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CD4 count and Viral Load

Aug 23, 2009

Dear Doctor, I tested positive for HIV in June this year. I am strong and healthy, no any sickness.My doctor told me my CD4 is at 38 but could not detect the viral load even after giving samples three times, how is this possible? I have started treatment, how will my response to treatment be monitored?

Response from Dr. Holodniy

If your absolute CD4 count was truly 38 (and this was not the percentage of CD4 cells, normal range being 30-50%), then starting HIV treatment regardless of viral load results was the correct thing to do. Sometimes depending of the assay used, some HIV strains might not be picked up by one assay and so another assay could be used to determine viral load. Following the CD4 count and percentage will determine HIV treatment response in the absence of measurable viral load.

Question on viral load.
cd4: 50 Is this bad?

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