Abstract

Associations between HIV, antiretrovirals, and fat amount or repartition have a long history, like a television series with many seasons and episodes. The series began with the lipoatrophic effect of thymidine analogues (stavudine and zidovudine), then continued with truncal fat accumulation when thymidine analogues were withdrawn, without clearly ascertaining which antiretrovirals were involved into this fat gain.1 The discovery that HIV is present within fat reservoirs and involved into fat alterations was a novel episode,2 happening against the backdrop of a worldwide rising prevalence of obesity, affecting both the general population and people with HIV.

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