Have this discussion with your physician. Your laboratory values are borderline in terms of treatment recommendation, and I think you have some time to ponder the decision of treatment options. If you pursue the counseling and the fatigue persists, discuss the other potential causes of HIV related fatigue with your physician. Also, if you do decide to pursue HIV treatment, you may benefit nicely from a simple combination of meds that doesn't need to include a protease inhibitor. Also, review your eating habits.
Energy distribution can be more optimal if one eats smaller frequent meals.
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