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Table of Contents

Can We Talk?

Crimes of the Heart

"Save Adap!"

Meth Traps

How to Recognize Abuse - and Deal

Loose Threads

Milestones

International Male

Earthwatch

Soap Dish

Brief

Black Tar Smack Attack

Female Troubles

Comic Relief

Pos & Neg

Double Exposure

Quick Study: Nutrients

Paunch Punch

Report from Retro

Briefs

Tropical Trannie

Quick Study: Depression

Warning Signs

Tunnel of Grub

Resources: Good News

Skin Trade

Editor's Letter

Mailbox

Trading Spaces



Most Popular Lessons

The HIV Life Cycle

Shingles

Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV



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June 2004


Paunch Punch

by Tim Murphy

My STARS! The Serostim for the Treatment of Adipose Redistribution Study, that is. It found that 12 weeks of Serostim (human growth hormone), FDA-OK’d thus far only to treat AIDS wasting, significantly reversed lipo’s dreaded “protease paunch.” Too bad the staggering $7,000-a-month price tag often puts the drug out of reach for private-plan or Medicaid HIVers who need it for wasting, much less off label for lipo.

That may change: Serono, the drug’s maker, is talking to the FDA about further studies of Serostim to lick lipo, which could lead to approval for such use—and then HMOs and Medicaid could pick up the tab. But don’t hold your breath: Though Serono rep Carolyn Castel says, “We’re very committed” to pursuing Serostim for lipo, Tim Horn of AIDS Treatment Activists Coalition says, “There are a number of questions to be answered before it can be used safely and effectively” for that. (For one, Serostim can raise glucose levels, which are already high in many HIVers with lipo.)

And will STARS’ smaller daily dose of the injectable for lipo (compared to the amount used for wasting) reduce the price? “It’s way too premature to say,” Castel insists. Meanwhile, find a doc who’s a whiz with those HMO codes.



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