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Personal, Jesus, " is curated by Lawrence.More Questions About HIV/AIDS Treatment:Taking Hydrogen Peroxide: Quality-of-Life Booster, or Health Hazard?What Could Be Causing My High Potassium Level?OTHER HEALTH ISSUES HIV/AIDS How Can I Treat My Lifelong Erectile Dysfunction? I'm a 30-year-old man who's been living with HIV for two years. I'm not on medication, my HIV lab test results have been stable and I have no other physical concerns. However, since my very first sex, I've never had a reliable erection. This isn't the case when I'm masturbating alone, or having sex with my husband, but it's an issue when I'm with others. Is long-term therapy necessary? Could Viagra (sildenafil)-like drugs also help, or are they only for people whose erectile issues are due to biological problems? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Late-Stage Diagnosis: Was My Itchy Scalp a Missed Sign of HIV?I was diagnosed with HIV in 2005, in the hospital, with a CD4 count of 20. I almost died. Because I wasn't considered "at high risk" for HIV, I'd fallen through the cracks for years. The year before, I'd gone to my family doctor with an irritating itch on my scalp that wouldn't go away. The doctor told me it was an autoimmune problem, and gave me some cream for it. I still have the same problem -- itchy scalp and loss of hair. Could this "autoimmune" symptom have been a sign of HIV that my doctor failed to catch? Is there a solution for it? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumReflections on U.S. Memorial Day: HIV/AIDS Is a War Too!(A recent post from the " Living With HIV " board)As we battle to remain in good or even just calm minds and spirits, we have to also remember those who have given their lives for us to be the people we are as a society, and how we as a society would do so much better without the prejudices and stigmas we live with daily in our lives ... The premise of us all being created equal, and the protection of the Constitution, are why the U.S. Armed Forces go off fighting ... I think that, since being diagnosed with HIV, I too am fighting for the same ideas ... I only have a weapon of voice, and a desire to see HIV/AIDS, our enemy, destroyed. But we need the help of the U.S. Congress to enact this war too. ... It was Memorial Day yesterday; we too have lost many souls trying to rid ourselves of this virus. -- alive2Click 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/STD TRANSMISSION TESTING Can the Female Condom Be Used for Anal Sex?I'm considering using the receptive condom (aka "female condom"). Is it safe for male-to-male sex? Does it hold up for the receptive partner during long, vigorous anal sex? Is seems like the penis could accidentally be inserted outside of the condom if one is not extremely careful. How might I avoid this mishap? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Painless Penis Lesion a Week After PEP: Is It an HIV Symptom?Eight days after completing PEP (post-exposure prophylaxis) treatment, I noticed a boil on the shaft of my penis. It's not painful. I'm planning to go to a specialist eventually, but is such a boil considered a symptom of HIV? If not, then what could it be? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumMore Questions About HIV/STD Transmission Testing:Will Syphilis Show Up on an HIV Test?Can I Be Vaccinated for Hepatitis B While Taking PEP?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-mailThis e-mail update has been sent to nelsonvergel@....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 June 6: Live! AIDS 2012 Community Reps Take Your Qs, Suggestions! Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C., to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

June 7, 2011

From: "News at The Body" <update@...>Date: 07 Jun 2011 18:18:22 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlJune 7, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS How Can I Keep My CD4 Count From Falling?My CD4 count is 690. I'm not taking HIV meds yet but I do doctor visits every three months to monitor my HIV health. Is there anything else I can do to help hold onto my CD4 cells? Vergel responds in the "Nutrition and Exercise" forum Newly Diagnosed: What Are My Open-Enrollment Insurance Options at Work?I tested HIV positive six months ago. I've been working for the same company for five years. I'm currently covered under my company's group health and life insurance policy. I have a small $25,000 insurance policy. I also set up a $600 flexible spending account that has really helped with my doctor visit co-pays. Our open enrollment period will begin within the next few weeks. Will I be able to increase my life insurance? Would I qualify for short- or long-term disability coverage? Could my new HIV status jeopardize my flexible spending account?Lynn Franzoi responds in the "Workplace and Insurance Issues" forumMIXED-STATUS COUPLES How Do I Tell My Partner I'm HIV Positive?We're a gay couple. We've been intimate, and I see our relationship really going somewhere. I just don't know how to tell him I'm HIV positive, and in what atmosphere. Should I sit him down and come out and say it? Should I take him out for a nice dinner, then tell him after he's finished his steak? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumBODY SHAPE CHANGES HIV/AIDS Fat Loss Around the Eyes: How Do You Treat It?I'm 25 years old and I've been taking HIV meds for two years. I've read some past responses of yours from 2008 noting your preference for Radiesse (calcium hydroxylapatite, Radiance) in correcting deep under-eye lipoatrophy. Three years later, Juvaderm and Restylane are popular for use in this area, with less "lumpy-bumpiness" reported than with Sculptra (poly-L-lactic acid, New-Fill) or Radiesse. Has your practice shifted to using either of these? What are your current recommendations? Gerald Pierone, M.D., responds in the "Facial Wasting" forumThis past Sunday, June 5, marks the 30th anniversary of the first-ever report on the illness that would come to be known as AIDS. To commemorate the day, we asked community members of all ages what they were up to 30 years ago -- and at what point they first became conscious of HIV/AIDS. Read others' responses, and feel free to add your own in the comments section at the bottom of the page.You can view more articles, reflections, events and blog entries about the anniversary on TheBody.com's 30 years of AIDS index page.HIV/AIDS TREATMENT What Do You Know About Edurant, the Latest HIV Med?How does the HIV med Edurant (rilpivirine, TMC278), recently approved in the U.S., compare to other options for first-line HIV treatment? What do we know so far about the advantages and drawbacks to taking this drug?ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum Are Stomach Burning and Bloating Side Effects of Isentress?I was on Atripla (efavirenz/tenofovir/FTC) for four years and had problems sleeping because of the Sustiva (efavirenz, Stocrin) component of it. My doctor and I had a long conversation and I switched to Isentress (raltegravir) and Truvada (tenofovir/FTC). I started the new treatment last week and am sleeping much better, but have a burning sensation in my stomach and feel a little bloated. Is this a temporary side effect or do you think it'll last? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMore Questions About HIV/AIDS Treatment:Should a Provider "Make" an HIV-Positive Person Take HIV Meds?Shouldn't I Be Taking Norvir With Prezista?Threw Up After Taking Meds: Do I Need to Take Them Again?OTHER HEALTH ISSUES HIV/AIDS Could Meth Use Have Done Long-Term Damage?About seven years ago I engaged in intravenous meth use. This went on for about a year and a half. During that time I became HIV positive. I haven't used since then and am well off the drugs. My CD4 count was 150 at its lowest, which was right before I went on HIV meds. I've never been able to get higher than about 425 though I've remained adherent to my meds and my viral load has stayed undetectable. Could my meth use have had lasting repercussions? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forum How Often Should HIVers Have Their Bone Density Checked?I'm 45 years old and I've been HIV positive for 20 years. Considering that bone loss is connected to longtime HIV infection, how often should DEXA (bone density) scans be performed on people living with HIV? I had one a year ago; is it too soon for another? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMy Partner and I Tested Positive Together, But He's Doing Better Than I Am!(A recent post from the " I Just Tested Positive " board)It has been really hard the past week trying to get my mind around the fact that we have HIV. Luckily my partner's numbers are good; mine are not good at all, though I am told once I get on meds they will get much better. Scared and feel like an emotional wreck. My partner is taking this much better than I. He is just moving through the process and it does not seem to be fazing him. Might be that he has other problems that he has to deal with daily and has since he was 5, so he accepts his body needs help to go on, while I am used to being well and just charging on. Can anyone else relate? -- DAH13Click 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!UNDERSTANDING HIV/AIDS LABS What's the Difference Between Creatine and Creatinine?My creatinine level is a little high. Before I was diagnosed with HIV I used to take a creatine supplement on a regular basis. Could that be the reason for my elevated levels of creatinine? What's the connection between the two? Vergel responds in the "Nutrition and Exercise" forumHIV TRANSMISSION If I'm HIV Positive and I Get Someone Pregnant, Is She Definitely Infected?If an HIV-positive man has unprotected sex with an HIV-negative woman and impregnates her, does that automatically mean she's become HIV positive? Is there any chance of her staying HIV negative after such an encounter? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 10107Advertisement Action Alert: Urge Secretary Clinton to Address Housing in Next Week's Speech to the UN Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

June 7, 2011

From: "News at The Body" <update@...>Date: 07 Jun 2011 18:18:22 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlJune 7, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesBody Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS How Can I Keep My CD4 Count From Falling?My CD4 count is 690. I'm not taking HIV meds yet but I do doctor visits every three months to monitor my HIV health. Is there anything else I can do to help hold onto my CD4 cells? Vergel responds in the "Nutrition and Exercise" forum Newly Diagnosed: What Are My Open-Enrollment Insurance Options at Work?I tested HIV positive six months ago. I've been working for the same company for five years. I'm currently covered under my company's group health and life insurance policy. I have a small $25,000 insurance policy. I also set up a $600 flexible spending account that has really helped with my doctor visit co-pays. Our open enrollment period will begin within the next few weeks. Will I be able to increase my life insurance? Would I qualify for short- or long-term disability coverage? Could my new HIV status jeopardize my flexible spending account?Lynn Franzoi responds in the "Workplace and Insurance Issues" forumMIXED-STATUS COUPLES How Do I Tell My Partner I'm HIV Positive?We're a gay couple. We've been intimate, and I see our relationship really going somewhere. I just don't know how to tell him I'm HIV positive, and in what atmosphere. Should I sit him down and come out and say it? Should I take him out for a nice dinner, then tell him after he's finished his steak? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumBODY SHAPE CHANGES HIV/AIDS Fat Loss Around the Eyes: How Do You Treat It?I'm 25 years old and I've been taking HIV meds for two years. I've read some past responses of yours from 2008 noting your preference for Radiesse (calcium hydroxylapatite, Radiance) in correcting deep under-eye lipoatrophy. Three years later, Juvaderm and Restylane are popular for use in this area, with less "lumpy-bumpiness" reported than with Sculptra (poly-L-lactic acid, New-Fill) or Radiesse. Has your practice shifted to using either of these? What are your current recommendations? Gerald Pierone, M.D., responds in the "Facial Wasting" forumThis past Sunday, June 5, marks the 30th anniversary of the first-ever report on the illness that would come to be known as AIDS. To commemorate the day, we asked community members of all ages what they were up to 30 years ago -- and at what point they first became conscious of HIV/AIDS. Read others' responses, and feel free to add your own in the comments section at the bottom of the page.You can view more articles, reflections, events and blog entries about the anniversary on TheBody.com's 30 years of AIDS index page.HIV/AIDS TREATMENT What Do You Know About Edurant, the Latest HIV Med?How does the HIV med Edurant (rilpivirine, TMC278), recently approved in the U.S., compare to other options for first-line HIV treatment? What do we know so far about the advantages and drawbacks to taking this drug?ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum Are Stomach Burning and Bloating Side Effects of Isentress?I was on Atripla (efavirenz/tenofovir/FTC) for four years and had problems sleeping because of the Sustiva (efavirenz, Stocrin) component of it. My doctor and I had a long conversation and I switched to Isentress (raltegravir) and Truvada (tenofovir/FTC). I started the new treatment last week and am sleeping much better, but have a burning sensation in my stomach and feel a little bloated. Is this a temporary side effect or do you think it'll last? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMore Questions About HIV/AIDS Treatment:Should a Provider "Make" an HIV-Positive Person Take HIV Meds?Shouldn't I Be Taking Norvir With Prezista?Threw Up After Taking Meds: Do I Need to Take Them Again?OTHER HEALTH ISSUES HIV/AIDS Could Meth Use Have Done Long-Term Damage?About seven years ago I engaged in intravenous meth use. This went on for about a year and a half. During that time I became HIV positive. I haven't used since then and am well off the drugs. My CD4 count was 150 at its lowest, which was right before I went on HIV meds. I've never been able to get higher than about 425 though I've remained adherent to my meds and my viral load has stayed undetectable. Could my meth use have had lasting repercussions? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forum How Often Should HIVers Have Their Bone Density Checked?I'm 45 years old and I've been HIV positive for 20 years. Considering that bone loss is connected to longtime HIV infection, how often should DEXA (bone density) scans be performed on people living with HIV? I had one a year ago; is it too soon for another? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumMy Partner and I Tested Positive Together, But He's Doing Better Than I Am!(A recent post from the " I Just Tested Positive " board)It has been really hard the past week trying to get my mind around the fact that we have HIV. Luckily my partner's numbers are good; mine are not good at all, though I am told once I get on meds they will get much better. Scared and feel like an emotional wreck. My partner is taking this much better than I. He is just moving through the process and it does not seem to be fazing him. Might be that he has other problems that he has to deal with daily and has since he was 5, so he accepts his body needs help to go on, while I am used to being well and just charging on. Can anyone else relate? -- DAH13Click 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!UNDERSTANDING HIV/AIDS LABS What's the Difference Between Creatine and Creatinine?My creatinine level is a little high. Before I was diagnosed with HIV I used to take a creatine supplement on a regular basis. Could that be the reason for my elevated levels of creatinine? What's the connection between the two? Vergel responds in the "Nutrition and Exercise" forumHIV TRANSMISSION If I'm HIV Positive and I Get Someone Pregnant, Is She Definitely Infected?If an HIV-positive man has unprotected sex with an HIV-negative woman and impregnates her, does that automatically mean she's become HIV positive? Is there any chance of her staying HIV negative after such an encounter? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 10107Advertisement Action Alert: Urge Secretary Clinton to Address Housing in Next Week's Speech to the UN Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Join June 8 NYC Rally at Critical UN Meeting on HIV/AIDS Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

June 14, 2011

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

June 14, 2011

Visit the Forums

"Hot Topics" Library

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Living With HIV/AIDS

Mixed-Status Couples

HIV/AIDS Treatment

Other Health Issues & HIV/AIDS

Understanding HIV/AIDS Labs

LIVING WITH HIV/AIDS

What Kind of Support Group Is Right for a Senior Living With HIV?

I'm 68 years old, I've been HIV positive since the mid-'80s and have done relatively well living with HIV. I have avascular necrosis, which has pretty much destroyed both my hips, as well as stage IV lung cancer. I was referred to a mental health provider who handles people living with HIV/AIDS, but they don't work with seniors. It seems that once you pass 65, you are supposed to be dead, healed or not in need of mental health services. Someone suggested a geriatric group in a distant part of my city. Do I just forget about the AIDS part of my situation?

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

"Colostomy," 1998; Chuck Nanney

Visit the June 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "For Hujar," is curated by Evan J. Garza.

MIXED-STATUS COUPLES

Diagnosed With HPV: Do I Need to Stop Having Anal Sex?

I'm a 44-year-old gay man who's been taking Atripla (efavirenz/tenofovir/FTC) for the past three years, with an undetectable viral load and no side effects. I eat very well, exercise regularly, don't drink and have never smoked. I'm also in a "magnetic" monogamous long-term relationship and always practice safer sex. However, I recently learned that I have several strains of human papillomavirus (HPV). I haven't developed anal cancer, but after all my hard work at taking control of my health this latest news has stressed and slightly depressed me. Is there anything else I can do to prevent anal cancer? Should I avoid anal intercourse altogether?

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

HIV/AIDS TREATMENT

Is It Safe for Me to Start Treatment Without a Genotype Test?

I was recently diagnosed with HIV and have just had my first lab tests. Because my viral load was very low, a genotype test for drug resistance couldn't be performed. My doctor seems to be in favor of starting treatment early. Is it safe to start HIV meds without genotype test results?

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

What Can I Do to Prepare for a Tropical Vacation?

I've been taking Truvada (tenofovir/FTC) and Viramune (nevirapine) for 10 months. I'm going to the Dominican Republic later this month, and I'm supposed to take anti-malaria medications for the trip. Are there any interactions between certain anti-malaria drugs and my HIV meds? What else can I do to prepare for my trip, health-wise?

ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum

My Nephew May Be Dying: Can I Help Him Help Himself?

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

My nephew is 24 years old and has been HIV positive since he was 9 years old. He's been staying at an HIV/AIDS house since June 1 because he needed care I couldn't give him. He hasn't taken his meds for 1 1/2 years because he says it messes with his head, but he has lost so much weight and he looks bad ... I was told if he doesn't take his meds he could die. If he starts taking his meds again, would it be possible for him to live longer? How can I help get him to take them? -- rlsunshine

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!

OTHER HEALTH ISSUES & HIV/AIDS

Should My HIV/Hepatitis C-Coinfected Friend Be Smoking Pot?

My friend is HIV and hepatitis C positive. He said his doctor told him it was OK to smoke pot daily as long as he doesn't drink alcohol. What do you think?

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

What's the Risk of Long-Term Prednisone Use?

I have an undetectable viral load and 350 CD4 cells, and I take Intelence (etravirine), Isentress (raltegravir), Norvir (ritonavir), Prezista (darunavir), Ziagen (abacavir) and blood pressure meds. For the past year I've had a persistent, itchy rash. My doctor thinks it's a side effect of one of my meds but isn't sure which one. Small doses of prednisone take the rash away, but when I stop the prednisone the rash always comes back. For how long can I take the prednisone? Will it mess with my immune system?

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

UNDERSTANDING HIV/AIDS LABS

Are High Viral Loads Common in Recently Diagnosed Individuals?

I was diagnosed with HIV six months ago. My initial CD4 count was 256 and my viral load was nearly 2 million! I've never heard of anyone with a viral load that high. My doctor seemed to think it could be the spike that's often seen with a recent infection, but he's never seen a viral load that high either. It concerns me that I may have an aggressive strain of HIV. Are these numbers common with a recent infection or could they indicate something more serious?

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

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June 15: HIV PJA Webinar -- Glass Half Full: Resilience Among Gay Men as an Emerging HIV Prevention Justice Strategy

NYC and Housing Works Launch re-fashioNYC

Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making

Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing

Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths

NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

June 21, 2011

From: "News at The Body" <update@...>Date: 21 Jun 2011 14:52:04 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlJune 21, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSBody-Shape Changes HIV/AIDSHIV/AIDS TreatmentOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV TransmissionLIVING WITH HIV/AIDS My Friend Won't Disclose His HIV Status to Past Partners: What's Your Opinion?A friend of mine recently found out he's HIV positive. I'm living with HIV myself so I've been trying to help him, but I don't approve of his lack of responsibility in telling past partners. He believes he was infected about a year ago by his ex, but he hasn't said anything to partners he's had since then. I understand why he's afraid to say anything, but I also worry about someone out there potentially having the virus and not knowing about it. What do you think? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum How Can I Maintain My Weight Without Eating Milk Products?I'm lactose intolerant. About six months ago I decided to eliminate any lactose-containing food from my diet (so difficult!). Since then I've been losing weight, but I don't want to because I'm 6 feet 4 inches tall and only weigh 175 pounds. I also don't exercise. How can I gain weight and muscle while staying lactose free? Vergel responds in the "Nutrition and Exercise" forum Leave of Absence Ending: What Should I Ask My Doc Before I Go Back to Work?I have an AIDS diagnosis; my CD4 count is 126. I have a physical job that also requires me to work long hours, so I'm on leave from work right now. I go back to work in three weeks, but I still feel fatigued. What questions should I ask my doctor before I return to work? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumBODY SHAPE CHANGES HIV/AIDS Buttock Implants: What Are the Options?I'm considering implants to treat buttock lipoatrophy. Are they safe? What are my options? Where can I have these procedures done?Gerald Pierone, M.D., responds in the "Facial Wasting" forum Not Experiencing Side Effects of Zerit, But Should I Switch Anyway?I'm a 27-year-old woman in Indonesia. I was diagnosed with HIV in November 2010 and started taking a regimen that includes Zerit (stavudine, d4T). I'm doing well on the regimen so far, but I recently read information about Zerit's side effects, like neuropathy and lipoatrophy, and how the drug is no longer recommended in the U.S. Should I consider switching off Zerit even though I haven't had any side effects? What would be your recommendation for a replacement drug?Gerald Pierone, M.D., responds in the "Facial Wasting" forumWe asked LGBT community leaders and members throughout the U.S. how they'd answer the question:What do you think other generations of LGBT folks need to understand about the way your generation has responded to HIV/AIDS?You can read others' thoughts on this question, and add your own. Be sure to check out all the perspectives, columns and discussions that make up Pride 2011 @ TheBody.com! HIV/AIDS TREATMENT Anxiety, Anger and Atripla: Are They Related?I've been taking Atripla (efavirenz/tenofovir/FTC) for 13 months, and as far as my counts go, it is working perfectly: My viral load is undetectable and my CD4 count is around 600. However, I've been noticing small changes in my behavior that are starting to worry me: periods of intense paranoia and anxiety; extremely low tolerance to noise; anger (often directed towards small, insignificant things) and general pessimism, none of which fit with my usual personality. Could these changes be related to the Sustiva (efavirenz, Stocrin) component in Atripla? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forum Is It OK to Just Take 2 of My 3 HIV Meds?I've been taking Epivir (lamivudine, 3TC), Reyataz (atazanavir) and Ziagen (abacavir) for a few years and my viral load has been undetectable the whole time. My pharmacy messed up and now I don't have my Ziagen. For some reason, every five refills or so of this one medication require "prior authorization," and my insurance carrier is closed on the weekends so nothing can be done till Monday. I have the Reyataz and Epivir. Should I take them without the Ziagen? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forum Grapefruit and HIV Med Interactions: What Do I Need to Know?I take Trizivir (AZT/3TC/abacavir) and Viread (tenofovir). I also eat a grapefruit every morning. Any risk of interactions between the fruit and these meds? If not these, which HIV meds do interact with grapefruit? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forumMore Questions About HIV/AIDS Treatment:How Much Zinc Should I Take?How Risky Is a 6-Hour Delay in Taking Norvir, Reyataz and Truvada?Swollen Lymph Node After Starting HIV Meds: Is This Normal?OTHER HEALTH ISSUES HIV/AIDS How Risky Is My Cholesterol Level?I'm 33 and taking Atripla (efavirenz/tenofovir/FTC) with a CD4 count over 700 and a viral load of less than 20 copies. I've had consistently high cholesterol while on these meds. I work out six times a week and I'm not overweight. I spoke to the doctor about my cholesterol and we agreed not to add any drugs and to just watch my cholesterol level to ensure it doesn't increase. She also said there's no magic cholesterol level above which to start medication. Do you agree with the decision to hold off on medication? At what point should I consider starting cholesterol meds? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forum What Do You Know About Multiple-Site Avascular Necrosis?I'm 53 years old and a very active, health-conscious yoga teacher. I've been HIV positive since 1987 and taken HIV meds since 1997 with few side effects and no opportunistic infections. I've just been diagnosed with avascular necrosis (AVN) in both hips and both shoulders. It's also visible on my right scapula and several ribs. My doctor, a leading HIV expert, has never seen a case like mine and doesn't know what to do with me. What do you know about this condition? J. Frascino, M.D., responds in the "Fatigue and Anemia" forumMore Questions About Other Health Issues HIV/AIDS:How Do HIVers Usually Fare With Organ Transplants?What's Renal Parenchymal Disease, and What Can Be Done About It?Why Is My Ex-Wife's Family Telling People My HIV Status -- Without My Permission?(A recent post from the " Gay Men " board)I was diagnosed HIV+ on July 26, 2010. At that time I was very sick and could not lend my then wife support for my diagnosis. She was afraid she was positive too. Since we didn't have sex for 7 years before my diagnosis there was no chance she was positive. ... When I couldn't be there for her she turned to her sisters and mother and told them I was positive. I understood she needed support but later came to resent the fact that this most personal health information was disclosed without my permission. Now her family feels that, when others who knew I was sick ask how I am, a simple "he's better" is lying and they tell them I was diagnosed HIV+. I feel this is not their right and I have told them they don't have my permission to tell ANYONE! What are other people's opinions on this? -- njpozdadClick 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!UNDERSTANDING HIV/AIDS LABS Is CD4 Count a Good Indicator of How I'm Doing on Treatment in the Short Term?I started taking Atripla (efavirenz/tenofovir/FTC) in January with 250 CD4 cells. A month ago I got my first lab test results and my viral load was already undetectable; my CD4 count was 309 and my percentage was 22. My most recent results show that my CD4 count and percentage are 282 and 20. I've never missed a dose but I have been under a lot of stress lately. What's going on? Is this normal? Should I be watching my CD4 count closely to see how well I'm doing on meds so far? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forumHIV TRANSMISSION Is It HIV or Recreational Drugs That Caused My Hallucinations?I was exposed to HIV in October 2010. I've tested HIV negative several times since then, but only on rapid tests, and I'm still worried. I took ecstasy in January and have had several hallucinatory episodes since then, but ecstasy isn't supposed to cause hallucinations. Could HIV infection be bringing on these hallucinations? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 NYC and Housing Works Launch re-fashioNYC Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

July 13, 2011

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

July 12, 2011

Visit the Forums

"Hot Topics" Library

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Living With HIV/AIDS

Body Shape Changes & HIV/AIDS

HIV/AIDS Treatment

Other Health Issues & HIV/AIDS

Understanding HIV/AIDS Labs

Strange but True

LIVING WITH HIV/AIDS

How Can I Lose Weight Without Gaining Too Much Muscle?

I'm 47 years old, 5 feet 8 inches tall and I weigh 220 pounds. I'd like to lose 40 to 50 pounds without building up too much muscle. My ideal look is lean and very defined, but not bulky. Do you have any quick weight-loss tips?

Vergel responds in the "Nutrition and Exercise" forum

Is Smoking Marijuana Worse for HIVers Than for HIV-Negative Users?

Does smoking pot have an effect on a person's CD4 count? Does it cause any additional harm to HIV-positive people that it doesn't cause in people living without HIV?

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

BODY SHAPE CHANGES & HIV/AIDS

What Should HIVers Be Aware of Before Having Cosmetic Surgery?

Are procedures like liposuction and "tummy tucks" safe for people living with HIV? What should an HIV-positive person be aware of before having this type of surgery?

Vergel responds in the "Nutrition and Exercise" forum

Detail from:

"Untitled," 2001

Mooshka

Visit the July 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "I Don't Have a Clue ...," is curated by Krach.

HIV/AIDS TREATMENT

What's the Link Between Joint Pain and Selzentry?

I was experiencing extreme pain in my finger joints, elbows, shoulders, back and knees, to the point where I could barely function. I was taking Selzentry (maraviroc, Celsentri); since I stopped taking it about three weeks ago, the pain has pretty much subsided. Naturally this leads me to believe Selzentry was the culprit for my pain. What do you think? Is joint pain a common side effect of this drug?

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

Is It Really Better to Start HIV Meds ASAP?

I'm a 36-year-old guy, newly HIV positive and really struggling to understand the subject of when to start HIV treatment. You've mentioned on this forum in the past that you believe evidence will emerge that starting HIV meds earlier is better for preserving the immune system. I've also read that being on meds for too long isn't good either and that it's better to just start taking them at the recommended time. How do I figure out what the best thing is for me to do?

Vergel responds in the "Nutrition and Exercise" forum

OTHER HEALTH ISSUES & HIV/AIDS

Tips for Managing Anxiety and Depression?

I was given an AIDS diagnosis in 2008, at age 32. I was very ill and in the hospital for a week. Now my CD4 count is around 750 and my viral load is 12,000. I've had mild depression for years but since my diagnosis it's gotten worse. At first I had bad panic attacks. I started an antidepressant and a beta-blocker, and they helped a lot. I have seen a therapist and was diagnosed with post-traumatic stress disorder (PTSD). My biggest problem now is anxiety when traveling. I have this irrational fear that something bad will happen to me far from home, and then I panic. Is there anything I can do when I'm on my own (not in a therapy session) to help manage episodes like this?

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

Is My Low-Testosterone Treatment OK for People Living With HIV?

I'm HIV positive, my CD4 count is 450, my viral load is below 20 copies and I take Epzicom (abacavir/3TC, Kivexa) and Isentress (raltegravir). I was recently diagnosed with secondary hypogonadism (low levels of certain sex hormones). My endocrinologist prescribed Femara (letrozole) to increase my testosterone level. Has this course of treatment been studied in HIV-positive people? What else should I be aware of when it comes to this condition?

Vergel responds in the "Nutrition and Exercise" forum

How Can I Quit Smoking Cigarettes?

(A recent post from the "Living With HIV" board)

Since the 4th of July, I have been trying to get myself independent of smoking cigarettes. Although I have yet to kick the habit completely, I have been able to cut down. I used to smoke two packs a day, but now I'm down to half a pack a day. That's a big drop for me. You see, I've been smoking since they were only 48 cents a pack. I've had some issues putting them down before, tried pills, patches and other things that didn't work. It's kind of funny how we know we're doing all we can to make ourselves healthy, yet some of us continue to hinder our health with these things. Does anyone have any quitting advice? -- alive2

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!

UNDERSTANDING HIV/AIDS LABS

Viral Load Low but Detectable: What Should I Be Keeping an Eye On?

I was diagnosed with HIV in March 2009. My viral load is 892 and my CD4 count is 952. My viral load tends to hover in the 900-to-1,000 range, and my CD4 count tends to stay in the 700-to-800 range. Is this average progression? Are my numbers likely to remain stable for a while longer? What factors might upset this trend? Should I think about starting HIV meds soon?

ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum

STRANGE BUT TRUE

Risk of Sticking Random Objects Where the Sun Doesn't Shine?

I was alone and being stupid, and I put an old toothbrush and a sun umbrella tube in my anus. I did it a few times, and bled once or twice. I only washed these objects with water before I stuck them up there. Has anyone ever become HIV positive in this way? I'm killing myself inside with this question!

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 nelsonvergel@....

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

July 20 -- One Year of the National HIV/AIDS Strategy: How Are We Doing?

NYC and Housing Works Launch re-fashioNYC

Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making

Action Alert: Condemn NY Post for Revealing Strauss-Kahn Victim Lives in AIDS Housing

Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths

NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

July 19, 2011

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

July 19, 2011

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"Hot Topics" Library

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Living With HIV/AIDS

Mixed-Status Couples

Body Shape Changes & HIV/AIDS

HIV/AIDS Treatment

Other Health Issues & HIV/AIDS

Understanding HIV/AIDS Labs

HIV Transmission

LIVING WITH HIV/AIDS

If We're Both Poz, Why Should We Keep Using Condoms?

My partner and I are both HIV positive and we're strictly monogamous. Can we get rid of the latex suit when we have sex? We've heard about superinfection, but is there any proof it really exists? Any other things we should take into consideration?

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

Could Light Drinking Bring Heavy Consequences for HIVers?

I don't take HIV meds, but my CD4 count is 523. Can I drink alcoholic beverages? What does an HIV-positive person need to consider before drinking?

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

MIXED-STATUS COUPLES

How Safe Is Sperm Washing?

I'm HIV positive with a CD4 count of about 700, and I have yet to start taking HIV meds. My wife is HIV negative. We want to start having children. How effective might sperm washing be at keeping my wife HIV negative?

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

BODY SHAPE CHANGES & HIV/AIDS

Buttock Wasting: How Can I Sit Comfortably?

If a person experiencing buttock wasting can't pay for implants but still wants to protect his or her butt bones from being bruised, could padded briefs be an affordable alternative? What brands are out there making this product?

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

"It might sound odd to seek out a vacation event just for people with HIV," comments TheBody.com's video blogger Mark S. King. He's participated in HIV retreats and found the experience so rewarding, he compiled a list of several fun options around the U.S. "Joining a group of others living with HIV might be a fun solution if you're looking to make friends with other people living with HIV and build your support network."

Retreats range from carefree holidays off the beaten track to educational weekends in the middle of the biggest U.S. cities. Many retreats are free, low-cost or provide discounts to people in need. Check out Mark's article, as well as TheBody.com's retreat resource page!

HIV/AIDS TREATMENT

How Can My Doctor Help Me if I'm Out of Approved Treatment Options?

I'm a longtime HIV survivor and I have no options left for a third drug in my HIV med regimen. My viral load is 40,000 and my CD4 count has fallen big-time. Do you have any information to share that could help doctors help patients like me, who've run out of HIV meds to try?

Vergel responds in the "Nutrition and Exercise" forum

Can I Take Garlic With My HIV Meds?

I take Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC). A friend told me that drinking a garlic tea -- soaking garlic in hot water for two hours, then drinking it -- could lower my cholesterol. Is there any interaction between garlic and my HIV med regimen?

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

More Questions About HIV/AIDS Treatment:

Epilepsy Treatment and HIV Meds: What Should I Know?

What Dosage Should I Take of Psyllium Husks?

OTHER HEALTH ISSUES & HIV/AIDS

Are There Effective Antidepressants That Don't Cause Sexual Side Effects?

I have a history of depression and obsessive compulsive disorder. I've been on too many antidepressants to count, all with various side effects that I could not tolerate. I experienced sexual dysfunction while taking Zoloft (sertraline), Paxil (paroxetine), Prozac (fluoxetine) and Lexapro (escitalopram). I'm currently on Wellbutrin (bupropion), which is known for not causing sexual side effects, but it makes me more aggressive -- and it's not working to boot. What can I do?

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

What Do You Know About Organ Damage and Untreated HIV?

I've been HIV positive for 13 years. My CD4 count is 439 and my viral load is 6,536. I'm still not on HIV meds. Are there some types of organ damage that are likely to occur with my delay?

Vergel responds in the "Nutrition and Exercise" forum

I Waited to Get Tested; Now I'm Scared It's Too Late to Ever Be Healthy

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

I knew I was poz on some level, but put off getting tested because of ignorance on my part. In October I got shingles, April oral thrush. It was actually the thrush that made me get tested (poz, of course). ... I was diagnosed May 2 and got my first labs May 31, only to find out my CD4 count was only 12. Been taking Atripla for 25 days now with a hospital stay for CMV virus. .... What if the meds don't work? ... I don't wanna be that sick again. Has anyone else been in this position? -- chicagodave123

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!

UNDERSTANDING HIV/AIDS LABS

Can a Person Have a Low CD4 Count and No Symptoms?

If a person had a CD4 count below 200, would they feel it? Can a person be symptom free with that low a CD4 count?

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

HIV TRANSMISSION

ARS 5 Days After Sex With Poz Partner: Is This Possible?

I'm dating a poz guy who's been on medication for past five years with an undetectable viral load. Recently he stopped taking his meds for 12 days without telling me. We had unprotected sex and five days afterward I had a fever, a sore throat, chills, headache and muscle aches. If I am indeed becoming HIV positive, would acute retroviral syndrome (ARS) show up just five days after infection?

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 nelsonvergel@....

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

July 20 -- One Year of the National HIV/AIDS Strategy: How Are We Doing?

NYC and Housing Works Launch re-fashioNYC

Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making

Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths

NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

July 19, 2011

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

July 19, 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

Other Health Issues & HIV/AIDS

Understanding HIV/AIDS Labs

HIV Transmission

LIVING WITH HIV/AIDS

If We're Both Poz, Why Should We Keep Using Condoms?

My partner and I are both HIV positive and we're strictly monogamous. Can we get rid of the latex suit when we have sex? We've heard about superinfection, but is there any proof it really exists? Any other things we should take into consideration?

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

Could Light Drinking Bring Heavy Consequences for HIVers?

I don't take HIV meds, but my CD4 count is 523. Can I drink alcoholic beverages? What does an HIV-positive person need to consider before drinking?

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

MIXED-STATUS COUPLES

How Safe Is Sperm Washing?

I'm HIV positive with a CD4 count of about 700, and I have yet to start taking HIV meds. My wife is HIV negative. We want to start having children. How effective might sperm washing be at keeping my wife HIV negative?

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

BODY SHAPE CHANGES & HIV/AIDS

Buttock Wasting: How Can I Sit Comfortably?

If a person experiencing buttock wasting can't pay for implants but still wants to protect his or her butt bones from being bruised, could padded briefs be an affordable alternative? What brands are out there making this product?

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

"It might sound odd to seek out a vacation event just for people with HIV," comments TheBody.com's video blogger Mark S. King. He's participated in HIV retreats and found the experience so rewarding, he compiled a list of several fun options around the U.S. "Joining a group of others living with HIV might be a fun solution if you're looking to make friends with other people living with HIV and build your support network."

Retreats range from carefree holidays off the beaten track to educational weekends in the middle of the biggest U.S. cities. Many retreats are free, low-cost or provide discounts to people in need. Check out Mark's article, as well as TheBody.com's retreat resource page!

HIV/AIDS TREATMENT

How Can My Doctor Help Me if I'm Out of Approved Treatment Options?

I'm a longtime HIV survivor and I have no options left for a third drug in my HIV med regimen. My viral load is 40,000 and my CD4 count has fallen big-time. Do you have any information to share that could help doctors help patients like me, who've run out of HIV meds to try?

Vergel responds in the "Nutrition and Exercise" forum

Can I Take Garlic With My HIV Meds?

I take Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC). A friend told me that drinking a garlic tea -- soaking garlic in hot water for two hours, then drinking it -- could lower my cholesterol. Is there any interaction between garlic and my HIV med regimen?

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

More Questions About HIV/AIDS Treatment:

Epilepsy Treatment and HIV Meds: What Should I Know?

What Dosage Should I Take of Psyllium Husks?

OTHER HEALTH ISSUES & HIV/AIDS

Are There Effective Antidepressants That Don't Cause Sexual Side Effects?

I have a history of depression and obsessive compulsive disorder. I've been on too many antidepressants to count, all with various side effects that I could not tolerate. I experienced sexual dysfunction while taking Zoloft (sertraline), Paxil (paroxetine), Prozac (fluoxetine) and Lexapro (escitalopram). I'm currently on Wellbutrin (bupropion), which is known for not causing sexual side effects, but it makes me more aggressive -- and it's not working to boot. What can I do?

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

What Do You Know About Organ Damage and Untreated HIV?

I've been HIV positive for 13 years. My CD4 count is 439 and my viral load is 6,536. I'm still not on HIV meds. Are there some types of organ damage that are likely to occur with my delay?

Vergel responds in the "Nutrition and Exercise" forum

I Waited to Get Tested; Now I'm Scared It's Too Late to Ever Be Healthy

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

I knew I was poz on some level, but put off getting tested because of ignorance on my part. In October I got shingles, April oral thrush. It was actually the thrush that made me get tested (poz, of course). ... I was diagnosed May 2 and got my first labs May 31, only to find out my CD4 count was only 12. Been taking Atripla for 25 days now with a hospital stay for CMV virus. .... What if the meds don't work? ... I don't wanna be that sick again. Has anyone else been in this position? -- chicagodave123

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!

UNDERSTANDING HIV/AIDS LABS

Can a Person Have a Low CD4 Count and No Symptoms?

If a person had a CD4 count below 200, would they feel it? Can a person be symptom free with that low a CD4 count?

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

HIV TRANSMISSION

ARS 5 Days After Sex With Poz Partner: Is This Possible?

I'm dating a poz guy who's been on medication for past five years with an undetectable viral load. Recently he stopped taking his meds for 12 days without telling me. We had unprotected sex and five days afterward I had a fever, a sore throat, chills, headache and muscle aches. If I am indeed becoming HIV positive, would acute retroviral syndrome (ARS) show up just five days after infection?

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 nelsonvergel@....

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

July 20 -- One Year of the National HIV/AIDS Strategy: How Are We Doing?

NYC and Housing Works Launch re-fashioNYC

Call to Action: Sign a Petition to Support Youth Participation in Global HIV/AIDS Decision-Making

Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths

NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

August 2, 2011

From: "News at The Body" <update@...>Date: 02 Aug 2011 17:55:01 -0400<nelsonvergel@...>Reply "News at The Body" <update@...>Subject: Hot Topics at The Body's "Ask the Experts" ForumsIf you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.htmlAugust 2, 2011Visit the Forums"Hot Topics" LibraryChange/Update SubscriptionLiving With HIV/AIDSMixed-Status CouplesHIV/AIDS Treatment Drug InteractionsOther Health Issues HIV/AIDSUnderstanding HIV/AIDS LabsHIV Transmission TestingLIVING WITH HIV/AIDS Would Adding Human Growth Hormone to My Regimen Help Fight Fatigue?I'm a 46-year-old man with an undetectable viral load and a CD4 count of about 500. I take Isentress (raltegravir) two times a day along with Norvir (ritonavir) and Reyataz (atazanavir) once a night. I have at times felt run down and tired. Would there be any benefit to my overall health in taking human growth hormone (HGH)? Would it help with my fatigue? Vergel responds in the "Nutrition and Exercise" forum How Much of Each Kind of Alcoholic Beverage Constitutes "One Drink"?When doctors say things like "one alcoholic drink per day has no effect on the immune system," I think some people don't realize what that means from one type of drink to another. Could you clarify what amount of wine, hard liquor or beer "one drink" would be? Fawcett, Ph.D., L.C.S.W., responds in the "Substance Use and HIV" forumMIXED-STATUS COUPLES Didn't Know My New Partner's HIV Status Until I Found His Meds: What Now?I've been dating a coworker for several months. Since I already knew him, we started a sexual relationship relatively quickly. We've had protected vaginal sex, and given each other unprotected oral sex. I have genital herpes and was outbreak free during these times. Today, while cleaning my car, I found two pills under my passenger seat. One pill had the numbers "227" on it. I Googled it and found out it's an HIV medication. He's the only person who's been in my car besides my kids. What if he's HIV positive? Should I confront him or just stop speaking to him? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forumDetail from:"Untitled [ S. and ]," 1985Mark roeVisit the August 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled " Ciao, " is curated by Jake Yuzna.HIV/AIDS TREATMENT DRUG INTERACTIONS What Can My Partner Do About Sleep Troubles and Weight Gain From Atripla?My partner has been taking Atripla (efavirenz/tenofovir/FTC) for one year. As of our last doctor's visit his viral load and CD4 count were responding well to treatment, but he has trouble sleeping at night and has gained weight for no apparent reason. Could these be side effects of Atripla? What can he do about them? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum New Drug for Hepatitis C: Which HIV Meds Can Go With It?Can a person be on HIV meds and still receive the new treatment for hepatitis C (ribavirin and peginterferon -- the longtime standard of care -- plus one of the newly approved protease inhibitors) without discontinuing HIV meds? Do we know yet which HIV meds are safe to take with the new hep C drug Incivek (telaprevir)? Which HIV meds should be avoided when taking this treatment?Barbara McGovern, M.D., responds in the "Hepatitis and HIV Coinfection" forumMore Questions About HIV/AIDS Treatment Drug Interactions:Why Did My Doc Give Me Sustiva Along With Atripla?Interactions Between HIV Meds and Grapefruit: What About Fresca?OTHER HEALTH ISSUES HIV/AIDS My HIV-Positive Husband Was Exposed to Chicken Pox: What's Next?My husband has an AIDS diagnosis. He takes Norvir (ritonavir), Prezista (darunavir) and Truvada (tenofovir/FTC) and has been for five months. His CD4 count is 316 and his viral load is 90. He's never had or been vaccinated for chicken pox before. Our daughter and son recently developed chicken pox and are both still contagious, and today my husband was exposed to it. If he does develop chicken pox, what should we do? Are there any measures he can take after exposure to possibly stop him from getting sick? Henry, M.D., responds in the "Managing Side Effects of HIV Treatment" forum Schizophrenia, Sexually Compulsive Behavior and HIV: Are They Related?A doctor told me I had paranoid schizophrenia in 1994. Two years later I stopped my meds, bounced around at different jobs and became addicted to porn and sex. Then in 2002 I found out I was HIV positive. The next two doctors said I had schizoaffective disorder, followed by another doctor who said I had paranoid schizophrenia again. Is sexually compulsive behavior linked to schizoaffective disorder or to schizophrenia (and what's the difference between the two)? Did my mental illness lead to my becoming HIV positive? Fawcett, Ph.D., L.C.S.W., responds in the "Mental Health and HIV" forumLast Week I Tested Positive: I Don't Want to Die, but How Can I Live? (A recent post from the " I Just Tested Positive " board)I'm 27 years old. Last Monday, July 25, my doc gave me the bad news. I'd tested HIV positive. ...I couldn't stop crying; I still can't stop. ... I only told my boyfriend of 1 year and 6 months, because I was afraid he might come to the same fate. He is very supportive, but for how long? ...I don't know what to do. I'm so scared; I can't tell anyone because they will look down on me. ... I'm not sure if I can survive this; just talking about it gives me a knot in my throat.Please, I'm begging anyone to write to me. I'm feeling all alone, angry and disappointed in myself. No matter what road I take, I end up at the same destination: misery. Can anyone else relate? -- MsCharlie1Click 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!UNDERSTANDING HIV/AIDS LABS What Are the Different Kinds of T Cells?How many types of T cells are there in our bodies, and what do they do? How are they different from one another? Does HIV only attack certain types of T cells? Young, M.D., Ph.D., responds in the "Choosing Your Meds" forumHIV TRANSMISSION TESTING Can I Get a Tattoo While Taking a Course of PEP?I have six days left of a 28-day round of HIV post-exposure prophylaxis (PEP). Will being tattooed while taking Kaletra (lopinavir/ritonavir) and Truvada (tenofovir/FTC) be a problem? Should I worry that the drugs are affecting my immune system in such a way that a tattoo would create a portal for infections I would not normally need to worry about? J. Frascino, M.D., responds in the "Safe Sex and HIV Prevention" forum Are There Dietary or Medication Restrictions Before HIV Testing?Is there anything a person shouldn't eat before HIV antibody testing? Are there medications that shouldn't be taken? Are there any other special preparations a person should know about in advance of the test, or can a person just walk in anytime they want and get an HIV test? ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forumWorried 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-mailThis e-mail update has been sent to nelsonvergel@....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 AIDS Healthcare Foundation Announces March on Washington Women's HIV AIDS Advocacy and Leadership Summit Application Deadline Extended HIV+ Gay and Bi Men! Sign-On Letter Supporting an Informed Debate About PrEP Based on Facts, Not Misinformation NYC and Housing Works Launch re-fashioNYC Tell Washington, D.C. to Fully Fund ADAP and Other HIV/AIDS Programs to Prevent Needless Deaths NMAC's ADAP Action Campaign: Get Free Flip Video Camera to Collect Stories

August 16, 2011

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August 16, 2011

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Living With HIV/AIDS

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Strange but True

LIVING WITH HIV/AIDS

How Do I Find a General Doctor That Knows About HIV?

I tested HIV positive through a clinic and found an infectious disease doctor who put me on Atripla (efavirenz/tenofovir/FTC). My HIV doc says I need to find a general practitioner for my non-HIV issues. I actually really like him as a doctor, and I'm not sure how to find a general practitioner who's comfortable seeing HIV-positive patients. Any advice on where to start looking?

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

Can I Trust the Quality of My Supplements?

Are you familiar with the New York Buyer's Club and their MAC Pack multivitamin and antioxidant program? Are their vitamins from reputable sources? I don't want to throw money away on products that are sub-par. Are these supplements worth it? Where can I get more information?

Vergel responds in the "Nutrition and Exercise" forum

MIXED-STATUS COUPLES

It's Hard Enough to Be a Gay Teen; Now My Boyfriend May Be HIV Positive

I'm a gay 16-year-old. My boyfriend recently found out he may be HIV positive. The doctor told him his viral load is very low and he needs to retest in six months to see if he really is positive. We had unprotected sex before his results; I topped him but did not ejaculate inside of him. I've tested negative so far. I'm very depressed; I was being young and stupid. My parents would kill me if I became HIV positive. I could be thrown out of the house, because my father's a pastor. I hate myself for being gay, and nobody understands but my boyfriend. What can I do?

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

BODY SHAPE CHANGES & HIV/AIDS

Is 3 Weeks Too Soon for a Second Sculptra Shot?

I had my first Sculptra (poly-L-lactic acid, New-Fill) shot at the end of July with two vials under the assistance program and just scheduled my second visit three weeks after for two more vials. Is this too soon or does it matter? I won't qualify for assistance again for two more years and want to get the best possible results. How much would each vial cost without assistance?

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

Detail from:

"Fire Faeries," 2000

P.

Visit the August 2011 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Ciao," is curated by Jake Yuzna.

HIV/AIDS TREATMENT

Any Suggestions for Taking Cialis With Kaletra?

I know there's a drug interaction between Kaletra (lopinavir/ritonavir) and the erectile-dysfunction drug Cialis (tadalafil), for which I have a prescription for 20 mg. Any idea how much I should start with when using Cialis? Should I split the pill in half or just take the full dose?

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

What Do Studies Say About Taking Epzicom and Reyataz Without Norvir?

How acceptable and prevalent is the combination of Epzicom (abacavir/3TC, Kivexa) and Reyataz (atazanavir) without Norvir (ritonavir)? I'm currently taking all three. My virus is undetectable and has been for several years. My doctor is quite conservative and not very willing to change regimens. The side effects and expense of Norvir are my concerns. How does one know in which cases Norvir is necessary?

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

HIV Treatment Newbie: How Do I Take My Meds Correctly?

I've been on Atripla (efavirenz/tenofovir/FTC) for about two weeks with minimal side effects, but now I'm worried about making sure I take it correctly. How important is it to take at the same time every day? How much leeway do I have? Can I not have food two hours before and one hour after just because of side effects or because of the effectiveness of the medication? Can I take my meds after or while drinking alcohol? What if I miss a dose?

ph P. McGowan, M.D., F.A.C.P., responds in the "Choosing Your Meds" forum

More Questions About HIV/AIDS Treatment:

Where Are the New Meds for Long-Term Survivors?

Am I Losing Red Blood Cells From Anemia or AZT?

HIV/AIDS, HEPATITIS & OTHER HEALTH ISSUES

High-Grade Anal Dysplasia: Should I Be Getting Anal Pap Smears?

I have high-grade anal dysplasia. My colorectal surgeon does a visual inspection every four months to see if there are changes. He's never done an anal Pap smear to detect cancer. Do you recommend an anal Pap for people with dysplasia? Should I be having more sensitive tests done?

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

My Daughter Was Just Diagnosed With Hepatitis B: What Do We Need to Know?

We adopted our daughter when she was a baby 26 years ago. She was recently diagnosed with hepatitis B. She'd been vaccinated, but it didn't work because she'd already contracted it from her birth mother. How dangerous is this to her liver at this point, being that she has had it all of her life and we just found out?

Barbara McGovern, M.D., responds in the "Hepatitis and HIV Coinfection" forum

What's CPK, and What Happens if My Levels of It Are High for a While?

What is the health risk of a continued elevated CPK (creatine phosphokinase) level?

Vergel responds in the "Nutrition and Exercise" forum

Newly HIV Positive: When Will I Stop Feeling Like My Life's Out of My Control?

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

I was diagnosed HIV positive in May. From what me and my doctor can conclude, I became infected in February. ... The last three months have really been a struggle. I started taking an antidepressant, and I have taken Ambien to sleep every night for the last three months but I want to stop. I feel like my life is out of my control and that drives me crazy since I am a control freak. I also have some paranoia when talking with others ... I'm always really worried that others are judging me because I'm HIV positive.

Can others let me know how long it took you to accept the fact that you have HIV? Thank you for listening. -- Gizmo

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HIV TRANSMISSION

Needle Poke at Work: What's My Next Step?

I work at a state prison and caught two inmates on a cellblock tattooing each other with a homemade machine. I took it from them and about 20 seconds later I accidently poked myself with the needle at the end of the tattoo "gun." I can't remember if it penetrated my skin or not. It hurt a little bit but did not bleed or leave any mark. There's no way my work can tell me the HIV or hepatitis status of the two inmates. Is this a transmission risk or am I just being paranoid? What, if anything, should I do next?

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

STRANGE BUT TRUE

Gay Guy Gone Straight! Did I Put Myself at Risk?

I am 30, gay, and have always played safe in the past. I hurt my back and my doctor sent me to a physical therapist. I arrive at the place, and a nice girl takes me to the room where I get a very therapeutic lower back massage. But then she starts to play with my penis! At first I was hesitant but figured "why not, it feels good, the hell with it." So basically, I strayed from gay and got a hand job at a massage parlor, with oil. I couldn't see if she had any cuts or lesions on her hands. Am I at risk for HIV from this? How about other sexually transmitted diseases?

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

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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:

The Body's E-Mail Updates

The HealthCentral Network, Inc.

250 West 57th Street

New York, NY 10107

AIDS Healthcare Foundation Announces March on Washington

Women's HIV & AIDS Advocacy and Leadership Summit Application Deadline Extended

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

NYC and Housing Works Launch re-fashioNYC

August 16, 2011