The exact dosing instructions for nitric oxide supplement is not known. However, most supplements contain an average dose of grams of L-arginine and L-citrulline. We suggest you follow a process known as tolerance mapping to understand just how much nitric acid is required for your body. The process is simple. All you have to do is start with a small dose in Week 1. During the first week, make sure you note down the benefits and side effects that you are feeling. Once your body has adjusted to the lowest dose possible, you can then increase the dosing until you start feeling beneficial effects. Gradually, your body starts adjusting to the supplement and you will hit your optimal dose. However, the temporary recommendations for the supplement that you can take 2000mg-6000mg per day for optimum effects. Please note that overdosing is possible as dose variations can happen due to physiological differences. In case you notice diarrhea, vomiting, weakness, and nausea, stop the supplement immediately and consult your personal physician. Please note that liquids are absorbed much faster than solids and dosages for liquids will be lower than that of solid preparations.
Fat gain may also be linked to insulin resistance. Insulin resistance can cause glucose intolerance, which has been associated with fat gain, increased triglycerides, and the development of diabetes. Insulin is a hormone produced by the pancreas to control blood sugar-glucose. HIV medications may block or slow down the process by which insulin converts glucose to energy. In laboratory studies, Crixivan and higher doses of Norvir and Zerit have been shown to impair the action of insulin in fat and muscle cells. In this scenario the pancreas will tend to produce more and more insulin to compensate for the decrease in function. High insulin levels may be present for years before type 2 diabetes develops. A glucose tolerance test (GTT) may reveal that problem easily but it is hardly used in clinical practices. Additionally, some people may have a genetic predisposition to insulin resistance. A sedentary lifestyle and a diet rich in sugars and animal fats may also compound this problem. In any case, insulin resistance may just be a part of the mystery of lipohypertrophy. There is no agreement among researchers whether or not monitoring insulin levels in HIV-positive people is justifiable or dependable as a tool to assess insulin resistance and fat gain.