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What is best indicator of hiv progression cd4 or cd4 %

Dec 20, 2009

My labs are as follows

June 08- CD4 590 VL 309 CD4% 27 3 months later- CD4 770 VL 2080 cd4% 26 3 months later- CD4 1040 VL 3000 cd4% 25.something 3 months later- CD4 790 VL 444 cd% 25 3 months later- CD4 800 VL 3000 CD4% 24.something

My cd4 seems to flucuate abit but generally quite good. As does my VL but tends to be in the lowwer range.

My doctor told me however from looking at my cd% my immune system has definately been comprimised quite significantly and as it should be around 40%.. 1) What does this mean when considering all my numbers?? 2) Can I really have a cd4 % of 25 when my overall count has been over 1000?

Response from Dr. Holodniy

I agree with your doctor regarding your CD4 counts. Although your CD4 count is well within the normal range, your CD4% has decreased modestly. And yes, you can have a CD4% that is reduced like that. Although there is no urgency to start HIV meds, if your CD4% continues to slip, you might want to start sooner rather than later.

PN from Truvada+Isentress?
Pneumonia and starting haart with a TB precaustion???

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