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Decrease VL, Decrease CD4
Mar 16, 2008

I've been hiv+ since 1 year ago and I dont take any meds. 4 months ago my VL was 106.000 and cd4 306 19%. The new test are 19,500 vl and 250 18% cd4. My doctor wants to medicate me. Im not sure. What does it mean that the VL decreased so much and my cd4 too? What do you think? Thanks

Response from Dr. Holodniy

I agree with your doctor. You need to start HIV medications. Your CD4 count and percent are the important numbers here. A normal CD4 count/percent in people without HIV infection is 500-1500 and 30-50%. You have lost about half your CD4 cells. There can be variability in the viral load result. The viral load can vary up to three times up or down, and can be affected by having other ongoing infections, immunizations, etc, particularly in those not on HIV treatment.



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