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My T-cell and viral load
Sep 10, 2005

My T-cell count just dropped from 600 to 386 and my viral load is 300. My doctor has suggested that I should go on meds. Should I?

Response from Dr. Holodniy

No one should ever make such a decision based on one set of labs, particularly if there is a significant difference like yours. An acute drop in CD4 count as you describe with such a low viral load does not make sense. I would have the CD4 count repeated and also make note of the CD4 percent as well. If the CD4 count is again above 500 and a repeat viral load is still very low, you don't need to go on treatment.



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