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New Combo after Viracept/Combivir
Nov 6, 2000

Dear Dr.Doctor

Tested + 03-97, at that time vl 50k, tcells 350, started Combivir(azt+3tc)& Viracept, was undetectable till 01-00, at 1100vl, went up and down from 1100vl to 4000vl, continued taking the same meds, til 06-00 vl 8000k, and 09-00 vl 25k. Tcells went as high to 600, last test t cells 550, 20% all this time. Took resistance test, and after, stopped taking meds to stop further resistance. The test results came back, 3tc resistance, viracept resistance (about 5 secondary, 1 primary, and no azt resistance. I'll be starting next week with Sustiva, Zerit40mg, Ziagen. Whats your opinion or comments please, can I achieve an undetectable vl? Thank you for your valuable time.

Response from Dr. Holodniy

You did the right thing in getting a resistance test and changing the regimen accordingly. Even with a viral load of 25K, the new regimen should easily get you to < 50.

MH



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