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Ask Dr. Kaiser Question: I met you at a conference in Chicago about 8 years ago. At the time I had severe AIDS wasting syndrome. I adopted your diet, your vitamin regimen, and persuaded my physician to put me on nandrolone injections, as you recommended. As a result, my wasting was reversed and I obtained normal muscle cell mass. Eventually, my physician switched me to 10 mg. of oxandrolone b.i.d. to avoid the inconvenience of injections. At one point, he took me off of it, because my liver enzymes were rising. My weight began to plummet. After a couple of months, he put me back on.Now he has taken me off of it again, and I am again losing weight, despite the fact that I am finally getting a response from anti-HIV drugs, with a viral load of only 15,000 and a CD4 count of 200 (I was in the single digits for many years). He d/c'd the oxandralone this time because my RBC was too rich and my HDL was too low. I suggested that he put me back on nandralone injections, but he said it is no longer available. Is that true? What would you recommend? Is there another anabolic steroid that is as effective as nandralone and oxandralone by less likely to cause high RBC and low HDL? Thanks, again, for your help in the past. I am hopeful that you can help me again. Dr. Kaiser replies: I am glad to hear that my program has helped you rebuild your immune system after we spoke in Chicago 8 years ago. Let’s see if I can help you again. First of all, when making decisions to switch on or off medications, it is important to know the extent of the problem. You haven’t told me how high your RBC or your live enzymes went before stopping the anabolic steroids. I usually tolerate a hemoglobin level up to 17 before considering discontinuing anabolic steroids due to the blood becoming too thick with RBC’s (red blood cells). Liver enzymes will often improve if you are taking my new pharmaceutical-grade vitamin packets at the appropriate dosage for your weight and clinical situation. And nandrolone is still available in generic form through what are known as compounding pharmacies. The bottom line is to make the right choice after carefully balancing all the factors. One of the more important pieces of missing information for this problem is a recent BIA test to accurately measure the amount of muscle mass on your body. If that is low, then being more aggressive with the anabolic steroids is the right thing to do. Good luck and I hope I hear of your continued success down the road. Check out our Message Board! |
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