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VL and CD4 confusion

Sep 4, 2011

My lab results showed a VL decrease from 2 million to 1 million copies and my CD4 went up from 84 to 113 in 2 months on atripla. My doctor has suggested I change to a new regimen. Is he right or should I stay on the atripla?

Response from Dr. Holodniy

Well something is definitely not right. Assuming there was no resistance found before you started HIV treatment and you are taking the Atripla as prescribed, your viral load should have easily been below 10,000 after 2 months. At this point a resistance test should be obtained to determine if your virus has developed resistance to any of the meds. If so, then a change in your regimen is indicated.

why hasn't my CD4 gone up after 9 years on meds?

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