Sadly, I have the opposite problem, I can’t lose weight. I’m become a fat fuck.
August 26
Weight changes while on antiretroviral therapy (ART) like Biktarvy can go both ways — some people gain weight, while others struggle to maintain or gain weight. It's more commonly discussed that ART can cause weight gain, but unintended weight loss is also a real concern for some people living with HIV.
A myHIVteam member Show Full Answer
Weight changes while on antiretroviral therapy (ART) like Biktarvy can go both ways — some people gain weight, while others struggle to maintain or gain weight. It's more commonly discussed that ART can cause weight gain, but unintended weight loss is also a real concern for some people living with HIV.
A myHIVteam member shared, "I hate when people point out my weight loss. It does something to me mentally." — so you're definitely not alone in this experience. Here are some things worth considering:
- Talk to your doctor — unexplained or ongoing weight loss should always be flagged with your healthcare team, as it can affect your overall well-being
- Nutrition matters — working with a registered dietitian can help ensure you're getting the right nutrients and enough calories to support a healthy weight
- Treatment options — if Biktarvy seems to be contributing to weight loss, your doctor may explore whether a different ART regimen could work better for you
It's worth bringing this up at your next appointment and being specific — mention how much weight you've lost and over what period of time. That detail really helps your doctor figure out the best path forward.
August 25