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CD4 and Viral Load vs. Percentage

Mar 8, 2008

I recently came from my doctor and my CD4 count has continued to increase while my viral load remains undetectable. However, my CD4 percentage dropped from about 29 to 16% in the last three months. I haven't missed any doses of my medication and although my doctor has told me not to be concerned because I'm still undetectable, I can't help but question what the cause of this decline could be. Please advise.

Response from Dr. Holodniy

You don't indicate what your CD4 counts or percentage was prior to starting treatment, what your current CD4 count is, and what HIV meds or other meds you are taking. Although this is likely to be a lab error, some HIV med combos, other meds, or other kinds of infections could be causing a real decrease. I would be inclined just to repeat it if everything else checks out OK and you are likely to see it back up where it was.

General info
Elevated ALT but not AST

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