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Understanding Viral Load and CD4
Dec 24, 2006

My first lab results were viral load of 42,000 and CD4 1100. My doctor seemed pleased with cd4 but concerned with viral load. Is 42k considered high? And at what levels could i expect to have to start medication. I would love any other imput on my labs. Thanks!

Response from Dr. Holodniy

I wouldn't make a treatment decision based on one set of labs. However, your CD4 count is in the normal range and your viral load would be considered in the moderate range. A viral load > 100,000/mL would be considered high, and depending on what the CD4 count and trend was, and whether a person was having symptoms, would all factor into starting treatment. Usually if the CD4 count is < 350 or the viral load is consistently > 100,000 triggers a decision about HIV treatment.



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