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How can the side effects of ART be managed at age 34?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am on ART and have severe side effects of ART. I am 34 years old and have been suffering from HIV for five years. I am unable to focus on my daily tasks. It is affecting my daily life. Please advise me on how to manage my symptoms.

  1. Are these side effects common with ART?

  2. Is there any other alternative treatment or replacement for ART?

  3. Can I change my regimen?

  4. Will I have these symptoms for a lifetime?

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Facing challenges with ART? Here are some steps to know how to manage the side effects.

  1. The common ART (antiretroviral therapy) side effects faced are, in the short term, nausea, fatigue, or headaches (often improve within weeks), and in the long term, lipodystrophy, liver or kidney issues, or mood changes (may require adjustments).

  2. The common symptoms faced are fatigue, focus problems, or mood shifts that may stem from ART or underlying issues (e.g., anemia or vitamin deficiencies).

  3. On adjusting your treatment, speak to your doctor about switching to newer ART options with fewer side effects, like integrase inhibitors.

  4. Try to manage day-to-day by combating fatigue with good sleep, a balanced diet, and light exercise. For mental health, seek counseling or consult a specialist. For gastrointestinal issues, taking probiotics and high-fiber foods may help.

  5. Under holistic care, stress management, mindfulness, and a healthy lifestyle can support your treatment.

  6. In the next steps, discuss your symptoms openly with your doctor. Get tested for conditions like anemia, depression, or thyroid dysfunction. You do not have to endure side effects forever. Solutions are available to improve your quality of life. Let me know if you need additional tips or resources.

I hope this helps.

Thank you and take care.

Medically reviewed byDr. K. Shobana
Published At January 13, 2025
Reviewed AtJune 18, 2026

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