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HIV realted lipodystrophy may be caused by protease inhibitors interfering with a liver protein that closely resembles a portion of the HIV protease gene. Since all protease inhibitors currently in use are structurally similar, they may all interfere with the proper function of this liver enzyme which helps control fat levels in the blood.
At the Fifth Conference on Retroviruses and Opportunistic Infections in Chicago, it was noted that protease inhibitor therapy appears to be associated with body changes in some patients.
The affects of lipodystrophy are numerous and still under evaluation:
Some physicians conclude that while lipodystrophy is cosmetically undesirable and may cause significant psychological distress, it remains to be seen whether it is a symptom of a serious underlying condition.
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