|CD4 & VL Baseline measurement
Mar 15, 2001
Hi, I was infected approx. Jan2000 and confirmed in Sept2000. I just had my initial blood counts and cd4=379 vl=43000. I'm wondering where do I go from here. Literature suggests that I will be advised to go on meds given the counts. I don't want to rush into it. Would it be wise to ask for more blood work to get a baseline comparison or can I assume the counts will only get worse? Also, I had the blood work daone Jan29 and had flu and Pnuemonia shots in early DEc2000. Would this possibly affect the counts? Please advise. Thank you for any help !!!
| Response from Dr. Holodniy
Although flu and pneumonia shots can affect viral load in those people not on treatment, it is unlikely that 5-8 weeks after those shots, viral load would be affected. It is usually much closer to the time of vaccination (within a 2-4 weeks, after which the viral load goes back down to baseline level). The current guidelines just released in February of this year, suggest that anyone with a CD4 count < 350 and viral load > 35-55,000, should start treatment. I would agree, you fall into this group. MH
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