|How much of a risk is there in waiting to start on medication
Feb 22, 2004
I've been positive for aprox 3 years, and my viral load is under 8230, and cd4 is aprox 435, im not on medication yet, how risky is it to wait, can you still get an illness that causes serrious damage like in the brain, by waiting.
| Response from Dr. Holodniy
Your immune system appears to be controlling the infection on its own for now. Current guidelines suggest starting treatment when the viral load is > 50,000 and the CD4 count is < 350. As long your current numbers are holding firm, I don't think you need to start at this point. Serious infections don't usually appear until your CD4 count is < 200.
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