Hcvhiv Coinfection

Special consideration for HCV/HIV co-infection is warranted, because up to 30% of HIV infected individuals are co-infected with HCV, and nearly all studies indicate that HIV accelerates progression of HCV to cirrhosis and liver failure. Preliminary studies indicate the safety of peginterferon and ribavirin to be comparable to HCV mono-infected patients, despite some early concerns about fatigue, anemia, and depression. Ribavirin should not be co-administered with didanosine because of increased tox-icity. Often, initiation of high active antiretroviral therapy in HCV/HIV co-infected patients will lead to a HCV disease flare from immune reconstitution injury or drug toxicity.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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