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low viral load, low t-cells
May 18, 2009

I was diagnosed with hiv recently, and my viral load is only 1,200, but my t-cell count is 282, which surprised my doctor, so I am starting medication. What does it mean that both numbers are low?

Response from Dr. Frascino


There are a number of reasons for seemingly discordant HIV plasma viral load and absolute CD4 cell counts. Before I launch into a major discussion, however, I'd suggest you have your tests repeated. When possible it's helpful to have at least two points of reference before making a major treatment decision, such as starting combination antiretroviral drugs. This repeat test could also include a genotype resistance test, if this has not already been done. Genotype resistance testing could help your specialist choose your best treatment option.

Good luck!

Dr. Bob

hiv? urgent
Dr Bob is my Hero

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