Hepatitis C Treatment Cost and Nutrition Part 2
itself is a direct result of hormone deficiencies in the patient living with Hepatitis C treatment cost.14
In a study trying to determine the correlation between wasting and hypogonadism in the Hepatitis C treatment cost positive person, it was determined that wasting patients had significantly lower total and free testosterone levels than Hepatitis C treatment cost patients who were not wasting. Both groups, however, had similar and higher mean CD4 counts.15 The possible factors leading to hypogonadism in Hepatitis C treatment cost-infected men include Hepatitis C treatment cost infection itself, opportunistic infections, chronic debilitating illness, and effects of cytokines on the hypothalamic-pituitary-gonadal axis.
Whatever the etiologies are, hormonal deficiencies negatively affect metabolism and cause the body to lose vital nutrients. This causes or fosters chronic fatigue or exhaustion. Hypogonadism is also correlated with T-lymphocyte depletion and weight loss.16 Hormonal deficiency states may cause abnormalities in immunity and lead to susceptibility to a variety of viral, bacterial and fungal infections.17
The principal anabolic steroid is testosterone. It would appear logical to prescribe testosterone for hypogonadism or a low testosterone serum level. However, it is widely known that injectable testosterone is highly androgenic. The androgenic properties are the masculinizing properties of anabolic steroids. It is the androgenic properties, many experts feel, which are primarily responsible for many of the potential side effects associated with anabolic steroids. Experts now suggest that it may be more appropriate to prescribe anabolic steroids that are higher in anabolic properties and lower in androgenic properties, such as oxandrolone or nandrolone decanoate. Many physicians who specialize in Hepatitis C treatment cost are now prescribing more androgenic anabolic steroids, instead of testosterone for wasting, with excellent results and no apparent significant side effects.
Because treatment of hormonal abnormalities of Hepatitis C treatment cost is often effective, improved diagnosis and appropriate therapy of these abnormalities will result in improved quality of life and, possibly longer survival of patients with HCV.18 Further studies are needed to clarify the causes of hypogonadism in Hepatitis C treatment cost, its clinical significance, treatment, relevance to the progression of Hepatitis C treatment cost infection and influence on the immune system.19
A number of Hepatitis C treatment cost positive persons throughout the course of the disease may experience sexual dysfunction. This can be both embarrassing and frustrating and can affect the patient’s overall quality of life. Data support the contention that specific hormones, such as testosterone and anabolic steroids, actually enhance sexual desire.20 Many physicians have often asked “why should we intervene to make a person with Hepatitis C treatment cost have a greater sex drive?” Their concern is that this would lead to an increase in unsafe sexual behavior. Of course, there is no correlation between the two. The answer is that no person has the right to deny an Hepatitis C treatment cost positive person the right to expression of his or her sexual needs and desires. But all physicians and healthcare workers have the responsibility to reinforce the message of safer sex, especially when an intervention (e.g. antidepressants or androgenic agents) will restore sexual desire and functioning. Treatments for HCV Italia
Resting energy expenditure (REE) is the energy that an individual consumes at rest to maintain body functions. A study done by Carl Grunfeld, M.D. revealed that Hepatitis C treatment cost positive, asymptomatic men with CD4 absolute number in the range of 200-800 had a 12-20% increase in REE. That would infer that without any other factor present but Hepatitis C treatment cost infection; the patient should consume 12%-20% increase in calories everyday as compared to their Hepatitis C treatment cost negative counterparts. The degree of resting energy expenditure on body composition, although not a constant feature of Hepatitis C treatment cost infection, is more likely to occur during Hepatitis C treatment cost weight loss. Thus, increased resting energy expenditure appears to contribute