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Still detectable after relatively low viral load?

Feb 26, 2011

My previous HIV specialist prescribed me Atripla 3 months ago (Nov 2010) with viral load 40,000 and CD4 count 670. Two and a half months later (Feb 2011), my CD4 is 637 and VL is 90. My current specialist seemed very concerned that I was still detectable after a relatively low initial VL and expressed interest in changing my meds. She thinks it could be a resistance issue with the Sustiva. Is she right in being so concerned after only 10 weeks on Atripla? Should I really be undetectable right now, or is it still possible for it to drop further? Thanks.

Response from Dr. Holodniy

Could be resistance. But I would tend to wait another 4-8 weeks to see if it goes undetectable before I would consider changing.

AIDS and life expectancy
Change in CD4 count

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