Forum on Understanding Your Labs: CD4's are flat...when to worry?

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		CD4's are flat...when to worry? Apr 26, 2008 I've been on meds for 2 years. (Reyataz/Norvir and Epzicom or Truvada...I'm in a blinded study.) I'm concerned about the lack of increase in my CD4 count. At what point should I consider switching my regiment? My doctor says not to worry, but I'm concerned she may be shielding me from a troublesome development. Thanks. 04/05: became positive 01/06: CD4 = 200 (no other info) 04/06: CD4/ 220/29%...VL=18000 05/01/06: 240/25, 10000 05/10/06: 140/22, 9000 (started meds) 06/06: 300/33, 100 08/06: 260/29 VL undetectible, as it has been since 10/06: 360/35 01/07: 310/35 03/07: 230/40 06/07: 310/40 09/07: 220/33 12/07: 330/40 03/08: 260/39


		Response from Dr. Holodniy Your CD4 percent is very healthy and in the normal range. I tend to agree with your doctor to a point. Something is keeping your absolute CD4 count down. I would be curious to know what your WBC and total lymphocyte counts are. I suspect they might be below normal, and would help explain why in the presence of a normal CD4 percent your absolute number is reduced. Are you taking any other meds or supplements that could be associated with artificially lowering your CD4 count. I don't think it is your HIV regimen.

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