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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Appetite Loss Along With Lower Abdominal Pain?

My 58 year old brother has no appetite, no energy, lower stomach pain and headaches. He has had a colonoscopy, endoscopy, CT scan of stomach...everything is fine. He is 20 yr HIV positive and takes Epzicom 600/300 mg 1xdaily and Kaletra 200/50mg 2 tabs twice a day....t cells are 700 and viral load undetectable. He s gone off vitamin supplements and cholesterol med Atorvastatin. H. pylori has been ruled out as well as ulcer. He s been on heavy antacid meds but haven t helped. An additional problems is....He has been evaluated at Mayo Clinic for tremors that is not Parkinson s but he now cannot write with his right hand. He is on 120 mg 1Xdaily propranolol but cannot tolerate anymore. I think he s on Gabapentin 100 mg b.i.d. also. Thank you for any thoughts...right now the doctors don t have any answers. Sue Hook
Mon, 22 Oct 2018
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General & Family Physician 's  Response
Hello,

Seems to be related to digestive enzyme insufficiency, liver weakness or other metabolic alterations via HIV therapy.
Herbal approach with digestive enzymes will support him great to recover for appetite issue.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Purva Patel,
General & Family Physician
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What Causes Appetite Loss Along With Lower Abdominal Pain?

Hello, Seems to be related to digestive enzyme insufficiency, liver weakness or other metabolic alterations via HIV therapy. Herbal approach with digestive enzymes will support him great to recover for appetite issue. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel, General & Family Physician