Activists Caution HIV+ Patients and their Physicians About Monotherapy in Upcoming Access Program

FOR IMMEDIATE RELEASE: February 9, 2012

Contact: Nelson Vergel (NelsonVergel@yahoo.com)

Activists Caution HIV+ Patients and their Physicians About

Monotherapy in Upcoming Access Program

New York, February 9, 2012—AIDS activists and physician advocates welcome the news that ViiV Healthcare will be providing  expanded access of dolutegravir (DTG), a new investigational integrase inhibitor for HIV patients with few remaining HIV treatment options.  However, they warn patients and physicians to avoid functional monotherapy, or the introduction of dolutegravir as an "add-on" to a failing treatment regimen if the patient’s virus is resistant to all other currently available antiretroviral drugs (ARVs).  Functional monotherapy has been shown to permit rapid HIV resistance to new medications, which can result in more rapid disease progression, health deterioration, and death.

Currently, the U.S. Department of Health and Human Services (DHHS) adult HIV treatment guidelines recommend three ARVs be given in combination to suppress HIV.  But many patients have HIV that has mutated rendering their virus multi-drug resistant (MDR-HIV).  Those with MDR-HIV cannot construct a viable HIV suppressive regimen with current FDA-approved and commercially available ARVs.  "The DHHS guidelines specify that patients that have developed HIV drug resistance to all commercially available antiretrovirals require access to at least two new active drugs to maximize their chances for treatment response.  However, “another new drug to combine with dolutegravir will not be commercially available for at least two years, and some patients cannot wait that long,” said Nelson Vergel, an activist founder of SalvageTherapies.org.  "For them, access to another research drug in combination with DTG is the only hope for survival," added Vergel.

In studies to date, dolutegravir (DTG) appears to be the most potent integrase inhibitor soon to enter the ARV market.  Unlike Gilead's upcoming elvitegravir, DTG has been shown to be effective against HIV that has developed resistance to Merck's Isentress (raltegravir), the only FDA-approved integrase inhibitor currently on the market.

Fortunately, another new ARV that can help patients with MDR-HIV is in active development and clinical trials.  Ibalizumab, a monoclonal antibody from a small biotech firm, Taimed Biologics, may soon be available via patient participation in research studies.  While ibalizumab has yet to enter phase three studies, it can also be provided to patients at risk of death via a named (or single) patient access application permitted by the FDA via a physician’s direct request to Taimed.  However, it is for the company to approve such requests for compassionate access.

There are no documented estimates of how many people have MDR-HIV in the United States.  A report in the Journal of Clinical Infectious Diseases estimates that about 260,000 patients are being treated with HIV in the United States.  However, it is virtually impossible to know how many are now without sufficient treatment options since no registry for such patients exists.  But most experts agree that this population is probably small – possibly up to 10% of the total in treatment.

"With little immune function left and resistance to all approved HIV medications, I have tried desperately to get access to two new drugs to help save my life,” said Christopher Cacioppo, a patient with MDR-HIV in  San Diego who believes he is running out of time. “My doctor tells me that I have little choice but to wait for the dolutegravir expanded access program and some as yet unknown and unavailable second new drug."

A coalition of activists and physicians have been in discussions with Taimed and ViiV for nearly two years to obtain compassionate-use access to their new ARVs in combination for those with MDR-HIV in greatest need of new treatment options.  The AIDS Community Research Initiative of America (ACRIA), a New York City-based community research and education organization, and physicians in San Francisco have proposed solutions to overcome this “two-drug access barrier” in an effort to secure urgent access to patients across the country.

Physicians and providers with patients with MDR-HIV in need of two new ARVs are urged to complete this form.

###

Healthy Eating and Exercise Videos by Nelson Vergel and Mark King

Healthy Eating Video



Exercise Video

Nelson's Top 10 Tricks for Fat Loss

By Nelson Vergel

June 28, 2011

1. Get real. Ask yourself: What is getting in the way of my health? What excuses am I using to not start giving a damn? There is no perfect time to start. Do it now, even if it means one change per week in your lifestyle choices. You deserve to feel and look the best you can!
2. You cannot change what you do not measure!
   • Download a step counter (pedometer) app to your phone or buy one to carry with you all day. Research has shown that 10,000 steps a day keep people from gaining weight and may help those wanting to lose weight. It approximately equates to 3 miles. If by 6 pm you have not reached that goal, you can make up for the difference on a treadmill, walking the dog, walking to the store, etc. Read more on this.
   • Weigh yourself 3 times a week in the morning while on an empty stomach.
   • Get yourself a ring to wear on one of your fingers, or use the one you are wearing now; it's the best way to find out if you are inflamed or holding too much water. When tighter, you need to exercise to decrease inflammation and water retention.
   • If you have a progressive doctor who can refer you for a full DEXA body scan, good for you. This is the best way to know your body composition in every part of your body.
3. Change the way you drink and eat:
   • Avoid drinking sodas, fruit juices (eat fruit instead), more than two glasses of wine a day. Carry a water container in your car, office, and any place you hang out, and sip from it all day (you can add flavored Benefiber or Citrucell to that water if you need to drink something with flavor).
   • Also, avoid eating sweets, white bread, bagels, muffins, and most cereals (they are loaded with sugar and high-fructose corn syrup). Instead eat whole grain, dark-colored bread (if you have to), and never consume carbohydrates by themselves (adding good fats and fiber to carbs slows down glucose and insulin spikes in the blood that may predispose you to metabolic syndrome and fat gain). Watch a great lecture that will open your eyes to the effect of sugar on health.
   • Consume 20 grams of fiber (soluble and insoluble) per day. For most of us, this is hard to do unless we eat beans, nuts, and 4 servings of fruit and vegetables. Fiber improves insulin sensitivity, makes you feel full longer, keeps your gut healthy (friendly gut bacteria that produce vitamins love fiber), keeps you regular, and can lower the chances of getting colon cancer. Buy Citrucell or Benefiber, two over-the-counter products available in most grocery stores. Try to consume 12 grams of fiber a day from these supplements in water. You can also add them to soups, oatmeal, scrambled eggs, yogurt, water to sip all day at work, sauces, and home-made salad dressing.
   • To ensure that you have enough fruits and vegetables at home, buy frozen ones (frozen fruits and vegetables tend to be cheaper and loaded with vitamins since they are picked at their prime).
   • Follow a slow carb (low glycemic index) diet. Read this article carefully!
   • Twice a day, snack on almonds, pistachios, walnuts, and other nuts at work to get your good fats and fiber, and to make you less likely to cheat later. If you get tired of their taste, mix them with some dried fruit. Research has shown that people who eat nuts tend to have lower LDL cholesterol.
   • Avoid junk and fast food. The best way to do this is to have enough food at home and to bring lunch to work. Cook a lot of food on weekends and freeze meals in small containers you can take to work or heat up at home. Get yourself a slow cooker and use its enclosed cookbook to prepare warm foods that you can come home to. Do not sabotage yourself by bringing sweets and junk into your home. If you do, you'll eventually eat them (most of the time, in one sitting!).
   • Watch your cravings at night, when most people find it the most difficult to avoid overdrinking alcohol or eating ice cream, cookies, and comfort foods.
   • Eat a large breakfast, a moderate lunch, and a small dinner. I know this sounds completely different to what most of us are doing every day.
   1. Skipping breakfast makes you more prone to overcompensate by eating more calories late in the day. Your body has spent 7-8 hours without food and is starved for nutrients in the morning. Do not feed it sugar and white flour products at this important time, like many people are accustomed to doing due to being rushed. Eggs, oatmeal (the type that has no added sugar, and you can add whey protein powder to it!), Greek-style yogurt with nuts and fiber supplements, low-fat cottage cheese with fruit (if you're not lactose intolerant), almond butter sandwiches on multigrain (high-fiber) bread, and fruit are all good choices for breakfast.
   2. For lunch have some soup and a glass of water first and wait 10 minutes to trick your body into feeling full faster. Grilled chicken with vegetables, tuna salad over greens and nuts, a Greek salad with sliced steak, and any Mediterranean food choices are good.
   3. For dinner, fill yourself with stir fried (use olive oil!) vegetables and lean meats. Two hours before bed, you can have half an almond butter sandwich or yogurt with fruit. You will not be hungry and desperate with this diet!
4. Do resistance exercise with machines at the gym if you are a beginner, or weights if you have more experience. Here are some other exercise recommendations.
5. Get your hormones checked and supplemented if low
   • If you are having a hard time losing weight and you are doing all of the above, have your doctor check your blood levels of free testosterone and thyroid hormones (TSH, T3 and T4) (yes, women and men!). Low hormone blood levels can impair fat loss and energy levels required to exercise. They can also make your less prone to be motivated to follow a healthy regimen. Readmore about testosterone here.
6. If you have access to a glucose tolerance test, take it. This test will determine how your body uses glucose for energy and compare it to a normal response. If you have impaired glucose tolerance, your doctor may want to prescribe metformin, an insulin sensitizer that may help people lose fat by helping their insulin work better at controlling blood sugar and metabolism.
7. If your belly is hard and you cannot pinch much fat, you may mostly have visceral fat. You may want to talk to your doctor about a new FDA-approved product for HIV-associated visceral fat calledEgrifta (tesamorelin). Egrifta is a growth hormone-releasing factor that makes your pituitary gland make your own growth hormone. Growth hormone has been shown to help burn fat. If you do not have insurance, you can apply for patient assistance (more on Egrifta.com).
8. Drinking a tablespoon of apple cider vinegar before every meal has been shown to improve glucose tolerance and insulin response. Better glucose tolerance and lower insulin resistance can make it easier to lose fat. Read more on this.
9. Supplements:
   • Be careful with weight loss supplements since they are loaded with caffeine and stimulants that can raise your heart rate and blood pressure.
   • Take a multivitamin after breakfast and lunch.
   • Take Carnitine, 1,000 mg with breakfast and 1,000 mg with lunch; here's a study on Carnitine.
10. Find a support system that is there for you through all of your new lifestyle changes. Having an exercise/diet buddy is the best way to improve adherence to your diet and exercise program. Join groups online. Surround yourself with friends who support you all the way and enable you to succeed!

Send Nelson an e-mail.

Timothy Brown: The Other Side of the Cure

By Nelson Vergel

July 15, 2011

By now, we have all read several stories about Timothy Brown and watched his interviews on TV. For the few who have been living in a cocoon in the last few weeks and have not watched the news, I remind them that Tim, once known as the "Berlin patient," is the man who was cured of HIV through a long and risky procedure of chemotherapy, radiation and a CCR5-negative stem cell transplant.

Ever since I saw the first poster presentation at the 2007 CROI conference that mentioned his case, I have been wondering what it would feel like to be cured. Until that moment, that thought had never crossed my mind. What would it be like not to have to take pills every day, not to have to worry about side effects, not to have to go see a doctor so frequently, not to have to be afraid of rejection, not to have to spend so much time reading medical information, not to be worried about drug resistance and death, not to feel different from others?
I was happy to have met Timothy Brown this week while shooting my upcoming documentary on the challenges of HIV cure research. This great opportunity not only gave me a chance to get to know him but also to find out more about how it feels to be free of HIV while living in the United States.
Timothy graciously agreed to meet me for an interview in San Francisco, even though he had been asked to do this so many times in the past few months. He showed up dressed nicely in a suit, looking like a handsome businessman ready for an important meeting. I and my friend and camera person Greg Fowler put him through a series of questions, many that he had heard before, yet he kept his candid and approachable attitude throughout the interview while we had glaring lights on his face. I was able to ask him some personal questions about his struggle through his long but successful ordeal.
About a year ago, Timothy moved to the United States from Berlin, where he'd received the chemotherapy, radiation and two bone marrow transplants that got his leukemia in remission and his HIV wiped out of his body. The entire procedure was paid for by the German government. His oncologist and creative thinker, Dr. Gero Hütter, was a great advocate and supporter of his health who did not give up even after the first stem cell transplant failed to control Tim's leukemia. Tim did not have to worry about his ability to pay for this expensive procedure; it was a benefit of living in a country that provides its people with health care. He is sure that had he been living in the U.S., he would not have fared that well and he would not be cured. For a doctor to think outside the box and be allowed to do such an innovative procedure would have required a lengthy process of institutional review boards in the United States, which would have deemed it too risky even in Tim's justified risk-to-benefit situation.
Timothy's lengthy one-year ordeal at the hospital did not stop when he left it. Walking home one night, he was mugged and hit on the head while he fell on his shoulder. His injuries are persistent to this day and he needs physical therapy. Due to the loss of his support system in Berlin, Tim decided to come to his home country to start a new life after years of living in Europe. What he found out after arriving here surprised him.
Now that Timothy is back in San Francisco he faces the obstacles of a system with no universal health care, in which he has to go through a long process to apply for benefits. He is HIV negative, so he cannot apply to be covered by Ryan White for his medical needs. His health is good, but he is still on his path to strengthen a body that has been affected by harsh chemotherapy after a year stay in the hospital and by injuries caused by his attacker. He is happy to have made medical history as the first living person cured from HIV, but he is now shocked about how complicated the U.S. benefits and health system's bureaucracy has been. He told me that it is amazing that a country which was not his mother land cured him; and now his home country cannot support his continuing struggle to strengthen his health.
We all make assumptions about people we see on TV. His case is no exception. I assumed that he must be a man who is not only lucky but who has a support system that ensures his continuing healing. So I was surprised about how far from the truth that is in his case. He is not able to work due to his physical therapy needs, lives on a small budget with several roommates, and is trying to quickly adjust to the challenges of reentering a world he left behind years ago. Many TV programs and magazines have covered his success story, yet none has offered any help to make his life easier in this country. Hopefully, we as a community can be supportive of him as we open doors that can lead to his fast recovery and entry into the world of the living. He is committed to being a strong voice in HIV cure advocacy, and some of us in the activist world will ensure that he is supported in his wish. Fortunately, his strong and fighting spirit along with his grounded and welcoming energy will get him to the other side of his cure: his long-term wellness and stability.
As I left San Francisco today, I did so with the knowledge that I'd met a great and warmhearted survivor that needs our support. I am committed to helping to connect him to the network of my peers who will welcome him to our world of communal wisdom. As I see it, he is HIV negative now but very much part of our struggle. And we need him healthy and happy!
Send Nelson an e-mail.

Nelson's Top 10 Tricks for Fat Loss

By Nelson Vergel

June 28, 2011

1. Get real. Ask yourself: What is getting in the way of my health? What excuses am I using to not start giving a damn? There is no perfect time to start. Do it now, even if it means one change per week in your lifestyle choices. You deserve to feel and look the best you can!
2. You cannot change what you do not measure!
   • Download a step counter (pedometer) app to your phone or buy one to carry with you all day. Research has shown that 10,000 steps a day keep people from gaining weight and may help those wanting to lose weight. It approximately equates to 3 miles. If by 6 pm you have not reached that goal, you can make up for the difference on a treadmill, walking the dog, walking to the store, etc. Read more on this.
   • Weigh yourself 3 times a week in the morning while on an empty stomach.
   • Get yourself a ring to wear on one of your fingers, or use the one you are wearing now; it's the best way to find out if you are inflamed or holding too much water. When tighter, you need to exercise to decrease inflammation and water retention.
   • If you have a progressive doctor who can refer you for a full DEXA body scan, good for you. This is the best way to know your body composition in every part of your body.
3. Change the way you drink and eat:
   • Avoid drinking sodas, fruit juices (eat fruit instead), more than two glasses of wine a day. Carry a water container in your car, office, and any place you hang out, and sip from it all day (you can add flavored Benefiber or Citrucell to that water if you need to drink something with flavor).
   • Also, avoid eating sweets, white bread, bagels, muffins, and most cereals (they are loaded with sugar and high-fructose corn syrup). Instead eat whole grain, dark-colored bread (if you have to), and never consume carbohydrates by themselves (adding good fats and fiber to carbs slows down glucose and insulin spikes in the blood that may predispose you to metabolic syndrome and fat gain). Watch a great lecture that will open your eyes to the effect of sugar on health.
   • Consume 20 grams of fiber (soluble and insoluble) per day. For most of us, this is hard to do unless we eat beans, nuts, and 4 servings of fruit and vegetables. Fiber improves insulin sensitivity, makes you feel full longer, keeps your gut healthy (friendly gut bacteria that produce vitamins love fiber), keeps you regular, and can lower the chances of getting colon cancer. Buy Citrucell or Benefiber, two over-the-counter products available in most grocery stores. Try to consume 12 grams of fiber a day from these supplements in water. You can also add them to soups, oatmeal, scrambled eggs, yogurt, water to sip all day at work, sauces, and home-made salad dressing.
   • To ensure that you have enough fruits and vegetables at home, buy frozen ones (frozen fruits and vegetables tend to be cheaper and loaded with vitamins since they are picked at their prime).
   • Follow a slow carb (low glycemic index) diet. Read this article carefully!
   • Twice a day, snack on almonds, pistachios, walnuts, and other nuts at work to get your good fats and fiber, and to make you less likely to cheat later. If you get tired of their taste, mix them with some dried fruit. Research has shown that people who eat nuts tend to have lower LDL cholesterol.
   • Avoid junk and fast food. The best way to do this is to have enough food at home and to bring lunch to work. Cook a lot of food on weekends and freeze meals in small containers you can take to work or heat up at home. Get yourself a slow cooker and use its enclosed cookbook to prepare warm foods that you can come home to. Do not sabotage yourself by bringing sweets and junk into your home. If you do, you'll eventually eat them (most of the time, in one sitting!).
   • Watch your cravings at night, when most people find it the most difficult to avoid overdrinking alcohol or eating ice cream, cookies, and comfort foods.
   • Eat a large breakfast, a moderate lunch, and a small dinner. I know this sounds completely different to what most of us are doing every day.
   1. Skipping breakfast makes you more prone to overcompensate by eating more calories late in the day. Your body has spent 7-8 hours without food and is starved for nutrients in the morning. Do not feed it sugar and white flour products at this important time, like many people are accustomed to doing due to being rushed. Eggs, oatmeal (the type that has no added sugar, and you can add whey protein powder to it!), Greek-style yogurt with nuts and fiber supplements, low-fat cottage cheese with fruit (if you're not lactose intolerant), almond butter sandwiches on multigrain (high-fiber) bread, and fruit are all good choices for breakfast.
   2. For lunch have some soup and a glass of water first and wait 10 minutes to trick your body into feeling full faster. Grilled chicken with vegetables, tuna salad over greens and nuts, a Greek salad with sliced steak, and any Mediterranean food choices are good.
   3. For dinner, fill yourself with stir fried (use olive oil!) vegetables and lean meats. Two hours before bed, you can have half an almond butter sandwich or yogurt with fruit. You will not be hungry and desperate with this diet!
4. Do resistance exercise with machines at the gym if you are a beginner, or weights if you have more experience. Here are some other exercise recommendations.
5. Get your hormones checked and supplemented if low
   • If you are having a hard time losing weight and you are doing all of the above, have your doctor check your blood levels of free testosterone and thyroid hormones (TSH, T3 and T4) (yes, women and men!). Low hormone blood levels can impair fat loss and energy levels required to exercise. They can also make your less prone to be motivated to follow a healthy regimen. Readmore about testosterone here.
6. If you have access to a glucose tolerance test, take it. This test will determine how your body uses glucose for energy and compare it to a normal response. If you have impaired glucose tolerance, your doctor may want to prescribe metformin, an insulin sensitizer that may help people lose fat by helping their insulin work better at controlling blood sugar and metabolism.
7. If your belly is hard and you cannot pinch much fat, you may mostly have visceral fat. You may want to talk to your doctor about a new FDA-approved product for HIV-associated visceral fat calledEgrifta (tesamorelin). Egrifta is a growth hormone-releasing factor that makes your pituitary gland make your own growth hormone. Growth hormone has been shown to help burn fat. If you do not have insurance, you can apply for patient assistance (more on Egrifta.com).
8. Drinking a tablespoon of apple cider vinegar before every meal has been shown to improve glucose tolerance and insulin response. Better glucose tolerance and lower insulin resistance can make it easier to lose fat. Read more on this.
9. Supplements:
   • Be careful with weight loss supplements since they are loaded with caffeine and stimulants that can raise your heart rate and blood pressure.
   • Take a multivitamin after breakfast and lunch.
   • Take Carnitine, 1,000 mg with breakfast and 1,000 mg with lunch; here's a study on Carnitine.
10. Find a support system that is there for you through all of your new lifestyle changes. Having an exercise/diet buddy is the best way to improve adherence to your diet and exercise program. Join groups online. Surround yourself with friends who support you all the way and enable you to succeed!

Nelson's lecture in Chicago addresses aging with HIV

COH talk addresses aging and HIV/AIDS

by MATT SIMONETTE on Jun 5, 2011 • 10:05 am0 Comments and 0 Reactions

CHICAGO – A long-time AIDS activist and author spoke May 31 at Center on Halsted, 3656 N. Halsted, about recent breakthroughs in research and potential issues persons with HIV/AIDS might face as they get older.

Matt Simonette

Long-time AIDS activist and author Nelson Vergel

Nelson Vergel, who lives in Houston, said that he has lived with HIV for 27 years at the beginning of his talk, “Promising Advances in HIV Cures and Healthy Aging Research,” which was sponsored by Test Positive Aware Network.

Even as the GLBT community observes a rather grim milestone, the 30th anniversary of the CDC publishing its first reports of AIDS on June 5, 1981, Vergel said much still needs to be understood about the infection, especially its implications for the aging process.

“We’re all getting older and there are things that are showing up in all of us,” Vergel said.

Vergel, a former chemical engineer, opened by discussing the state of current research on vaccines and cures for the infection. He lamented that many pharmaceutical companies, not having made tremendous profits in recent years with HIV/AIDS drugs in America, have ratcheted back investment in that area.

“When it comes to potent new drugs, we’re getting drier and drier,” Vergel said. “Unfortunately, it is market driven.” He did add, however, that some companies have been preparing new one-pill-a-day treatments that might eventually replace more complex treatments.

“I tell people, if you take one vitamin a day, you’ll get used to this,” Vergel said.

He also discussed Timothy Ray Brown, also known as “the Berlin Patient,” who seems to have had the AIDS virus completely wiped clear from his body thanks to a stem cell bone marrow transplant.

“It’s not until now that people are using the ‘c-word,’” Vergel said.

But while Brown’s story should inspire hope—Vergel’s own mother was ready to begin a fundraiser for him so he could have the same treatment—a great deal of research and testing must take place before Brown’s situation can be duplicated.

New studies in the wake of Brown’s case “are asking for a lot from people,” according to Vergel. Subjects are expected to get off HIV meds and undergo extremely invasive testing procedures, among other requirements.

Another consideration is that chemotherapy played so heavily into Brown’s treatment. “What are we going to do with the healthy (men and women) who don’t have leukemia?” Vergel asked.

By 2015, over 50 percent of persons with HIV/AIDS will be over the age of 50. As such, both medical professionals and the government will have to rethink standard treatments for people who are aging and have the infection.
“We’re going to live longer, but what’s our quality of life going to be?” Vergel asked.

Many infected individuals, for example, must contend with facial wasting. But Medicare usually refuses to pay for treatments unless a physician marks in the patient’s file that the person is suffering from a depression brought about by the wasting.

“Most people just want to get their face back, but you have to have ‘depression’ on your chart in order to have anything done about it,” Vergel said, adding that community activists need to start advocating on behalf of physicians as well as patients.

“Many doctors are refusing (to see Medicare patients) because Medicare doesn’t want to pay enough,” he said.

Vergel suggested that persons with HIV/AIDS be extra vigilant in guarding against afflictions beguiling older Americans. Bone density scans, exercise and vitamin D, for example can help stave off osteoporosis.

HPV infections were another condition to be concerned with. Vergel said the condition was common—“We’re not talking top or bottom, men or women,” he said—and concerned individuals should not be afraid to ask their physician about having an anuscopy done to check for anal warts if they think they might need it.

Doctors are rarely proactive about that particular procedure, Vergel said, adding that it was not the same thing as a colonoscopy, which usually is probing for gastro-intestinal issues.

Infected individuals are often “more frail by about 15 years,” Virgil suggested, so he said good overall advice is to be sure to take plenty of exercise.

“Exercise is the best therapy for most health problems,” Vergel said.

Recent Health Related Answers by Nelson Vergel at TheBody.com

Joint problems	May 10, 2011
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VIRAL LOAD NOT DETECTED	May 10, 2011
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GANAR PESO	May 10, 2011
Nutrition Advice to Lose Weight/Build Muscle	May 10, 2011
Long flight to visit someone with low CD4 - precautions to protect them from germs?	May 10, 2011
Any Hope? (response) 5/9/11	May 10, 2011
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Too much Zinc? Vitamin C?	May 9, 2011
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relocation	May 4, 2011
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Topical vs. injected Testosterone	May 2, 2011
Vitamin interactions with Atripla?	Apr 29, 2011
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Rectum swollen	Apr 29, 2011
D3 supplemets and Tenofovir-containing ART	Apr 27, 2011
DEJAR TRATAMIENTO, UNA PREGUNTA	Apr 27, 2011
What are the best meds for HIV+	Apr 27, 2011
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About Testosterone and Nandrolone	Apr 27, 2011
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Again, not a question but a comment... deeply thankful	Apr 26, 2011
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excessive itchin	Apr 11, 2011
Safety of Axiron	Apr 11, 2011
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Slow CD4 increase	Apr 11, 2011
Testosterone	Apr 11, 2011
Compounded vs. Injection based Testosterone	Apr 11, 2011
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THANKS FOR YOU ALL SUPPORT AND HARD WORK!	Apr 11, 2011
Where to apply testosterone gel	Apr 7, 2011
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any solution ?	Apr 7, 2011
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Diet and Exercise Videos

Hitting the gym with fitness stud Nelson Vergel

From: Mark S. King <mark@marksking.com>

Sent: Thu, Feb 3, 2011 4:31 am
Subject: Hitting the gym with  fitness stud Nelson Vergel

HIV advocate and fitness expert Nelson Vergel agrees to help me with a
monumental task: losing weight.  In the second part of a three-part video
series, we hit the gym for lessons on aerobic and weight training.

If you had once told me that poz guys would be watching their waistlines and
their bone density, I would have advised you to change your meds.

Hitting the Gym with HIV Fitness Expert Nelson Vergel
http://marksking.com/my-fabulous-disease/hitting-the-gym-with-hiv-fitness-expert-nelson-vergel/

LOOK WHAT'S COMING UP:  a return tour of a gay sex club with a "poz night" and
a discussion of serosorting; and a great prevention video made by one man that
puts big budget campaigns to shame.

My posts may always be shared with proper mention/link to My Fabulous Disease.

You're on the "My Fabulous Disease" e-mail list.  To opt out, simply visit the
site and unsubscribe. 

Please be well,

Mark S. King
mark@marksking.com
www.MyFabulousDisease.com

Video about injections of PMMA for Facial Wasting in HIV

From Facial Lipoatrophy

http://picasaweb.google.com/NelsonVergel/FacialLipoatrophy?feat=directlink#5551808798499067522