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what do these blips mean?
Sep 25, 2005

dear doc,

thanks for the amazing work you do here! i'm worried about my viral load results. i've been takking haart for four years, and my viral load is mostly undetectable, but sometimes it's a little above undetectable for one test (76, 58, 106) and then undetectable again the next. what's going on? should i be worried about resistance or consider switching regimens?

thanks so much,

Response from Dr. Holodniy

You have made the correct diagnosis. Blipping is usually caused by issues associated with the viral load assay or more specifically with the blood collection tube that the sample is collected in. In almost all the studies to date, blipping has not resulted in viral load rebound that would suggest regimen failure or development of resistance.



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