I'm not too sure if I should approach my doctor on this. The other answers address the body shape changes. Not in all, but clearly in some. Well, there are three strategies. One is to treat them, like we would treat anyone who had these problems.
Second option is to switch to other meds.
If you are on your first combination, with full suppression the whole time, then any of these substitutions could work well for you to keep HIV under control, and should reverse the changes. Third option you mention is to just take a break. There are reasons why this is increasingly discussed, including some confidence that those with higher T cells have some time before they would need to start, and could handle a break for awhile. But some will go that route anyway, monitoring carefully if you do. The choice of which way to go is of course up to you and your clinician.