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viral load increase after years undetectable
Feb 14, 2001

Hello: my viral load has been undetectable since 1997 and my CD4 count has been high (500 -900) I went off protease inhibitors last September and am taking only sustiva and combovir. my last blood work revealed a viral load of 400. My physician did not seem too concerned and said we should wait til April for my next appointment to do more blood work. I am very upset, although I know 400 is not high. Should I be concerned

Response from Dr. Holodniy

A blip from < 50 to 400, or a consistent viral load around 400, would not be to terribly concerning. However a trend where there is a continued increase (ie next value >1000) is concerning. I probably would not wait any longer than April. If the trend is up, treatment modification is in order. MH



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