“…Nonetheless, these gains have generated concerns about the health and nutritional status of PLHIV. Several reports have indicated metabolic and nutritional abnormalities among PLHIV [2,3,4], which are either HIV infection related [1], due to primary malnutrition caused by insufficient intake [2] or consequences of the ART regimen provided. Long-term ART use has been associated with morphological changes and metabolic complications including lipodystrophy [5] which is characterized by peripheral fat loss in the face, limbs, and buttocks, as well as central fat accumulation in the abdomen and breasts and over the dorsocervical spine and lipomas [6].…”