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Question

I used to be doing well on ART but now I am losing weight…

I was doing well when I first got the treatment some 5 years ago in Papua New Guinea but now I’m sick and I have lost a lot of weight, What can I do to get my weight back and not be sick?

Answer

Hi there

Thanks for your email and for letting us post an answer online.

Great to hear that everything was going so well early on but I am sorry that your weight is worrying you now.

Because so many other things in life can affect your weight could you help with a little more information? This will help look for the possible cause.

  • What is your normal height and weight and how much did this change and over what time – even roughly?

This is to get an idea of how serious the weight loss is,

  • Do you know the names of your meds and have these changed at all?

This is to comment on whether side effects might cause this.

  • Also, what was your CD4 count and viral load over this time and now?

This is to check if your meds are still working well or if there is a risk of another infection or illness.

  • What has your doctor said about this?

This is to check that your doctor knows about this and is taking this seriously.

  • Finally, have you made any other chages to your life? Are you eating and sleeping well, and not under too much stress? Are you being more active etc – in case this is related to your diet and energy levels?

If you send these details I can answer in more detail, including to you privately.

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