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first labs
Jan 30, 2011

My friend had an HIV test about one year ago and was negative. He was recently diagnosed and just got his labs back. His CD4 count is 849 and viral load is 92,400. He was told that the high viral load may be because he was recently infected so they do not need him to return for labs for another 6 months. He is very scared about the viral load number and thinks he should return to the doc sooner. Help?

Response from Dr. Holodniy

His CD4 count is in the normal range and his viral load is moderately high, but not extremely so. It is hard to know when infection occurred within the last year, and whether his viral load will drop any further or is still coming down from acute infection. Although he is in no acute danger, given where his immune status is now, most experts would recommend a 3 month visit to get another point on the line to see where the trend is going and not wait 6 months.



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