Wednesday, February 09, 2011

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



From: "News at The Body" <update@news.thebody.com>
Date: 09 Feb 2011 16:28:24 -0500
To: <nelsonvergel@yahoo.com>
ReplyTo: "News at The Body" <update@news.thebody.com>
Subject: Hot Topics at The Body's "Ask the Experts" Forums

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


February 9, 2011
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LIVING WITH HIV/AIDS


 How Long Are HIVers Expected to Live Nowadays?
I've been HIV positive for 25 years. My CD4 count is around 500 and my viral load is undetectable. What's my life expectancy? What would it be if I were a 20-year-old just starting HIV treatment today?

Nelson Vergel responds in the "Nutrition and Exercise" forum


 How Can I Get More Energy?
I try to work out but I have no energy. Before I was diagnosed with HIV, I was exercising four days a week. I'm now down to three days a month. I'm on testosterone replacement therapy but it doesn't help. How can I build up my energy -- or find out why I have none so I can do something about it?

Nelson Vergel responds in the "Nutrition and Exercise" forum


More Questions About Living With HIV/AIDS:


MIXED-STATUS COUPLES


 Is Starting HIV Meds a Good Way to Keep My Partner HIV Negative?
I'm HIV positive and I've never taken HIV meds before. My CD4 count is 526 and my viral load is 317. My partner is HIV negative and we'd like to keep it that way, so we practice safer sex every time. We recently had a condom break and my partner took post-exposure prophylaxis (PEP). In case this happens again, I'm contemplating starting treatment to reduce my partner's chances of becoming HIV positive. Do you think this is a good idea?

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


 If I Receive a Live Vaccination, Am I Putting My HIV-Positive Partner at Risk?
I'm the HIV-negative partner in a mixed-status relationship. There's plenty of information on which vaccinations are recommended for people living with HIV, but can a negative partner's immunizations put the positive partner at any risk? Should negative partners also avoid receiving "live virus" vaccinations?

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


welcome to our new "workplace and insurance issues" expert

Michael J. Van EssenThere's another new expert on the block! Michael J. Van Essen has worked in benefits advocacy and outreach at several HIV/AIDS service organizations, and is equipped to answer questions on topics like health insurance, disability benefits, returning to work and much more. Mr. Van Essen joins longtime expert Lynn Franzoi in the "Workplace and Insurance Issues" forum. Learn more about Mr. Van Essen, and ask him a question in the forum!



BODY SHAPE CHANGES & HIV/AIDS


 Are Any Of My Meds Contributing To My Lipoatrophy?
I've been HIV positive for 24 years and on many different meds. My CD4 count is over 900 and my viral load is undetectable. I currently take Epzicom (abacavir/3TC, Kivexa), Lexiva (fosamprenavir, Telzir), Norvir (ritonavir) and Viread (tenofovir). I don't want to be on any meds that could cause further facial wasting. Are any of these meds known to contribute to lipoatrophy? Which types of meds should be avoided, if possible?

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


 What's Going On With the Newly Approved Belly Fat Drug Egrifta?
I get my HIV meds through ADAP (AIDS Drug Assistance Program). My lipodystrophy belly is pretty big and I need to do something about it. What options are currently available to pay for Egrifta (tesamorelin)?

Nelson Vergel responds in the "Nutrition and Exercise" forum


HIV/AIDS TREATMENT & SIDE EFFECTS


 If You Were Diagnosed Today, Would You Start Treatment Right Away?
I became HIV positive last January and was very sick for a month. My CD4 count is now 590 and starting treatment no longer seems urgent, but I want to make sure the virus stays in check. Is there a downside to starting treatment now? What are the recommended regimens to start with, and what can I expect from each? With all the knowledge you have now, if you were diagnosed today, would you wait to start treatment?

Nelson Vergel responds in the "Nutrition and Exercise" forum


 What Can Be Done About Bone Problems?
My husband is 35 years old and was diagnosed HIV positive in 2006. He's been taking Viraday (efavirenz/tenofovir/FTC, the generic form of Atripla available in some countries outside the U.S.) regularly for three years. His numbers are good and he maintains an active, healthy lifestyle. However, he has regular bone-related problems in his wrists, elbows and ankles. Is this a side effect of Viraday? What can he do to reduce pain and build bone density?

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


 Do the Enzymes HIV Meds "Inhibit" Ever Do Anything Good?
I take a nucleoside reverse transcriptase inhibitor and an integrase inhibitor. Do these two enzymes have any positive effects for the body? Does inhibiting them cause any problems that we know of?

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


More Questions About HIV/AIDS Treatment & Side Effects:


OTHER HEALTH ISSUES & HIV/AIDS


 Which Form of Niacin Works Best at Increasing Good Cholesterol?
I know that niacin supplements are known to increase levels of HDL (high-density lipoprotein, or "good cholesterol"). Since over-the-counter niacin can cause a "flushing" sensation on a person's skin, which I can't stand, I've been taking "no-flush" niacin (inositol hexanicotinate) for many years. It's worked well generally, except when a brief switch to Lexiva (fosamprenavir, Telzir) caused my triglyceride levels to skyrocket. What do you know about the different kinds of niacin? Does the no-flush niacin work as well as regular "live" niacin at raising levels of HDL?

Nelson Vergel responds in the "Nutrition and Exercise" forum


 Why Do I Smell Something Foul All the Time?
For some reason, I smell a foul smell on me most of the time. I take my HIV meds and my doctor says I'm doing fine, but I feel like my body is rotting away. I was diagnosed with cryptococcal meningitis in 2005 -- could that have something to do with this unusual condition?

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




More Questions About HIV/AIDS Treatment & Side Effects:


Connect With Others

I Haven't Dated Anyone in Years: How Can I Learn to Trust Again?
(A recent post from the "Gay Men" board)

I'm 38 and I was diagnosed almost seven years ago. ... Dating has been very hard for me. I live in a rural part of the U.S. Shortly after I found out I was positive, I had two very horrible experiences of people telling a lot of people about my status, people who had no business knowing. It freaked me out enough that my answer was to just stop dating. It's been six years and I'm not willing to just not date for the rest of my life. ... I'm slowly putting myself back out there but I never know when the right time to reveal my status is and then I have flashbacks to the horrible incidents I had, get scared and shut down.

Has anyone else ever gone through this? Thanks in advance for any thoughts, ideas, etc. -- alittlelost

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UNDERSTANDING HIV/AIDS LABS


 My CD4 Count Is Slow to Increase: Does This Mean My Meds Don't Work?
I started taking Atripla (efavirenz/tenofovir/FTC) three years ago. Although my viral load is now undetectable, my CD4 count is only 400 and it's only ever gone as high as 500. Are my HIV meds not working? Should I start thinking about changing meds?

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


HIV TRANSMISSION


 Seconds of Unprotected Sex With a Positive Partner: Should I Take PEP?
I had insertive anal sex with a person who later informed me he was HIV positive with an undetectable viral load. Before I penetrated him, I introduced my penis head to his anus for about 10 seconds at most. Right after, I put on a condom and started penetration. I noticed he started to bleed and I stopped. The condom was intact and I didn't have any blood on my penis. It hasn't been 72 hours yet; should I start PEP (post-exposure prophylaxis)?

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


STRANGE BUT TRUE


 There's No Sex in the Champagne Room ... But Is There HIV Risk?
Recently I met a girl in the Champagne Room at a strip club. I fondled her boobs and eventually inserted my penis between them. There was no visible blood, cuts or breast milk on or between her boobs, but I did notice small red pimples. Can you assess the risk of HIV transmission in this case? I'm very worried!

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



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 Register for AIDSWatch 2011 in Washington, D.C., February 16-18


Monday, February 07, 2011

HIV Wellness powerpoint presentation by Nelson Vergel



HIV Wellness (click each slide on the right side to proceed)


Friday, February 04, 2011

Fw: 2011 Emergency ADAP Summit Attendees Send Letter to President Obama: Fix ADAP Crisis Now



From: Brandon Macsata <info@adapadvocacyassociation.org>
Date: Fri, 4 Feb 2011 06:52:56 -0800 (PST)
To: Nelson Vergel<powertx@aol.com>
ReplyTo: info@adapadvocacyassociation.org
Subject: 2011 Emergency ADAP Summit Attendees Send Letter to President Obama: Fix ADAP Crisis Now

ADAP Advocacy Association ADAP Advocacy Association
P.O. Box 15275
Washington, DC 20003
Email:info@adapadvocacyassociation.org
Web:http://www.adapadvocacyassociation.org


2011 Emergency ADAP Summit Attendees Send Letter to President Obama Seeking Fix to Ongoing ADAP Crisis; Uncertainty Fuels Growing Frustration among HIV/AIDS Activists

Summit Deemed Success by Attendees

WASHINGTON, D.C. (February 4, 2011) - The ADAP Advocacy Association, also known as aaa+, today sent a letter to President Barack Obama and his Office of National AIDS Policy director, Jeff Crowley, seeking an immediate fix to the ongoing crisis facing the cash-strapped AIDS Drug Assistance Programs (ADAPs). The letter, which was drafted and circulated for signatures during the 2011 Emergency ADAP Summit in Fort Lauderdale, Florida last weekend, demonstrates that ADAP stakeholders nationwide remain optimistic that their advocacy efforts will not be in vein.

"After an extremely successful summit - in which we proved our community can disagree, but still unite behind a common purpose - activists from across the nation re-committed themselves to fighting for the 5,779 people living with HIV/AIDS on ADAP waiting lists," said Brandon M. Macsata, CEO of the ADAP Advocacy Association. "We've heard the rhetoric, now we want results. The President still enjoys widespread support in the HIV/AIDS community, and we're hopeful that something is done before the ADAP waiting lists top six thousand Americans living with HIV/AIDS."

Just prior to the summit convening, ADAP waiting lists ballooned to 5,779 in ten states - including Arkansas with 23 individuals, Florida with 3,008 individuals, Georgia with 879 individuals, Louisiana with 621 individuals, Montana with 19 individuals, North Carolina with 106 individuals, Ohio with 368 individuals, South Carolina with 359 individuals, Virginia with 395 individuals and Wyoming with 1 individual.

The ever-escalating ADAP waiting lists prompted summit attendees to send the letter to President Obama. The letter, which was signed by 57 people living with, and affected by HIV/AIDS, is provided below in its entirety:

[Begin Letter]

January 30, 2011

To: President Barack Obama
The White House
Washington, D.C. 20502

Mr. Jeffrey Crowley, Director
Office of National AIDS Policy
The White House
Washington, D.C. 20502
(202)456-4533
AIDSpolicy@who.eop.gov

Dear President Obama and Mr. Crowley;

We the undersigned have been together all this weekend, January 29-30, in response to the AIDS Drug Assistance Program (ADAP) emergency in Florida, and the ADAP crisis nationwide.

As we write, there is still uncertainty about whether 10,000 Floridians with HIV and AIDS whose lifeline is ADAP, will shortly be cut off from their medication.

What is certain is that unless an agreement can be reached for a proposed once-only rescue by the pharmaceutical industry, Florida's ADAP funding will run out in less than two weeks, i.e. by February 10th. And even if there is temporary resolution, without adequate new funding there will be recurring shortfalls.

What is also certain is that;

  • As of last Friday, in ten states nationwide, 5,779 qualified HIV/AIDS patients in need are on waiting lists for access to ADAP medications.


  • Nineteen states and territories have severely tightened enrollment criteria and reduced drug formularies.


  • Between 2009 and 2010, monthly users of ADAPs rose an unprecedented 80%, and continue to rise due in large measure to the "perfect storm" of the downward spiraling economy with loss of jobs and health insurance, plus rising drug prices.


  • State budget deficits preclude addressing the accelerating need, while the federal Ryan White ADAP contribution has shrunk from approximately 70 percent to 50 percent of the overall national ADAP budget in recent years.


  • Research has shown that earlier treatment prolongs life, preserves productive individual health, and protects public health through lower viral counts and reduced disease transmission.


  • Pharmaceutical industry price accommodations and a $25 million HHS ADAP supplement in 2010, though deeply appreciated, as well as failed House and Senate legislative efforts, have left a current and ever-increasing shortfall of close to $100 million.


  • The President's National HIV/AIDS Strategy, published July 13, 2010, calls for;

    1) reducing the number of people who become infected with HIV;
    2) increasing access to care and optimizing health outcomes for people living with HIV; and
    3) reducing HIV-related health disparities.

    None of these overarching goals can be approached while failure looms over the national Ryan White ADAP Program, especially between now and 2014 when Health Care Reform is more fully implemented.

    It is no exaggeration to say that Persons Living With, and Affected By HIV and AIDS are fearful and desperate in the face of government gridlock that has thwarted every constructive solution to the ADAP crisis.

    We implore you to take the lead and not to rest, until there is secure and sufficient funding - immediate and ongoing - to avert a Florida ADAP meltdown and national ADAP insolvency, to achieve the goals of the National AIDS Strategy, and most importantly, to prevent needless suffering and death of Persons Living With HIV and AIDS in the United States.

    Sincerely,


    [End Letter]

    The two-day summit focused on the continuing crisis facing the cash-strapped AIDS Drug Assistance Programs, filled with important updates, lively discussions and timely grassroots advocacy trainings.

    To learn more about the ADAP waiting lists or the ADAP Advocacy Association, please contact Brandon M. Macsata by phone at (305) 519-4256 or email at info@adapadvocacyassociation.org.


    ####


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    Thursday, February 03, 2011

    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

    Wednesday, February 02, 2011

    Interview with author Nelson Vergel about his new book


    Full Nelson

    [ 0 ]February 1, 2011 | Steven Foster
    NelsonVergel slider Full Nelson featured
    Back by popular demand: author Nelson Vergel wrote Testosterone: A Man’s Guide in part to respond to men’s queries about their diminishing sex drives.
    Speaker, survivor, and author Nelson Vergel gives OutSmart the no-longer-skinny on ‘Testosterone: A Man’s Guide,’ his first book in over a decade
    by Steven Foster
    Steven Foster: It’s been 11 years since your first book Built to Survive hit the shelves and became an almost de facto manual for living with HIV. Why this book for your follow-up?Nelson Vergel: After my first book, I began to get a lot of e-mails from men—healthy men, not just men with HIV—who wanted to know if they needed to have HIV to get some help with hormone therapy. And that really struck me that we needed to begin providing this information.
    The book is incredibly comprehensive.
    It is time to package all of this information. But the information in here is practical—it’s not a textbook. This book basically has all the facts on how to manage side effects and maximize benefits, choose the right options, know if testosterone is for you. Not everyone should be using testosterone.

    What made these men write?
    The first thing people notice is not being very interested in sex. But it goes beyond that. You’re not connecting, you’re kind of lackadaisical about life. You’re not really depressed, but you’re in a funk. You don’t go out like you used to, you don’t enjoy hobbies like you used to. There’s no zest for life. The mood, the connection, the way you relate to others, the way you deal with stress.

    But doesn’t a loss of sexual drive occur naturally with age?
    As we age, testosterone goes down. Illnesses make testosterone go down. Sometimes there’s not a real reason why. I’m not saying that low testosterone is the only reason people have those symptoms. We all go through ups and downs. But if it’s a trend downward and you’re not that  old, then it’s a good thing to go to your doctor and have your testosterone checked.

    It seems like there’s such a stigma about that—men and low testosterone.
    The first step is to recognize you have a problem, and that’s very difficult for men. To admit they’re not at their best, that sexually they’re not interested in performing? Those subjects are moot to most men.

    Do most doctors just say, “Oh, here’s some Viagra”?
    Yes, a lot of doctors do that. Viagra is so easily prescribed. And people can find it online from other countries without a prescription. But it’s not the solution to the problem—it’s just a Band-Aid, using Viagra. And studies have shown that people with low testosterone respond very well to Viagra. But it doesn’t work as well or as long. And your drive and your hunger for sex is not enhanced by Viagra. With Viagra you need stimulation. You actually have to be driven to have the sex. Testosterone lights that fire. Viagra might just provide oxygen to that fire.

    What has testosterone replacement therapy [TRT] done for you?
    Saved my life. I’ve been HIV-positive for 27 years. In 1993 I was losing a lot of weight through the wasting syndrome before the protease inhibitors arrived. I was in Los Angeles and guys were using testosterone underground and they looked great. They had HIV like me, but they looked great. But I was all, I’m not gonna get on that, it’s gonna kill my liver and my immune system.

    TRT had bad press?It still does. But I’d lost 30 pounds already and I needed to do something because back then we didn’t have any meds. If I hadn’t gone to testosterone I would not have survived to ’96 or ’97 when the protease inhibitors came in and saved some of us. But a lot of my friends didn’t make it.

    What about the current view?
    Testosterone is not the answer to everything. It can create problems if you don’t know what you’re doing. But it’s like anything in life. If you’re taking a medication, you need to know what you’re doing. I’m very confident that anyone who has any questions about testosterone can find the answers in this book.

    Tuesday, February 01, 2011

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



    From: "News at The Body" <update@news.thebody.com>
    Date: 01 Feb 2011 18:16:13 -0500
    To: <nelsonvergel@yahoo.com>
    ReplyTo: "News at The Body" <update@news.thebody.com>
    Subject: Hot Topics at The Body's "Ask the Experts" Forums

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


    February 1, 2011
    Visit the Forums
    "Hot Topics" Library
    Change/Update Subscription


    LIVING WITH HIV/AIDS


     Loss of Libido After Diagnosis: Is This the End of My Sex Life?
    I haven't had sex in the three years since my HIV diagnosis. At 44, my testosterone levels are actually higher than normal and aside from HIV, I'm in very good physical health. The first year or two I figured that, after some time had passed and the initial shock of my diagnosis had worn off, sex would once again be part of my life. That time has come and gone and I still have no desire to be sexual with another man. Is there anything I can do to jump-start my sexual desire?

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


     How Do I Deal With Having HIV?
    I cannot deal with the mental anguish of having HIV. I keep waiting to develop drug resistance or something else bad to happen. I just want it to be over and I'm considering just not bothering anymore. I'm seeing a counselor and was put on Wellbutrin (bupropion), but I still can't cope. What can I do? How long have others you've known been able to deal with this?

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


    NUTRITION, EXERCISE & HIV/AIDS


     Any Tips for Eating Well and Losing Fat?
    I'm doing well on Atripla (efavirenz/tenofovir/FTC). My viral load is undetectable and my CD4 count is around 400. But I've gained more than 40 pounds and I need to lose some weight. Also, my bowel movements are all loose, and most have an oily film floating on top of the water. What could be causing this? Do you have any everyday fat-loss and nutrition tips for me?

    Nelson Vergel responds in the "Nutrition and Exercise" forum


     Can an HIVer Still Train to Run a Marathon?
    I've been HIV positive for five months. I now take medication and I feel good. Would it be possible for me to start a training program to run a marathon?

    Nelson Vergel responds in the "Nutrition and Exercise" forum


    MIXED-STATUS COUPLES


     Is Natural Conception Really Possible For Mixed-Status Couples?
    I asked my doctor what other options are available for mixed-status couples wanting to have a child, aside from IVF (in-vitro fertilization) and sperm washing. He said that as long as the HIV-positive partner's viral load remains undetectable, it is indeed possible to conceive naturally since the chances of transmitting the virus are extremely low and very close to zero. He also suggested that the HIV-negative partner take HIV meds after exposure to further reduce the possibility of infection. What are your thoughts?

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


    BODY SHAPE CHANGES & HIV/AIDS


     How Long Will It Take to Recover Lost Fat After a Med Switch?
    A year and a half ago, I switched an HIV med in my regimen in favor of Viread (tenofovir) to stop the progression of lipoatrophy. What can I do to reverse the effects of lipoatrophy more quickly?

    Nelson Vergel responds in the "Nutrition and Exercise" forum


     Do Any Body Shape Changes Develop From Taking PEP?
    I am currently on a 28-day course of Combivir (AZT/3TC) and Kaletra (lopinavir/ritonavir). Have there been any reported cases of lipoatrophy or lipodystrophy from taking this regimen as PEP (post-exposure prophylaxis)?

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


    HIV/AIDS TREATMENT & SIDE EFFECTS


     Is Morning Lightheadedness a Side Effect of Atripla?
    I've been taking Atripla (efavirenz/tenofovir/FTC) for two months with no really bad side effects, except after waking up, I feel lightheaded. I have to sit for a few minutes before it goes away. What could be causing this, and what can I do?

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


     Do-It-Yourself Dosing Changes: What's the Risk?
    I've been taking Atripla (efavirenz/tenofovir/FTC) for close to two years and have had good success overall with the medication. However, it baffles me that a 400-pound guy would be on the same pill as a 150-pound guy. I'm concerned about the potential long-term effects these meds could have on my liver and kidneys. Is there an alternative dosage that maintains the ratio of the three meds in Atripla? Would there be any problem with splitting the pills and taking a half-dose on alternating days?

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


    More Questions About HIV/AIDS Treatment & Side Effects:


    Connect With Others

    My Partner Doesn't Feel Sexual Anymore: Is It Me?
    (A recent post from the "Gay Men" board)

    I have been in a relationship for two years now. We're both positive. However, he does not feel sexual. What could be going on? Has anyone else had a similar experience? Is it me? -- 2cyclefun

    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


     How Are Anal Lesions Screened and Treated?
    I'm 56 years old and I've been HIV positive for 25 years. In 2008 I was diagnosed with "intense dysplasia in the anal canal." I get an anoscopy every year to follow up. What do you know about anal dysplasia? What else can be done to monitor or treat this condition? Is it likely to develop into anal cancer?

    Nelson Vergel responds in the "Nutrition and Exercise" forum


     Should I Worry About Getting a Cortisone Injection?
    I started Atripla (efavirenz/tenofovir/FTC) 10 days ago and have three weeks before my next blood draw. Due to a long-term running injury, my orthopedist suggested I get a cortisone injection in a bursa sac in my hip. I asked my HIV doctor about potential drug interactions; he said he didn't have any "serious concerns" given that it was a one-time, localized injection, but he did tell me that steroids suppress the immune system, and that the cortisone could potentially affect my next lab test results. Do you have any thoughts?

    Nelson Vergel responds in the "Nutrition and Exercise" forum


     What Steps Can I Take to Lessen My Depression?
    Besides medication, what can be done to alleviate depression? Are there any alternative supplements I can take or activities I can do?

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


    UNDERSTANDING HIV/AIDS LABS


     Could My Perinatally Infected Child Be HIV Negative After All?
    My 9-year-old child contracted HIV from his birth mother. He was diagnosed at 10 weeks of age and started HIV meds immediately. By 14 weeks he had an undetectable viral load using ultrasensitive testing. He has never had a detectable viral load. He recently tested negative for HIV antibodies. He also experiences side effects from his HIV meds. I've asked his doctor if he can prove my son still has HIV. His doctor doesn't know of a test that could do so. Do you know of such a test?

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


    HIV TRANSMISSION


     What Percent Risky Was My Behavior?
    I recently had sex with an HIV-positive guy. I was the top and did not use a condom. I know there's some risk, but do you know the percentage? Does ejaculating inside the partner carry more risk than pulling out?

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


     Stories From the "Worried Well": I Wasted 7 Years Worrying About HIV!
    It's hard to remember when you're wracked with fear that HIV is not the easiest virus to transmit, and that not every encounter will lead to HIV. Waiting seven years to get tested did nothing for me physically or mentally. For all you out there who are afraid to take that step, use my story as an example and don't waste precious time. Get out there and know your status!

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



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