The holistic approach to life

Most people with HIV infection will take 'natural therapies'. This should be viewed as being complementary with the management suggested by the GP, and the patient should be encouraged to tell his or her doctors of the alternative medicines being taken. Anecdotal reports suggest that 75% of people with HIV regularly use 'natural therapies,' 8 and in the setting of the longterm nature of the condition it is important for doctors to be supportive and create a climate of acceptance around these practices.

Positive lifestyle factors include:

• a very healthy balanced diet: high fruit and vegetable intake, pure fruit juices, high fibre, low fat, high complex carbohydrates

• toxic avoidance: processed foods, caffeine, illicit drugs, alcohol, cigarettes

• relaxation and meditation (reduction of and self-monitoring of stress levels)

• appropriate sleep and exercise

• consider supplementary antioxidants

• support groups and continuing counselling immune depletion;

Early CCt34>500}

interned ate

Advanced

immune depletion;

Early CCt34>500}

interned ate

Fig. 24.2 Chronology of HIV-induced disease correlated with time since infection G.J. STEWARD, COULD IT BE HIV? 1. THE CHALLENGE: CLINICAL DIAGNOSIS OF HIV, THE MEDICAL JOURNAL OF AUSTRALIA, 1993, 158:31-34 © COPYRIGHT 1993 THE MEDICAL JOURNAL OF AUSTRALIA, REPRODUCED WITH PERMISSION

10 weeks i years years

Fig. 24.2 Chronology of HIV-induced disease correlated with time since infection G.J. STEWARD, COULD IT BE HIV? 1. THE CHALLENGE: CLINICAL DIAGNOSIS OF HIV, THE MEDICAL JOURNAL OF AUSTRALIA, 1993, 158:31-34 © COPYRIGHT 1993 THE MEDICAL JOURNAL OF AUSTRALIA, REPRODUCED WITH PERMISSION

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