Viral Load Set Point
Aug 8, 2005
I was diagnosed positive one year ago this month. I had only contracted HIV a short time earlier as standard tests were still showing negative. Initally I was very sick going through zero conversion VL1M CD4 360. Over the next 6 months my VL come down to 92K CD4 465. From what I have read after 6 months the VL should take a set point, for me around 90K. Just this past week I was tested, VL 45K CD4 520. The numbers are looking better. Can I expect that if my numbers are trending better after 1 year that it may continue? Is the 6 months to set point not true? I had heard that people who initially get very sick (as I did) usually the HIV progress quicker.
Response from Dr. Holodniy
The six month set point is an average and not absolute. Unfortunately eveything with HIV is on a continuum and every patient is diferrent. The data on severity of illness during acute infection is mostly from older studies, where people were not put on effective treatment that would abort any progression.
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