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Treat or Wait? Confused What To Do?
Nov 29, 2005

I recently tested positive to HIV. Antibody testing was negative, but additional tests revealed a very high viral load count. I still remain negative to standard antibody testing. I am not sure if I should start antiretroviral therapy now although I don't need to because of good health, OR hold off until such time that I do require treatment. Please help Dr. Bob. Thanks, K

Response from Dr. Frascino

Hello,

Repeat antibody testing is negative, but your viral load is high? Hmmm . . . something isn't adding up here. Why was viral load testing even ordered if your HIV-antibody tests are all negative? I'd suggest you see an HIV specialist in your area to help you sort this out. From what you've told me, you may well be HIV negative! (Your viral load PCR test could be a "false positive").

Good luck. Keep me posted.

Dr. Bob


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