 Virological and biochemical responses will be followed as clinically indicated by clinical provider. Anthropometric measures of obesity such as measurements of weight, height for BMI calculation, waist circumference, hip circumference, skin fold thickness and mid-arm circumference will be monthly followed and recorded. Midarm circumference and triceps skin fold thickness will be measured on the left arm midway between the tip of the acromion and the tip of olecranon and was recorded to the nearest 5 cm. Skin fold thickness will be measured at triceps. Waist circumference will be measured midway between iliac crest and lowest rib margin, and hip circumference at the level of the greater trochanters Han et al. 2001. 