[Question #8683] Anxious about fat loss

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41 months ago
Hi Doctors,

My exposure was from a CSW in Macau back in 2013. I received oral sex from her and that was the only exposure.

I was tested with the Abbott Architect AG/AB on the 7th, 10th, 16th, and 21st WEEK after that episode, all NEGATIVE. 

From that time until now I have experienced angular chelitis, lymph node swelling (might be wrong, but I can fee it) and the most concerning is fat loss in the limbs and weight gain in the stomach and chest. I deal with health anxiety as well and so I usually google symptoms, sent a few emails to HIV doctors, etc over this ongoing 9-year course. I take anti-depressants as well to help but everytime I see my thin thighs and arms it really brings me back to anxiety mode. 

Do I really need to move on now? Or is the fat loss a sign of HIV? 
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H. Hunter Handsfield, MD
41 months ago
Welcome to the forum. Thanks for your question.

The HIV blood tests are among the most accurate diagnostic tests ever developed, for any medical condition. The results overrule all other factors:  no matter how high the risk of HIV and no matter how typical someone's symptoms may seem to be, those factors are always less accurate than the tests. It is 100% certain you do not have HIV and that other things are responsible for your various symptoms.

And anyway, you had a zero risk exposure for HIV:  there has never been a scientifically proved case of HIV transmission oral to penis. You certainly are not the first case in history! And your symptoms are not as typical of HIV as you seem to think. For example, the fat loss that occurs in some cases of AIDS has a particular pattern (i.e. the body areas involved) that you do not describe.

Thanks again for your confidence in our services. I hope these comments are helpful and allow you to concentrate (with your doctors) on other causes of your symptoms. Good luck with it. Let me know if anything isn't clear.

HHH, MD
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41 months ago
Hey doc,

What do you mean there is a specific pattern? The fat loss I have is from the legs, arms, buttocks, and face… all the while having a big stomach and manboobs… 

Is that lipo? 
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41 months ago
Also I noticed that the thinning started about 2 years after the exposure in 2015… could this be the daily anxiety and cortisol? 
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H. Hunter Handsfield, MD
41 months ago
A correction to my reply above:  it isn't HIV/AIDS itself that causes particular patterns of fat loss. You're probably thinking of the abnormal body fat distribution that can be caused by some anti-HIV drugs (and so was I in my reply--sorry).

But this really doesn't matter. You're focusing on the wrong part of my reply. Regardless of fat loss and metabolism, the blood test results prove you do not have HIV. Disregard everything else! The pattern of fat loss you report (limbs etc while retaining central/belly fat) fits with almost any medical condition you can think of -- from malnutrition to cancer to tuberculosis to inadeaute exercise to depression to diabetes to many others. These include HIV/AIDS, but your test results prove it isn't the cause for you.

You also are ignoring the fact that you had a sexual exposure that almost never transmits HIV.

Why are you having such trouble believing reasoned, science based reassurance? -- which probably you have had from your own doctors over the years, not just this forum. It's as if you're trying to prove everyone wrong and hoping to be told you have HIV after all!
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41 months ago
Thank you doc… that sets my mind at ease… so there is no chance that I have HIV given those tests right? And also after that exposure I had tried for another baby with my wife and she got pregnant in 2016… and my wife during the pregnancy tested negative 2 times…
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H. Hunter Handsfield, MD
41 months ago
Correct, no chance.

That completes the two follow-up comments and replies that come with each question and so ends this thread. I hope the discussion has been helpful and that you'll move forward with no further worries about HIV (and no more HIV tests). Good luck.
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