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Ive Been having a lot of health issues for a year I feel full with no food or very little. I have burning in my stomach most of the time. I have dizziness when I stand. I am extremely tired all the time. I have nausea and sickness everyday. I’ve lost a lot of weight. My symptoms are every day. I tried lanzoprozol for excess acid but they did not help. The doctors don’t know what it is. I don’t know if it’s my acid levels. I had my gall bladder removed several years ago. Im 26 years old female. Any suggestions welcome thank you.

Laboratory data and prior pediatric reports indicate that HIV protease inhibitor (PI)–based antiretroviral therapy (ARV) kills gametocytes and reduces rates of gametocytemia, but not asymptomatic parasitemia, in a high malaria-transmission area. To determine whether ARV regimen impacts these rates in areas with less-intense malaria transmission, we compared asymptomatic parasitemia and gametocytemia rates in HIV-infected children by ARV regimen in Lilongwe, Malawi, an area of low-to-moderate transmission intensity. HIV PI lopinavir–ritonavir (LPV–rtv) ARV– or non-nucleoside reverse transcriptase inhibitor nevirapine ARV–treated children did not differ in the rates of polymerase chain reaction-detected asymptomatic parasitemia (relative risk [RR] 95% confidence interval [CI] [, ], P value ) or microscopically detected gametocytemia with LPV–rtv ARV during symptomatic malaria (RR 95% CI [,] P value ). LPV–rtv ARV was not associated with reduced rates of asymptomatic parasitemia, or gametocytemia on days of symptomatic malaria episodes, in HIV-infected children. Larger studies should evaluate whether ARV impacts transmission.

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